CN108553741A - A kind of angiocarpy interposing catheter device - Google Patents

A kind of angiocarpy interposing catheter device Download PDF

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Publication number
CN108553741A
CN108553741A CN201810460868.8A CN201810460868A CN108553741A CN 108553741 A CN108553741 A CN 108553741A CN 201810460868 A CN201810460868 A CN 201810460868A CN 108553741 A CN108553741 A CN 108553741A
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CN
China
Prior art keywords
gear
conduit
propeller
catheter
line
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Granted
Application number
CN201810460868.8A
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Chinese (zh)
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CN108553741B (en
Inventor
赵志宇
秦学玉
赵志彦
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Affiliated Hospital of Southwest Medical University
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Weifang University
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Priority to CN201810460868.8A priority Critical patent/CN108553741B/en
Publication of CN108553741A publication Critical patent/CN108553741A/en
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Publication of CN108553741B publication Critical patent/CN108553741B/en
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Classifications

    • 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
    • A61M25/10Balloon catheters
    • A61M25/1002Balloon catheters characterised by balloon shape
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/95Instruments specially adapted for placement or removal of stents or stent-grafts
    • A61F2/958Inflatable balloons for placing stents or stent-grafts
    • 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
    • A61M25/10Balloon catheters
    • A61M25/104Balloon catheters used for angioplasty
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/95Instruments specially adapted for placement or removal of stents or stent-grafts
    • A61F2/958Inflatable balloons for placing stents or stent-grafts
    • A61F2002/9583Means for holding the stent on the balloon, e.g. using protrusions, adhesives or an outer sleeve
    • 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
    • A61M25/10Balloon catheters
    • A61M2025/1043Balloon catheters with special features or adapted for special applications
    • A61M2025/105Balloon catheters with special features or adapted for special applications having a balloon suitable for drug delivery, e.g. by using holes for delivery, drug coating or membranes
    • 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
    • A61M25/10Balloon catheters
    • A61M2025/1043Balloon catheters with special features or adapted for special applications
    • A61M2025/1093Balloon catheters with special features or adapted for special applications having particular tip characteristics

Abstract

The invention discloses a kind of cardiovascular interposing catheter devices,Including catheter head,In the middle part of conduit,Control device,Catheter head includes drainage set,Lancet device,Steering gear,Air bag is equipped in the middle part of the conduit,The controller controls lancet device and transfer by steel wire,The air bag is inflated by the pressing device being equipped in controller,The drainage set is infused by the liquid propulsion device being equipped in controller,The present invention is that cardiovascular patient interposing catheter makees conduit used when intravascular stent,Thrombolysis liquid medicine is discharged by drainage set,Conduit can be made to be more easy to by hemadostewnosis,Lancet device, which helps and puncture thrombolysis cell, makes liquid medicine faster penetrate at thrombus,The propulsion device can enter the speed of patient's body with more precise control conduit,The air bag is using spiral,Endovascular blood still can proper flow under airbag-releasing state.

Description

A kind of angiocarpy interposing catheter device
Technical field
The present invention relates to the field of medical instrument technology, are specifically related to a kind of cardiovascular interposing catheter device.
Background technology
Endovascular Interventions technology is widely used in clinical vascular radiography, angioplasty, Intravascular Thrombus or foreign matter Removing etc..Compared with traditional medical technology, Endovascular Interventions technology is not only easy to operate, but also due to intervention The wound for the treatment of is low, can mitigate the pain of patient, and Operative risk is smaller, and medical expense is relatively low, therefore, this technology Extensive popularization and utilization have been obtained in medical domain.Endovascular Interventions technology be by means of interposing catheter reach in vivo compared with Remote diseased region, such as coronary artery vascular site;Diagnosis and treatment agent or merging instrument are reinjected, to reach to position farther out in vivo Realize the purpose of diagnosis and minimally-invasive treatment.Research of Intravascular Catheterization (hereinafter referred to as interposing catheter) is the master of endovascular temporary embolization One of tool, including radiography interposing catheter, drug conveying interposing catheter, angioplasty interposing catheter etc. are wanted, these interventions are led Pipe should have excellent operability and safety, generally require its with excellent blood compatibility, excellent lubricity, Certain blood property of softening, without nuisance exudation, excellent kink resistance, excellent mechanical performance, good machinability, with X-ray opacifying agent has the performances such as good compatibility.
