CN110384536B - Thrombus removing catheter and thrombus removing device with same - Google Patents

Thrombus removing catheter and thrombus removing device with same Download PDF

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Publication number
CN110384536B
CN110384536B CN201910678237.8A CN201910678237A CN110384536B CN 110384536 B CN110384536 B CN 110384536B CN 201910678237 A CN201910678237 A CN 201910678237A CN 110384536 B CN110384536 B CN 110384536B
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Prior art keywords
thrombus
liquid
port
catheter
blood vessel
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CN110384536A (en
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杨青林
宋浩
祝缓缓
芮曦
王泱
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Jiangsu Jintai Medical Instrument Co ltd
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Jiangsu Jintai Medical Instrument Co ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/3203Fluid jet cutting instruments
    • A61B17/32037Fluid jet cutting instruments for removing obstructions from inner organs or blood vessels, e.g. for atherectomy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements 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
    • A61B2017/22079Implements 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 suction of debris

Abstract

The invention provides a thrombus clearing catheter and a thrombus clearing device with the same, belonging to the technical field of thrombus clearing apparatuses, wherein the thrombus clearing catheter comprises: the catheter comprises a catheter body, a catheter body and a catheter core, wherein the side wall of the catheter body is provided with at least one thrombus recovery port and at least one liquid reflection port, and the liquid reflection port is provided with a reflection structure facing the inner wall of a blood vessel; the injection pipe is sleeved in the guide pipe body and provided with at least one liquid injection port, and the liquid injection port faces to the reflection structure of the liquid reflection port; the liquid for removing thrombus is ejected from the liquid ejection opening to the liquid reflection structure and then is reflected to the thrombus on the inner wall of the blood vessel; the thrombus clearing catheter is used for enabling liquid for clearing thrombus to be in contact with thrombus in a blood vessel after being reflected, so that the jet liquid cannot directly impact the blood vessel, injury to the blood vessel wall is reduced, and an interlayer cannot be generated on the blood vessel wall.

