CN110124183A - Intermediate conductor and vessel catheter - Google Patents
Intermediate conductor and vessel catheter Download PDFInfo
- Publication number
- CN110124183A CN110124183A CN201910397680.8A CN201910397680A CN110124183A CN 110124183 A CN110124183 A CN 110124183A CN 201910397680 A CN201910397680 A CN 201910397680A CN 110124183 A CN110124183 A CN 110124183A
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- Prior art keywords
- catheter
- distal balloon
- catheter body
- balloon catheter
- intermediate conductor
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- 239000004020 conductor Substances 0.000 title claims abstract description 56
- 239000011148 porous material Substances 0.000 claims abstract description 54
- 238000004891 communication Methods 0.000 claims abstract description 11
- 229910000831 Steel Inorganic materials 0.000 claims description 17
- 239000010959 steel Substances 0.000 claims description 17
- 238000005516 engineering process Methods 0.000 abstract description 5
- 238000001356 surgical procedure Methods 0.000 abstract description 5
- 230000017531 blood circulation Effects 0.000 description 16
- 210000004204 blood vessel Anatomy 0.000 description 14
- 206010002329 Aneurysm Diseases 0.000 description 10
- 208000032843 Hemorrhage Diseases 0.000 description 9
- 208000034158 bleeding Diseases 0.000 description 9
- 231100000319 bleeding Toxicity 0.000 description 9
- 230000000740 bleeding effect Effects 0.000 description 9
- 238000000034 method Methods 0.000 description 8
- 239000007788 liquid Substances 0.000 description 7
- 210000001367 artery Anatomy 0.000 description 5
- 230000000903 blocking effect Effects 0.000 description 5
- 208000005189 Embolism Diseases 0.000 description 4
- 239000002775 capsule Substances 0.000 description 4
- 208000007536 Thrombosis Diseases 0.000 description 3
- 239000008280 blood Substances 0.000 description 3
- 210000004369 blood Anatomy 0.000 description 3
- 238000010586 diagram Methods 0.000 description 3
- 230000008569 process Effects 0.000 description 3
- 238000004804 winding Methods 0.000 description 3
- 201000008450 Intracranial aneurysm Diseases 0.000 description 2
- 229940030225 antihemorrhagics Drugs 0.000 description 2
- 125000004122 cyclic group Chemical group 0.000 description 2
- 230000000025 haemostatic effect Effects 0.000 description 2
- 230000023597 hemostasis Effects 0.000 description 2
- 238000003780 insertion Methods 0.000 description 2
- 230000037431 insertion Effects 0.000 description 2
- 230000000638 stimulation Effects 0.000 description 2
- 206010028980 Neoplasm Diseases 0.000 description 1
- 208000001435 Thromboembolism Diseases 0.000 description 1
- 208000009443 Vascular Malformations Diseases 0.000 description 1
- 210000000702 aorta abdominal Anatomy 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 210000001627 cerebral artery Anatomy 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 230000010102 embolization Effects 0.000 description 1
- 210000001105 femoral artery Anatomy 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 238000013152 interventional procedure Methods 0.000 description 1
- 238000007917 intracranial administration Methods 0.000 description 1
- 230000003902 lesion Effects 0.000 description 1
- 239000000203 mixture Substances 0.000 description 1
- 239000000843 powder Substances 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 150000003839 salts Chemical class 0.000 description 1
- 238000009958 sewing Methods 0.000 description 1
- 230000007704 transition Effects 0.000 description 1
- 210000003462 vein Anatomy 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—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
- A61B17/12113—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder in a blood vessel within an aneurysm
-
- 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
- A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
- A61B17/12136—Balloons
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/0043—Catheters; Hollow probes characterised by structural features
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/0043—Catheters; Hollow probes characterised by structural features
- A61M25/005—Catheters; Hollow probes characterised by structural features with embedded materials for reinforcement, e.g. wires, coils, braids
- A61M25/0052—Localized reinforcement, e.g. where only a specific part of the catheter is reinforced, for rapid exchange guidewire port
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/10—Balloon catheters
- A61M25/1002—Balloon catheters characterised by balloon shape
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/10—Balloon catheters
- A61M25/1011—Multiple balloon catheters
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22038—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with a guide wire
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22051—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22051—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
- A61B2017/22065—Functions of balloons
- A61B2017/22067—Blocking; Occlusion
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/0043—Catheters; Hollow probes characterised by structural features
- A61M2025/0063—Catheters; Hollow probes characterised by structural features having means, e.g. stylets, mandrils, rods or wires to reinforce or adjust temporarily the stiffness, column strength or pushability of catheters which are already inserted into the human body
Abstract
The present invention relates to the field of medical instrument technology, more particularly, to a kind of intermediate conductor and vessel catheter.Intermediate conductor includes catheter body and distal balloon catheter;Distal balloon catheter is fixed at one end of catheter body;The end of distal balloon catheter is introvert, i.e., the distal end of distal balloon catheter is with the bounding point of catheter body in the inside of distal balloon catheter, and the proximal end of distal balloon catheter and the bounding point of catheter body are in the outside of sacculus;Cavity direction is provided with the first connected pore channel in it in catheter body;One end of first connected pore channel is in communication with the outside by the end of one end in catheter body far from distal balloon catheter, and the other end of the first connected pore channel is connected to distal balloon catheter;Distal balloon catheter is ring-type, is coaxially disposed with catheter body.Intermediate conductor and vessel catheter provided by the invention, it is simple to operate quick, surgical procedure can be simplified, so that operation is more quick and safe.
