CN114177486A - Rapid exchange balloon system - Google Patents

Rapid exchange balloon system Download PDF

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Publication number
CN114177486A
CN114177486A CN202111396007.6A CN202111396007A CN114177486A CN 114177486 A CN114177486 A CN 114177486A CN 202111396007 A CN202111396007 A CN 202111396007A CN 114177486 A CN114177486 A CN 114177486A
Authority
CN
China
Prior art keywords
guide wire
catheter
rapid exchange
exchange balloon
wire
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
CN202111396007.6A
Other languages
Chinese (zh)
Inventor
周海燕
邵萌
赵磊
黄海云
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.)
Shengyi Technology Beijing Co ltd
Original Assignee
Shengyi Technology Beijing Co ltd
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 Shengyi Technology Beijing Co ltd filed Critical Shengyi Technology Beijing Co ltd
Priority to CN202111396007.6A priority Critical patent/CN114177486A/en
Publication of CN114177486A publication Critical patent/CN114177486A/en
Priority to PCT/CN2022/132057 priority patent/WO2023093575A1/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/09Guide wires
    • A61M2025/091Guide wires having a lumen for drug delivery or suction
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/09Guide wires
    • A61M2025/09125Device for locking a guide wire in a fixed position with respect to the catheter or the human body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0169Exchanging a catheter while keeping the guidewire in place
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/09Guide wires
    • A61M25/09041Mechanisms for insertion of guide wires

Abstract

The invention discloses a rapid exchange balloon system, which comprises: a catheter (1) comprising a fixed position catheter proximal end (101); the rapid exchange balloon catheter (2) is inserted into the catheter (1) and comprises a movable distal end of the rapid exchange balloon catheter and a guide wire rapid port positioned on the wall of the catheter; and a guidewire (3) comprising a fixed and rotatable guidewire proximal end (301) and a movable guidewire distal end (304), the guidewire distal end (304) being capable of penetrating the guidewire rapid port and the rapid exchange balloon catheter distal end; the spiral line of seal wire can be realized walking by the rotation and the removal of seal wire, can accurately duplicate doctor's action. The guide wire is always in a bending state through the interval and fixed position arrangement of the near end of the catheter and the near end of the guide wire. The position of the near end of the guide wire is adaptively adjusted without moving according to the far end of the guide wire, so that the rapidness, the accuracy and the convenience of the interventional operation are ensured.

Description

Rapid exchange balloon system
Technical Field
The invention belongs to the technical field of interventional therapy, and particularly relates to a rapid exchange balloon system.
Background
Interventional therapy is minimally invasive therapy carried out by modern high-tech means, namely, under the guidance of medical imaging equipment, special catheters, guide wires and other precise instruments are introduced into a human body to diagnose and locally treat internal diseases. Interventional procedures include both intravascular and non-vascular interventional procedures. The vascular diseases mainly include percutaneous transluminal angioplasty, vascular stent, thrombolytic therapy, vascular malformation, arteriovenous fistula and hemangioma embolism therapy, inferior vena cava filter, various angiographic diagnoses, venous blood sampling diagnoses and the like. The non-vascular interventional therapy mainly comprises various percutaneous biopsies, various angioplasty of non-vascular cavities, local canceration of solid tumors, intervertebral disc herniation interventional therapy and the like.
The rapid exchange balloon system is the most widely applied one in vascular interventional therapy, and has the main advantages that the catheter does not need to be replaced at any time in the process of operating the guide wire, the balloon dilatation catheter does not need to be replaced by an extension guide wire, a side hole is formed in the position, 25 cm away from the top of the balloon, of the catheter, the guide wire can be inserted from the top end of the balloon and penetrates out of the side hole, and the operation space of an operator can be facilitated. However, existing rapid exchange balloon systems include catheters. The rapid exchange balloon catheter and the guide wire need to be adjusted to adjust the position of the proximal end of the rapid exchange balloon catheter and the guide wire according to the movement of the distal end, the operation steps are complicated, and the operation difficulty of interventional therapy is increased.
