CN110537944A - Aorta wall perforating device - Google Patents
Aorta wall perforating device Download PDFInfo
- Publication number
- CN110537944A CN110537944A CN201910860121.6A CN201910860121A CN110537944A CN 110537944 A CN110537944 A CN 110537944A CN 201910860121 A CN201910860121 A CN 201910860121A CN 110537944 A CN110537944 A CN 110537944A
- Authority
- CN
- China
- Prior art keywords
- push rod
- sleeve pipe
- filling
- push
- sleeve
- 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
Links
- 210000000709 aorta Anatomy 0.000 title claims description 12
- 230000007246 mechanism Effects 0.000 claims description 9
- 239000000463 material Substances 0.000 abstract description 4
- 239000002184 metal Substances 0.000 abstract description 3
- 230000004048 modification Effects 0.000 description 4
- 238000012986 modification Methods 0.000 description 4
- 238000004080 punching Methods 0.000 description 3
- 230000003872 anastomosis Effects 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 230000000007 visual effect Effects 0.000 description 2
- 208000032843 Hemorrhage Diseases 0.000 description 1
- 230000001154 acute effect Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000002146 bilateral effect Effects 0.000 description 1
- 208000034158 bleeding Diseases 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 239000011229 interlayer Substances 0.000 description 1
- 230000001788 irregular Effects 0.000 description 1
- 238000002360 preparation method Methods 0.000 description 1
- 230000001737 promoting effect Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 210000003752 saphenous vein Anatomy 0.000 description 1
- 210000001562 sternum Anatomy 0.000 description 1
- 210000000779 thoracic wall Anatomy 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
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00238—Type of minimally invasive operation
- A61B2017/00243—Type of minimally invasive operation cardiac
- A61B2017/00247—Making holes in the wall of the heart, e.g. laser Myocardial revascularization
Abstract
The embodiment of the invention discloses an aortic wall perforating device, and relates to the technical field of medical instruments. Including filling storehouse, hole puncher, push rod sleeve pipe and push rod shaft, push rod sleeve pipe is the arc, and push rod sleeve pipe's one end is connected the one end of filling the storehouse, and push rod shaft's one end passes push rod sleeve pipe and stretches into in the filling storehouse by push rod sleeve pipe's the other end, and the hole puncher setting is in filling the storehouse and is stretched out from the other end of filling the storehouse, the filling storehouse is the components of a whole that can function independently structure. According to the embodiment of the invention, the puncher is filled in the filling bin, and then the operation is carried out by utilizing the bent push rod sleeve and the push rod shaft, so that the operation angle is improved, the device is suitable for remote operation, the operation is more convenient, and the success rate is higher. The filling bin provided by the embodiment of the invention is of a split structure, so that the use cost can be reduced, the hole puncher is designed into a filling mode, the hole puncher is disposable consumable, and the holding rod is made of medical metal and other materials and can be used repeatedly.
Description
Technical Field
The embodiment of the invention relates to the technical field of medical instruments, in particular to an aortic wall perforating device.
Background
In most cases, the coronary bypass surgery needs to perform the end-to-side anastomosis of the great saphenous vein bridge with the side wall of the ascending aorta. A hole with a corresponding size needs to be punched on the aorta wall by a puncher for anastomosis. The existing puncher adopts a straight rod type design, and is convenient to use when the conventional bypass grafting is carried out through a sternum median incision. The minimally invasive coronary bypass surgery performed through a small incision on the lateral chest wall is a new surgical type developed in recent years, and is beneficial to recovery of patients due to small wound. However, due to the small incision, limited visual field, long operation distance and other reasons, the minimally invasive bypass bridge has different technical difficulties, operation procedures and the like from the conventional CABG due to the change of the visual angle and the operation angle of an operator.
The existing straight-bar type puncher has two defects when in minimally invasive bridging use: firstly, the operation angle is not proper, so that the puncher cannot vertically cut the aorta wall, the risk of bleeding of an anastomotic stoma and even acute interlayer of the aorta wall due to irregular cutting is increased, the difficulty and risk of inserting the puncher head into the incision of the aorta wall are increased, and the operation is inconvenient; secondly, the whole puncher is disposable consumptive material, and use cost is high.
