CN110680459A - Be applied to thrombectomy device of artery, vein thrombus - Google Patents
Be applied to thrombectomy device of artery, vein thrombus Download PDFInfo
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- CN110680459A CN110680459A CN201911087791.5A CN201911087791A CN110680459A CN 110680459 A CN110680459 A CN 110680459A CN 201911087791 A CN201911087791 A CN 201911087791A CN 110680459 A CN110680459 A CN 110680459A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B17/221—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B17/22031—Gripping instruments, e.g. forceps, for removing or smashing calculi
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B17/22031—Gripping instruments, e.g. forceps, for removing or smashing calculi
- A61B2017/22034—Gripping instruments, e.g. forceps, for removing or smashing calculi for gripping the obstruction or the tissue part from inside
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22038—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with a guide wire
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22051—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
- A61B2017/22065—Functions of balloons
- A61B2017/22067—Blocking; Occlusion
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22082—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for after introduction of a substance
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B17/221—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
- A61B2017/2212—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions having a closed distal end, e.g. a loop
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- Orthopedic Medicine & Surgery (AREA)
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Abstract
The invention provides a thrombus taking device applied to artery and vein thrombus, belonging to the field of medical apparatus and instruments, comprising a guide wire, a guide catheter, a collecting component and an inner sheath; the guide catheter and the collecting component are respectively sleeved on the guide wire, and the inner sheath is sleeved on the guide catheter; the collecting assembly has a furled state extending into the guide catheter and a deployed state extending to an upstream position of the guide catheter; the collecting component comprises a filter screen sleeve, an elastic framework and a binding line; the filter screen sleeve is provided with a sealing end and an opening end, and the sealing end is positioned at the upstream position of the opening end and connected with the guide wire; the elastic framework is connected with the opening end, the head end of the binding line is connected with the elastic framework, the tail end of the binding line penetrates through the guide tube, and the thrombus and the tumor embolus can be taken out by the embolus taking device, and the risk of generating distal embolism in various intracavity treatments such as thrombus intracavity balloon expansion, angioplasty, thrombus rotary cutting, stent implantation and the like in the embolus taking process can be effectively prevented.
Description
Technical Field
The invention relates to the field of medical instruments, in particular to a thrombus taking device applied to artery and vein thrombus.
Background
Embolic diseases such as arteries, inferior vena cava, iliac veins and deep veins of lower limbs are always difficult to treat by vascular surgery. More acute lower limb arterial thrombosis needs surgical incision for thrombus removal, but the surgical wound is large, the risk of blood vessel injury and major hemorrhage exists, and the surgical risk is high; although an imported mechanical thrombus suction device can pump out acute thrombus, the device has the application limitations of expensive equipment, limited suction part, incomplete suction effect and the like, subacute thrombus cannot be sucked, tumor thrombus cannot be treated, and risks of distal embolism caused by thrombus falling off and hemolysis, hemoglobinuria and the like caused by damage of red blood cells exist in the suction process; the catheter thrombolysis method can dissolve acute thrombus, but the clinical thrombolysis process usually needs several days, a longer time window is not suitable for patients with acute lower limb arterial thrombus endangering limb necrosis or lower limb venous thrombus with femoral bruise and white swelling and subacute arterial thrombus, the thrombus can not be dissolved and treated, and the risk of distal arterial embolism caused by thrombus falling off in the thrombolysis process or pulmonary embolism caused in the venous thrombolysis process also exists; the catheter thrombolysis process needs to keep a catheter in a blood vessel for several days, and serious complications such as bleeding at a puncture of the blood vessel, infection through the catheter and the like exist.
At present, devices for collecting thrombus and protecting far end of artery (namely preventing garbage foot) such as lower limb arterial angioplasty, stent implantation, plaque rotary cutting and the like do not exist.
Disclosure of Invention
The invention aims to provide a thrombus taking device applied to artery and vein thrombus, which can collect and take out thrombus or tumor thrombus by a minimally invasive method and can prevent the risk of embolism of a far-end blood vessel.
