CN109700494A - A kind of intravascular quick-acting haemostatic powder foley's tube of multichannel and more sacculus - Google Patents

A kind of intravascular quick-acting haemostatic powder foley's tube of multichannel and more sacculus Download PDF

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Publication number
CN109700494A
CN109700494A CN201810880013.0A CN201810880013A CN109700494A CN 109700494 A CN109700494 A CN 109700494A CN 201810880013 A CN201810880013 A CN 201810880013A CN 109700494 A CN109700494 A CN 109700494A
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CN
China
Prior art keywords
sacculus
foley
quick
intravascular
tube
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CN201810880013.0A
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Chinese (zh)
Inventor
偌杰拉哈姆
吴天根
爱德华肯斯劳斯基
毕玉影
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DONGGUAN TIANTIANXIANGSHANG MEDICAL TECHNOLOGY CO Ltd
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DONGGUAN TIANTIANXIANGSHANG MEDICAL TECHNOLOGY CO Ltd
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Priority to CN201810880013.0A priority Critical patent/CN109700494A/en
Priority to PCT/CN2019/081799 priority patent/WO2020024612A1/en
Publication of CN109700494A publication Critical patent/CN109700494A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Reproductive Health (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
  • Media Introduction/Drainage Providing Device (AREA)

Abstract

The invention discloses the intravascular quick-acting haemostatic powder foley's tubes of a kind of multichannel and more sacculus comprising: seal wire/fluid channel, along the axially extending setting of the multichannel and the intravascular quick-acting haemostatic powder foley's tube of more sacculus;Multiple sacculus are closed and are connected on the intravascular quick-acting haemostatic powder foley's tube of the multichannel and more sacculus with successively arranging;A plurality of balloon inflation channel, along the multichannel and the intravascular quick-acting haemostatic powder foley's tube of more sacculus axially extending setting and be connected to one to one with sacculus;In each sacculus, the marker for detecting in vitro is provided on the intravascular quick-acting haemostatic powder foley's tube of the multichannel and more sacculus.The present invention can be rapidly inserted into one or more trunk bleeding parts at wound scene without the help of complicated Fluoroscopy location technology, simultaneously, keep the blood supply of vital organ carrying out precisely closing hemostasis to blutpunkte.Have relative to existing non-pushed property hemostasis foley's tube (such as REBOA) of existing market and significantly improves.