Disclosure of Invention
Therefore, the embodiment of the invention provides an aortic wall punching device, which is used for solving the problems of improper operation angle, inconvenient operation and high use cost of a puncher in the prior art.
In order to achieve the above object, the embodiments of the present invention provide the following technical solutions:
According to the first aspect of the embodiment of the invention, the aorta wall punching device comprises a filling bin, a puncher, a push rod sleeve and a push rod shaft, wherein the push rod sleeve is arc-shaped, one end of the push rod sleeve is connected with one end of the filling bin, one end of the push rod shaft penetrates through the push rod sleeve from the other end of the push rod sleeve and extends into the filling bin, the puncher is arranged in the filling bin and extends out from the other end of the filling bin, and the filling bin is of a split structure.
Further, the loading bin comprises a first bin body and a second bin body, one end of the first bin body is connected and communicated with one end of the push rod sleeve, one end of the second bin body is detachably connected with the other end of the first bin body, and the other end of the second bin body is provided with a through hole for the puncher to pass through.
Further, one end of the second bin body is in threaded connection with the other end of the first bin body.
furthermore, the two sides of the push rod sleeve are symmetrically provided with fixed wings.
Further, the hole puncher include outer tube, interior sleeve pipe, well core rod and push away the handle, interior sleeve pipe slides and sets up at outer tube inboard, the one end that pushes away the handle stretches into outer tube and is connected with interior sheathed tube one end, interior sleeve pipe with push away to be equipped with between the handle and promote to push away the spring that the handle removed to keeping away from outer tube one side, well core rod's one end is equipped with the tool bit that stretches out the loading storehouse, well core rod's the other end with push away the handle and be connected.
furthermore, the other end of the central rod is connected with the push handle through a connecting pin, the push handle is provided with a guide groove arranged along the axis of the push handle, the outer sleeve is provided with a positioning hole, and the connecting pin sequentially penetrates through the positioning hole of the outer sleeve and the guide groove of the push handle and then is fixedly connected with the push rod shaft.
Furthermore, a rotary guide mechanism is arranged between the outer sleeve and the inner sleeve, and the rotary guide mechanism pushes the inner sleeve to rotate while sliding along the axial direction of the outer sleeve.
Furthermore, the rotary guide mechanism comprises a first convex edge and a second convex edge, the first convex edge is arranged on the inner wall of the outer sleeve, the second convex edge is arranged on the outer wall of the inner sleeve, and the second convex edge is provided with an inclined plane matched with the first convex edge.
The embodiment of the invention has the following advantages:
According to the embodiment of the invention, the puncher is filled in the filling bin, and then the operation is carried out by utilizing the bent push rod sleeve and the push rod shaft, so that the operation angle is improved, the device is suitable for remote operation, the operation is more convenient, and the success rate is higher. The filling bin provided by the embodiment of the invention is of a split structure, so that the use cost can be reduced, the hole puncher is designed into a filling mode, the hole puncher is disposable consumable, and the holding rod is made of medical metal and other materials and can be used repeatedly.
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. It should be apparent that the drawings in the following description are merely exemplary, and that other embodiments can be derived from the drawings provided by those of ordinary skill in the art without inventive effort.
The structures, ratios, sizes, and the like shown in the present specification are only used for matching with the contents disclosed in the specification, so that those skilled in the art can understand and read the present invention, and do not limit the conditions for implementing the present invention, so that the present invention has no technical significance, and any structural modifications, changes in the ratio relationship, or adjustments of the sizes, without affecting the functions and purposes of the present invention, should still fall within the scope of the present invention.
