CN110404149A - A kind of guiding device - Google Patents

A kind of guiding device Download PDF

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Publication number
CN110404149A
CN110404149A CN201910602442.6A CN201910602442A CN110404149A CN 110404149 A CN110404149 A CN 110404149A CN 201910602442 A CN201910602442 A CN 201910602442A CN 110404149 A CN110404149 A CN 110404149A
Authority
CN
China
Prior art keywords
guide wire
protrusion
guiding device
clamping disk
body wall
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201910602442.6A
Other languages
Chinese (zh)
Inventor
张化芝
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
JINAN THIRD HOSPITAL
Original Assignee
JINAN THIRD HOSPITAL
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by JINAN THIRD HOSPITAL filed Critical JINAN THIRD HOSPITAL
Priority to CN201910602442.6A priority Critical patent/CN110404149A/en
Publication of CN110404149A publication Critical patent/CN110404149A/en
Pending legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/02Holding devices, e.g. on the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/02Holding devices, e.g. on the body
    • A61M25/04Holding devices, e.g. on the body in the body, e.g. expansible
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/02Holding devices, e.g. on the body
    • A61M2025/0213Holding devices, e.g. on the body where the catheter is attached by means specifically adapted to a part of the human body
    • A61M2025/0233Holding devices, e.g. on the body where the catheter is attached by means specifically adapted to a part of the human body specifically adapted for attaching to a body wall by means which are on both sides of the wall, e.g. for attaching to an abdominal wall
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/02Holding devices, e.g. on the body
    • A61M2025/024Holding devices, e.g. on the body having a clip or clamp system

Abstract

A kind of guiding device, including guide wire, clamping device and fluid cell;The clamping device includes handle and clamping disk, and the handle is pivotally connected with the clamping disk.Clamping disk has the first protrusion, and fluid cell has the second protrusion, and the outer surface of guide wire is provided with multiple bulge loops.Guiding device in the present invention can prevent hydrops from leaking.

