CN109394295A - A kind of Cardiac operation with mini-trauma inferior caval vein occluding device - Google Patents
A kind of Cardiac operation with mini-trauma inferior caval vein occluding device Download PDFInfo
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- CN109394295A CN109394295A CN201811477011.3A CN201811477011A CN109394295A CN 109394295 A CN109394295 A CN 109394295A CN 201811477011 A CN201811477011 A CN 201811477011A CN 109394295 A CN109394295 A CN 109394295A
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- guiding device
- draught line
- band
- caval vein
- inferior caval
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- 210000003462 vein Anatomy 0.000 title claims abstract description 70
- 230000000747 cardiac effect Effects 0.000 title claims abstract description 32
- 208000014674 injury Diseases 0.000 title claims abstract description 32
- 230000000903 blocking effect Effects 0.000 claims abstract description 52
- 238000000034 method Methods 0.000 claims abstract description 11
- NJPPVKZQTLUDBO-UHFFFAOYSA-N novaluron Chemical compound C1=C(Cl)C(OC(F)(F)C(OC(F)(F)F)F)=CC=C1NC(=O)NC(=O)C1=C(F)C=CC=C1F NJPPVKZQTLUDBO-UHFFFAOYSA-N 0.000 claims description 9
- 238000005452 bending Methods 0.000 claims description 8
- 239000000463 material Substances 0.000 claims description 7
- 230000009471 action Effects 0.000 claims description 5
- 238000004064 recycling Methods 0.000 claims description 5
- 229920001971 elastomer Polymers 0.000 claims description 3
- 238000010586 diagram Methods 0.000 description 9
- 238000001356 surgical procedure Methods 0.000 description 6
- 238000000926 separation method Methods 0.000 description 5
- 210000000080 chela (arthropods) Anatomy 0.000 description 3
- 238000011017 operating method Methods 0.000 description 3
- 238000007675 cardiac surgery Methods 0.000 description 2
- 201000010099 disease Diseases 0.000 description 2
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 210000002837 heart atrium Anatomy 0.000 description 2
- 208000019622 heart disease Diseases 0.000 description 2
- 230000009467 reduction Effects 0.000 description 2
- 230000008439 repair process Effects 0.000 description 2
- 208000032843 Hemorrhage Diseases 0.000 description 1
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 description 1
- 208000001910 Ventricular Heart Septal Defects Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 210000001015 abdomen Anatomy 0.000 description 1
- 210000000702 aorta abdominal Anatomy 0.000 description 1
- 210000001367 artery Anatomy 0.000 description 1
- 208000013914 atrial heart septal defect Diseases 0.000 description 1
- 206010003664 atrial septal defect Diseases 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 230000036541 health Effects 0.000 description 1
- 210000003111 iliac vein Anatomy 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 238000000338 in vitro Methods 0.000 description 1
- 238000001727 in vivo Methods 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 230000003601 intercostal effect Effects 0.000 description 1
- 239000004816 latex Substances 0.000 description 1
- 229920000126 latex Polymers 0.000 description 1
- 210000004185 liver Anatomy 0.000 description 1
- 210000003141 lower extremity Anatomy 0.000 description 1
- 238000002324 minimally invasive surgery Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 239000000741 silica gel Substances 0.000 description 1
- 229910002027 silica gel Inorganic materials 0.000 description 1
- 230000000451 tissue damage Effects 0.000 description 1
- 231100000827 tissue damage Toxicity 0.000 description 1
- 210000001631 vena cava inferior Anatomy 0.000 description 1
- 210000002620 vena cava superior Anatomy 0.000 description 1
- 210000001075 venae cavae Anatomy 0.000 description 1
- 201000003130 ventricular septal defect Diseases 0.000 description 1
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Classifications
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- 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
- A61B17/1322—Tourniquets comprising a flexible encircling member
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00796—Breast surgery
-
- 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)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Vascular Medicine (AREA)
- Engineering & Computer Science (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)
- Prostheses (AREA)
Abstract
The invention belongs to for ligaturing or oppressing internal tubulose position technical field, disclose a kind of Cardiac operation with mini-trauma inferior caval vein occluding device, the guide head of guiding device front end is equipped with side opening, it is fixed with draught line on side opening and reaches rear end inside guiding device, guiding device outer wall has the side attached function conduit of side opening, it is equipped in function conduit and blocks band, blocking takes setting locking device；Guiding device rear end is hollow handle, and hollow handle is equipped with draught line fixing button；The attachment of function conduit and guiding device outer wall belt side opening side；It is axially symmetrical in hollow handle that hollow handle is equipped with a draught line fixing button draught line fixing button.For the present invention in limited operating space, separating inferior caval vein and putting on for efficient quick blocks band to block；It can be locked later in the band head end for blocking band across locking device；It effectively improves procedure efficiency, reduce complication and reduces operating time, it is reasonable in design, be used conveniently and safely, it is suitble to promote the use of.
