CN1158052C - Double saccule rack device for non-exchanging subcutaneous puncture coronary artery expansion forming operation - Google Patents
Double saccule rack device for non-exchanging subcutaneous puncture coronary artery expansion forming operation Download PDFInfo
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- CN1158052C CN1158052C CNB001117459A CN00111745A CN1158052C CN 1158052 C CN1158052 C CN 1158052C CN B001117459 A CNB001117459 A CN B001117459A CN 00111745 A CN00111745 A CN 00111745A CN 1158052 C CN1158052 C CN 1158052C
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- filling
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- 210000005077 saccule Anatomy 0.000 title claims abstract description 29
- 238000007920 subcutaneous administration Methods 0.000 title claims abstract description 23
- 210000004351 coronary vessel Anatomy 0.000 title abstract 2
- 238000009792 diffusion process Methods 0.000 claims description 32
- 239000003292 glue Substances 0.000 claims description 24
- 210000004204 blood vessel Anatomy 0.000 claims description 22
- 238000007887 coronary angioplasty Methods 0.000 claims description 16
- 238000002347 injection Methods 0.000 claims description 14
- 239000007924 injection Substances 0.000 claims description 14
- 230000003902 lesion Effects 0.000 claims description 11
- 230000002966 stenotic effect Effects 0.000 claims description 9
- 230000015572 biosynthetic process Effects 0.000 claims 2
- 239000006185 dispersion Substances 0.000 abstract 2
- 238000000465 moulding Methods 0.000 abstract 1
- 206010065420 Coronary artery dilatation Diseases 0.000 description 16
- 238000000034 method Methods 0.000 description 12
- 210000004369 blood Anatomy 0.000 description 6
- 239000008280 blood Substances 0.000 description 6
- 208000024172 Cardiovascular disease Diseases 0.000 description 5
- 230000010339 dilation Effects 0.000 description 5
- 238000010586 diagram Methods 0.000 description 3
- 230000002526 effect on cardiovascular system Effects 0.000 description 3
- 238000002399 angioplasty Methods 0.000 description 2
- 230000009977 dual effect Effects 0.000 description 2
- 238000004519 manufacturing process Methods 0.000 description 2
- 238000004904 shortening Methods 0.000 description 2
- 238000011282 treatment Methods 0.000 description 2
- 238000012800 visualization Methods 0.000 description 2
- 208000031481 Pathologic Constriction Diseases 0.000 description 1
- 230000017531 blood circulation Effects 0.000 description 1
- 239000012141 concentrate Substances 0.000 description 1
- 208000029078 coronary artery disease Diseases 0.000 description 1
- 208000010125 myocardial infarction Diseases 0.000 description 1
- 230000008092 positive effect Effects 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 239000007779 soft material Substances 0.000 description 1
- 230000036262 stenosis Effects 0.000 description 1
- 208000037804 stenosis Diseases 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
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Abstract
The present invention relates to a nonexchange type double saccule bracket device for subcutaneous puncture coronary artery expansion molding operations. The device comprises a pipe fitting, saccules arranged on the pipe fitting, a dispersion stress pipe connected behind the pipe fitting and a connecting fitting. The present invention is characterized in that the pipe fitting is composed of an inner sleeve pipe, a middle sleeve pipe and an outer sleeve pipe, and forms a wire guide cavity, a first filling cavity and a second filling cavity; the top end and the tail end of a pre-expansion saccule are respectively connected with the top end of the inner sleeve pipe and the top end of the middle sleeve pipe and communicated with the first filling cavity; the top end and the tail end of a release bracket saccule are respectively connected with a pipe wall of the middle sleeve pipe and the top end of the outer sleeve pipe and communicated with the second filling cavity; multilayer cavities tallying with the cavities in the pipe fitting are formed in the dispersion stress pipe and the connecting fitting.
Description
The invention relates to a medical instrument for treating cardiovascular diseases by using a minimally invasive intervention method, in particular to a double-balloon stent device for coronary artery dilatation angioplasty without need of exchange type subcutaneous puncture.
For various reasons, the cardiovascular disease is in a high level, such as coronary heart disease like myocardial infarction, or because blood has high blood fat and high blood viscosity, when blood flows in a blood vessel, blood with high blood fat and high viscosity is accumulated on the inner wall of the blood vessel, so that the wall of the blood vessel is thickened, a pipeline through which blood can flow in the blood vessel is reduced or even blocked, and the cardiovascular disease with more serious consequences is caused.
There are various surgical methods for angioplasty, and the treatment of cardiovascular diseases by minimally invasive intervention represents the highest surgical level worldwide and is a major trend not developed in the medical world. The subcutaneous puncture coronary artery dilatation (PTCA) represents the high technical level of minimally invasive interventional therapy, and is characterized in that a balloon dilatation catheter is introduced into a blood vessel through subcutaneous puncture, a balloon part in the balloon dilatation catheter is inserted into a stenotic lesion in the cardiovascular of a human body to be dilated or other treatments are carried out to relieve or completely treat various cardiovascular diseases, and after the operation is finished, the balloon is contracted along with the catheter and is led out of the body along with the catheter.