Description

A kind of guiding device
Technical field
The present invention relates to a kind of guiding devices, belong to medical instruments field.
Background technique
There is hydrops in the body cavity of some patients, need to set up channel road between body cavity and the external world using guiding device, It is discharged with guiding hydrops.When using existing guiding device, it is easy to leak out hydrops in guiding device and body cavity junction.
Summary of the invention
To solve the above problems, the present invention provides a kind of guiding devices.
A kind of guiding device, including guide wire, the guiding device further comprise clamping device and fluid cell;The stream Somatocyst is located at the lower section of the clamping device;The clamping device includes handle and clamping disk, and the clamping disk is sheathed on described Guide wire and can the relatively described guide wire move up and down, the handle is pivotally connected with the clamping disk;Institute State the outer surface that fluid cell is attached to the guide wire;The guide wire includes fluid channel, and one end of the fluid channel is Fluid interface, the other end are connected to the fluid cell.
Further, the handle includes pivotal axis and protrusion, and the pivotal axis is used to turn with the clamping disk rotor It connects dynamicly, the protrusion is for supporting the guide wire after handle pivot rotation.
Further, the clamping disk is substantially in truncated cone shape, center axis thereof is provided with through-hole, the clamping disk includes Upper surface and lower end surface, for abutting with the outer surface of body wall, the area of the upper surface is less than the lower end for the lower end surface The area in face.
Further, the clamping disk includes the surface abutted for the outer surface with body wall, and the surface is provided with One protrusion.
Further, first protrusion is dot bulge or strip bulge.
Further, in a row distribution, first protrusion of adjacent two rows mutually stagger first protrusion.
Further, the top of the outer surface of the fluid cell is provided with the second protrusion.
Further, second protrusion is dot bulge or strip bulge.
Further, in a row distribution, second protrusion of adjacent two rows mutually stagger or well second protrusion It opens.
Further, the outer surface of the guide wire is provided with multiple bulge loops, and each bulge loop is along the guide wire Closed annular is circumferentially extended and is formed, multiple bulge loops are parallel to each other.
Guiding device in the present invention is matched using clamping device and fluid cell, clamps body wall jointly, prevents body wall phase Guide wire is shifted.Further, the first protrusion possessed by clamping disk acts on outer surface and/or the fluid cell institute of body wall The second protrusion having acts on the inner surface of body wall, and body wall is further prevented to shift relative to guide wire.Still further, sharp Effectively sealing is formed between guide wire and body wall with bulge loop, prevents hydrops from leaking.
Detailed description of the invention
Fig. 1 is guiding device schematic diagram when clamping device does not clamp;
Fig. 2 is guiding device schematic diagram when clamping device clamps;
Fig. 3 is the cross-sectional view of guiding device;
Fig. 4 is the partial enlarged view of guide wire;
Fig. 5 is the structural schematic diagram of handle;
Fig. 6 is another viewing angle constructions schematic diagram of handle;
Fig. 7 is the structural schematic diagram of clamping disk;
Fig. 8 is the structural schematic diagram of clamping disk;
Fig. 9 is the structural schematic diagram of clamping disk;
The structural schematic diagram of Figure 10 fluid cell;
The structural schematic diagram of Figure 11 fluid cell.
Specific embodiment
The embodiments described below with reference to the accompanying drawings are exemplary, it is intended to be used to explain the present invention, and cannot understand For limitation of the present invention.
As shown in Figure 1, a kind of guiding device 1, including guide wire 2, clamping device and fluid cell 6.Fig. 1, Fig. 2 are signals Figure, remains part body wall 3, to clearly illustrate the structure of guiding device 1.Upper and lower direction in the present invention is shown in Fig. 1 Direction subject to, guide wire 2 runs through body wall 3, and clamping device is located at the top of body wall 3, and fluid cell 6 is located at the lower section of body wall 3.Body Wall 3 includes stomach wall.As shown in figure 3, the inner wall of guide wire 2 is provided with fluid channel 24, one end of fluid channel 24 is through guiding The tube wall of pipe 2 and form fluid interface 21, the other end 23 of fluid channel through guide wire 2 tube wall and with fluid cell 6 It is connected.Fluid channel 24 including two ends keeps isolation relative to the inner cavity of guide wire 2, i.e., fluid channel and leads The inner cavity of skirt 2 is independent from each other channel.As shown in Figure 10, fluid cell 6 includes hollow channel 62, and the wall in channel 62 adheres to In the outer surface of the tube wall of guide wire 2, the concrete mode of attachment can be bonding.Fluid cell 6 after being filled with fluid is substantially in ball Shape.As shown in Figures 1 to 3, guide wire 2, one end for being inserted into body cavity is opening and size is tapered, be conducive to insertion body Chamber.It is provided with through-hole on the tube wall of above-mentioned one end, even if the port of above-mentioned one end and tissue abut caused port by group Closing is knitted, hydrops can also be discharged from through-hole.The other end of guide wire 2 can be connected with the bag body of accommodating hydrops.
As shown in Fig. 1 to 3,5 to 7, clamping device includes handle 4 and clamping disk 5, and handle 4 includes main part 43, operation portion 41, the middle part 42 between main part 43 and operation portion 41.Operation portion 41 is generally curved, convenient for exerting a force to handle 4, in Between angle between portion 42 and main part 43 be obtuse angle.The side of main part 43 is provided with pivotal axis 431, and the opposite other side is set It is equipped with protrusion 432.As shown in Figs. 7-9, clamping disk 5 is in truncated cone shape, and center axis thereof is provided with through-hole 54.Clamping disk 5 passes through Through-hole 54 is sheathed on the outer surface of guide wire 2, and clamping disk 5 can be moved up and down relative to guide wire 2.Clamping disk 5 further includes accommodating Space 52, accommodating space 52 are connected to through-hole 54, and accommodating space 52 includes two sides 51 parallel with the axial direction of clamping disk 5, Blind hole 511 is recessed to the main part of clamping disk 5 from side 51 and is formed, and side 51 is two, and two sides 51 are mutually flat Row, correspondingly, blind hole 511 are also two, and the central axis of two blind holes 511 is located in a straight line.Each blind hole 511 accommodates One end of pivotal axis 431, so that handle 4 can be pivoted relative to clamping disk 5.The area of the upper surface of clamping disk 5 is small Area in lower end surface 53, lower end surface 53 and the outer surface of body wall 3 abut against, and relatively large lower end surface 53 can increase itself and body The area of the appearance face contact of wall 3, and then the clamping effect between clamping disk 5 and body wall 3 is promoted, so that body wall 3 is relative to folder It holds disk 5 to be not susceptible to shift, so that body wall 3 is not susceptible to shift relative to guide wire 2.The displacement includes moving up and down And double swerve.Body wall 3 is not shifted relative to guide wire 2, and body wall 3 is allowed to be bonded guide wire 2 