CN117503296A - Intravascular auxiliary opening device for complex interventional operation - Google Patents

Intravascular auxiliary opening device for complex interventional operation Download PDF

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Publication number
CN117503296A
CN117503296A CN202311655638.4A CN202311655638A CN117503296A CN 117503296 A CN117503296 A CN 117503296A CN 202311655638 A CN202311655638 A CN 202311655638A CN 117503296 A CN117503296 A CN 117503296A
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China
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wall
balloon
guide wire
puncture
opening device
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CN202311655638.4A
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黄韬
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Beijing Wemed Medical Equipment Co Ltd
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Beijing Wemed Medical Equipment Co Ltd
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Priority to CN202311655638.4A priority Critical patent/CN117503296A/en
Publication of CN117503296A publication Critical patent/CN117503296A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3415Trocars; Puncturing needles for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22038Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with a guide wire
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22051Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22051Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
    • A61B2017/22065Functions of balloons
    • A61B2017/22069Immobilising; Stabilising
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22081Treatment of vulnerable plaque
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22094Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for for crossing total occlusions, i.e. piercing
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B2017/3454Details of tips

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Public Health (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Pathology (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Vascular Medicine (AREA)
  • Media Introduction/Drainage Providing Device (AREA)

Abstract

The application discloses an intravascular auxiliary opening device for a complex interventional operation, which comprises a puncture part and a supporting part, wherein the puncture part comprises a puncture needle, an external threaded rod connected with the needle tail of the puncture needle, and a guide wire connected with the end part of the external threaded rod; the support component comprises a guide connecting cylinder and a circle of balloon wound on the outer wall of the guide connecting cylinder, a plurality of suckers are arranged on the outer wall of the balloon, internal threads which are engaged with the external threaded rod in an adapting way are arranged on the inner wall of the guide connecting cylinder, a guide pipe which is communicated with the balloon air path is arranged on the balloon, the guide wire is arranged in the guide pipe, one end of the guide wire extends to the outside of the body, and an inflation interface for connecting an inflator pump is arranged on the outer wall of the guide pipe; when the device is used, the external guide wire is rotated, movement is realized through threads, and then the advancing and retreating of the puncture part are controlled, after the saccule is expanded, the sucker and the blood vessel wall can be automatically sucked, so that a strong supporting force is provided for pushing the puncture part, and smooth opening of the occlusion plaque is ensured.

