CN110575602B - Fixed storage device of pipe and seal wire for operation is intervene to blood vessel of brain - Google Patents

Abstract

The invention discloses a catheter and guide wire fixing and containing device for cerebrovascular intervention surgery, which comprises a fixing component for fixing a joint part required in the surgery and a containing component for containing a guide wire, wherein the fixing component comprises two fixing clamps and a connecting rod for connecting the two fixing clamps, the containing component comprises a base arranged at the tail end of an operating table and a plurality of open containing boxes arranged on the base, each two containing boxes are mutually connected through a hinge and are opened and closed through one side far away from the hinge, a containing nozzle is arranged on one side of each containing box, a wetting layer is arranged at the containing nozzle, a guide partition plate is arranged in each containing box, the guide partition plate is connected with the containing nozzle to form a containing cavity, the device can fix each junction effectively and prevent that the tail end of seal wire from droing to reduce operating room medical personnel's quantity, with the quantity that reduces the personnel that receive the radiation.

Description

Fixed storage device of pipe and seal wire for operation is intervene to blood vessel of brain

Technical Field

The invention relates to the technical field of medical instruments, in particular to a catheter and a guide wire fixing and containing device for a cerebral vascular interventional operation.

Background

When a cerebrovascular vessel intervention operation is performed on a cerebrovascular vessel patient, a very long catheter needs to be inserted into a human body, the length of an area for placing surgical instruments on an operating table is 100 plus 150cm, the length of a guide wire is long, generally 150 plus 300cm, and the lengths are different, because the guide wire is very long, interventional operation equipment is placed on the operating table, the movable space length is only the distance from an operation puncture point to the tail end of the operating table, the length is limited, the operating table is narrow, no blocking structures are arranged on two sides, a micro guide wire and a micro catheter, particularly the tail end of the micro guide wire is very easy to go deep into a pollution area outside the operating table from the operating table, even slide to the ground, the infection risk is increased, expensive operation consumables are wasted, the economic burden of the patient is increased, and in the conventional working process, after the application of the micro guide wire is finished, an assistant often, The labor is wasted, and the phenomena of pollution and falling off are still difficult to avoid; furthermore, in the operation process, the catheter is sometimes required to be fixed and cannot be separated from the catheter to move, but due to the outward tension applied to the catheter and the guide wire in the bent blood vessel and the push-pull action of the catheter in the operation process, the relevant catheter and guide wire are easy to separate and move outwards at the joint of the arterial sheath or the medical Y-shaped valve at the tail end of the catheter, so that the incidence of operation complications and failures is increased, an assistant is often required to firmly pinch the front section and the rear section close to a certain joint with two fingers to fix the catheter or the guide wire at a certain position, the manpower is increased, the operation area is occupied, and the number of people receiving X-ray radiation is increased.

Although devices for securing catheters are known in the art, such as the following patent documents: both patent documents provide a catheter fixing device for fixing a catheter, which can avoid the pushing and pulling action on the catheter during the operation, but the joint of the catheter and an arterial sheath may still slide to a small extent due to the outward tension of the catheter and a guide wire in a bent blood vessel during the operation, and the joint of the catheter and the terminal of the catheter is not researched too much in the prior art.

Disclosure of Invention

The invention provides a catheter and a guide wire fixing and containing device for cerebrovascular intervention operation, aiming at solving the problems of connection parts and tail end falling off of the catheter and the guide wire in the operation process, and the catheter and the guide wire fixing and containing device can effectively fix the connection parts of an arterial sheath and the catheter, the connection parts of a micro catheter and a first medical Y valve, the connection parts of a second medical Y valve and the guide wire and the like, prevent the tail end of the guide wire from falling off, reduce the number of medical staff in an operating room and reduce the number of radiated staff.

