CN109998610B - Conveying device for surgical intervention treatment of congenital heart disease - Google Patents
Conveying device for surgical intervention treatment of congenital heart disease Download PDFInfo
- Publication number
- CN109998610B CN109998610B CN201910382674.5A CN201910382674A CN109998610B CN 109998610 B CN109998610 B CN 109998610B CN 201910382674 A CN201910382674 A CN 201910382674A CN 109998610 B CN109998610 B CN 109998610B
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- China
- Prior art keywords
- limiting
- steel cable
- sliding body
- pipe structure
- tubular construction
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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
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
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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
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12099—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
- A61B17/12109—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder in a blood vessel
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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
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12099—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
- A61B17/12122—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder within the heart
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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
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
- A61B2017/00575—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
- A61B2017/00623—Introducing or retrieving devices therefor
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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
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B2017/1205—Introduction devices
Abstract
The invention relates to the field of interventional therapy instruments for heart diseases, and discloses a conveying device for surgical interventional therapy of congenital heart diseases. This conveyor is used in congenital heart disease surgical intervention, adjust the steel cable through pulling, under spacing of spacing tubular construction to the sliding body, the sliding body is crooked with spacing tubular construction relatively fixed tubular construction, make the stopper crooked with spacing tubular construction relatively fixed tubular construction, thereby when aorta major axis is perpendicular with heart valve ventricular septal defect direction, the control stopper is relatively fixed tubular construction perpendicular, ensured the stopper when placing, can not receive the tractive that promotes the steel cable, ensure the stopper and laminate the defective department of shutoff completely, effectual guaranteed shutoff effect.
Description
Technical Field
The invention relates to the field of interventional therapy instruments for heart diseases, in particular to a conveying device for surgical interventional therapy of congenital heart diseases.
Background
The surgical intervention method for treating heart disease is a new type technique for diagnosing and treating cardiovascular disease, and has the advantages of small trauma, no need of general anesthesia, no need of blood transfusion and short operation course, and can be used for treating congenital heart disease, such as congenital heart valve disease and congenital heart disease by means of left-right shunting.
When congenital heart valve diseases are treated (refer to fig. 3-4), the occluder 6 is conveyed to a defect or a non-closed part of the congenital heart valve diseases through the conveying sheath 1 for occlusion, however, when the occluder 6 is conveyed by the existing conveying device for interventional therapy, because the long axis of the aorta is almost vertical to the septal defect direction of the heart valve chamber, when the occluder 6 is placed, the occluder 6 is pulled by the pushing steel cable 5, the long axis direction of the occluder cannot be parallel to the long axis of the defect at the heart valve chamber, the occluder 6 is obliquely placed in the defect and cannot be completely attached to the occlusion defect part, residual shunt is caused, the occluder 6 loses the effect, the occluder 6 is in threaded connection with the pushing steel cable 5, and after the occluder 6 rotates, the pushing steel cable 5 and the occluder 6 are in threaded connection and are in tight fit, the difficulty in releasing the occluder is increased, and the progress of the.
Disclosure of Invention
The invention provides a conveying device for surgical interventional therapy of congenital heart disease, which has the advantages of ensuring that an occluder completely occludes a defective part and facilitating release of the occluder, and solves the problems in the background art.
The invention provides the following technical scheme: the utility model provides a congenital heart disease surgical intervention is with conveyor, is including carrying sheath pipe, joint, hemostasis device, transfer device, promotion steel cable, connector, plugging device and sleeve pipe, the sleeve pipe of plugging device one side and the connector threaded connection who promotes steel cable one end, promote the equal activity suit of steel cable and plugging device in the inside of carrying the sheath pipe, the fixed cover of one end that promotes the steel cable is equipped with spacing tubular construction and the fixed tubular construction that is located plugging device one side, but the inner chamber of spacing tubular construction is equipped with lateral shifting's slider, and the top of slider side and the equal fixedly connected with control of bottom it remove spacing axle, the slider can be rotatory along with spacing tubular construction, and the surface of slider and the inner wall laminating of spacing tubular construction, the spacing groove has been seted up to the top and the bottom of plugging device.