Description

Thrombus removing catheter and thrombus removing device with same
Technical Field
The invention relates to the technical field of thrombus removing instruments, in particular to a thrombus removing catheter and a thrombus removing device with the same.
Background
Arteries help to transport blood rich in oxygen and various nutrients to various parts of the body. When arteries in the lower extremities become occluded, sufficient blood or oxygen is not available, which is called Peripheral Arterial Disease (PAD). Peripheral arterial disease is due to the formation of lipid plaques on the vessel wall, the plaques being composed primarily of cholesterol, calcium and fibrous tissue. The plaque narrows or even completely occludes the arterial lumen, blood flow is reduced, and the lower limbs lack sufficient oxygen to maintain normal metabolism.
At present, still face very big challenge in PAD's thrombus clear away art, often will use the thrombus to clear away when patient's emergency intervention treatment, medical staff is carrying out the thrombus to patient and is clear away the operation time, holds accurate rescue time, and the lesion position is directional fast, practices thrift operation time, and high efficiency clears away the thrombus external. When the thrombus of the lesion blood vessel is removed, the blood vessel at the lesion position is protected.
In the current thrombus treatment scheme, two main treatment schemes are used, one is stent treatment, a stent is implanted at a position where thrombus lesion occurs in a blood vessel, the stent has the advantages of short treatment time and obvious clinical effect, the defect is that the stent is implanted into a foreign body, an antithrombotic drug needs to be taken for a long time after the stent is implanted, the stent cannot be taken out once being implanted, and only a bridging scheme is needed if thrombus is coagulated at the stent again. The second method is to embed a thrombolysis catheter at the lesion site where thrombus occurs, and continuously release thrombolysis medicine to the lesion site by using a medicine spray hole on the thrombolysis catheter, and has the disadvantages of slow thrombolysis effect and long period.
Based on the above-mentioned disadvantages of the conventional thrombus removal methods, mechanical thrombus removal methods will become the mainstream development of thrombus removal in the future. Because the blood vessels are layered one by one, each layer is tightly attached together, the mechanical method adopts the liquid medicine to impact the thrombus, so that the thrombus is broken, the damage to the target blood vessel is reduced as much as possible, and the blood vessel layer is prevented from being flushed to form an interlayer to cause complications.
However, in the conventional mechanical thrombus removal method, when the thrombus is impacted by the jet liquid, the jet liquid is ejected from the ejection port and directly impacts the inner wall of the blood vessel, which is likely to cause damage or stimulation to the inner wall of the blood vessel, thereby causing complications.
Disclosure of Invention
Therefore, the technical problem to be solved by the invention is to overcome the defect that the thrombus removal method in the prior art adopts the jet liquid to directly spray the inner wall of the blood vessel, so that the blood vessel is easily damaged, thereby providing the thrombus removal catheter capable of improving the impact damage of the jet liquid on the inner wall of the blood vessel.
The invention also provides a thrombus removal device with the thrombus removal catheter.
In order to solve the above-mentioned technical problem, the present invention provides a thrombus-clearing catheter comprising:
the catheter comprises a catheter body, a catheter body and a catheter core, wherein the side wall of the catheter body is provided with at least one thrombus recovery port and at least one liquid reflection port, and the liquid reflection port is provided with a reflection structure facing the inner wall of a blood vessel;
the injection pipe is sleeved in the guide pipe body and provided with at least one liquid injection port, and the liquid injection port faces to the reflection structure of the liquid reflection port;
the liquid for removing thrombus is ejected from the liquid ejection opening toward the liquid reflection structure and then reflected toward the thrombus on the inner wall of the blood vessel.
Preferably, the thrombus recovery port is arranged at a corresponding position on the catheter body, and the liquid for removing the thrombus is reflected to contact with the thrombus and then reflected by the thrombus to fall back to the catheter body.
Preferably, the fluid ejection port and the thrombus recovery port are both located at the front end of the thrombus reflection port.
Preferably, the liquid ejection port has a plurality of ejection ports.
Preferably, an end of the spray pipe is provided with an annular pipe, and the plurality of liquid spray openings are uniformly arranged on the annular pipe.
Preferably, the liquid reflecting port has a plurality of ports, and each of the liquid reflecting ports is opposed to at least one of the liquid ejecting ports.
Preferably, the thrombus recovery port has a plurality of ports, and the ports are uniformly arranged around the outer side wall of the catheter body.
As a preferable aspect, the reflection structure includes:
a reflecting surface forming an incident angle with the liquid ejection port, reflecting the liquid from the liquid ejection port toward the thrombus on the inner wall of the blood vessel by a preset incident angle;
and a liquid collection surface provided on one side of the reflection surface near the outer side of the catheter body and having a slope extending in the thrombus direction.
The invention provides a thrombus removal device comprising the thrombus removal catheter according to any one of the above aspects.
Preferably, a peristaltic pump for sucking thrombus is connected to the rear end of the thrombus removal catheter.
The technical scheme of the invention has the following advantages:
1. the thrombus clearing catheter provided by the invention is used for reflecting the liquid for clearing thrombus and then contacting the thrombus in the blood vessel, so that the jet liquid can not directly impact the blood vessel, the injury to the blood vessel wall is reduced, and the blood vessel wall can not generate an interlayer.
2. According to the thrombus clearing catheter provided by the invention, after thrombus in a blood vessel is broken up through the jet liquid, the jet liquid can be reflected again towards the catheter body under the action of the thrombus or the blood vessel wall, the thrombus can move along with the reflected liquid, and the position of the thrombus recovery port can be used for receiving the thrombus broken up by the jet liquid, so that the thrombus is collected and enters the catheter body and then is moved out of the blood vessel.
3. When the thrombus clearing catheter provided by the invention has a plurality of liquid jet openings, the angles of the liquid jetted from the liquid jet openings to the reflecting structure are different, so that thrombus can be cleared in multiple angles.
4. The thrombus clearing catheter provided by the invention can enable liquid to be reflected and ejected from the liquid reflecting ports when the liquid reflecting ports are provided with a plurality of liquid reflecting ports, thereby completely clearing thrombus on the inner peripheral wall of the blood vessel.
5. The thrombus clearing catheter provided by the invention can be used for collecting thrombus more conveniently when a plurality of thrombus recovery openings are formed.
6. According to the thrombus removal catheter provided by the invention, the liquid collection surface of the reflection structure can collect the liquid reflected by the reflection surface, so that the liquid is prevented from being dispersed after being reflected by the reflection surface, and the reflected jet liquid can be intensively acted on thrombus.
7. The thrombus removal device provided by the present invention has any of the advantages described above because it has the thrombus removal catheter according to any of the above aspects.
8. According to the thrombus clearing device provided by the invention, the peristaltic pump is adopted to suck thrombus at the rear end of the thrombus clearing catheter, so that intermittent periodic cycle suction can be realized, and the thrombus clearing efficiency is improved.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below, and it is obvious that the drawings in the following description are some embodiments of the present invention, and other drawings can be obtained by those skilled in the art without creative efforts.
Fig. 1 is a perspective view of a thrombus removal catheter provided in a first embodiment of the present invention.
Fig. 2 is an enlarged view of a reflection structure of the liquid reflection port in the area a of fig. 1.
Fig. 3 is a schematic view of the environment in which the thrombectomy catheter is used.
Description of reference numerals:
1. a catheter body; 2. a liquid reflection port; 3. a thrombus retrieval port; 4. an injection pipe; 5. a liquid ejection port; 6. a blood vessel; 7. thrombosis; 8. a reflective surface; 9. a liquid collecting surface.
Detailed Description
The technical solutions of the present invention will be described clearly and completely with reference to the accompanying drawings, and it should be understood that the described embodiments are some, but not all embodiments of the present invention. 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.
In the description of the present invention, it should be noted that the terms "center", "upper", "lower", "left", "right", "vertical", "horizontal", "inner", "outer", etc., indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings, and are only for convenience of description and simplicity of description, but do not indicate or imply that the device or element being referred to must have a particular orientation, be constructed and operated in a particular orientation, and thus, should not be construed as limiting the present invention.
In the description of the present invention, it should be noted that, unless otherwise explicitly specified or limited, the terms "mounted," "connected," and "connected" are to be construed broadly, e.g., as meaning either a fixed connection, a removable connection, or an integral connection; can be mechanically or electrically connected; they may be connected directly or indirectly through intervening media, or they may be interconnected between two elements. The specific meanings of the above terms in the present invention can be understood in specific cases to those skilled in the art.
