CN109529195A - A kind of cathode inner-rotary type Pacemaker implantation p-wire - Google Patents

A kind of cathode inner-rotary type Pacemaker implantation p-wire Download PDF

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Publication number
CN109529195A
CN109529195A CN201910067626.7A CN201910067626A CN109529195A CN 109529195 A CN109529195 A CN 109529195A CN 201910067626 A CN201910067626 A CN 201910067626A CN 109529195 A CN109529195 A CN 109529195A
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CN
China
Prior art keywords
cathode
wire
rotary type
placing groove
test line
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Granted
Application number
CN201910067626.7A
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Chinese (zh)
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CN109529195B (en
Inventor
江隆福
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Ningbo No2 Hospital
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Ningbo No2 Hospital
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Priority to CN201910067626.7A priority Critical patent/CN109529195B/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362Heart stimulators
    • A61N1/37Monitoring; Protecting
    • A61N1/3706Pacemaker parameters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362Heart stimulators
    • A61N1/37Monitoring; Protecting
    • A61N1/3702Physiological parameters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372Arrangements in connection with the implantation of stimulators
    • A61N1/375Constructional arrangements, e.g. casings
    • A61N1/37512Pacemakers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372Arrangements in connection with the implantation of stimulators
    • A61N1/375Constructional arrangements, e.g. casings
    • A61N1/37518Anchoring of the implants, e.g. fixation

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Biophysics (AREA)
  • Cardiology (AREA)
  • Physiology (AREA)
  • Electrotherapy Devices (AREA)

Abstract

The invention proposes a kind of cathode inner-rotary type Pacemaker implantation p-wire, including p-wire, p-wire includes anode ring test line, cathode test line, subcutaneous anode p-wire;Anode ring test line and subcutaneous anode p-wire both ends are fixedly connected to crocodile clip;Cathode test line one end is fixedly connected with crocodile clip, and the other end is fixedly connected with rotary type cathode folder.A kind of cathode inner-rotary type Pacemaker implantation p-wire of the invention, structure is simple, it is easy to use, the cathode that can have both fixed 3830 (Medtronic company SelectSecure 3830) pacing electrode wire electrode tips is pressed from both sides in cathode test, it can rotate therewith again, patient's real-time monitoring pacing electrode cathode terminal under pace-making state is set to be screwed into electrocardiogram metamorphosis in the electrode impedance variation and intracavitary heart figure metamorphosis or non-pacing state cavity of resorption of process.