There are two types of PTCA balloon stent devices that currently represent the highest levels internationally: one is the coaxial (OTW) and the Rapid Exchange (REX), the two PTCA catheters are fundamentally different in that in the coaxial (OTW) balloon stent device, the length requirement of the guide wire is very long, and therefore the exchange of the guide wire is rather time-consuming; thus, a Rapid Exchange (REX) has been developed to facilitate rapid and convenient replacement of the guide wire. In clinical use, the coaxial (OTW) requires two doctors to perform the operation, while the Rapid Exchange (REX) requires only one doctor to complete the whole operation.
However, whether it is an in-line (OTW) balloon stent device or a Rapid Exchange (REX) balloon stent device, it is necessary to use two forms of products, one is called a "PTCA balloon dilatation catheter" and the other is a "PTCA stent catheter", in use. In the whole PTCA operation process, the PTCA balloon catheter adopting the coaxial type (OTW) (also called rear-mounted type) or the rapid exchange type (REX) (also called front-mounted type) can not avoid the secondary intervention operation method, namely the exchange type, of firstly inserting the balloon part of the PTCA balloon dilatation catheter into a stenotic lesion in a cardiovascular of a human body to dilate, taking out the catheter after the blood vessel is recovered to be normal, then replacing a PTCA stent catheter to enter a position where the cardiovascular stenosis is subjected to pre-dilation, and taking out the catheter after releasing the stent.
From the above, the existing "PTCA balloon dilatation catheter" and "PTCA stent catheter" are developed from OTW (coaxial or rear-mounted) to REX (rapid exchange or front-mounted) in consideration of the operation, so that the operation procedure of two doctors can be changed to one doctor to complete the operation procedure, however, both OTW and REX fail to solve the problem of the two-time catheter intervention into the blood vessel of the patient, and the two-time catheter intervention not only increases the pain of the patient, but also increases the operation cost.
The invention aims to provide an improved double-balloon stent device for subcutaneous puncture coronary artery dilatation without exchanging, which changes the operation method of the prior art and ensures that the operation of the subcutaneous puncture coronary artery dilatation can be completed at one time without exchanging catheters.
The purpose of the invention is realized as follows:
a non-interchangeable subcutaneous puncture coronary angioplasty double balloon stent device, comprising: the utility model provides a pipe fitting, the sacculus of setting on the pipe fitting, the diffusion stress pipe and the connecting piece of connection at the pipe fitting rear portion, its characteristics are:
the pipe fitting comprises three layers which are sequentially from inside to outside: the inner sleeve is internally provided with a guide wire cavity capable of walking guide wire; the middle sleeve is positioned outside the inner sleeve, and a first filling cavity is formed between the middle sleeve and the inner sleeve; the outer sleeve is positioned outside the middle sleeve, and a second filling cavity is formed between the outer sleeve and the middle sleeve;
the saccule comprises a pre-expansion saccule and a releasing bracket saccule; the pre-expansion balloon is positioned at the front part of the pipe fitting, the top end of the pre-expansion balloon is closely connected with the top end of the inner sleeve, the tail end of the pre-expansion balloon is closely connected with the top end of the middle sleeve, and the pre-expansion balloon is communicated with the first filling cavity of the pipe fitting to form a filling channel; the release stent balloon is positioned behind the pre-expansion balloon, the top end of the release stent balloon is closely connected with the wall of the middle sleeve, the tail end of the release stent balloon is closely connected with the top end of the outer sleeve, and the release stent balloon is communicated with the second filling cavity of the pipe fitting to form a filling channel;
the shape of the diffusion stress pipe is matched with the shape of the pipe fitting and is fixedly connected with the rear end of the pipe fitting, three layers of cavities are formed in the diffusion stress pipe, and each cavity is respectively communicated with a wire guide cavity, a first filling cavity and a second filling cavity in the pipe fitting;
the connecting piece is positioned behind the diffusion stress tube and fixedly connected with the diffusion stress tube, three layers of cavities matched with the diffusion stress tube are formed in the front part of the connecting piece, three forked port channels, namely a first filling cavity channel, a second filling cavity channel and a channel wire cavity channel, are arranged at the rear part of the connecting piece, and each port channel is respectively communicated with the corresponding multilayer cavities at the front part of the connecting piece.
In the above-mentioned double balloon stent device for percutaneous transluminal coronary angioplasty without exchanging, a tapered shape for passing through a stenotic lesion of a blood vessel is formed at a front end portion of the inner tube.
In the above mentioned double balloon stenting device without exchanging the subcutaneous puncture coronary artery dilatation, wherein three visualization points are provided on the tube, comprising: the pre-expansion balloon developing points are arranged on the inner sleeve and are positioned in the center of the pre-expansion balloon, and the releasing stent balloon developing points are arranged on the middle sleeve and are positioned at two ends in the releasing stent balloon.