Description
Technical field
The present invention relates to the field of medical instrument technology, are specifically related to a kind of Cardiac operation with mini-trauma inferior caval vein blocking dress
It sets.
Background technique
Heart disease is the number one killer of human health, and the whole world is died of every year in the size of population of disease, there are about three/
First is that because disease incidence is in obvious ascendant trend always, and in China, also there are about 3,500,000 people to die of the heart every year caused by heart disease
Popular name for.In more than ten years in past, minimal invasive cardiac surgery is worldwide widely used.Although so far for minimal invasive cardiac surgery
Still none specific definition and specification, but having a common recognition is passed through under the premise of guaranteeing patients surgery safety
Reduction surgery notch avoids extracorporal circulatory system from reaching reduction or mitigates operation to wound of both patient's human body and spirit.It is another
Aspect, the diminution of operative incision will lead to the exposure of operation visual area and the more traditional center open chest surgery of operation difficulty and increased, because
This, it is successfully crucial that the operation method of use and the improvement of special instrument becomes Minimally Invasive Surgery.
Inferior caval vein is the maximum vein of human body, collects the venous blood of lower limb, pelvic part and abdomen.Inferior caval vein is by left and right
Common iliac vein merges, and converges position mostly in the 5th lumbar vertebrae level, flat 4th lumbar vertebrae of minority.Before inferior caval vein is located at the right side of backbone
Side, along the right side uplink of abdominal aorta, sulcus for vena cava through liver, the foramen venae cavae for wearing diaphragm are opened on atrium dextrum.Needs are cut
The operation of atrium dextrum, such as Treated With Repair of Auricular Septal Defect, repair if ventricular septal defect, tricuspid valvoplasty are opened, foundation follows in vitro
Ring just needs row superior and inferior vena cava cuff to block, but when through the 4th intercostal into chest, since notch is small, inferior caval vein position is deep, separation
Inferior caval vein cuff is highly difficult, and existing operating method generally requires that a little is isolated with pliers, needs will to hinder later
Disconnected band, which passes through, to be blocked；On the one hand, extremely difficult to the separation of inferior caval vein in narrow space, greatly extend
Operating time and increase operation difficulty；Even occasionally there is the generation of vena cave, left room rupture haemorrhage when dissociating by pliers；Separately
On the one hand, after separating inferior caval vein with tissue, when blocking to its cuff, soft blocking band is in narrow space
Being difficult elbow will block band to cover and block on inferior caval vein, bring great difficulty to operating, while also increasing patient
Pain.
In conclusion problem of the existing technology is:
(1) extremely difficult to the separation of inferior caval vein in narrow space, greatly extend operating time and increase
Operation difficulty, since notch is small, inferior caval vein position is deep, and separation inferior caval vein cuff is highly difficult, existing operating method one
As need a little with pliers to be isolated, due to notch apart from inferior caval vein farther out, be also difficult even with pliers by
Its quick separating.
(2) after separating inferior caval vein with tissue, when blocking to its cuff, soft blocking band is in narrow space
Inside also being difficult elbow will block band to cover and block on inferior caval vein, operator's operating difficulties.So as to cause inferior caval vein resistance
Break and occupy the too many time, while inferior caval vein cannot be effectively blocked cannot to be then operated, patient is in dusk for a long time
Fan's state, which may cause, there is life danger, causes malpractice.
Summary of the invention
In view of the above-mentioned problems existing in the prior art, it blocks and fills the present invention provides a kind of Cardiac operation with mini-trauma inferior caval vein
It sets, when Cardiac operation with mini-trauma inferior caval vein is blocked and operated, the putting on inferior caval vein separation of energy efficient quick blocks band to carry out
It blocks, effectively improves procedure efficiency, it is reasonable in design, be used conveniently and safely, it is suitble to medical institutions to promote the use of.
