A kind of radio frequency ablation catheter and comprise the therapy equipment of this radio frequency ablation catheter
Technical field
This utility model relates to medical radio-frequency ablation techniques field, especially a kind of radio frequency ablation catheter and comprise the therapy equipment of this radio frequency ablation catheter.
Background technology
It is the development trend of medical industry that Wicresoft melts, and wherein, heating ablation, because of its definite effect, has become the main flow melting class treatment means.Heating ablation mainly comprises: this three class of microwave, laser, radio frequency, often kind of heating ablation means all have respective strengths and weaknesses.This three classes Wicresoft thermal ablation therapy hands section, all realized by various ablating electrode, ablating electrode substantially can be divided into structure: hard electrode and flexible electrode, evaluation for interventional therapy through uterine artery is mainly by flexible electrode (blood vessel of shallow table is got involved and can be used hard electrode), such as varicosis, arrhythmia, the treatment of the diseases such as angiemphraxis, and nonvascular interventional therapy mainly directly or indirectly punctures by rigid electrode, such as percutaneous puncture ablation hepatocarcinoma, hysteromyoma, pulmonary carcinoma, thyroid nodule etc. (wherein, laser ablation, because of the particularity of laser fiber structure, no matter be that vascular gets involved or non-vascular is got involved, conduit is all needed to guide).In minimally-invasive treatment field, catheter ablating electrode has wide development space, wherein radiofrequency catheter electrode, has incomparable advantage.
Venous leg varicose not only misery but also affect attractive in appearance.To be main cause that the modal disease of Venous system is formed be varicosis seldom changes blood accumulation lower limb and destroy vein valve when accumulating over a long period because maintaining identical posture for a long time and produce that venous pressure is too high causes varicosis
It similarly is that the distortion blood vessel of Aranea Lumbricus or the lump tuberosity vein as the burr abnormal expansion swelling and varicose occur because of human body and do not have self-regeneration to do the mechanism of film so varicosis is a kind of irreversible phenomenon that varicosis mostly occurs in emerge redness or blueness of lower limb leg skin.
Traditional High ligation of great saphenous vein and extract, stripping of varicose veins be treatment varicose veins of the lower extremity classics operation, but because it exists the defects such as the hospital stays is long, otch is many, the heavier impact of postoperative wound cicatrix is attractive in appearance, particularly much require the female patient that leg is attractive in appearance, fear this operation especially, so that delay the state of an illness.Along with improving constantly of living standard, some patients particularly young woman patient for treatment level proposes higher standard, not only requires disease therapy, and complication prevention occurs, and requires that otch is few, cuts little even non-incision, requires postoperative attractive in appearance etc.
Traditional vein is peeled off or is then needed rest 3 weeks after operative therapy, and the scar simultaneously stayed is also larger; The sclerosis of blood vessels therapy of another Non-surgical is then make cirso-locking by injection radioactive substance, normal body is had to the possibility necessarily damaging and have varicosis to recur.
It is a kind of method of novel therapeutic great saphenous varicose vein that radio-frequency (RF) ablation vein closes, and carries out in recent years, good results in states such as America and Europes.At present, multiple multicenter prospective randomized randomized clinical control study has confirmed vein endovenous radiofrequency closed treatment great saphenous varicose vein safely, effectively.
For the control of degree of ablation, existing radio-frequency ablation technique adopts the good temperature of impedance Control to control two kinds of modes usually.
Impedance Control adopts the impedance of 400-500 ohm, but concrete impedance is difficult to flexible adjustment, and the too small meeting of impedance causes terminating in advance to melt, and melt not thorough, impedance is excessive, easily causes again tissue sticky glutinous.
