CN111184555A - Controllable liquid medicine injection thrombus removing device - Google Patents

Controllable liquid medicine injection thrombus removing device Download PDF

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Publication number
CN111184555A
CN111184555A CN202010195295.8A CN202010195295A CN111184555A CN 111184555 A CN111184555 A CN 111184555A CN 202010195295 A CN202010195295 A CN 202010195295A CN 111184555 A CN111184555 A CN 111184555A
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China
Prior art keywords
liquid medicine
thrombus
catheter
medicine injection
controllable
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CN202010195295.8A
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Chinese (zh)
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CN111184555B (en
Inventor
罗曼曼
祝缓缓
杨青林
王泱
朱幼宁
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Kunshan Jintai Medical Technology Co Ltd
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Kunshan Jintai Medical Technology Co Ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/22004Implements 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 using mechanical vibrations, e.g. ultrasonic shock waves
    • A61B17/22012Implements 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 using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22001Angioplasty, e.g. PCTA
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/22004Implements 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 using mechanical vibrations, e.g. ultrasonic shock waves
    • A61B17/22012Implements 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 using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement
    • A61B2017/22025Implements 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 using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement applying a shock wave
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22082Implements 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

Abstract

The invention discloses a controllable liquid medicine injection thrombus removing device, and belongs to the technical field of medical instruments. The controllable liquid medicine injection thrombus clearing device comprises a catheter, a recovery cavity, a liquid medicine injection pipe and a liquid medicine reflection mechanism; the liquid medicine injection pipe penetrates through the catheter and is used for injecting liquid medicine to break thrombus on the diseased blood vessel; the liquid medicine reflecting mechanism is fixedly connected to the top end of the catheter, can reflect liquid medicine sprayed by the liquid medicine spraying pipe, controls the force and the area of the sprayed liquid medicine, and protects the diseased blood vessel; the recovery cavity penetrates through and is fixedly connected with the front end of the catheter and is used for recovering broken thrombus and sprayed liquid medicine and preventing thrombus residues from flowing into other parts of a body. The controllable liquid medicine injection thrombus removal device can inject liquid medicine on the premise of not causing a blood vessel interlayer, quickly smashes thrombus, has short treatment time and quick response compared with the traditional thrombolytic medicine treatment thrombus, and does not need to take antithrombotic medicines in the later period compared with the treatment by implanting a stent.