To realize above-mentioned technical purpose and the technique effect, the present invention is achieved through the following technical solutions:
A kind of Cardiac operation with mini-trauma inferior caval vein occluding device, including guiding device, function conduit, draught line and blocking
Band；The guide head of the guiding device front end is equipped with side opening, and draught line is fixed on side opening and is reached thereafter inside guiding device
End, guiding device outer wall have the side attached function conduit of side opening, are equipped in function conduit and block band, and blocking takes settable lock
Determine device；
The guiding device rear end is hollow handle, and hollow handle front end, which is successively spaced, to be arranged hollow Universal pipe and lead
Pipe, front end are equipped with mellow and full guide head；The guide head is equipped with side opening, the ring of setting fixed column and traction line end on side opening
Set connection；The hollow handle is equipped with draught line fixing button；
The function conduit attachment and guiding device outer wall belt side opening side, function conduit are the hollow soft of front and back end opening
Pipe, front opening is away from side opening 1cm, and open rearward end is away from guiding device hollow handle end 2-3cm；
The blocking band can be placed in function conduit, blocked the band head end of band to be open from function catheter proximal end and stretched out 1-2cm,
It blocks end of tape to be provided with band head end and is threaded back through hole, band head end is threaded back through that bore edges are firm, and blocking band is rubber material.
Preferably, the band body for blocking band is spaced semi-cylindrical hill and belt strip, and rear end is to block band
Pedestal offers and semi-cylindrical hill and the consistent semi-circular groove of belt strip and bar shaped trough of belt on pedestal.
Preferably, the universal length of tube of the guiding device is 0.5-1cm, catheter length 1-2cm, on guiding device
10 Universal pipes are at least set.
Preferably, the traction line back end is equipped with draught line handle, is connected when not pulling draught line with guiding device rear end.
Preferably, the hollow handle is equipped with 2 draught line fixing buttons, and draught line fixing button is in hollow handle axial direction
Symmetrically；Draught line fixing button includes the fixing seat being placed in inside hollow handle, and pressing spring and rear end are pressed in middle position
Press wedge；
The fixing seat is equipped with draught line card slot.
Preferably, the locking device includes outer tube, and outer tube front end is equipped with the bulge loop of protrusion, leads built in outer tube
Draw pin, traction needle end is mellow and full and is equipped with barb, and outer tube rear end is equipped with pull needle lock-button；
The outer tube and pull needle are the telescopic rod of scalable locking.
The micro- of the Cardiac operation with mini-trauma inferior caval vein occluding device is realized another object of the present invention is to provide a kind of
Openheart surgery inferior caval vein blocking-up method is created, the Cardiac operation with mini-trauma inferior caval vein blocking-up method includes:
Draught line handle is pulled back, so that guiding device is bent since front end, i.e. the hollow handle front end of guiding device
Successively hollow Universal pipe and conduit is arranged in interval, when pulling draught line handle, the guiding device front end under draught line pulling
Universal pipe is bent from a direction, so that the bending of guiding device head end；
By pressing draught line fixing button by draught line locking guide apparatus, under the action of draught line, guiding device is only
It can be from curving；Gradually draught line handle is pulled back later, after guiding device forms circular arc, will be attached to and be led by pliers
Blocking band front end into the function conduit of device outer wall clamps；
By draught line handle toward recycling and exiting guiding device, the band head end with head end from blocking end of tape of band will be blocked
It is threaded back through hole and is pierced by and block inferior caval vein, caught on by the barb of the pull needle of locking device and block the aperture with head end and from rear end
Pull needle is pulled, the bulge loop of outer tube front end resists blocking and takes back perforation, and rear end screws pull needle lock-button and realizes locking.
The beneficial effects of the present invention are: when Cardiac operation with mini-trauma inferior caval vein is blocked and operated, in the appropriate auxiliary of free pincers
Help down, the guiding device of inferior caval vein occluding device under the control of draught line, guiding device can since guide head one end from
Start to be bent front to back, it will be in the function conduit that be attached to guiding device outer wall by pliers after guide head reaches suitable position
Blocking band front end clamp, then guiding device is exited, will block later band with head end from the band head end for blocking end of tape
It is threaded back through hole and is pierced by and block inferior caval vein；So that guiding device is convenient during the blocking of Cardiac operation with mini-trauma inferior caval vein,
In limited operating space, separating inferior caval vein and putting on for efficient quick blocks band to block；It can block later
The band head end of band is locked across locking device；Procedure efficiency can be effectively improved, complication is reduced and reduces operating time, structure
Design is reasonable, is used conveniently and safely, and medical institutions is suitble to promote the use of.