The technical scheme adopted by the invention for solving the technical problems is as follows: a catheter and a guide wire fixing and containing device for cerebrovascular intervention operations are disclosed, wherein an arterial sheath extends into a patient, one end of the catheter extends into the arterial sheath, the other end of the catheter is connected with a first medical Y valve, the head end of a micro-catheter extends into the human body through the first medical Y valve, the tail end of the micro-catheter is connected with the guide wire through a second medical Y valve, the fixing and containing device comprises a connecting part of the arterial sheath and the catheter, a connecting part of the micro-catheter and the first medical Y valve, and a connecting part of the second medical Y valve and the guide wire, which are respectively fixed, and a containing component for containing the guide wire, the fixing component comprises two fixing clamps and a connecting rod for connecting the two fixing clamps, the connecting rod consists of an adjusting nut and two supporting rods, one ends of the supporting rods are connected with the fixing clamps, the other ends of the supporting rods are provided with external threads, and the; accomodate the subassembly including setting up the base at the operating table tail end, be equipped with a plurality of open receivers by supreme the folding down on the base, be equipped with the top cap on the top receiver, two adjacent receivers pass through the hinge and articulate together, one side skew central point of receiver puts and is equipped with loudspeaker form and accomodates the mouth, it stretches into inside the receiver to accomodate the mouth tip, the other end is equipped with can be with the moist layer of seal wire, the inside guide baffle that does benefit to the seal wire and accomodate that is equipped with of receiver, guide baffle is the annular slab that has the breach, the breach department of annular slab links to each other with the mouth tip of accomoda.

The catheter and the guide wire fixing and containing device for the cerebrovascular interventional operation are further optimized as follows: the fixing clamp for fixing the artery sheath and the catheter comprises an artery sheath clamp and a catheter clamp which are different in width, wherein the width of the artery sheath clamp is smaller than that of the catheter clamp; the fixing clamp for fixing the first medical Y valve and the micro catheter comprises two same universal clamps; a fixation clamp for fixing medical Y valve of second and seal wire includes that the Y valve fixation clamp of semicircular groove is all seted up to seal wire fixation clamp and two clamping parts.

The catheter and the guide wire fixing and containing device for the cerebrovascular interventional operation are further optimized as follows: elastic rope belts for fixing the base on an operating table are symmetrically arranged on two sides of the base, hooks are arranged at two ends of each elastic rope belt, and hanging buckles corresponding to the hooks are arranged on the base.

The catheter and the guide wire fixing and containing device for the cerebrovascular interventional operation are further optimized as follows: the spiral guide disc is arranged inside the containing cavity.

The catheter and the guide wire fixing and containing device for the cerebrovascular interventional operation are further optimized as follows: the spiral guide disc is detachably connected with the guide partition plate through a baffle arranged at the end part of the spiral guide disc and a clamping groove arranged on the guide partition plate.

The catheter and the guide wire fixing and containing device for the cerebrovascular interventional operation are further optimized as follows: the tip of the receiving nozzle is fixedly connected with one end of an annular soft plug with a hollow inner part to form an integral structure, and the other end of the annular soft plug is exposed in the receiving cavity.

The catheter and the guide wire fixing and containing device for the cerebrovascular interventional operation are further optimized as follows: one side of the bottom surface of each storage box, which is far away from the hinge, is provided with a handle for opening the lower storage box, and the handle and the bottom surface are fixedly connected into a whole.

The catheter and the guide wire fixing and containing device for the cerebrovascular interventional operation are further optimized as follows: the clamping position of the inner side of the fixing clamp of the fixing component is provided with an anti-pressing layer made of elastic materials.

Compared with the prior art, the invention has the following beneficial effects:

1) the fixing component and the containing component are used as auxiliary instruments for cerebrovascular interventional surgery, the phenomenon that the tail end of the guide wire falls off is avoided during the operation, the infection risk and the economic burden of a patient are reduced, meanwhile, the fixing component can be used when the catheter or the guide wire is fixed according to the operation condition, the fixing component is simple and convenient, the operation time can be effectively saved, and great convenience is provided for the operation;

2) the fixing assembly is used for replacing medical staff to fix the joint, so that the labor is reduced, the operation space of the operation is enlarged, and the potential safety hazard is reduced;

3) the guide wire is stored by the storage assembly, when the guide wire storage assembly is used, the guide wire is directly extracted for use, and when the guide wire storage assembly is not used, the guide wire is conveyed into the storage box, so that the guide wire is prevented from falling off, an assistant is not needed, manpower is reduced, the number of medical staff in an operating room is reduced, and the number of radiated staff is reduced;

