CN111494022A - Auxiliary device suitable for exposing vascular endothelium - Google Patents

Auxiliary device suitable for exposing vascular endothelium Download PDF

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Publication number
CN111494022A
CN111494022A CN202010481444.7A CN202010481444A CN111494022A CN 111494022 A CN111494022 A CN 111494022A CN 202010481444 A CN202010481444 A CN 202010481444A CN 111494022 A CN111494022 A CN 111494022A
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CN
China
Prior art keywords
auxiliary device
blood vessel
endothelium
vascular endothelium
exposing
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN202010481444.7A
Other languages
Chinese (zh)
Inventor
吕毅
刘康
史爱华
黄高铂
王善佩
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Chonghao Technology Co.,Ltd.
Original Assignee
First Affiliated Hospital of Medical College of Xian Jiaotong University
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by First Affiliated Hospital of Medical College of Xian Jiaotong University filed Critical First Affiliated Hospital of Medical College of Xian Jiaotong University
Priority to CN202010481444.7A priority Critical patent/CN111494022A/en
Publication of CN111494022A publication Critical patent/CN111494022A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08Accessories or related features not otherwise provided for
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B2017/1107Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis for blood vessels
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B2017/1132End-to-end connections

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Pathology (AREA)
  • Materials For Medical Uses (AREA)
  • Surgical Instruments (AREA)

Abstract

An auxiliary device suitable for exposing the endothelium of a blood vessel comprises a circular or elliptical auxiliary device sheet, the inner diameter of the auxiliary device sheet is matched with the corresponding blood vessel cavity, a plurality of small holes are formed in the auxiliary device sheet along the circumferential direction, the hole diameters of the small holes are matched with a suture needle with a thread, and the suture needle with the thread can penetrate through the endothelium of the blood vessel to be fixed. The invention has simple operation, can fully expose the endothelium of the blood vessel to be anastomosed and provides favorable conditions for subsequent anastomosis operation. The device can effectively reduce the difficulty of blood vessel anastomosis and bring convenience to the fields of organ transplantation and the like.

Description

Auxiliary device suitable for exposing vascular endothelium
Technical Field
The invention belongs to the technical field of medical instruments, and particularly relates to an auxiliary device suitable for exposing vascular endothelium.
Background
Vascular anastomosis may be applied to a variety of surgical fields, such as organ transplantation, maxillofacial reconstruction, wound healing, and the like. In the manual anastomosis of blood vessels in liver transplantation operation or shunt operation of portal hypertension, the anastomosis time of each vena cava anastomosis opening is generally 10-15 min even for a trained doctor. After the portal vein is opened, the hepatic artery is anastomosed again for about 10min, which can cause the secondary thermal ischemia of the liver and biliary tract, and is the important reason for the high biliary tract complication after liver transplantation. The shorter the hepatic absence period in liver transplantation, the more stable the hemodynamics and the faster the recovery of the hepatic function. In order to improve the quality and speed of anastomosis and reduce the difficulty of anastomosis and postoperative complications, people have made continuous improvements and attempts on the quality of anastomosis and suture lines, but still are based on the traditional manual suture technology, and cannot avoid the influence of surgical skills and suture lines on the healing of an anastomosis. There are also attempts to anastomose blood vessels in a non-suture manner, but the difficulty is how to fully expose the vascular endothelium and achieve the anastomosis of the vascular endothelium to the endothelium, so far, no new technology can replace manual suture.
Disclosure of Invention
In order to overcome the drawbacks of the prior art, the present invention provides an auxiliary device for exposing the vascular endothelium, which is simple to operate, can fully expose the vascular endothelium to be anastomosed, and provides advantages for the subsequent anastomosis operation. The device can effectively reduce the difficulty of blood vessel anastomosis and bring convenience to the fields of organ transplantation and the like.
In order to achieve the purpose, the invention adopts the technical scheme that:
an auxiliary device suitable for exposing the vascular endothelium comprises a circular or elliptical auxiliary device sheet 1, the inner diameter of the auxiliary device sheet is matched with the corresponding vascular lumen, a plurality of small holes 2 are formed in the auxiliary device sheet 1 along the circumferential direction, the aperture of each small hole 2 is matched with a suture needle with a thread, and the suture needle with the thread penetrates through the vascular endothelium to be fixed.
The number of the small holes 2 is 6 to 8, and the small holes are uniformly distributed in the circumferential direction.
The auxiliary device sheet 1 has a thickness of about 1mm and the small holes 2 have a diameter of 0.5-1 mm.
The auxiliary device sheet 1 is made of a high polymer material, and the surface of the auxiliary device sheet is subjected to plating treatment such as titanium nitride, polytetrafluoroethylene and parylene.
Compared with the prior art, the auxiliary device can fully expose the endothelium of the blood vessel to be anastomosed, and provides favorable conditions for subsequent anastomosis operation. The blood vessel anastomosis can be completed by various ways such as magnetic ring suction, glue bonding and the like. After the operation is finished, the auxiliary device can be cut and removed through the surgical knife blade so as to be not left in the body. The device is simple and convenient to use, and the vascular endothelium is fully and reliably exposed. The vascular endothelium is exposed through the device, and vascular anastomosis is realized subsequently and by utilizing a novel anastomosis technology, so that the overlong liver-free period and a series of associated complications caused by manual suturing in a liver transplantation operation are avoided.
Drawings
FIG. 1 is a schematic diagram of the present invention.
Detailed Description
The embodiments of the present invention will be described in detail below with reference to the drawings and examples.
As shown in figure 1, the auxiliary device suitable for exposing the vascular endothelium comprises a circular or elliptical ring-shaped auxiliary device sheet 1, the thickness of the auxiliary device sheet is about 1mm, the inner diameter of the auxiliary device sheet is matched with the corresponding vascular lumen, a plurality of axial small holes 2 are uniformly formed in the auxiliary device sheet 1 along the circumferential direction, the number of the small holes 2 is 6-8 in the embodiment, the hole diameter of the small holes is matched with that of a suture needle with a thread and is about 0.5-1mm, and the suture needle with the thread penetrates through the vascular endothelium to be fixed. The device adopts high polymer material, and the surface is subjected to plating treatment such as titanium nitride, polytetrafluoroethylene, parylene and the like.
In the using process, a blood vessel to be anastomosed penetrates into the inner ring of the auxiliary device sheet 1, the auxiliary device sheet 1 is sleeved at the broken end of the blood vessel to be anastomosed, and then a suture needle with a thread penetrates through the small hole 2 to fix the inner skin of the blood vessel. After all the small holes 2 are fixed, the vascular endothelium is fully exposed in a bell mouth shape, so that the subsequent operation is convenient.