Notch is generally centrifuging dirty distal end when conduit is sent into patient body by existing angiocarpy interposing catheter device, The speed stretched into when stretching into is difficult to control, it is easy to be damaged to the normal blood vessels of patient, secondly existing thrombolytic Object is usually separately to be treated with stent procedure, disposably cannot thoroughly solve the symptom of patient, often because of injection thrombolytic Recurred after object and do stent procedure again, pair with stent procedure need again by air bag go squeeze blocking blood vessel after discharge holder, this Sample easily causes vascular wall rupture.
Invention content
For the above technical problem, the present invention provides interposing catheter dress more preferable for blood vessel blockage effect, uneasy to recur Set device.
A kind of angiocarpy interposing catheter device, the conduit are filled by catheter head, conduit middle part, control successively from left to right Set composition;
The catheter head includes drainage set, lancet device, steering gear, and the drainage set includes fluid apertures, woven hose Road, the tapered left end for being evenly distributed on catheter head of the fluid apertures, the liquid-transport pipe-line are located on the central axes of catheter head, And communicated with drainage set, there are two the lancet devices, be located at the middle part of catheter head and about liquid-transport pipe-line above and below Symmetrically, lancet device includes Z-type needle, C-shaped channel, spring, limited post one, and the Z-type needle left end is tip, and middle part is equipped with annulus, Right end is equipped with hole of threading a needle, and the limited post one is set on inside the middle part annulus of Z-type needle, and the C-shaped channel is located on the left of Z-type needle, The spring is connected between C-shaped channel and Z-type needle, and the steering gear is located at the both sides up and down of lancet device, and steering gear includes V-type Bar, limited post two, pulley, V-type bar middle part are equipped with circular hole, and the limited post is nested in the circular hole, and the pulley has Two, the both sides of catheter head central axes are respectively provided at, and close to the right end of V-type bar;
Include pipeline one, pipeline two, steel wire one, steel wire two, air bag, pipeline three in the middle part of the conduit, the pipeline one has Two, symmetrical above and below respectively about liquid-transport pipe-line, there are two the pipelines two, is respectively provided at the outside of pipeline one, the pipeline There are two three, it is respectively provided at the outside of pipeline two, the steel wire one is connected with hole of threading a needle together through pipeline, the steel wire two The right end of V-type bar is connected to through pipeline two and around pulley, the air bag is located in the middle part of conduit at catheter head simultaneously It is communicated with pipeline three, above activity is coated with conduit propulsion device in the middle part of conduit;
The control device includes liquid propulsion device, controller, pressing device, and the liquid propulsion device includes shell One, liquid storehouse, propeller one, the shell one are located at catheter tail, and the liquid storehouse is connected with transfusion catheter, and the propeller one connects It is connected on the rear in liquid storehouse, the controller includes line wheel one, wire wheel axis, line wheel two, and there are two the line wheels one, two line wheels one Respectively about liquid propulsion device setting symmetrical above and below, the proximal wind of steel wire one is in line wheel one, and there are two the line wheels two, The disymmetrical outside for being located at line wheel one of two line wheels, the proximal end of steel wire two are respectively wound around in line wheel two, and the wire wheel axis passes through Two line wheels one of connection and two line wheels two are worn, there are two the pressing devices, including gas storehouse, propeller two, the gas storehouse are set Outside in channel three, and communicated with channel three, the propeller two is located at gas storehouse right end.
Further, the air bag is strip, and is coiled on conduit with spiral-shaped, and strip air bag is with spiral-shaped gas Discus, which is wound on conduit, can avoid during treatment, the discomfort brought to patient because air bag transience blocks blood vessel.