Description

Controllable liquid medicine injection thrombus removing device
Technical Field
The invention relates to the technical field of medical instruments, in particular to a controllable liquid medicine injection thrombus removing device.
Background
"peripheral arterial disease" includes a variety of diseases that result in progressive stenosis or occlusion or aneurysm expansion of the aorta and its non-coronary artery branches, including carotid, upper, visceral and lower limb arterial branches. PAD is closely related with cardiovascular disease, its severity is the postcure index of cardiovascular risk, at present, still face very big challenge in PAD's thrombus clear away art, often need carry out the thrombus and clear away when patient's emergency call intervenes treatment, medical staff need hold accurate rescue time when carrying out the thrombus to patient and clear away the operation, the quick orientation pathological change position saves the operation time, quick high efficiency clears away the thrombus in vitro, when clearing away the thrombus of pathological change blood vessel, need guarantee to clear away the blood vessel of protective lesion department not damaged when the thrombus. In the current thrombus treatment scheme, two main treatment schemes are mainly adopted, one scheme is stent treatment, a stent is implanted at the position of a thrombus lesion generated in a blood vessel, the stent has the advantages of short treatment time and obvious clinical effect, and the defects of foreign body implantation, namely the stent implantation, long-term administration of an antithrombotic drug is required for the follow-up implantation, the stent cannot be taken out once implanted, and only bypass surgery can be performed if thrombus is coagulated at the stent again. The second method is to embed a thrombolysis catheter in the lesion where thrombus occurs and continuously release thrombolysis drug to the lesion by using drug spray holes on the thrombolysis catheter, and the method has the disadvantages of slow thrombolysis effect and long period. At present, mechanical thrombus removal is a great trend of thrombus removal, and mechanical thrombus removal requires that damage to a target blood vessel is reduced as much as possible while thrombus is broken, so that complications are reduced, and the use of a stent is reduced.
Disclosure of Invention
The invention aims to provide a controllable liquid medicine injection thrombus clearing device, which solves the problems that the traditional thrombolytic drug treatment has slow thrombolytic effect and long period or stent implantation treatment needs long-term administration of antithrombotic drugs.
In order to solve the technical problem, the invention provides a controllable liquid medicine injection thrombus removal device, which comprises a catheter, an occlusion air bag, a recovery cavity, a liquid medicine injection pipe and a liquid medicine reflection mechanism, wherein the occlusion air bag is arranged in the catheter;
the blocking air bag penetrates through and is fixedly connected to the front end of the catheter and used for blocking blood flowing in a diseased blood vessel;
the liquid medicine injection pipe penetrates through the catheter and can move back and forth in the catheter so as to jet liquid medicine to break thrombus on the diseased blood vessel;
the liquid medicine reflecting mechanism is fixedly connected to the top end of the catheter, can reflect liquid medicine sprayed by the liquid medicine spraying pipe, controls the force and the area of the sprayed liquid medicine, and protects the diseased blood vessel;
the recovery cavity penetrates through and is fixedly connected with the front end of the catheter and is used for recovering broken thrombus and sprayed liquid medicine, so that thrombus residues are prevented from flowing into other parts of a body, and the life of a patient is endangered.
Optionally, the liquid medicine reflecting mechanism is composed of a bracket and a reflecting head, and the reflecting head is fixedly connected with the conduit through the bracket.
Optionally, the reflection head is conical, and a conical cavity is hollowed out in the middle of the reflection head.
Optionally, the center lines of the reflection head and the liquid medicine injection pipe are located on the same straight line, and the force and the injection area of the liquid medicine injected by the liquid medicine injection pipe after being reflected by the reflection head can be controlled by adjusting the distance between the liquid medicine injection pipe and the reflection head.
Optionally, the support (composed of a plurality of support pillars uniformly distributed, the liquid medicine sprayed by the liquid medicine spraying pipe is reflected by the reflection head and then passes through gaps between the support pillars.
Optionally, the top end of the reflection head is rounded to avoid injuring the diseased blood vessel.
Optionally, the blocking airbag is connected with an external air pump through an air tube inside the catheter, and the expansion or contraction of the blocking airbag is controlled by the external air pump.
Optionally, the recovery cavity is connected with an external high-pressure pump through an air pipe inside the catheter.
Optionally, the medicine inlet end of the liquid medicine injection pipe is connected with an electric injector, and the force of the liquid medicine injection pipe for injecting the liquid medicine is adjusted by controlling the advancing speed of a push rod of the electric injector.
The invention provides a controllable liquid medicine injection thrombus removal device, which comprises a catheter, an occlusion air bag, a recovery cavity, a liquid medicine injection pipe and a liquid medicine reflection mechanism; the blocking air bag penetrates through and is fixedly connected to the front end of the catheter and used for blocking blood flowing in a diseased blood vessel; the liquid medicine injection pipe penetrates through the catheter and can move back and forth in the catheter so as to jet liquid medicine to break thrombus on the diseased blood vessel; the liquid medicine reflecting mechanism is fixedly connected to the top end of the catheter, can reflect liquid medicine sprayed by the liquid medicine spraying pipe, controls the force and the area of the sprayed liquid medicine, and protects the diseased blood vessel; the recovery cavity penetrates through and is fixedly connected with the front end of the catheter and is used for recovering broken thrombus and sprayed liquid medicine, so that thrombus residues are prevented from flowing into other parts of a body, and the life of a patient is endangered. The controllable liquid medicine injection thrombus removal device can inject liquid medicine on the premise of not causing a blood vessel interlayer, quickly smashes thrombus, has short treatment time and quick response compared with the traditional thrombolytic medicine treatment thrombus, and does not need to take antithrombotic medicines in the later period compared with the treatment by implanting a stent.
