CN204306848U - A kind of auxiliary reverse seal wire enters the device of forward guiding catheter - Google Patents

A kind of auxiliary reverse seal wire enters the device of forward guiding catheter Download PDF

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Publication number
CN204306848U
CN204306848U CN201420695689.XU CN201420695689U CN204306848U CN 204306848 U CN204306848 U CN 204306848U CN 201420695689 U CN201420695689 U CN 201420695689U CN 204306848 U CN204306848 U CN 204306848U
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China
Prior art keywords
connecting rod
disk
seal wire
propelling movement
guiding catheter
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Withdrawn - After Issue
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CN201420695689.XU
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Chinese (zh)
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张东伟
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Individual
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Individual
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Abstract

Auxiliary reverse seal wire enters a device for forward guiding catheter, and comprise propelling movement connecting rod, the tail end of described propelling movement connecting rod is provided with the handle of propelling movement, and the head end pushing connecting rod is provided with disk-like structure, and the termination pushing connecting rod is buried in this disk-like structure; Disk-like structure is provided with two holes for connecting two lacunas respectively, and two lacuna proximal openings are in propelling movement connecting rod side; Two lacunas comprise the rail cavity that forward pushes and the work lacuna of assisting reverse seal wire to enter forward guiding catheter; Orbit hole is communicated with rail cavity, and working hole is communicated with work lacuna, and disk-like structure, rail cavity and work lacuna form the working region of this device.This utility model is conducive to shortening operating time, ensures success rate of operation, reduces the use of other apparatuses.