Description
Technical field
The present invention relates to the field of medical instrument technology, more particularly, to a kind of intermediate conductor and vessel catheter.
Background technique
In the prior art, encephalic operation much all begins to use intervention to perform the operation, and does not need out cranium, and wound is small, and pain is few,
Therefore increasingly favored by patient.
In the prior art, the interventional procedure of intracranial vessel is as follows:
Through side femoral artery puncture, it is placed in a root thickness conduit-guiding catheter, actively through abdominal aorta, chest by guiding catheter
Arteries and veins is sent into long aneurysmal cerebral artery (parent artery).Then by a microtubular, (head end is not thicker than sewing thread how many
Fine duct) through this root thickness conduit feeding parent artery, and microtubular head end is carefully sent into aneurysm under the guidance of micro-wire
It is intracavitary, spring ring is conveyed by microtubular then and is clogged to aneurysm cavity, is i.e. intracranial aneurysm Coil embolization art.But
Be, existing intracranial aneurysm intervention operation in, due to the excessively tortuous microtubular of arteries be not easy to reach it is right in aneurysm
Aneurysm is clogged, and operating difficulty is increased, sometimes even since microtubular can not cause operative failure in place.
Summary of the invention
The purpose of the present invention is to provide a kind of intermediate conductor and vessel catheters, to solve technology existing in the prior art
Problem.
Intermediate conductor provided by the invention, including catheter body and distal balloon catheter;
The distal balloon catheter is fixed at one end of the catheter body;
The end of the distal balloon catheter is introvert, i.e., the distal end of distal balloon catheter is with the bounding point of catheter body in distal end
The inside of sacculus, the proximal end of distal balloon catheter and the bounding point of catheter body are in the outside of sacculus;
Cavity direction is provided with the first connected pore channel in it in the catheter body;
The end that one end of first connected pore channel passes through one end in the catheter body far from the distal balloon catheter
It is in communication with the outside, the other end of first connected pore channel is connected to the distal balloon catheter;
The distal balloon catheter is ring-type, is coaxially disposed with the catheter body.
Further, it is provided with supporting steel wire in the catheter body, is used to support the catheter body.
Further, the supporting steel wire is helical form setting.
Further, the second connected pore channel and stiffened sacculus are additionally provided in the catheter body;
The stiffened sacculus is fixed at the catheter body close to one end of the distal balloon catheter;
Second connected pore channel is arranged in parallel with first connected pore channel;
One end of second connected pore channel is connected to the stiffened sacculus, and the other end passes through separate in the catheter body
The end of one end of the distal balloon catheter is in communication with the outside.
Further, the stiffened sacculus is multiple.
Further, multiple stiffened sacculus are serially connected on intermediate conductor, are realized by corresponding connected pore channel in parallel
Control.
Further, intermediate conductor further includes main connected pore channel and triple valve;
One end of the main connected pore channel by the catheter body far from the distal balloon catheter one end end with
External world's connection, the other end are connected to first connected pore channel and second connected pore channel respectively by the triple valve.
Further, the section of the inner cavity of the catheter body is ellipse.
