CN114191023B - Covered catheter for plugging vascular puncture, plugging device and plugging method - Google Patents
Covered catheter for plugging vascular puncture, plugging device and plugging method Download PDFInfo
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- CN114191023B CN114191023B CN202111515179.0A CN202111515179A CN114191023B CN 114191023 B CN114191023 B CN 114191023B CN 202111515179 A CN202111515179 A CN 202111515179A CN 114191023 B CN114191023 B CN 114191023B
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- 238000000034 method Methods 0.000 title abstract description 13
- 230000000903 blocking effect Effects 0.000 claims abstract description 39
- 210000004204 blood vessel Anatomy 0.000 claims abstract description 30
- 230000007704 transition Effects 0.000 claims abstract description 4
- 239000003364 biologic glue Substances 0.000 claims description 11
- 239000007788 liquid Substances 0.000 claims description 9
- 238000007789 sealing Methods 0.000 claims description 6
- 230000000149 penetrating effect Effects 0.000 claims description 2
- 230000002439 hemostatic effect Effects 0.000 abstract description 8
- 230000000250 revascularization Effects 0.000 abstract description 7
- 230000009441 vascular protection Effects 0.000 abstract description 7
- 239000012528 membrane Substances 0.000 description 16
- 239000008280 blood Substances 0.000 description 12
- 210000004369 blood Anatomy 0.000 description 12
- 210000001519 tissue Anatomy 0.000 description 6
- 230000000694 effects Effects 0.000 description 4
- 230000023597 hemostasis Effects 0.000 description 4
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- 229920001778 nylon Polymers 0.000 description 2
- -1 polytetrafluoroethylene, ethylene-tetrafluoroethylene copolymer Polymers 0.000 description 2
- 238000003825 pressing Methods 0.000 description 2
- 238000009958 sewing Methods 0.000 description 2
- HTTJABKRGRZYRN-UHFFFAOYSA-N Heparin Chemical compound OC1C(NC(=O)C)C(O)OC(COS(O)(=O)=O)C1OC1C(OS(O)(=O)=O)C(O)C(OC2C(C(OS(O)(=O)=O)C(OC3C(C(O)C(O)C(O3)C(O)=O)OS(O)(=O)=O)C(CO)O2)NS(O)(=O)=O)C(C(O)=O)O1 HTTJABKRGRZYRN-UHFFFAOYSA-N 0.000 description 1
- 206010061218 Inflammation Diseases 0.000 description 1
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12027—Type of occlusion
- A61B17/12031—Type of occlusion complete occlusion
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12099—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
- A61B17/12109—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder in a blood vessel
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
- A61B17/12159—Solid plugs; being solid before insertion
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B2017/12004—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B2017/1205—Introduction devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B2017/1205—Introduction devices
- A61B2017/12054—Details concerning the detachment of the occluding device from the introduction device
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Molecular Biology (AREA)
- Vascular Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Reproductive Health (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Media Introduction/Drainage Providing Device (AREA)
Abstract
The invention discloses a covered catheter for blocking a blood vessel puncture, a blocking device and a blocking method, wherein the covered catheter comprises a catheter body, a blocking film is arranged on the surface of one end of the catheter body extending into a blood vessel, a traction wire is connected to the blocking film, the blocking film is provided with a first state and a second state which are stuck on the surface of the catheter body and are folded, the traction wire is pulled to cause the blocking film to deform, and at least part of the blocking film is separated from the connection with the catheter body and forms a folding structure to realize the transition from the first state to the second state. The covered catheter can be placed into a blood vessel along the outer sheath of the original puncture sheath, the blocking film is separated from the catheter body through the traction wire and forms a folding structure, the guide wire, the catheter body and the outer sheath are pulled away, the blocking film is effectively blocked at the puncture opening so as to achieve the hemostatic effect, the blocking film can be organically fused with human tissues, and finally, local effective revascularization is realized, so that the local vascular protection is facilitated, and the possibility of secondary operation is provided.