Disclosure of Invention
Aiming at the defects or shortcomings in the prior art, the invention provides the rapid exchange balloon system which is simple in structure, can rapidly, accurately and conveniently control the wire tube of the rapid exchange balloon system, reduces the operation difficulty of interventional therapy and ensures the successful completion of interventional operation.
To achieve the above object, the present invention provides a rapid exchange balloon system, comprising:
a catheter including a catheter proximal end;
the rapid exchange balloon catheter is inserted into the catheter and comprises a movable distal end of the rapid exchange balloon catheter and a guide wire rapid port positioned on the wall of the catheter; and
a guidewire including a rotatable guidewire proximal end and a movable guidewire distal end, the guidewire distal end capable of penetrating the guidewire rapid port and the rapid exchange balloon catheter distal end;
the guide wire proximal end and the catheter proximal end are arranged at intervals and are fixed in relative positions, and the guide wire is arranged between the guide wire proximal end and the catheter proximal end in a bending mode.
In some embodiments, the guidewire proximal end is cylindrical and the guidewire axis of the guidewire proximal end is non-coaxially arranged with the conduit axis of the catheter proximal end.
In some embodiments, the proximal guidewire end is spaced parallel to the proximal catheter end.
In some embodiments, the guidewire further comprises a guidewire connecting segment connected to the proximal guidewire end and the distal guidewire end, the guidewire connecting segment being U-shaped and comprising a guidewire steering front and a guidewire steering back parallel to each other and an arcuate connecting segment connected between the guidewire steering front and the guidewire steering back.
In some embodiments, the rapid exchange balloon system further comprises:
a seat for mounting the catheter, the rapid exchange balloon catheter and the guidewire;
the movable driving seats are arranged on the seat body and are respectively used for driving the far end of the catheter to move, driving the far end of the guide wire to move and driving the far end of the rapid exchange balloon catheter to move;
the rotary driving seats are arranged on the seat body and are respectively used for driving the near end of the catheter to rotate and driving the near end of the guide wire to rotate; and
and the guide wire guide structure is fixedly arranged on the base body and is used for adjusting the guide wire to steer.
In some embodiments, the housing comprises:
a fixed seat; and
the base is provided with a sliding piece and is arranged on the fixed seat;
the fixing seat is L-shaped and is provided with a sliding rail used for sliding the sliding piece.
In some embodiments, the mobile drive block comprises:
the wheel driving motor is fixedly arranged on the base; and
a travel wheel set including a tube filament drive wheel and a tube filament idler wheel extending from the base;
the tube wire driving wheel and the tube wire idle wheel are arranged in parallel at intervals and jointly form a tube wire clamping space.
In some embodiments, the rotary drive socket comprises:
the rotary driving motor is fixedly arranged on the base;
the bevel gear transmission part is in transmission connection with the rotary driving motor; and
and the pipe thread clamp is in transmission connection with the bevel gear transmission piece and is used for clamping and fixing the catheter or the guide thread.
In some embodiments, the guide wire guiding structure is open and comprises a bottom plate fixedly mounted on the base and two limiting plates arranged on the bottom plate at intervals, wherein the limiting plates are used for limiting the movement range of the guide wire; or, the guide wire guide structure is a sleeve part and comprises a guide shell and a limiting accommodating space which is defined by the guide shell in a surrounding mode and used for accommodating the guide wire.
In some embodiments, the rapid exchange balloon system further comprises a three-way tube communicated with the proximal end of the catheter, and the three-way tube is formed with a tube wire inlet for inserting the rapid exchange balloon catheter and the guide wire and an injection liquid inlet for communicating with an external injector.
According to the rapid exchange balloon system, the catheter, the guide wire and the rapid exchange balloon catheter are combined, the spiral line of the guide wire can be moved by rotating and moving the guide wire, and the rapid exchange balloon system can accurately replicate actions of doctors. The guide wire is always in a bending state through the interval and fixed position arrangement of the near end of the catheter and the near end of the guide wire. Need not to adjust the position of seal wire near-end according to the removal of seal wire distal end suitability, and the seal wire is crooked and can remove in order, guarantee to intervene quick, accurate and convenient of operation.
Additional features and advantages of the invention will be set forth in the detailed description which follows.