Further, the catheter body is provided with connector far from one end of the distal balloon catheter;
Interface in communication with the inner cavity is provided on the connector;
The interface is less than the diameter of the one end of the interface far from the inner cavity close to the diameter of one end of the inner cavity.
The present invention also provides a kind of blood vessel endovascular methods comprising guiding catheter, microtubular and it is above-mentioned in
Between conduit;
The intermediate conductor is set in the guiding catheter;
The microtubular is set in the intermediate conductor.
Intermediate conductor and vessel catheter provided by the invention performing the operation by the way that distal balloon catheter is arranged in catheter body
In, even if aneurysm rupture bleeding, without excessive worry, when bleeding full distal balloon catheter, can blocking blood flow immediately, reach only
Blood purpose;Intermediate conductor and vessel catheter provided by the invention, it is simple to operate quick, letter can be carried out to surgical procedure
Change, so that operation is more quick and safe.
Detailed description of the invention
It, below will be to specific in order to illustrate more clearly of the specific embodiment of the invention or technical solution in the prior art
Embodiment or attached drawing needed to be used in the description of the prior art be briefly described, it should be apparent that, it is described below
Attached drawing is some embodiments of the present invention, for those of ordinary skill in the art, before not making the creative labor
It puts, is also possible to obtain other drawings based on these drawings.
Fig. 1 is the axis profile figure of intermediate conductor provided in an embodiment of the present invention;
Fig. 2 is the structure of steel wire figure in intermediate conductor provided in an embodiment of the present invention;
Fig. 3 is the cross-sectional view of intermediate conductor provided in an embodiment of the present invention;
Fig. 4 is structural schematic diagram when having two conduits in intermediate conductor provided in an embodiment of the present invention;
Fig. 5 is another structural schematic diagram when having two conduits in intermediate conductor provided in an embodiment of the present invention;
Fig. 6 is the assembling schematic diagram of the distal balloon catheter of intermediate conductor provided in an embodiment of the present invention;
Fig. 7 is that various Access catheters reach position view in aneurysm provided in an embodiment of the present invention intervention operation.
Appended drawing reference:
1: connector;2: main connected pore channel;3: triple valve;4: the second connected pore channels;5: the first connected pore channels;6: conduit sheet
Body;7: inner cavity;8: stiffened sacculus;9: distal balloon catheter;10: interface;11: microtubular;12: intermediate conductor;13: guiding catheter.
Specific embodiment
Technical solution of the present invention is clearly and completely described below in conjunction with attached drawing, it is clear that described implementation
Example is a part of the embodiment of the present invention, instead of all the embodiments.Based on the embodiments of the present invention, ordinary skill
Personnel's every other embodiment obtained without making creative work, shall fall within the protection scope of the present invention.
In the description of the present invention, it should be noted that term " center ", "upper", "lower", "left", "right", "vertical",
The orientation or positional relationship of the instructions such as "horizontal", "inner", "outside" be based on the orientation or positional relationship shown in the drawings, merely to
Convenient for description the present invention and simplify description, rather than the device or element of indication or suggestion meaning must have a particular orientation,
It is constructed and operated in a specific orientation, therefore is not considered as limiting the invention.
In addition, term " first ", " second ", " third " are used for description purposes only, it is not understood to indicate or imply phase
To importance.
In the description of the present invention, it should be noted that unless otherwise clearly defined and limited, term " installation ", " phase
Even ", " connection " shall be understood in a broad sense, for example, it may be being fixedly connected, may be a detachable connection, or be integrally connected;It can
To be mechanical connection, it is also possible to be electrically connected;It can be directly connected, can also can be indirectly connected through an intermediary
Connection inside two elements.For the ordinary skill in the art, above-mentioned term can be understood at this with concrete condition
Concrete meaning in invention.
As shown in attached drawing 1- Fig. 7, the present invention provides a kind of intermediate conductors, including catheter body 6 and distal balloon catheter 9;
The distal balloon catheter 9 is fixed at one end of the catheter body 6;
The distal balloon catheter end is introvert, i.e. distal balloon catheter and conduit bounding point is in balloon interior, and proximal end is in ball
Outside capsule, along its inner cavity, 7 direction is provided with the first connected pore channel 5 in the catheter body 6;
The end that one end of first connected pore channel 5 passes through one end in the catheter body 6 far from the distal balloon catheter 9
Portion is in communication with the outside, and the other end is connected to the distal balloon catheter 9;
The distal balloon catheter 9 is ring-type, is coaxially disposed with the catheter body 6.