Fig. 1 is a schematic view of an aortic wall perforation apparatus provided in embodiment 1 of the present invention;
FIG. 2 is a schematic structural view of a loading bin according to embodiment 1 of the present invention;
FIG. 3 is a schematic structural diagram of a hole puncher in embodiment 1 of the present invention;
FIG. 4 is a schematic diagram of an exploded structure of a punch according to example 1 of the present invention;
In the figure: 1-a filling bin 2-a push rod sleeve 3-a push rod shaft 4-a fixed wing 5-a hole puncher 101-a first bin body 102-a second bin body 501-an outer sleeve 502-an inner sleeve 503-a central rod 504-a push handle 505-a cutter head 506-a spring 507-a connecting pin 508-a first convex edge 509-a second convex edge 510-a positioning hole 511-a guide groove.
Detailed Description
The present invention is described in terms of particular embodiments, other advantages and features of the invention will become apparent to those skilled in the art from the following disclosure, and it is to be understood that the described embodiments are merely exemplary of the invention and that it is not intended to limit the invention to the particular embodiments disclosed. 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 present specification, the terms "upper", "lower", "left", "right", "middle", and the like are used for clarity of description, and are not intended to limit the scope of the present invention, and changes or modifications in the relative relationship may be made without substantial changes in the technical content.
referring to fig. 1-2, this aorta wall perforating device is including loading storehouse 1, hole puncher 5, push rod sleeve pipe 2 and push rod shaft 3, push rod sleeve pipe 2 is the arc, and the one end of push rod sleeve pipe 2 is connected the one end of loading storehouse 1, and push rod shaft 3's one end is passed push rod sleeve pipe 2 and is stretched into in loading storehouse 1 by push rod sleeve pipe 2's the other end, and hole puncher 5 sets up and stretches out from the other end of loading storehouse 1 in loading storehouse 1, and loading storehouse 1 is the components of a whole that can function independently structure, and push rod sleeve pipe 2 bilateral symmetry is equipped with stationary vane 4 to grip push rod sleeve pipe 2 when promoting push rod shaft 3.
The filling bin 1 comprises a first bin body 101 and a second bin body 102, one end of the first bin body 101 is connected and communicated with one end of the push rod sleeve 2, one end of the second bin body 102 is in threaded connection with the other end of the first bin body 101, and the other end of the second bin body 102 is provided with a through hole for the puncher 5 to pass through.
Referring to fig. 3 to 4, the hole puncher 5 comprises an outer sleeve 501, an inner sleeve 502, a central rod 503 and a push handle 504, wherein the inner sleeve 502 is slidably arranged on the inner side of the outer sleeve 501, one end of the push handle 504 extends into the outer sleeve and is connected with one end of the inner sleeve 502, a spring 506 for pushing the push handle 504 to move towards one side far away from the outer sleeve 501 is arranged between the inner sleeve 502 and the push handle 504, one end of the central rod 503 is provided with a cutter head 505 extending out of the filling bin 1, and the other end of the central rod 503 is connected with the push handle.
The other end of the center rod 503 is connected with the push handle 504 through a connecting pin 507, the push handle 504 is provided with a guide groove 511 arranged along the axis thereof, the outer sleeve 501 is provided with a positioning hole 510, and the connecting pin 507 is fixedly connected with the push rod shaft 3 after sequentially passing through the positioning hole 510 of the outer sleeve 501 and the guide groove 511 of the push handle 504.
A rotary guide mechanism is provided between the outer tube 501 and the inner tube 502, and the rotary guide mechanism pushes the inner tube 502 to rotate while sliding in the axial direction of the outer tube 501. Specifically, the rotary guide mechanism includes a first protrusion edge 508 and a second protrusion edge 509, the first protrusion edge 508 is disposed on the inner wall of the outer sleeve 501, the second protrusion edge 509 is disposed on the outer wall of the inner sleeve 502, and the second protrusion edge 509 has an inclined surface that is matched with the first protrusion edge 508.