Description

A kind of intravascular quick-acting haemostatic powder foley's tube of multichannel and more sacculus
Technical field
The present invention relates to the field of medical instrument technology, the intravascular quick-acting haemostatic powder ball of especially a kind of multichannel and more sacculus Ductus bursae, be applied to wound or battlefield when, occur trunk or other can not hemostasis by compression position big bleeding fast short stopping Blood or other big bleedings need to retain the scene of vital organ when occurring, the purpose is to enter trauma center in patient to carry out Before image guided surgery controls bleeding, carry out bleeding inside quick, provisional control, with keep vitals function and Maintain central blood circulation.
Background technique
Traumatic injuries are the main reason for American are dead between 1 to 46 years old.The report of national wound research institute and The Joining Report of the military points out, have more than every year 250000 people die of trunk can not hemostasis by compression bleeding (NCTH), trunk blood vessel, Pulmonary parenchyma, solid abdomen organ or pelvis rupture.
Clinically, clinically the methods of common tourniquet, pressure dressing, clamping, can be used for clinical treatment limbs or The surface trunk surface of a wound.Can hemostasis by compression wound only account for the 10% of combat death relevant to bleeding, the common people relevant to bleeding are dead It dies even less.Blood loss dead (90% is up in Vietnam War) on battlefield is mainly since trunk angiorrbagia causes , this bleeding can not directly apply pressure, can not be also controlled by these conventional methods.
It goes through in the market without commercial product in NCTH at present.In Korean War, trauma surgeon was once tasted The method of examination is to occlude bleeding artery (REBOA foley's tube) using intravascular balloon.REBOA foley's tube at present, in the U.S. Carrying out the clinic for being used for big angiorrbagia quick-acting haemostatic powder on a large scale under the support of 14,000,000 dollars of research and development funds of Ministry of National Defence Test.The conduit uses single occlusion balloon, is not easy to be deployed to bleeding part with being refined, and blocks life while hemostasis Order the blood supply of organ.
Summary of the invention
For the problems of above prior art, the object of the present invention is to provide the blood of a kind of multichannel and more sacculus Quick-acting haemostatic powder foley's tube in managing.Balloon catheter structure advantages of simple in the invention can be positioned without the help of fluoroscopy techniques It to one or more trunk bleeding parts, and effectively places to save life, relative to the single foley's tube of REBOA in wound There is significant improvement in terms of the hemostasis of related non-oppressing bleeding.
To achieve the goals above, the technical scheme is that
The intravascular quick-acting haemostatic powder foley's tube of a kind of multichannel and more sacculus comprising have: seal wire/fluid channel, Along the axially extending setting of the multichannel and the intravascular quick-acting haemostatic powder foley's tube of more sacculus;Multiple sacculus, successively arrange Ground closing is connected on the intravascular quick-acting haemostatic powder foley's tube of the multichannel and more sacculus;A plurality of balloon inflation channel is more along this It the axially extending setting of the intravascular quick-acting haemostatic powder foley's tube of channel and more sacculus and is connected to one to one with the sacculus;? In each sacculus, the mark for detecting in vitro is provided on the intravascular quick-acting haemostatic powder foley's tube of the multichannel and more sacculus Remember object.
As a kind of specific embodiment, the seal wire/fluid channel is located at the intravascular fast of the multichannel and more sacculus On the axle center of short stopping blood cell ductus bursae;Seal wire/the fluid channel passes through seal wire/fluid of 0.014mm diameter enough.
As a kind of specific embodiment, the intravascular quick-acting haemostatic powder foley's tube of the multichannel and more sacculus includes 2 ~24 balloon inflation channels.
As a kind of specific embodiment, the size of multiple sacculus is identical;Air pressure is 1-99psi in the sacculus.
As a kind of specific embodiment, along the proximal end to distal end of blood vessel, the diameter of multiple sacculus is sequentially increased And the diameter range of the sacculus is 2mm~50mm;Air pressure is 1-99psi in the sacculus.
As a kind of specific embodiment, the reception device that the marker is sent a signal to outside body surface is to measure the ball The position of capsule and situation.
Further, the material of the marker is radioactive metal and/or transmitting electromagnetic energy material.
As a kind of specific embodiment, the diameter of the intravascular quick-acting haemostatic powder foley's tube of the multichannel and more sacculus is 5~15fr.