closely, is avoided in body wall 3 The channel of hydrops leakage is formed between guide wire 2.Further, 5 lower end surface 53 of clamping disk is provided with the first protrusion 531, the One protrusion 531 can increase the frictional force between 3 outer surface of lower end surface 53 and body wall, further prevent body wall 3 relative to clamping Disk 5 is displaced, and then body wall 3 is further prevented to be displaced relative to guide wire 2.Diameter of first protrusion 531 along clamping disk 5 To distribution in a row, the first protrusion 531 of adjacent two rows mutually staggers radially.Shape between the first protrusion 531 of adjacent three row There is the space of the first protrusion 531 at surrounding, the space is used to accommodate or " Caton " body wall 3 is embedded in the group in above-mentioned space It knits, tissue is stopped by the first protrusion 531 of space surrounding, so that body wall 3 is less susceptible to shift relative to clamping disk 5.First protrusion 531 can be dot bulge as shown in Figure 8, be also possible to strip bulge as shown in Figure 9.As shown in figure 9, along clamping disk While 5 radial in a row distribution, each strip bulge itself along clamping disk 5 circumferentially extending, circumferentially extending, mutually stagger Strip bulge surround to having organized the formation of, " Caton " and blocking effect to tissue can be more preferably relative to dot bulge.For Prevent the end injury tissue of strip bulge, the settable chamfering in end.
As shown in Figure 10,11, the top of the outer surface of fluid cell 6 is provided with the second protrusion 61, and the second protrusion 61 can increase Add the frictional force between 3 inner surface of fluid cell 6 and body wall, prevents body wall 3 to be displaced relative to fluid cell 6, to prevent body Wall 3 is displaced relative to guide wire 2.The top includes plane.Warp direction and weft of second protrusion 61 along fluid cell 6 Direction is in a row distributed in 6 outer surface of upper of fluid cell.Second protrusion 61 can be dot bulge as shown in Figure 10, can also be with It is strip bulge as shown in figure 11.As shown in figure 11, while being in a row distributed along warp direction and weft direction, each Shape protrusion extends itself along the weft direction of fluid cell 6, and the strip bulge extended along weft direction grows effective blocking of tissue Degree is greater than dot bulge, can be more preferable relative to dot bulge to the blocking effect of tissue.The end of strip bulge in order to prevent Injury tissue, the settable chamfering in end.
The protrusion of partial outer face 22 of guide wire 2 is provided with bulge loop 221, and bulge loop 221 is along the week axial perpendicular to guide wire 2 To extending and form closed annular.Closed annular refer to bulge loop 221 around guide wire 2 one weeks and it is end to end.Bulge loop 221 Top surface and body wall 3 side abut against with formed sealing, prevent hydrops between the side of body wall 3 i.e. guide wire 2 and body wall 3 Exudation outward.Multiple bulge loops 221 are parallel to each other.During guiding device use, multiple bulge loops 221 are located at the outer of body wall 3 Between surface and inner surface.It, can be by multiple bulge loops 221 along the axial direction point of guide wire 2 since 3 thickness of body wall of different patients is different The length of cloth is set as the smaller value in the 3 thickness value range of body wall of different patients.Multiple bulge loops 221 on guide wire 2 from The intersection of 6 outer surface of upper of fluid cell and guide wire 2 starts to be distributed upwards, leaks with hydrops from the Inside To Outside of body wall 3 Path it is consistent, multiple bulge loops 221 can form multiple-sealed ring, therefore can form effective sealing.
Guide wire 2 is with the part of clamping device cooperation, the part guide wire 2 at 221 place of multiple bulge loops and by fluid cell The part guide wire 2 of package may be configured as having certain rigidity, metal mesh is such as embedded in the wall of guide wire 2, guide wire 2 is other Partial rigidity can be configured in design, manufacture as needed.
The usage mode of guiding device 1 is as follows: when original state, not being filled with fluid in fluid cell 6, is shrivelled state;Benefit With puncture needle aperture on body wall 3, aperture is equal to or slightly less than the outer diameter of guide wire 2, and (outer diameter is that guide wire 2 removes bulge loop 221 and fluid cell 6 other than part outer diameter), by guide wire 2 from the outside of body wall 3 in a manner of being inserted into while rotating Body cavity is inserted into from hole, with the increase of insertion depth, fluid cell 6 is also inserted into body cavity therewith, due to cannot visual fluid Whether capsule 6 has been entirely located in body cavity, can be more extending deeper by guide wire 2;Stream is filled with into fluid cell 6 by fluid channel Body, fluid include gas or liquid, and fluid cell 6 sufficiently expands, and block fluid interface 21;Guide wire 2 is lifted upwards, until stream The outer surface of upper of somatocyst 6 and the contacted inner surfaces of body wall 3 connect, at this point, the aperture due to body wall 3 is equal to or slightly less than guide wire 2 outer diameter, the top surface of bulge loop 221 fit closely body wall 3;Clamping device is moved down, until clamping disk 5 is sufficiently supported with body wall 3 It connects, pulls handle 4, handle 4 pivots certain angle relative to clamping disk 5, so that the protrusion 432 of handle 4 supports guide wire 2 Outer surface so that handle 4 is fixed to each other with guide wire 2, so that clamping disk 5 is fixed to each other with guide wire 2;At this point, body Wall 3 is between clamping disk 5 and fluid cell 6, and clamped disk 5 is sufficiently clamped with fluid cell 6, the possessed by clamping disk 5 One protrusion 531 acts on the inner surface that the second protrusion 61 possessed by the outer surface of body wall 3, fluid cell 6 acts on body wall 3, prevents Only body wall 3 is shifted relative to guide wire 2;After hydrops guides, from fluid interface 21 by the stream in fluid channel and fluid cell 6 Body extraction, then guide wire 2 is transferred in a manner of transfering to while rotating.
The process lasts for guiding hydrops for a period of time, may be up to a couple of days.Position constantly changes patient during this period, holds The displacement of guide wire 2 is easily led to, the hole held on body wall 3 is as the displacement of guide wire 2 can become loose.Therefore, the original of hydrops leakage Because first consisting in displacement of the guide wire 2 relative to body wall 3.The outer diameter of guide wire 2 be equal to or slightly less than body wall 3, can the two it Between preliminarily form sealing, but tissue does not have rigidity so that the internal diameter in the hole that body wall 3 is opened can not be consistent everywhere, The channel of hydrops leakage can be gradually formed, therefore, guide wire 2 and body can be promoted using bulge loop 221 under the premise of preventing displacement Sealing effect between wall 3, to further prevent hydrops to leak.
The present invention is matched using clamping device and fluid cell 6, common to clamp body wall 3, prevents body wall 3 relative to guide wire 2 displacements.Further, outer surface and/or the fluid cell 6 of body wall 3 are acted on using the first protrusion 531 possessed by clamping disk 5 Possessed second protrusion 61 acts on the inner surface of body wall 3, and body wall 3 is further prevented to shift relative to guide wire 2.Again into one Step ground is formed effectively sealing between guide wire 2 and body wall 3 using bulge loop 221, prevents hydrops from leaking.

