CN111672016A - Multifunctional multi-cavity balloon catheter and use method thereof - Google Patents
Multifunctional multi-cavity balloon catheter and use method thereof Download PDFInfo
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- CN111672016A CN111672016A CN202010736269.1A CN202010736269A CN111672016A CN 111672016 A CN111672016 A CN 111672016A CN 202010736269 A CN202010736269 A CN 202010736269A CN 111672016 A CN111672016 A CN 111672016A
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- balloon
- catheter
- channel
- blood vessel
- guide wire
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/10—Balloon catheters
- A61M25/1002—Balloon catheters characterised by balloon shape
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/0021—Catheters; Hollow probes characterised by the form of the tubing
- A61M25/0023—Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/10—Balloon catheters
- A61M25/1025—Connections between catheter tubes and inflation tubes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/10—Balloon catheters
- A61M25/104—Balloon catheters used for angioplasty
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/32—General characteristics of the apparatus with radio-opaque indicia
Abstract
The invention provides a multifunctional multi-cavity balloon catheter. Comprises a catheter body, wherein the outer wall of the catheter body is provided with a balloon; the front end of the catheter body is a guide part, and the rear end of the catheter body is connected with a connector; a main conduit channel, a secondary conduit channel and a balloon filling channel which are mutually independent are arranged in the conduit body; the balloon filling channel is communicated with the balloon; the side wall of the catheter body is provided with a side outlet communicated with the secondary catheter channel, the side outlet is arranged at the front end of the balloon, and the secondary catheter channel can be led into a micro catheter, a guide wire or a spring ring and led out from the side outlet; the invention also provides a using method of the multifunctional multi-cavity balloon catheter. The invention can quickly, accurately and stably lead intervention consumables such as guide wires, catheters, brackets, spring rings and the like to reach blood vessels to be reached in the operation, can effectively treat and solve the complex vascular pathological changes, better provides a powerful tool for clinical vascular intervention operation, improves the portability and safety of the operation and has wide popularization prospect.
Description
Technical Field
The invention belongs to the technical field of auxiliary medical appliances, and particularly relates to a multifunctional multi-cavity balloon catheter and a use method thereof.
Background
With the development of medical technology, intravascular interventional surgery is widely used for treating various clinical diseases by virtue of the characteristics of small incision, low trauma, quick recovery and the like. In the operation, the rapid, accurate and stable arrival of the intervention consumables such as guide wires, catheters, stents, spring rings and the like to the blood vessels to be reached becomes an important factor for shortening the operation time, reducing the operation complications and improving the operation success rate.
Most of the catheters used at present adopt catheters with a plurality of specifications and balloons which are matched and combined with skilled intravascular operation to meet the requirements, but in the clinical operation process, the condition of complicated vascular conditions is often met. For example, when selecting a blood vessel at the opening of a bifurcation of the blood vessel, several situations may lead to difficulty in selecting the target blood vessel, where the guidewire cannot enter the target blood vessel:
firstly, the target blood vessel is too thin, and the other branch blood vessel is obviously thicker; secondly, the angle between the target blood vessel and the approach blood vessel is too large; and thirdly, the target blood vessel is too twisted. For a blood vessel to be embolized, the following may result in embolization failure: the pressure in the direction of the approach blood vessel is obviously higher than that of the far end, the blood flow speed is high, and the spring ring and the like can not be fixed in situ or accumulated in multiple ways before the release is finished.
The above conditions can lead to obvious increase of the operation difficulty and even operation accidents. Therefore, the novel multifunctional multi-cavity balloon catheter designed by the invention can more effectively treat and solve the complex vascular disease condition, better provide a powerful tool for clinical vascular intervention operation, and provide new assistance for development of a new operation mode.
Disclosure of Invention
The invention aims to provide a multifunctional multi-cavity balloon catheter and a using method thereof, aiming at the defects of the prior art.
The invention adopts the following technical scheme:
a multifunctional multi-cavity balloon catheter comprises a catheter body, wherein a balloon is arranged on the outer wall of the catheter body; the front end of the catheter body is a guide part, and the rear end of the catheter body is connected with a connector; the main conduit channel, the secondary conduit channel and the balloon filling channel which are mutually independent are arranged in the conduit body; the main catheter channel is used for introducing a micro catheter and a guide wire, and the balloon filling channel is communicated with the balloon; the side wall of the catheter body is provided with a side outlet communicated with the secondary catheter channel, the side outlet is arranged at the front end of the balloon, and the secondary catheter channel can be led into a micro catheter, a guide wire or a spring ring and led out from the side outlet.