When punching, at first utilize a sharp ware to open a osculum in waiting to punch the position, then utilize push rod sleeve pipe 2 and loading bin 1 with punch 5 as for waiting to punch the position, tool bit 505 passes the osculum, push away handle 504 through push rod shaft 3 promotion punch 5, push away handle 504 and then promote interior sleeve pipe 502 and remove to tool bit 505 direction, take place rotatoryly under first protruding arris 508 and the protruding arris 509 effect in inner sleeve pipe 502 axial displacement, relative rotation takes place for the in-process that can contact at inner sleeve pipe 502 with tool bit 505 like this, and then the work of completion preparation round hole on the aorta wall that can be better.
according to the embodiment of the invention, the hole puncher 5 is filled in the filling bin 1, and then the bent push rod sleeve 2 and the push rod shaft 3 are used for operation, so that the operation angle is improved, the device is suitable for remote operation, the operation is more convenient, and the success rate is higher. In addition, the filling bin 1 of the embodiment of the invention is of a split structure, the use cost can be reduced, the hole puncher 5 is designed into a filling mode, the hole puncher 5 is disposable consumables, and the holding rod is made of medical metal and other materials and can be used repeatedly.
Although the invention has been described in detail above with reference to a general description and specific examples, it will be apparent to one skilled in the art that modifications or improvements may be made thereto based on the invention. Accordingly, such modifications and improvements are intended to be within the scope of the invention as claimed.
Claims (8)
1. The utility model provides an aorta wall perforating device which characterized in that: aorta wall perforating device including filling storehouse (1), hole puncher (5), push rod sleeve pipe (2) and push rod axle (3), push rod sleeve pipe (2) are the arc, the one end of filling storehouse (1) is connected to the one end of push rod sleeve pipe (2), the one end of push rod axle (3) is passed push rod sleeve pipe (2) and is stretched into filling storehouse (1) by the other end of push rod sleeve pipe (2), hole puncher (5) set up in filling storehouse (1) and stretch out from the other end of filling storehouse (1), filling storehouse (1) is the components of a whole that can function independently structure.
2. The aortic wall perforation apparatus as set forth in claim 1, wherein: the filling bin (1) comprises a first bin body (101) and a second bin body (102), one end of the first bin body (101) is connected and communicated with one end of the push rod sleeve (2), one end of the second bin body (102) is detachably connected with the other end of the first bin body (101), and the other end of the second bin body (102) is provided with a through hole for the puncher (5) to pass through.
3. The aortic wall perforation apparatus as set forth in claim 2, wherein: one end of the second cabin body (102) is in threaded connection with the other end of the first cabin body (101).
4. The aortic wall perforation apparatus as set forth in claim 1, wherein: the two sides of the push rod sleeve (2) are symmetrically provided with fixed wings (4).
5. The aortic wall perforation apparatus as set forth in claim 1, wherein: hole puncher (5) include outer tube (501), interior sleeve pipe (502), well core rod (503) and push away handle (504), interior sleeve pipe (502) slide to set up at outer tube (501) inboard, the one end that pushes away handle (504) stretches into outer tube cover and is connected with the one end of interior sleeve pipe (502), be equipped with between interior sleeve pipe (502) and the push away handle (504) and promote to push away handle (504) to keeping away from spring (506) that outer tube (501) one side removed, the one end of well core rod (503) is equipped with tool bit (505) that stretches out filling storehouse (1), the other end and the push away handle (504) of well core rod (503) are connected.
6. The aortic wall perforation apparatus as set forth in claim 5, wherein: the other end of the central rod (503) is connected with the push handle (504) through a connecting pin (507), a guide groove (511) arranged along the axis of the push handle (504) is formed in the push handle, a positioning hole (510) is formed in the outer sleeve (501), and the connecting pin (507) sequentially penetrates through the positioning hole (510) of the outer sleeve (501) and the guide groove (511) of the push handle (504) and then is fixedly connected with the push rod shaft (3).
7. The aortic wall perforation apparatus as set forth in claim 5, wherein: a rotary guide mechanism is arranged between the outer sleeve (501) and the inner sleeve (502), and the rotary guide mechanism pushes the inner sleeve (502) to rotate while sliding along the axial direction of the outer sleeve (501).