Description

Intravascular auxiliary opening device for complex interventional operation
Technical Field
The application relates to the technical field of minimally invasive vascular interventional operations, in particular to treatment of complex lesions in interventional operations, and particularly provides an intravascular auxiliary opening device capable of being applied to the complex interventional operations.
Background
The cardiovascular and cerebrovascular minimally invasive interventional therapy is a main treatment means for cardiovascular and cerebrovascular diseases. Compared with the traditional surgery, the method has the obvious advantages of small incision, short postoperative recovery time and the like. The cardiovascular and cerebrovascular intervention operation is a treatment process by a doctor manually sending the catheter, the guide wire, the bracket and other instruments into a patient.
For some patients with serious lesions, the blood vessels are seriously blocked and even completely blocked, and doctors often have difficulty in opening the lesion parts in the treatment process of using the guide wire catheter, so that the patients cannot be effectively treated.
Chinese patent No. CN212326522U discloses an auxiliary puncture balloon for coronary intervention diagnosis and treatment, which is divided into three parts, namely a continuous head section, a body section and a tail section; the head section and the body section are straight, and the head section is provided with an expandable balloon structure; the front part of the tail section is a conical control section, and the surface of the tail section is provided with grid lines; the rear part of the tail section is of a Y-shaped bifurcation structure, so that a pressure channel port and a guide wire channel port are formed; the pressure channel and the guide wire channel which are mutually independent extend from the tail section to penetrate through the head section and the body section; the pressure channel and the guide wire channel are parallel to each other, and are separately guided to the respective pressure channel port and guide wire channel port in the tail section; the pressure port is used for connecting a pressure pump, and the guide wire port is used for connecting a Y valve. Although the auxiliary puncture saccule disclosed in the document can ensure that the guide wire enters the occlusion section in the middle of the knife-cut sample occlusion proximal end fibrous cap, replaces the current micro-catheter or the conical head end saccule to directly control the guide wire to enter the occlusion section, can be better and tightly attached to the knife-cut sample occlusion proximal end fibrous cap, ensures that the guide wire enters the occlusion section from the inside of a vascular structure, and improves the efficiency and success rate of operation.
The Chinese patent No. 111588442A discloses a balloon auxiliary inferior vena cava puncture needle and a use method thereof, when the balloon auxiliary inferior vena cava puncture needle is used, a catheter fixing tube is held firstly, and the supporting property of a guide wire is utilized to drive the catheter fixing tube to puncture the internal parts of jugular vein and inferior vena cava; when the balloon mechanism at the top end of the catheter mechanism reaches the front end of the inferior vena cava occlusion section, the guide wire is drawn out; at the moment, physiological saline and contrast agent are injected into the balloon through the balloon injection tube and the injection cavity, the inferior vena cava is spread, a certain cavity is formed between the inferior vena cava and the inferior vena cava occlusion section by utilizing the supportability of the balloon, and the inferior vena cava can be changed by a certain angle; then bending the puncture head and the puncture needle point to a certain angle, and holding the pointer to enable the puncture needle rod, the puncture head and the puncture needle point to reach the occlusion section of the inferior vena cava through the hollow catheter, so that the puncture needle point is utilized for puncture and opening. Although the balloon-assisted inferior vena cava puncture needle disclosed in the patent document can effectively support the upper vena cava and the lower vena cava above a lesion part, improve the success rate of puncture of the inferior vena cava blocking section, avoid puncturing the vessel wall and improve the safety, but the balloon-assisted inferior vena cava puncture needle has the process of extracting a guide wire in the use process, when the balloon is used for expanding the inferior vena cava part, the puncture head and the puncture needle point are bent to a certain angle, the hand-held pointer is used for puncturing and opening by using the puncture needle point, the process needs to extract the guide wire, an operation instrument is replaced, the guide wire is also needed to be inserted back when the opening blocking part is continuously pushed backwards, and the operation method is repeated in the opening process, so that the problems of inconvenience in operation and low operation efficiency exist.
The Chinese patent No. 111150924A discloses a new clinical intervention diagnosis and treatment vascular occlusion structure and an opening method, and the process is as follows: identifying vascular occlusion lesions by an operator by contrast; pushing the system until the proximal end of the vascular occlusion lesion; the connecting inflatable device is arranged at the proximal end of the cavity channel; the balloon is fixed at the proximal end of the vascular occlusion lesion after being inflated; feeding the guide wire through the cavity, and pushing the guide wire until the tail end of the guide wire reaches the vascular occlusion lesion position; if the vessel occlusion lesion is longer, the air in the balloon can be released, the balloon is continuously pushed forward, and the operation is repeated. Although the clinical intervention diagnosis and treatment vascular occlusion structure and the opening method provided by the patent document simplify the clinical intervention operation flow and improve the success rate of occlusion vascular opening, in the guide wire pushing process, the guide wire passes through the saccule cavity, the guide wire is manually pushed, the force of pushing the guide wire by the rear end exists in the pushing process, the force is transmitted to the front end of the guide wire, more loss is caused, the force of the front end of the guide wire actually acting on a lesion plaque is insufficient, the guide wire is easy to deform, and the air bag is easy to slip.