Description

A kind of auxiliary reverse seal wire enters the device of forward guiding catheter
Technical field
This utility model relates to a kind of percutaneous coronary intervention surgery assistor tool, is specifically related to the device that a kind of auxiliary reverse seal wire enters forward guiding catheter.
Background technology
In percutaneous coronary intervention field, chronic total occlusion (CTO) pathological changes is the common complex coronary artery pathological changes of a class.In the patients with coronary heart disease that underwent coronary contrast examination is made a definite diagnosis, 20%-40% is had to there is CTO pathological changes.With non-blocking pathological changes ratio, the intervention success rate of CTO pathological changes is low, apparatus expends many, doctor and patient accepts that dose radiation is large, surgical technic difficulty is large, is therefore described as the last fort in calcification score field.
In the past between Two decades years, CTO Successful treatment with interventional rate is low, and great majority are reported between 60%-80%, and the most common cause causing failure is that seal wire is not by pathological changes.In recent years, Japan gets involved the exploration discovery of physician system, by the Doppler flow mapping blood vessel of occluding vascular, carries out reverse CTO pathological changes interventional therapy, and find that septal branch blood vessel can tolerate the low-pressure expansion of 1.5-2.0mm sacculus, reverse CTO seal wire technology is obtained and breaks through.In some cases, current to seal wire cannot by pathological changes time, if occluding vascular has good Doppler flow mapping blood vessel, can attempt adopting reverse seal wire technology to open pathological changes.
In the use procedure of reverse seal wire technology, when reverse seal wire reverse from CTO blood vessel far-end by inaccessible section blood vessel after, need to handle this seal wire and enter in CTO blood vessel forward guiding catheter.And reverse seal wire enters the operation of forward guiding catheter, usually meet difficulty.Sometimes need long-time, make repeated attempts, just likely complete, abandon operation even at this point.
If there is a kind of apparatus, auxiliary reverse seal wire enters forward guiding catheter, will reduce the operating time, thus reduces doctor and patient radiation's line open-assembly time, and can ensure that operation completes smoothly.
Summary of the invention
The purpose of this utility model is to provide a kind of auxiliary reverse seal wire to enter the device of forward guiding catheter, adopts this device, is conducive to shortening operating time, ensures success rate of operation, reduce the use of other apparatuses.
Technical solution of the present utility model is:
A kind of auxiliary reverse seal wire enters the device of forward guiding catheter, comprise propelling movement connecting rod, the tail end of described propelling movement connecting rod is provided with the handle of propelling movement, and its special character is: the head end of described propelling movement connecting rod is provided with disk-like structure, and the termination of described propelling movement connecting rod is buried in this disk-like structure; Described disk-like structure is provided with two holes for connecting two lacunas respectively, is respectively orbit hole and working hole, and described two lacuna proximal openings are in propelling movement connecting rod side; The rail cavity that described two lacunas comprise and auxiliary reverse seal wire enter the work lacuna of forward guiding catheter; Described orbit hole is communicated with rail cavity, and described working hole is communicated with work lacuna, and described disk-like structure, rail cavity and work lacuna form the working region of this device.
Above-mentioned orbit hole is positioned at the centre of disk-like structure; Described working hole is adjacent with orbit hole.
In above-mentioned CTO reverse seal wire technology, auxiliary reverse seal wire enters the device of forward guiding catheter, it is characterized in that: this device total length is 140 ㎝ ~ 150 ㎝, described working region overall length 28mm ~ 35 mm; Described disk-like structure diameter is 4.00 ㎜ ~ 7.00 ㎜; The described disk-like structure degree of depth is 1.50mm ~ 2.50mm; Described propelling movement connecting rod external diameter is 0.80 ㎜ ~ 1.20 ㎜; Described work lacuna and rail cavity internal diameter are respectively 0.02mm; Described decreased food 12.00mm ~ 16.00 ㎜, external diameter are 8.00mm ~ 12.00 ㎜.
In above-mentioned CTO reverse seal wire technology, auxiliary reverse seal wire enters the device of forward guiding catheter, it is characterized in that: this device adopts following size best: total length is 140 ㎝, described working region overall length 30 mm; Described disk-like structure diameter is 5.00 ㎜; The described disk-like structure degree of depth is 2.00mm; Described propelling movement connecting rod external diameter is 1.00 ㎜; Described work lacuna and rail cavity internal diameter are respectively 0.02mm; Described decreased food 15.00 ㎜, external diameter are 10.00 ㎜.
Above-mentioned disk-like structure is that medical silica-gel is made, and it is bonded together with propelling movement connecting rod.
Above-mentioned handle is made up of medical plastic, and it is bonded together with propelling movement connecting rod.
Above-mentioned propelling movement connecting rod is made up of medical stainless steel material.
The utility model has the advantage of: in operation process, after reverse seal wire is by the inaccessible section of CTO pathological changes, use this auxiliary device, auxiliary reverse seal wire enters forward guiding catheter, be conducive to shortening operating time, ensure success rate of operation, reduce the use of other apparatuses.
Accompanying drawing explanation
Fig. 1 is this utility model structural representation;
Fig. 2 is this utility model disk-like structure cross-sectional;
Fig. 3 is the longitudinal tangent plane schematic diagram of utility model works state.
Drawing reference numeral illustrates: 1-push connecting rod, 2-handle, 3-disk-like structure, 4-termination, 5-rail cavity, 6-work lacuna, 7-working region, 8-orbit hole, 9-working hole.
Detailed description of the invention
See Fig. 1, a kind of auxiliary reverse seal wire enters the device of forward guiding catheter, comprise and push connecting rod 1, the tail end of described propelling movement connecting rod 1 is provided with the handle 2 of propelling movement, it is characterized in that: the head end of described propelling movement connecting rod 1 is provided with disk-like structure 3, the termination 4 of described propelling movement connecting rod 1 is buried in this disk-like structure 3; Described disk-like structure 3 is provided with two holes for connecting two lacunas respectively, is respectively orbit hole 8 and working hole 9, and described two lacuna proximal openings are in propelling movement connecting rod 1 side; Described two lacunas comprise the rail cavity 5 that forward pushes and the work lacuna 6 of assisting reverse seal wire to enter forward guiding catheter; Described disk-like structure 3, rail cavity 5 form the working region 7 of this device with work lacuna 6.
This device adopts following size best: total length is 140 ㎝, working region 7 overall length 30 mm; Disk-like structure 3 diameter is 5.00 ㎜; Disk-like structure 3 degree of depth is 2.00mm; Pushing connecting rod 1 external diameter is 1.00 ㎜; Work lacuna 6 and rail cavity 5 internal diameter are respectively 0.02mm; Handle 2 length 15.00 ㎜, external diameter are 10.00 ㎜.
See Fig. 2, orbit hole 8 is positioned at the centre of disk-like structure; Described working hole 9 is adjacent with orbit hole 8.This meets the requirement of human heart operation.
Disk-like structure 3 is made for medical silica-gel, its with push connecting rod 1 and be bonded together.
Handle 2 is made up of medical plastic, and it is bonded together with propelling movement connecting rod 1.
Push connecting rod 1 to be made up of medical stainless steel material.
Structure and using method illustrate:
1) this device pushes connecting rod 1 is medical stainless steel material.
2) handle 2 of tail end, for medical plastic is made, uses High-strength glue bonding.
3) disk-like structure 3 of head end is that soft medical silica-gel is made, and when delivering to guiding catheter far-end, opens in umbrella, uses High-strength glue to bond with propelling movement connecting rod 1.
4), in operation process, after reverse seal wire is by the inaccessible section of CTO pathological changes, this auxiliary device is used.
5) because of the medical silica-gel material that disk-like structure 3 is soft, therefore it is collapsible, thus along forward seal wire (forward seal wire penetrates rail cavity), by guiding catheter, arrives guiding catheter far-end.
6) disk-like structure 3 of head end, after arriving guiding catheter far-end, without the restriction of guiding catheter, the disk-like structure 3 of head end struts automatically in umbrella.
7) disk-like structure 3 has two holes, connects two lacunas, and the nearly section of lacuna is opened on and pushes connecting rod 1 other (the nearly section of working area silica gel structure).One rail cavity pushed for rail cavity 5 i.e. forward; One is work lacuna 6, for auxiliary reverse seal wire enters the lacuna of forward guiding catheter.
8) head end disk-like structure 3 had once added guiding catheter head end area, therefore reverse seal wire is easy to the work lacuna 6 that enters in auxiliary device working area.
9) when reverse seal wire enters the work lacuna 6 of auxiliary device, and after entering forward guiding catheter along this lacuna, withdraw from auxiliary device, reverse seal wire is then stayed in forward guiding catheter, thus continues operation following steps.