Description

A kind of cathode inner-rotary type Pacemaker implantation p-wire
Technical field
The present invention relates to a kind of medical instruments, and in particular to a kind of cathode inner-rotary type Pacemaker implantation p-wire.
Background technique
Artificial heart plays arm device, because it can issue regular electric pulse, heart can be made to keep bounce, be widely used in curing Treatment field.Pacemaker, pacing electrode wire and program control instrument constitute pacing system, and wherein pacemaker and pacing electrode wire pass through Operation implantation human body.
3830 pacing electrode wire of Medtronic company SelectSecure, is a kind of solid core electrode cable, is conveying Under conduit helps, it can be used for any part in the chambers of the heart and pace, be currently used primarily in Xinier reservoir and left bundle branch region paces.The electrode Conducting wire one end is electrode tip, and for connecting pacemaker, the other end is screw terminal, for being implanted into heart of patient, electrode tip and screw-in End is equipped with cathode and anode.Since the electrode tip anode is cyclic structure, also known as anode ring.Patient passes through rotation The crust of 3830 pacing electrode wires drives whole electrode cable rotation, so that the screw terminal of 3830 pacing electrode wires be planted Enter in heart of patient.
During surgery, screw terminal is screwed into process and needs to monitor pace-making state at any time with monitor and Pacemaker programmer patient Electrocardiogram and electrode impedance situation of change, especially electrode are screwed into clockwise by interventricular septum right side in lower screw terminal cathode cavity Left side process monitors particularly important.In current art, the cathode of 3830 pacing electrode wire electrode tips is fixed simultaneously by crocodile clip It is connected to monitor by cathode test line, using patient skin as anode, is fixed by crocodile clip and passes through anode p-wire and connect It is connected to monitor and paces program control instrument, in monitoring process, according to different situations, can choose and also press from both sides upper crocodile on anode ring Folder, and monitor and pace-making program control instrument are connected to by anode ring test line, to obtain more, more accurate data;In patient When rotating the crust of 3830 pacing electrode wires, one end that p-wire is fixed by crocodile clip is unable to synchronous rotary, causes the position P-wire tangled up and knotted, therefore have to interrupt electrocardio and electrode impedance in cathode cavity and monitor, causing to be screwed into stroke can not be real When continue to monitor electrocardio and electrode impedance and change, however the variation of this electrocardio itself refers to that leading screw terminal is screwed into whether arrive at site Important evidence, existing way majority are in and " are screwed into-interrupt monitoring;Monitoring-interruption is screwed into " state, or it is being screwed into a trip After unclamp crocodile clip, then unlock p-wire tangled up and knotted part, then press from both sides crocodile clip again, to monitor whether to be screwed into place, so It operates, makes troubles to patient repeatedly, and often need convolution to exit because monitoring causes screw terminal to be screwed into position not in time, give patient Bring pain.
Therefore, it is necessary to a kind of novel test extended line, cathode test folder can both fix 3830 pacing electrode wires electricity Extreme cathode, and can rotate therewith.
Summary of the invention
To solve the above-mentioned problems, the invention proposes a kind of cathode inner-rotary type Pacemaker implantation p-wires.
The technical scheme is that a kind of cathode inner-rotary type Pacemaker implantation p-wire, including p-wire, the survey Trying line includes anode ring test line, cathode test line, subcutaneous anode p-wire;The anode ring test line and subcutaneous anode are surveyed Examination line both ends are fixedly connected to crocodile clip;Described cathode test line one end is fixedly connected with crocodile clip, and the other end is fixed to be connected It is connected to rotary type cathode folder;The rotary type cathode folder includes lower casing and upper shell;The lower casing and upper outer It is successively arranged the first placing groove inside shell from front to back, the second placing groove, third placing groove, the 4th placing groove, and described Four placing groove rear and