Preferably, the top and the bottom of one side of the sliding body, which is far away from the adjusting steel cable, are both fixedly connected with a limiting shaft, and one end of the limiting shaft is movably connected with the limiting groove.
Preferably, the top and the bottom of the inner cavity of the limiting tube structure are both provided with limiting bulges, the top and the bottom of one end of the hemostatic device, which is movably sleeved with the sliding body, of each limiting bulge are both provided with pulling blocks, and the two pulling blocks respectively pull two adjusting steel cables.
Preferably, the distance value between the fixed pipe structure and the limiting pipe structure is greater than the length value of the limiting pipe structure, and the fixed pipe structure is movably sleeved with the adjusting steel cable.
The invention has the following beneficial effects:
1. this conveyor is used in congenital heart disease surgical intervention, adjust the steel cable through pulling, under spacing of spacing tubular construction to the sliding body, the sliding body is crooked with spacing tubular construction relatively fixed tubular construction, make the stopper crooked with spacing tubular construction relatively fixed tubular construction, thereby when aorta major axis is perpendicular with heart valve ventricular septal defect direction, the control stopper is relatively fixed tubular construction perpendicular, ensured the stopper when placing, can not receive the tractive that promotes the steel cable, ensure the stopper and laminate the defective department of shutoff completely, effectual guaranteed shutoff effect.
2. This conveyor is used in congenital heart disease surgery intervention treatment carries on spacingly through the spacing axle of sliding body one side to the sleeve pipe of plugging device one side, when rotating the regulation plugging device that promotes the steel cable and turn to, the sleeve pipe on the plugging device can not rotate relatively with the connector that promotes on the steel cable, and the effectual promotion steel cable and the threaded connection of plugging device have been ensured to be in suitable state all the time to the release of plugging device during the art.
Drawings
FIG. 1 is a schematic structural view of the present invention;
FIG. 2 is a schematic view of the connection of the stopper with the push wire cable according to the present invention;
FIG. 3 is a schematic view of a prior art delivery device for surgical intervention;
fig. 4 is a schematic view of the connection between the structure stopper and the push cable of the prior art delivery device for surgical intervention.
In the figure: 1. a delivery sheath; 2. a joint; 3. a hemostatic device; 31. pulling the block; 4. a transferring device; 5. pushing the steel cable; 51. a linker; 6. an occluder; 61. a sleeve; 611. a limiting groove; 7. a limiting pipe structure; 71. a sliding body; 711. adjusting the steel cable; 712. a limit shaft 72 and a limit bulge; 8. the fixed tube structure.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Referring to fig. 1-2, a conveying device for surgical intervention of congenital heart disease, which comprises a conveying sheath tube 1, a joint 2, a hemostatic device 3, a moving device 4, a pushing steel cable 5, a connector 51, a plugging device 6 and a sleeve 61 moving device 4 for adjusting the rotation direction of the pushing steel cable, wherein the sleeve 61 on one side of the plugging device 6 is in threaded connection with the connector 51 at one end of the pushing steel cable 5, the pushing steel cable 5 and the plugging device 6 are movably sleeved in the conveying sheath tube 1, one end of the pushing steel cable 5 is fixedly sleeved with a limiting tube structure 7 and a fixing tube structure 8 which are positioned on one side of the plugging device 6, the top and the bottom of the inner cavity of the limiting tube structure 7 are both provided with limiting protrusions 72, and the top and the bottom of one end of the hemostatic device 3, which are movably sleeved with a sliding body 71, are both provided with pull blocks 31, and the two pull blocks 31 respectively pull the two adjusting steel cables 711, the sliding body 71 is limited by the limiting bulge 72, when the pushing steel cable 5 rotates, the sliding body 71 rotates along with the sliding body, so that the occluder 6 rotates, the pushing steel cable 5 can be controlled to rotate, the occluder 6 rotates, the action direction of the occluder 6 can be adjusted according to the situation, the two adjusting steel cables 711 are respectively positioned at the two ends of the side surface of the sliding body 71, when the adjusting steel cable 711 is pulled, the limiting bulge 72 and the limiting tube structure 7 are utilized, the sliding body 71 drives the limiting tube structure 7 to be gradually bent relative to the fixed tube structure 8, so that the occluder 6 can be controlled to be bent to ninety degrees relative to the fixed tube structure 8, when the major axis of the aorta is almost vertical to the septal defect direction of the heart valve