CN205287201U - A novel bootstrap system for ventricular septal defect shutoff art - Google Patents
A novel bootstrap system for ventricular septal defect shutoff art Download PDFInfo
- Publication number
- CN205287201U CN205287201U CN201521118181.4U CN201521118181U CN205287201U CN 205287201 U CN205287201 U CN 205287201U CN 201521118181 U CN201521118181 U CN 201521118181U CN 205287201 U CN205287201 U CN 205287201U
- Authority
- CN
- China
- Prior art keywords
- seal wire
- section
- conduit
- head
- straightway
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Active
Links
- 201000003130 ventricular septal defect Diseases 0.000 title claims abstract description 26
- 208000001910 Ventricular Heart Septal Defects Diseases 0.000 title claims abstract description 25
- 238000011160 research Methods 0.000 claims description 14
- 238000009954 braiding Methods 0.000 claims description 3
- 238000004804 winding Methods 0.000 claims description 3
- 238000001514 detection method Methods 0.000 abstract description 7
- 230000006378 damage Effects 0.000 abstract description 6
- 238000013461 design Methods 0.000 abstract description 2
- 210000005003 heart tissue Anatomy 0.000 abstract description 2
- 230000005465 channeling Effects 0.000 abstract 1
- 230000003902 lesion Effects 0.000 abstract 1
- 210000000709 aorta Anatomy 0.000 description 4
- 230000006698 induction Effects 0.000 description 4
- 238000000034 method Methods 0.000 description 4
- 230000005855 radiation Effects 0.000 description 4
- 210000002376 aorta thoracic Anatomy 0.000 description 3
- 238000003780 insertion Methods 0.000 description 3
- 230000037431 insertion Effects 0.000 description 3
- 238000002604 ultrasonography Methods 0.000 description 3
- 210000001765 aortic valve Anatomy 0.000 description 2
- 239000002872 contrast media Substances 0.000 description 2
- 210000001105 femoral artery Anatomy 0.000 description 2
- 208000002330 Congenital Heart Defects Diseases 0.000 description 1
- 206010020751 Hypersensitivity Diseases 0.000 description 1
- 208000001647 Renal Insufficiency Diseases 0.000 description 1
- 208000026935 allergic disease Diseases 0.000 description 1
- 230000007815 allergy Effects 0.000 description 1
- 210000001185 bone marrow Anatomy 0.000 description 1
- 208000028831 congenital heart disease Diseases 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 238000011156 evaluation Methods 0.000 description 1
- 210000004392 genitalia Anatomy 0.000 description 1
- 208000025339 heart septal defect Diseases 0.000 description 1
- 210000003090 iliac artery Anatomy 0.000 description 1
- 230000003601 intercostal effect Effects 0.000 description 1
- 201000006370 kidney failure Diseases 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 230000037361 pathway Effects 0.000 description 1
- 210000005241 right ventricle Anatomy 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 210000001562 sternum Anatomy 0.000 description 1
- 238000004441 surface measurement Methods 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
- 210000001685 thyroid gland Anatomy 0.000 description 1
- 230000002861 ventricular Effects 0.000 description 1
Landscapes
- Surgical Instruments (AREA)
Abstract
The utility model belongs to intervene the treatment field, concretely relates to a novel bootstrap system for ventricular septal defect shutoff art. This bootstrap system includes particular form's pipe and seal wire, and the pipe includes the first straightway AB section that connects gradually, optimalarc section BCD section and second straightway DE section, and the seal wire is divided into main part and soft head, and the special form of pipe head can be guaranteed can not change by the compliance of the soft head of seal wire when the soft head of seal wire inserts the pipe. The utility model provides a special form of the pipe head of bootstrap system makes the sectional area greatly increased of its observable under the supersound, uses the position that supersound detection meeting detected the pipe head very easily this moment, can conveniently adjust the pipe orientation. And the unique design of seal wire also can effectively maintain the special head form of pipe to control depth of inter fit avoids heart tissue lesion. Consequently, adopt this bootstrap system, can effectively adopt the channeling conduct of supersound mode to survey to the ray guides the potential harm who brings in avoiding prior art.
Description
Technical field
This utility model belongs to interventional therapy field, is specifically related to a kind of novel guiding system for research of transcatheter closure of ventricular septal defect.
Background technology
Percutaneous ventricular septal defect (ventricularseptaldefect, VSD) percutaneous transcatheter closure, is the remedy measures of the relatively early Interventional congenital heart disease of application, and the first success report is nineteen eighty-two. Domestic also in the starting of the later stage eighties 20th century, have accumulated comparatively ripe experience at present, become the critical treatment method of ventricular septal defect.
