CN109199522A - Adjustable blood vessel ring contracts area - Google Patents
Adjustable blood vessel ring contracts area Download PDFInfo
- Publication number
- CN109199522A CN109199522A CN201811274187.9A CN201811274187A CN109199522A CN 109199522 A CN109199522 A CN 109199522A CN 201811274187 A CN201811274187 A CN 201811274187A CN 109199522 A CN109199522 A CN 109199522A
- Authority
- CN
- China
- Prior art keywords
- sacculus
- blood vessel
- housing
- banding belt
- braiding
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/132—Tourniquets
- A61B17/135—Tourniquets inflatable
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B2017/12004—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Hematology (AREA)
- Biophysics (AREA)
- Biomedical Technology (AREA)
- Reproductive Health (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Media Introduction/Drainage Providing Device (AREA)
Abstract
The invention provides an adjustable vascular annular contraction band which comprises a balloon, a woven outer sleeve, an extension catheter and a subcutaneous fixed joint, wherein the balloon is in a long strip shape, and two ends of the balloon are provided with connecting buckles; the woven outer sleeve is sleeved on the outer side of the balloon, the balloon is connected with an extension catheter, the other end of the extension catheter is provided with a fixed joint, and a puncture needle or the subcutaneous fixed joint is connected through the fixed joint; the long-strip-shaped saccule is encircled on the blood vessel and is sewn and fixed through the connecting buckles at the two ends of the saccule. The inner diameter of the ring-shrinkage balloon can be adjusted by injecting and extracting the liquid in the balloon after fixing points at two sides are sutured; the pressure in the sacculus can be measured by connecting the piezometer tube and the pressure meter, the pressure of the side wall of the blood vessel in the annular constriction zone can be directly measured, and the hemodynamic condition in the annular constriction vessel can be further evaluated.
Description
Technical field
The present invention relates to a kind of blood vessel banding belt, especially a kind of adjustable blood vessel banding belt belongs to medical instrument equipment
Technical field.
Background technique
In recent years, including complicated severe, success rate of operation significantly improves most congenital heart diseases, and for part
Complicated congenital heart disease, more urgently improves success rate of operation at present and the crucial of late result is carrying out lung using banding belt
The ring contracting degree of arterial ring contracting art and the suitability of patient's cardiovascular system.Traditional banding belt is ordinary polyester band or silicon rubber
Glue is built-in with the dedicated banding belt of woven mesh belt, and the two is nonelastic, can not extend expansion, once it is determined that ring contracting degree, it is difficult to root
Change situation adjustment according to blood stream of patients's dynamics.Part uses adjustable ring contracting device only can be in infant surgical procedure and to open chest
For adjusting under state, and band regulative mode more difficult operation and tissue such as easy damaged blood vessel in narrow thoracic cavity are used, simultaneously
These devices can not open chest state in art, close chest in art after, vascular wall pressure in early postoperation and measurement banding belt at a specified future date,
It can not be guarded according to postoperative patient vital sign and ultrasound, ventilator etc., treatment and inspection situation adjust banding belt internal diameter.
The related banding belt of the past after fixation, early stage infant vascular circle contracting degree and infant cardiopulmonary hemodynamic responses
Band matching degree relies on clinical manifestation or ultrasonic evaluation.But clinical assessment is indirect assessment, relies on evaluator with clinical experience,
Ultrasound due to the postoperative delayed sternal closure of patient, notch auxiliary material, Use of respirator, pulmonary congestion or infection, chest deformity etc. are more,
Cause to adopt plot quality and be often unable to reach evaluation criteria, and easily causes patient incision and thoracic cavity infection.Even if early postoperation is accurately sentenced
Disconnected banding belt out and actual needs mismatch, and doctor also can only allow patient's cardiopulmonary internal organs gradually to adapt to by drug and instrument treatment
Mismatch case solves the problems, such as this by early stage open chest surgery, this also causes to suffer from while reducing therapeutic effect
The death rate of person is substantially improved.The infant that success is left hospital, after growth and development, original band is unable to satisfy body by banding belt blood volume
Movement and development need, it is possible to need suitably to increase banding belt internal diameter.The past scheme needs open chest surgery to dissociate the contracting of original ring
Band surrounding is adhered tissue and removes ring contracting again after banding belt, or adds in other positions and do artificial blood vessel's row B-T anastomosis operation
To increase intrapulmonary blood flow amount.These scheme wounds are big, risk is high, simultaneously for second operation it is postoperative enter pulmonary blood flow volume still can not
It accurately controls.Chest transluminal operation repeatedly also increases considerably while increasing considerably subsequent procedures difficulty simultaneously suffers from Fang Jing
Pressure of helping and psychological pressure.