In the above mentioned double-balloon stent device for non-exchangeable subcutaneous puncture coronary angioplasty, the ends of the inner sleeve and the middle sleeve of the tube are fixed on the connecting piece by injecting glue through the glue injecting holes on the connecting piece, and are separated to form a first filling cavity, the first filling cavity formed between the middle sleeve and the inner sleeve is communicated with the first filling cavity channel of the connecting piece and forms a filling channel with one closed end; the terminal of pipe fitting outer tube pass through the injecting glue in the injecting glue hole on the connecting piece and fix on the connecting piece, separate and form the second and be full of the chamber, the second that forms between this outer tube and the well sleeve is full of the chamber passageway intercommunication and is formed one end confined and is full of the passageway with the second of connecting piece.
In the two sacculus support devices of foretell need not exchange formula hypodermics coronary artery dilatation, wherein, the three port passageway that sets up of connecting piece rear portion, wherein, first sufficient chamber passageway sets up at connecting piece rear portion upside, the sufficient chamber passageway setting of second is at connecting piece rear portion downside, the setting of wire guide chamber passageway is in the middle of the connecting piece rear portion, interior sleeve pipe intercommunication in this wire guide chamber passageway and the pipe fitting.
A non-interchangeable subcutaneous puncture coronary angioplasty double balloon stent device, comprising: the utility model provides a pipe fitting, the sacculus of setting on the pipe fitting, the diffusion stress pipe and the connecting piece of connection at the pipe fitting rear portion, its characteristics are:
the pipe fitting comprises three layers which are sequentially from inside to outside: the inner sleeve is internally provided with a guide wire cavity capable of walking guide wire; the middle sleeve is positioned outside the inner sleeve, and a first filling cavity is formed between the middle sleeve and the inner sleeve; the outer sleeve is positioned outside the middle sleeve, and a second filling cavity is formed between the outer sleeve and the middle sleeve;
the saccule comprises a pre-expansion saccule and a releasing bracket saccule; the pre-expansion balloon is positioned at the front part of the pipe fitting, the top end of the pre-expansion balloon is closely connected with the top end of the inner sleeve, the tail end of the pre-expansion balloon is closely connected with the top end of the middle sleeve, and the pre-expansion balloon is communicated with the first filling cavity of the pipe fitting to form a filling channel; the release stent balloon is positioned behind the pre-expansion balloon, the top end of the release stent balloon is closely connected with the wall of the middle sleeve, the tail end of the release stent balloon is closely connected with the top end of the outer sleeve, and the release stent balloon is communicated with the second filling cavity of the pipe fitting to form a filling channel;
the shape of the diffusion stress pipe is matched with the shape of the pipe fitting and is fixedly connected with the rear end of the pipe fitting, two layers of cavities are formed in the diffusion stress pipe, and the two layers of cavities are respectively communicated with a first filling cavity and a second filling cavity in the pipe fitting;
the connecting piece is positioned behind the diffusion stress tube and fixedly connected with the diffusion stress tube, two layers of cavities matched with the diffusion stress tube are formed in the front part of the connecting piece, two forked port channels, namely a first filling cavity channel and a second filling cavity channel, are arranged at the rear part of the connecting piece, and the two port channels are respectively communicated with the two layers of cavities at the front part of the connecting piece and corresponding to the two port channels.
In the above-mentioned double balloon stent device for percutaneous transluminal coronary angioplasty without exchanging, a tapered shape for passing through a stenotic lesion of a blood vessel is formed at a front end portion of the inner tube.
In the above mentioned double balloon stenting device without exchanging the subcutaneous puncture coronary artery dilatation, wherein three visualization points are provided on the tube, comprising: the pre-expansion balloon developing points are arranged on the inner sleeve and are positioned in the center of the pre-expansion balloon, and the releasing stent balloon developing points are arranged on the middle sleeve and are positioned at two ends in the releasing stent balloon.
In the above mentioned double-balloon stent device for non-exchangeable subcutaneous puncture coronary artery dilatation, a guide wire incision is arranged on the tube at the back of the stent releasing balloon, the end of the inner sleeve extends out of the middle sleeve and the outer sleeve to communicate with the guide wire incision, and a first filling cavity is formed by separation; the tail end of the middle sleeve is fixed on the connecting piece through glue injection of the glue injection hole in the connecting piece, and a first filling cavity formed between the middle sleeve and the inner sleeve is communicated with a first filling cavity channel of the connecting piece and forms a filling channel with one closed end; the terminal injecting glue that passes through the injecting glue hole on the connecting piece of pipe fitting outer tube and fix on the connecting piece, separate and form the second and be full of the chamber, the second that forms a second between outer tube and the well sleeve is full of the chamber passageway intercommunication and is formed one end confined and is full of the passageway.
In the above mentioned double balloon stenting device without need of exchanging subcutaneous puncture coronary artery dilatation, wherein two port channels are provided at the rear part of the connector, wherein the first filling cavity channel is provided at the upper side of the rear part of the connector and the second filling cavity channel is provided at the middle of the rear part of the connector.
