CN108523940A - A kind of catching device for Ultrasound-guided Percutaneous interventional treatment - Google Patents

A kind of catching device for Ultrasound-guided Percutaneous interventional treatment Download PDF

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Publication number
CN108523940A
CN108523940A CN201710119056.2A CN201710119056A CN108523940A CN 108523940 A CN108523940 A CN 108523940A CN 201710119056 A CN201710119056 A CN 201710119056A CN 108523940 A CN108523940 A CN 108523940A
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CN
China
Prior art keywords
catching device
ultrasound
interventional treatment
guided percutaneous
percutaneous interventional
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Application number
CN201710119056.2A
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Chinese (zh)
Inventor
潘湘斌
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Individual
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Individual
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Priority to CN201710119056.2A priority Critical patent/CN108523940A/en
Publication of CN108523940A publication Critical patent/CN108523940A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12099Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
    • A61B17/12109Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder in a blood vessel
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/09Guide wires
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00022Sensing or detecting at the treatment site
    • A61B2017/00079Radioactivity
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00022Sensing or detecting at the treatment site
    • A61B2017/00106Sensing or detecting at the treatment site ultrasonic
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00575Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B2017/1205Introduction devices

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Hematology (AREA)
  • Anesthesiology (AREA)
  • Reproductive Health (AREA)
  • Vascular Medicine (AREA)
  • Pulmonology (AREA)
  • Biophysics (AREA)
  • Cardiology (AREA)
  • Radiation-Therapy Devices (AREA)

Abstract

The invention discloses a kind of catching devices for Ultrasound-guided Percutaneous interventional treatment, what is be connected including catching device head and with catching device head arrests body portion, it is characterized in that, catching device head is in the stereochemical structure for being easy to be arrived by supersonic sounding, there is the stereochemical structure blood circulation structure, blood to flow to the other side via the side on blood circulation structure from catching device head.There is provided a kind of a kind of applications of above-mentioned catching device for Ultrasound-guided Percutaneous interventional treatment for another technical solution of the present invention, it is characterised in that:The catching device can be used by 5F 6F conduits in use, catching device cooperation loads sheath according to different model.Novel catching device provided by the invention, can quickly, accurately catch seal wire, not only improve the success rate of conventional radiation Guided Percutaneous interventional treatment, and the safety and efficacy of Ultrasound-guided Percutaneous interventional treatment can be improved.