Drawings
The accompanying drawings, which are included to provide a further understanding of the invention and are incorporated in and constitute a part of this specification, illustrate embodiments of the invention and together with the description serve to explain the principles of the invention and not to limit the invention. In the drawings:
fig. 1 is a schematic perspective view of a rapid exchange balloon system according to an embodiment of the present invention;
FIG. 2 is a schematic view of the structure of FIG. 1 from a different perspective;
FIG. 3 is a rear view block diagram of FIG. 2 showing the seat and guide wire guide structure;
FIG. 4 is a schematic top view of the catheter of FIG. 2 showing the seat, guide wire guide structure and catheter; (ii) a And
fig. 5 is an enlarged view of a portion of fig. 2 showing the rotary drive socket.
Description of reference numerals:
1 catheter and 2 rapid exchange balloon catheter
101 proximal end of catheter
3 guide wire
301 guide wire proximal end 302 guide wire steering front
303 guide wire steering back part 304 guide wire far end
100 seat body
110 base 120 fixing seat
200 moving driving seat
210 wheel drive motor 220 moving wheel set
300 rotary driving seat
310 rotary drive motor 320 bevel gear drive
330 pipe thread clamp
440 guide wire guide structure
41 bottom plate 42 limit plate
4 three-way pipe
401 pipe thread inlet 402 injection inlet
Z1 guidewire axis Z2 tube axis
Detailed Description
The following detailed description of embodiments of the invention refers to the accompanying drawings. It should be understood that the detailed description and specific examples, while indicating the present invention, are given by way of illustration and explanation only, not limitation.
It should be noted that the embodiments and features of the embodiments may be combined with each other without conflict.
In the present invention, unless specified to the contrary, use of the terms of orientation such as "upper, lower, top, bottom" or the like are generally described with respect to the orientation shown in the drawings or the positional relationship of the components with respect to each other in the vertical, or gravitational direction.
The rapid exchange balloon system is the most widely applied one in vascular interventional therapy, and has the main advantages that the catheter does not need to be replaced at any time in the process of operating the guide wire, the balloon dilatation catheter does not need to be replaced by an extension guide wire, a side hole is formed in the position, 25 cm away from the top of the balloon, of the catheter, the guide wire can be inserted from the top end of the balloon and penetrates out of the side hole, and the operation space of an operator can be facilitated. However, in the existing rapid exchange balloon system, the catheter, the rapid exchange balloon catheter and the guide wire need to be adjusted to adjust the position of the proximal end according to the movement of the distal end, the operation steps are complicated, and the operation difficulty of interventional therapy is increased. Therefore, how to solve the problem of ensuring the rapidness, the accuracy and the convenience of the rapid exchange balloon type interventional operation is worthy of research. The specific structure and function of the rapid exchange balloon system will be described in detail below.
Referring to fig. 1 to 5, the present invention discloses a rapid exchange balloon system, including: a catheter 1, a rapid exchange balloon catheter 2 and a guide wire 3;
specifically, the catheter 1 comprises a catheter proximal end 101, in the rapid exchange balloon system, the catheter 1 serves as an external member, the rapid exchange balloon catheter 2 and the guide wire 3 can be accommodated in the catheter 1, and the rapid exchange balloon catheter 2 and the guide wire 3 can be inserted from the catheter proximal end 101, so that the operation is convenient, and the rapid exchange balloon catheter 2 and the guide wire 3 are effectively protected;
the rapid exchange balloon catheter 2 is inserted into the catheter 1 and comprises a movable distal end of the rapid exchange balloon catheter and a guide wire rapid port located on the wall of the catheter, the rapid exchange balloon catheter 2 generally comprises a balloon part and a catheter part, the balloon at the distal end of the rapid exchange balloon catheter can be expanded to a specified diameter under specified pressure, and the distal end of the rapid exchange balloon catheter is inserted into the catheter 1 and can move along the length direction of the catheter 1, so that the distal end of the rapid exchange balloon catheter can move to a focus of a patient, and the focus can be conveniently treated; and
seal wire 3, including rotatable seal wire near-end 301 and mobilizable seal wire distal end 304, seal wire distal end 304 can run through seal wire fast mouthful and quick exchange sacculus pipe distal end, seal wire near-end 301 of seal wire 3 can rotate, it can carry out the angle deflection to have decided the seal wire distal end 304, seal wire distal end 304 can remove, the distance that seal wire 3 can move has been decided, thus, rotation and the removal of seal wire distal end 304 through seal wire near-end 301, two kinds of motion mode superpose in seal wire distal end 304, can realize the mode of walking of the helix of seal wire 3, the mode of walking on the basis of this helix, make quick exchange sacculus system can accurate duplication doctor's action, guarantee the operation of interveneeing fast, accurate and convenient. In addition, because the guide wire 3 can penetrate through the far end of the rapid exchange balloon catheter and the guide wire rapid port, the extension guide wire 3 is not needed when the rapid exchange balloon catheter 2 is replaced.