Further, the left end of the propeller one and propeller two is slidably connected with liquid storehouse and gas storehouse respectively, propeller One and the right end of propeller two be located at the upper surface of shell one, and the right end of propeller one and propeller two is equipped with anti-skid chequer, Anti-skid chequer increases the stability of doctor's hand push.
Further, the steel wire one and steel wire two are all made of the carbon steel of a diameter of 0.1mm, and the performance of carbon steel meets The requirement of the present invention, 0.1mm steel wires can reduce the frictional force between conduit and steel wire.
Further, the conduit propulsion device includes gear one, gear two, gear three, U-shaped frame, shell two, the shell On two activity of body is set in the middle part of conduit, the U-shaped frame is fixed on the inside of shell two and across portion both sides in the catheter, described The fixed perpendicular section for being set on U-shaped frame, the gear three fix the crosspiece for being set on U-shaped frame respectively for gear one and the gear two, And engaged respectively with gear one and gear two, conduit propulsion device can slowly push conduit, and doctor is avoided to overexert and to blood Pipe brings injury.
Further, for the gear three perpendicular to gear one and gear two, gear one and gear two are spur gear, gear three It is equipped with helical teeth, and is intermeshed by the straight-tooth on helical teeth and gear one and gear two, gear three is with moving gear one and gear Two rotate synchronously, and the direction of three gears rotation is all the direction for promoting conduit.
Further, the gear one, gear two, gear three and catheter contact position are equipped with screw thread, the effect master of screw thread If increasing the frictional force of conduit and gear one, gear two, gear three.
Further, a kind of working method of cardiovascular interposing catheter device, includes the following steps:
S1:To disease affected part, angiocardiography is done, is determined at sufferer, and carries out the early-stage preparations of normal interventional treatment;
S2:By thrombolytic agent injection feed liquor storehouse, and propeller one is installed, by pushing propeller one by liquid-transport pipe-line Interior air emptying, whether normal by the detection lancet device of line wheel one until waiting for that liquid is oozed out from fluid apertures, detection method:To The right side stir line wheel one one of them, whether observation catheter head pierces out close to the Z-type needle of one side of stirred line wheel, unclamps and dials Whether moving-wire wheel observes whether the Z-type needle pierced out withdraws in catheter head together, normal by the detection steering gear steering of line wheel two, Detection method is:Stir to the right line wheel two one of them, whether observation catheter head to two lateral bend of stirred line wheel;
S3:Conduit is stretched into from incision, and is slowly pushed by conduit propulsion device, when conduit needs to turn to, is led to Wire-crossing wheel adjusts steering gear, and when catheter head, which is met, blocks blood vessel, can tighten steel wire one by line wheel makes Z-type needle pierce out, So that thrombolytic agent is oozed out from fluid apertures by propeller one again, when catheter head passes through narrow blood vessel, is made by propeller two Air bag increase release holder waits for that holder installs adjusting propeller two and air bag is made to reduce, makes conduit by conduit propulsion device Exit patient's body.
The beneficial effects of the invention are as follows:
Compared with prior art, thrombolytic therapy and stent procedure are combined and are treated together by the present invention, are cooperated, It complementing each other, catheter head of the present invention is equipped with fluid apertures, and thrombolytic agent can exit into the block part of blood vessel by fluid apertures, Then thrombus substance is punctured by needling device, so that thrombolytic agent faster enters thrombus block part, then passes through propulsion Device slowly passes through and blocks blood vessel, discharges holder after the air bag at conduit rear reaches thrombi, each step of the present invention it Between cooperate, utmostly mitigate patient pain, sprial balloon be conducive to discharge holder during endovascular blood stream Logical, the controller at conduit rear can be avoided firmly not with stability contorting duct direction, propulsion device smoothly by blood vessel When leading to patient vessel's secondary injury.
Description of the drawings
Fig. 1 is the overall structure diagram that the present invention is led;
Fig. 2 is the left view of propulsion device of the present invention;
Fig. 3 is the structural schematic diagram of steering gear of the present invention;
Fig. 4 is lancet device structural schematic diagram of the present invention.
