CN203253038U - Iliofemoral deep venous thrombus bead-like eccentric ball bag thrombolysis-fragmentation catheter - Google Patents

Iliofemoral deep venous thrombus bead-like eccentric ball bag thrombolysis-fragmentation catheter Download PDF

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Publication number
CN203253038U
CN203253038U CN 201320219980 CN201320219980U CN203253038U CN 203253038 U CN203253038 U CN 203253038U CN 201320219980 CN201320219980 CN 201320219980 CN 201320219980 U CN201320219980 U CN 201320219980U CN 203253038 U CN203253038 U CN 203253038U
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China
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catheter
sacculus
beading
conduit
thrombolysis
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CN 201320219980
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陈旭东
何凡
窦永充
曾延华
单爱军
王露平
吴宇旋
袁家林
高泽燕
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Abstract

The utility model discloses an Iliofemoral deep venous thrombus bead-like eccentric ball bag thrombolysis-fragmentation catheter. The tail end of the catheter is composed of two openings, wherein one opening is a ball bag catheter opening, and the other opening is an inlet shared by a guiding wire and a thrombolysis catheter and is called a Y valve connector which is used by being connected with a Y valve. A catheter end is composed of two catheters which are independent in function in a fusion mode and is a double-cavity catheter. One cavity is used as a ball bag catheter channel, and the other cavity is used as a guiding wire and thrombolysis catheter channel. A catheter working part is composed of a bead-like eccentric ball bag and a corresponding cracking thrombolysis catheter on the other side. The pipe cavities are formed through a pipe squeezer and a PTFE hydrophilic coating layer, parts of the ball bag or a thrombolysis part (the length is 10-20cm) can work separately or at the same time, the ball bag (the diameter is 5-20mm) squeezes cracked thrombus, the cracking catheter on the other side can inject thrombolysis medicine for thrombolysis at the same time, and thrombolysis-fragmentation effect can be enhanced throuhg direction rotation.