Based on the aim, the thrombus taking device applied to the artery and vein thrombus comprises a guide wire, a guide catheter, a collecting assembly and an inner sheath;
the guide catheter and the collecting assembly are respectively sleeved on the guide wire, and the inner sheath is sleeved on the guide catheter; the collection assembly has a collapsed state extending into the interior of the guide catheter and a deployed state extending to an upstream location of the guide catheter;
the collecting assembly comprises a filter screen sleeve, an elastic framework and at least one binding line;
the filter screen sleeve is provided with a sealing end and an opening end, the sealing end is positioned at the upstream position of the opening end, and the sealing end of the filter screen sleeve is fixedly or movably connected with the guide wire; the elastic framework is connected with the opening end, and when the collecting assembly extends out of the upstream position of the guide catheter, the elastic framework can enable the filter screen sleeve to be in an unfolded state; the head end of the constraint line is connected with the elastic framework, and the tail end of the constraint line is arranged in the guide pipe in a penetrating mode.
Furthermore, the elastic framework is arranged on the opening end of the filter screen sleeve in a surrounding mode, the edge of the elastic framework is circular or oval, the elastic framework is made of memory alloy, and the elastic framework can be identified under the irradiation of X rays.
Furthermore, the filter screen sleeve is in a cone hopper shape, and the diameter of the opening end of the filter screen sleeve is larger than that of the sealing end.
Furthermore, the filter screen sleeve adopts a membrane structure, and is provided with a plurality of through holes for passing blood flow and collecting thrombus.
Furthermore, the filter screen sleeve is of a net structure woven by metal wires, and meshes of the net structure are used for passing blood flow and collecting thrombus.
Further, the guiding device also comprises a pushing piece which is arranged on the guiding wire in a penetrating mode, the pushing piece is connected with the tail end of the constraint line, and the pushing piece is located at the tail end of the guiding catheter and arranged in the guiding catheter in a penetrating mode.
Furthermore, the medical device also comprises an outer sheath which is sleeved on the inner sheath.
Furthermore, a first water injection branch communicated with the inside of the outer sheath is arranged on the outer sheath, a second water injection branch communicated with the inside of the inner sheath is arranged on the inner sheath, and valves are respectively arranged on the first water injection branch and the second water injection branch.
The guide wire is sleeved with a cylindrical plug body blocking assembly, and the plug body blocking assembly is connected with the front end of the inner sheath; the barrier assembly has a collapsed state extending into the interior of the outer sheath and an operative state extending to an upstream location of the guide catheter;
when the collecting assembly extends to the upstream position of the guide catheter, the open end of the filter screen sleeve corresponds to the embolus blocking assembly.
Furthermore, the embolus blocking assembly comprises a sacculus, a water injection channel is arranged in the inner wall of the inner sheath, a third water injection branch is arranged on the outer wall of the inner sheath, and water is injected into the sacculus through the water injection channel by the third water injection branch.
Furthermore, the bolt body blocking assembly comprises a supporting framework and a plurality of elastic metal wires which are annularly arranged on the peripheral side of the supporting framework.
Furthermore, the sealing end of the filter screen sleeve is arranged on the guide wire in a movable connection mode, a filter screen blocking piece is arranged on the guide wire, and the filter screen blocking piece is located at the upstream position of the sealing end.
The thrombus taking device applied to the artery and vein thrombus provided by the invention has the following technical effects:
the collection assembly has a collapsed state extending into the interior of the guide catheter and an expanded state extending through the guide catheter to an upstream location of the guide catheter; in an initial state, the collecting assembly is accommodated in the guide catheter, the inner sheath drives the guide catheter and the collecting assembly to be introduced into an artery or a vein along the guide wire, the guide catheter is made to penetrate through thrombus or tumor thrombus, the collecting assembly is made to leave the guide catheter by withdrawing the guide catheter, the elastic framework is reset, the opening end of the filter screen sleeve is made to be in an unfolded state, and then the filter screen sleeve is made to be folded by withdrawing the constraint line and the guide catheter so as to collect the thrombus or tumor thrombus; finally, the filter screen component is pulled back or the inner sheath is pushed forward to enable the collection component and the thrombus or the tumor thrombus to be collected in the inner sheath, the thrombus taking device is withdrawn along the guide wire, and then the thrombus taking process is completed.
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 schematic view of an embolectomy device applied to artery and vein thrombosis provided by an embodiment of the invention;
FIG. 2 is another schematic view of an embolectomy device applied to artery and vein thrombosis provided by the embodiment of the invention;
FIG. 3 is a schematic view of a second bolt blocker assembly in an original state according to an embodiment of the present invention;
FIG. 4 is a schematic view of a second bolt blocker assembly in a compressed state according to an embodiment of the present invention;
fig. 5 is a schematic view of a third embolic obstruction assembly in an initial state according to an embodiment of the present invention;
fig. 6 is a schematic view of a third bolt blocker assembly in a collapsed state according to an embodiment of the present invention;
FIG. 7 is a flowchart of steps A to C of a thrombus removal method according to an embodiment of the present invention;
FIG. 8 is a flowchart illustrating steps D-F of a thrombus removal method according to an embodiment of the present invention;
FIG. 9 is a schematic view of a second configuration of a collection assembly provided in accordance with an embodiment of the present invention;
fig. 10 is a schematic view of a third structure of a collecting assembly according to an embodiment of the present invention.