Wherein, 1- catheter heads, 2- conduits middle part, 3- control devices, 11- drainage sets, 12- lancet devices, 13- are turned to Device, 111- fluid apertures, 112- liquid-transport pipe-lines, 121-Z types needle, 122-C type grooves, 123- springs, 124- limited posts one, the tips 1211-, 1212- annulus, 1213- thread a needle hole, 131-V types bar, 132- limited posts two, 133- pulleys, 21- pipelines one, 22- pipelines two, 23- Steel wire one, 24- steel wires two, 25- air bags, 26- pipelines three, 31- liquid propulsion devices, 32- controllers, 33- pressing devices, 311- Shell one, 312- liquid storehouse, 313- propellers one, 321- line wheels one, 322- wire wheel axis, 323- line wheels two, 331- gas storehouses, 332- are pushed away Into device two, 4- conduits propulsion device, 41- shells two, 42- gears one, 43- gears three, 44- gears two, 45-U type frame.
Specific implementation mode
For ease of the understanding to technical solution of the present invention, it is further explained explanation with reference to Fig. 1-4, embodiment is simultaneously Do not constitute limiting the scope of the present invention.
As shown in Fig. 1, a kind of cardiovascular interposing catheter device, conduit is from left to right successively by catheter head 1, conduit Portion 2, control device 3 form;
Catheter head 1 includes drainage set 11, lancet device 12, steering gear 13, and drainage set 11 includes fluid apertures 111, defeated Liquid pipe road 112, the tapered left end for being evenly distributed on catheter head 1 of fluid apertures 111, liquid-transport pipe-line 112 are located in catheter head 1 It on axis, and is communicated with drainage set 11, as shown in Fig. 4, there are two lancet devices 12, is located in catheter head 1 Portion is simultaneously symmetrical above and below about liquid-transport pipe-line 112, and lancet device 12 includes Z-type needle 121, C-shaped channel 122, spring 123, limited post one 124,121 left end of Z-type needle is tip 1211, and middle part is equipped with annulus 1212, and right end is equipped with hole 1213 of threading a needle, and limited post 1 is worn It is sleeved on inside the middle part annulus 1212 of Z-type needle, C-shaped channel 122 is located at 121 left side of Z-type needle, and spring 123 is connected to C-shaped channel 122 and Z Between type needle 121, as shown in Fig. 3, steering gear 13 is located at the both sides up and down of lancet device 12, and steering gear 13 includes V-type bar 131, limited post 2 132, pulley 133,131 middle part of V-type bar are equipped with circular hole, and limited post 132 is nested in circular hole, and pulley 133 has Two, the both sides of 1 central axes of catheter head are respectively provided at, and close to the right end of V-type bar 131;
2 include pipeline 1, pipeline 2 22, steel wire 1, steel wire 2 24, air bag 25, pipeline 3 26, pipeline in the middle part of conduit Symmetrical above and below respectively about liquid-transport pipe-line 112 there are two one 21, there are two pipelines 2 22, is respectively provided at the outside of pipeline 1, There are two pipelines 3 26, is respectively provided at the outside of pipeline 2 22, steel wire 1 through pipeline 1 and with 1213 phase of hole of threading a needle Even, steel wire 2 24 is connected to the right end of V-type bar 131 through pipeline 2 22 and around pulley 133, and air bag 25 is located in the middle part of conduit 2 communicate at catheter head 1 and with pipeline 3 26, and air bag 25 is strip, and is coiled on conduit with spiral-shaped, strip gas Capsule is coiled on conduit with spiral-shaped air bag 25 and be can avoid during treatment, to patient due to 25 transience of air bag blocks blood vessel The discomfort brought, as shown in Fig. 2,2 in the middle part of conduit on activity be coated with conduit propulsion device 4, conduit propulsion device 4 includes tooth One 42, gear 2 44, gear 3 43, U-shaped frame 45, shell 2 41 are taken turns, 2 41 activity of shell is set on 2 in the middle part of conduit, U-shaped frame 45 are fixed on the inside of shell 2 41 and fix be set on U respectively across 2 both sides of portion in the catheter, gear 1 and gear 2 44 The perpendicular section of type frame 45, gear 3 43 fixes the crosspiece for being set on U-shaped frame 45, and is engaged respectively with gear 1 and gear 2 44, Conduit propulsion device 4 can slowly push conduit, and doctor is avoided to overexert and injured to zona vascuiosa, and gear 3 43 is perpendicular to tooth One 42 and gear 2 44 are taken turns, gear 1 and gear 2 44 are spur gear, and gear 3 43 is equipped with helical teeth, and passes through helical teeth and tooth The straight-tooth intermeshing on one 42 and gear 2 44 is taken turns, 3 43 band moving gear 1 of gear and gear 2 44 rotate synchronously, three The direction of gear rotation is all the direction for promoting conduit, and gear 1, gear 2 44, gear 3 43 and catheter contact position are equipped with Screw thread, the effect of screw thread mainly increase the frictional force of conduit and gear 1, gear 2 44, gear 3 43.