The double-balloon stent device for coronary artery dilatation without the need of exchange type subcutaneous puncture adopts the technical scheme, so that the double-balloon stent device has obvious advantages and positive effects compared with the prior art.
1. The invention reduces the two intervention processes of the subcutaneous puncture coronary artery dilatation operation to one intervention process because the pre-expansion saccule is arranged on the inner sleeve of the pipe fitting and the release stent saccule is arranged on the middle sleeve of the same pipe fitting, thereby greatly shortening the operation time, relieving the pain of patients, reducing the complexity of the operation, simplifying the operation process and reducing the operation cost.
2. The invention can conveniently find the proper position of the lesion area in the blood vessel and help the stent device to accurately position in the blood vessel to release the stent, thereby having clear and convenient operation.
The objects, specific structural features and advantages of the present invention will be further understood from the following description of several embodiments of the present invention without requiring an exchange type subcutaneous puncture coronary angioplasty double balloon stent device in conjunction with the accompanying drawings. Wherein, the attached drawings are as follows:
fig. 1(a) is a schematic structural view of a postposition type double-balloon stent device according to a first embodiment of the invention;
FIG. 1(b) is a sectional view taken along line A-A in FIG. 1 (a);
FIG. 1(c) is a sectional view taken along line B-B in FIG. 1 (a);
FIG. 1(d) is a cross-sectional view taken along line C-C in FIG. 1 (a);
fig. 2(a) is a schematic structural diagram of a forward double-balloon stent device according to a second embodiment of the invention;
FIG. 2(b) is a sectional view taken along line A-A in FIG. 2 (a);
FIG. 2(c) is a sectional view taken along line B-B in FIG. 2 (a);
FIG. 2(d) is a sectional view taken along the line C-C in FIG. 2 (a).
As shown in figures 1 and 2, the invention provides a double-balloon stent device for coronary artery dilatation without need of exchange type subcutaneous puncture, which comprises: a pipe fitting 1, a balloon 2 arranged on the pipe fitting 1, a diffusion stress pipe 3 connected with the rear part of the pipe fitting 1 and a connecting piece 4, wherein,
the pipe fitting 1 is made of ultra-soft material, and comprises three layers: an inner sleeve 11, a middle sleeve 13 and an outer sleeve 15. A guide wire cavity 12 capable of walking guide wires is formed in the inner sleeve 11, the front end part of the guide wire cavity is in a certain conical shape so as to pass through a stenotic lesion of a blood vessel, and a first filling cavity 14 is formed between the middle sleeve 13 and the inner sleeve 11; a second filling cavity 16 is formed between the outer sleeve 15 and the middle sleeve 13.
The balloon 2 is arranged outside the pipe fitting 1 and comprises a pre-expansion balloon 21 and a stent releasing balloon 22. The pre-expansion balloon 21 is used for pre-expansion in a stenotic lesion area of a blood vessel and is positioned at the front part of the pipe fitting 1, the top end of the pre-expansion balloon 21 is closely connected with the top end of the inner sleeve 11, the tail end of the pre-expansion balloon 21 is closely connected with the top end of the middle sleeve 13, and the pre-expansion balloon 21 is communicated with the first filling cavity 14 and forms a filling channel; the releasing stent saccule 22 is used for releasing the stent in the blood vessel lesion area and is positioned behind the pre-expanding saccule 21, the top end of the releasing stent saccule 22 is closely connected with the tube wall of the middle sleeve 13, the tail end of the releasing stent saccule 22 is closely connected with the top end of the outer sleeve 15, and the releasing stent saccule 22 is communicated with the second filling cavity 16 and forms a filling channel.
A plurality of developing points 5 are also provided on the pipe member 1, and three developing points 5 are provided in the present invention, which are: one is a pre-expansion balloon developing point 51 which is arranged on the inner sleeve 11 and is positioned at the center in the pre-expansion balloon 21 and is used for searching a proper part of a lesion area in the blood vessel; two are stent releasing balloon developing points 52 and 53 which are arranged on the middle sleeve 13 and are positioned at two ends in the stent releasing balloon 22, and the developing points 52 and 53 are arranged to help the stent device to be accurately positioned in the blood vessel.
The diffusion stress tube 3 is used for providing recoil of the pipe fitting 1, the shape of the diffusion stress tube is matched with that of the pipe fitting 1, the diffusion stress tube is fixedly connected with the rear end of the pipe fitting 1, a plurality of layers of cavities matched with the cavities of the pipe fitting 1 are formed in the diffusion stress tube 3, and the cavities are respectively communicated with a wire guide cavity 12, a first filling cavity 14 and a second filling cavity 16 in the pipe fitting 1 to form a channel.