Therefore, the whole proposal disclosed in the patent document has the problems that the pushing force is lost in the pushing process of the guide wire, the supporting force of the front end of the guide wire is insufficient, the balloon is easy to slip, and the blocking plaque cannot be opened.
Further, the inventors have realized in clinical practice that the present complex interventional procedures have problems in essentially the following ways during the procedure:
(1) The guide wire used at present is an elongated flexible object, and the doctor holds the part outside the human body and can reach the front end of the guide wire to act on the disease position through a long distance, so that the guide wire is easy to deform in the pushing process, the supporting force of the front end is insufficient, and the blocked plaque cannot be opened.
(2) The force of doctor at rear end propelling movement seal wire, the transmission to seal wire front end in-process, the loss is more, leads to seal wire front end actual effect not enough on the dynamics of lesion plaque for the seal wire can't pass through the plaque.
(3) The guide wire head is easy to deviate in the direction in the process of actually puncturing plaque, so that the guide wire penetrates into the wall of a blood vessel and even penetrates through the blood vessel, and surgical accidents are caused.
(4) At present, although some supporting force can be improved by the devices such as the microcatheter and the like, the supporting force is limited because the devices are flexible surgical consumable materials, the plaque is generally hard, the required supporting force is large, and the prior surgical instrument cannot meet the surgical requirement.
(5) At present, the treatment process for opening the plaque in the blood vessel is complicated, various consumables need to be replaced, the use is inconvenient, and the operation efficiency is low.
Therefore, a new solution is needed to solve the problems existing in the prior art.
Disclosure of Invention
The application provides an intravascular auxiliary opening device for a complex interventional operation, which is used for solving the problem that an intravascular lesion part is difficult to open in the existing interventional operation.
In order to achieve the above object, the present application provides the following technical solutions:
the application provides an intravascular auxiliary opening device for a complex interventional operation, which comprises a puncture part and a supporting part, wherein the puncture part comprises a puncture needle, an external threaded rod connected with the tail of the puncture needle, and a guide wire connected with the end part of the external threaded rod;
the support component includes the direction connecting cylinder and winds to establish the round sacculus of installing on the direction connecting cylinder outer wall, be provided with a plurality of sucking disc on the outer wall of sacculus, be provided with on the inner wall of direction connecting cylinder with the internal thread of external screw rod adaptation meshing, be provided with on the sacculus with the pipe of sacculus gas circuit intercommunication, form first passageway in the pipe and encircle the second passageway outside the first passageway, the second passageway with sacculus gas circuit intercommunication, be provided with the inflation interface that is used for connecting the pump on the outer wall of pipe, inflation interface with second passageway gas circuit intercommunication, wear to be equipped with in the first passageway the seal wire.
In the above technical solution, preferably, the catheter includes a first catheter wall and a second catheter wall, the second catheter wall is encircling the outside of the first catheter wall, the first channel is formed in the first catheter wall, and the inner diameter of the first channel is adapted to the outer diameter of the guide wire.
Preferably, a gap between the second conduit wall and the first conduit wall forms the second channel, and an end of the first conduit wall and an end of the second conduit wall are both connected to the balloon.
Preferably, the end of the first catheter wall facing away from the balloon is connected with the end of the second catheter wall facing away from the balloon, so that the sealing of the balloon and the second channel is realized.
Preferably, the length of the external screw rod is greater than the length of the guide connecting cylinder.
Preferably, the plurality of sucking discs are wound into a circle along the circumference of the outer wall of the balloon, and at least one circle of sucking discs are arranged on the outer wall of the balloon.
Preferably, the maximum outer diameter of the support member is less than the inner diameter of the vessel when the balloon is in the contracted state.
Preferably, the puncture needle is cone-shaped, and the puncture needle is made of metal.
Preferably, the balloon is adhesively fixed to the outer wall of the guide connecting cylinder by means of an adhesive.
Compared with the prior art, the application has the following beneficial effects:
1. the method is based on further analysis and research on the prior art, realize that the problems of easy deformation, insufficient supporting force, more pushing force loss, easy deviation of a guide head part and the like exist in the pushing process of the current guide wire, and for this purpose, the method provides an intravascular auxiliary opening device for complex interventional operations, which can provide enough supporting force for the guide wire through the supporting part, in order to realize structural cooperation with the supporting part, the method also improves the structure of the original guide wire, replaces the traditional guide wire through the puncturing part, the head part of the puncturing part is provided with a puncturing needle, the middle part is provided with an external threaded rod and a tail connected guide wire, and is in threaded engagement with a guide connecting cylinder in the supporting part through the external threaded rod, so that the guide wire is positioned and limited to be pushed, and meanwhile, a balloon is further arranged outside the guide connecting cylinder, a sucker is arranged on the balloon, and a gas path for balloon inflation is formed on a catheter connected with the balloon; meanwhile, the puncture position of the device is positioned at the center of the blood vessel, so that the device can avoid mistaken entering the side blood vessel wall in the puncture process, and the operation safety is ensured.
2. The suction cup is used for sucking the blood vessel, so that the supporting component and the blood vessel are connected into a whole, strong supporting force can be provided for the puncture process, and the problem that the supporting force is insufficient due to bending in the guide wire pushing process is effectively solved.
3. According to the puncture device, the puncture force of the puncture part acting on the occlusion plaque is ensured to be enough by the mode of screw thread rotation and advancing, so that the puncture force of the puncture part acting on the support part is exerted.
4. The puncture part can be ensured to be positioned in the center of the blood vessel, so that the position deviation in the puncture process can be effectively avoided, and the surgical risk caused by the penetration of the blood vessel wall is avoided.
5. The utility model accords with the existing operation habit of doctors, does not need more different operation consumables for many times, is convenient for clinical use, and improves operation efficiency.
6. The auxiliary opening device provided by the application is simple in structure, good in stability, low in cost, simple to use and operate, easy for doctors to get on hand and low in learning cost.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present application, the drawings that are needed in the embodiments will be briefly described below, and it is obvious that the drawings in the following description are only some embodiments of the present application, and that other drawings may be obtained according to these drawings without inventive effort for a person skilled in the art. It should be understood that the specific shape and configuration shown in the drawings should not be considered in general as limiting upon the practice of the present application; for example, based on the technical concepts and exemplary drawings disclosed herein, those skilled in the art have the ability to easily make conventional adjustments or further optimizations for the add/subtract/assign division, specific shapes, positional relationships, connection modes, dimensional scaling relationships, etc. of certain units (components).
Fig. 1 is a schematic perspective view of an auxiliary opening device according to an embodiment of the present disclosure;
FIG. 2 is a schematic cross-sectional view of an auxiliary opening device according to an embodiment of the present application, mainly illustrating a connection relationship between a supporting member and a piercing member;
FIG. 3 is a schematic view of the structure of a piercing member in one embodiment;
FIG. 4 is a schematic elevational view of the support member in one embodiment;
FIG. 5 is a schematic view of the structure of the support member after balloon inflation in one embodiment;
FIG. 6 is a schematic view of the structure of the support member after the balloon is contracted in one embodiment.
Reference numerals illustrate:
100. a piercing member; 110. a puncture needle; 120. an external threaded rod; 130. a guide wire;
200. a support member; 210. a guide connecting cylinder; 220. a balloon; 230. a suction cup; 240. a conduit; 241. a first conduit wall; 242. a second conduit wall; 243. a second channel; 250. an inflation interface.
Detailed Description
The present application is further described in detail below with reference to the attached drawings.
In the description of the present application: unless otherwise indicated, the meaning of "a plurality" is two or more. The terms "first," "second," and the like in this application are intended to distinguish between the referenced objects without a special meaning in terms of technical connotation (e.g., should not be construed as emphasis on degree or order of importance, etc.). The expressions "comprising", "including", "having", etc. also mean "not limited to" (certain units, components, materials, steps, etc.).
Balloon catheter systems currently used in cardiovascular and cerebrovascular interventional procedures are those in which a flexible and bendable guidewire (typically made of a metal alloy) is passed through the lumen of the balloon catheter. The guide wire is used for guiding the balloon catheter to a position to be treated in a blood vessel, the distal end of the catheter (namely, the part with the balloon) is placed at a target position in the blood vessel, the proximal end of the catheter is left outside the body, and an interface is arranged on the proximal end catheter and used for being connected with an inflator pump; this interface is typically of standardized design to ensure a sealed connection between the inflator and the conduit. Although the existing balloon has the function of dilating blood vessels, the existing balloon also has the problems of slipping and incapability of opening when encountering hard plaque in blood vessels, in addition, the guide wire is arranged in the balloon catheter in a penetrating way, and when the balloon slips, the guide wire also deflects along with the balloon and cannot further open the blood vessels, so that the existing balloon catheter guide wire system has insufficient supporting force, the balloon cannot advance when encountering hard plaque, slipping occurs, the force acting on the guide wire cannot be accurately transmitted to the plaque, the force loss is serious, the guide wire is soft, and the guide wire is easy to deform under the condition that the guide wire cannot be pushed. Therefore, completing the opening of the occluded blood vessel in the current cardiovascular and cerebrovascular interventional operation is still an important problem to be solved urgently.