Claims (4)

1. The auxiliary device suitable for exposing the vascular endothelium is characterized by comprising a circular or elliptical auxiliary device sheet (1), the inner diameter of the auxiliary device sheet is matched with a corresponding vascular lumen, a plurality of small holes (2) are formed in the auxiliary device sheet (1) along the circumferential direction, and the aperture of each small hole (2) is matched with a suture needle with a thread for the suture needle with the thread to penetrate through and fix the vascular endothelium.
2. Auxiliary device suitable for exposing the vascular endothelium according to claim 1, characterized in that said small holes (2) are 6 to 8 in number, evenly distributed in circumferential direction.
3. An aid suitable for exposing the endothelium of a blood vessel according to claim 1 or 2, wherein said aid sheet (1) has a thickness of about 1mm and the diameter of the pores (2) is 0.5-1 mm.
4. The auxiliary device suitable for exposing the vascular endothelium according to the claim 1, characterized in that the auxiliary device sheet (1) is made of polymer material, and the surface is coated with titanium nitride, polytetrafluoroethylene, parylene, etc.
CN202010481444.7A 2020-05-31 2020-05-31 Auxiliary device suitable for exposing vascular endothelium Pending CN111494022A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202010481444.7A CN111494022A (en) 2020-05-31 2020-05-31 Auxiliary device suitable for exposing vascular endothelium

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202010481444.7A CN111494022A (en) 2020-05-31 2020-05-31 Auxiliary device suitable for exposing vascular endothelium

Publications (1)

Publication Number Publication Date
CN111494022A true CN111494022A (en) 2020-08-07

Family

ID=71877051

Family Applications (1)

Application Number Title Priority Date Filing Date
CN202010481444.7A Pending CN111494022A (en) 2020-05-31 2020-05-31 Auxiliary device suitable for exposing vascular endothelium

Country Status (1)

Country Link
CN (1) CN111494022A (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112603423A (en) * 2020-12-25 2021-04-06 苏州凝智新材料发展有限公司 Magnetic glue combined vascular reconstruction combined device and application thereof

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112603423A (en) * 2020-12-25 2021-04-06 苏州凝智新材料发展有限公司 Magnetic glue combined vascular reconstruction combined device and application thereof
CN112603423B (en) * 2020-12-25 2023-03-07 苏州凝智新材料发展有限公司 Magnetic glue combined vascular reconstruction combined device and application thereof

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Applicant before: THE FIRST AFFILIATED HOSPITAL OF MEDICAL COLLEGE OF XI'AN JIAOTONG University

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