Control device 3 includes liquid propulsion device 31, controller 32, pressing device 33, and liquid propulsion device 31 includes shell Body 1, liquid storehouse 312, propeller 1, shell 1 are located at catheter tail, and liquid storehouse 312 is connected with transfusion catheter 112, pushes away The rear in liquid storehouse 312 is connected into device 1, controller 32 includes line wheel 1, wire wheel axis 322, line wheel 2 323, line wheel one There are two 321, two line wheels 1 are respectively about 31 setting symmetrical above and below of liquid propulsion device, the proximal wind of steel wire 1 In line wheel 1, there are two line wheels 2 323, the symmetrical outside for being located at line wheel 1 of two line wheels 2 323, steel wire 2 24 Proximal end be respectively wound around in line wheel 2 323, steel wire 1 and steel wire 2 24 are all made of the carbon steel of a diameter of 0.1mm, carbon The performance of steel meets the requirement of the present invention, and 0.1mm steel wires can reduce the frictional force between conduit and steel wire, and wire wheel axis 322 passes through Two line wheels 1 of connection and two line wheels 2 323 are worn, there are two pressing devices 33, including gas storehouse 331, propeller 2 332, Gas storehouse 331 is located at the outside in channel 3 26, and is communicated with channel 3 26, and propeller 2 332 is located at 331 right end of gas storehouse, propeller 1 and the left end of propeller 2 332 be slidably connected respectively with liquid storehouse 312 and gas storehouse 331, propeller 1 and propeller two 332 right end is located at the upper surface of shell 1, and the right end of propeller 1 and propeller 2 332 is equipped with anti-skid chequer, Anti-skid chequer increases the stability of doctor's hand push.
A kind of working method of angiocarpy interposing catheter device, includes the following steps:
S1:To disease affected part, angiocardiography is done, is determined at sufferer, and carries out the early-stage preparations of normal interventional treatment;
S2:By thrombolytic agent injection feed liquor storehouse 312, and propeller 1 is installed, by pushing propeller 1 By the air emptying in liquid-transport pipe-line, until waiting for that liquid is oozed out from fluid apertures 111, detecting lancet device 12 by line wheel 1 is It is no normal, detection method:Stir to the right line wheel 1 one of them, observation catheter head 1 is close to stirred line wheel 1 Whether the Z-type needle 121 of side pierces out, unclamps stirred line wheel 1 and observes whether the Z-type needle pierced out withdraws in catheter head 1, Detect whether the steering of steering gear 13 is normal, and detection method is by line wheel 2 323:Stir to the right line wheel 2 323 one of them, see Catheter head 1 is examined whether to 2 323 lateral bend of stirred line wheel;
S3:Conduit is stretched into from incision, and is slowly pushed by conduit propulsion device 4, when conduit needs to turn to, is led to Wire-crossing wheel 331 adjusts steering gear 13, and when catheter head 1, which is met, blocks blood vessel, can tighten steel wire 1 by line wheel 331 makes Z-type needle 121 pierces out, then so that thrombolytic agent is oozed out from fluid apertures 111 by propeller 1, when catheter head 1 passes through narrow blood Guan Shi makes the increase release holder of air bag 25 by propeller 2 332, waits for that holder installs adjusting propeller 2 332 and makes air bag Reduce, so that conduit is exited patient's body by conduit propulsion device 4.