In order to solve the problems in the prior art, the application provides an auxiliary opening device in a complex interventional operation blood vessel, which can adapt to the relatively complex interventional operation treatment process of the environment, and solves the problems that the supporting force is insufficient, the actual pushing force applied to a plaque is insufficient, the position deviation is easy to occur in the puncturing process, the equipment convenient to use is lacking, the operation time is long, the efficiency is low, the operation success rate is low and the like in the opening of the occlusion blood vessel at present. In a word, through using this device, can assist doctor to open the occlusion blood vessel, lay the basis for subsequent treatment process.
The following describes in detail the structural components and the use process of the auxiliary opening device provided in the present application.
The auxiliary opening device mainly comprises 2 parts: the support member 200 and the piercing member 100 cooperate to perform a piercing process of an occluded vessel during surgery.
This device is disposable operation consumptive material, has passed through ethylene oxide sterilization treatment, and every operation uses a set of new device, and this device can be provided with multiple model size, including different sacculus 220 length, different puncture part 100 size, different sucking disc 230 size etc. doctor can select the use according to operation actual need.
The puncture device 100 is mainly used for penetrating hard plaque in a vascular occlusion region and plays a role in opening blood vessels; the supporting component 200 is mainly used for providing effective supporting force for the puncturing component 100 in the puncturing process, so that the puncturing component 100 has enough force to act on the plaque in the occlusion region, and therefore, the two components complement each other to jointly complete the task of opening the blood vessel.
The puncture device 100 in the present application mainly includes a puncture needle 110, an external threaded rod 120 connected to the needle end of the puncture needle 110, and a guide wire 130 connected to the end of the external threaded rod 120, the guide wire 130 extending to the outside of the human body. The puncture needle 110 is a rigid cone-shaped needle body for directly contacting a portion inserted into plaque, and the puncture needle 110 is made of a metal material. The external threaded rod 120 arranged at the tail of the puncture needle 110 is used for being matched with the supporting part 200, so that stronger pushing force is improved, the guide wire 130 is provided with a pushing direction positioning function, the guide wire 130 is prevented from deviating and puncturing the vessel wall, the screwed external threaded rod 120 is prevented from retreating through the meshing function of threads, and the loss of pushing force is reduced.
The support part 200 in this application includes a guiding connection cylinder 210 and a circle of balloon 220 wound on the outer wall of the guiding connection cylinder 210, a plurality of suckers 230 are arranged on the outer wall of the balloon 220, internal threads engaged with the external threaded rod 120 in an adapting way are arranged on the inner wall of the guiding connection cylinder 210, a catheter 240 communicated with the air path of the balloon 220 is arranged on the balloon 220, and the guide wire 130 of the puncture part 100 is penetrated in the catheter 240.
Referring to fig. 2, 4, 5 and 6, on the support member 200, a balloon 220 is provided at the front end thereof, which can be expanded and contracted, and the expansion and contraction of the balloon 220 can be controlled by using an inflator pump or the like outside the body, thereby facilitating the device to enter the human blood vessel. 8 suction cups 230 are provided on the balloon 220, which are distributed at different positions. The 8 suckers 230 are divided into 2 groups, 4 suckers are respectively arranged at the front and rear positions of the length direction of the balloon 220, and one sucker 230 is arranged at intervals of 90 degrees in the circumferential direction of the outer wall of the balloon 220, so that the large adsorption area, relatively uniform adsorption force and strong adsorption capacity can be ensured.
After the balloon 220 is expanded, the sucking disc 230 and the blood vessel wall at each position can be automatically sucked, so that the device and the blood vessel wall are connected into a whole, and the puncture part 100 has stronger supporting force when being pushed. When the puncture is completed, suction cup 230 and the vessel wall can be disengaged by contracting balloon 220 while pulling catheter 240 back.
An internal thread is provided in the inner wall of the guide coupling cylinder 210 of the supporting member 200 for being engaged with an external thread on the external threaded rod 120 of the piercing member 100. In a specific embodiment, the balloon 220 may be adhered and fixed to the outer wall of the guide connection cylinder 210 by an adhesive, and a hot melt fixing method may be used.
As shown in fig. 1 and 3, a tip of a relatively small angle, hard puncture needle 110 is provided at the tip of the puncture member 100 to puncture the plaque during movement. A long male threaded shaft 120 is connected to the rear of the puncture needle 110 for being engaged with the female screw of the supporting member 200.
In operation, the physician can control the advancement and retraction of the penetrating member 100 by rotating the outer guidewire 130 clockwise or counterclockwise. Because the spiral advancing mode is adopted, the hand rotating distance is enlarged in the process of moving along the direction of the guide wire 130 by the same distance, and the pushing force is increased. Simultaneously, the moving distance of piercing is more easily and accurately controlled in a rotating mode, so that the operation safety is ensured. The piercing member moves entirely within the support member 200, with the support member 200 and vessel wall being fixed as one. Therefore, the piercing member 100 will be able to ensure movement in the center of the blood vessel without shifting during piercing.