Description

The molten broken bolt conduit of the eccentric sacculus of ilium deep femoral vein thrombosis beading
Technical field
This utility model relates to medical instruments field, relates in particular to the molten broken bolt conduit of the eccentric sacculus of a kind of ilium deep femoral vein thrombosis beading.
Background technology
Popliteal-ilium deep femoral vein thrombosis Popliteal-iliofemoral deep venous thrombosis is the disease that blood condenses and forms thrombosis and cause at dark intravenous, it swells and ache as main clinic symptoms take lower limb, serious complication has the limb necrosis of suffering from and pulmonary infarction risk, threatens patient's health and lives., such as popliteal-ilium deep femoral vein thrombosis is not got timely medical treatment in addition, will cause chronic Deep venous insufficiency, causes the repeatedly swelling of lower limb, has a strong impact on work and life.
The Therapeutic Method of , popliteal-ilium deep femoral vein thrombosis mainly contains the internal medicine thrombolytic at present, surgical operation is got bolt and interventional therapy.The bleeding risk of internal medicine medicine thrombolytic is very large, and especially the mortality risk of intracerebral hemorrhage may occur Aged Patients, in addition, is difficult to avoid meeting generation thrombosis to come off in the thrombolytic process and causes the risk of pulmonary infarction, has limited its scope of application.Surgical operation is got bolt often need cut vein, and operation wound is large, and in addition, owing to perform the operation to the damage of tunica intima of vein, postoperative recurrence of thrombus probability is higher, and patient dependence is poor.Jie can implant first filter when entering Zhi Liao popliteal-ilium deep femoral vein thrombosis, avoided the risk of pulmonary infarction, get involved in addition and can take to take out the multiple therapy methods such as bolt, broken bolt and conduit contact thrombolysis, have Wicresoft, repeatable strong and effective percentage advantages of higher, use more and more extensively in now clinical.
The interventional therapy method of popliteal-ilium deep femoral vein thrombosis mainly contains conduit and takes out [4] such as bolt, the broken bolt of sacculus and conduit contact thrombolysis.That uses clinically at present takes out the Guilding conduit that the bolt conduit is mainly 6-8F, Guiding conduit commonly used is straight peen or single curved shape, in the aspiration procedure of thrombosis, conductor housing often is difficult to touch each face of blood vessel wall, cause easily thrombosis residual, in addition, in the thrombosis aspiration procedure, diminish the risk of blood trouble endothelial tube and vein valve.The broken bolt sacculus that uses clinically is mainly the common sacculus that peripheral blood vessel uses, and is cylindric, often can occur sacculus or thrombosis slippage in broken bolt process, affects broken bolt effect.Thrombolysis catheter is mainly straight peen conduit, peripheral pore or crack shape thrombolysis catheter, and the conduit contact thrombolysis often needs to carry out after conduit is taken out bolt and the broken bolt of sacculus, because the cracked effect that can increase thrombolytic of unobstructed blood flow and embolus.Moreover, the thrombus treatment conduit that uses clinically at present often exists with single a kind of form, in the therapeutic process of thrombosis, often need the repeatedly exchange of various conduits to use, make the thrombus treatment process loaded down with trivial details, and the use of multiple apparatus has also increased the medical expense of thrombosis.
The utility model content
The molten broken bolt conduit of the eccentric sacculus of ilium deep femoral vein thrombosis beading that the technical problems to be solved in the utility model has been to provide the eccentric broken bolt of sacculus of a kind of beading and conduit thrombolytic to be integrated.
For solving the problems of the technologies described above, this utility model is realized by following scheme: the molten broken bolt conduit of the eccentric sacculus of ilium deep femoral vein thrombosis beading, described conduit is the integral type conduit, comprise double channel catheter, be located at double channel catheter one end sacculus interface and Y-valve interface, be located at double channel catheter one end and be the eccentric sacculus end of beading on the conical catheter head and thrombolysis catheter end, and seal wire;
Described double channel catheter is formed by two separate conduits fusions of function, cylindrical, wherein two conduits are semicylinder, respectively account for half tube chamber, one of them is as the foley's tube of the eccentric sacculus end of beading, is used for dilating sacculus and the conductor housing endcapped that is being communicated with foley's tube, another is as the common conduit of seal wire and injection thrombolytic drug, and its port at conductor housing is opening;
Described sacculus interface is made by polythene material, and an end is communicated with foley's tube, and other end Bonding pressure pump is by the atmospheric pressure expansion of balloon catheter;
