CN202933013U - Balloon dilatation type multi-electrode radiofrequency ablation catheter - Google Patents

Balloon dilatation type multi-electrode radiofrequency ablation catheter Download PDF

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Publication number
CN202933013U
CN202933013U CN 201220533282 CN201220533282U CN202933013U CN 202933013 U CN202933013 U CN 202933013U CN 201220533282 CN201220533282 CN 201220533282 CN 201220533282 U CN201220533282 U CN 201220533282U CN 202933013 U CN202933013 U CN 202933013U
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China
Prior art keywords
electrode
radio frequency
ablation catheter
main body
sacculus
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Expired - Lifetime
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CN 201220533282
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Chinese (zh)
Inventor
盛卫文
王国辉
秦杰
汪立
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SHANGHAI ANTONG MEDICAL TECHNOLOGY Co Ltd
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SHANGHAI ANTONG MEDICAL TECHNOLOGY Co Ltd
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Abstract

The utility model provides a balloon dilatation type multi-electrode radiofrequency ablation catheter which comprises a handle, a catheter main body, a balloon and a plurality of electrodes; the plurality of electrodes are arranged on the outer surface of the balloon; the balloon is positioned at the front end of the catheter main body; the back end of the catheter main body is mounted on the handle; electric connection elements which are used for electrically connecting the plurality of electrodes with a radio-frequency current generating device respectively are arranged in the handle and the catheter main body; besides, an infusion tube connected with the balloon is further arranged in the catheter main body; an infusion component used for feeding liquid into the infusion tube is arranged on the handle; the interiors of the infusion component, the infusion tube and the balloon form a mutually communicated closed channel; the radiofrequency ablation catheter further comprises a thermocouple for detecting temperature, which is connected with at least one electrode; and a conducting wire used for transmitting electrical signals of the thermocouple is further arranged in the catheter main body and the handle.