Summary of the invention
The present invention is directed to technical problem set forth above, proposes a kind of adjustable blood vessel banding belt, can be certainly by design
By the balloon structure of adjusting ring contracting internal diameter, insurmountable technical problem in existing operation is solved, this and subsequent procedures are reduced
Difficulty improves the success rate of operation, improves patient's prognosis close, at a specified future date and mitigates the financial burden of trouble side simultaneously.
The technical solution that the present invention solves the above technical problem is: a kind of adjustable blood vessel banding belt is provided, including sacculus,
Housing, elongate catheter and subcutaneous anchor tip are woven, the sacculus is elongated, is equipped with connection ring at the both ends of the sacculus
Button；The braiding housing is socketed in the outside of the sacculus, is connected with elongate catheter on the sacculus, the elongate catheter it is another
One end is equipped with anchor tip, passes through the anchor tip connecting puncture needle or the subcutaneous anchor tip；The strip
Sacculus is looped around on blood vessel, carries out suture fixation by the connection ring button at the sacculus both ends.
Of the invention to further limit technical solution, adjustable blood vessel banding belt above-mentioned, the braiding housing is towards connecing
The gap that 2-5mm is equipped between vessel side and the sacculus is touched, the braiding housing is bonded packet with the other positions of the sacculus
It wraps up in, can facilitate sacculus during charge and discharge liquid in this way, give the space of adjusting.
Adjustable blood vessel banding belt above-mentioned, subcutaneous anchor tip include subcutaneous fixinig plate, injection connector, cover and lead
Pipe fitting, the injection connector are pierced by and fixed thereto by the center of the subcutaneous fixinig plate, and valve is equipped in the injection connector
The other end of body, the injection connector is fixedly linked with the pipe joint；And suture is equipped on the subcutaneous fixinig plate and is connected
Hole is connect, the capping is arranged on the injection connector, prevents subcutaneous anchor tip when in use, tissue growth causes valve body
Blocking, influences subsequent operate with；The pipe joint is shape of threads bayonet, quickly can firmly be attached puncture needle
Or syringe, the cumbersome of operation is reduced, syringe, fixator and puncture needle is avoided to fall off when in use.The scheme of the application
Used in puncture needle one end be puncture tip, the other end is equipped with the nipple that is connected with the pipe joint.
Adjustable blood vessel banding belt above-mentioned, the valve body are made of rubber inner core and non-return baffle, the rubber inner core
Central axis arranging through openings, the non-return baffle is attached to the rubber inner core close to the side of the pipe joint,
Two elastic rubber tie points are at least symmetrical arranged on the non-return baffle to be connected with the inner wall of the injection connector 42.In this way not
The non-return baffle of valve body is attached in rubber inner core when connecing syringe, it will be able to reflux is prevented, after having connect syringe, and syringe
Leading portion non-return baffle is pushed open from rubber inner core, so that it may drawing liquid can also be with injecting fluid.
Adjustable blood vessel banding belt above-mentioned, the circular in cross-section or ellipse of the sacculus；The sacculus be with
Elastic rubber material is made, and the sacculus is an integral molding structure with elongate catheter.