Furthermore, a first developing marker is further arranged at the side outlet and used for marking the position of the side outlet.
Further, a second developing marker is arranged at the front end part of the main pipe channel and used for marking the position of the head end of the main pipe channel.
Further, the connector is provided with a first connector, a second connector and a third connector, and the first connector, the second connector and the third connector are respectively communicated with the main conduit channel, the secondary conduit channel and the balloon filling channel.
Furthermore, the interfaces of the first joint, the second joint and the third joint are all threaded interfaces.
Further, the distance between the side outlet and the balloon is 0.5-1.0 cm.
Further, the sacculus is axially arranged along the outer wall of the catheter body, the diameter is 0.6 cm-3.0 cm, and the length is 1 cm-5 cm.
Further, the diameter of the catheter body is 8-10 Fr.
The invention also provides a using method of the multifunctional multi-cavity balloon catheter,
the method specifically comprises the following steps of aiming at the situation that a target branch blood vessel needing to be accessed is difficult to access due to the angle of the blood vessel and the diameter of a lumen:
s1, guiding a first guide wire into the main catheter channel through the first joint, enabling the first guide wire to enter a non-target blood vessel, and enabling the catheter body of the device to enter a blood vessel branch along the first guide wire;
s2, under the X-ray fluoroscopy, positioning the side outlet and moving to the opening of the target branch blood vessel;
s3, injecting contrast agent into the balloon through the third joint and the balloon filling channel, and inflating the balloon until the balloon completely blocks the non-target blood vessel;
and S4, a second guide wire enters the secondary catheter channel through the second connector and enters the target branch blood vessel through the side outlet.
Further, when the blood flow velocity in the blood vessel is too high and the spring ring embolus cannot fix the embolism target blood vessel due to too large pressure difference between two ends of the blood vessel to be embolized, the method specifically comprises the following steps:
s1, guiding a first guide wire into the main catheter channel through the first joint, enabling the first guide wire to enter the far end of the target embolization blood vessel, and enabling the catheter body of the device to enter the target embolization blood vessel along the first guide wire;
s2, positioning the saccule in the contraction state at the high-pressure end of the target embolization blood vessel, and withdrawing the first guide wire;
s3, enabling a second guide wire to enter the secondary catheter channel through the second connector, penetrate through the side outlet and extend towards the front side until the head end of the second guide wire enters the low-pressure end of the target embolization blood vessel;
s4, the embolus conveying catheter is led to the low-pressure end of the target embolus blood vessel along the second guide wire;
s5, injecting a contrast agent into the balloon through the third joint and the balloon filling channel to expand the balloon, so as to block the high-pressure end of the target embolism area and enable the blood flow of the target embolism area to tend to be slow;
s6, removing the second guide wire, reserving the embolus conveying catheter, introducing the spring ring into the embolus conveying catheter, and conveying the spring ring to an target embolus blocking area, wherein at the moment, because the blood flow is slow, the spring ring can be continuously added, and fixed emboli are formed in the blood vessel, so that the purpose of blood vessel embolism is achieved;
s7, slowly emptying the balloon, and removing the device from the blood vessel.
The invention has the beneficial effects that:
the invention is provided with the main catheter channel, the secondary catheter channel, the balloon filling channel, the side outlet and the balloon, and can quickly, accurately and stably lead intervention consumables such as the guide wire, the catheter, the bracket, the spring ring and the like to reach the blood vessel to be reached in the operation through the matching of the balloon and the micro-catheter guide wire, thereby effectively solving the problem of difficult operation under the condition of complex vascular lesions and better providing a powerful tool for clinical vascular intervention operations. The invention has the advantages of reasonable design, simple structure, convenient operation and strong practicability, greatly improves the portability and the safety of the vascular intervention operation, and has wide popularization prospect.