The guide wire 3 is arranged between the guide wire proximal end 301 and the catheter proximal end 101 in a bent mode, and it can be understood that the guide wire proximal end 301 and the catheter proximal end 101 which are fixed in position are arranged at intervals, namely, the distance between the guide wire proximal end 301 and the catheter proximal end 101 is fixed, during the interventional operation treatment process, the guide wire proximal end 301 is fixed in position, and the guide wire distal end 304 is inserted into the catheter proximal end 101, so that the guide wire outer portion is formed on the guide wire portion located outside the guide wire proximal end 301 and the catheter proximal end 101, and the guide wire outer portion is always in a bent state. The position of the guide wire near end 301 does not need to be adjusted according to the movement of the guide wire far end 304, and the guide wire is bent and can be moved orderly, so that the rapidness, the accuracy and the convenience of the interventional operation are ensured.
Alternatively, the catheter 1 may be a medical catheter with a certain inner diameter and has two catheter ends, one of which is the proximal catheter end 101, and a system mounting seat may be included in the rapid exchange balloon system, and the proximal catheter end 101 may be fixedly mounted on the system mounting seat, and the mounting seat may be a plate structure or a frame structure, which is not limited in this respect.
Alternatively, for the rapid exchange balloon catheter 2, two balloon catheter ends may be included, one as the rapid exchange balloon catheter distal end and the other as the rapid exchange balloon catheter proximal end, having an outer diameter smaller than the inner diameter of the catheter 1, and thus, may be inserted into the catheter 1 and be able to move inside the catheter 1. The proximal end of the rapid exchange balloon catheter may have a female luer fitting that may be connected to a device capable of performing inflation procedures to adjust the balloon size. In addition, the material of the rapid exchange balloon catheter 2 needs to meet medical requirements, for example, the balloon section of the rapid exchange balloon catheter 2 may be a polyether amide block copolymer, and the catheter section may be a polyether amide block copolymer, although the material of the rapid exchange balloon catheter 2 is not limited thereto.
Optionally, for the removability of the distal end of the rapid exchange balloon catheter, the rapid exchange balloon catheter 2 may be clamped by a wheel set, and at this time, the rotation of the wheel portion of the wheel set may be converted into the linear movement of the rapid exchange balloon catheter 2, so that the distal end of the rapid exchange balloon catheter may be accurately and efficiently controlled to move to the designated focus.
Optionally, for the guide wire 3, the guide wire 3 can guide the catheter 1 to move to a specified position, and the guide wire 3 plays a role in guiding, positioning and supporting in the rapid exchange balloon system, so that the catheter can enter blood vessels and other cavities, and the guide catheter can smoothly reach a focus, so that accurate control of the guide wire 3 is a necessary condition for accurately copying the actions of medical staff. The guide wire 3 may include an outer portion and an inner portion, wherein the outer portion may be formed by winding a stainless steel wire with a high quality on a spring lathe, and the inner portion may be a hard and straight wire core accommodated in the outer portion.
Optionally, the distal end 304 of the guide wire 3 may be a J-shaped safety guide wire, the guide wire 3 includes two ends, wherein the movable distal end 304 of the guide wire is bent in a J-shape, so that if a curved and deformed blood vessel is encountered during intubation, the front end of the guide wire cannot be fixed on the blood vessel wall, thereby effectively preventing damage to the blood vessel, the J-shaped structure of the distal end of the guide wire may be divided into various sizes, small sizes, which may be suitable for the blood vessel, large sizes, which may help to adjust the direction of intubation, and at the position where the bile duct or the like has a changed trend, the guide wire 3 may be bent to insert the catheter 1 into branches in different directions.