Further, adjustable blood vessel banding belt above-mentioned, the braiding housing have rigidity in the outside of the sacculus
Support is arranged on the inside of the sacculus and weaves housing as flexible structure, which is combined into sacculus and provides effective external support, avoids it
He causes deformation and ring contracting internal diameter to reduce at internal organs compressing banding belt.The braiding housing is in sacculus far from contacts blood side using just
Anti- flat sennit structure, the braiding housing and contacts blood side use spiral wound structure, can further promote braiding housing
Outside-supporting and inside ductility.
Compared with prior art, the beneficial effects of the present invention are: 1. ring contracting sacculus internal diameter can be in suture two sides fixed point
It is adjusted afterwards by injecting and extracting out intracapsular liquid；2. can be measured in sacculus by connecing pressure-measuring pipe and connecting manograph
Pressure, more directly band measurement banding belt zona vascuiosa lateral wall pressure, and then the endovascular hemodynamic of assessment institute's ring contracting；
3. the structure can also connecting puncture needle connect system, allow ring contracting sacculus band institute connecting band hose to be directly pierced by patient's chest
Chamber allows doctor to measure intraluminal pressure and adjustment banding belt internal diameter at any time after closing chest；4. the device also has wall of the chest skin
Lower fixed device, the hose for being pierced by the wall of the chest can be buried for a long time in subcutaneous, in patient during Intensive Care Unit is treated even art
Afterwards in the several months, doctor still can measure at any time intraluminal pressure, assessment banding belt internal diameter and patient after local anaesthesia dissociates body surface organization
Cardiopulmonary match condition, and banding belt internal diameter is adjusted, process is greatly simplified for performing the operation compared with secondary thoracotomy and greatly improves safety,
And lower the difficulty that the later period further treats；5. doctor can be by capsule once it is determined that do not need to adjust banding belt internal diameter again
Interior injection curing agent solidifies moulding banding belt, further ensures that the reliability of banding belt.
Detailed description of the invention
Fig. 1 is schematic structural view of the invention.
Fig. 2 is use state diagram of the present invention.
Fig. 3 is the subcutaneous anchor tip structural schematic diagram of the present invention.
Fig. 4 is valve body diagrammatic cross-section of the present invention.
Specific embodiment
Embodiment 1
The present embodiment provides a kind of adjustable blood vessel banding belts, as shown in Figure 1 to Figure 3, including sacculus 1, braiding housing 2, extension
Conduit 3 and subcutaneous anchor tip 4, sacculus is elongated, the circular in cross-section of sacculus, is equipped with connection ring at the both ends of sacculus
Button 5, by being made with elastic rubber material, sacculus is an integral molding structure sacculus with elongate catheter；Braiding housing is socketed in ball
The outside of capsule, elongate catheter 3 is connected on sacculus, and the other end of elongate catheter is equipped with anchor tip 6, is connected by anchor tip
Puncture needle 8 or subcutaneous anchor tip；The sacculus of strip is looped around on blood vessel, is stitched by the connection ring button at sacculus both ends
It closes and fixes；Housing is woven towards the gap for being equipped with 2-5mm between contact vessel side and sacculus, weaves other positions of housing and sacculus
Fitting package is set, braiding housing has rigid support in the outside of sacculus, and it is flexible structure that setting weaves housing on the inside of sacculus；
It weaves housing and uses positive and negative flat sennit structure far from contacts blood in sacculus, braiding housing and contacts blood side use spiral wound
Structure.