PTC thermistor is the semiconductor resistor that a kind of typical case has temperature sensitivity, when exceeding certain temperature, its resistance value along with the rising of temperature be increasing of step evolution, PTC is the abbreviation of PositiveTemperatureCoefficient, be meant to positive temperature coefficient, the semi-conducting material that general reference positive temperature coefficient is very large or components and parts.Usually the PTC that we mention refers to semistor, is called for short PTC thermistor.Its resistance value of semistor presents the increase of step evolution along with the rising of PTC thermistor body temperature, and temperature is higher, and resistance value is larger.
This utility model will utilize the characteristic of PTC thermistor, design a kind of novel ablation catheter of Based Intelligent Control.
Summary of the invention
The purpose of this utility model is the therapy equipment providing a kind of radio frequency ablation catheter and comprise this radio frequency ablation catheter, utilizes the characteristic of PTC thermistor to overcome impedance Control and temperature controlled drawback.
The technical solution of the utility model is:
A kind of radio frequency ablation catheter, comprise electrode ablation 10, PTC thermistor body 20 and inner wire 30, described electrode ablation 10 is arranged on inner wire 30 end, and electrode ablation is provided with PTC thermistor body between 10 and inner wire 30, and inner wire 30 is connected with cable plug assembly 40.
Described electrode ablation 10 is tubular body, and its end is smooth circular arc.
The material of described electrode ablation 10 is medical 304 stainless steel materials.
The critical temperature of described PTC thermistor body 20 is 80 DEG C to 120 DEG C.
Another kind of radio frequency ablation catheter of the present utility model, comprise outer conductor 1, PTC thermistor body 2, inner wire 3, insulated conduit 4, described insulated conduit 4 is bar-shaped, its end is circular arc, insulated conduit 4 outer surface is provided with the outer conductor 1 of tubular, outer conductor 1 inwall is provided with PTC thermistor body 2, and insulated conduit 4 inside is provided with inner cable 7, and inner cable 7 is connected by PTC thermistor body 2 in insulated conduit 4 inside with outer conductor 1.The cable plug assembly 6 connected and Y-type three way type insulation tube 5, inner cable 7 is connected with cable plug assembly 6 via the inside of Y-type three way type insulation tube 5.
The material of described first outer conductor 1 is medical 304 stainless steel materials.
The material of described insulated conduit 4 is politef (PTFE) or Teflon.
The third radio frequency ablation catheter of the present utility model, comprise the first outer conductor 1, PTC thermistor body 2, second outer conductor 3, insulated conduit 4, first inner cable 5 and the second inner cable 6, described insulated conduit 4 is bar-shaped, its end is circular arc, insulated conduit 4 outer surface is respectively equipped with the first outer conductor 1 and the second outer conductor 3 of tubular, first outer conductor 1 inwall is provided with PTC thermistor body 2, insulated conduit 4 inside is provided with the first inner cable 5 and the second inner cable 6, second outer conductor 3 is connected at insulated conduit 4 internal electric with the first inner cable 5, second inner cable 6 is connected by PTC thermistor body 2 in insulated conduit 4 inside with the first outer conductor 1.
The 4th kind of therapy equipment comprising radio frequency ablation catheter of the present utility model, comprise the cable plug assembly 8 that is connected with the first inner cable 5 and the second inner cable 6 and Y-type three way type insulation tube 7, first inner cable 5 is connected with cable plug assembly 8 with the inside of the second inner cable 6 via Y-type three way type insulation tube 7.
The beneficial effects of the utility model are:
Radio frequency ablation catheter of the present utility model and the therapy equipment comprising this radio frequency ablation catheter have easy to use, pop-off, irritated few, pigmentation is lasting, efficient, without downright bad, treatment speed (course for the treatment of continues maximum 10-15 minute) for 300-400 pulse, in single course for the treatment of, the varicose of 80-100cm can be eliminated.
Radio frequency ablation catheter of the present utility model and the therapy equipment comprising this radio frequency ablation catheter can be used for various types of varicose (little varicose), position is comprehensive, the not accessibility region (<0.3mm) of micropetrosis, and can be used for all types of skin.