Optionally, the proximal guide wire end 301 and the proximal catheter end 101 are fixed in position, and they may be spaced apart from each other on the system mount, i.e., they are fixed in distance. Because the distal end 304 of the guide wire is inserted into the proximal end 101 of the catheter, the guide wire 3 can be bent between the proximal end 301 of the guide wire and the proximal end 101 of the catheter through the limiting piece, so that the position of the proximal end 301 of the guide wire does not need to be adjusted according to the movement of the distal end 304 of the guide wire, the guide wire is bent and can be moved orderly, and the rapidness, the accuracy and the convenience of an interventional operation are guaranteed.
For the specific structure of the rapid exchange balloon system, in one embodiment, the proximal guidewire end 301 is cylindrical and the guidewire axis Z1 of the proximal guidewire end 301 is disposed non-coaxially with the conduit axis Z2 of the proximal catheter end 101. As shown in fig. 1 and 2, it can be understood that for a fixed catheter proximal end 101 not on the same axis as the guide wire proximal end 301, as shown in fig. 2, the guide wire 3 can be in a curved arrangement and always maintain a slack state, so that both the orderly arrangement of the guide wire 3 at the beginning of the system can be ensured; when the distal end 304 of the guide wire moves, the position of the proximal end 301 of the guide wire does not need to be adaptively adjusted, and the motion requirement of the guide wire is effectively ensured. Specifically, the rotation of the proximal end 301 of the guide wire can be effectively transmitted to the distal end 304 of the guide wire to adjust the deflection direction of the distal end 304 of the guide wire, the distal end 304 of the guide wire can be moved smoothly, and the rotation and the movement are overlapped on the distal end 304 of the guide wire to accurately copy the operation of medical staff, so that the structure is simple and the operation is easy.
Further, with respect to the positional relationship of the proximal wire end 301 to the proximal catheter end 101, in one embodiment, the proximal wire end 301 is spaced parallel to the proximal catheter end 101. As can be appreciated from fig. 2, the guide wire axis Z1 and the conduit axis Z2 are arranged in parallel, which improves the compactness of the system.
Further, in one embodiment, the guide wire 3 further comprises a guide wire connecting section connected to the guide wire proximal end 301 and the guide wire distal end 304, the guide wire connecting section being U-shaped and comprising a guide wire steering front portion 302 and a guide wire steering rear portion 303 parallel to each other and an arc-shaped connecting portion connected between the guide wire steering front portion 302 and the guide wire steering rear portion 303. As shown in fig. 2, at this time, the guide wire connecting section between the guide wire proximal end 301 and the catheter proximal end 101 is in a U-shaped structure, the guide wire steering front portion 302 and the guide wire steering rear portion 303 can be structurally limited by external components of the system, and the distance between the guide wire steering front portion 302 and the guide wire steering rear portion 303 is always the same as the distance between the guide wire axis Z1 and the pipeline axis Z2, so that the orderly arrangement of the guide wires 3 is ensured, and the structural compactness of the guide wires 3 is improved. To arc connecting portion, its radian is difficult too big, and wherein, the interval of seal wire axis Z1 and pipeline axis Z2 can be 5 centimetres at minimum, like this, avoids seal wire 3 angle of buckling too big, guarantees the orderly removal of seal wire 3, reduces the operation and control the degree of difficulty.
For other specific configurations of the rapid exchange balloon system, in one embodiment, the rapid exchange balloon system further comprises: the base body 100 is used for installing the catheter 1, the rapid exchange balloon catheter 2 and the guide wire 3; as shown in fig. 1 and 3, the holder body 100 may be a plate-shaped member having a planar structure, which facilitates processing. The installation catheter 1, the rapid exchange balloon catheter 2 and the guide wire 3 are installed on the seat body 100, the structure is compact and does not interfere with each other, and a precondition guarantee is provided for smooth completion of interventional therapy.
