A kind of blood vessel expansion appliance
Technical field
This utility model relates to medical instruments field, relates in particular to a kind of blood vessel expansion appliance.
Background technology
Current percutaneous intervene operation is extensively carried out, the use of foley's tube and balloon expandable stent is comparatively general, but at the foley's tube used and balloon expandable stent, its sacculus structure is the balloon structure of a fusiformis, usually blocking blood flow is needed when blood vessel dilating stenotic lesion, cause blocking remote organization's ischemia, the organ blood pressure blocking near-end rises sharply, clinical operation to be everlasting in this kind of sacculus operating process of application row coronary stricture pathological changes support when inserting often, there is balloon occlusion distal myocardium ischemia, there is arrhythmia in the lighter, severe one even ventricular fibrillation sudden cardiac arrest patient is dead, be expert at trunk narrow surgical, also need balloon expandable during support implantation surgery, be blood vessel blocking remote organization ischemia at dilating sacculus, there is transitional hypertension in near-end organ such as heart, brain etc., even cerebral hemorrhage, the generations such as congestive heart failure.When Percutantnoeus coronary intervention, balloon expandable pathological changes, can cause blood vessel distal ischemia, so the expansion time all only has 30 seconds to 60 seconds mostly, and often occurs that ST section changes, arrhythmia or hypotension change etc.; Blood pressure to be down to nearly section blood vessel transitional hypertension when 70mmHg mainly prevents support from discharging in addition when dissection of aorta support is inserted and make the generation of generation cerebral hemorrhage and stent migration; But in art, blood pressure is fallen too low, also can cause each histoorgan ischemia of patient, persistent period long even entail dangers to patient vitals.
Application number 201320171828.4 discloses a kind of intravascular stent extension fixture, this device can not circulate by occlude blood in process of expansion although can realize sacculus, but its structure has the shortcoming of following several respects: 1, have sleeve pipe in sacculus outer setting, make this structure too fat to move, volume increases, and is reduced by pathological changes performance; 2, sacculus is in process of expansion, needs bulging from the space of the sleeve pipe of its outside, sacculus outer wall and sleeve pipe is produced and rubs, reduce the stability of sacculus, may occur breaking in expansion process; The shape of the cross section 3, after inflation is not a complete circle, can not expand diseased region completely, may not reach operation object; 4, sacculus needs the resistance overcoming outer sleeve in expansion process, need to be filled with higher air pressure, the material of sacculus is had higher requirement, make whole apparatus cost increase, the financial burden 5 of patient, sacculus are increased the weight of in expansion process because the obstruction of sleeve pipe, the wall unevenness at each position is even, the Hazard ratio broken is higher, 6, the gap of sacculus and blood vessel wall is subject to the restriction of casing pipe hole opening, therefore not there is transmutability, in order to consider that, by volume during pathological changes, the gap of sleeve pipe is not too large, the ability that blood passes through reduces.
Utility model content
For solving the problems of the technologies described above, this utility model is achieved through the following technical solutions:
Sacculus in blood vessel expansion appliance comprises conduit and is bonded in the sacculus of its outer wall, described conduit has the hole can passed for seal wire, has the balloon perfusion catheter be communicated with described sacculus, sacculus has through hole in described conduit.Such design, sacculus overall volume before not expanding is less, improves the ability by pathological changes, it can also scribble hydrophilic coating with reference to prior art, make by property higher; And sacculus need not overcome the friction of outer sleeve in expansion process, and each several part pressurized is even, and risk of rupture is lower, and stability is better; And because all even frictional resistance of pressurized is less, the material of sacculus can adopt existing material, and therefore the cost of manufacture of sacculus can not raise; The sacculus shape of cross section completely that expands is a complete circle, and the ability supporting pathological changes and expansion diseased region is better, and there will not be blind area, and the hole on sacculus progressively can become large along with the expansion of sacculus, what improve blood passes through performance.
Preferably, described hole has two at least and is not connected.Such design makes blood evenly by sacculus, further increases the handling capacity of blood, and blood is more even to the external pressure of sacculus in flow process simultaneously, improves the stability of sacculus further, reduces the risk that it in use breaks.
Preferably, described sacculus contains two or more and mutually splits and the space be communicated with.It is more even that such design can make sacculus fill in expansion process, better expands diseased region, avoid " dog bone " phenomenon.
Preferably, described hole is distributed in the surrounding of described conduit.Inventor draws according to repeatedly hydrodynamic calculations, and when the through hole of sacculus is distributed on around foley's tube, the ratio of the stability by performance and sacculus of blood is optimum.
Preferably, the cross section in described hole is circular.Circular duct reduces the pressure of blood to balloon inflation channel wall in flowing code, also reduces the resistance of conduit wall to blood simultaneously, further improves the stability by performance and sacculus of blood.
This utility model can also be arranged among intravascular stent and just provide a kind of vasodilation support.
the beneficial effects of the utility model
This utility model provides a kind of enforcement can not hinder sanguimotor sacculus when intravascular stent expansion is performed the operation, and overall volume is little time folding, better by the ability of pathological changes, each position uniform force after inflation, stability is high, and the ability of support and expansion pathological changes is better.
Accompanying drawing explanation
Fig. 1 is the schematic diagram of this utility model preferred implementation
Fig. 2 is the cross sectional representation of this utility model preferred implementation
Be labeled as in figure: conduit 1, for the hole 2 that seal wire passes through on conduit, sacculus 3, the through hole 4 on sacculus, seal wire 5, balloon perfusion catheter 6, the through hole 7 on sacculus, conduit 8, sacculus 9, for the hole 10 that seal wire passes through on conduit.
Specific embodiment
Below in conjunction with drawings and Examples, this utility model is further illustrated.
As shown in Figure 1, conduit 1, in it, attachment balloon perfusion catheter 6, makes sacculus 3 expand by conduit 1 injected gas or liquid, for expanding narrow blood vessel pathological changes, makes angiostenosis place caliber become large.Conduit 1 all can see prior art with the design of balloon perfusion catheter 6; Closely bond the sacculus 3 on conduit 1, realize expanding and retraction by conduit 1, sacculus 3 also can see prior art with the bonding way of conduit 1; Sacculus 3 there is the through hole 4 that 4 uniform, the shape of cross section in certain hole is good to be designed to Fig. 2 mesopore 7 circular port, after sacculus 3 expands, blood can from wherein passing through, thus realize blood circulation in whole operation and do not blocked, and uniform circular hole 7 makes blood in the process flow through, sacculus 3 uniform force, reduce its local compression too high, cause the risk of breaking.Conduit 1 also has the hole 2 passed through for seal wire, sacculus 3 is sent to vascular lesion position by this hole 2 along seal wire 5.
Use step: first, along seal wire 5, non-dilatation balloon 3 is delivered to angiostenosis position; Then, pressure injector is connected with the balloon perfusion catheter 6 in conduit 1, pressurization dilating sacculus 3; Through hole 4 on sacculus 3 is also expanded thereupon, forms the passage of blood circulation; If desired install elastic web support, only elastic web need be propped up and be placed on outside sacculus 3, elastic web support struts after expanding by dilating sacculus 3, after having placed elastic support, and pumpback pressure injector, sacculus 3 bounces back; Then, withdrawn from by sacculus along seal wire 5, operation completes.Or repetition above-mentioned steps, expands another diseased region.
Implement in the process of operation whole, patient blood circulation is not blocked, and avoid because of Basilar artery blood circulation or the various complication brought that reduce blood pressure, and medical personnel is simple to operation.