Novel ablation catheter of the present utility model utilizes this characteristic of PTC thermistor, coordinates radio-frequency signal generator, is designed to for heat treated target biological tissue targetedly.Heat-treatment temperature range, such as about 80 DEG C to 120 DEG C, preferably 100 DEG C.Thus when realizing solidified structure, ablation catheter is not sticky glutinous, does not cause again hemorrhage complication equivalent risk.
Novel ablation catheter of the present utility model utilizes PTC thermistor temperature higher, the characteristic that resistance value is larger, add that PTC thermistor of the present utility model is distributed in the Zone Full melted, be different from existing overall break-make, this utility model can realize local break-make, until ablation areas all reach predetermined in a organized way and melt temperature, realize the accurate control of melting, make target complete target position all can reach fully and completely ablation effect.And, once the tissue of ablation areas reaches predetermined temperature, just automatically disconnect, excessive injury can not be caused to tissue.
Radio frequency ablation catheter of the present utility model may be used for carrying out dredging expansion to blood vessel.Radio frequency ablation catheter of the present utility model is the conduit of 3F, 5F, 8F tri-kinds of specifications, and transmission of radio-frequency energy is to the electrode of catheter tip, thus heat is passed to Ink vessel transfusing.
Radio frequency ablation catheter of the present utility model can also be used to solidify (transmission of radio-frequency energy to the electrode of catheter tip, the tissue around heating duct) to tissue in the endoscope or percutaneous surgery of gastrointestinal tract, digestive tract (comprising gallbladder ductus pancreaticus).
Accompanying drawing explanation
Fig. 1 is the structural representation of embodiment one of the present utility model.
Fig. 2 is the structural representation of embodiment two of the present utility model.
Fig. 3 is close-up schematic view in Fig. 2.
Fig. 4 is the structural representation of this utility model embodiment three.
Fig. 5 is the structural representation of this utility model embodiment four.
In Fig. 1: 10 be electrode ablation head, 20 be PTC thermistor body, 30 be inner wire, 40 for cable plug assembly.
In Fig. 2, Fig. 3: 1 be outer conductor, 2 be PTC thermistor body, 3 be inner cable, 4 be insulated conduit, 5 be Y-type three way type insulation tube, 6 be cable plug assembly, 7 for inner cable.
In Fig. 4: 1 be the first outer conductor, 2 for PTC thermistor body, 3 be the second outer conductor, 4 for insulated conduit, 5 be the first inner cable, 6 be the second inner cable.
In Fig. 5: 1 be the first outer conductor, 2 for PTC thermistor body, 3 be that the second outer conductor, 4 is Y-type three way type insulation tube, 8 is cable plug assembly for insulated conduit, 5 to be the first inner cable, 6 be the second inner cable, 7.
Detailed description of the invention
Below in conjunction with accompanying drawing, this utility model is further described:
As Fig. 1, embodiment one.
A kind of radio frequency ablation catheter, comprise electrode ablation 10, PTC thermistor body 20 and inner wire 30, described electrode ablation 10 is arranged on inner wire 30 end, and electrode ablation is provided with PTC thermistor body between 10 and inner wire 30, and inner wire 30 is connected with cable plug assembly 40.
Described electrode ablation 10 is tubular body, and its end is smooth circular arc.
The material of described electrode ablation 10 is medical 304 stainless steel materials.
The critical temperature of described PTC thermistor body 20 is 80 DEG C to 120 DEG C.
As Fig. 2, Fig. 3, embodiment two.
Another kind of radio frequency ablation catheter of the present utility model, comprise outer conductor 1, PTC thermistor body 2, inner wire 3, insulated conduit 4, described insulated conduit 4 is bar-shaped, its end is circular arc, insulated conduit 4 outer surface is provided with the outer conductor 1 of tubular, outer conductor 1 inwall is provided with PTC thermistor body 2, and insulated conduit 4 inside is provided with inner cable 7, and inner cable 7 is connected by PTC thermistor body 2 in insulated conduit 4 inside with outer conductor 1.The cable plug assembly 6 connected and Y-type three way type insulation tube 5, inner cable 7 is connected with cable plug assembly 6 via the inside of Y-type three way type insulation tube 5.