In the present embodiment, distal balloon catheter 9 is set in one end of catheter body 6, distal balloon catheter 9 is in the outer of catheter body 6
Side, and it is in communication with the outside by the first connected pore channel 5, one end of the first connected pore channel 5 is connected to distal balloon catheter 9, the other end
The other end of catheter body 6 is set, i.e. the direction of the first connected pore channel 5 is identical as 7 direction of inner cavity.
In the present embodiment, distal balloon catheter 9 is cyclic annular introvert.
It is arranged by cyclic annular introvert, 6 head end of catheter body can be made to be completely encapsulated in distal balloon catheter, maximum can be sent out
Distal balloon catheter is waved under blood flow impact to the tractive force and guiding force of catheter body.
Preferred embodiment is to be provided with supporting steel wire in the catheter body 6, is used to support the catheter body 6.
In the present embodiment, in order to guarantee catheter body 6 will not be inflated or filling liquid after distal balloon catheter 9 compressing become
Shape is provided with supporting steel wire in catheter body 6, can either play a supporting role to catheter body 6, and can guarantee conduit sheet
The flexibility of body 6.
In the present embodiment, supporting steel wire is arranged on the inner wall of catheter body 6, or setting is between the inner walls and the outer,
As long as it can play a supporting role to catheter body 6.
In the present embodiment, supporting steel wire annular is arranged, and is coaxially disposed with catheter body 6, and then rise to catheter body 6
To good supporting role.
Preferred embodiment is that the supporting steel wire is helical form setting.
In the present embodiment, supporting steel wire is helical form.
Such setting carries out spiral winding using a steel wire in catheter body 6, easy to process, while
The intensity and flexibility of catheter body 6 can be effectively enhanced, can effectively ensure that the service life of catheter body 6,
It avoids the fracture due to catheter body 6 and can not ensure that the safety of operation by catheter body 6 from intravascular taking-up.
Without sparse winding transition between the supporting steel wire of most proximal end and the proximal support steel wire of catheter body 6, and to increase
Add conduit to turn round control property, proximal end steel wire quantity, and Stagger-wrap can be increased.
Distal end is very soft, and has the distal balloon catheter 9 for one surpassing and complying with, and there are several stiffened sacculus 8 in slightly proximal end, each sacculus and outer
There is the convenient control to each sacculus of individual passage on boundary.
It should be pointed out that in the present embodiment, supporting steel wire is helical form, but it is not limited solely to helical form,
It can also be other set-up modes, as can also be multiring structure described in previous embodiment etc., that is to say, that as long as its
It can play a supporting role to the side wall of catheter body 6, the compressing deformation of the distal balloon catheter 9 after can be avoided inflation or filling liquid is i.e.
It can.
Preferred embodiment is that the second connected pore channel 4 and stiffened sacculus 8 are additionally provided in the catheter body 6;
The stiffened sacculus 8 is fixed at the catheter body 6 close to one end of the distal balloon catheter 9;
Second connected pore channel 4 is arranged in parallel with first connected pore channel 5;
One end of second connected pore channel 4 is connected to the stiffened sacculus 8, and the other end passes through in the catheter body 6
The end of one end far from the distal balloon catheter 9 is in communication with the outside.
In the present embodiment, it is provided with the second connected pore channel 4 and stiffened sacculus 8 in catheter body 6, passes through the second intercommunicating pore
Road 4 is connected to stiffened sacculus 8, can be to the inflation of stiffened sacculus 8 or filling liquid.
In the present embodiment, stiffened sacculus 8 is annular, is arranged on the outer wall of catheter body 6.
In the present embodiment, the stiffened sacculus 8 of setting can the middle section effectively to catheter body 6 be supported.
Preferred embodiment is that the stiffened sacculus 8 is multiple.
In the present embodiment, stiffened sacculus 8 is set as multiple, and is separately positioned on the different location of catheter body 6, in turn
It can be realized and the different location of catheter body 6 is supported.
Preferred embodiment is multiple 8 Parallel Controls of stiffened sacculus.
In the present embodiment, each stiffened sacculus has corresponding connected pore channel to be individually connected therewith, by corresponding
Connected pore channel is supported different equal stiffeneds sacculus through row filling liquid, and then to the catheter body of different location 6, so that centre is led
The use of pipe 12 is more flexible.