Description

A kind of balloon expandable formula multi-electrode radio frequency ablation catheter
Technical field
This utility model relates to electrosurgery, relates in particular to a kind of for arteriorenal sympathetic nerve is carried out to denervated radio frequency ablation catheter.
Background technology
Intractable hypertension, use still unmanageable hypertension (sBP >=160mmHg) of medicine more than 3 kinds (all having used a diuretic), more common clinically, its paathogenic factor is numerous, pathogenesis is indefinite, medication effect is very poor, and diagnosis and treatment technology are still not mature enough, become one of great difficult problem of hypertension therapeutic.Due to the receptor of kidney as nervus centralis, under orthosympathetic effect, can secrete more feritin and activate the RAAS system, cause that renal blood flow descends, cause the storage of water sodium to be stayed, finally cause hypertension; Simultaneously, kidney spreads out of organ as nerve, and sympathetic excitement is communicated to brain conversely, causes bad general reaction.Therefore, intractable hypertension application renal denervation is treated.The article be published on New England Journal of Medicine in 2009 as people such as Schlaich, shown after the renal denervation treatment, the noradrenaline levels decline 50-75% discharged in nephridial tissue, in blood plasma, the feritin level descends 50%, the renal blood flow amount increases by 57%, find that this treatment has effect to the central nervous system simultaneously, can significantly improve nervimuscular galvanic reflex.
The renal artery radiofrequency ablation art is a kind of by the electrode catheter intravascular is sent into to specific part in renal artery, discharges radio-frequency current and causes the necrosis of renal artery sympathetic nerve local solidification, reaches denervated Interventional technology.The radio-frequency current damage range is little, can not cause body harm, so the renal artery radiofrequency ablation art has become a kind of orthosympathetic method of effective removal renal artery.At present, occurred that the one pole radio frequency ablation catheter for renal artery is to implement the renal artery radiofrequency ablation operation.The head of one pole radio frequency ablation catheter for renal artery has single electrode, can carry out melting of single-point location to the renal artery sympathetic nerve, and because once-through operation can only be melted a some position, therefore, work efficiency is lower.
Given this, this utility model provides a kind of new multi-electrode radio frequency ablation catheter.
The utility model content
In view of the above-mentioned defect of prior art, technical problem to be solved in the utility model is to provide a kind of multi-electrode radio frequency ablation catheter that can simultaneously be melted a plurality of sites.
The multi-electrode radio frequency ablation catheter that this utility model provides comprises handle, catheter main body, sacculus and a plurality of electrode, described a plurality of electrode arrangement is in the outer surface of described sacculus, described sacculus is positioned at the front end of described catheter main body, the rear end of described catheter main body is installed on described handle, in described handle and catheter main body, is provided with for described a plurality of tip electrodes being electrically connected to respectively to the electrical connecting element of radio-frequency current generator; In addition, also be provided with the tube for transfusion be connected with described sacculus in described catheter main body, also be provided with on described handle for liquid being inputted to the infusion part of described tube for transfusion, described infusion part, tube for transfusion, the inner closed channel be interconnected that forms of sacculus; Described radio frequency ablation catheter also comprises the thermocouple for detecting temperature, with at least one electrode, is connected, and in described catheter main body and handle, also is provided with for transmitting the wire of the thermocouple signal of telecommunication.
A crucial part of multi-electrode radio frequency ablation catheter provided by the utility model is to adopt sacculus to carry a plurality of electrodes.When sacculus fills liquid, in contraction state, under contraction state, the operator can operate this radio frequency ablation catheter does not make sacculus arrive the desired locations in renal artery.Then by infusion part and tube for transfusion, liquid is filled to sacculus, therefore sacculus expands and presses close to blood vessel, the site that a plurality of electrodes that carry on its surface melt near a plurality of needs also so respectively, thus a plurality of sites are melted simultaneously, greatly increase work efficiency.
Preferably, described electrical connecting element comprises many connecting lines and adapter, and an end of described connecting line is electrically connected to described electrode respectively, and the other end is electrically connected to described adapter respectively; Described adapter is installed in described handle.Described connecting line can be wrapped in the insulation outer tube and become a branch ofly, also can be separated from each other, and connects independently of one another described electrode and adapter.
Preferably, described infusion part is the outside body that stretches to be positioned on the housing of described handle, and described tube for transfusion is communicated with and forms the passage for liquid communication of sealing with described body.More preferably, the outer end of described body is arranged for the interface joined with syringe.