As a kind of specific embodiment, between two adjacent sacculus, the blood vessel of the multichannel and more sacculus Blood shunt port is offered on interior quick-acting haemostatic powder foley's tube.
The intravascular quick-acting haemostatic powder foley's tube of a kind of multichannel and more sacculus of the invention have compared with the prior art with Lower advantageous effects:
Antitorque knot, counter-bending and prevent the seal wire that falls off after positioning can be inserted into the seal wire/fluid channel.Seal wire It can be removed with for fluid resuscitation treatment, blood sampling, or for the blood of oxidation and will shunt the fluid under damage location The tissue and organ of trip.The sacculus then supports in the blood vessel, plays the role of treatments for bleeding, and the balloon inflation channel is used for described It inflates or is evacuated in sacculus.The marker accurately can position and monitor the sacculus.The multichannel and more sacculus The bleeding that accurately processing repressive can not stop blooding can be realized without fluoroscopic apparatus for intravascular quick-acting haemostatic powder foley's tube The condition of the injury.
In order to better understand and implement, the invention will now be described in detail with reference to the accompanying drawings.
Detailed description of the invention
Fig. 1 is the entirety of a kind of multichannel of the embodiment of the present invention one and the intravascular quick-acting haemostatic powder foley's tube of more sacculus Structural schematic diagram;
Fig. 2 is the part of a kind of multichannel of the embodiment of the present invention one and the intravascular quick-acting haemostatic powder foley's tube of more sacculus Transversal schematic diagram;
Fig. 3 is the part of a kind of multichannel of the embodiment of the present invention one and the intravascular quick-acting haemostatic powder foley's tube of more sacculus Enlarged diagram;
Fig. 4 is the reality of a kind of multichannel of the embodiment of the present invention one and the intravascular quick-acting haemostatic powder foley's tube of more sacculus Application schematic diagram;
Fig. 5 is the local size of the multichannel of the embodiment of the present invention two and the intravascular quick-acting haemostatic powder foley's tube of more sacculus Schematic diagram;
Appended drawing reference
The first balloon inflation channel of 1---;The second balloon inflation channel of 2---;3--- third balloon inflation channel;The 4th balloon inflation channel of 4---; The 5th balloon inflation channel of 5---;6--- seal wire/fluid channel;11--- the first balloon inflation channel head;12--- the second balloon inflation channel head; 13--- third balloon inflation channel head;The 4th balloon inflation channel head of 14---;The 5th balloon inflation channel head of 15---;16--- seal wire/fluid is logical Trace header;The first sacculus of 21---;The second sacculus of 22---;23--- third sacculus;The 4th sacculus of 24---;The 5th sacculus of 25---; The first marker of 31---;The second marker of 32---;33--- third marker;The 4th marker of 34---;35--- the 5th is marked Object;7--- blood shunt port.
Specific embodiment
Embodiment one
Please refer to Fig. 1, Fig. 2 and Fig. 4, the intravascular quick-acting haemostatic powder foley's tube of a kind of multichannel and more sacculus comprising Have: seal wire/fluid channel 6, along the axially extending setting of the multichannel and the intravascular quick-acting haemostatic powder foley's tube of more sacculus; Multiple sacculus are closed and are connected on the intravascular quick-acting haemostatic powder foley's tube of the multichannel and more sacculus with successively arranging;It is more Balloon inflation channel, along the axially extending setting of the multichannel and the intravascular quick-acting haemostatic powder foley's tube of more sacculus and one-to-one Ground is connected to sacculus;In each sacculus, confession is provided on the intravascular quick-acting haemostatic powder foley's tube of the multichannel and more sacculus The marker detected in vitro.
Antitorque knot, counter-bending and prevent the seal wire that falls off after positioning can be inserted into seal wire/fluid channel 6.Seal wire energy It is enough to be removed with for fluid resuscitation treatment, blood sampling, or for by the blood of oxidation and shunting the fluid into damage location downstream Tissue and organ.Sacculus then supports in the blood vessel, plays the role of treatments for bleeding, balloon inflation channel be used for into sacculus inflation or Pumping.Marker accurately can position and monitor sacculus.The intravascular quick-acting haemostatic powder foley's tube of the multichannel and more sacculus It can be realized without fluoroscopic apparatus and accurately handle the non-pushed property bleeding condition of the injury.