Drawings
FIG. 1 is a schematic structural view of a controllable medical fluid injection thrombus removal device provided by the invention;
FIG. 2 is a cross-sectional view of the controllable liquid medicine jet thrombus removing device provided by the present invention reaching a diseased blood vessel.
Detailed Description
The invention provides a controllable liquid medicine injection thrombus clearing device, which is further described in detail with reference to the accompanying drawings and specific embodiments. Advantages and features of the present invention will become apparent from the following description and from the claims. It is to be noted that the drawings are in a very simplified form and are not to precise scale, which is merely for the purpose of facilitating and distinctly claiming the embodiments of the present invention.
The invention provides a controllable liquid medicine injection thrombus clearing device, which comprises a catheter 1, an occlusion air bag 2, a recovery cavity 3, a liquid medicine injection pipe 4 and a liquid medicine reflecting mechanism 5, as shown in figures 1 and 2; the blocking air bag 2 penetrates through and is fixedly connected to the front end of the catheter 1 and used for blocking blood flowing in a diseased blood vessel 6; the liquid medicine injection pipe 4 penetrates through the catheter 1 and can move back and forth in the catheter 1 to jet liquid medicine to break thrombus 7 on the lesion blood vessel 6; the liquid medicine reflecting mechanism 5 is fixedly connected to the top end of the catheter 1, can reflect the liquid medicine sprayed by the liquid medicine spraying pipe 4, controls the force and the area of the sprayed liquid medicine, and protects the diseased blood vessel 6; the recovery cavity 3 penetrates through and is fixedly connected with the front end of the catheter 1 and used for recovering broken thrombus and sprayed liquid medicine and preventing thrombus residues from flowing into other parts of a body to endanger the life of a patient.
Specifically, the liquid medicine reflecting mechanism 5 is composed of a bracket 51 and a reflecting head 52, the reflecting head 52 is fixedly connected with the catheter 1 through the bracket 51, the reflecting head 52 is conical, and a conical cavity is hollowed in the middle; the center lines of the reflecting head 52 and the liquid medicine injection pipe 4 are positioned on the same straight line, and the force and the injection area of the liquid medicine injected by the liquid medicine injection pipe 4 after being reflected by the reflecting head 52 can be controlled by adjusting the distance between the liquid medicine injection pipe 4 and the reflecting head 52; the bracket 51 is composed of a plurality of supporting columns which are uniformly distributed, and the liquid medicine sprayed by the liquid medicine spraying pipe 4 is reflected by the reflecting head 52 and then passes through gaps among the supporting columns; the top end of the reflecting head 52 is provided with a round angle to avoid damaging the lesion blood vessel 6; the plugging air bag 2 is connected with an external air pump through an air pipe in the catheter 1, and the expansion or contraction of the plugging air bag 2 is controlled through the external air pump; the recovery cavity 3 is connected with an external high-pressure pump through an air pipe inside the catheter 1; the medicine inlet end of the liquid medicine injection pipe 4 is connected with an electric injector, and the force of the liquid medicine injection pipe 4 for injecting the liquid medicine is adjusted by controlling the advancing speed of a push rod of the electric injector.
In specific use, please refer to fig. 2 again, under the condition of angiography, the controllable liquid medicine injection thrombus removal device is placed at the position of the diseased blood vessel 6 along the blood flowing direction, the liquid medicine reflection mechanism 5 is located at the position of the thrombus 7, and the external air pump is started to expand the plugging air bag 2 until the plugging air bag 2 temporarily plugs the diseased blood vessel 6; manually controlling the distance between the liquid medicine injection tube 4 and the reflecting head 52 to perform trial injection, wherein the injected liquid medicine can be normal saline, thrombolytic medicaments or a mixture of the normal saline and the thrombolytic medicaments, observing the state of the thrombus 7 to be removed through angiography, if the thrombus is stubborn and difficult to remove, manually pushing the liquid medicine injection tube 4 to move forwards, shortening the distance between the liquid medicine injection tube 4 and the reflecting head 52, and increasing the force of the liquid medicine injection tube 4 to inject the liquid medicine, so that the reflecting force and the reflecting area of the liquid medicine are increased, and the aim of removing the thrombus is fulfilled; the dropped thrombus to be removed and the sprayed liquid medicine are sucked out of the body from the recovery cavity 3 under the action of a high-pressure pump, so that the thrombus residue is prevented from flowing into other parts of the body and endangering the life of a patient, finally, the plugging air bag 2 is contracted, and the liquid medicine spraying and thrombus removing device is withdrawn out of the body to finish treatment.
The above description is only for the purpose of describing the preferred embodiments of the present invention, and is not intended to limit the scope of the present invention, and any variations and modifications made by those skilled in the art based on the above disclosure are within the scope of the appended claims.