Description
Technical Field
The invention relates to the field of medical instruments, in particular to a covered catheter for plugging a vascular puncture, a plugging device and a plugging method.
Background
At present, clinical medicine is in the stage of the high-speed development of minimally invasive techniques. Various procedures are performed by way of peripheral vascular puncture. General vein catheterization, arterial puncture manometry etc. can realize hemostasis by means of local pressing after pulling out the catheterization, but the catheterization diameter of clinical multiple vascular puncture is great, especially when arterial puncture, for example: ECMO puts the pipe, intervenes technique through the femoral artery heart, intervenes technique, peripheral artery intervention operation etc. through the subclavian artery cerebral vessels, and this kind of puncture puts the pipe and is difficult to effectively stanch through local pressing when pulling out, perhaps even secondary blood vessel tears serious complications such as intermediate layer. To solve such problems, a local incision vascular repair is conventionally used, which means additional operations, wounds and time consuming, deviating from the purpose of minimally invasive. There is a clinical need for more efficient and safe methods of hemostasis.
The existing technology for hemostasis of peripheral vascular puncture is vascular closure, namely vascular closure after vascular puncture suture is performed around a blood vessel and the instrument is operated to perform tube drawing. But it has obvious disadvantages: 1, the operation is relatively complex; 2. foreign matter remains; 3. the effect can be achieved only by more than two closers with large puncture, and the incision suture hemostasis is still needed with partial poor effect; 4. the economic burden is large. How to avoid the defects and try to introduce the vascular closure function into the original puncture sheath is an important development direction.
Disclosure of Invention
In order to solve the technical problems, the invention provides a covered catheter for plugging a vascular puncture, a plugging device and a plugging method, which can be placed into a blood vessel along the outer sheath of an original puncture sheath, lead a plugging film to be separated from a catheter body through a traction wire and form a folding structure, and draw away the guide wire, the catheter body and the outer sheath, so that the plugging film can be effectively plugged at the puncture to achieve the hemostatic effect, and can be organically fused with human tissues, and finally realize local effective revascularization, thereby being beneficial to local vascular protection and providing the possibility of secondary operation.
The invention adopts the following technical scheme:
The utility model provides a vascular puncture is tectorial membrane pipe for shutoff, includes the pipe body, the pipe body stretches into the intraductal one end surface of blood and is equipped with the shutoff membrane, be connected with the pull wire on the shutoff membrane, the shutoff membrane has the first state of pasting in pipe body surface and the second state of folding setting, pulling the pull wire causes the shutoff membrane to take place deformation, and at least part shutoff membrane breaks away from the connection with the pipe body and forms the beta structure and realize the transition from first state to second state.
Preferably, traction wires are inserted in the plugging film in the front-back direction.
Preferably, the blocking film is enclosed on the catheter body or partially enclosed on the catheter body; the blocking film is arranged on the catheter body through biological glue.
Preferably, the catheter body is provided with a first passage therethrough.
Preferably, an operation part is arranged at one end of the catheter body positioned outside the blood vessel, and a one-way valve is arranged at the end part of the operation part.
Preferably, the operation part is provided with a liquid flow pipe, and the end part of the liquid flow pipe is a tee joint.
Preferably, the diameter of the catheter body is 0.3mm-30mm, and the dimension of the rectangular shape of the plugging film is 0.5mm multiplied by 2mm to 60mm multiplied by 200mm.
A vascular puncture plugging device comprises an outer sheath, wherein a covered catheter for plugging a vascular puncture is movably arranged in the outer sheath.
A vascular puncture sealing method, comprising the following steps:
s100: after the puncture sheath is used, the inner sheath is removed, and the outer sheath and the guide wire are reserved;
s200: extending the covered catheter along the guidewire into the outer sheath to reach the vessel;
s300: pulling the pulling wire outwards to cause the plugging film part on the catheter body to be separated from the catheter body and form a second folded state;
S400: simultaneously, the outer sheath, the catheter body, the guide wire and the traction wire are moved outwards, so that the blocking film in the second state moves outwards and is propped against the inner wall of the blood vessel;
S500: the sheath, the catheter body and the guide wire are completely removed, and the traction wire is fixed, so that the blocking film in the second state is blocked on the inner wall of the blood vessel.