front ends are equipped with semicircle shape groove;Conductive sheet is equipped in first placing groove;Second placing groove It is interior to be equipped with spring;Brush is equipped in the third placing groove;It is equipped with conductive rotating cylinder in 4th placing groove, and described leads Electric rotating cylinder rear and front end is equipped with the collar flange of cooperation the 4th placing groove rear and front end semicircle shape groove;At the spring It supports and is located on conductive sheet and brush respectively in the both ends of compressive state, and spring;The brush is supported by the elastic force of spring and is set With on the contact surface of the conductive rotating cylinder;The conductive rotating cylinder interior welds have symmetrical two electroconductive elastic sheets;Institute Conducting is connected with conductor wire between the conductive sheet and brush stated.
Further, it is all provided with that there are two connection buckles at left and right sides of the lower casing and upper shell;In the connection buckle Between be equipped with perforative aperture, screw thread is equipped in aperture;The lower casing and upper shell pass through screw means in the aperture Mode be fixedly connected.
Further, the lower casing and upper housing exterior Middle face, which are equipped with, is parallel to rotary type cathode folder axle center Index line.
Further, the lower casing and upper shell are that insulating materials is made.
Further, conductive sheet fixation is clamped in first placing groove.
Further, the conductive rotating cylinder activity is placed in the 4th placing groove, and conductive rotating cylinder outer surface is coated with profit Lubrication prescription.
Further, the core that cathode test line connection rotary type cathode presss from both sides one end is welded in the conductive sheet One side far from spring.
Further, the anode ring test line is red crust, and the cathode test line is blue crust, described Subcutaneous anode p-wire be yellow crust.
A kind of cathode inner-rotary type Pacemaker implantation p-wire of the invention, structure is simple, easy to use, and cathode test is pressed from both sides both The cathode of 3830 pacing electrode wire electrode tips can be fixed, and can be rotated therewith, makes patient that rotation can be continuously monitored Enter end and is screwed into situation.
Detailed description of the invention
Fig. 1 is the structural diagram of the present invention.
Fig. 2 is the structural schematic diagram of rotatable cathode folder.
Fig. 3 is the structural schematic diagram of electroconductive elastic sheet.
In figure, 1- p-wire, 2- crocodile clip, 3- rotary type cathode folder;1.1- anode ring test line, 1.2- cathode test The subcutaneous anode p-wire of line 1.3-;3.1- lower casing, the upper shell of 3.2-, the first placing groove of 3.3-, the second placing groove of 3.4-, 3.5- Third placing groove, the 4th placing groove of 3.6-, 3.7- conductive sheet, 3.8- spring, 3.9- brush, 3.10- conduction rotating cylinder, 3.11- are led Electric wire, 3.12- connection buckle, 3.13- screw, 3.14- index line, 3.15- electroconductive elastic sheet.
Specific embodiment
It elaborates with reference to the accompanying drawing to a kind of cathode inner-rotary type Pacemaker implantation p-wire of the invention.
As shown in Figure 1, Figure 2, Figure 3 shows, a kind of cathode inner-rotary type Pacemaker implantation p-wire, including p-wire 1, p-wire 1 Including anode ring test line 1.1, cathode test line 1.2, subcutaneous anode p-wire 1.3;Anode ring test line 1.1 and subcutaneous anode 1.3 both ends of p-wire are fixedly connected to crocodile clip 2;1.2 one end of cathode test line is fixedly connected with crocodile clip 2, and the other end is solid Surely it is connected with rotary type cathode folder 3;Rotary type cathode folder 3 includes lower casing 3.1 and upper shell 3.2;Lower casing 3.1 and upper The first placing groove 3.3 is successively arranged inside shell 3.2 from front to back, the second placing groove 3.4, third placing groove 3.5, the 4th puts Slot 3.6 is set, and 3.6 rear and front end of the 4th placing groove is equipped with semicircle shape groove;Conductive sheet 3.7 is equipped in first placing groove 3.3;The Spring 3.8 is equipped in two placing grooves 3.4;Brush 3.9 is equipped in third placing groove 3.5;Conductive turn is equipped in 4th placing groove 3.6 Cylinder 3.10, and conductive 3.10 rear and front end of rotating cylinder is equipped with the cyclic annular convex of cooperation 3.6 rear and front