Icon: 10-a guide wire; 20-a guide catheter; 30-a collection assembly; 31-a filter screen sleeve; 32-an elastic skeleton; 33-a binding line; 40-inner sheath; 41-a second water injection branch; 42-a third water injection branch; 50-a push member; 60-sheath; 61-a first water injection branch; 70-a bolt block assembly; 71-balloon; 72-a support skeleton; 73-elastic wire; 80-sheath core; 90-screen dam.
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. Furthermore, the terms "first," "second," and "third" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance.
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.
The thrombus taking device applied to the artery and vein thrombus can be used for treating embolic diseases such as artery, inferior vena cava, iliac vein, lower limb deep vein and the like; as shown in fig. 1, the embolectomy device comprises a guide wire 10, a guide catheter 20, a collection assembly 30 and an inner sheath 40;
the collection assembly 30 is used for accommodating thrombus or tumor thrombus, and the collection assembly 30 can be switched between an expanded state and a collapsed state;
the guiding catheter 20 and the collecting assembly 30 are respectively sleeved on the guide wire 10, the inner sheath 40 is sleeved on the guiding catheter 20, and the inner sheath 40 can move along the length direction of the guiding catheter 20; when the collecting component 30 can extend into the guiding catheter 20, the collecting component 30 is in a folded state, and when the collecting component 30 extends to the upstream position of the guiding catheter 20, the collecting component 30 is in an unfolded state, so that the thrombus and the tumor thrombus can be conveniently collected;
specifically, the collecting assembly 30 includes a filter screen 31, an elastic frame 32 and at least one binding line 33;
the filter screen sleeve 31 is provided with a sealing end and an opening end, wherein the sealing end is positioned at the upstream position of the opening end and is fixedly or movably connected with the guide wire 10; the thrombus and the tumor plug enter the inside of the filter screen sleeve 31 through the opening end to be collected;
the elastic framework 32 is connected with the open end, and when the collection assembly 30 extends to the upstream position of the guide catheter 20, the elastic framework 32 can enable the filter screen sleeve 31 to be in an unfolded state; the head end of the binding line 33 is connected with the elastic framework 32, the tail end of the binding line 33 penetrates through the guide catheter 20, and the elastic framework 32 can be switched between the unfolding state and the folding state by pulling the binding line 33 to move along the length direction of the guide catheter 20.
In the thrombus removal device provided by the embodiment of the application, the collection assembly 30 can extend into the guide catheter 20 and extend to the upstream position of the guide catheter 20; in an initial state, the collecting assembly 30 is accommodated in the guiding catheter 20, the inner sheath 40 drives the guiding catheter 20 and the collecting assembly 30 to be introduced into an artery or a vein along the guide wire 10, the guiding catheter 20 is made to pass through a thrombus or a tumor plug, the guiding catheter 20 is withdrawn, the collecting assembly 30 is separated from the guiding catheter 20, wherein the elastic framework 32 is reset, the open end of the filter screen sleeve 31 is in an unfolded state, and then the filter screen sleeve 31 is folded by withdrawing the constraint line 33 and the guiding catheter 20 so as to collect the thrombus or the tumor plug; finally, the inner sheath 40 is pushed forwards to enable the collecting assembly 30 and the thrombus and tumor embolus to be collected in the inner sheath 40, the thrombus taking device applied to the artery and vein thrombus is withdrawn along the guide wire 10, and then the thrombus taking process is completed.
In an optional embodiment of the present application, the elastic framework 32 is annularly disposed on the opening end of the filter screen sleeve 31, and one or more binding lines 33 may be disposed, and when a plurality of binding lines 33 are disposed, the plurality of binding lines 33 are uniformly distributed at circumferential positions of the elastic framework 32, so as to apply uniform acting force to the elastic framework 32, and thus, circumferential positions of the elastic framework 32 are synchronously closed; the elastic framework 32 is made of memory alloy, so that the elastic framework has the function of automatic resetting, can be folded under the pulling of the constraint line 33, and can also be automatically unfolded when being separated from the inner sheath 40, thereby conveniently completing the embolectomy.