It should be pointed out that stiffened sacculus 8 is Parallel Control in the present embodiment, it is also possible to series control, that is,
It says, multiple stiffened sacculus 8 is inflated simultaneously using same second connected pore channel 4 or filling liquid, inflation can be saved or filled
The time of liquid.
Preferred embodiment is that intermediate conductor 12 further includes main connected pore channel 2 and triple valve 3;
The end that one end of the main connected pore channel 2 passes through one end in the catheter body 6 far from the distal balloon catheter 9
It is connect with the external world, the other end is connected with first connected pore channel 5 and second connected pore channel 4 respectively by the triple valve 3
It is logical.
In the present embodiment, the end of intermediate conductor 12 be provided with main connected pore channel 2, one end triple valve 3 respectively with
First connected pore channel 5 is connected to the second connected pore channel 4, and the other end is in communication with the outside, so that its duct for being in communication with the outside
Tail off, can the first connected pore channel 5 or the second connected pore channel 4 after to distal balloon catheter 9 or the inflation of stiffened sacculus 8 or filling liquid, keep away
The pressure exempted from distal balloon catheter 9 or stiffened sacculus 8 reduces, and ensure that the support force of catheter body 6.
Preferred embodiment is that the section of the inner cavity 7 of the catheter body 6 is ellipse.
In the present embodiment, as shown in Figure 3 and Figure 4, ellipse is set by inner cavity 7, can be convenient for while is inserted into two
Microtubular 11 can be identical microtubular 11, be also possible to different microtubulars 11, by the insertion of two microtubulars 11,
Increase the flexibility and diversity for the treatment of.
Preferred embodiment is that the catheter body 6 is provided with connector 1 far from one end of the distal balloon catheter 9;
The interface 10 being connected to the inner cavity 7 is provided on the connector 1;
Diameter of the interface 10 close to one end of the inner cavity 7 is less than the one end of the interface 10 far from the inner cavity 7
Diameter.
By the setting of connector 1, can be connect convenient for catheter body 6 with Y-valve or haemostatic valve, interface 10 is set as loudspeaker
Shape, convenient for the insertion of microtubular 11.
The invention also provides a kind of endovascular method, method needs are used including guiding catheter 13, microtubular
11 and above-mentioned intermediate conductor 12;
One end of the intermediate conductor 12 is arranged in the guiding catheter 13;
One end of the microtubular 11 is arranged in the intermediate conductor 12.
When in use, first guiding catheter 13 is inserted into intravascular, then intermediate conductor 12 is inserted into guiding catheter 13,
And then vessel catheter realizes extension in the blood vessels, and microtubular 11 is inserted into intermediate conductor 12 again later, realizes vessel catheter
Further extension in the blood vessels, and then the place of needs can be reached.
The present invention be used for aneurysm, the bleedings such as vascular malformation operation in when, the use process is as follows:
Intermediate conductor 12 after reaching corresponding blood vessel, passes through triple valve 3 with the help of thicker guiding catheter 13 or long sheath
Control, distal balloon catheter 9 is played using syringe, since the distal end of catheter body 6 is very soft, blood flow will push distal end ball
Capsule 9, and by catheter body 6 with vasotropic distal end.It, can to guarantee that blood flow is unimpeded after intermediate conductor 12 reaches target blood
The pressure of distal balloon catheter 9 is released.
Since intermediate conductor 12 is very soft, and with the help of distal balloon catheter 9 can by very tortuous blood vessel, reach from
The nearest position of lesion, so thinner microtubular 11 will be sent into desired blood vessel or artery tumor by intermediate conductor 12 to be become
Be very easy to.Simultaneously as intermediate conductor 12 is very soft, without any support force, but 3 selectivity of triple valve can be passed through
Play and 1 so that conduit is hardened by pressure to several stiffened sacculus 8, to obtain desired any support force.When in operation go out
It is now unexpected, such as aneurysm or angiorrhoxis bleeding, distal balloon catheter 9 at this moment can be played rapidly, and blocking blood flow reaches quick-acting haemostatic powder
Mesh.It is unobstructed by releasing sacculus recovery blood flow again after handling bleeding part well.