Subcutaneous anchor tip 4 in the present embodiment includes that subcutaneous fixinig plate 41, injection connector 42, capping 45 and conduit connect
First 43, injection connector is pierced by and fixed thereto by the center of subcutaneous fixinig plate, is equipped with valve body in injection connector, is injected the another of connector
One end is fixedly linked with pipe joint；And suture connecting hole 44 is equipped on subcutaneous fixinig plate, capping is arranged on injection connector,
Prevent subcutaneous anchor tip when in use, tissue growth causes the blocking of valve body, influences subsequent operate with.Valve body is by rubber
Inner core 424 and non-return baffle 421 are constituted, and the central axis arranging through openings 423 of rubber inner core, non-return baffle 421 is attached to
Rubber inner core is symmetrical arranged two elastic rubber tie points 422 and injection connector on the side of pipe joint, non-return baffle
Inner wall is connected.The non-return baffle of valve body is attached in rubber inner core when not connecing syringe in this way, it will be able to be prevented reflux, be connect
After syringe, the leading portion of syringe pushes non-return baffle open from rubber inner core, so that it may which drawing liquid can also be with injecting fluid.
When the present embodiment is in use, the sacculus both ends of banding belt are sewn at the blood vessel 7 for needing to be adjusted, banding belt
The connection latch closure at both ends is by suture connection, and injection ring contracting sacculus adjusts liquid in sacculus, after being adjusted to suitable dimension, is extending
Puncture needle 8 is installed on the anchor tip of conduit, elongate catheter is pierced by by chest wall, and is buried for a long time by subcutaneous anchor tip
In the subcutaneous of patient, intraluminal pressure still can be measured at any time to facilitate doctor that can return to Intensive Care Unit or even postoperative several months after surgery
With adjustment banding belt internal diameter；Ball intraluminal pressure can be measured by subcutaneous anchor tip connection manograph simultaneously, it can be direct
Band measurement institute's banding belt zona vascuiosa lateral wall pressure, and then assess the endovascular hemodynamic of institute's ring contracting；Once it is determined that not
Need to adjust banding belt internal diameter again, doctor can be by avoiding banding belt water pocket from rupturing or by surrounding to intracapsular injection curing agent
Internal organs oppress Zona transformans may.
In addition to the implementation, the present invention can also have other embodiments.It is all to use equivalent substitution or equivalent transformation shape
At technical solution, fall within the scope of protection required by the present invention.
Claims (10)
1. a kind of adjustable blood vessel banding belt, including sacculus, braiding housing, elongate catheter and subcutaneous anchor tip, feature
Be: the sacculus is elongated, is equipped with connection latch closure at the both ends of the sacculus；The braiding housing is socketed in the sacculus
Outside, elongate catheter is connected on the sacculus, the other end of the elongate catheter is equipped with anchor tip, passes through the fixation
Connector connecting puncture needle or the subcutaneous anchor tip；The sacculus of the strip is looped around on blood vessel, passes through the sacculus
The connection ring button at both ends carries out suture fixation.
2. adjustable blood vessel banding belt as described in claim 1, it is characterised in that: the braiding housing direction contact vessel side
The gap of 2-5mm is equipped between the sacculus, the braiding housing is bonded package with the other positions of the sacculus.
3. adjustable blood vessel banding belt as described in claim 1, it is characterised in that: the subcutaneous anchor tip includes subcutaneous solid
Stator, injection connector, capping and pipe joint, the injection connector are pierced by by the center of the subcutaneous fixinig plate and are consolidated therewith
It is fixed, valve body is equipped in the injection connector, the other end of the injection connector is fixedly linked with the pipe joint；And described
Subcutaneous fixinig plate is equipped with suture connecting hole, and the capping is arranged on the injection connector.
4. adjustable blood vessel banding belt as claimed in claim 3, it is characterised in that: the pipe joint is shape of threads bayonet.
5. adjustable blood vessel banding belt as claimed in claim 4, it is characterised in that: one end of the puncture needle is puncture tip
End, the other end are equipped with the nipple being connected with the pipe joint.
6. adjustable blood vessel banding belt as claimed in claim 3, it is characterised in that: the valve body is by rubber inner core and non-return gear
Piece is constituted, and the central axis arranging through openings of the rubber inner core, it is close that the non-return baffle is attached to the rubber inner core
The side of the pipe joint is at least symmetrical arranged two elastic rubber tie points and the injection connector on the non-return baffle
Inner wall is connected.