The material of described outer conductor 1 is medical 304 stainless steel materials.
The material of described insulated conduit 4 is polytetrafluoroethylene PTFE or Teflon.
As Fig. 4, embodiment three.
Comprise the first outer conductor 1, PTC thermistor body 2, second outer conductor 3, insulated conduit 4, first inner cable 5 and the second inner cable 6, described insulated conduit 4 is bar-shaped, its end is circular arc, insulated conduit 4 outer surface is respectively equipped with the first outer conductor 1 and the second outer conductor 3 of tubular, first outer conductor 1 inwall is provided with PTC thermistor body 2, insulated conduit 4 inside is provided with the first inner cable 5 and the second inner cable 6, second outer conductor 3 is connected at insulated conduit 4 internal electric with the first inner cable 5, second inner cable 6 is connected by PTC thermistor body 2 in insulated conduit 4 inside with the first outer conductor 1.
As Fig. 5, embodiment four.
A kind of therapy equipment comprising radio frequency ablation catheter, it is characterized in that comprising the cable plug assembly 8 that is connected with the first inner cable 5 and the second inner cable 6 and Y-type three way type insulation tube 7, first inner cable 5 is connected with cable plug assembly 8 with the inside of the second inner cable 6 via Y-type three way type insulation tube 7.
PTC thermistor body (2) and (20) are ptc material.PTC sleeve pipe composition is nylon 12 (L1940), and German Degussa company produces; Superconduction white carbon black, oil factor 780cm
3/ 100g, Shandong Zibo carbon black plant produces; Aerosil (R106), chemical plant, Shenyang produces.Good for dried nylon 12, white carbon black and aerosil mixing 10min at 190 DEG C in torque rheometer, then the raw material after mixing in molding jig, make PTC pipe at mould temperature 200 DEG C, pressurize 2min, at room temperature natural cooling.Its result, initial stage room temperature resistance is 1.45 × 10
-3(resistivity is 1.1 × 10 to Ω
-2Ω cm), near 100 DEG C, resistance increases rapidly, and resistance change rate is about 9 figure places, can obtain low room temperature resistance and large resistance change rate thus.
Radiofrequency ablation therapy mechanism of the present utility model is the high heat of local organization in the limited range that only contacts with emission electrode, and make its degeneration, heat is organized in conductive process towards periphery and dispersed rapidly, stops heat to spread to deep tissues.During radio-frequency (RF) ablation, the enough heats in local act on wall of vein, cause collagen shrinkage, endotheliocyte exposed, thus cause wall of vein to thicken, and tube chamber contraction, rapidly machine also form fibrous bands, finally make vein close.Because temperature during treatment is limited in uniform temperature, avoids the burning of tissue, solidify, vaporize and carbonization.
Radiofrequency therapy of the present utility model is on rear side of knee, do a minimal incision *, and conduit is inserted vein, and rf probe subsidiary in conduit emitted energy and heat production in vein, make vein atrophy and packing.Because varicosis is caused by the blood backflow in saphena and branch thereof, this vein of packing can alleviate the symptoms such as leg fatigue, pain and pruritus.Patient can carry out normal activity immediately after accepting this therapy.It is easy, practical, attractive in appearance that endovenous radiofrequency melts Closure associating electric coagulation treatment varicose veins of the lower extremity, meets patient to requirement attractive in appearance, deeply favor by female patient.
Embodiment recited above is only be described preferred implementation of the present utility model; not design of the present utility model and scope are limited; do not departing under this utility model design concept prerequisite; the various modification that in this area, common engineers and technicians make the technical solution of the utility model and improvement; all should fall into protection domain of the present utility model, the technology contents of this utility model request protection is all recorded in detail in the claims.