In an alternative embodiment of the present application, the elastic frame 32 may be configured to have a wave shape (see fig. 1), or may be configured to have a ∞ shape (see fig. 9), and in this case, the elastic frame 32 needs to be used with a plurality of constraint lines 33 in the circumferential direction.
In an alternative embodiment of the present application, referring to fig. 10, the elastic frame 32 may be configured to be approximately elliptical, and two end points of the long axis direction of the elastic frame are not on the same plane, that is, the elastic frame is configured to be inclined, and in this case, a binding line 33 may be configured for use.
In an alternative embodiment of the present application, the elastic skeleton 32 is required to be able to be identified under X-ray irradiation, so that the doctor can observe the position of the elastic skeleton 32 in the human body under X-ray irradiation.
In an alternative embodiment of the present application, the filter screen sleeve 31 is in a cone shape, and the diameter of the opening end of the filter screen sleeve 31 is larger than that of the sealing end, so that thrombus and tumor embolus can be intercepted and collected, and the risk of distal embolism caused in the embolus taking process can be avoided, or the filter screen sleeve 31 can be set to other shapes, such as a straight cylinder shape, and the diameter of the opening end can also be equal to that of the sealing end.
In an alternative embodiment of the present application, the filter screen sleeve 31 is of a membrane structure, and a plurality of through holes are formed in the filter screen sleeve 31. The through holes are provided for the passage of blood and thus avoid the blockage of arteries or veins during the collection of thrombi and tumor emboli.
The thrombus removal device provided in the application further comprises a pushing element 50, the pushing element 50 penetrates through the guide wire 10, the pushing element 50 is connected with the tail end of the constraint line 33, the pushing element 50 is located at the tail end of the guide catheter 20 and penetrates through the guide catheter 20, the constraint line 33 can move in the guide catheter 20 by controlling the pushing element 50, and then the state of the elastic framework 32 is adjusted through the constraint line 33.
In an alternative embodiment of the present application, the present application further comprises an outer sheath 60, the outer sheath 60 is disposed on the inner sheath 40, the outer sheath 60 can move along the length direction of the inner sheath 40, and the outer sheath 60 can protect the inner sheath 40 and can extend into an artery or a vein together with the inner sheath 40.
In an alternative embodiment of the present application, the outer sheath 60 is provided with a first water injection branch 61 communicated with the inside thereof, the inner sheath 40 is provided with a second water injection branch 41 communicated with the inside thereof, and the first water injection branch 61 and the second water injection branch 41 are respectively provided with valves.
The first water injection branch 61 is used for injecting water into the inner sheath through the first water injection branch 61, and further exhausting air between the outer sheath 60 and the inner sheath 40; the second water injection branch 41 is used for injecting water into the inner sheath through the second water injection branch 41, and further discharging air between the inner sheath 40 and the guide catheter 20; further avoiding the harm to human body caused by bringing air into human body in the process of taking thrombus. The valves function to control the opening or closing of the respective first and second filling branches 61, 41.
In the application process, when the filter screen sleeve 31 and the elastic framework 32 in the collection assembly 30 are used for collecting thrombus and thrombus, some thrombus and thrombus may be extruded out of the filter screen sleeve 31 under the action of the gradually-gathered opening end of the filter screen sleeve 31, so that the collection assembly 30 cannot collect the thrombus. Therefore, in the thrombus removal device provided by the application, a cylindrical thrombus blocking assembly 70 is further arranged, the thrombus blocking assembly 70 is sleeved on the guide wire 10, and the thrombus blocking assembly 70 is connected with the front end of the inner sheath 40;
the open end of screen jacket 31 corresponds with embolic obstruction assembly 70 when collection assembly 30 is extended to a position upstream of guide catheter 20. When the filter screen sleeve 31 is folded by withdrawing the constraint line 33 and the guide catheter 20 to collect the thrombus and the tumor thrombus; because the embolus blocking assembly 70 is positioned at the downstream position of the collection assembly 30, the thrombus and the tumor embolus can be blocked, so that the thrombus and the tumor embolus are contained in the inner sheath 40 together with the collection assembly 30, and the thrombus and the tumor embolus can be conveniently taken out.