Preferably, in S200, the intravascular blood is discharged through the liquid flow tube of the catheter body and then S300 is performed.
Compared with the prior art, the invention has the following advantages: the novel hemostatic device can be placed into a blood vessel along the outer sheath of an original puncture sheath, the plugging film is separated from the catheter body through the traction wire to form a folding structure, the guide wire, the catheter body and the outer sheath are pulled away, the plugging film is effectively plugged at the puncture opening to achieve a hemostatic effect, the plugging film can be organically fused with human tissues, and finally, local effective revascularization is realized, so that the novel hemostatic device is beneficial to local vascular protection and the possibility of providing secondary operation.
The innovation points mainly comprise:
1. the original puncture sheath is effectively utilized, and the puncture plugging operation is performed in the outer sheath.
2. The puncture opening is plugged by utilizing the principle of 'plane-to-solid', and the plugging film is ensured to be effectively plugged at the puncture opening by utilizing the inherent pressure of blood flow and the fixation mode of the traction wire, so that the principle is clear and the operation is simple and convenient.
3. The plugging films with different types can realize the full coverage of plugging various puncture openings.
4. The pull wire can be absorbed or removed, and the blocking film can be organically fused with human tissues, and finally realizes local effective revascularization, thereby being beneficial to local vascular protection and providing possibility of reoperation.
5. Low manufacturing cost and small economic burden.
6. By local fine tuning, the application scene can be widened to the blockage of perivalvular leakage, bronchial leakage and esophageal leakage, and the dilemma of clinical situations can be solved to a certain extent.
Drawings
Fig. 1 is a schematic structural view of a covered catheter.
Fig. 2 is a schematic view of another view angle structure of the covered catheter.
Fig. 3 is a partial cross-sectional view of a covered catheter.
Fig. 4 is a partial enlarged view of a portion a of fig. 3.
Fig. 5 is a schematic structural view of a blocking film with a circular ring structure.
Fig. 6 is a schematic structural view of a blocking film with a fan-ring structure.
Fig. 7 is a schematic view of the open structure of the occluding membrane.
Fig. 8 is a schematic view of a second state of the occluding membrane.
Fig. 9 is a schematic view showing a use state of the covered catheter.
Fig. 10 is a schematic view of a second embodiment of a blocking film.
Fig. 11 is a schematic view of a third embodiment of a plugging film.
In the figure, a catheter body 1, a first channel 11, an operation part 12, a one-way valve 13, a blocking film 2, a pulling wire 3, a liquid flow tube 4, and a tee 41.
Detailed Description
In order to facilitate understanding of the technical scheme of the present invention, the following detailed description is made with reference to the accompanying drawings and specific embodiments.
Example 1
As shown in fig. 1-11, a covered catheter for vascular puncture blocking comprises a catheter body 1, wherein a blocking film 2 is arranged on the surface of one end, extending into a blood vessel, of the catheter body 1, a traction wire 3 is connected to the blocking film 2, the blocking film 2 is provided with a first state attached to the surface of the catheter body 1 and a second state arranged in a folding manner, the traction wire 3 is pulled, so that the blocking film 2 is deformed, at least part of the blocking film 2 is separated from the connection with the catheter body 1, and a folding structure is formed to realize the transition from the first state to the second state. The catheter body 1 can be placed into a blood vessel along the outer sheath of the original puncture sheath, the plugging film 2 is separated from the catheter body 1 through the traction wire 3 to form a folding structure, the guide wire, the catheter body 1 and the outer sheath are pulled away, the plugging film 2 is effectively plugged at the puncture opening to achieve the hemostatic effect, the plugging film 2 can be organically fused with human tissues, and finally, local effective revascularization is realized, so that the local vascular protection is facilitated, and the possibility of secondary operation is provided.