Finally it should be noted that:The above embodiments are merely illustrative of the technical solutions of the present invention, rather than its limitations;Although Present invention has been described in detail with reference to the aforementioned embodiments, it will be understood by those of ordinary skill in the art that:It still may be used To modify to the technical solution recorded in previous embodiment or equivalent replacement of some of the technical features;And These modifications or replacements, the spirit and model of technical solution of the embodiment of the present invention that it does not separate the essence of the corresponding technical solution It encloses.

Claims (9)

1. a kind of angiocarpy interposing catheter device, which is characterized in that the conduit from left to right successively by catheter head (1), lead (2), control device (3) composition in the middle part of pipe;
The catheter head (1) includes drainage set (11), lancet device (12), steering gear (13), the drainage set (11) Including fluid apertures (111), liquid-transport pipe-line (112), the tapered left end for being evenly distributed on catheter head (1) of fluid apertures (111), institute It states liquid-transport pipe-line (112) to be located on the central axes of catheter head (1), and is communicated with drainage set (11), the lancet device (12) there are two, the middle part of catheter head (1) and, lancet device (12) symmetrical above and below about liquid-transport pipe-line (112) are located at Including Z-type needle (121), C-shaped channel (122), spring (123), limited post one (124), Z-type needle (121) left end is tip (1211), middle part is equipped with annulus (1212), and right end is equipped with hole (1213) of threading a needle, and the limited post one (124) is set on Z-type needle Middle part annulus (1212) is internal, and the C-shaped channel (122) is located on the left of Z-type needle (121), and the spring (123) is connected to C-shaped channel (122) between Z-type needle (121), the steering gear (13) is located at the both sides up and down of lancet device (12), and steering gear (13) includes V-type bar (131), limited post two (132), pulley (133), the V-type bar (131) middle part are equipped with circular hole, the limited post (132) It is nested in the circular hole, there are two the pulleys (133), is respectively provided at the both sides of catheter head (1) central axes, and close to V The right end of type bar (131);
In the middle part of the conduit (2) include pipeline one (21), pipeline two (22), steel wire one (23), steel wire two (24), air bag (25), Pipeline three (26), there are two the pipelines one (21), symmetrical above and below respectively about liquid-transport pipe-line (112), the pipeline two (22) There are two, it is respectively provided at the outside of pipeline one (21), there are two the pipelines three (26), is respectively provided at the outer of pipeline two (22) Side, the steel wire one (23) are connected through pipeline one (21) and with hole of threading a needle (1213), and the steel wire two (24) is through pipe Road two (22) and the right end that V-type bar (131) are connected to around pulley (133), the air bag (25) are located at close in the middle part of conduit (2) It is communicated at catheter head (1) and with pipeline three (26), activity is coated with conduit propulsion device (4) on (2) in the middle part of conduit;
The control device (3) includes liquid propulsion device (31), controller (32), pressing device (33), and the liquid promotes Device (31) includes shell one (311), liquid storehouse (312), propeller one (313), and the shell one (311) is located at catheter tail, The liquid storehouse (312) is connected with transfusion catheter (112), and the propeller one (313) is connected to the rear of liquid storehouse (312), described Controller (32) includes line wheel one (321), wire wheel axis (322), line wheel two (323), and there are two the line wheels one (321), two Line wheel one (321) is respectively about liquid propulsion device (31) setting symmetrical above and below, and the proximal wind of steel wire one (23) is in line wheel one (321) on, there are two the line wheels two (323), the symmetrical outside for being located at line wheel one (321) of two line wheels two (323), steel wire The proximal end of two (24) is respectively wound around in line wheel two (323), the wire wheel axis (322) through connection two line wheels one (321) and Two line wheels two (323), there are two the pressing devices (33), including gas storehouse (331), propeller two (332), the gas storehouse (331) it is located at the outside in channel three (26), and is communicated with channel three (26), the propeller two (332) is located at gas storehouse (331) right side End.