The bolt block assembly 70 may take a variety of configurations, some of which are illustrated below:
the first structure is as follows:
in a preferred embodiment of the present application, as shown in fig. 1, the embolus blocking assembly 70 comprises a balloon 71, a water injection channel is arranged in the inner wall of the inner sheath 40, a third water injection branch 42 is arranged on the outer wall of the inner sheath 40, the third water injection branch 42 injects water into the balloon 71 through the water injection channel, when in use, when the balloon 71 enters an artery or a vein, water is injected into the balloon 71 through the water injection channel, so that the volume of the balloon 71 is increased, the thrombus and the embolus are blocked, and when the balloon 71 needs to be recovered into the outer sheath 60, the liquid in the balloon 71 is extracted, so that the balloon 71 is restored to the original state.
The second structure is as follows:
in a preferred embodiment of the present application, as shown in fig. 3 and 4, the embolic obstruction member 70 comprises a supporting frame 72 and a plurality of elastic wires 73 annularly arranged around the supporting frame 72, in an original state, the embolic obstruction member 70 is in a shape of a straight cylinder having the same diameter as the outer wall of the inner sheath 40, and when the two ends of the embolic obstruction device are squeezed, the diameter of the embolic obstruction member 70 is gradually increased from the two ends to the middle part, thereby serving as the obstruction function for thrombus and tumor emboli.
A third structure:
in a preferred embodiment of the present application, as shown in fig. 5 and 6, the embolic obstruction member 70 comprises a supporting framework 72 and a plurality of elastic wires 73 surrounding the supporting framework 72, and in an original state, the embolic obstruction member 70 has an inverted cone-shaped structure, i.e., the diameter of the embolic obstruction member 70 gradually decreases from the upstream to the downstream direction, so as to block thrombus and tumor emboli; the shape of the embolic obstruction assembly 70 is constrained to be straight cylindrical when the embolic obstruction assembly 70 is collapsed within the outer sheath 60 by the outer sheath 60 as the outer sheath 60 is pushed up or the inner sheath 40 is withdrawn.
In a preferred embodiment of the present application, referring to fig. 10, when the sealed end of the screen sleeve 31 is movably connected to the guide wire 10, the guide wire 10 is provided with a screen stopper 90, the screen stopper 90 is located at an upstream position of the sealed end, in application, the screen stopper 90 may be provided in a spherical shape or other shapes, or may be provided as an integral structure with the guide wire, and the screen stopper 90 acts as a restriction for the position of the screen sleeve 31 on the guide wire 10.
In addition, as shown in fig. 2, the thrombus extraction device applied to the artery and vein thrombus further comprises a sheath core 80, when in application, the sheath core 80 can be arranged on the guide wire 10 in a penetrating manner, the outer sheath 60 is sleeved on the sheath core 80, so that the outer sheath 60 is introduced to a surgical site, then the sheath core 80 is taken out along the guide wire 10, and the guide catheter 20, the collection assembly 30 and the inner sheath 40 are assembled in the outer sheath 60 for thrombus extraction.
Next, an embolectomy method using the embolectomy device provided by the present application to an arterial or venous thrombus will be described, with reference to fig. 7 and 8:
step A, after the guide wire 10 passes through the thrombus or the tumor thrombus, the sheath core 80 is driven by the sheath 60 to enter the proximal end of the lesion;
step B, removing the sheath core 80, and replacing the inner sheath 40, the collecting assembly 30 and the guide catheter 20; passing the guide catheter 20 through the thrombus along the guidewire 10;
step C, fixing the pushing member 50, withdrawing the guide catheter 20 and releasing the collecting assembly 30;
step D, simultaneously withdrawing the outer sheath 60 to expose the embolus blocking member 70 (taking the balloon 71 as an example);
step E, withdrawing the pushing member 50 and the guiding catheter 20, collecting the thrombus or tumor thrombus into the filter screen sleeve 31 by using the filter screen sleeve 31, and withdrawing the collecting assembly 30 into the inner sheath 40 after the guiding catheter 20 is pushed forward and the filter screen sleeve 31 is tightened;
step F, withdrawing the sheath 60, completely removing the collection assembly 30 and the guiding catheter 20 to the outside of the body, and checking the removal of the thrombus or tumor plug.
Finally, it should be noted that: the above embodiments are only used to illustrate the technical solution of the present invention, and not to limit the same; while the invention has been described in detail and with reference to the foregoing embodiments, it will be understood by those skilled in the art that: the technical solutions described in the foregoing embodiments may still be modified, or some or all of the technical features may be equivalently replaced; and the modifications or the substitutions do not make the essence of the corresponding technical solutions depart from the scope of the technical solutions of the embodiments of the present invention.