Claims (7)

1. a device of assisting reverse seal wire to enter forward guiding catheter, comprise and push connecting rod (1), the tail end of described propelling movement connecting rod (1) is provided with the handle (2) of propelling movement, it is characterized in that: the head end of described propelling movement connecting rod (1) is provided with disk-like structure (3), the termination (4) of described propelling movement connecting rod (1) is buried in this disk-like structure (3); Described disk-like structure (3) is provided with two holes for connecting two lacunas respectively, is respectively orbit hole (8) and working hole (9), and described two lacuna proximal openings are in propelling movement connecting rod (1) side; The rail cavity (5) that described two lacunas comprise and auxiliary reverse seal wire enter the work lacuna (6) of forward guiding catheter; Described orbit hole (8) is communicated with rail cavity (5), and described working hole (9) is communicated with work lacuna (6), and described disk-like structure (3), rail cavity (5) form the working region (7) of this device with work lacuna (6).
2. auxiliary reverse seal wire enters the device of forward guiding catheter according to claim 1, it is characterized in that: described orbit hole (8) is positioned at the centre of disk-like structure; Described working hole (9) is adjacent with orbit hole (8).
3. according to claim 1 or 2, auxiliary reverse seal wire enters the device of forward guiding catheter, it is characterized in that: this device total length is 140 ㎝ ~ 150 ㎝, described working region (7) overall length 28mm ~ 35 mm; Described disk-like structure (3) diameter is 4.00 ㎜ ~ 7.00 ㎜; Described disk-like structure (3) degree of depth is 1.50mm ~ 2.50mm; Described propelling movement connecting rod (1) external diameter is 0.80 ㎜ ~ 1.20 ㎜; Described work lacuna (6) and rail cavity (5) internal diameter are respectively 0.02mm; Described handle (2) length 12.00mm ~ 16.00 ㎜, external diameter are 8.00mm ~ 12.00 ㎜.
4. auxiliary reverse seal wire enters the device of forward guiding catheter according to claim 3, it is characterized in that: this device total length is 140 ㎝, described working region (7) overall length 30 mm; Described disk-like structure (3) diameter is 5.00 ㎜; Described disk-like structure (3) degree of depth is 2.00mm; Described propelling movement connecting rod (1) external diameter is 1.00 ㎜; Described work lacuna (6) and rail cavity (5) internal diameter are respectively 0.02mm; Described handle (2) length 15.00 ㎜, external diameter are 10.00 ㎜.
5. auxiliary reverse seal wire enters the device of forward guiding catheter according to claim 4, it is characterized in that: described disk-like structure (3) is made for medical silica-gel, its with push connecting rod (1) and be bonded together.
6. auxiliary reverse seal wire enters the device of forward guiding catheter according to claim 5, it is characterized in that: described handle (2) is made up of medical plastic, and it is bonded together with propelling movement connecting rod (1).
7. auxiliary reverse seal wire enters the device of forward guiding catheter according to claim 6, it is characterized in that: described propelling movement connecting rod (1) is made up of medical stainless steel material.
CN201420695689.XU 2014-11-19 2014-11-19 A kind of auxiliary reverse seal wire enters the device of forward guiding catheter Withdrawn - After Issue CN204306848U (en)

Priority Applications (1)

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CN201420695689.XU CN204306848U (en) 2014-11-19 2014-11-19 A kind of auxiliary reverse seal wire enters the device of forward guiding catheter

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201420695689.XU CN204306848U (en) 2014-11-19 2014-11-19 A kind of auxiliary reverse seal wire enters the device of forward guiding catheter

Publications (1)

Publication Number Publication Date
CN204306848U true CN204306848U (en) 2015-05-06

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104434230A (en) * 2014-11-19 2015-03-25 张东伟 Device for assisting retrograde wire in entering forward guide catheter in CTO retrograde wire technology
CN112386780A (en) * 2019-08-16 2021-02-23 上海交通大学医学院附属瑞金医院 Double-cavity micro catheter

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104434230A (en) * 2014-11-19 2015-03-25 张东伟 Device for assisting retrograde wire in entering forward guide catheter in CTO retrograde wire technology
CN112386780A (en) * 2019-08-16 2021-02-23 上海交通大学医学院附属瑞金医院 Double-cavity micro catheter

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C14 Grant of patent or utility model
GR01 Patent grant
AV01 Patent right actively abandoned

Granted publication date: 20150506

Effective date of abandoning: 20160914

C25 Abandonment of patent right or utility model to avoid double patenting