The connecting piece 4 is a channel for communicating each cavity in the pipe fitting 1 with the outside, is positioned behind the diffusion stress pipe 3 and is fixedly connected with the diffusion stress pipe 3, a multi-layer cavity matched with the diffusion stress pipe 3 is formed in the front part of the connecting piece 4, more than one forked port channel is arranged at the rear part of the connecting piece 4, and each port channel is respectively communicated with the corresponding multi-layer cavity in the front part of the connecting piece 4.
The invention discloses a double-balloon stent device for coronary artery dilatation without need of exchange type subcutaneous puncture, which has two types: one is an over-the-counter (OTW) dual balloon stent device, and the other is an over-the-counter dual balloon stent device.
As shown in fig. 1, it is a schematic structural diagram of a postposition type double-balloon stent device according to a first embodiment of the invention.
In the rear double-balloon stent device of the embodiment, the tail ends of the inner sleeve 11 and the middle sleeve 13 of the tube 1 are fixed on the connecting piece 4 through glue injection of the glue injection holes 45 and 46 on the connecting piece 4 and divide the first filling cavity 14, and the first filling cavity 14 formed between the middle sleeve 13 and the inner sleeve 11 is communicated with the first filling cavity channel 41 of the connecting piece 4 and forms a filling channel with one closed end; the tail end of the outer sleeve 15 of the pipe fitting 1 is fixed on the connecting piece 4 through glue injection of the glue injection hole 47 on the connecting piece 4, the second filling cavity 16 is separated, and a second filling cavity 16 which is communicated with the second filling cavity channel 42 of the connecting piece 4 and is formed between the outer sleeve 15 and the middle sleeve 13 is formed, and a filling channel with one closed end is formed.
In this embodiment, the rear part of the connecting member 4 is provided with three port channels, including: a first filling lumen channel 41, a second filling lumen channel 42 and a guidewire lumen channel 43, which are connected to the three lumens in the tube 1, respectively. Wherein,
the first filling lumen channel 41 is connected to the upper side of the rear part of the connecting member 4, in this embodiment obliquely at an angle to the upper side of the connecting member 4, so that the lumens in the connecting member 4 are linear, the first filling lumen channel 41 communicates with the pre-dilation balloon 21 and the first filling lumen 14 in the tube member 1 for providing an inlet to the first filling lumen 14, and the port of the first filling lumen channel 41 is connectable to a high pressure filling device for filling the pre-dilation balloon 21.
A second filling lumen channel 42 is connected to the underside of the rear portion of the connector 4 and is also inclined at an angle to the underside of the connector 4 as is the first filling lumen channel 41 to provide a linear pattern of the lumens in the connector 4, the second filling lumen channel 42 communicating with the delivery stent balloon 22 and the second filling lumen 16 in the tube 1 for providing access to the second filling lumen 14, the port of the second filling lumen channel 41 being connectable to a high pressure inflator for inflating the delivery stent balloon 22 to release the stent.
A guidewire lumen channel 43 is connectively provided in the middle of the rear part of the connector 4, which guidewire lumen channel 43 communicates with the inner sleeve 11 in the tube member 1, which is used for the entry of a guidewire.
As shown in fig. 2, it is a structural schematic diagram of a forward double-balloon stent device according to a second embodiment of the invention.
In the preposed double-balloon stent device of the embodiment, a guide wire cut 17 is arranged on the pipe fitting 1 at the rear part of the released stent balloon, the tail end of the inner sleeve 11 extends out of the middle sleeve 13 and the outer sleeve 15 to be connected and communicated with the guide wire cut 17, the periphery of the inner sleeve is hermetically welded with the cuts of the middle sleeve 13 and the outer sleeve 15, the inner sleeve 11 is connected with the guide wire cut 17 and used for quickly and conveniently passing a guide wire, and meanwhile, two filling cavities 14 and 16 are strictly separated; the tail end of the sleeve 13 in the pipe fitting 1 is fixed on the connecting piece 4 through glue injection of the glue injection hole 46 on the connecting piece 4, and the first filling cavity 14 formed between the sleeve 13 and the inner sleeve 11 is communicated with the first filling cavity channel 41 of the connecting piece 4 and forms a filling channel with one closed end; the tail end of the outer sleeve 15 of the pipe fitting 1 is fixed on the connecting piece 4 through glue injection of the glue injection hole 47 on the connecting piece 4, the second filling cavity 16 is separated, a second filling cavity 16 is formed between the outer sleeve 15 and the middle sleeve 13 and is communicated with the second filling cavity channel 42 of the connecting piece 4, and a filling channel with one closed end is formed.
In the front-mounted double-balloon stent device of the embodiment, since the tube member 1 is provided with a guide wire cut 17, and the inner sleeve 11 is connected with the guide wire cut 17, the rear part of the connecting piece 4 is provided with two port channels, including: a first filling lumen channel 41 and a second filling lumen channel 42, which are connected to the two lumens in the tube 1, respectively. Wherein,
the first filling lumen channel 41 is connected to the upper side of the rear part of the connecting piece 4, in this embodiment also obliquely at an angle to the upper side of the connecting piece 4, so that the lumens in the connecting piece 4 are linear, the first filling lumen channel 41 communicating with the pre-dilation balloon 21 and the first filling lumen 14 in the tube 1 for providing access to the first filling lumen 14, the port of the first filling lumen channel 41 being connectable to a high pressure filling device for filling the pre-dilation balloon 21.