Description of the drawings:
FIG. 1 is a schematic structural view of the present invention;
FIG. 2 is a cross-sectional view of a catheter body of the present invention;
FIG. 3 is a schematic side view of the side vent of the present invention;
FIGS. 4 and 5 are schematic views of the present invention;
the reference numbers in the drawings are: 1. a catheter body; 2. a balloon; 3. a connector; 4. a main conduit channel; 5. a secondary conduit channel; 6. a balloon filling channel; 7. a side outlet; 8. a first joint; 9. a second joint; 10. a third joint; 11. a first development logo; 12. a second development logo; 13. a first guide wire; 14. a non-target blood vessel; 15. a target branch vessel; 16. a target embolized blood vessel; 17. an embolus delivery catheter; 18. a second guide wire; A. a high-voltage end; B. a low-voltage end.
The specific implementation mode is as follows:
in order to make the objects, technical solutions and advantages of the embodiments of the present invention clearer, the technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are some, but not all, embodiments of the present invention. All other embodiments, which can be obtained by a person skilled in the art without any inventive step based on the embodiments of the present invention, are within the scope of the present invention.
Referring to fig. 1-3, the invention provides a multifunctional multi-cavity balloon catheter, which comprises a catheter body 1, wherein a balloon 2 is arranged on the outer wall of the catheter body 1; the front end of the catheter body 1 is a guide part, and the rear end of the catheter body is connected with a connector 3; a main catheter channel 4, a secondary catheter channel 5 and a balloon filling channel 6 which are mutually independent are arranged in the catheter body 1; the main pipe channel 2 is used for introducing a micro-catheter and a guide wire, and the balloon filling channel 6 is communicated with the balloon 2; the side wall of the catheter body 1 is provided with a side outlet 7 communicated with the secondary catheter channel 5, the side outlet 7 is arranged at the front end of the balloon 2, and the secondary catheter channel 5 can be led into a micro catheter, a guide wire or a spring ring and led out from the side outlet 7.
In the embodiment of the invention, a first developing indicator 11 is further arranged at the side outlet 7 and used for marking the position of the side outlet 7; a second developing marker 12 is arranged at the front end part of the main guide pipe channel 4 and is used for marking the position of the head end of the main guide pipe channel 4; the first and second visualization indicators 11, 12 are visible under X-rays.
In the embodiment of the invention, the connector 3 is provided with a first connector 8, a second connector 9 and a third connector 10, and the first connector 8, the second connector 9 and the third connector 10 are respectively communicated with the main catheter channel 4, the secondary catheter channel 5 and the balloon filling channel 6; specifically, the interfaces of the first joint 8, the second joint 9 and the third joint 10 are all threaded interfaces.
In the embodiment of the invention, the distance between the side outlet 7 and the balloon 2 is 0.5-1.0 cm; the balloon 2 is axially arranged along the outer wall of the catheter body 1, the diameter of the balloon is 0.6 cm-3.0 cm, and the length of the balloon is 1 cm-5 cm; the diameter of the catheter body 1 is 8-10 Fr.
The principle and the application method of the invention are as follows:
scene one:
referring to fig. 4, for the case that the target branch blood vessel to be accessed is difficult to access due to the angle of the blood vessel itself, the diameter of the lumen, and the like, the specific operation method comprises the following steps:
s1, guiding the first guide wire 13 into the main catheter channel 4 through the first joint 8, enabling the first guide wire 13 to enter a non-target blood vessel 14, and enabling the catheter body 1 of the device to enter a blood vessel branch along the first guide wire 13;
s2, under the X-ray fluoroscopy, the positioning side outlet 7 moves to the opening of the target branch blood vessel 15;
s3, injecting contrast agent into the balloon 2 through the third joint 10 and the balloon filling channel 6, and inflating the balloon 2 to completely block the non-target blood vessel 14;
s4, the second guide wire 18 is passed through the second connector 9 into the secondary catheter channel 5 and through the side exit port 7 into the target branch vessel 15.