The catheter body 1 is made of elastic materials, and can be a composite pipe of one of polyimide, polytetrafluoroethylene, ethylene-tetrafluoroethylene copolymer, polyethylene, polyether ether ketone, nylon, polyether block polyamide and nylon and stainless steel wires or a composite pipe of the high-molecular materials which are not less than two.
The blocking film 2 is in the prior art, and can be particularly a common biological film in clinical operation, such as biological grafts harvested by porcine Small Intestine Submucosa (SIS), new materials of inflammation-regulating high molecular polymers and the like, and can be absorbed by human bodies.
The catheter body 1 is provided with a first through passage 11 for accommodating a guide wire, and when in use, the catheter body 1 extends into a blood vessel along the guide wire to prevent the catheter body 1 from puncturing the blood vessel.
An operation part 12 is arranged at one end of the catheter body 1 positioned outside the blood vessel, and a one-way valve 13 is arranged at the end part of the operation part 12. The check valve 13 prevents blood from overflowing from the end of the operation portion 12.
The operation part 12 is provided with a liquid flow pipe 4, the end part of the liquid flow pipe 4 is provided with a tee joint 41, the tee joint 41 is in a closed state at ordinary times, the catheter body 1 is stretched into a blood vessel, the tee joint 41 is opened, then blood is drawn, and once the blood flows out of the tee joint 41, one end of the catheter body 1 is positioned in the blood vessel. Meanwhile, a drug such as heparin or physiological saline may be injected into the blood vessel through the tee 41.
As shown in FIG. 7, the diameter of the catheter body 1 is 0.3mm-30mm, and the size of the rectangular opening of the plugging membrane 2 is 0.5mm multiplied by 2mm to 60mm multiplied by 200mm.
The plugging film 2 is a rectangular structure, and is attached to the surface of the catheter body 1 to form a ring-shaped structure (in the structure, a slit is formed at the joint of two ends of the plugging film 2) surrounding the catheter body or a fan-shaped ring-shaped structure partially surrounding the catheter body. Pulling the two structures through the pulling wire 3 can make the plugging film 2 fall off from the catheter body 1 and form a folded solid patch.
Preferably, the blocking film 2 has a circular ring structure, and when stacked into a solid dough sheet, the size thereof is 0.5mm×0.5mm to 60mm×60mm.
Preferably, the diameter of the catheter body 1 is 2mm-10mm, and the dimension of the rectangular opening shape of the plugging membrane 2 is 5mm multiplied by 20mm to 20mm multiplied by 100mm; when the plugging film 2 is in a circular ring structure, the dimension of the plugging film is 5mm multiplied by 20mm when the plugging film is stacked into a solid dough sheet.
The plugging film 2 is arranged on the catheter body 1 through biological glue, and the biological glue has certain viscosity and can be slowly dissolved in a human body at the same time, so that the injury to the human body is avoided. The plugging film 2 can be separated from the catheter body 1 and form a folded structure by pulling the pulling wire 3 outwards.
The biological adhesive can be used as a common clinical biological adhesive, and is dissolved in blood, so that complications such as desquamation, thrombus and the like are not caused, and the biological adhesive loses viscosity when meeting blood. Such materials are commonly available in clinic at present. When the fixing device is outside a human body, the fixing effect is good. After entering the blood vessel, the adhesive is softened and loosened by contacting with blood, and can be removed by slight force. In blood, the biological adhesive loses viscosity rapidly due to the influence of blood, and the whole body of the biological adhesive can be smoothly separated from the catheter by slightly pulling the wire 3, and the subsequent operation is carried out.