The catheter 240 in the present application is a dual-lumen catheter, the catheter 240 has a first catheter wall 241 and a second catheter wall 242, the second catheter wall 242 surrounds the outside of the first catheter wall 241, a first channel is formed in the first catheter wall 241, and the first channel is used for installing the guide wire 130; the gap between the second conduit wall 242 and the first conduit wall 241 forms a second channel 243, the second channel 243 being in air-path communication with the balloon 220.
In this application, the catheter 240 is connected to the balloon 220, specifically, the end of the first catheter wall 241 and the end of the second catheter wall 242 are both connected to the balloon 220, the end of the first catheter wall 241 facing away from the balloon 220 and the end of the second catheter wall 242 facing away from the balloon 220 are connected to each other, sealing between the balloon 220 and the second channel 243 is achieved, and one end of the guide wire 130 extends out of the body from the end of the first channel facing away from the balloon 220.
In this embodiment, an inflation interface 250 for connecting with an inflator is disposed on the outer wall of the catheter 240, that is, an inflation interface 250 is disposed on the second catheter wall 242, and the inflation interface 250 is in air path communication with the second channel 243, so that inflation and deflation of the balloon 220 can be achieved by the inflator.
The puncture part 100 and the supporting part 200 provided by the application are spirally pushed, so that the length of the external threaded rod 120 is preferably longer than that of the guide connecting cylinder 210, and of course, a stop piece is arranged at the end part of the external threaded rod 120 connected with the guide wire 130, so that the puncture needle 110 is prevented from being reduced in pushing force caused by too far screwing of the external threaded rod 120 relative to the supporting part 200, the puncture direction is ensured, and the stop piece can be a round of protrusion arranged at the end part of the external threaded rod 120 connected with the guide wire 130.
In the contracted state of the balloon 220 on the support member 200 in the present application, the maximum outer diameter of the support member 200 should be smaller than the inner diameter of the vessel to facilitate advancement of the device within the vessel.
Therefore, the application provides an intravascular auxiliary opening device for complex interventional operation, which provides enough supporting force for a guide wire 130 by arranging a supporting component 200, replaces the traditional guide wire 130 by a puncture component 100, arranges a puncture needle 110 at the head of the puncture component 100, an external threaded rod 120 at the middle of the puncture component, and connects the guide wire 130 at the tail, realizes the positioning limit pushing of the guide wire 130 by the threaded engagement of the external threaded rod 120 and a guide connecting cylinder 210 in the supporting component 200, meanwhile, a balloon 220 is arranged outside the guide connecting cylinder 210, a sucker 230 is arranged on the balloon 220, an air path for inflating and deflating the balloon 220 is formed on a catheter 240 connected with the balloon 220, after the balloon 220 is inflated, the device can expand blood vessels and can be adsorbed with blood vessel walls through the sucking discs 230 on the device, reliable and powerful supporting force can be provided for the puncture part 100, then the stable transmission of force can be realized through threaded fit by rotating the guide wire 130, pushing force loss is reduced, the certain pushing direction of the guide wire 130 is ensured, deflection is avoided, deformation of the guide wire 130 is avoided, therefore, the auxiliary opening device for the complex interventional operation blood vessels can assist doctors to open occluded blood vessels, when the device is carried out to the occluded blood vessels, the surrounding sucking discs 230 can grasp the blood vessel walls through the expansion saccule 220, strong supporting force and pushing power can be provided by moving the puncture part 100 in a spiral advancing mode, and smooth opening of occluded plaques is ensured; meanwhile, the puncture position of the device is positioned at the center of the blood vessel, so that the device can avoid mistaken entering the side blood vessel wall in the puncture process, and the operation safety is ensured.
In addition, the auxiliary opening device provided by the application is simple in structure, good in stability, low in cost, simple to use and operate, low in learning cost and easy to operate by doctors, meanwhile, the auxiliary opening device also accords with the existing operation habit of the doctors, does not need more different operation consumables for many times, is convenient for clinical use, and can effectively improve the operation efficiency.
Any combination of the technical features of the above embodiments may be performed (as long as there is no contradiction between the combination of the technical features), and for brevity of description, all of the possible combinations of the technical features of the above embodiments are not described; these examples, which are not explicitly written, should also be considered as being within the scope of the present description.
The foregoing has outlined and detailed description of the present application in terms of the general description and embodiments. It should be appreciated that numerous conventional modifications and further innovations may be made to these specific embodiments, based on the technical concepts of the present application; but such conventional modifications and further innovations may be made without departing from the technical spirit of the present application, and such conventional modifications and further innovations are also intended to fall within the scope of the claims of the present application.