Scene two
Referring to fig. 5, the specific operation method is used for the situation that the blood flow speed in the blood vessel is too high due to the overlarge pressure difference between two ends of the blood vessel to be embolized, and the embolization objects such as the spring ring and the like cannot effectively fix the embolization target blood vessel, and comprises the following steps:
s1, leading the first guide wire 13 into the main catheter channel 4 through the first joint 8, leading the first guide wire 13 into the distal end of the target embolization blood vessel 16, and leading the catheter body 1 of the device into the target embolization blood vessel 16 along the first guide wire 13;
s2, positioning the saccule 2 in the contraction state at the high-pressure end of the target embolization blood vessel 16, and withdrawing the first guide wire 13;
s3, the second guide wire 18 enters the secondary catheter channel 5 through the second connector 9, passes through the side outlet 7 and extends towards the front side until the head end of the second guide wire 18 enters the low-pressure end of the target embolization blood vessel 16;
s4, the embolic delivery catheter 17 is advanced along the second guidewire 18 to the low pressure end of the target embolic vessel 16;
s5, injecting a contrast agent into the balloon 2 through the third joint 10 and the balloon filling channel 6 to expand the balloon 2 and block the high-pressure end of the target embolism area, so that the blood flow of the target embolism area tends to be slow;
s6, removing the second guide wire 18, reserving the embolus conveying catheter 17, introducing the spring ring into the embolus conveying catheter 17, and conveying the spring ring to an target embolus blocking area, wherein the spring ring can be continuously added due to slow blood flow, and a fixed embolus is formed in the blood vessel, so that the purpose of blood vessel embolism is achieved;
s7, slowly emptying the balloon 2, and removing the device from the blood vessel.
The invention can quickly, accurately and stably lead intervention consumables such as guide wires, catheters, stents, spring rings and the like to reach blood vessels to be reached in the operation, can effectively solve the problem of difficult operation under the condition of complex vascular lesions, and better provides a powerful tool for clinical vascular intervention operations. The invention has the advantages of reasonable design, simple structure, convenient operation and strong practicability, greatly improves the portability and the safety of the vascular intervention operation, and has wide popularization prospect.
The above is only a preferred embodiment of the present invention, and the protection scope of the present invention is not limited to the above embodiments, and all technical solutions belonging to the idea of the present invention belong to the protection scope of the present invention, it should be noted that, for those skilled in the art, several modifications and decorations without departing from the principle of the present invention should be regarded as the protection scope of the present invention.
Claims (10)
1. The multifunctional multi-cavity balloon catheter is characterized by comprising a catheter body (1), wherein a balloon (2) is arranged on the outer wall of the catheter body (1); the front end of the catheter body (1) is a guide part, and the rear end of the catheter body is connected with a connector (3); a main pipe channel (4), a secondary pipe channel (5) and a balloon filling channel (6) which are mutually independent are arranged in the catheter body (1); the main pipe channel (2) is used for introducing a micro-catheter and a guide wire, and the balloon filling channel (6) is communicated with the balloon (2); the side wall of the catheter body (1) is provided with a side outlet (7) communicated with the secondary catheter channel (5), the side outlet (7) is arranged at the front end of the balloon (2), and the secondary catheter channel (5) can be led into a micro catheter, a guide wire or a spring ring and led out from the side outlet (7).
2. The multifunctional multi-lumen balloon catheter according to claim 1, wherein a first visualization marker (11) is further provided at the side outlet (7) for marking the position of the side outlet (7).
3. The multifunctional multi-lumen balloon catheter according to claim 1, wherein the front end part of the main tube channel (4) is provided with a second visualization index (12) for marking the position of the head end of the main tube channel (4).
4. A multi-functional multi-lumen balloon catheter according to claim 1, characterized in that the connector (3) is provided with a first (8), a second (9) and a third (10) connector, the first (8), second (9) and third (10) connector communicating with the main conduit channel (4), the secondary conduit channel (5) and the balloon filling channel (6), respectively.
5. The multi-functional multi-lumen balloon catheter according to claim 4, wherein the interfaces of the first joint (8), the second joint (9) and the third joint (10) are all threaded interfaces.
6. The multifunctional multi-lumen balloon catheter according to claim 1, wherein the distance between the side outlet (7) and the balloon (2) is 0.5-1.0 cm.
7. The multifunctional multi-cavity balloon catheter according to claim 1, wherein the balloon (2) is axially arranged along the outer wall of the catheter body (1), and has a diameter of 0.6-3.0 cm and a length of 1-5 cm.
8. The multifunctional multi-lumen balloon catheter according to claim 1, wherein the catheter body (1) has a diameter of 8-10 Fr.