As to the specific driving structure of the catheter 1, the rapid exchange balloon catheter 2 and the guide wire 3, on one hand, the system includes a plurality of movable driving seats 200, which are mounted on the seat body 100 and are respectively used for driving the catheter distal end of the catheter 1 to move, driving the guide wire distal end 304 to move and driving the rapid exchange balloon catheter distal end to move, as shown in fig. 2 and 3, it can be understood that the movable driving seats 200 include at least three movable driving seats 200, and all the three movable driving seats 200 are independently controlled, so that the catheter distal end, the guide wire distal end 304 and the rapid exchange balloon catheter distal end can independently adjust the moving distance thereof.
On the other hand, the system comprises a plurality of rotary driving seats 300, which are installed on the seat body 100 and are respectively used for driving the catheter proximal end 101 to rotate and the guide wire proximal end 301 to rotate, as shown in fig. 2, the rotary driving seats 300 are two and can be independently controlled, and the rotation center of the rotary driving seat 300 should coincide with the circle centers of the corresponding catheter proximal end 101 and guide wire proximal end 301, so that the catheter proximal end 101 and guide wire proximal end 301 can rotate to adjust the angle of the corresponding distal ends;
more importantly, the system further comprises a guide wire guiding structure 440 fixedly mounted on the housing 100 and used for adjusting the steering of the guide wire 3. Can bearing seal wire 3 through seal wire guide structure 440 to the crooked radian of restriction seal wire 3 with turn to the direction, guarantee seal wire 3's orderliness, reduce the operation degree of difficulty of interveneeing the treatment, guarantee to intervene the smooth completion of operation.
Specifically, in one embodiment, the seat 100 comprises: a fixed base 120; and a base 110 having a sliding member and mounted on the fixing base 120, wherein the fixing base 120 is L-shaped and provided with a sliding rail for sliding the sliding member. As shown in fig. 2 and 3; it can be understood that the L-shaped fixing base 120 includes a base connecting portion and a base extending portion, the distal end of the catheter 1 is movably mounted on the base extending portion, the proximal end 101 of the catheter is rotatably mounted on the base 110, there may be one or more sets of slide rail sliders between the base connecting portion and the base 110, and the distance between the base extending portion and the base 110 can be adjusted by adjusting the position of the sliders on the slide rails, so that, along with the movement of the distal end of the catheter, adaptive position adjustment can be performed for the proximal end 101 of the catheter to avoid pulling the catheter 1, thereby ensuring the normal use of the catheter 1.
Further, in one embodiment, moving the drive socket 200 comprises: a wheel driving motor 210 fixedly installed on the base 110; and a travel wheel set 220 comprising a tube wire drive wheel and a tube wire idler wheel extending from base 110; the tube wire driving wheel and the tube wire idle wheel are arranged in parallel at intervals and jointly form a tube wire clamping space. As shown in fig. 2 and 3, the tube wire clamping spaces of the plurality of movable driving seats 200 may be respectively used for clamping the catheter 1, the guide wire 3 or the rapid exchange balloon catheter 2, taking the guide wire as an example, a driving force is provided by a wheel driving motor 210, the guide wire 3 is clamped by a tube wire driving wheel and a tube wire idle wheel and is converted into a driving force for linear movement of the guide wire 3 along with rotation of the tube wire driving wheel, so that advance or retreat of the guide wire 3 can be realized, and the moving distances of the guide wire 3 within a range time are equal, which is convenient for a medical staff to accurately control.
In one embodiment, the rotary drive socket 300 includes: a rotation driving motor 310 fixedly installed on the base 110; a bevel gear transmission member 320 drivingly connected to the rotary drive motor 310; and a tube wire clamp 330 drivingly connected to the bevel gear drive member 320 and adapted to clamp the catheter 1 or the guide wire 3. As shown in fig. 2, 4 and 5, taking the catheter 1 as an example, the rotation driving motor can be installed on the back surface of the base 110, and the bevel gear transmission member 320 can be located on the front surface of the base 110, so that the structure is compact and the integration is high, and the rotation driving motor 310 drives the bevel gear transmission member 320 and clamps and fixes the catheter 1 through the wire clamp 330 installed on the bevel gear transmission member 320, thereby ensuring the precise rotation of the catheter 1 and adjusting the deflection direction of the distal end of the catheter.