Certainly, it implements any of the products of the present invention and does not necessarily require achieving all the advantages described above at the same time.
Detailed description of the invention
In order to illustrate the technical solution of the embodiments of the present invention more clearly, will be described below to embodiment required
Attached drawing is briefly described, it should be apparent that, drawings in the following description are only some embodiments of the invention, for ability
For the those of ordinary skill of domain, without creative efforts, it can also be obtained according to these attached drawings other attached
Figure.
Fig. 1 is the structural schematic diagram of Cardiac operation with mini-trauma inferior caval vein occluding device of the present invention；
Fig. 2 is the structural schematic diagram of guiding device of the present invention；
Fig. 3 is the structural schematic diagram in Fig. 2 of the present invention at A；
Fig. 4 is the scheme of installation of hollow handle of the present invention and draught line fixing button；
Fig. 5 is the structural schematic diagram of draught line fixing button of the present invention；
Fig. 6 is the structural schematic diagram of the present invention for blocking band and hook knob；
The position Fig. 7 another structural schematic diagram of the present invention for blocking band；
Fig. 8 uses schematic diagram for Cardiac operation with mini-trauma of embodiment of the present invention inferior caval vein occluding device；
Fig. 9 uses schematic diagram for Cardiac operation with mini-trauma of embodiment of the present invention inferior caval vein occluding device；
Figure 10 is the use schematic diagram that the embodiment of the present invention blocks band and hook knob；
In attached drawing, parts list represented by the reference numerals are as follows:
1- guiding device, 101- conduit, 102- Universal pipe, 2- function conduit, 3- draught line, 301- draught line handle, 4- resistance
Disconnected band, 401- band head end, 402- are threaded back through hole, 403- aperture, 404- semi-cylindrical hill, 4041- semi-circular groove, 405- belt strip,
4051- bar shaped trough of belt, 406- pedestal, 5- guide head, 501- side opening, 502- fixed column, 503- ring set, 6- draught line fixing button,
601- presses wedge, and 602- presses pressing spring, 603- fixing seat, 604- draught line card slot, 7- locking device, 701- outer tube, 702-
Pull needle, 703- barb, 704- pull needle lock-button, 705- bulge loop.
Specific embodiment
Following will be combined with the drawings in the embodiments of the present invention, and technical solution in the embodiment of the present invention carries out clear, complete
Site preparation description, it is clear that described embodiments are only a part of the embodiments of the present invention, instead of all the embodiments.It is based on
Embodiment in the present invention, it is obtained by those of ordinary skill in the art without making creative efforts all other
Embodiment shall fall within the protection scope of the present invention.
Embodiment 1
As shown in figs. 1-7, a kind of Cardiac operation with mini-trauma inferior caval vein occluding device, including guiding device 1, function conduit 2,
Draught line 3 and blocking band 4；The guide head 5 of 1 front end of guiding device is equipped with side opening 501, is fixed with draught line 3 on side opening 501
Its rear end is reached inside guiding device 1,1 outer wall of guiding device has the side attached function conduit 2 of side opening 501, function conduit 2
Interior be equipped with blocks band 4, blocks settable locking device 7 on band 4；
1 rear end of guiding device is hollow handle, and hollow handle front end, which is successively spaced, is arranged hollow Universal pipe 102 and conduit
101, front end is equipped with mellow and full guide head 5；The guide head 5 is equipped with side opening 501, setting fixed column and traction on side opening 501
The ring set 503 of 3 end of line connects；The hollow handle is equipped with draught line fixing button 6；
The attachment of function conduit 2 and 1 outer wall belt side opening of guiding device, 501 side, function conduit 2 are in the end opening of front and back
Empty hose, front opening is away from side opening 1cm, and open rearward end is away from 1 hollow handle end 2-3cm of guiding device；
It blocks band 4 that can be placed in function conduit 2, the band head end 401 of band 4 is blocked to stretch out 1- from 2 front opening of function conduit
2cm blocks 4 end of band to be provided with band head end and is threaded back through hole 402, and it is firm that band head end is threaded back through 402 edge of hole.