4) according to the invention, the wetting layer is arranged at the containing mouth of the containing box, so that the hydrophilic coating on the outer side of the guide wire is wet and smooth, the occurrence of dry and dry conditions in the use process of the guide wire is avoided, and the guide wire is more convenient to enter and withdraw from a human body; meanwhile, blood clots attached to the guide wire taken out of the human body are erased, and complications such as blood vessel blockage, embolism and the like caused by the blood clots entering the human body again are avoided;

5) the fixing component of the invention uses the connecting rod which can be adjusted to adjust the distance between the two fixing clamps, and uses different fixing clamps at different connecting positions according to specific conditions, so that the fixing component is suitable for the diameter change of the fixing positions at different connecting positions; the inner side of the fixing clamp is provided with the elastic anti-pressing layer to simulate the skin of a human body, so that the connecting part can be fixed, and unnecessary damage or influences such as extrusion and deformation on a conduit clamped by the fixing clamp can be avoided;

6) according to the invention, the annular soft plug is arranged at the tip part of the containing nozzle, the guide wire sleeve with the guide wire can be directly sleeved on the outer side of the annular soft plug, so that the guide wire is more convenient in the extraction process, and the guide wire can be directly retracted into the guide wire sleeve in the containing process, so that the problems of knotting, winding and the like of the guide wire in the containing process are avoided.

Drawings

FIG. 1 is a schematic structural view of a fixing assembly in a use state;

FIG. 2 is a structural diagram illustrating a usage state of the receiving assembly;

FIG. 3 is a schematic structural view of a fixing assembly;

FIG. 4 is a schematic structural view of a connecting rod;

FIG. 5 is a schematic view of a retaining clip for securing an arterial sheath to a catheter;

FIG. 6 is a schematic view of a retaining clip for retaining the first medical Y-valve to the microcatheter;

fig. 7 is a schematic structural view of a fixing clip for fixing the second medical Y valve and the guide wire;

FIG. 8 is a schematic view of the structure of the Y-valve retainer clip;

FIG. 9 is a side view of the receiving assembly;

FIG. 10 is a front view of the receiving assembly;

FIG. 11 is a schematic view of the internal structure of the receiving assembly;

FIG. 12 is a schematic structural view of example 5;

FIG. 13 is an enlarged view of area A of FIG. 12;

FIG. 14 is a schematic structural view of example 6;

the labels in the figure are: 1. the fixing component comprises a fixing component 101, a fixing clamp 1011, an arterial sheath clamp 1012, a catheter clamp 1013, a universal clamp 1014, a guide wire fixing clamp 1015, a Y valve fixing clamp 1016, a semicircular groove 102, a connecting rod 1021, a connecting support rod 1022, an adjusting nut 103, a pressure-proof layer 2, a containing component 201, a base 202, a containing box 203, a containing nozzle 204, a guide clapboard 205, a containing cavity 206, a wetting layer 207, an annular soft plug 208, a spiral guide disc 2081, a baffle 2082, a clamping groove 3, a hinge 4, a handle 5, an elastic rope belt 501, a hook 502, a hanging buckle 6, an arterial sheath 7, a catheter 8, a first medical Y valve 9, a micro catheter 10, a second medical Y valve 11 and a guide wire.

Detailed Description

The invention is further illustrated below with reference to specific examples.

The catheter and guide wire housed in the housing assembly 2 according to the present invention includes all of various catheters and guide wires including a microcatheter and a microcatheter used in a surgical procedure.