Current percutaneous research of transcatheter closure of ventricular septal defect needs to use lonizing radiation and contrast agent, does not only exist the risk of bigger radiation damage, can affect the function of the organs such as bone marrow, genitals and thyroid, and contrast agent exists the risk causing allergy, renal failure. Therefore, it is intended that develop a kind of operation method with the ultrasonic safety for guided pathway and adapting appts, to reduce damage and medical expense.
But, due to the ultrasonic scanning one by one being a tangent plane and connecing a tangent plane, it is not projection detection as lonizing radiation, so when with ultrasonic for unique guide means time, maximum difficulty is in that ultrasonic can not accurately judge conduit head end position in heart as lonizing radiation, and being accurately positioned in operation process is caused difficulty.
Summary of the invention
In order to overcome the problems referred to above, this utility model provides a kind of novel guiding system for research of transcatheter closure of ventricular septal defect.
For solving above-mentioned technical problem, this utility model provides a kind of novel guiding system for research of transcatheter closure of ventricular septal defect, including conduit and matched seal wire, described conduit is hollow conduit, a passage passed through for matched seal wire along its length it is provided with in it, described conduit includes the first straightway AB section being sequentially connected with, arc line shaped section BCD section and the second straightway DE section, the extended line of described second straightway DE section and the angle of the first straightway AB section are 45 degree��135 degree;
The diameter of described seal wire is 0.028-0.040 inch, formed by piece wirerope braiding of the intensive winding of finer wire, described wirerope is made up of the main part being sequentially connected with and soft head two parts, the part of the seal wire that the main part of wirerope is corresponding with soft the head i.e. respectively main part of seal wire and soft head, the main part diameter of described wirerope is 0.025 inch, enough support forces are provided for seal wire entirety, the soft head diameter of described wirerope is 0.01 inch, to keep the flexibility of this part seal wire, can ensure that described seal wire soft head will not change the specific form of catheter head when inserting described conduit,
Be provided with density bullet position in the centre of described seal wire, described seal wire inserts when arriving density bullet position in conduit, and the soft head of described seal wire exposes conduit 2��3cm foremost.
Preferably, the first straightway AB segment length 150cm of described conduit, described arc line shaped section BCD section is 1/4��3/4 circular arc, and the diameter of this circular arc is 0.5��3cm, described second straightway DE segment length 0.5��1cm.
Preferably, the described arc line shaped section BCD section of described conduit is 1/4��3/4 circular arc, and the diameter of this circular arc is 1cm.
Preferably, the described arc line shaped section BCD section of described conduit is 1/2 circular arc.
Preferably, the extended line of described second straightway DE section and the angle of the first straightway AB section are 90 degree.
Preferably, the diameter of described seal wire is 0.035 inch, total length 260cm;
Preferably, the length of the main part of described seal wire is 254cm; The length of the soft head of described seal wire is 6cm.
Preferably, the described density bullet distance of positions is 155cm from the soft head distance foremost of seal wire.
The catheter head of the guiding system that this utility model provides is specific form, its detectable sectional area under ultrasonic is greatly increased compared to the sectional area of catheter shaft, now using ultrasound detection can be very easy to detect the position of catheter head, can conveniently adjust duct direction. The unique design of seal wire can effectively maintain the head form that conduit is special, and controls insertion depth, it is to avoid damage to cardiac tissue. Therefore, this guiding system is adopted, it is possible to effectively adopt ultrasonic power to guide detection, to avoid ray in prior art to guide the potential hazard brought.
The guiding system that this utility model provides is used to be operated, it is possible to effectively to utilize described guiding system, operation achieves ultrasonic guidance and detection, efficiently solves the harm in existing operation.
Accompanying drawing explanation
In order to make content of the present utility model be more likely to be clearly understood, below according to specific embodiment of the utility model and in conjunction with accompanying drawing, this utility model is described in further detail, wherein,
Fig. 1 is the structural representation of the described conduit in guiding system of the present utility model.
Fig. 2 is the structural representation of the described seal wire in guiding system of the present utility model.
In figure, 1 is the first straightway AB section, and 2 is arc line shaped section BCD section, and 3 is the second straightway DE section, and 4 is the soft head of seal wire, and 5 is the main part of seal wire, and 6 is the density bullet position of seal wire.
Detailed description of the invention
In order to be better understood from the technical solution of the utility model, it is described in detail, below in conjunction with accompanying drawing, the detailed description of the invention that this utility model provides.