102 length of Universal pipe of guiding device 1 is 0.5-1cm, and 101 length of conduit is 1-2cm, on guiding device 1 at least
10 Universal pipes 102 are set.
The band body for blocking band 4 is spaced semi-cylindrical hill 404 and belt strip 405, and rear end is to block band 4
Pedestal 406 offers and semi-cylindrical hill 404 and the consistent semi-circular groove 4041 of belt strip 405 and bar shaped trough of belt on pedestal 406
4051。
3 rear end of draught line is equipped with draught line handle 301, is connected when not pulling draught line 3 with 1 rear end of guiding device.
Hollow handle is equipped with 2 draught line fixing buttons 6, and draught line fixing button 6 is axially symmetrical in hollow handle；
Draught line fixing button 6 includes being placed in fixing seat 603 inside hollow handle, middle position by pressing spring 602 and rear end
By wedge 601；Fixing seat 603 is equipped with draught line card slot 604.
Locking device 7 includes outer tube 701, and 701 front end of outer tube is equipped with the bulge loop 705 of protrusion, in outer tube 701
Pull needle 702 is set, 702 head end of pull needle is mellow and full and is equipped with barb 703, and 701 rear end of outer tube is equipped with pull needle lock-button
704；
The outer tube 701 and pull needle 702 are the telescopic rod of scalable locking.
Embodiment 2
As shown in Figure 8, Figure 9, a kind of operating method of Cardiac operation with mini-trauma inferior caval vein occluding device, pulls back traction
Line handle 301, so that guiding device 1 is bent since front end, i.e., it is hollow to be successively spaced setting for the hollow handle front end of guiding device 1
Universal pipe 102 and conduit 101, the guide head 5 of front end is equipped with side opening 501, setting fixed column and draught line 3 on side opening 501
The ring set 503 of end connects；When pulling draught line handle 301, the Universal pipe 102 of 1 front end of guiding device under the pulling of draught line 3
It can be bent from a direction, so that the bending of 1 head end of guiding device, it at this time can be by pressing draught line fixing button 6 for draught line
3 lockings are to facilitate guiding device 1 to operate, and under the action of draught line 4,1 meeting of guiding device is from curving；Gradually will later
Draught line handle 3 pulls back, and after guiding device 1 forms circular arc, the function conduit of 1 outer wall of guiding device will be attached to by pliers
4 front end of blocking band in 2 clamps, and by draught line handle 301 toward recycling and slowly exiting guiding device 1, will block band later
4 block inferior caval vein from blocking the band head end of end of tape to be threaded back through hole 402 and be pierced by with head end 401, by the traction of locking device 7
The barb 703 of needle 702 catch on block the aperture 403 with head end and from rear end pull pull needle 702,701 front end of outer tube it is convex
Ring 705 resists blocking and takes back perforation 402, and rear end screws pull needle lock-button 704 and realizes locking, and blocking band 4 is rubber material, light
It is sliding, flexible, it is small to tissue damage；It is reasonable in design, operate efficient quick.
Embodiment 3
In Cardiac operation with mini-trauma, the notch of 4cm or so is cut from the 4th rib position of right side, and operation view is obtained by scope
It is wild；When needing to block inferior caval vein, by the guiding device 1 of Cardiac operation with mini-trauma inferior caval vein occluding device of the invention
5 one end of guide head is inserted into from incision site, under the auxiliary of free pincers, by pulling back draught line handle 301, so that guiding
Device 1 is bent (such as Fig. 8) since front end, i.e., the hollow handle front end of guiding device 1, which is successively spaced, is arranged hollow Universal pipe
102 and conduit 101, the guide head 5 of front end is equipped with side opening 501, and the ring of fixed column and 3 end of draught line is arranged on side opening 501
503 connection of set；When pulling draught line handle 301, the Universal pipe 102 of 1 front end of guiding device can be from one under the pulling of draught line 3
A direction bending, so that the bending of 1 head end of guiding device, draught line 3 is locked led with facilitating by pressing draught line fixing button 6
Operated to device 1, after draught line 3 is locked, by it is hand-held live 1 rear end of guiding device hollow handle by guide head 5 from cavity of resorption
The connecting pin of vein and tissue passes through；Under the action of draught line 4,1 meeting of guiding device (under normal conditions can from curving
Towards equipped with 501 curving of side opening)；Gradually draught line handle 3 is pulled back later so that guiding device 1 from front end backward by
Step bending, after guide head 5 is passed through from the connecting pin of inferior caval vein and tissue, guiding device 1 forms an open loop, such as Fig. 8
It is shown；4 front end of blocking band in the function conduit 2 for being attached to 1 outer wall of guiding device is clamped by pliers at this time, will be drawn
Line handle 301 blocks band 4 to be covered at this time in the position of inferior caval vein toward recycling and slowly exiting guiding device 1；Later