A second filling lumen channel 42 is provided centrally disposed at the rear of the connector 4, the second filling lumen channel 42 communicating with the delivery stent balloon 22 and with the second filling lumen 16 in the tube 1 for providing access to the second filling lumen 14, the port of the second filling lumen channel 41 being connectable to a high pressure inflator for inflating the delivery stent balloon 22 to release the stent.
The invention is used as follows:
the pre-expansion saccule 21 and the release stent saccule 22 of the double-saccule stent device are folded into a linear state during design and manufacture and are connected with the pipe fitting 1 into a whole. The entire stent device includes three lumens, namely, a guidewire transit lumen, a first inflation lumen 14 and a second inflation lumen 16, which are accessible for traversing a guidewire and inflation evacuation balloons 21, 22, respectively. After the pipe fitting 1 is inserted into a blood vessel, the pre-expansion saccule 21 at the top end of the pipe fitting 1 is positioned at the stenotic part of the blood vessel to be expanded through the pre-expansion saccule developing point 51 which is arranged at the center of the pre-expansion saccule 21 on the inner sleeve 11, then the pre-expansion saccule 21 is contracted to return to the linear shape, then the pipe fitting 1 is pushed forwards, the second release bracket saccule 22 with the bracket on the sleeve 13 in the pipe fitting 1 is positioned at the diseased part of the blood vessel to be inflated and expanded through the accurate positioning of the two release bracket saccule developing points 52 and 53 which are arranged at the two ends of the sleeve 13 in the pipe fitting 1 and positioned at the two ends of the release bracket saccule 22, the bracket is placed in the diseased part of the blood vessel, then the second saccule 22.
In conclusion, the double-balloon stent device for the subcutaneous puncture coronary artery dilatation without the need of exchange does not need to arrange the pre-dilatation balloon and the release stent balloon on the same pipe, and concentrates the action of using two catheters in the original operation on one catheter to implement, namely, reduces the two complicated interventional processes of the subcutaneous puncture coronary artery dilatation to one interventional, thereby greatly shortening the operation time, relieving the pain of patients, reducing the operation cost and relieving the economic burden and the pain of the operations for the patients; meanwhile, the operation complexity is reduced, the operation process is simplified, and time-saving and labor-saving convenience is brought to medical staff during operation; in addition, because the functions of the two guide pipes are integrated on one guide pipe for implementation, the production cost is greatly reduced, and the guide pipe has the economic benefits of the guide pipe and the social benefits.
Claims (10)
1. A non-interchangeable subcutaneous puncture coronary angioplasty double balloon stent device, comprising: a pipe fitting (1), sacculus (2) of setting on pipe fitting (1), diffusion stress pipe (3) and connecting piece (4) of connecting at pipe fitting (1) rear portion, its characterized in that:
the pipe fitting (1) consists of three layers which are sequentially from inside to outside: an inner sleeve (11), a guide wire cavity (12) of a walking guide wire is formed in the inner sleeve (11); a middle sleeve (13), the middle sleeve (13) is positioned outside the inner sleeve (11), and a first filling cavity (14) is formed between the middle sleeve (13) and the inner sleeve (11); an outer sleeve (15), the outer sleeve (15) is positioned outside the middle sleeve (13), and a second filling cavity (16) is formed between the outer sleeve (15) and the middle sleeve (13);
the balloon (2) comprises a pre-expansion balloon (21) and a release stent balloon (22); the pre-expansion balloon (21) is positioned at the front part of the pipe fitting (1), the top end of the pre-expansion balloon (21) is closely connected with the top end of the inner sleeve (11), the tail end of the pre-expansion balloon (21) is closely connected with the top end of the middle sleeve (13), and the pre-expansion balloon (21) is communicated with the first filling cavity (14) of the pipe fitting (1) to form a filling channel; the release stent balloon (22) is positioned behind the pre-expansion balloon (21), the top end of the release stent balloon (22) is closely connected with the wall of the middle sleeve (13), the tail end of the release stent balloon (22) is closely connected with the top end of the outer sleeve (15), and the release stent balloon (22) is communicated with the second filling cavity (16) of the pipe fitting (1) to form a filling channel;
the shape of the diffusion stress tube (3) is matched with the pipe fitting (1) and fixedly connected with the rear end of the pipe fitting (1), three layers of cavities are formed in the diffusion stress tube (3), and each cavity is respectively communicated with a wire guide cavity (12), a first filling cavity (14) and a second filling cavity (16) in the pipe fitting (1);
connecting piece (4) be located behind diffusion stress pipe (3) and with diffusion stress pipe (3) fixed connection, be formed with the three-layer cavity identical with diffusion stress pipe (3) in the front portion of this connecting piece (4), be equipped with three forked port passageway at the rear portion of connecting piece (4), first sufficient chamber passageway (41), second are sufficient chamber passageway (42), silk guide chamber passageway (43) promptly, each port passageway communicates with the anterior three-layer cavity rather than corresponding of connecting piece (4) respectively.