Claims (9)

1. A controllable liquid medicine injection thrombus removal device is characterized by comprising a catheter (1), an occlusion air bag (2), a recovery cavity (3), a liquid medicine injection pipe (4) and a liquid medicine reflection mechanism (5);
the blocking air bag (2) penetrates through and is fixedly connected to the front end of the catheter (1) and used for blocking blood flowing in a diseased blood vessel (6);
the liquid medicine injection pipe (4) penetrates through the catheter (1) and can move back and forth in the catheter (1) to jet liquid medicine to break thrombus (7) on the diseased blood vessel (6);
the liquid medicine reflecting mechanism (5) is fixedly connected to the top end of the catheter (1) and can reflect liquid medicine sprayed by the liquid medicine spraying pipe (4), control the force and area of the sprayed liquid medicine and protect the diseased blood vessel (6);
the recovery cavity (3) penetrates through and is fixedly connected with the front end of the catheter (1) and is used for recovering broken thrombus and sprayed liquid medicine, so that thrombus residues are prevented from flowing into other parts of a body, and the life of a patient is threatened.
2. The controllable liquid medicine injection thrombus clearing device according to claim 1, wherein the liquid medicine reflecting mechanism (5) is composed of a bracket (51) and a reflecting head (52), and the reflecting head (52) is fixedly connected with the catheter (1) through the bracket (51).
3. The controllable liquid medicine injection thrombus clearing device according to claim 2, wherein the reflecting head (52) is conical in shape, and a conical cavity is hollowed out in the middle.
4. The controllable liquid medicine injection thrombus clearing device according to claim 3, wherein the center lines of the reflecting head (52) and the liquid medicine injection tube (4) are positioned on the same straight line, and the force and the injection area of the liquid medicine injected by the liquid medicine injection tube (4) after being reflected by the reflecting head (52) can be controlled by adjusting the distance between the liquid medicine injection tube (4) and the reflecting head (52).
5. The controllable liquid medicine injection thrombus removal device according to claim 2, wherein the stent (51) is composed of a plurality of support pillars uniformly distributed, and the liquid medicine injected by the liquid medicine injection tube (4) is reflected by the reflection head (52) and then passes through gaps between the support pillars.
6. A controllable liquid medicine jet thrombus removing device according to claim 2, wherein the top end of the reflecting head (52) is rounded to avoid damaging the lesion blood vessel (6).
7. The controllable liquid medicine jet thrombus removal device according to claim 1, wherein the occlusion balloon (2) is connected with an external air pump through an air tube inside the catheter (1), and the expansion or contraction of the occlusion balloon (2) is controlled by the external air pump.
8. A controllable liquid medicine jet thrombus removing device according to claim 1, wherein the recovery chamber (3) is connected with an external high pressure pump through an air tube inside the catheter (1).
9. The controllable liquid medicine injection thrombus clearing device according to claim 1, wherein the liquid medicine inlet end of the liquid medicine injection tube (4) is connected with an electric injector, and the force of the liquid medicine injection tube (4) for injecting the liquid medicine is adjusted by controlling the advancing speed of a push rod of the electric injector.
CN202010195295.8A 2020-03-19 2020-03-19 Controllable liquid medicine injection thrombus removing device Active CN111184555B (en)

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CN111184555B CN111184555B (en) 2021-04-13

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2023240937A1 (en) * 2022-06-14 2023-12-21 上海腾复医疗科技有限公司 Multifunctional thrombus removal apparatus

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4794928A (en) * 1987-06-10 1989-01-03 Kletschka Harold D Angioplasty device and method of using the same
US20070208370A1 (en) * 2004-03-25 2007-09-06 Hauser David L Vascular Filter Device
US20090156983A1 (en) * 2007-12-17 2009-06-18 Medrad, Inc. Rheolytic thrombectomy catheter with self-inflating distal balloon
CN102335022A (en) * 2010-07-27 2012-02-01 上海理工大学 Locally-plugged thrombus scaler

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4794928A (en) * 1987-06-10 1989-01-03 Kletschka Harold D Angioplasty device and method of using the same
US20070208370A1 (en) * 2004-03-25 2007-09-06 Hauser David L Vascular Filter Device
US20090156983A1 (en) * 2007-12-17 2009-06-18 Medrad, Inc. Rheolytic thrombectomy catheter with self-inflating distal balloon
CN102335022A (en) * 2010-07-27 2012-02-01 上海理工大学 Locally-plugged thrombus scaler

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2023240937A1 (en) * 2022-06-14 2023-12-21 上海腾复医疗科技有限公司 Multifunctional thrombus removal apparatus

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