Claims (8)

1. The intravascular auxiliary opening device for the complex interventional operation is characterized by comprising a puncture part and a supporting part, wherein the puncture part comprises a puncture needle, an external threaded rod connected with the tail of the puncture needle, and a guide wire connected with the end part of the external threaded rod;
the support component includes the direction connecting cylinder and winds to establish the round sacculus of installing on the direction connecting cylinder outer wall, be provided with a plurality of sucking disc on the outer wall of sacculus, be provided with on the inner wall of direction connecting cylinder with the internal thread of external screw rod adaptation meshing, be provided with on the sacculus with the pipe of sacculus gas circuit intercommunication, form first passageway in the pipe and encircle the second passageway outside the first passageway, the second passageway with sacculus gas circuit intercommunication, be provided with the inflation interface that is used for connecting the pump on the outer wall of pipe, inflation interface with second passageway gas circuit intercommunication, wear to be equipped with in the first passageway the seal wire.
2. The endovascular auxiliary opening device for complex interventional procedures according to claim 1, wherein the catheter comprises a first catheter wall and a second catheter wall, the second catheter wall is wrapped around the outside of the first catheter wall, the first channel is formed in the first catheter wall, and the inner diameter of the first channel is adapted to the outer diameter of the guide wire;
the gap between the second conduit wall and the first conduit wall forms the second channel, and the end of the first conduit wall and the end of the second conduit wall are both connected with the balloon.
3. The endovascular auxiliary opening device for complex interventional procedures according to claim 2, wherein an end of the first catheter wall facing away from the balloon is connected to an end of the second catheter wall facing away from the balloon, effecting a seal of the balloon and the second passageway.
4. The endovascular auxiliary opening device for complex interventional procedures according to claim 1, wherein the externally threaded rod has a length that is greater than a length of the guide connection barrel.
5. The endovascular auxiliary opening device for complex interventional procedures according to claim 1, wherein the plurality of suction cups are wound into a circle along the circumference of the balloon outer wall, and wherein at least one circle of suction cups is provided on the balloon outer wall.
6. The endovascular auxiliary opening device for complex interventional procedures according to claim 1, wherein the support member has a maximum outer diameter that is less than the inner diameter of the vessel when the balloon is in the contracted state.
7. The endovascular auxiliary opening device for complex interventional procedures according to claim 1, wherein the puncture needle is cone-shaped and the puncture needle is made of metal.
8. The endovascular auxiliary opening device for complex interventional procedures according to claim 1, wherein the balloon is adhesively secured to the outer wall of the guide connection barrel by an adhesive.
CN202311655638.4A 2023-12-05 2023-12-05 Intravascular auxiliary opening device for complex interventional operation Pending CN117503296A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202311655638.4A CN117503296A (en) 2023-12-05 2023-12-05 Intravascular auxiliary opening device for complex interventional operation

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202311655638.4A CN117503296A (en) 2023-12-05 2023-12-05 Intravascular auxiliary opening device for complex interventional operation

Publications (1)

Publication Number Publication Date
CN117503296A true CN117503296A (en) 2024-02-06

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Family Applications (1)

Application Number Title Priority Date Filing Date
CN202311655638.4A Pending CN117503296A (en) 2023-12-05 2023-12-05 Intravascular auxiliary opening device for complex interventional operation

Country Status (1)

Country Link
CN (1) CN117503296A (en)

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