2. The double balloon stent device for coronary angioplasty without exchange of claim 1, wherein: the front end part of the inner sleeve (11) is formed into a conical shape which is convenient for passing through a stenotic lesion of a blood vessel.
3. The double balloon stent device for coronary angioplasty without exchange of claim 1, wherein: the pipe fitting (1) on be provided with three development point (5), include: a pre-expansion balloon developing point (51) arranged on the inner sleeve (11) and positioned at the center in the pre-expansion balloon (21), and two releasing stent balloon developing points (52, 53) arranged on the middle sleeve (13) and positioned at the two ends in the releasing stent balloon (22).
4. The double balloon stent device for coronary angioplasty without exchange of claim 1, wherein: the tail ends of the inner sleeve (11) and the middle sleeve (13) of the pipe fitting (1) are fixed on the connecting piece (4) through glue injection of glue injection holes (45 and 46) in the connecting piece (4) to form a first filling cavity (14) in a separated mode, the first filling cavity (14) formed between the middle sleeve (13) and the inner sleeve (11) is communicated with a first filling cavity channel (41) of the connecting piece (4) and forms a filling channel with one closed end; the terminal of pipe fitting (1) outer tube (15) through the injecting glue of injecting glue hole (47) on connecting piece (4) and fix on connecting piece (4), separate and form second filling chamber (16), second filling chamber (16) that forms between this outer tube (15) and well sleeve (13) and second filling chamber passageway (42) intercommunication of connecting piece (4) and formation one end confined filling passageway.
5. The double balloon stent device for coronary angioplasty without exchange of claim 1, wherein: three port passageway that connecting piece (4) rear portion set up, wherein, first sufficient chamber passageway (41) set up in connecting piece (4) rear portion upside, second is sufficient chamber passageway (42) and sets up in connecting piece (4) rear portion downside, wire guide chamber passageway (43) set up in the middle of connecting piece (4) rear portion, interior sleeve pipe (11) intercommunication in this wire guide chamber passageway (43) and pipe fitting (1).
6. A non-interchangeable subcutaneous puncture coronary angioplasty double balloon stent device, comprising: a pipe fitting (1), sacculus (2) of setting on pipe fitting (1), diffusion stress pipe (3) and connecting piece (4) of connecting at pipe fitting (1) rear portion, its characterized in that:
the pipe fitting (1) consists of three layers which are sequentially from inside to outside: an inner sleeve (11), a guide wire cavity (12) of a walking guide wire is formed in the inner sleeve (11); a middle sleeve (13), the middle sleeve (13) is positioned outside the inner sleeve (11), and a first filling cavity (14) is formed between the middle sleeve (13) and the inner sleeve (11); an outer sleeve (15), the outer sleeve (15) is positioned outside the middle sleeve (13), and a second filling cavity (16) is formed between the outer sleeve (15) and the middle sleeve (13);
the balloon (2) comprises a pre-expansion balloon (21) and a release stent balloon (22); the pre-expansion balloon (21) is positioned at the front part of the pipe fitting (1), the top end of the pre-expansion balloon (21) is closely connected with the top end of the inner sleeve (11), the tail end of the pre-expansion balloon (21) is closely connected with the top end of the middle sleeve (13), and the pre-expansion balloon (21) is communicated with the first filling cavity (14) of the pipe fitting (1) to form a filling channel; the release stent balloon (22) is positioned behind the pre-expansion balloon (21), the top end of the release stent balloon (22) is closely connected with the wall of the middle sleeve (13), the tail end of the release stent balloon (22) is closely connected with the top end of the outer sleeve (15), and the release stent balloon (22) is communicated with the second filling cavity (16) of the pipe fitting (1) to form a filling channel;
the shape of the diffusion stress pipe (3) is matched with that of the pipe fitting (1) and fixedly connected with the rear end of the pipe fitting (1), two layers of cavities are formed in the diffusion stress pipe (3), and the two layers of cavities are respectively communicated with a first filling cavity (14) and a second filling cavity (16) in the pipe fitting (1);
connecting piece (4) be located behind diffusion stress pipe (3) and with diffusion stress pipe (3) fixed connection, be formed with the two-layer cavity identical with diffusion stress pipe (3) in the front portion of this connecting piece (4), be equipped with two forked port passageways at the rear portion of connecting piece (4), first sufficient chamber passageway (41), second are sufficient chamber passageway (42) promptly, two port passageways (41, 42) communicate with the anterior two-layer cavity rather than corresponding rather than of connecting piece (4) respectively.
7. The double balloon stent device for coronary angioplasty without exchange of claim 6, wherein: the front end part of the inner sleeve (11) is formed into a conical shape which is convenient for passing through a stenotic lesion of a blood vessel.