Description

A kind of catching device for Ultrasound-guided Percutaneous interventional treatment
Technical field
The present invention relates to one kind for being conveyed for quickly arresting seal wire with establishing in ultrasound-guided percutaneous interventional treatment The novel catching device of track, the catching device are also suitable for the interventional treatment under radioactive ray guiding, belong to interventional treatment medical instrument Field.
Background technology
Interventional treatment is to be now widely used for the medical procedure of diagnosis and treatment in human body, in interventional treatment, it is often necessary to make It catches the seal wire being sent into from another vascular routes in vivo with catching device, then utilizes catching device to pull out seal wire external, establish By the track of diseased region further to complete interventional treatment, such as just need when percutaneously blocking ventricular septal defect special Catching device establishes the guidewire track of conveying plugging device in human body in advance.The catching device is mainly used for percutaneous interventional Seal wire is arrested in the operations such as ventricular septal defect, patent ductus arteriosus, plays the role of establishing arteriovenous track.
, all there is a very big drawback in current existing catching device, that is, be difficult quickly to capture seal wire.It is existing to arrest The arc-shaped closed loop configuration of ring is arrested on device head, and since this arrests ring, only there are one planes, if seal wire cannot be just by arresting Plane where ring is arrested on device head, then cause to arrest unsuccessfully, so it is very high to arrest mortality.Especially existing catching device behaviour Make dumb, cannot quickly arrest, operating time is caused to extend, increase medical-risk.
Percutaneous research of transcatheter closure of ventricular septal defect is treated under the guiding of irradiation image equipment at present, is needed using radiation Line and contrast agent, and doctor can only be led by the bidimensional image of device display screen to judge whether catching device has enclosed during surgery Silk, but due to the limitation of vision of two dimensional image, the seal wire above or below catching device is usually accidentally considered as by doctor has grabbed Firmly.Thus often some operations need to take considerable time for capturing seal wire, cause operating time to extend, it is meant that patient and doctor The increase of the raw exposure duration under X-ray, there are the risks of larger radiation injury, can influence marrow, genitals and thyroid gland The function of equal organs.
Invention content
The technical problem to be solved by the present invention is to:So that catching device is adapted in complete Ultrasound-guided Percutaneous interventional technique, It improves seal wire and arrests efficiency.
In order to solve the above-mentioned technical problem, there is provided one kind being used for Ultrasound-guided Percutaneous for a technical solution of the invention The catching device of interventional treatment, including catching device head and what is be connected with catching device head arrest body portion, which is characterized in that arrest Device head is in the stereochemical structure for being easy to be arrived by supersonic sounding, which has blood circulation structure, and blood is via blood stream The side on logical structure from catching device head flows to the other side.
Preferably, the stereochemical structure is elliposoidal stereochemical structure or egg type stereochemical structure.
Preferably, the minor axis of the elliposoidal stereochemical structure or egg type stereochemical structure is 10-40 millimeters, major diameter 20- 80 millimeters.
Preferably, the stereochemical structure is stereo hollow structure, and the hollow space in stereo hollow structure is the blood Currency structure.
Preferably, the stereo hollow structure is hollow and surface the standing with mesh being cross-woven by nitinol alloy wire Body structure.
Preferably, the size of the mesh is 3-20 square millimeters.
Preferably, a diameter of 0.035 inch of seal wire is in the body portion that arrests, a length of 260 centimetres of seal wire.
There is provided a kind of above-mentioned one kind being used for Ultrasound-guided Percutaneous interventional treatment for another technical solution of the present invention Catching device application, it is characterised in that:The catching device can be by 5F 6F conduits, in use, institute according to different model It states catching device cooperation and loads sheath use.
Preferably, a length of 150 millimeters of the loading sheath.
Preferably, the sheath front end that loads is furnished with the hickey that can be threadedly coupled with 5F 6F catheter tails, leads to The threaded connection of the loading sheath and the 5F either between 6F conduits is crossed to push the catching device into the 5F or 6F In conduit.
The beneficial effects of the invention are as follows:
The novel catching device is simple in structure, easily fabricated, greatly reduces cost;It is easily operated, it novel is arrested using this The elliposoidal solid head of device covers seal wire institute through chamber domain, can quickly, accurately catch seal wire, substantially reduce intervention comprehensively Seal wire in treatment for arresting and the time for establishing track, improve the efficiency of operation.The more importantly novel catching device Special form is conducive to supersonic sounding, is adapted to complete Ultrasound-guided Percutaneous interventional technique, does not use radioactive ray completely And contrast agent, that is, it protects patient also to protect medical staff from radiation injury, there is apparent advantage, not only improve typical radiation The success rate of line Guided Percutaneous interventional treatment, and the safety and efficacy of Ultrasound-guided Percutaneous interventional treatment can be improved.
Description of the drawings
Fig. 1 is a kind of appearance schematic diagram of catching device for Ultrasound-guided Percutaneous interventional treatment provided by the invention;
Fig. 2 is a kind of schematic diagram of catching device for Ultrasound-guided Percutaneous interventional treatment provided by the invention.
Specific implementation mode
In order to make the present invention more obvious and understandable, hereby with preferred embodiment, and attached drawing is coordinated to be described in detail below.
Fig. 1 and Fig. 2 is the structural schematic diagram of the novel catching device of the present invention, and in conjunction with attached drawing, the present invention includes catching device head Portion 1 and arrest body portion 2.Described one end for arresting body portion 2 connects the catching device head 1.
The catching device head 1 is the stereo hollow knot in egg type or elliposoidal made of being woven by nitinol alloy wire Structure is formd and is evenly distributed on catching device head 1 during being cross-woven catching device head 1 by nitinol alloy wire It is many arrest mesh 3, arrest mesh 3 size be 3-20 square millimeters.The minor axis AB on the catching device head 1 is 10-40 Millimeter, major diameter CD are 20-80 millimeters.
The body portion 2 that arrests is a diameter of 0.035 inch of seal wire, 260 centimetres long.
Catching device provided by the invention can need cooperation to load when in use according to different model by 5F 6F conduits Sheath uses.150 millimeters of the loading sheath pipe range, front end are furnished with hickey, can be with common 5F 6F catheter tails screw thread Connection, convenient for pushing the catching device in conduit.
In specific surgical procedure, the application method of catching device provided by the invention is as follows:
Dress is inserted into catching device tail portion by the catching device for selecting suitable size from sheath front end (being furnished with hickey end) is loaded It carries in sheath, push loads sheath will be spare in the income loading sheath of catching device head.The conduit of suitable size is sent into vivo, Close to after the quasi- seal wire arrested, sheath front end will be loaded and connect with catheter tail, catching device head is pushed out conduit, in vivo It is fully deployed.Since catching device is in hollow netted stereochemical structure, so catching device head will not when filling up blood vessel or the chambers of the heart Blood flow is hindered, blood proper flow is not interfered in capture process.Target seal wire is pushed, catching device head institute is made it through At position, fixed catheter, catching device of slowly dropping back, you can catch target seal wire, and pull out establish track in vitro together.Due to new Type catching device spatially structure, the probability of capture target seal wire are far longer than only that there are one the common catching devices for arresting ring.
More importantly novel catching device provided by the invention is adapted to complete Ultrasound-guided Percutaneous interventional technique.It should Technology does not use radioactive ray and contrast agent completely, had both protected patient or had protected medical staff from radiation injury, and had had apparent Advantage, but the operation principle of ultrasound cross-section scanning is different from the working method of radioactive ray projection detection, so ultrasound is difficult to It visits and only there are one the common catching devices for arresting ring.The head of catching device provided by the invention spatially structure (arresting ball) surpasses Sound is very easy to detect the position on catching device head.Therefore, which not only improves conventional radiation Guided Percutaneous The success rate of interventional treatment, and the safety and efficacy of Ultrasound-guided Percutaneous interventional treatment can be improved.
Obviously, the above embodiment is only intended to clearly illustrate example, and does not limit the embodiments. For those of ordinary skill in the art, other various forms of variations can also be made on the basis of the above description Or it changes.There is no necessity and possibility to exhaust all the enbodiments.And obvious variation extended from this Or it changes and is still in the protection scope of this invention.