end semicircle shape groove of the 4th placing groove Edge;Spring 3.8 is in compressive state, and the both ends of spring 3.8 are supported be located on conductive sheet 3.7 and brush 3.9 respectively;Brush 3.9 Supported by the elastic force of spring 3.8 be located at on the contact surface of conductive rotating cylinder 3.10;Conductive 3.10 interior welds of rotating cylinder have left and right pair The conductive bullet 3.15 of two claimed;Conducting is connected with conductor wire 3.11 between conductive sheet 3.7 and brush 3.9;Lower casing 3.1 and upper outer Connection buckle 3.12 there are two being all provided at left and right sides of shell 3.2;It is equipped with perforative aperture among connection buckle 3.12, is equipped with spiral shell in aperture Line;Lower casing 3.1 is fixedly connected in such a way that screw 3.13 is tightened in the aperture with upper shell 3.2;Lower casing 3.1 and upper It is all provided in the middle part of 3.2 outer surface of shell and is parallel to the index line 3.14 that rotary type cathode presss from both sides 3 axle center;Lower casing 3.1 and upper outer Shell 3.2 is that insulating materials is made;The fixation of conductive sheet 3.7 is clamped in the first placing groove 3.3;Conductive 3.10 activity of rotating cylinder is placed In the 4th placing groove 3.6, and conductive rotating cylinder outer surface is coated with lubricant;Cathode test line 1.2 connects rotary type cathode folder 3 The core of one end is welded in one side of the conductive sheet 3.7 far from spring 3.8;Anode ring test line 1.1 is red crust, cathode test Line 1.2 is blue crust, and subcutaneous anode p-wire 1.3 is yellow crust.
In practical operation, patient makes in the cathode insertion rotary type cathode folder 3 of 3830 pacing electrode wire electrode tips Electroconductive elastic sheet 3.15 clamps the cathode of 3830 pacing electrode wires;3 will be pressed from both sides with rotary type cathode on subcutaneous anode p-wire 1.3 Ipsilateral crocodile clip 2 is sandwiched in patient skin;By two crocodiles of the other side on cathode test line 1.2 and subcutaneous anode p-wire 1.3 Fish folder 2 is sandwiched in monitor respectively and paces the yin-yang end of program control instrument;Open monitor and the real-time simultaneously continuous observation of pace-making program control instrument Intracardiac electrocardiogram shape and Parameters variation determine after screwing in point to instruct the screw-in site of pacing electrode wire to position, pass through rotation Turn Pacing lead crust mode will 3830 pacing electrode wire screw terminals screw in determined by pace site, at this time without having to worry about The winding problem of electric grade conducting wire and p-wire is paced, screw-in process observes the pace-making state on monitor and pacing system analyzer in real time EGC pattern and electrocardiogram deformation (selection His' bundle pacing in electrode impedance variation or non-pacing state cavity of resorption in lower cathode cavity When be screwed into observe under non-pacing state, select then to observe under pace-making state when the pace-making of left bundle branch region be screwed into), up to being threaded to Suitable position.
In next test analysis, it can be pressed from both sides according to patient's needs, while by the crocodile clip 2 of anode ring test line 1.1 In the anode ring of 3830 pacing electrode wire electrode tips, the crocodile clip 2 of the other end is sandwiched on monitor and Pacemaker programmer, To obtain more more accurate data;It is defined further according to patient and completes parameters measurement.
Finally, removing p-wire;Carry out subsequent pacemaker installation implant surgery.
The above described is only a preferred embodiment of the present invention, be not intended to limit the present invention in any form, though So the present invention has been disclosed as a preferred embodiment, and however, it is not intended to limit the invention, any technology people for being familiar with this profession Member, without departing from the scope of the present invention, when the technology contents using the disclosure above make a little change or modification For the equivalent embodiment of equivalent variations, but anything that does not depart from the technical scheme of the invention content, according to the technical essence of the invention Any simple modification, equivalent change and modification to the above embodiments, all of which are still within the scope of the technical scheme of the invention.