This utility model provides a kind of novel guiding system for ultrasound-guided percutaneous research of transcatheter closure of ventricular septal defect, including conduit and matched seal wire, as shown in Figure 1, described conduit is hollow conduit, the conduit difference according to internal diameter, it is divided into 5F, two kinds of models of 6F, a passage passed through for matched seal wire along its length it is provided with in it, described conduit includes the first straightway AB section being sequentially connected with, arc line shaped section BCD section and the second straightway DE section, the extended line of described second straightway DE section and the angle of the first straightway AB section are 45 degree��135 degree,
Described seal wire diameter is 0.028-0.040 inch, formed by piece wirerope braiding of the intensive winding of finer wire, its embedded described wirerope is made up of the main part being sequentially connected with and soft head two parts, the part of the seal wire that the main part of wirerope is corresponding with the head i.e. respectively main part of seal wire and soft head, the main part diameter of described wirerope is 0.025 inch, enough support forces are provided for seal wire entirety, the soft head diameter of described wirerope is 0.01 inch, to keep the flexibility of this part seal wire, can ensure that described seal wire soft head will not change the specific form of catheter head when inserting described conduit.
First straightway AB segment length 150cm of described conduit, described arc line shaped section BCD section is 1/4��3/4 circular arc, it is preferred that be 1/2 circular arc; The diameter of this circular arc is 0.5��3cm, it is most preferred that diameter be 1cm.
Described second straightway DE segment length 0.5��1cm, the extended line of described second straightway DE section and the angle of the first straightway AB section are 90 degree.
In this specific embodiment, it is preferable that the diameter of described seal wire is 0.035 inch, total length is 260cm; The length of the main part of described seal wire is 254cm; The length of the soft head of described seal wire is 6cm; Be provided with density bullet position in the centre of described seal wire, the described density bullet distance of positions is 155cm from the soft head of seal wire distance foremost.
When described seal wire inserts and arrives density bullet position in conduit, the soft head of described seal wire exposes conduit 2��3cm foremost, and to attempt by ventricular septal defect, catheter head will not change shape because the hardness of the soft head of seal wire supports simultaneously.
The above-mentioned using method for the novel guiding system of ultrasonic guidance Heart septal defects percutaneous percutaneous transcatheter closure that this utility model provides is as follows:
When described guiding system is applicable to patients with ventricular septal defect operation, specifically include following steps:
(1) femoral artery puncture, is placed into the Arterial sheath matched with conduit and seal wire that diameter is 6F, and on the left of body surface measurement point of puncture to breastbone, the 2nd intercostal distance, is labeled as operating distance.
(2) take described guiding system, described seal wire is inserted in conduit, and conduit and seal wire are sent into internal through Arterial sheath together, enter internal after, A/C, continue push seal wire, after arriving operating distance, fixing seal wire, push conduit and also arrive operating distance; Owing to the main part hardness of seal wire is relatively big, so being gradually inserted along with seal wire, makes catheter head stretch gradually, namely make whole conduit linearly type, facilitate conduit to pass through relatively narrow and small femoral artery, iliac artery, it is to avoid conduit scratch tremulous pulse; After tube insertion depth arrives operating distance, the head of conduit and seal wire is positioned at thicker aortic arch all simultaneously, and owing to the soft head of seal wire is soft, now the head of conduit recovers arc line shaped originally; Now it is rotated further by conduit, adopts the ultrasonic head end that can find conduit solid shape; For common strip conduit, ultrasonic just to switch to the conduit of long strip type when carrying out tangent plane detection and could find the position of conduit, and described conduit considerably increases the accuracy of supersonic sounding.
(3) under ultrasound detection, duct direction is adjusted so that it is opening, towards aortic arch lesser curvature side, pushes seal wire, can enter ascending aorta by aortic arch; Now push conduit along seal wire and enter ascending aorta, exit seal wire, make catheter head recover arc line shaped; Ultrasonic display aorta long axis view, adjusts duct direction, passes through aortic valve; Owing to catheter head highest point is arc-shaped, so than the common strip conduit aortic valve more easily by continuous opening and closing.
Catheter position is adjusted under the aorta long axis view of ultrasonic display, anxious of five chambeies, short axis view are observed repeatedly, make catheter opening towards interventricular septum direction, insert seal wire and arrive described density bullet position, now the soft head of seal wire exposes conduit 2��3cm foremost, to attempt by ventricular septal defect, catheter head will not change shape because the hardness of seal wire supports simultaneously;Adjust tube insertion depth and direction under ultrasound guidance, and repeatedly push seal wire to pass through ventricular septal defect; Once ultrasonic discovery seal wire is by ventricular septal defect, can continuing to push forward by seal wire, owing to seal wire head is soft, after encountering Evaluation of Right Ventricular Wall, seal wire can bend in arcuation, it is to avoid damage right ventricle; It is then log out conduit, retains seal wire, select stopper and corresponding induction system according to ventricular septal defect size, send into induction system along seal wire, send into the backed off after random seal wire of induction system, namely adopt usual manner to carry out plugging operations through induction system afterwards.