Described Y-valve interface is made by polythene material, is communicated with common conduit, is used for connecting Y-valve, makes Y-valve as the medicine-pouring port of seal wire entrance and thrombolytic drug;
Described seal wire is guiding wire, runs through whole common conduit;
Further, the eccentric sacculus end of described beading is worked out by nylon and latex, and its balloon diameter is between the 5-20 millimeter, and length of balloon is between 10-20 centimetre.
Further, described thrombolysis catheter end conduit becomes the crack shape, and the length in crack is 1 centimetre, and wide 1 millimeter, the quantity in crack and position can be used flexibly, is distributed in the 10-20 cm range of conductor housing (31), and crack ceasma direction is greater than 180 degree.
Further, described double channel catheter is made by PEBAX or PU-polyurethane, and tube chamber is made through tube extruding machine and PTFE hydrophilic coating, and described double channel catheter length is 1.2 meters or 1.5 meters, and the pipe diameter is between 5-8F.
Further, described seal wire is the .035 seal wire.
Further, the eccentric sacculus end of described beading and thrombolysis catheter end are combined on the conplane conduit.
Further, the eccentric sacculus end of described beading sacculus is beading.
The beneficial effects of the utility model are: the eccentric sacculus of beading can reach the effect of cutting bolt and broken bolt, injects thrombolytic drug in the expansion of sacculus, can make cracked thrombosis reach the effect of dissolving.In addition, the expansion of sacculus makes thrombolysis catheter adherent, can dissolve preferably mural thrombus.This conduit is the integral type conduit, to reduce the alternately trouble of replacing of dissimilar conduits, reaches simultaneously the purpose of broken bolt and thrombolytic, has also reduced simultaneously because the expense of multiple instrumentation.
Description of drawings
Fig. 1 is the molten broken bolt guide-tube structure sketch map of the eccentric sacculus of ilium deep femoral vein thrombosis beading that this utility model does not add seal wire;
Fig. 2 is the molten broken bolt guide-tube structure sketch map of the eccentric sacculus of ilium deep femoral vein thrombosis beading that this utility model adds seal wire;
Fig. 3 is this utility model double channel catheter sketch map;
Fig. 4 is this utility model double channel catheter cutaway view;
Fig. 5 is this utility model cut-in pressure pump and Y-valve sketch map.
The specific embodiment
Below in conjunction with accompanying drawing this utility model is elaborated.
Extremely shown in Figure 5 such as Fig. 1, the molten broken bolt conduit of the eccentric sacculus of ilium deep femoral vein thrombosis beading, described conduit is the integral type conduit, comprise double channel catheter 3, be located at double channel catheter 3 one ends sacculus interface 1 and Y-valve interface 2, be located at the eccentric sacculus end 4 of beading on the double channel catheter 3 one end conductor housings 31 and thrombolysis catheter end 5, and seal wire 6; Described double channel catheter 3 is formed by two separate conduits fusions of function, cylindrical, wherein two conduits are semicylinder, respectively account for half tube chamber, one of them is as the foley's tube 32 of the eccentric sacculus end 4 of beading, is used for dilating sacculus, and seals at the conductor housing 31 terminal 311 that is being communicated with foley's tube 32, another is as the common conduit 33 of seal wire 6 and injection thrombolytic drug, and its port 312 at conductor housing 31 is opening; Described sacculus interface 1 is made by polythene material, and an end is communicated with foley's tube 32, and other end Bonding pressure pump 7 is by atmospheric pressure expansion of balloon catheter 32; Described Y-valve interface 2 is made by polythene material, is communicated with common conduit 33, is used for connecting Y-valve 8, makes Y-valve 8 as the medicine-pouring port of seal wire 6 entrances and thrombolytic drug; Described seal wire 6 is guiding wire, runs through whole common conduit 33.The eccentric sacculus end 4 of described beading is worked out by nylon and latex, and its balloon diameter has the effect of cutting thrombosis between the 5-20 millimeter, and promotes thrombosis to be pushed movement, and length of balloon is between 10-20 centimetre.
Described thrombolysis catheter end 5 conduits become the crack shape, and the length in crack is 1 centimetre, and are wide 1 millimeter, the quantity in crack and position can be used flexibly, be distributed in the 10-20 cm range of conductor housing 31, crack ceasma direction is conducive to medicine from the direction area contact thrombosis of maximum greater than 180 degree.
Described double channel catheter 3 is made by PEBAX or PU-polyurethane, and tube chamber is made through tube extruding machine and PTFE hydrophilic coating, and described double channel catheter 3 length are 1.2 meters or 1.5 meters, and to satisfy the needs of different puncture paths, the pipe diameter is between 5-8F.Described seal wire 6 is the .035 seal wire.