Claims (10)

1. a kind of guiding device, including guide wire, which is characterized in that the guiding device further comprises clamping device and fluid Capsule;The fluid cell is located at the lower section of the clamping device;The clamping device includes handle and clamping disk, the clamping disk set Set on the guide wire and can the relatively described guide wire move up and down, the handle and the clamping disk are pivotally Connection;The fluid cell is attached to the outer surface of the guide wire;The guide wire includes fluid channel, the fluid channel One end is fluid interface, and the other end is connected to the fluid cell.
2. guiding device as described in claim 1, which is characterized in that the handle includes pivotal axis and protrusion, the pivot Axis with the clamping disk for being pivotally connected, and the protrusion after handle pivot rotation for supporting described lead Skirt.
3. guiding device as described in claim 1, which is characterized in that the clamping disk is substantially in truncated cone shape, along central shaft Line is provided with through-hole, and the clamping disk includes upper surface and lower end surface, and the lower end surface with the outer surface of body wall for abutting, institute The area for stating upper surface is less than the area of the lower end surface.
4. guiding device as described in claim 1, which is characterized in that the clamping disk includes supporting for the outer surface with body wall The surface connect, the surface are provided with the first protrusion.
5. guiding device as claimed in claim 4, which is characterized in that first protrusion is dot bulge or strip bulge.
6. such as claim 4,5 described in any item guiding devices, which is characterized in that the first protrusion in a row distribution, it is adjacent Two rows of first protrusions mutually stagger.
7. guiding device as described in claim 1, which is characterized in that the top of the outer surface of the fluid cell is provided with second Protrusion.
8. guiding device as claimed in claim 7, which is characterized in that second protrusion is dot bulge or strip bulge.
9. such as claim 7,8 described in any item guiding devices, which is characterized in that the second protrusion in a row distribution, it is adjacent Two rows of second protrusions are mutually staggered or are not staggered.
10. guiding device as described in claim 1, which is characterized in that the outer surface of the guide wire is provided with multiple bulge loops, Each bulge loop along the guide wire circumferentially extending and form closed annular, multiple bulge loops are parallel to each other.
CN201910602442.6A 2019-07-04 2019-07-04 A kind of guiding device Pending CN110404149A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201910602442.6A CN110404149A (en) 2019-07-04 2019-07-04 A kind of guiding device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201910602442.6A CN110404149A (en) 2019-07-04 2019-07-04 A kind of guiding device

Publications (1)

Publication Number Publication Date
CN110404149A true CN110404149A (en) 2019-11-05

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Family Applications (1)

Application Number Title Priority Date Filing Date
CN201910602442.6A Pending CN110404149A (en) 2019-07-04 2019-07-04 A kind of guiding device

Country Status (1)

Country Link
CN (1) CN110404149A (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP4100093A4 (en) * 2020-02-04 2024-03-13 Dignity Health Systems and methods for a catheter stabilization and occluder apparatus

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP4100093A4 (en) * 2020-02-04 2024-03-13 Dignity Health Systems and methods for a catheter stabilization and occluder apparatus

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