For the guiding of the guide wire 3, in an embodiment, the guide wire guiding structure 440 is in an open shape and includes a bottom plate 41 fixedly mounted on the base 110 and two limiting plates 42 arranged on the bottom plate 41 at intervals, the limiting plates 42 are used for limiting the moving range of the guide wire 3, as shown in fig. 1 and 2, the guide wire 3 can be supported by the bottom plate 41, it is ensured that the guide wire 3 is always located in the same plane, it is convenient to control the movement and rotation of the guide wire 3, and the limiting plates 42 can limit the distance between the guide wire turning front portion 302 and the guide wire turning rear portion 303, so that the orderliness and the integration of the guide wire 3 are improved, and the bending radian of the guide wire is ensured and limited. The limiting plate 42 may be a straight plate or an L-shaped plate, that is, the guide wire 3 may be limited in the height direction of the bottom plate 41 to prevent the guide wire 3 from slipping out of the guide wire guide structure 440.
In another embodiment, the guide wire guide structure 440 is a sleeve member and includes a guide housing and a limited accommodation space defined around the guide housing for accommodating the guide wire 3. At this time, the tube wire supporting surface of the guide wire guiding structure 440 is concave, and the cover limits the guide wire 3 in the accommodating space, so that the guide wire 3 is prevented from falling off from the guide housing.
In addition, the rapid exchange balloon system further comprises a three-way pipe 4 communicated with the proximal end 101 of the catheter, and a pipe thread inlet 401 for inserting the rapid exchange balloon catheter 2 and the guide wire 3 and an injection liquid inlet 402 for communicating with an external injector are formed on the three-way pipe 4, as shown in fig. 2. The tube wire inlet 401 can allow the rapid exchange balloon catheter 2 and the guide wire 3 to enter, and the injection liquid inlet 402 can allow an external syringe to inject liquid medicine into the catheter 1 and discharge the liquid medicine along the distal end of the catheter to reach a focus.
It should be particularly noted that other configurations and functions of the rapid exchange balloon system according to the embodiment of the present invention are known to those skilled in the art, and are not described herein in detail in order to reduce redundancy.
The preferred embodiments of the present invention have been described in detail with reference to the accompanying drawings, however, the present invention is not limited to the specific details of the above embodiments, and various simple modifications, such as changes in the shape, thickness and material of the end plate sealing layer, may be made to the technical solution of the present invention within the technical idea of the present invention, and these simple modifications are within the scope of the present invention.
Furthermore, it should be noted that in the description of the present specification, reference to the description of "one embodiment", "some embodiments", "examples", "specific examples", or "some examples", etc., means that a particular feature, structure, material, or characteristic described in connection with the embodiment or example is included in at least one embodiment or example of the present invention. In this specification, the schematic representations of the terms used above are not necessarily intended to refer to the same embodiment or example. Furthermore, the particular features, structures, materials, or characteristics described may be combined in any suitable manner in any one or more embodiments or examples. In other cases, the combination may be performed in any suitable manner, and the invention will not be described in detail in order to avoid unnecessary repetition.
In addition, any combination of the various embodiments of the present invention is also possible, and the same should be considered as the disclosure of the present invention as long as it does not depart from the spirit of the present invention.

Claims (10)

1. A rapid exchange balloon system, comprising:
a catheter (1) comprising a proximal catheter end (101);
the rapid exchange balloon catheter (2) is inserted into the catheter (1) and comprises a movable distal end of the rapid exchange balloon catheter and a guide wire rapid port positioned on the wall of the catheter; and
a guidewire (3) comprising a rotatable guidewire proximal end (301) and a movable guidewire distal end (304), the guidewire distal end (304) being capable of penetrating the guidewire rapid port and the rapid exchange balloon catheter distal end;
wherein the guide wire proximal end (301) and the catheter proximal end (101) are arranged at intervals and are fixed in relative positions, and the guide wire (3) is arranged in a bent mode between the guide wire proximal end (301) and the catheter proximal end (101).