Preferably, described electrode is fixedly attached on the outer surface of described sacculus; Perhaps, described multi-electrode radio frequency ablation catheter also comprises wire rack mount, and described electrode is arranged on described wire rack mount, the described sacculus of described wire rack mount outsourcing.
Preferably, described sacculus adopts elastomeric material to make.More preferably, described elastomeric material is plastics.
In this utility model, described liquid is preferably water or normal saline or contrast agent.The preferred number of described electrode is 3-16.
Multi-electrode radio frequency ablation catheter provided by the utility model, can be melted a plurality of sites simultaneously, thereby greatly be provided work efficiency.
Technique effect below with reference to accompanying drawing to design of the present utility model, concrete structure and generation is described further, to understand fully the purpose of this utility model, feature and effect.
The accompanying drawing explanation
Fig. 1 is a kind of structural representation of the preferred specific embodiment of the handle of radio frequency ablation catheter of the present utility model.
Fig. 2 is a kind of cross sectional representation of the preferred specific embodiment of the catheter main body of radio frequency ablation catheter of the present utility model.
Fig. 3 is the structural representation (sacculus is in contraction state) of a kind of preferred specific embodiment of the sacculus of radio frequency ablation catheter of the present utility model and electrode.
Fig. 4 is the structural representation (sacculus is in swelling state) of a kind of preferred specific embodiment of the sacculus of radio frequency ablation catheter of the present utility model and electrode.
The specific embodiment
Fig. 1-Fig. 4 shows a kind of preferred specific embodiment of radio frequency ablation catheter provided by the utility model.
As Figure 1-Figure 4, radio frequency ablation catheter in this specific embodiment comprises handle 1, catheter main body 2, sacculus 3, a plurality of electrode 4, electrode 4 is arranged in the outer surface of sacculus 3, sacculus 3 is positioned at the front end of catheter main body 2, the rear end of catheter main body 2 is installed on handle 1, in handle 1 and catheter main body 2, is provided with for a plurality of electrodes 4 being electrically connected to respectively to the electrical connecting element of radio-frequency current generator.Electrical connecting element comprises many connecting lines 6 and adapter 5, an end of many connecting lines 6 with a plurality of electrodes 4, be electrically connected to respectively, the other end is electrically connected to adapter 5; Adapter 5 is installed in handle 1, for electrode 4 is connected to the radio-frequency current generator.
In addition, also be provided with the tube for transfusion 7 be connected with sacculus 3 in catheter main body 2, also be provided with on handle 1 for liquid being inputted to the infusion part 8 of tube for transfusion 7, infusion part 8, tube for transfusion 7, the inner closed channel be interconnected that forms of sacculus 3.The path of this closed channel and connecting line 6 is separate.Therefore, in the inside of catheter main body 2, except comprising this closed channel, also leave the space that connecting line 6 is set.Connecting line 6 can by be wrapped in insulation become in outer tube 9 a branch of, will be as depicted in figs. 1 and 2; Connecting line 6 also can be separated from each other, independently of one another connection electrode 4 and adapter 5.
In this specific embodiment, infusion part 8 is the outside body that stretches on the housing that is positioned at handle 1, and tube for transfusion 7 is communicated with and forms the passage for liquid communication of sealing with this body.The outer end 10 of infusion part 8 is arranged for the interface joined with syringe.Like this, in the time of sacculus 3 need to be expanded, suction can be had the syringe of liquid (for example water) to be directly connected to the outer end 10 of infusion part 8, pushing syringe makes liquid enter sacculus 3, thereby sacculus 3 is expanded.
In this specific embodiment, electrode 4 is arranged in the outer surface of sacculus 3.A plurality of neural site that need to melt can be arranged to correspond respectively in the spacing of electrode 4 and orientation.Electrode 4 may be fixedly attached on the outer surface of sacculus 3, and the expansion of sacculus 3 is directly carried electrode 4 and together moved.Also can wire rack mount be set in addition again, electrode 4 is arranged on wire rack mount, wire rack mount outsourcing sacculus 3, and when sacculus 3 expands, sacculus 3 makes it expansion against wire rack mount, thus 4 motions of band moving electrode.
In this specific embodiment, for the ease of expansion and the contraction of sacculus 3, sacculus 3 adopts elastomeric material, as plastics are made.
In this specific embodiment, radio frequency ablation catheter also comprises the thermocouple (not shown), with at least one electrode, is connected, for detecting temperature.In catheter main body 2 and handle 1, also be provided with for transmitting the wire of the thermocouple signal of telecommunication.
More than describe preferred embodiment of the present utility model in detail.Should be appreciated that those of ordinary skill in the art just can make many modifications and variations according to design of the present utility model without creative work.Therefore, all those skilled in the art comply with design of the present utility model on the basis of existing technology by the available technical scheme of logical analysis, reasoning, or a limited experiment, all should be in the determined protection domain by claims.