Example 1

A catheter and guide wire fixing and containing device for cerebrovascular intervention operation is disclosed, as shown in figure 1, an arterial sheath 6 extends into a patient, one end of a catheter 7 extends into the arterial sheath 6, the other end is connected with a first medical Y valve 8, the head end of a micro-catheter 9 extends into the human body through the first medical Y valve 8, the tail end of the micro-catheter 9 is connected with a guide wire 11 through a second medical Y valve 10, the fixing and containing device comprises a fixing component 1 and a containing component 2, wherein the fixing component 1 is used for fixing the joint of the arterial sheath 6 and the catheter 7, the joint of the micro-catheter 9 and the first medical Y valve 8, the joint of the second medical Y valve 10 and the guide wire 11 respectively, as shown in figure 3, the fixing component 1 comprises two fixing clamps 101 and a connecting rod 102, the connecting rod 102 is composed of an adjusting nut 1022 and two support rods 1021, as shown in figure 4, one end of each support rod 1021 is connected with the fixing clamp 101, the other end is provided with external threads, and the threaded ends of the two supporting rods 1021 are respectively screwed at the two ends of the adjusting nut 1022; the containing assembly 2 comprises a base 201 arranged at the tail end of an operating table, a plurality of open containing boxes 202 are overlapped on the base 201 from bottom to top, a top cover is arranged on the uppermost containing box 202, two adjacent containing boxes 202 are hinged together through a hinge 3 and are opened and closed through one side far away from the hinge 3, a hinge shaft on the hinge 3 is positioned between the upper and lower containing boxes 202, two hinge sheets are respectively fixed with the side surfaces of the upper and lower containing boxes 202, the hinges 3 between every two storage boxes can be arranged on the same side or other sides, one side of each storage box 202 is provided with a horn-shaped storage mouth 203 at a position deviating from the center, as shown in fig. 10 and 11, the tip of the receiving nozzle 203 extends into the receiving box 202, a guide partition 204 facilitating the receiving of the guide wire 11 is arranged in the receiving box 202, the guide partition 204 is a ring-shaped plate with a notch, and the notch of the ring-shaped plate is connected with the tip of the receiving nozzle 203 to form a receiving cavity 205.

Because the outer side of the guide wire 11 is provided with the hydrophilic coating, the human body can be more conveniently entered and exited when the guide wire is wet, therefore, in order to avoid the outer side of the guide wire 11 from being dry, the wet layer 206 for wetting the guide wire 11 can be arranged at the position of the containing mouth 203, the wet layer 206 can be made of medical gauze, medical cotton and other materials with better water absorption performance, so as to achieve the wetting effect, and the head of the guide wire 11 is exposed to be convenient for the extraction of the guide wire 11; when the guide wire 11 is pumped on the wetting layer 206, the humidifying and lubricating functions can be achieved, and when the guide wire 11 is pumped out from the human body, blood clots attached to the guide wire 11 can be erased while the guide wire 11 is stored, so that the blood clots can be prevented from entering the human body to cause complications such as blood vessel blockage and embolism, and potential safety hazards are reduced.

The base 201 has a weight to prevent the cassette 2 from moving when the guide wire is pulled.

In the operation process, need fix each junction under the specific condition, can be quick fix required fixed department in time through using fixed subassembly 1, do not need medical personnel to carry out manual solid top, and accomodate the tail end of subassembly 2 setting at the operating table, and the distance between the position of patient's operation puncture point has about 1 meter in the operation process, the regional length that the operating table can supply to place surgical instruments is 100 plus one's charge of 150cm, and the pipe is mostly 150cm commonly used in the operation process, the seal wire is mostly 150 plus one's charge of 300cm length and varies, can effectually avoid the terminal region outside the operating table that drops of seal wire, the infection risk and the economic burden of patient have been reduced, for the operation provides convenience. The width of the storage component 2 is 50-70cm, the width is consistent with the width of the operating table or slightly smaller than the width of the operating table, the height is 5-10cm, the storage component can be conveniently placed at the tail end of the operating table for operation, and the operation equipment at the tail end of the operating table cannot be affected.