The eccentric sacculus end 4 of described beading and thrombolysis catheter end 5 both be combined on the conplane conduit.
The eccentric sacculus end of described beading 4 sacculus are beading, and easily machinery is passed, and pushes broken bolt.
The molten broken bolt conduit of the eccentric sacculus of this utility model ilium deep femoral vein thrombosis beading is the thrombus treatment conduit that is integrated for the eccentric broken bolt of sacculus of special beading and conduit thrombolytic, and it can reach simultaneously the purpose to the broken bolt of thrombosis sacculus and conduit contact thrombolysis in the therapeutic process of thrombosis.The design of the eccentric sacculus end 4 of beading can be played the effect of cutting thrombosis in the broken bolt process of thrombosis, by the purpose that moves and balloon expandable can reach broken bolt repeatedly.In addition, in the process of broken bolt, inject urokinase by the thrombolysis catheter pressurization, can increase the solute effect of broken thrombosis, thereby reach the purpose for the treatment of thrombosis.Because foley's tube 32 and common conduit 33 have reduced and have changed the loaded down with trivial details of conduit for integral type designs, and have also reduced simultaneously because the expense of multiple instrumentation.
Wherein the sacculus end of foley's tube 32 can be designed to different length, between beading different intervals can be arranged, the needs during with convenient different thrombus treatment.The tube chamber of common conduit 33 is in use as the passage of seal wire, injection can be used as again the administration channel of thrombolytic drug in the situation that keeps seal wire, its caliber is set as and can passes through smoothly .035 seal wire 6, but the size of tube head take just by seal wire 6 as standard, can be good at confined bed tube head 31 during with assurance injection thrombolytic drug, thrombolytic drug is discharged by the side opening of common conduit 33.The side opening of common conduit 33 can be arranged on the different lengths such as catheter proximal end 10cm or 20cm, and the needs crack ceasma direction when satisfying the different length thrombus treatment is conducive to medicine from the direction area contact thrombosis of maximum greater than 180 degree.Conductor housing 31 ends are the port of export of seal wire 6, are pyramid type, go deep into thrombosis inside to make things convenient for conduit.Foley's tube 32 endcappeds wherein, air-tightness when using with the assurance sacculus, common conduit 33 openings are the seal wire outlet, size is just to satisfy the .035 seal wire by being as the criterion, so that sealing tube head when the injection thrombolytic drug, guarantee the pressure in the thrombolysis catheter, to satisfy thrombolytic drug by the crack spray discharge, improve thrombolytic effect.
The molten broken bolt conduit using method of the eccentric sacculus of ilium deep femoral vein thrombosis beading may further comprise the steps:
The first step by Y-valve interface 2 access Y-valves 8, is then inserted .035 seal wire 6 through the Y-valve mouth, and seal wire 6 by the thrombosis section, is then inserted the molten broken bolt conduit of thrombolysis catheter end 5 through seal wire 6, is placed in the thrombosis section;
Second step, radiography confirm that sacculus is positioned at after the thrombosis, by the eccentric sacculus of sacculus interface 1 expansion beading eccentric sacculus end 4 beadings, to reach the purpose of chopping thrombosis;
The 3rd step, take out flat sacculus, in the situation that keeps seal wire 6, inject thrombolytic drug through Y-valve interface 2, to reach the purpose of thrombolytic, dilating sacculus continues broken bolt again simultaneously, also can inject thrombolytic drug on the basis of balloon expandable, so that the dissolving mural thrombus;
The 4th goes on foot, and constantly regulates the position of foley's tube 32, makes the thrombosis of different azimuth reach cracked and dissolving;
The 5th step, use and finish the rear conduit of releasing, finish associated treatment.
The first step in step, but anticoagulant is injected in the conduit pulse of described thrombolysis catheter end 5, promotes thromboembolism.
In the 3rd step in step, broken bolt be combined with thrombolytic that also the capable of regulating direction is to strengthen molten broken bolt effect, and when pushing mobile thrombosis, thrombolysis catheter end 5 conduits are greater than the 180 pulse thrombolytic drugs of spending, multi-direction maximum area contact lysis thrombosis.
The above only is preferred implementation of the present utility model; be not so limit claim of the present utility model; every equivalent structure or equivalent flow process conversion that utilizes this utility model description and accompanying drawing content to do; or directly or indirectly be used in other relevant technical field, all in like manner be included in the scope of patent protection of the present utility model.