For the present invention when for taking in bolt operation, the use process is as follows:
Intermediate conductor 12 after reaching corresponding blood vessel, can pass through threeway with the help of thicker guiding catheter 13 or long sheath
The control of valve 3 is filled distal balloon catheter 9 using syringe, and since distal end of catheter is very soft, blood flow will push sacculus, and will
Catheter body 6 is with vasotropic distal end.It, can be by distal end ball to guarantee that blood flow is unimpeded after intermediate conductor 12 reaches target blood
Capsule 9 releases.
Since intermediate conductor 12 is very soft, and with the help of distal balloon catheter 9 can by very tortuous blood vessel, reach from
The nearest position of embolism, so taking bolt bracket microtubular 11 to cross at thromboembolism and will hold very much by intermediate conductor 12 thinner
Easily, at this moment bolt branch will be taken to be placed at thrombus by microtubular 11 to discharge, and plays distal balloon catheter 9.
Due to blocking blood flow, take bolt bracket during release and pulling plug, even if there is thrombus from the mesh for taking bolt bracket
Falling off to rush at blood vessel distal end by blood flow immediately, secondary embolism is caused, after taking bolt bracket to complete pulling plug, by distally leading
Pipe pumpback blood flow, can be external out by remaining thrombus pumpback, avoids secondary embolism.After completing pulling plug and pumpback, distal end ball is released
It is unobstructed to restore blood flow for capsule 9.
From the above, it is seen that the present invention has the advantage that
1, since the distal end of intermediate conductor 12 is very soft, and end has the distal balloon catheter 9 for one surpassing and complying with, when heaving distal end
When sacculus 9, blood flow can impact distal balloon catheter 9 to blood vessel distal end, and intermediate conductor 12 is helped to reach the blood vessel of more distal end, can be effective
Reduce operating difficulty.
2, can be by injecting salt water into stiffened sacculus 8, it, will not by the support force for any second connected pore channel 4 of pressurizeing
For the worry that is unable to hold out.
3, surgical procedure is safer: due to there is the presence of the super distal balloon catheter 9 complied with, even if aneurysm rupture in operation
Bleeding, without excessive worry.Sacculus is played when bleeding, can blocking blood flow immediately, reach hemostasis purpose.
4, operation is reduced, operation is simplified.
5, oval-shaped cavity 7 guarantee have two sets of catheter guide wires not make troubles because winding mutually in conduit.
6, since intermediate conductor 12 is very soft, therefore accomplish the minimal stimulation to blood vessel.
7, proximal end is thick, and distal end is thin and has braided steel wire guide-tube structure, so that override is more preferable.
Intermediate conductor 12 and vessel catheter provided by the invention, since the distal end of catheter body 6 is very soft, to intravascular
The stimulation of wall is smaller;And be provided with distal balloon catheter 9, when heaving distal balloon catheter 9, blood flow can by distal balloon catheter 9 to blood vessel distal end
Impact helps intermediate conductor 12 to reach the blood vessel of more distal end, it is difficult to can effectively reduce operation, and surgical procedure is more pacified
Entirely;Due to there is the presence of distal balloon catheter 9, even if aneurysm rupture bleeding in operation, without excessive worry, when bleeding, plays remote
Hold sacculus 9, can blocking blood flow immediately, reach hemostasis purpose;Intermediate conductor 12 and vessel catheter provided by the invention, operation letter
It is single convenient and efficient, surgical procedure can be simplified, so that operation is more quick and safe.
Finally, it should be noted that the above embodiments are only used to illustrate the technical solution of the present invention., rather than its limitations;To the greatest extent
Pipe present invention has been described in detail with reference to the aforementioned embodiments, those skilled in the art should understand that: its according to
So be possible to modify the technical solutions described in the foregoing embodiments, or to some or all of the technical features into
Row equivalent replacement;And these are modified or replaceed, various embodiments of the present invention technology that it does not separate the essence of the corresponding technical solution
The range of scheme.
In addition, it will be appreciated by those of skill in the art that although some embodiments in this include institute in other embodiments
Including certain features rather than other feature, but the combination of the feature of different embodiment means in the scope of the present invention
Within and form different embodiments.For example, in the above embodiments, embodiment claimed it is one of any all
It can be used in any combination.The information disclosed in the background technology section is intended only to deepen to of the invention total
The understanding of body background technique, and be not construed as recognizing or implying in any form that information composition has been those skilled in the art
The prior art well known to member.