9. The use method of the multifunctional multi-cavity balloon catheter according to any one of claims 1 to 8, which is characterized in that when a target branch vessel needing to be accessed is difficult to access due to the angle of the vessel and the diameter of the lumen, the use method specifically comprises the following steps:
s1, guiding a first guide wire (13) into the main pipe channel (4) through the first connector (8), leading the first guide wire (13) into a non-target blood vessel (14), and leading the catheter body (1) of the device into a blood vessel branch along the first guide wire (13);
s2, under the X-ray fluoroscopy, the positioning side outlet (7) moves to the opening of the target branch blood vessel (15);
s3, injecting contrast agent into the balloon (2) through the third joint (10) and the balloon filling channel (6) to make the balloon (2) expand to completely block the non-target blood vessel (14);
and S4, a second guide wire (18) enters the secondary catheter channel (5) through the second connector (9) and enters the target branch blood vessel (15) through the side outlet (7).
10. The use method of the multifunctional multi-lumen balloon catheter according to any one of claims 1 to 8, wherein when the blood flow speed in the blood vessel is too high due to too large pressure difference between two ends of the blood vessel to be embolized and the embolization material of the spring ring cannot be used for fixedly embolizing the target blood vessel, the method specifically comprises the following steps:
s1, guiding a first guide wire (13) into the main pipe channel (4) through the first connector (8), enabling the first guide wire (13) to enter the distal end of the target embolization blood vessel (16), and enabling the catheter body (1) of the device to enter the target embolization blood vessel (16) along the first guide wire (13);
s2, positioning the saccule (2) in the contraction state at the high-pressure end of the target embolism blood vessel (16), and withdrawing the first guide wire (13);
s3, enabling a second guide wire (18) to enter the secondary catheter channel (5) through the second connector (9), pass through the side outlet (7), and extend towards the front side until the head end of the second guide wire (18) enters the low-pressure end of the target embolization blood vessel (16);
s4, the embolus conveying catheter (17) is led to the low-pressure end of the target embolus blood vessel (16) along the second guide wire (18);
s5, injecting a contrast agent into the balloon (2) through the third joint (10) and the balloon filling channel (6), so that the balloon (2) is inflated to block the high-pressure end of the target embolism area, and the blood flow of the target embolism area tends to be slow;
s6, removing the second guide wire (18), reserving the embolus conveying catheter (17), introducing the spring coil into the embolus conveying catheter (17), and conveying the spring coil to an occluded target embolus area, wherein the spring coil can be continuously added due to slow blood flow, and fixed embolus is formed in the blood vessel, so that the purpose of blood vessel embolism is achieved;
s7, slowly emptying the balloon (2), and removing the device from the blood vessel.
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CN202010736269.1A CN111672016A (en) | 2020-07-28 | 2020-07-28 | Multifunctional multi-cavity balloon catheter and use method thereof |
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CN202010736269.1A CN111672016A (en) | 2020-07-28 | 2020-07-28 | Multifunctional multi-cavity balloon catheter and use method thereof |
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Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN113057777A (en) * | 2021-05-06 | 2021-07-02 | 哈尔滨医科大学 | Weight-losing device with intragastric support |
CN113769243A (en) * | 2021-11-09 | 2021-12-10 | 东莞天天向上医疗科技有限公司 | Multi-guide-wire balloon dilatation catheter structure, dilatation catheter mechanism and medical equipment |
-
2020
- 2020-07-28 CN CN202010736269.1A patent/CN111672016A/en active Pending
Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN113057777A (en) * | 2021-05-06 | 2021-07-02 | 哈尔滨医科大学 | Weight-losing device with intragastric support |
CN113769243A (en) * | 2021-11-09 | 2021-12-10 | 东莞天天向上医疗科技有限公司 | Multi-guide-wire balloon dilatation catheter structure, dilatation catheter mechanism and medical equipment |
CN113769243B (en) * | 2021-11-09 | 2022-02-15 | 东莞天天向上医疗科技有限公司 | Multi-guide-wire balloon dilatation catheter structure, dilatation catheter mechanism and medical equipment |
US11642497B2 (en) | 2021-11-09 | 2023-05-09 | Dongguan Tt Medical Inc. | Multiple wire balloon dilation catheter |
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