Specifically, as shown in fig. 7-8, the plugging film 2 is provided with traction wires 3 in a positive and negative penetrating manner. Preferably, the traction wire 3 and the blocking film 2 are arranged in a sewing way, a bottleneck does not exist clinically, the common intermittent sewing is adopted, the wire body is stuck on the surface of the blocking film 2 through a biological adhesive, and the wire body is loosened after entering a blood vessel. The two ends of the thread at the inner end of the blood vessel can be integrated, namely, the inner and outer parts are connected, so that the stability of the thread is better.
Two traction wires 3 are arranged on each plugging film 2, and when the traction wires 3 are pulled outwards, the two traction wires 3 need to be pulled simultaneously, so that the plugging films 2 can be separated from the catheter body 1 better and a folding structure is formed. In this example, a biofilm of 40mm length by 10mm width by 0.3mm thickness is taken as an example, and the distance between the two traction wires 3 is 0.6mm, and after folding, a folded structure of 10mm length by 10mm width by 1.5mm thickness is formed.
If the length of the biological film is increased, the number of layers after folding is increased, and finally the thickness of the folded plugging film 2 is correspondingly increased;
2. The interval between the traction wires 3 is preferably larger than half of the width of the film, and the traction wires are not easy to wrinkle and break when being pulled and folded;
3. The actual folding effect can be reduced due to the crease damage, the puncture opening is similar to a circle, and the blood pressure is larger, so that when the type 1 catheter body is selected, the selection is needed according to the diameter of the puncture opening or the diameter of the outer sheath, and the length of the plane side after the folding of the biological membrane is larger than 1.5 times of the diameter of the puncture opening.
In practical use, the two ends of the membrane are elliptical or the single traction wire 3 is arranged in the middle of the wide part of the membrane and is intermittently sewn on the surface of the membrane, but the elliptical edge is difficult to adhere to a catheter, and the single traction wire 3 is easy to cause the problems of uneven folding force, collapse in appearance, difficult fixation of the single wire and the like of the plugging membrane 2.
Preferably, a section of the traction wire 3 near the plugging film 2 is also adhered to the catheter body 1 through biological glue. According to the actual process, the traction wire 3 is the best choice clinically, wherein the thin catgut wire which can be absorbed by human body or the thin sliding wire which cannot be absorbed by human body is selected. Both of them are weak in rejection. After the absorbable traction wire 3 is used for fixation outside the skin, the absorbable traction wire can be automatically absorbed without disconnecting the wire; the sliding wire is convenient for clinical operation and is easy to detach.
In addition, through local fine tuning, the diameter of the catheter body 1 and the size of the plugging film 2 are changed, the application scene of the covered catheter can be widened to the plugging of perivalvular leakage, bronchial leakage and esophageal leakage, and the dilemma of clinical situations can be solved to a certain extent.
As shown in fig. 9, the three-dimensional patch formed by folding the plugging film 2 is plugged on the puncture, and the plugging film 2 is only required to be fixed by completely removing the catheter body 1 and through the traction wire 3.
As another embodiment of the present invention, as shown in fig. 10, the two traction wires 3 on the plugging film 2 may be inserted in the opposite direction, but the two traction wires 3 are twisted into one drawing section, so that the operation is convenient.
As another embodiment of the present invention, as shown in fig. 11, the traction wire 3 on the sealing membrane 2 may be disposed in a spiral shape and inserted in a positive and negative direction, so that the sealing membrane 2 after being stacked is more firm before being stacked, and is prevented from being separated from the stacked second state due to the flow of blood.
A vascular puncture plugging device comprises an outer sheath, wherein a covered catheter for vascular puncture plugging is movably arranged in the outer sheath. The sheath is the sheath of the puncture sheath in the prior art, after the puncture sheath is used, the guide wire and the sheath are left in the blood vessel, when the puncture sheath is used, the catheter body 1 is placed in the blood vessel along the sheath of the puncture sheath, the plugging film 2 is separated from the catheter body 1 through the traction wire 3 to form a folding structure, the guide wire, the catheter body 1 and the sheath are pulled out, the plugging film 2 is effectively plugged at the puncture opening to achieve the hemostatic effect, the plugging film 2 can be organically fused with human tissues, and finally, local effective revascularization is realized, so that the local vascular protection is facilitated, and the possibility of secondary operation is provided.