chamber, the occluder 6 cannot be pulled by the pushing steel cable 5 in the process of placing the, the long axis direction of the plugging device can be parallel to the long axis of the defect at the heart valve chamber, the plugging device 6 is obliquely arranged in the defect and can be completely attached to the part for plugging the defect, the plugging effect of the plugging device 6 is effectively ensured, the sliding body 71 can interact relative to the limiting tube structure 7 by pulling the two adjusting steel cables 711 simultaneously, the limiting shaft 712 can be separated from the limiting groove 611 on the sleeve 61 so as to rotate and push the steel cables 5 to release the plugging device 6, the inner cavity of the limiting tube structure 7 is provided with the sliding body 71 capable of moving transversely, the top and the bottom of one side of the sliding body 71 far away from the adjusting steel cables 711 are fixedly connected with the limiting shaft 712, one end of the limiting shaft 712 is movably connected with the limiting groove 611 and is inserted into the limiting groove 611 through the limiting shaft 712, so that the plugging device 6 is limited, when the acting direction of the plugging device 6 is adjusted by controlling and pushing the steel cables 5 to rotate, thereby effectual having avoided promoting the threaded connection of connector 51 and the sleeve pipe 61 of plugging device 6 one side on the steel cable 5 overtightening, the degree of difficulty that leads to releasing the plugging device increases, influence the problem of the process of operation, and the equal fixedly connected with control of top and the bottom of sliding body 71 side spacing axle 712, sliding body 71 can be rotatory along with spacing tubular structure 7, and the surface of sliding body 71 and the laminating of the inner wall of spacing tubular structure 7, spacing groove 611 has been seted up to the top and the bottom of plugging device 6, spacing value of fixed tube structure 8 and spacing tubular structure 7 is greater than the length value of spacing tubular structure 7, and fixed tube structure 8 cup joints with the activity of adjusting steel cable 711, ensure to control spacing tubular structure 7 and fixed tube structure 8 and be in the vertical state.
When the plugging device is in operation, the conveying sheath 1 is inserted into a blood vessel of a patient, the plugging device 6 is conveyed to a defect part of the patient with heart disease, the plugging device 6 is perpendicular to the defect part by pulling the adjusting steel cable 711, the plugging device 6 is tightly attached to the defect part, after the plugging device 6 is plugged, the adjusting steel cable 711 is pulled simultaneously to separate the limiting shaft 712 from the sleeve 61, and the steel cable 5 is pushed to rotate to release the plugging device 6 in a controlled mode.
It is noted that, herein, relational terms such as first and second, and the like may be used solely to distinguish one entity or action from another entity or action without necessarily requiring or implying any actual such relationship or order between such entities or actions. Also, the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus.
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.
Claims (2)
1. The utility model provides a congenital heart disease surgical intervention is with conveyor, is including carrying sheath pipe (1), joint (2), hemostasis device (3), transfer device (4), promoting steel cable (5), connector (51), occluder (6) and sleeve pipe (61), sleeve pipe (61) of occluder (6) one side and connector (51) threaded connection who promotes steel cable (5) one end, promote the inside of steel cable (5) and occluder (6) equal activity suit at transport sheath pipe (1), its characterized in that: the device is characterized in that a limiting pipe structure (7) and a fixing pipe structure (8) which are positioned on one side of the plugging device (6) are fixedly sleeved at one end of the pushing steel cable (5), a sliding body (71) capable of moving transversely is arranged in an inner cavity of the limiting pipe structure (7), the top and the bottom of the side surface of the sliding body (71) are fixedly connected with a limiting shaft (712) for controlling the sliding body to move, the sliding body (71) can rotate along with the limiting pipe structure (7), the outer surface of the sliding body (71) is attached to the inner wall of the limiting pipe structure (7), limiting grooves (611) are formed in the top and the bottom of the plugging device (6), the top and the bottom of one side, away from the adjusting steel cable (711), of the sliding body (71) are fixedly connected with the limiting shaft (712), one end of the limiting shaft (712) is movably connected with the limiting grooves (611), and limiting bulges (72) are arranged, and the top and the bottom of one end of the hemostatic device (3) are movably sleeved with the limiting bulge (72) and the sliding body (71) and are respectively provided with a pulling block (31), and the two pulling blocks (31) respectively pull the two adjusting steel cables (711).