Claims (7)

1. the molten broken bolt conduit of the eccentric sacculus of ilium deep femoral vein thrombosis beading, it is characterized in that: described conduit is the integral type conduit, comprise double channel catheter (3), be located at double channel catheter (3) one ends sacculus interface (1) and Y-valve interface (2), be located at double channel catheter (3) one ends and be the eccentric sacculus end (4) of beading and thrombolysis catheter end (5) on the conical catheter head (31), reach seal wire (6);
Described double channel catheter (3) is formed by two separate conduits fusions of function, cylindrical, wherein two conduits are semicylinder, respectively account for half tube chamber, one of them is as the foley's tube (32) of the eccentric sacculus end of beading (4), be used for dilating sacculus, and in the conductor housing (31) that is communicated with foley's tube (32) terminal (311) sealing, another is as the common conduit (33) of seal wire (6) and injection thrombolytic drug, and its port in conductor housing (31) (312) is opening;
Described sacculus interface (1) is made by polythene material, and an end is communicated with foley's tube (32), and other end Bonding pressure pump (7) is by atmospheric pressure expansion of balloon catheter (32);
Described Y-valve interface (2) is made by polythene material, is communicated with common conduit (33), is used for connecting Y-valve (8), makes Y-valve (8) as the medicine-pouring port of seal wire (6) entrance and thrombolytic drug;
Described seal wire (6) is guiding wire, runs through whole common conduit (33).
2. according to the molten broken bolt conduit of the eccentric sacculus of ilium deep femoral vein thrombosis beading claimed in claim 1, it is characterized in that: the eccentric sacculus end of described beading (4) is worked out by nylon and latex, its balloon diameter is between the 5-20 millimeter, and length of balloon is between 10-20 centimetre.
3. according to the molten broken bolt conduit of the eccentric sacculus of ilium deep femoral vein thrombosis beading claimed in claim 1, it is characterized in that: described thrombolysis catheter end (5) conduit becomes the crack shape, the length in crack is 1 centimetre, wide 1 millimeter, the quantity in crack and position can be used flexibly, be distributed in the 10-20 cm range of conductor housing (31), crack ceasma direction is greater than 180 degree.
4. according to the molten broken bolt conduit of the eccentric sacculus of ilium deep femoral vein thrombosis beading claimed in claim 1, it is characterized in that: described double channel catheter (3) is made by PEBAX or PU-polyurethane, tube chamber is made through tube extruding machine and PTFE hydrophilic coating, described double channel catheter (3) length is 1.2 meters or 1.5 meters, and the pipe diameter is between 5-8F.
5. according to the molten broken bolt conduit of the eccentric sacculus of ilium deep femoral vein thrombosis beading claimed in claim 1, it is characterized in that: described seal wire (6) is the .035 seal wire.
6. according to the molten broken bolt conduit of the eccentric sacculus of ilium deep femoral vein thrombosis beading claimed in claim 1, it is characterized in that: the eccentric sacculus end (4) of described beading and thrombolysis catheter end (5) are combined on the conplane conduit.
7. according to the molten broken bolt conduit of the eccentric sacculus of ilium deep femoral vein thrombosis beading claimed in claim 1, it is characterized in that: eccentric sacculus end (4) sacculus of described beading is beading.
CN 201320219980 2013-04-25 2013-04-25 Iliofemoral deep venous thrombus bead-like eccentric ball bag thrombolysis-fragmentation catheter Expired - Lifetime CN203253038U (en)

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CN 201320219980 CN203253038U (en) 2013-04-25 2013-04-25 Iliofemoral deep venous thrombus bead-like eccentric ball bag thrombolysis-fragmentation catheter

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Application Number Priority Date Filing Date Title
CN 201320219980 CN203253038U (en) 2013-04-25 2013-04-25 Iliofemoral deep venous thrombus bead-like eccentric ball bag thrombolysis-fragmentation catheter

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103212148A (en) * 2013-04-25 2013-07-24 何凡 Iliofemoral deep venous thrombosis moniliform eccentric sacculus thrombolysis thrombectomy catheter and using method of same

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103212148A (en) * 2013-04-25 2013-07-24 何凡 Iliofemoral deep venous thrombosis moniliform eccentric sacculus thrombolysis thrombectomy catheter and using method of same
CN103212148B (en) * 2013-04-25 2015-08-12 何凡 The molten broken bolt conduit of the eccentric sacculus of ilium deep femoral vein thrombosis beading

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GR01 Patent grant
AV01 Patent right actively abandoned

Granted publication date: 20131030

Effective date of abandoning: 20150812

RGAV Abandon patent right to avoid regrant