Claims (12)
1. The thrombus taking device applied to the artery and vein thrombus is characterized by comprising a guide wire, a guide catheter, a collecting assembly and an inner sheath;
the guide catheter and the collecting assembly are respectively sleeved on the guide wire, and the inner sheath is sleeved on the guide catheter; the collection assembly has a collapsed state extending into the interior of the guide catheter and a deployed state extending to an upstream location of the guide catheter;
the collecting assembly comprises a filter screen sleeve, an elastic framework and at least one binding line;
the filter screen sleeve is provided with a sealing end and an opening end, the sealing end is positioned at the upstream position of the opening end, and the sealing end of the filter screen sleeve is fixedly or movably connected with the guide wire; the elastic framework is connected with the opening end, and when the collecting assembly extends out of the upstream position of the guide catheter, the elastic framework can enable the filter screen sleeve to be in an unfolded state; the head end of the constraint line is connected with the elastic framework, and the tail end of the constraint line is arranged in the guide pipe in a penetrating mode.
2. The embolectomy device applied to artery and vein thrombosis according to claim 1, wherein the elastic framework is arranged on the opening end of the filter screen sleeve in a surrounding manner, the edge of the elastic framework is circular or elliptical, the elastic framework is made of memory alloy, and the elastic framework can be identified under the irradiation of X-rays.
3. The thrombus removal device applied to artery and vein thrombus according to claim 1, wherein the filter screen sleeve is cone-shaped, and the diameter of the opening end of the filter screen sleeve is larger than that of the sealing end.
4. The thrombus extraction device applied to artery and vein thrombus according to claim 1, wherein the filter screen sleeve adopts a membrane structure, and a plurality of through holes are arranged on the filter screen sleeve and are used for passing blood flow and collecting thrombus.
5. The thrombus extraction device applied to artery and vein thrombus according to claim 1, wherein the filter screen sleeve adopts a net structure woven by metal wires, and the net holes of the net structure are used for passing blood flow and collecting thrombus.
6. The thrombus extraction device applied to artery and vein thrombus according to claim 1, further comprising a pushing member inserted on the guide wire, wherein the pushing member is connected with the tail end of the ligature, and the pushing member is positioned at the tail end of the guide catheter and inserted in the guide catheter.
7. The thrombus extraction device applied to the artery and vein thrombus according to any one of claims 1 to 6, further comprising an outer sheath, wherein the outer sheath is sleeved on the inner sheath.
8. The embolectomy device of claim 7, wherein the outer sheath is provided with a first water injection branch communicated with the inside of the outer sheath, the inner sheath is provided with a second water injection branch communicated with the inside of the inner sheath, and the first water injection branch and the second water injection branch are respectively provided with a valve.
9. The embolectomy device applied to artery and vein thrombosis according to claim 7, further comprising a cylindrical embolus blocking component, wherein the embolus blocking component is sleeved on the guide wire and is connected with the front end of the inner sheath; the barrier assembly has a collapsed state extending into the interior of the outer sheath and an operative state extending to an upstream location of the guide catheter;
when the collecting assembly extends to the upstream position of the guide catheter, the open end of the filter screen sleeve corresponds to the embolus blocking assembly.
10. The embolectomy device of claim 9, wherein the embolus blocking assembly comprises a balloon, a water injection channel is arranged in the inner wall of the inner sheath, and a third water injection branch is arranged on the outer wall of the inner sheath and injects water into the balloon through the water injection channel.
11. The embolectomy device of claim 9, wherein the embolus blocking assembly comprises a supporting frame and a plurality of elastic metal wires annularly arranged on the periphery of the supporting frame.
12. The thrombus removal device applied to artery and vein thrombus, according to claim 1, wherein when the sealing end of the filter screen sleeve is movably connected with the guide wire, a filter screen blocking piece is arranged on the guide wire, and the filter screen blocking piece is positioned at an upstream position of the sealing end.
Priority Applications (2)
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CN201911087791.5A CN110680459A (en) | 2019-11-08 | 2019-11-08 | Be applied to thrombectomy device of artery, vein thrombus |
PCT/CN2021/070759 WO2021089063A1 (en) | 2019-11-08 | 2021-01-08 | Thrombus extraction device used for arterial and venous thrombosis |
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CN201911087791.5A CN110680459A (en) | 2019-11-08 | 2019-11-08 | Be applied to thrombectomy device of artery, vein thrombus |
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CN201911087791.5A Pending CN110680459A (en) | 2019-11-08 | 2019-11-08 | Be applied to thrombectomy device of artery, vein thrombus |
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