2. A delivery device for surgical intervention in congenital heart disease, as claimed in claim 1, wherein: the spacing value between the fixed pipe structure (8) and the limiting pipe structure (7) is larger than the length value of the limiting pipe structure (7), and the fixed pipe structure (8) is movably sleeved with the adjusting steel cable (711).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910382674.5A CN109998610B (en) | 2019-05-09 | 2019-05-09 | Conveying device for surgical intervention treatment of congenital heart disease |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910382674.5A CN109998610B (en) | 2019-05-09 | 2019-05-09 | Conveying device for surgical intervention treatment of congenital heart disease |
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| Publication Number | Publication Date |
|---|---|
| CN109998610A CN109998610A (en) | 2019-07-12 |
| CN109998610B true CN109998610B (en) | 2021-01-22 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201910382674.5A Active CN109998610B (en) | 2019-05-09 | 2019-05-09 | Conveying device for surgical intervention treatment of congenital heart disease |
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| CN (1) | CN109998610B (en) |
Families Citing this family (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN112690837B (en) * | 2020-11-24 | 2023-07-11 | 李建朝 | Angle adjustment structure plugging device for cardiac surgery |
| CN112704525B (en) * | 2021-01-27 | 2022-03-01 | 西安交通大学医学院第二附属医院 | Plugging device for pediatric surgical intervention |
Family Cites Families (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN200966656Y (en) * | 2006-11-27 | 2007-10-31 | 余静 | Device for repair of septal defect of heart |
| CN202982123U (en) * | 2013-01-04 | 2013-06-12 | 刘文修 | Transparent loader of plugging device conveying system |
| CN104490452B (en) * | 2014-12-19 | 2016-09-14 | 苏津自 | A kind of congenital heart disease stopper reclaims pincers |
| CN104586440B (en) * | 2014-12-31 | 2017-12-26 | 上海形状记忆合金材料有限公司 | A kind of heart defect amplatzer induction system |
| CN204655028U (en) * | 2015-02-14 | 2015-09-23 | 四川大学 | A kind of device for vascular puncture shutoff |
| CN107440760B (en) * | 2016-05-31 | 2020-06-16 | 上海微创医疗器械（集团）有限公司 | Left atrial appendage occlusion device's conveying system |
| CN207186643U (en) * | 2016-08-16 | 2018-04-06 | 上海形状记忆合金材料有限公司 | A kind of attachment structure of plugging device and induction system |
| CN206651855U (en) * | 2016-12-28 | 2017-11-21 | 谭启明 | A kind of heart occluder delivery sheath |
| CN108245292B (en) * | 2016-12-29 | 2019-11-08 | 先健科技(深圳)有限公司 | Conveying device and transportation system |
| RU2759657C2 (en) * | 2017-04-18 | 2021-11-16 | Эдвардз Лайфсайенсиз Корпорейшн | Apparatus for sealing a cardiac valve and apparatus for delivery thereof |
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- 2019-05-09 CN CN201910382674.5A patent/CN109998610B/en active Active
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| CN109998610A (en) | 2019-07-12 |
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Effective date of registration: 20221212 Address after: 266114 Floor 4, Building 5, Blue Biomedical Industrial Park, No. 368 Hedong Road, High tech Zone, Qingdao, Shandong Patentee after: Heartbeat Biomedical Technology (Qingdao) Co.,Ltd. Address before: 266000 Liaoyang West Road, Qingdao, Shandong 217 Patentee before: QINGDAO CITY WOMEN AND CHILDREN'S HOSPITAL (QINGDAO MATERNAL AND CHILD HEALTH HOSPITAL, QINGDAO DISABLED CHILDREN MEDICAL REHABILITATION CENTER, QINGDAO NEWBORN DISEASE SCREENING CENTER) |