2. a kind of cardiovascular interposing catheter device as claimed in claim 1, which is characterized in that the air bag (25) is item Shape, and be coiled on conduit with spiral-shaped.
3. a kind of cardiovascular interposing catheter device as claimed in claim 1, which is characterized in that the propeller one (313) It is slidably connected respectively with liquid storehouse (312) and gas storehouse (331) with the left end of propeller two (332), propeller one (313) and propeller The right end of two (332) is located at the upper surface of shell one (321), and the right end of propeller one (313) and propeller two (332) is all provided with There is anti-skid chequer.
4. a kind of cardiovascular interposing catheter device as claimed in claim 1, which is characterized in that steel wire one (23) and steel Two (24) of silk are all made of the carbon steel of a diameter of 0.1mm.
5. a kind of cardiovascular interposing catheter device as claimed in claim 1, which is characterized in that the conduit propulsion device (4) include gear one (42), gear two (44), gear three (43), U-shaped frame (45), shell two (41), the shell two (41) work Dynamic to be set in the middle part of conduit on (2), the U-shaped frame (45) is fixed on the inside of shell two (41) and across portion in the catheter (2) Both sides, the gear one (42) and the gear two (44) fix the perpendicular section for being set on U-shaped frame (45), the gear three respectively (43) fixed to be set on the crosspiece of U-shaped frame (45), and engaged respectively with gear one (42) and gear two (44).
6. a kind of cardiovascular interposing catheter device as claimed in claim 5, which is characterized in that the gear three (43) is vertical In gear one (42) and gear two (44), gear one (42) and gear two (44) are spur gear, and gear three (43) is equipped with helical teeth, And it is intermeshed by the straight-tooth on helical teeth and gear one (42) and gear two (44).
7. a kind of cardiovascular interposing catheter device as claimed in claim 5, which is characterized in that the gear one (42), tooth It takes turns two (44), gear three (43) and catheter contact position and is equipped with screw thread.
8. a kind of working method of cardiovascular interposing catheter device as claimed in claim 1, which is characterized in that including following Step:
S1:To disease affected part, angiocardiography is done, is determined at sufferer, and carries out the early-stage preparations of normal interventional treatment;
S2:Thrombolytic agent is injected into feed liquor storehouse (312), and installs propeller one (313), by pushing propeller one (313) air in liquid-transport pipe-line is emptied, until waiting for that liquid is oozed out from fluid apertures (111), pricker is detected by line wheel one (321) Whether device (12) is normal, detection method:Stir to the right line wheel one (321) one of them, observation catheter head (1) is close to dialling Whether the Z-type needle (121) of moving-wire wheel one (321) side pierces out, unclamps stirred line wheel one (321) and observes the Z-type needle pierced out Whether withdraw in catheter head (1), detects whether steering gear (13) steering is normal, and detection method is by line wheel two (323):To The right side stir line wheel two (323) one of them, whether observation catheter head (1) to stirred line wheel two (323) lateral bend;
S3:Conduit is stretched into from incision, and is slowly pushed by conduit propulsion device (4), when conduit needs to turn to, is passed through Line wheel (331) adjusts steering gear (13), when catheter head (1), which is met, blocks blood vessel, can tighten steel wire by line wheel (331) One (23) make Z-type needle (121) pierce out, then so that thrombolytic agent is oozed out from fluid apertures (111) by propeller one (313), work as conduit When head (1) passes through narrow blood vessel, air bag (25) increase release holder is made by propeller two (332), waits for that holder installs Adjusting propeller two (332) makes air bag reduce, and so that conduit is exited patient's body by conduit propulsion device (4).
9. a kind of cardiovascular interposing catheter device as claimed in claim 5, which is characterized in that the gear one (42), tooth Two (44) of wheel, gear three (43) are connected through a screw thread respectively with conduit.
CN201810460868.8A 2018-05-15 2018-05-15 Cardiovascular intervention catheter device Expired - Fee Related CN108553741B (en)

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