Example 2

This example is a further optimization of example 1: since the portion of the artery sheath 6 that can be clamped is narrow, and the clamping width of the clamping portion is wider, the better the fixing effect is, therefore, in order to make the fixing clip 101 suitable for two clamping portions with different diameters, the fixing clip 101 can be set into three types, namely: the retaining clip 101 for securing the arterial sheath 6 to the catheter 7 comprises an arterial sheath clip 1011 and a catheter clip 1012 of different widths, and such that the arterial sheath clip 1014 has a width less than the width of the catheter clip 1015, as shown in fig. 5; the fixing clip 101 for fixing two places, such as the first medical Y-valve 8 and the micro-catheter 9, which are required to be clipped, and have diameters not different from each other, comprises two identical universal clips 1013, as shown in fig. 6; the fixing clip 101 for fixing the two clamping parts such as the second medical Y valve 10 and the guide wire 11 with a larger diameter difference comprises a guide wire fixing clip 1014 and a Y valve fixing clip 1015 with two clamping parts both provided with a semicircular groove 1016, as shown in fig. 7; the diameter of the guide wire 11 is different from the diameter of the main clamping part of the second medical Y valve 10, a semicircular groove 1016 is formed in two clamping parts of the Y valve fixing clamp 1015 for clamping the main of the second medical Y valve 10, so that the fixing clamps 101 of different types can be used at different positions, the use of different fixing clamps 101 can be timely distinguished in the operation process, confusion among the fixing clamps 101 is avoided, and deviation of clamping force when the fixing clamps 101 are used again is caused.

Example 3

This example is a further optimization of example 1: in order to strengthen the stability of receiver 2, be equipped with in the bilateral symmetry of base 201 and fix its elastic rope area 5 on the operating table, as shown in fig. 2 and fig. 9, two elastic rope area 5's both ends all are equipped with couple 501, be equipped with on the base 201 and hang the knot 502 with couple 501 corresponding, the couple 501 of two elastic rope area 5 one end links to each other with the knot 502 of hanging of base 201 both sides respectively, the couple 501 of the other end both can be fixed in the bottom of operating table, can carry out tensile more intensity again so that collude each other between two couples 501 of keeping away from base 201 and fix.

Example 4

This example is a further optimization of example 1: in order to avoid the occurrence of knotting, winding and the like of the guide wire 11 in the coiling process inside the accommodating cavity 205, the spiral guide disc 208 is arranged inside the accommodating cavity 205 to accommodate the guide wire 11 through the spiral guide disc 208, so that the guide wire 11 can be coiled by itself better according to the guidance of the spiral guide disc 208 after entering the accommodating cavity 205, and the mutual winding condition in the coiling process can not occur.

Example 5

This example is a further optimization of example 4: in order to place the spiral guide discs 208 with different specifications according to guide wires 11 with different lengths, the spiral guide discs 208 and the guide partition plate 204 can be detachably connected, as shown in fig. 12, that is, two baffles 2081 are arranged at one end of the spiral guide discs 208, which is connected with the guide partition plate 204, a clamping groove 2082 is obliquely arranged on the guide partition plate 204, the opening direction of the clamping groove 2082 is opposite to the direction of the guide wires 11 entering the spiral guide discs 208, as shown in fig. 13, so that the guide wires 11 do not enter the area outside the spiral guide discs 208, and the position between the two baffles 2081 on the spiral guide discs 208 is placed in the clamping groove 2082, so that the spiral guide discs 208 are not moved randomly in the process of forming the guide wires 11.

Example 6

This example is a further optimization of example 4: in order to enable the guide wire 11 to enter the containing cavity 205 together with the guide wire sleeve to directly extract the guide wire 11 and reduce the operation time, the guide wire sleeve can be placed in the containing cavity 205 instead of the guide disc 208, the tip of the containing mouth 203 extends into the containing box 202 and is fixedly connected with one end of an annular soft plug 207 with a hollow inner part to form an integral structure, the other end of the annular soft plug 207 is exposed in the containing cavity 205 and can be tightly attached to the inner wall of the head end of the guide wire sleeve, as shown in fig. 14, the annular soft plug 207 is directly plugged into the head end of the guide wire sleeve to extract the guide wire 11 when in use, and a containing channel is directly formed when the guide wire 11 is contained.

Example 7

This example is a further optimization of example 1: in order to facilitate the opening and closing of the storage boxes 202, a handle 4 for opening the storage box 202 on the lower layer may be disposed on one side of the bottom surface of the storage box 202 away from the hinge 3, and the handle 4 and the bottom surface are fixedly connected to form an integral structure.