7. adjustable blood vessel banding belt as described in claim 1, it is characterised in that: the circular in cross-section of the sacculus is ellipse
It is round.
8. adjustable blood vessel banding belt as described in claim 1, it is characterised in that: the sacculus is with elastic rubber material
It is made, the sacculus is an integral molding structure with elongate catheter.
9. adjustable blood vessel banding belt as claimed in claim 2, it is characterised in that: the braiding housing is in the outer of the sacculus
Side has rigid support, is arranged on the inside of the sacculus and weaves housing as flexible structure.
10. adjustable blood vessel banding belt as claimed in claim 9, it is characterised in that: the braiding housing is in sacculus far from blood
Pipe contacts side and uses positive and negative flat sennit structure, and the braiding housing and contacts blood side use spiral wound structure.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811274187.9A CN109199522A (en) | 2018-10-30 | 2018-10-30 | Adjustable blood vessel ring contracts area |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811274187.9A CN109199522A (en) | 2018-10-30 | 2018-10-30 | Adjustable blood vessel ring contracts area |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN109199522A true CN109199522A (en) | 2019-01-15 |
Family
ID=64997961
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201811274187.9A Pending CN109199522A (en) | 2018-10-30 | 2018-10-30 | Adjustable blood vessel ring contracts area |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN109199522A (en) |
Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN201088780Y (en) * | 2007-09-05 | 2008-07-23 | Amsino医疗集团控股有限公司 | Unidirectional positive pressure valve |
| CN102131541A (en) * | 2008-09-05 | 2011-07-20 | 梅德根有限责任公司 | Luer activated medical connector having low priming volume |
| CN103006409A (en) * | 2012-11-19 | 2013-04-03 | 王强 | Implantable, adjustable and detachable ventricle training device |
| CN103705997A (en) * | 2014-01-07 | 2014-04-09 | 江苏苏云医疗器材有限公司 | Injection piece of infusion set |
| CN106667542A (en) * | 2016-12-15 | 2017-05-17 | 北京迈纳士手术机器人技术股份有限公司 | Automatic binding and pressure applying apparatus |
| CN206424113U (en) * | 2016-10-12 | 2017-08-22 | 上海交通大学医学院附属上海儿童医学中心 | A kind of adjustable pulmonic ring compression apparatus |
| CN209932880U (en) * | 2018-10-30 | 2020-01-14 | 江苏省人民医院（南京医科大学第一附属医院） | Adjustable blood vessel ring contraction band |
-
2018
- 2018-10-30 CN CN201811274187.9A patent/CN109199522A/en active Pending
Patent Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN201088780Y (en) * | 2007-09-05 | 2008-07-23 | Amsino医疗集团控股有限公司 | Unidirectional positive pressure valve |
| CN102131541A (en) * | 2008-09-05 | 2011-07-20 | 梅德根有限责任公司 | Luer activated medical connector having low priming volume |
| CN103006409A (en) * | 2012-11-19 | 2013-04-03 | 王强 | Implantable, adjustable and detachable ventricle training device |
| CN103705997A (en) * | 2014-01-07 | 2014-04-09 | 江苏苏云医疗器材有限公司 | Injection piece of infusion set |
| CN206424113U (en) * | 2016-10-12 | 2017-08-22 | 上海交通大学医学院附属上海儿童医学中心 | A kind of adjustable pulmonic ring compression apparatus |
| CN106667542A (en) * | 2016-12-15 | 2017-05-17 | 北京迈纳士手术机器人技术股份有限公司 | Automatic binding and pressure applying apparatus |
| CN209932880U (en) * | 2018-10-30 | 2020-01-14 | 江苏省人民医院（南京医科大学第一附属医院） | Adjustable blood vessel ring contraction band |
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