2. The rapid exchange balloon system according to claim 1, wherein the proximal guidewire end (301) is cylindrical and a guidewire axis of the proximal guidewire end (301) is arranged non-coaxially with a conduit axis of the proximal catheter end (101).
3. The rapid exchange balloon system according to claim 2, wherein the proximal guidewire end (301) is spaced parallel to the proximal catheter end (101).
4. The rapid exchange balloon system according to claim 1, wherein the guide wire (3) further comprises a guide wire connection section connected to the guide wire proximal end (301) and the guide wire distal end (304), the guide wire connection section being U-shaped and comprising a guide wire steering front portion (302) and a guide wire steering rear portion (303) parallel to each other and an arc-shaped connection section connected between the guide wire steering front portion (302) and the guide wire steering rear portion (303).
5. The rapid exchange balloon system of any one of claims 1-4, further comprising:
a seat (100) for mounting the catheter (1), the rapid exchange balloon catheter (2) and the guide wire (3);
the movable driving seats (200) are arranged on the seat body (100) and are respectively used for driving the far end of the catheter (1) to move, driving the far end (304) of the guide wire to move and driving the far end of the rapid exchange balloon catheter to move;
a plurality of rotary driving seats (300) which are arranged on the seat body (100) and are respectively used for driving the catheter proximal end (101) to rotate and driving the guide wire proximal end (301) to rotate; and
and the guide wire guide structure (440) is fixedly arranged on the base body (100) and is used for adjusting the steering of the guide wire (3).
6. The rapid exchange balloon system according to claim 5, wherein the holder body (100) comprises:
a fixed seat (120); and
a base (110) having a sliding member and mounted on the fixing base (120);
the fixed seat (120) is L-shaped and is provided with a sliding rail used for sliding the sliding piece.
7. The rapid exchange balloon system according to claim 6, wherein the movement drive seat (200) comprises:
a wheel driving motor (210) fixedly mounted on the base (110); and
a moving wheel set (220) including a tube wire drive wheel and a tube wire idler wheel extending from the base (110);
the tube wire driving wheel and the tube wire idle wheel are arranged in parallel at intervals and jointly form a tube wire clamping space.
8. The rapid exchange balloon system according to claim 6, wherein the rotary drive seat (300) comprises:
a rotary drive motor (310) fixedly mounted on the base (110);
a bevel gear transmission member (320) which is in transmission connection with the rotary driving motor (310); and
the pipe thread clamp (330) is in transmission connection with the bevel gear transmission member (320) and is used for clamping and fixing the catheter (1) or the guide thread (3).
9. The rapid exchange balloon system according to claim 6, wherein the guide wire guiding structure (440) is open and comprises a bottom plate (41) fixedly mounted on the base (110) and two limiting plates (42) arranged on the bottom plate (41) at intervals, the limiting plates (42) being used for limiting the moving range of the guide wire (3); or, the guide wire guide structure (440) is a sleeve piece and comprises a guide shell and a limited accommodating space which is defined by the guide shell and used for accommodating the guide wire (3).
10. The rapid exchange balloon system according to claim 6, further comprising a tee (4) communicating with the catheter proximal end (101), the tee (4) being formed with a tube wire inlet (401) for inserting the rapid exchange balloon catheter (2) and the guide wire (3) and an injection liquid inlet (402) for communicating with an external injector.
CN202111396007.6A 2021-11-23 2021-11-23 Rapid exchange balloon system Pending CN114177486A (en)

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WO2023093575A1 (en) * 2021-11-23 2023-06-01 生一科技(北京)有限公司 Rapid exchange balloon system

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CN201279337Y (en) * 2008-05-15 2009-07-29 微创医疗器械(上海)有限公司 Saccule expansion conduit
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CN114177486A (en) * 2021-11-23 2022-03-15 生一科技(北京)有限公司 Rapid exchange balloon system
CN114177487A (en) * 2021-11-23 2022-03-15 生一科技(北京)有限公司 Total exchange balloon system

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2023093578A1 (en) * 2021-11-23 2023-06-01 生一科技(北京)有限公司 Medical catheter wire delivery mechanism and transluminal intervention system
WO2023093575A1 (en) * 2021-11-23 2023-06-01 生一科技(北京)有限公司 Rapid exchange balloon system

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