With head end 401 inferior caval vein being entangled completely, is entangled from blocking the band head end of end of tape to be threaded back through hole 402 and be pierced by for band 4 will be blocked
The band head end 401 for blocking band 4 is pulled to make that band 4 is blocked to block inferior caval vein later, it will after (adjusting elasticity appropriate)
Block band 4 catches on blocking band head end by the barb 703 of the pull needle 702 of locking device 7 across locking device 7 with head end 401
Aperture 403 and pull pull needle 702 from rear end, the bulge loop 705 of 701 front end of outer tube resists blocking and takes back perforation 402, rear end
It screws pull needle lock-button 704 and realizes locking (as shown in Figure 10)；So that guiding device 1 is convenient quiet in Cardiac operation with mini-trauma cavity of resorption
During the blocking of arteries and veins, in limited operating space, separating inferior caval vein and putting on for efficient quick blocks band to hinder
It is disconnected；Pull needle lock-button 704 need to be only unclamped after surgical procedure completion, pull needle 702 forward, blocks the release of band 4 that can stop
Only block；
The outer tube 701 and pull needle 702 are the telescopic rod of scalable locking simultaneously, and entire locking device is adjusted
7 length can shorten the length of locking device 7 when carrying out other operations, place it in and avoid stopping in vivo.
Embodiment 4
In full hysteroscope Cardiac operation with mini-trauma, the notch of 4cm or so is cut from the 4th rib position of right side, is obtained by scope
Surgical field of view；When needing to block inferior caval vein, by the guiding of Cardiac operation with mini-trauma inferior caval vein occluding device of the invention
5 one end of guide head of device 1 is inserted into from incision site, under the auxiliary of free pincers, by pulling back draught line handle 301,
So that guiding device 1 is bent (such as Fig. 8) since front end, i.e., it is hollow to be successively spaced setting for the hollow handle front end of guiding device 1
Universal pipe 102 and conduit 101, the guide head 5 of front end is equipped with side opening 501, setting fixed column and draught line 3 on side opening 501
The ring set 503 of end connects；When pulling draught line handle 301, the Universal pipe of 1 front end of guiding device under the pulling of draught line 3
102 can be bent from a direction, so that the bending of 1 head end of guiding device, is locked draught line 3 by pressing draught line fixing button 6
Determine to facilitate guiding device 1 to operate, after draught line 3 is locked, by the hollow handle of hand-held firmly 1 rear end of guiding device by being oriented to
First 5 pass through from the connecting pin of inferior caval vein and tissue；Under the action of draught line 4,1 meeting of guiding device is (logical from curving
It can be towards equipped with 501 curving of side opening in normal situation)；Gradually draught line handle 3 is pulled back later so that guiding device 1 from
Front end is gradually bent backward, and after guide head 5 is passed through from the connecting pin of inferior caval vein and tissue, guiding device 1 forms one
Open loop, as shown in Fig. 8；4 front end of blocking band in the function conduit 2 for being attached to 1 outer wall of guiding device is pressed from both sides by pliers at this time
It handles, by draught line handle 301 toward recycling and slowly exiting guiding device 1, band 4 is blocked to be covered at this time in inferior caval vein
Position；Later as shown in fig. 7, the band body for blocking band 4 is spaced semi-cylindrical hill 404 and belt strip 405, rear end are
The pedestal 406 of band 4 is blocked, is offered and semi-cylindrical hill 404 and the consistent semi-circular groove 4041 of belt strip 405 on pedestal 406
With bar shaped trough of belt 4051, when full endoscope-assistant surgery operates, the head end of band 4 is blocked to be threaded back through to pedestal 406, from 4041 He of semi-circular groove
4051 end of bar shaped trough of belt is pierced by, and can be realized by traction aperture 403 when operation, after blocking band 4 to be pierced by from semi-circular groove 4041,
It is adjusted to the blocking that position appropriate carries out inferior caval vein, after blocking band 4 to block inferior caval vein, semi-circular groove 4041 will be penetrated
It blocks band body to be stuck in bar shaped trough of belt 4051 and realizes locking, also or after inferior caval vein blocking by the blocking band 4 being pierced by knot, hinder
The material of disconnected band 4 is that silica gel or latex material can achieve expected purpose；So that guiding device 1 is convenient under Cardiac operation with mini-trauma
During venacaval blocking, in limited operating space, separating inferior caval vein and putting on blocking for efficient quick is brought into
Row blocks；Blocking band 4 that can directly cut either release when unclamping can stop blocking；
Procedure efficiency can be effectively improved, complication is reduced and reduces operating time, peace reasonable in design, easy to use
Entirely, it is suitble to medical institutions to promote the use of.