In conjunction with actual case situation, it is preferable that the intravascular quick-acting haemostatic powder foley's tube of the multichannel and more sacculus includes There are 2~24 balloon inflation channels.In the present embodiment, the intravascular quick-acting haemostatic powder foley's tube of the multichannel and more sacculus has 5 Article balloon inflation channel: the first balloon inflation channel 1, the second balloon inflation channel 2, third balloon inflation channel 3, the 4th balloon inflation channel 4 and the 5th sacculus Channel 5, the first balloon inflation channel 1 the first sacculus 21 of corresponding connection, the second balloon inflation channel 2 the second sacculus 22 of corresponding connection, third ball The corresponding connection third sacculus 23 in capsule channel 3, the 4th balloon inflation channel 4 the 4th sacculus 24 of corresponding connection, the 5th balloon inflation channel 5 is corresponding to be connected Logical 5th sacculus 25.In the proximal end of blood vessel, the first balloon inflation channel 1, the second balloon inflation channel 2, third balloon inflation channel 3, the 4th sacculus Channel 4 and the 5th balloon inflation channel 5 are respectively provided with the head of oneself: the first balloon inflation channel head 11, the second balloon inflation channel head 12, third Balloon inflation channel head 13, the 4th balloon inflation channel head 14 and the 5th balloon inflation channel head 15.Multichannel and more sacculus it is intravascular quickly Stop blooding on the outer wall of foley's tube, corresponding first sacculus 21, the second sacculus 22, third sacculus 23, the 4th sacculus 24 and the 5th ball Position inside capsule 25 is respectively correspondingly fixedly connected with the first marker 31, the second marker 32, third marker 33, Four markers 34 and the 5th marker 35.
In order to guarantee that the intravascular quick-acting haemostatic powder foley's tube of the multichannel and more sacculus has the symmetry of height, thus Guarantee that the seal wire in insertion seal wire/fluid channel 6 is not entangled with, seal wire/fluid channel 6 is located at the blood vessel of the multichannel and more sacculus On the axle center of interior quick-acting haemostatic powder foley's tube, evenly distributedly ring is located at around seal wire/fluid channel 6 aforementioned 5 balloon inflation channels. Seal wire/fluid channel 6 is connected with seal wire/fluid channel head 16 in the proximal end for being located at blood vessel, convenient for being made by interspersed seal wire in the external world etc. Industry.In practical applications, seal wire/fluid channel 6 should pass through seal wire/fluid of 0.014mm diameter enough.Certainly, such as Tab phenolphthaleinum Silk/fluid channel 6 can be by seal wire/fluid of 0.018mm diameter then more preferably, and optimal situation is seal wire/fluid channel 6 Seal wire/fluid of 0.035mm diameter can be passed through.
Wherein, the size of all sacculus is identical;Air pressure is 1-99psi in sacculus.
In order to realize the effect of marker, the reception device that marker is sent a signal to outside body surface is to measure the position of sacculus And situation.Further, the material of marker is radioactive metal and/or transmitting electromagnetic energy material, and corresponding reception device can To be detected using portable instruments such as RFID readers.The marker of radioactivity or magnetism can be by saturating It is detected depending on, X-ray or mr imaging technique.
Preferably, the diameter of the intravascular quick-acting haemostatic powder foley's tube of the multichannel and more sacculus is 5~15fr.Qualified Sacculus easily can be passed through femoral artery without X-ray under battlefield or any other wound environment by medical worker It is inserted into aorta.
Please refer to Fig. 3 preferably, between two adjacent sacculus, the intravascular quick-acting haemostatic powder of the multichannel and more sacculus Blood shunt port 7 is offered on foley's tube.Blood shunt port 7 is connected with fluid channel 6, and blood and fluid are in Physiological Pressure It is perfused in the tissue by balloon occlusion under power through the port, so that the normal blood of corresponding vital organ be maintained to supply.
Embodiment two
Referring to Fig. 5, the present embodiment and embodiment one are similar, difference is, in the present embodiment, along blood vessel Proximal end to distal end, the diameter of multiple sacculus be sequentially increased and the diameter range of sacculus be 2mm~50mm;Air pressure is 1- in sacculus 99psi.By the proximal end of blood vessel to distal end, diameter is successively 18mm, 19mm, 20mm, 21mm for 5 sacculus in the present embodiment, 22mm.Balloon diameter is proximally incremented by distal end, to adapt to the maximum demand of artery.
The invention is not limited to above embodiment, if not departing from the present invention to various changes or deformation of the invention Spirit and scope, if these changes and deformation belong within the scope of claim and equivalent technologies of the invention, then this hair It is bright to be also intended to encompass these changes and deformation.