In addition, the technical features involved in the different embodiments of the present invention described below may be combined with each other as long as they do not conflict with each other.
Example 1
This example provides an embodiment of a thrombus removal catheter, as shown in fig. 1, comprising: the thrombus clearing catheter comprises a catheter body 1 and an injection pipe 4, wherein the injection pipe 4 is sleeved inside the catheter body 1, an annular pipe is formed at the top end of the injection pipe 4, a plurality of liquid injection ports 5 are uniformly and symmetrically arranged on the annular pipe, and through the plurality of liquid injection ports 5, the angles of liquid injected to a reflection structure from the liquid injection ports 5 are different, so that thrombus 7 can be cleared from multiple angles
On the lateral wall of catheter body 1, seted up a plurality of thrombus and retrieved mouth 3, thrombus is retrieved mouth 3 and is wound catheter body 1's lateral wall evenly sets up, retrieves mouth 3 through a plurality of thrombus and can be convenient for more to the collection of thrombus 7.
The side wall of the catheter body 1 is provided with a plurality of liquid reflecting ports 2 at the rear end of the thrombus recovery port 3, the liquid reflecting ports 2 are provided with reflecting structures facing the inner wall of the blood vessel 6, and liquid can be reflected and ejected from the liquid reflecting ports 2 through the liquid reflecting ports 2, so that thrombus 7 on the inner peripheral wall of the blood vessel 6 can be completely removed.
The annular tube and the liquid ejection port 5 provided in the annular tube may be provided at the front end of the liquid reflection port 2, specifically, at the front end of the thrombus recovery port 3, or may be provided between the liquid reflection port 2 and the thrombus recovery port 3.
In addition, as an alternative embodiment, the liquid reflecting port 2 may be located at the front end of the liquid ejection port 5, and the thrombus recovery port 3 may be located at the rear end of the liquid reflecting port 2.
As shown in fig. 2, the reflecting structure includes a reflecting surface 8 and a liquid collecting surface 9, the reflecting surface 8 forms an incident angle with the liquid ejection opening 5, and reflects the liquid ejected from the liquid ejection opening 5 toward the thrombus 7 on the inner wall of the blood vessel 6 at a predetermined incident angle.
The liquid collecting surface 9 is provided on the side of the reflecting surface 8 close to the outer side of the catheter main body 1, and has an inclined surface extending toward the thrombus 7, and the inclined surface is used for collecting the liquid reflected by the reflecting surface 8 and avoiding the liquid projected toward the thrombus 7 from being excessively dispersed.
Application method
As shown in FIG. 3, the high-pressure jet liquid is delivered in the jet pipe 4 toward the annular pipe at the tip of the jet pipe 4, and the liquid is ejected toward the reflecting structure on the liquid reflecting port 2 through the liquid ejecting port 5, and after being reflected by the reflecting structure, the liquid impacts the thrombus 7 on the inner wall of the blood vessel 6, thereby breaking up the thrombus 7.
The broken thrombus 7 is reflected by the liquid toward the thrombus recovery port 3, enters the catheter body 1 through the thrombus recovery port 3, and is further transported out of the blood vessel 6.
Wherein the liquid for impacting the thrombus 7 may be thrombolytic drug solution, heparin, physiological saline, etc.
When the liquid is ejected from the liquid ejection port 5, the angle of incidence with which the reflecting structure is contacted may affect the ejection height of the liquid outside the duct. Therefore, the size of the catheter needs to be adaptively selected according to the different diameters of the blood vessel 6. Such as: when the ejection height of the liquid is 5mm, the liquid is suitable for a blood vessel 6 with the diameter of 10 mm; when the liquid is ejected to a height of 3mm, it is suitable for a blood vessel 6 having a diameter of 6 mm.
Example 2
This example provides a specific embodiment of a thrombus removal device comprising the thrombus removal catheter described in example 1, and a peristaltic pump for sucking thrombus 7 is connected to the rear end of the thrombus removal catheter.
When the medical catheter works, the thrombus 7 smashed by the jet liquid is pumped out of the body through the catheter body 1 under the action of the peristaltic pump. The peristaltic pump and the liquid jet flow are in mutual intermittent action, namely, the liquid is ejected for a period of time, then the peristaltic pump is used for pumping for a period of time, and the steps are repeated. Specifically, the liquid is sprayed for 2-5 s, the process of pausing for 2-5 s, and the extracorporeal peristaltic pump pumps for 2-5 s, so that intermittent periodic circulation of breaking thrombus 7 and sucking thrombus 7 can be realized, and the operation of mechanically removing thrombus 7 can be operated efficiently.
It should be understood that the above examples are only for clarity of illustration and are not intended to limit the embodiments. Other variations and modifications will be apparent to persons skilled in the art in light of the above description. And are neither required nor exhaustive of all embodiments. And obvious variations or modifications therefrom are within the scope of the invention.