A vascular puncture occlusion method comprising the steps of:
s100: after the puncture sheath is used, the inner sheath is removed, and the outer sheath and the guide wire are reserved;
S200: extending the covered catheter into the outer sheath along the guide wire so as to reach the blood vessel, opening the tee joint 41, and drawing blood, wherein after the blood in the blood vessel flows out through the liquid flow pipe 4 of the catheter body 1, the catheter body 1 is positioned in the blood vessel;
s300: pulling the pull wire 3 outwards causes the plugging film 2 on the catheter body 1 to be partially detached from the catheter body 1 and form a folded second state, wherein the plugging film 2 is not completely detached from the catheter body 1;
s400: simultaneously, the outer sheath, the catheter body 1, the guide wire and the traction wire 3 are moved outwards, so that the blocking film 2 in the second state moves outwards and abuts against the inner wall of the blood vessel;
s500: the sheath, the catheter body 1 and the guide wire are continuously moved outwards and completely removed, the traction wire 3 is fixed, the blocking film 2 in the second state is blocked on the inner wall of the blood vessel, the hemostatic effect is achieved, the blocking film 2 can be organically fused with human tissues, and finally, local effective revascularization is realized, so that local vascular protection is facilitated, and the possibility of secondary operation is provided.
The foregoing is merely a preferred embodiment of the present invention, and the scope of the invention is defined by the claims, and those skilled in the art should also consider the scope of the present invention without departing from the spirit and scope of the invention.
Claims (6)
1. The covered catheter for plugging the vascular puncture is characterized by comprising a catheter body (1), wherein a blocking film (2) is arranged on the outer surface of one end, extending into a blood vessel, of the catheter body (1), a traction wire (3) is connected to the blocking film (2), the blocking film (2) is provided with a first state and a second state which are stuck on the outer surface of the catheter body (1) and are folded, the traction wire (3) is pulled, so that the blocking film (2) is deformed, and at least part of the blocking film (2) is separated from the connection with the catheter body (1) and forms a folding structure to realize the transition from the first state to the second state; traction wires (3) are arranged on the plugging film (2) in a positive and negative penetrating way; or two traction wires (3) are alternately arranged on the plugging film (2) in the positive and negative directions, and the leading-out section of the plugging film is twisted by one of the two traction wires (3); or the traction wire (3) on the plugging film (2) is spirally and positively inserted; the plugging film (2) is enclosed on the catheter body (1) or partially enclosed on the catheter body (1); the plugging film (2) is arranged on the catheter body (1) through biological glue; the blocking film (2) is a biological pad which can be organically fused with human tissues.
2. A covered catheter for sealing a vascular puncture according to claim 1, characterized in that the catheter body (1) is provided with a first through channel (11).
3. The covered catheter for plugging a vascular puncture according to claim 1, wherein an operation part (12) is arranged at one end of the catheter body (1) positioned outside a blood vessel, and a one-way valve (13) is arranged at the end part of the operation part (12).
4. A covered catheter for plugging a vascular puncture according to claim 3, wherein the operation part (12) is provided with a liquid flow tube (4), and the end part of the liquid flow tube (4) is a tee joint (41).
5. A covered catheter for plugging a vascular puncture according to claim 1, wherein the diameter of the catheter body (1) is 0.3mm-30mm, and the size of the rectangular opening of the plugging film (2) is 0.5mm x 2mm to 60mm x 200mm.
6. A vascular puncture sealing device comprising an outer sheath, wherein a covered catheter for sealing a vascular puncture as claimed in any one of claims 1 to 5 is movably arranged in the outer sheath.
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US10010328B2 (en) * | 2013-07-31 | 2018-07-03 | NeuVT Limited | Endovascular occlusion device with hemodynamically enhanced sealing and anchoring |
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