8. The aortic wall perforation apparatus as set forth in claim 7, wherein: the rotary guide mechanism comprises a first protruding edge (508) and a second protruding edge (509), the first protruding edge (508) is arranged on the inner wall of the outer sleeve (501), the second protruding edge (509) is arranged on the outer wall of the inner sleeve (502), and the second protruding edge (509) is provided with an inclined surface matched with the first protruding edge (508).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910860121.6A CN110537944A (en) | 2019-09-11 | 2019-09-11 | Aorta wall perforating device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910860121.6A CN110537944A (en) | 2019-09-11 | 2019-09-11 | Aorta wall perforating device |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN110537944A true CN110537944A (en) | 2019-12-06 |
Family
ID=68713313
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201910860121.6A Pending CN110537944A (en) | 2019-09-11 | 2019-09-11 | Aorta wall perforating device |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN110537944A (en) |
Citations (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6176867B1 (en) * | 1999-05-03 | 2001-01-23 | John T. M. Wright | Multi-size reusable aortic punch |
| CN1599579A (en) * | 2001-10-05 | 2005-03-23 | 金齐姆公司 | Surgical punch device |
| CN204600595U (en) * | 2015-05-07 | 2015-09-02 | 唐朝阳 | The vertebral body card punch improved |
| CN106821452A (en) * | 2017-02-22 | 2017-06-13 | 四川大学华西医院 | A kind of bone arcuate socket card punch |
| US20180103975A1 (en) * | 2016-10-14 | 2018-04-19 | Medline Industries, Inc. | Aortic Punch |
| CN108514441A (en) * | 2018-04-28 | 2018-09-11 | 美茵（北京）医疗器械研发有限公司 | A kind of blood vessel punching component and card punch |
| CN208677514U (en) * | 2017-09-27 | 2019-04-02 | 常州市海达医疗器械有限公司 | Disposable blood vessel punch |
| CN208709998U (en) * | 2018-04-23 | 2019-04-09 | 美茵（北京）医疗器械研发有限公司 | A kind of punch extended control device and blood vessel punch |
| CN208709995U (en) * | 2018-02-08 | 2019-04-09 | 南昌元合泽众科技有限公司 | A kind of reusable ultrasonic surgical blade |
| CN210843213U (en) * | 2019-09-11 | 2020-06-26 | 梁林 | Aorta wall perforating device |
-
2019
- 2019-09-11 CN CN201910860121.6A patent/CN110537944A/en active Pending
Patent Citations (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6176867B1 (en) * | 1999-05-03 | 2001-01-23 | John T. M. Wright | Multi-size reusable aortic punch |
| CN1599579A (en) * | 2001-10-05 | 2005-03-23 | 金齐姆公司 | Surgical punch device |
| CN204600595U (en) * | 2015-05-07 | 2015-09-02 | 唐朝阳 | The vertebral body card punch improved |
| US20180103975A1 (en) * | 2016-10-14 | 2018-04-19 | Medline Industries, Inc. | Aortic Punch |
| CN106821452A (en) * | 2017-02-22 | 2017-06-13 | 四川大学华西医院 | A kind of bone arcuate socket card punch |
| CN208677514U (en) * | 2017-09-27 | 2019-04-02 | 常州市海达医疗器械有限公司 | Disposable blood vessel punch |
| CN208709995U (en) * | 2018-02-08 | 2019-04-09 | 南昌元合泽众科技有限公司 | A kind of reusable ultrasonic surgical blade |
| CN208709998U (en) * | 2018-04-23 | 2019-04-09 | 美茵（北京）医疗器械研发有限公司 | A kind of punch extended control device and blood vessel punch |
| CN108514441A (en) * | 2018-04-28 | 2018-09-11 | 美茵（北京）医疗器械研发有限公司 | A kind of blood vessel punching component and card punch |
| CN210843213U (en) * | 2019-09-11 | 2020-06-26 | 梁林 | Aorta wall perforating device |
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Effective date of registration: 20210430 Address after: 2 anzhen Road, Chaoyang District, Beijing Applicant after: BEIJING ANZHEN HOSPITAL AFFILIATED TO CAPITAL MEDICAL University Address before: 100029 area a, Department of Cardiology, Beijing Anzhen Hospital, Chaoyang District, Beijing Applicant before: Liang Lin |