Claims (9)

1. A thrombus removal catheter, comprising:
the thrombus recovery catheter comprises a catheter body (1), wherein at least one thrombus recovery port (3) and at least one liquid reflection port (2) are formed in the side wall of the catheter body, a reflection surface (8) facing the inner wall of a blood vessel (6) is arranged on the liquid reflection port (2), the reflection surface (8) and a liquid jet orifice (5) on a jet pipe (4) form an incidence angle, and liquid is reflected from the liquid jet orifice (5) to thrombus (7) facing the inner wall of the blood vessel (6) through a preset incidence angle; the liquid reflecting port (2) is also provided with a liquid collecting surface (9), the liquid collecting surface (9) is arranged on one side of the reflecting surface (8) close to the outer side of the catheter body (1) and is provided with an inclined surface extending towards the direction of the thrombus (7);
the injection pipe (4) is sleeved in the catheter body (1) and is provided with at least one liquid injection port (5), and the liquid injection port (5) faces to the reflecting surface of the liquid reflecting port (2);
the liquid for removing the thrombus (7) is ejected from the liquid ejection port (5) toward the reflection surface, and then reflected toward the thrombus (7) on the inner wall of the blood vessel (6).
2. The thrombus removal catheter according to claim 1, wherein the thrombus recovery port (3) is provided in a position where a liquid for removing the thrombus (7) is reflected to come into contact with the thrombus (7) and then reflected by the thrombus (7) to fall back to the catheter body (1).
3. The thrombus removal catheter according to claim 2, wherein the liquid ejection port (5) and the thrombus recovery port (3) are located at the front end of the thrombus (7) reflection port.
4. The thrombus-removing catheter according to claim 1, wherein the liquid ejection port (5) has a plurality.
5. The thrombus removal catheter according to claim 4, wherein the end of the ejection tube (4) is provided with an annular tube on which a plurality of the liquid ejection ports (5) are uniformly provided.
6. The thrombus removal catheter according to claim 5, wherein the liquid reflecting port (2) has a plurality, each of the liquid reflecting ports (2) being opposed to at least one of the liquid ejection ports (5).
7. The thrombectomy catheter according to claim 1, wherein said thrombus-retrieval port (3) is provided in plurality and uniformly arranged around an outer side wall of said catheter body (1).
8. A thrombus-clearing device comprising the thrombus clearing catheter according to any one of claims 1 to 7.
9. A thrombectomy device according to claim 8, wherein a peristaltic pump for aspirating thrombi (7) is connected to the rear end of said thrombectomy catheter.
CN201910678237.8A 2019-07-25 2019-07-25 Thrombus removing catheter and thrombus removing device with same Active CN110384536B (en)

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Publication number Priority date Publication date Assignee Title
CN114469257B (en) * 2022-04-02 2022-07-01 北京华脉泰科医疗器械股份有限公司 Thrombus removing device

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CN101484203A (en) * 2005-12-05 2009-07-15 梅德拉股份有限公司 Exhaust-pressure-operated balloon catheter system
US8353858B2 (en) * 2009-06-03 2013-01-15 Medrad, Inc. Rapid exchange fluid jet catheter and method
CN105208945A (en) * 2013-03-14 2015-12-30 波士顿科学有限公司 Systems, apparatus and methods for treating blood vessels
CN105228536A (en) * 2013-03-13 2016-01-06 波士顿科学有限公司 Conduit system
CN109152586A (en) * 2016-03-03 2019-01-04 波士顿科学国际有限公司 It is used in the auxiliary equipment of conduit
CN109152583A (en) * 2016-04-06 2019-01-04 沃克血管有限公司 System and method for thrombus and transmission medicament

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US20060129091A1 (en) * 2004-12-10 2006-06-15 Possis Medical, Inc. Enhanced cross stream mechanical thrombectomy catheter with backloading manifold

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Publication number Priority date Publication date Assignee Title
CN101484203A (en) * 2005-12-05 2009-07-15 梅德拉股份有限公司 Exhaust-pressure-operated balloon catheter system
US8353858B2 (en) * 2009-06-03 2013-01-15 Medrad, Inc. Rapid exchange fluid jet catheter and method
CN105228536A (en) * 2013-03-13 2016-01-06 波士顿科学有限公司 Conduit system
CN105208945A (en) * 2013-03-14 2015-12-30 波士顿科学有限公司 Systems, apparatus and methods for treating blood vessels
CN109152586A (en) * 2016-03-03 2019-01-04 波士顿科学国际有限公司 It is used in the auxiliary equipment of conduit
CN109152583A (en) * 2016-04-06 2019-01-04 沃克血管有限公司 System and method for thrombus and transmission medicament

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