Claims (10)

1. a balloon expandable formula multi-electrode radio frequency ablation catheter, it is characterized in that, comprise handle, catheter main body, sacculus and a plurality of electrode, described a plurality of electrode arrangement is in the outer surface of described sacculus, described sacculus is positioned at the front end of described catheter main body, the rear end of described catheter main body is installed on described handle, in described handle and catheter main body, is provided with for described a plurality of tip electrodes being electrically connected to respectively to the electrical connecting element of radio-frequency current generator; In addition, also be provided with the tube for transfusion be connected with described sacculus in described catheter main body, also be provided with on described handle for liquid being inputted to the infusion part of described tube for transfusion, described infusion part, tube for transfusion, the inner closed channel be interconnected that forms of sacculus; Described radio frequency ablation catheter also comprises the thermocouple for detecting temperature, with at least one electrode, is connected, and in described catheter main body and handle, also is provided with for transmitting the wire of the thermocouple signal of telecommunication.
2. balloon expandable formula multi-electrode radio frequency ablation catheter as claimed in claim 1, it is characterized in that, described electrical connecting element comprises many connecting lines and adapter, and an end of described connecting line is electrically connected to described electrode respectively, and the other end is electrically connected to described adapter respectively; Described adapter is installed in described handle.
3. balloon expandable formula multi-electrode radio frequency ablation catheter as claimed in claim 1, it is characterized in that, described infusion part is the outside body that stretches to be positioned on the housing of described handle, and described tube for transfusion is communicated with and forms the passage for liquid communication of sealing with described body.
4. balloon expandable formula multi-electrode radio frequency ablation catheter as claimed in claim 3, is characterized in that, the outer end of described body is arranged for the interface joined with syringe.
5. balloon expandable formula multi-electrode radio frequency ablation catheter as claimed in claim 1, is characterized in that, described electrode is fixedly attached on the outer surface of described sacculus.
6. balloon expandable formula multi-electrode radio frequency ablation catheter as claimed in claim 1, is characterized in that, described multi-electrode radio frequency ablation catheter also comprises wire rack mount, and described electrode is arranged on described wire rack mount, the described sacculus of described wire rack mount outsourcing.
7. balloon expandable formula multi-electrode radio frequency ablation catheter as claimed in claim 1, is characterized in that, described sacculus adopts elastomeric material to make.
8. balloon expandable formula multi-electrode radio frequency ablation catheter as claimed in claim 1, is characterized in that, described elastomeric material is plastics.
9. balloon expandable formula multi-electrode radio frequency ablation catheter as claimed in claim 1, is characterized in that, described liquid is water or normal saline or contrast agent.
10. balloon expandable formula multi-electrode radio frequency ablation catheter as claimed in claim 1, is characterized in that, the number of described electrode is 3-16.
CN 201220533282 2012-10-17 2012-10-17 Balloon dilatation type multi-electrode radiofrequency ablation catheter Expired - Lifetime CN202933013U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
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Application Number Priority Date Filing Date Title
CN 201220533282 CN202933013U (en) 2012-10-17 2012-10-17 Balloon dilatation type multi-electrode radiofrequency ablation catheter

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103505798A (en) * 2013-09-30 2014-01-15 上海魅丽纬叶医疗科技有限公司 Ablation catheter with grooves in surface
CN105324090A (en) * 2013-06-21 2016-02-10 波士顿科学国际有限公司 Medical devices for renal nerve ablation
US9993291B2 (en) 2013-02-07 2018-06-12 Shanghai Golden Leaf Med Tec Co., Ltd Radio frequency ablation method, system and radio frequency ablation device thereof

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9993291B2 (en) 2013-02-07 2018-06-12 Shanghai Golden Leaf Med Tec Co., Ltd Radio frequency ablation method, system and radio frequency ablation device thereof
CN105324090A (en) * 2013-06-21 2016-02-10 波士顿科学国际有限公司 Medical devices for renal nerve ablation
CN105324090B (en) * 2013-06-21 2018-11-13 波士顿科学国际有限公司 Medical instrument for renal nerve ablation
CN103505798A (en) * 2013-09-30 2014-01-15 上海魅丽纬叶医疗科技有限公司 Ablation catheter with grooves in surface
CN103505798B (en) * 2013-09-30 2015-09-09 上海魅丽纬叶医疗科技有限公司 The fluted ablation catheter in surface

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Granted publication date: 20130515

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