Claims (8)

1. a kind of cathode inner-rotary type Pacemaker implantation p-wire, which is characterized in that including p-wire (1), the p-wire (1) Including anode ring test line (1.1), cathode test line (1.2), subcutaneous anode p-wire (1.3);The anode ring test line (1.1) and subcutaneous anode p-wire (1.3) both ends are fixedly connected to crocodile clip (2);Described cathode test line (1.2) one end It is fixedly connected with crocodile clip (2), the other end is fixedly connected with rotary type cathode folder (3);The rotary type cathode presss from both sides (3) Including lower casing (3.1) and upper shell (3.2);Inside the lower casing (3.1) and upper shell (3.2) from front to back successively Equipped with the first placing groove (3.3), the second placing groove (3.4), third placing groove (3.5), the 4th placing groove (3.6), and described Four placing grooves (3.6) rear and front end is equipped with semicircle shape groove;Conductive sheet (3.7) are equipped in first placing groove (3.3);Institute Spring (3.8) are equipped in the second placing groove (3.4) stated;Brush (3.9) are equipped in the third placing groove (3.5);It is described The 4th placing groove (3.6) in be equipped with conductive rotating cylinder (3.10), and conductive rotating cylinder (3.10) rear and front end is equipped with cooperation institute State the collar flange of the 4th placing groove (3.6) rear and front end semicircle shape groove;The spring (3.8) is in compressive state, and The both ends of spring (3.8) are supported respectively to be located on conductive sheet (3.7) and brush (3.9);The brush (3.9) passes through spring (3.8) elastic force support be located at on the contact surface of the conductive rotating cylinder (3.10);Described conductive rotating cylinder (3.10) interior welds There are symmetrical two electroconductive elastic sheets (3.15);Conducting is connected with conduction between the conductive sheet (3.7) and brush (3.9) Line (3.11).
2. a kind of cathode inner-rotary type Pacemaker implantation p-wire according to claim 1, it is characterised in that: described is lower outer There are two being all provided at left and right sides of shell (3.1) and upper shell (3.2) connection buckle (3.12);It is all provided among the connection buckle (3.12) There is perforative aperture, is equipped with screw thread in aperture;The lower casing (3.1) and upper shell (3.2) is screwed by screw (3.13) It is fixedly connected in the mode of the aperture.
3. a kind of cathode inner-rotary type Pacemaker implantation p-wire according to claim 2, it is characterised in that: described is lower outer The index line for being parallel to rotary type cathode folder (3) axle center is all provided in the middle part of shell (3.1) and upper shell (3.2) outer surface (3.14)。
4. a kind of cathode inner-rotary type Pacemaker implantation p-wire according to claim 3, it is characterised in that: described is lower outer Shell (3.1) and upper shell (3.2) are that insulating materials is made.
5. a kind of cathode inner-rotary type Pacemaker implantation p-wire according to claim 1, it is characterised in that: the conduction Piece (3.7) fixation is clamped in first placing groove (3.3).
6. a kind of cathode inner-rotary type Pacemaker implantation p-wire according to claim 1, it is characterised in that: the conduction Rotating cylinder (3.10) activity is placed in the 4th placing groove (3.6), and conductive rotating cylinder outer surface is coated with lubricant.
7. a kind of cathode inner-rotary type Pacemaker implantation p-wire according to claim 1, it is characterised in that: the cathode The core of p-wire (1.2) connection rotary type cathode folder (3) one end is welded in the conductive sheet (3.7) far from spring (3.8) One side.
8. a kind of cathode inner-rotary type Pacemaker implantation p-wire according to claim 1, it is characterised in that: the anode Ring test line (1.1) is red crust, and the cathode test line (1.2) is blue crust, the subcutaneous anode p-wire It (1.3) is yellow crust.
CN201910067626.7A 2019-01-24 2019-01-24 Cathode internal rotation type pacemaker implantation test wire Active CN109529195B (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111244705A (en) * 2020-01-07 2020-06-05 中国科学院大学宁波华美医院 A test is with connecting wire for artificial heart pacemaker implants
WO2021139608A1 (en) * 2020-01-07 2021-07-15 中国科学院大学宁波华美医院 Connecting line
US11944828B2 (en) 2020-09-24 2024-04-02 Medtronic, Inc. Rotatable adapter for connecting implantable medical leads to test devices

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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111244705A (en) * 2020-01-07 2020-06-05 中国科学院大学宁波华美医院 A test is with connecting wire for artificial heart pacemaker implants
WO2021139608A1 (en) * 2020-01-07 2021-07-15 中国科学院大学宁波华美医院 Connecting line
CN111244705B (en) * 2020-01-07 2021-08-06 中国科学院大学宁波华美医院 A test is with connecting wire for artificial heart pacemaker implants
US11944828B2 (en) 2020-09-24 2024-04-02 Medtronic, Inc. Rotatable adapter for connecting implantable medical leads to test devices

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