Claims (10)
1. a kind of intermediate conductor, which is characterized in that including catheter body and distal balloon catheter;
The distal balloon catheter is fixed at one end of the catheter body;
The end of the distal balloon catheter is introvert, i.e. the distal end of distal balloon catheter and the bounding point of catheter body is in distal balloon catheter
Inside, the proximal end of distal balloon catheter and the bounding point of catheter body are in the outside of sacculus;
Cavity direction is provided with the first connected pore channel in it in the catheter body;
One end of first connected pore channel passes through the end of one end in the catheter body far from the distal balloon catheter and outer
Boundary's connection, the other end of first connected pore channel are connected to the distal balloon catheter;
The distal balloon catheter is ring-type, is coaxially disposed with the catheter body.
2. intermediate conductor according to claim 1, which is characterized in that be provided with supporting steel wire in the catheter body, use
In the support catheter body.
3. intermediate conductor according to claim 2, which is characterized in that the supporting steel wire is helical form setting.
4. intermediate conductor according to claim 1, which is characterized in that be additionally provided with the second intercommunicating pore in the catheter body
Road and stiffened sacculus;
The stiffened sacculus is fixed at the catheter body close to one end of the distal balloon catheter;
Second connected pore channel is arranged in parallel with first connected pore channel;
One end of second connected pore channel is connected to the stiffened sacculus, and the other end passes through separate described in the catheter body
The end of one end of distal balloon catheter is in communication with the outside.
5. intermediate conductor according to claim 4, which is characterized in that the stiffened sacculus is multiple.
6. intermediate conductor according to claim 5, which is characterized in that multiple stiffened sacculus are serially connected in intermediate conductor
On, Parallel Control is realized by corresponding connected pore channel.
7. intermediate conductor according to claim 4, which is characterized in that further include main connected pore channel and triple valve;
The end and the external world that one end of the main connected pore channel passes through one end in the catheter body far from the distal balloon catheter
The other end of connection, the main connected pore channel is connected to first connected pore channel and described second respectively by the triple valve
Hole link.
8. intermediate conductor according to claim 1, which is characterized in that the section of the inner cavity of the catheter body is ellipse
Shape.
9. intermediate conductor according to claim 1, which is characterized in that the catheter body far from the distal balloon catheter one
End is provided with connector;
Interface in communication with the inner cavity is provided on the connector;
The interface is less than the diameter of the one end of the interface far from the inner cavity close to the diameter of one end of the inner cavity.
10. a kind of vessel catheter, which is characterized in that including guiding catheter, microtubular and claim 1-9 it is described in any item in
Between conduit;
The intermediate conductor is set in the guiding catheter;
The microtubular is set in the intermediate conductor.
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CN201910397680.8A CN110124183A (en) | 2019-05-14 | 2019-05-14 | Intermediate conductor and vessel catheter |
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AU2007200632A1 (en) * | 2002-06-27 | 2007-03-15 | W. L. Gore & Associates, Inc. | A catheter |
CN102488955A (en) * | 2011-12-07 | 2012-06-13 | 湖南埃普特医疗器械有限公司 | Balloon guide catheter, and preparation method thereof |
CN105813680A (en) * | 2013-12-19 | 2016-07-27 | 史密斯医疗 Asd 公司 | Soft tip catheter |
CN106310489A (en) * | 2016-08-22 | 2017-01-11 | 卢家忠 | Guiding catheter |
CN208769877U (en) * | 2017-10-31 | 2019-04-23 | 南京市第一医院 | Conduit is adjusted for the prominent aneurysmal pre- moulding of section of internal carotid bed |
CN210698466U (en) * | 2019-05-14 | 2020-06-09 | 王玉峰 | Intermediate catheter and vascular catheter |
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AU2007200632A1 (en) * | 2002-06-27 | 2007-03-15 | W. L. Gore & Associates, Inc. | A catheter |
CN102488955A (en) * | 2011-12-07 | 2012-06-13 | 湖南埃普特医疗器械有限公司 | Balloon guide catheter, and preparation method thereof |
CN105813680A (en) * | 2013-12-19 | 2016-07-27 | 史密斯医疗 Asd 公司 | Soft tip catheter |
CN106310489A (en) * | 2016-08-22 | 2017-01-11 | 卢家忠 | Guiding catheter |
CN208769877U (en) * | 2017-10-31 | 2019-04-23 | 南京市第一医院 | Conduit is adjusted for the prominent aneurysmal pre- moulding of section of internal carotid bed |
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