In the description of this specification, the description of reference term " one embodiment ", " example ", " specific example " etc. means
Particular features, structures, materials, or characteristics described in conjunction with this embodiment or example are contained at least one implementation of the invention
In example or example.In the present specification, schematic expression of the above terms may not refer to the same embodiment or example.
Moreover, particular features, structures, materials, or characteristics described can be in any one or more of the embodiments or examples to close
Suitable mode combines.
Present invention disclosed above preferred embodiment is only intended to help to illustrate the present invention.There is no detailed for preferred embodiment
All details are described, are not limited the invention to the specific embodiments described.Obviously, according to the content of this specification,
It can make many modifications and variations.These embodiments are chosen and specifically described to this specification, is in order to better explain the present invention
Principle and practical application, so that skilled artisan be enable to better understand and utilize the present invention.The present invention is only
It is limited by claims and its full scope and equivalent.
Claims (8)
1. a kind of Cardiac operation with mini-trauma inferior caval vein occluding device, it is characterised in that: including guiding device, function conduit, traction
Line and blocking band；The guide head of the guiding device front end is equipped with side opening, is fixed with draught line inside guiding device on side opening
Its rear end is reached, guiding device outer wall has the side attached function conduit of side opening, is equipped in function conduit and blocks band, blocking takes
Settable locking device；
The guiding device rear end is hollow handle, and hollow handle front end, which is successively spaced, is arranged hollow Universal pipe and conduit, preceding
End is equipped with mellow and full guide head；The guide head is equipped with side opening, and the ring set of setting fixed column and traction line end connects on side opening
It connects；The hollow handle is equipped with draught line fixing button；
The function conduit attachment and guiding device outer wall belt side opening side, function conduit are the hollow tube of front and back end opening,
Front opening is away from side opening 1cm, and open rearward end is away from guiding device hollow handle end 2-3cm；
The blocking band can be placed in function conduit, blocked the band head end of band to be open from function catheter proximal end and stretched out 1-2cm, block
End of tape is provided with band head end and is threaded back through hole, and band head end is threaded back through that bore edges are firm, and blocking band is rubber material.
2. a kind of Cardiac operation with mini-trauma inferior caval vein occluding device as described in claim 1, it is characterised in that: the blocking band
Band body be spaced semi-cylindrical hill and belt strip, rear end be the pedestal for blocking band, is offered on pedestal and semicircle
Protrusion and the consistent semi-circular groove of belt strip and bar shaped trough of belt.
3. a kind of Cardiac operation with mini-trauma inferior caval vein occluding device as described in claim 1, it is characterised in that: the guiding dress
The universal length of tube set is 0.5-1cm, catheter length 1-2cm, and 10 Universal pipes are at least arranged on guiding device.
4. a kind of Cardiac operation with mini-trauma inferior caval vein occluding device as described in claim 1, it is characterised in that: the draught line
Rear end is equipped with draught line handle, is connected when not pulling draught line with guiding device rear end.
5. a kind of Cardiac operation with mini-trauma inferior caval vein occluding device as described in claim 1, it is characterised in that: described hollow
It is equipped with 2 draught line fixing buttons on hand, and draught line fixing button is axially symmetrical in hollow handle；Draught line fixing button includes
Wedge is pressed by pressing spring and rear end in the fixing seat being placed in inside hollow handle, middle position.
6. a kind of Cardiac operation with mini-trauma inferior caval vein occluding device as claimed in claim 4, it is characterised in that: the fixing seat
It is equipped with draught line card slot.
7. a kind of Cardiac operation with mini-trauma inferior caval vein occluding device as described in claim 1, it is characterised in that: the locking dress
It sets including outer tube, outer tube front end is equipped with the bulge loop of protrusion, and pull needle built in outer tube, traction needle end is mellow and full and is equipped with
Barb, outer tube rear end are equipped with pull needle lock-button；
The outer tube and pull needle are the telescopic rod of scalable locking.