8. The double balloon stent device for coronary angioplasty without exchange of claim 6, wherein: the pipe fitting (1) on be provided with three development point (5), include: a pre-expansion balloon developing point (51) arranged on the inner sleeve (11) and positioned at the center in the pre-expansion balloon (21), and two releasing stent balloon developing points (52, 53) arranged on the middle sleeve (13) and positioned at the two ends in the releasing stent balloon (22).
9. The double balloon stent device for coronary angioplasty without exchange of claim 6, wherein: a guide wire cut (17) is arranged on the pipe fitting (1) at the rear part of the release stent saccule (22), the tail end of the inner sleeve (11) extends out of the middle sleeve (13) and the outer sleeve (15) to be communicated with the guide wire cut (17) to form a first filling cavity (14) in a separated mode; the tail end of the middle sleeve (13) is fixed on the connecting piece (4) through glue injection of the glue injection hole (46) in the connecting piece (4), a first filling cavity (14) formed between the middle sleeve (13) and the inner sleeve (11) is communicated with a first filling cavity channel (41) of the connecting piece (4) and forms a filling channel with one closed end; the terminal of pipe fitting (1) outer tube (15) through the injecting glue of injecting glue hole (47) on connecting piece (4) and fix on connecting piece (4), separate and form second filling chamber (16), second filling chamber (16) that forms between outer tube (15) and well sleeve (13) and second filling chamber passageway (42) intercommunication of connecting piece (4) and formation one end confined filling passageway.
10. The double balloon stent device for coronary angioplasty without exchange of claim 6, wherein: two port channels are arranged at the rear part of the connecting piece (4), wherein the first filling cavity channel (41) is arranged at the upper side of the rear part of the connecting piece (4), and the second filling cavity channel (42) is arranged in the middle of the rear part of the connecting piece (4).
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CNB001117459A CN1158052C (en) | 2000-02-28 | 2000-02-28 | Double saccule rack device for non-exchanging subcutaneous puncture coronary artery expansion forming operation |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CNB001117459A CN1158052C (en) | 2000-02-28 | 2000-02-28 | Double saccule rack device for non-exchanging subcutaneous puncture coronary artery expansion forming operation |
Publications (2)
Publication Number | Publication Date |
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CN1311041A CN1311041A (en) | 2001-09-05 |
CN1158052C true CN1158052C (en) | 2004-07-21 |
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Application Number | Title | Priority Date | Filing Date |
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CNB001117459A Expired - Fee Related CN1158052C (en) | 2000-02-28 | 2000-02-28 | Double saccule rack device for non-exchanging subcutaneous puncture coronary artery expansion forming operation |
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CN (1) | CN1158052C (en) |
Cited By (1)
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CN101212939B (en) * | 2005-06-29 | 2012-11-14 | 拜平·C·帕塔迪亚 | System and method for deploying a proximally-flaring bracket |
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CN101637416A (en) * | 2008-07-31 | 2010-02-03 | 王于 | Intracavity stent conveying system for pre-implanting saccule at front end |
CN102160828A (en) * | 2010-02-22 | 2011-08-24 | 上海交通大学医学院附属新华医院 | Delivery system for novel bioresorbable slide fastener scaffold |
CN102429687B (en) * | 2011-08-18 | 2013-12-18 | 曲乐丰 | Stent distracting vena cava membrane breaker |
CN105877882A (en) * | 2014-12-17 | 2016-08-24 | 连新龙 | Double-balloon conveying device for vascular stent |
CN106725643A (en) * | 2016-06-22 | 2017-05-31 | 苏州茵络医疗器械有限公司 | For the membrane-repturing device of Endovascular operation |
CN107198601A (en) * | 2017-07-05 | 2017-09-26 | 佛山杰致信息科技有限公司 | A kind of pair of sacculus strengthens conduit |
CN109091745B (en) * | 2018-06-13 | 2021-07-16 | 东莞科威医疗器械有限公司 | Operation cannula with double saccules |
CN112426617B (en) * | 2018-07-30 | 2023-09-01 | 郑州大学第一附属医院 | Cone-shaped expansion saccule for cardiovascular interventional therapy |
CN110548211B (en) * | 2019-10-11 | 2021-08-17 | 科塞尔医疗科技(苏州)有限公司 | Medicine balloon catheter with plugging function |
CN110548212B (en) * | 2019-10-11 | 2021-08-24 | 科塞尔医疗科技(苏州)有限公司 | Double-balloon catheter with self-perfusion function |
CN110811943A (en) * | 2019-11-29 | 2020-02-21 | 吴忠隐 | Sacculus support integration system |
-
2000
- 2000-02-28 CN CNB001117459A patent/CN1158052C/en not_active Expired - Fee Related
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN101212939B (en) * | 2005-06-29 | 2012-11-14 | 拜平·C·帕塔迪亚 | System and method for deploying a proximally-flaring bracket |
Also Published As
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CN1311041A (en) | 2001-09-05 |
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