Claims (9)

1. the intravascular quick-acting haemostatic powder foley's tube of a kind of multichannel and more sacculus characterized by comprising
Seal wire/fluid channel, along the axially extending setting of the multichannel and the intravascular quick-acting haemostatic powder foley's tube of more sacculus;
Multiple sacculus close the intravascular quick-acting haemostatic powder foley's tube for being connected to the multichannel and more sacculus with successively arranging On;
A plurality of balloon inflation channel, along the multichannel and the intravascular quick-acting haemostatic powder foley's tube of more sacculus axially extending setting and It is connected to one to one with the sacculus;
In each sacculus, it is provided on the intravascular quick-acting haemostatic powder foley's tube of the multichannel and more sacculus and is visited for external The marker of survey.
2. the intravascular quick-acting haemostatic powder foley's tube of multichannel according to claim 1 and more sacculus, it is characterised in that:
Seal wire/the fluid channel is located on the axle center of the intravascular quick-acting haemostatic powder foley's tube of the multichannel and more sacculus;
Seal wire/the fluid channel passes through seal wire/fluid of 0.014mm diameter enough.
3. the intravascular quick-acting haemostatic powder foley's tube of multichannel according to claim 1 and more sacculus, it is characterised in that:
The intravascular quick-acting haemostatic powder foley's tube of the multichannel and more sacculus includes 2~24 balloon inflation channels.
4. the intravascular quick-acting haemostatic powder foley's tube of multichannel according to claim 1 and more sacculus, it is characterised in that:
The size of multiple sacculus is identical;
Air pressure is 1-99psi in the sacculus.
5. the intravascular quick-acting haemostatic powder foley's tube of multichannel according to claim 1 and more sacculus, it is characterised in that:
Along the proximal end to distal end of blood vessel, the diameter of multiple sacculus is sequentially increased and the diameter range of the sacculus is 2mm ~50mm;
Air pressure is 1-99psi in the sacculus.
6. the intravascular quick-acting haemostatic powder foley's tube of multichannel according to claim 1 and more sacculus, it is characterised in that:
The reception device that the marker is sent a signal to outside body surface is to measure position and the situation of the sacculus.
7. the intravascular quick-acting haemostatic powder foley's tube of multichannel according to claim 6 and more sacculus, it is characterised in that:
The material of the marker is radioactive metal and/or transmitting electromagnetic energy material.
8. the intravascular quick-acting haemostatic powder foley's tube of multichannel according to claim 1 and more sacculus, it is characterised in that:
The diameter of the intravascular quick-acting haemostatic powder foley's tube of the multichannel and more sacculus is 5~15fr.
9. the intravascular quick-acting haemostatic powder foley's tube of multichannel according to claim 1 and more sacculus, it is characterised in that:
Between two adjacent sacculus, offered on the intravascular quick-acting haemostatic powder foley's tube of the multichannel and more sacculus Blood shunt port.
CN201810880013.0A 2018-08-03 2018-08-03 A kind of intravascular quick-acting haemostatic powder foley's tube of multichannel and more sacculus Pending CN109700494A (en)

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CN201810880013.0A CN109700494A (en) 2018-08-03 2018-08-03 A kind of intravascular quick-acting haemostatic powder foley's tube of multichannel and more sacculus
PCT/CN2019/081799 WO2020024612A1 (en) 2018-08-03 2019-04-08 Balloon catheter having multiple channels and multiple balloons for quickly stopping bleeding in blood vessels

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CN111658970A (en) * 2020-06-23 2020-09-15 牛铁生 Double-balloon catheter
CN111700659A (en) * 2020-05-06 2020-09-25 中国人民解放军陆军军医大学第一附属医院 Intracavitary blood vessel flow guiding device
CN112515727A (en) * 2020-11-26 2021-03-19 中国人民解放军总医院 Ultrasonic down-visible balloon catheter for hemostasis of junction

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CN113101432B (en) * 2021-05-12 2023-02-28 四川大学华西医院 Postoperative drainage component for breast cancer

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US4976692A (en) * 1990-09-13 1990-12-11 Travenol Laboratories (Israel) Ltd. Catheter particularly useful for inducing labor and/or for the application of a pharmaceutical substance to the cervix of the uterus
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CN111700659A (en) * 2020-05-06 2020-09-25 中国人民解放军陆军军医大学第一附属医院 Intracavitary blood vessel flow guiding device
CN111658970A (en) * 2020-06-23 2020-09-15 牛铁生 Double-balloon catheter
CN112515727A (en) * 2020-11-26 2021-03-19 中国人民解放军总医院 Ultrasonic down-visible balloon catheter for hemostasis of junction

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