8. a kind of Cardiac operation with mini-trauma inferior caval vein for realizing Cardiac operation with mini-trauma inferior caval vein occluding device described in claim 1
Blocking-up method, which is characterized in that the Cardiac operation with mini-trauma inferior caval vein blocking-up method includes:
Draught line handle is pulled back, so that guiding device is bent since front end, i.e., the hollow handle front end of guiding device is successively
Hollow Universal pipe and conduit is arranged in interval, and when pulling draught line handle, guiding device front end is universal under draught line pulling
Guan Congyi direction bending, so that the bending of guiding device head end；
By pressing draught line fixing button by draught line locking guide apparatus, under the action of draught line, guiding device only can be from
Curving；Gradually draught line handle is pulled back later, after guiding device forms circular arc, guiding dress will be attached to by pliers
The blocking band front end set in the function conduit of outer wall clamps；
By draught line handle toward recycling and exiting guiding device, being threaded back through with head end from the band head end of blocking end of tape for band will be blocked
Hole, which is pierced by, blocks inferior caval vein, is caught on by the barb of the pull needle of locking device and blocks the aperture with head end and pull from rear end
Pull needle, the bulge loop of outer tube front end resist blocking and take back perforation, and rear end screws pull needle lock-button and realizes locking.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811477011.3A CN109394295A (en) | 2018-12-05 | 2018-12-05 | A kind of Cardiac operation with mini-trauma inferior caval vein occluding device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811477011.3A CN109394295A (en) | 2018-12-05 | 2018-12-05 | A kind of Cardiac operation with mini-trauma inferior caval vein occluding device |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN109394295A true CN109394295A (en) | 2019-03-01 |
Family
ID=65457196
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201811477011.3A Pending CN109394295A (en) | 2018-12-05 | 2018-12-05 | A kind of Cardiac operation with mini-trauma inferior caval vein occluding device |
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|---|---|---|---|---|
| GB1243211A (en) * | 1967-07-03 | 1971-08-18 | Jean Carle | Catheter-needle assembly |
| US20040215139A1 (en) * | 2002-12-20 | 2004-10-28 | Todd Cohen | Apparatus and method for implanting left ventricular pacing leads within the coronary sinus |
| CN201253373Y (en) * | 2008-09-22 | 2009-06-10 | 刘鸿箫 | Vein bandaging device of small-incision heart operation |
| US20100114306A1 (en) * | 2006-11-09 | 2010-05-06 | Contract Medical International Gmbh | Cardiovascular procedures |
| CN203195736U (en) * | 2013-04-26 | 2013-09-18 | 蔡晨 | Hepatic portal blood flow blocking band |
| CN203736270U (en) * | 2014-02-12 | 2014-07-30 | 邵长彪 | Vena cava separator used for cardiac surgery minimally invasive surgery |
| CN204951048U (en) * | 2015-08-22 | 2016-01-13 | 北京大学深圳医院 | Hepatic portal blood flow block device for laparoscopic surgery |
| CN209611236U (en) * | 2018-12-05 | 2019-11-12 | 昆明市延安医院 | A kind of Cardiac operation with mini-trauma inferior caval vein occluding device |
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2018
- 2018-12-05 CN CN201811477011.3A patent/CN109394295A/en active Pending
Patent Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| GB1243211A (en) * | 1967-07-03 | 1971-08-18 | Jean Carle | Catheter-needle assembly |
| US20040215139A1 (en) * | 2002-12-20 | 2004-10-28 | Todd Cohen | Apparatus and method for implanting left ventricular pacing leads within the coronary sinus |
| US20100114306A1 (en) * | 2006-11-09 | 2010-05-06 | Contract Medical International Gmbh | Cardiovascular procedures |
| CN201253373Y (en) * | 2008-09-22 | 2009-06-10 | 刘鸿箫 | Vein bandaging device of small-incision heart operation |
| CN203195736U (en) * | 2013-04-26 | 2013-09-18 | 蔡晨 | Hepatic portal blood flow blocking band |
| CN203736270U (en) * | 2014-02-12 | 2014-07-30 | 邵长彪 | Vena cava separator used for cardiac surgery minimally invasive surgery |
| CN204951048U (en) * | 2015-08-22 | 2016-01-13 | 北京大学深圳医院 | Hepatic portal blood flow block device for laparoscopic surgery |
| CN209611236U (en) * | 2018-12-05 | 2019-11-12 | 昆明市延安医院 | A kind of Cardiac operation with mini-trauma inferior caval vein occluding device |
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