Claims (10)

1. a kind of catching device for Ultrasound-guided Percutaneous interventional treatment, including catching device head and it is connected with catching device head Arrest body portion, which is characterized in that catching device head is in the stereochemical structure for being easy to be arrived by supersonic sounding, which has blood Liquid currency structure, blood flow to the other side via the side on blood circulation structure from catching device head.
2. a kind of catching device for Ultrasound-guided Percutaneous interventional treatment as described in claim 1, which is characterized in that described vertical Body structure is elliposoidal stereochemical structure or egg type stereochemical structure.
3. a kind of catching device for Ultrasound-guided Percutaneous interventional treatment as claimed in claim 2, which is characterized in that described ellipse The minor axis (AB) of spherical stereochemical structure or egg type stereochemical structure is 10-40 millimeters, and major diameter (CD) is 20-80 millimeters.
4. a kind of catching device for Ultrasound-guided Percutaneous interventional treatment as described in claim 1, which is characterized in that described vertical Body structure is stereo hollow structure, and the hollow space in stereo hollow structure is the blood circulation structure.
5. a kind of catching device for Ultrasound-guided Percutaneous interventional treatment as claimed in claim 4, which is characterized in that described vertical Body hollow structure is stereochemical structure of the hollow and surface with mesh being cross-woven by nitinol alloy wire.
6. a kind of catching device for Ultrasound-guided Percutaneous interventional treatment as claimed in claim 5, which is characterized in that the net The size in hole is 3-20 square millimeters.
7. a kind of catching device for Ultrasound-guided Percutaneous interventional treatment as described in claim 1, which is characterized in that described to grab Catch body portion be a diameter of 0.035 inch of seal wire, a length of 260 centimetres of seal wire.
8. such as a kind of application of catching device for Ultrasound-guided Percutaneous interventional treatment of claim 1-7 any one of them, It is characterized in that:The catching device can be by 5F 6F conduits, in use, catching device cooperation loads sheath according to different model Pipe uses.
9. application as claimed in claim 8, it is characterised in that:A length of 150 millimeters of the loading sheath.
10. application as claimed in claim 8, it is characterised in that:The loading sheath front end is furnished with can be with 5F 6F conduits The hickey of tailing screw flight connection, will be described by the threaded connection between the loading sheath and 5F the 6F conduits Catching device pushes in 5F the 6F conduits.
CN201710119056.2A 2017-03-02 2017-03-02 A kind of catching device for Ultrasound-guided Percutaneous interventional treatment Withdrawn CN108523940A (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114699626A (en) * 2022-06-02 2022-07-05 浙江大学医学院附属第一医院 Mouth and nose conversion device

Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE4134029A1 (en) * 1991-10-15 1993-04-22 Angiomed Ag DEVICE FOR LAPAROSCOPIC NEPHRECTOMY
US7326220B1 (en) * 2003-09-02 2008-02-05 University Of South Florida Tool for removing intraocular foreign bodies
CN101396295A (en) * 2007-09-29 2009-04-01 成正辉 Blood thrombus and embolus resectoscope
WO2011095233A1 (en) * 2010-02-05 2011-08-11 Epflex Feinwerktechnik Gmbh Hand-operated functional hose instrument and operating handle for same
CN201939433U (en) * 2010-12-15 2011-08-24 姜卫剑 Intracranial thrombus catcher
WO2011135556A1 (en) * 2010-04-28 2011-11-03 Neuravi Limited Clot engagement and removal systems
CN203169800U (en) * 2013-04-25 2013-09-04 潘湘斌 Treatment guide device
CN204581363U (en) * 2015-04-17 2015-08-26 武汉亚洲心脏病医院 Efficient catching device
CN105455878A (en) * 2016-01-26 2016-04-06 加奇生物科技(上海)有限公司苏州分公司 Catching device

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE4134029A1 (en) * 1991-10-15 1993-04-22 Angiomed Ag DEVICE FOR LAPAROSCOPIC NEPHRECTOMY
US7326220B1 (en) * 2003-09-02 2008-02-05 University Of South Florida Tool for removing intraocular foreign bodies
CN101396295A (en) * 2007-09-29 2009-04-01 成正辉 Blood thrombus and embolus resectoscope
WO2011095233A1 (en) * 2010-02-05 2011-08-11 Epflex Feinwerktechnik Gmbh Hand-operated functional hose instrument and operating handle for same
WO2011135556A1 (en) * 2010-04-28 2011-11-03 Neuravi Limited Clot engagement and removal systems
CN201939433U (en) * 2010-12-15 2011-08-24 姜卫剑 Intracranial thrombus catcher
CN203169800U (en) * 2013-04-25 2013-09-04 潘湘斌 Treatment guide device
CN204581363U (en) * 2015-04-17 2015-08-26 武汉亚洲心脏病医院 Efficient catching device
CN105455878A (en) * 2016-01-26 2016-04-06 加奇生物科技(上海)有限公司苏州分公司 Catching device

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114699626A (en) * 2022-06-02 2022-07-05 浙江大学医学院附属第一医院 Mouth and nose conversion device

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Application publication date: 20180914