Example 8

This example is a further optimization of example 1: an anti-pressure layer 103 made of elastic materials is arranged at the clamping position at the inner side of the fixing clamp 101 of the fixing component 1; as shown in fig. 8, the pressure-proof layer 103 can protect medical articles such as catheters in the clamping part, when the fixing is not needed, the fixing component 1 is taken down and placed on one side, when the fixing is needed, the connecting rod 102 of the fixing component 1 is adjusted to a proper position to be fixed, the connecting part to be fixed is clamped by the fixing clamp 101, and the pressure-proof layer 103 on the inner side of the fixing clamp 101 can fix the catheters and the like and protect the catheters and the like at the same time, so that the catheters and the like are not deformed due to large clamping force, and the internal channels are not blocked.

Claims (4)

1. The utility model provides a cerebrovascular intervenes fixed storage device of operation with pipe and seal wire, artery sheath (6) stretch into the patient internal, artery sheath (6) are stretched into to the one end of pipe (7), and the other end links to each other with first medical Y valve (8), and the head end of little pipe (9) is gone deep into human inside through first medical Y valve (8), and the end of little pipe (9) links to each other with seal wire (11) through second medical Y valve (10), its characterized in that: the fixed containing device comprises a fixing component (1) for fixing the joint of an arterial sheath (6) and a catheter (7), a joint of a micro catheter (9) and a first medical Y valve (8), a joint of a second medical Y valve (10) and a guide wire (11) respectively and a containing component (2) for containing the guide wire (11), wherein the fixing component (1) comprises two fixing clamps (101) and a connecting rod (102) for connecting the two fixing clamps (101), the connecting rod (102) consists of an adjusting nut (1022) and two supporting rods (1021), one end of each supporting rod (1021) is connected with the fixing clamp (101), the other end of each supporting rod (1021) is provided with an external thread, and the threaded ends of the two supporting rods (1021) are respectively screwed at two ends of the adjusting nut (1022); the storage assembly (2) comprises a base (201) arranged at the tail end of an operating table, a plurality of open storage boxes (202) are arranged on the base (201) from bottom to top in an overlapped mode, a top cover is arranged on the uppermost storage box (202), two adjacent storage boxes (202) are hinged together through a hinge (3), a horn-shaped storage nozzle (203) is arranged at the eccentric center position of one side of each storage box (202), the tip end of each storage nozzle (203) extends into the corresponding storage box (202), a wetting layer (206) capable of wetting the guide wire (11) is arranged at the other end of each storage box (202), a guide partition plate (204) beneficial to storage of the guide wire (11) is arranged in each storage box (202), each guide partition plate (204) is an annular plate with a notch, the notch of each annular plate is connected with the tip end of each storage nozzle (203) to form a storage cavity (205), and the tip end of each storage nozzle (203) is, the other end of the annular soft plug (207) is exposed in the receiving cavity (205);

the fixing clamp (101) for fixing the artery sheath (6) and the catheter (7) comprises an artery sheath clamp (1011) and a catheter clamp (1012) which are different in width, wherein the width of the artery sheath clamp (1011) is smaller than that of the catheter clamp (1012); the fixing clamp (101) for fixing the first medical Y valve (8) and the micro catheter (9) comprises two identical universal clamps (1013); the fixing clamp (101) for fixing the second medical Y valve (10) and the guide wire (11) comprises a guide wire fixing clamp (1014) and a Y valve fixing clamp (1015) with two clamping parts provided with semicircular grooves (1016).

2. The vessel for cerebrovascular intervention surgery and the guide wire fixing and receiving device according to claim 1, wherein: the base (201) bilateral symmetry is equipped with fixes its elasticity fag end (5) on the operating table, and the both ends of two elasticity fag end (5) all are equipped with couple (501), are equipped with on base (201) and hang knot (502) corresponding with couple (501).

3. The vessel for cerebrovascular intervention surgery and the guide wire fixing and receiving device according to claim 1, wherein: one side of the bottom surface of each storage box (202), which is far away from the hinge (3), is provided with a handle (4) for opening the lower storage box (202), and the handle (4) and the bottom surface are fixedly connected into a whole.

4. The vessel for cerebrovascular intervention surgery and the guide wire fixing and receiving device according to claim 1, wherein: the inner side clamping parts of the fixing clamps (101) of the fixing component (1) are respectively provided with a pressure-proof layer (103) made of elastic materials.

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