Obviously, above-described embodiment is only for clearly demonstrating example, and is not the restriction to embodiment. For those of ordinary skill in the field, can also make other changes in different forms on the basis of the above description. Here without also cannot all of embodiment be given exhaustive. And the apparent change thus extended out or variation are still among protection domain of the present utility model.
Claims (8)
1. for a novel guiding system for research of transcatheter closure of ventricular septal defect, including conduit and matched seal wire, it is characterised in that:
Described conduit is hollow conduit, a passage passed through for matched seal wire along its length it is provided with in it, described conduit includes the first straightway AB section being sequentially connected with, arc line shaped section BCD section and the second straightway DE section, the extended line of described second straightway DE section and the angle of the first straightway AB section are 45 degree��135 degree;
The diameter of described seal wire is 0.028-0.040 inch, formed by piece wirerope braiding of the intensive winding of finer wire, described wirerope is made up of the main part being sequentially connected with and soft head two parts, the part of the seal wire that the main part of wirerope is corresponding with soft the head i.e. respectively main part of seal wire and soft head, the main part diameter of described wirerope is 0.025 inch, enough support forces are provided for seal wire entirety, the soft head diameter of described wirerope is 0.01 inch, to keep the flexibility of this part seal wire, can ensure that described seal wire soft head will not change the specific form of catheter head when inserting described conduit,
Be provided with density bullet position in the centre of described seal wire, described seal wire inserts when arriving density bullet position in conduit, and the soft head of described seal wire exposes conduit 2��3cm foremost.
2. a kind of novel guiding system for research of transcatheter closure of ventricular septal defect as claimed in claim 1, it is characterized in that: the first straightway AB segment length 150cm of described conduit, described arc line shaped section BCD section is 1/4��3/4 circular arc, the diameter of this circular arc is 0.5��3cm, described second straightway DE segment length 0.5��1cm.
3. a kind of novel guiding system for research of transcatheter closure of ventricular septal defect as claimed in claim 2, it is characterised in that: the described arc line shaped section BCD section of described conduit is 1/4��3/4 circular arc, and the diameter of this circular arc is 1cm.
4. a kind of novel guiding system for research of transcatheter closure of ventricular septal defect as claimed in claim 2, it is characterised in that: the described arc line shaped section BCD section of described conduit is 1/2 circular arc.
5. a kind of novel guiding system for research of transcatheter closure of ventricular septal defect as claimed in claim 2, it is characterised in that: the extended line of described second straightway DE section and the angle of the first straightway AB section are 90 degree.
6. a kind of novel guiding system for research of transcatheter closure of ventricular septal defect as claimed in claim 1, it is characterised in that: the diameter of described seal wire is 0.035 inch, total length 260cm.
7. a kind of novel guiding system for research of transcatheter closure of ventricular septal defect as claimed in claim 6, it is characterised in that: the length of the main part of described seal wire is 254cm; The length of the soft head of described seal wire is 6cm.
8. a kind of novel guiding system for research of transcatheter closure of ventricular septal defect as claimed in claim 7, it is characterised in that: the described density bullet distance of positions is 155cm from the soft head distance foremost of seal wire.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201521118181.4U CN205287201U (en) | 2015-12-31 | 2015-12-31 | A novel bootstrap system for ventricular septal defect shutoff art |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201521118181.4U CN205287201U (en) | 2015-12-31 | 2015-12-31 | A novel bootstrap system for ventricular septal defect shutoff art |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN205287201U true CN205287201U (en) | 2016-06-08 |
Family
ID=56473904
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201521118181.4U Active CN205287201U (en) | 2015-12-31 | 2015-12-31 | A novel bootstrap system for ventricular septal defect shutoff art |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN205287201U (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2019165623A1 (en) * | 2018-03-01 | 2019-09-06 | 北京佰为深科技发展有限公司 | Pressure guide wire |
-
2015
- 2015-12-31 CN CN201521118181.4U patent/CN205287201U/en active Active
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2019165623A1 (en) * | 2018-03-01 | 2019-09-06 | 北京佰为深科技发展有限公司 | Pressure guide wire |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| US20200121363A1 (en) | Puncturing device and anchoring device | |
| CN104606767B (en) | Foley's tube for ultrasound-guided percutaneous pulmonary valve balloon dilatation | |
| US20160235428A1 (en) | Devices, systems, and methods for controlled hydrodissection of vessel walls | |
| CN202027752U (en) | Double-balloon catheter for bifurcate blood vessel opening | |
| CN202859386U (en) | System for delivering artificial cardiac valve through catheter | |
| CN104306053A (en) | Direction-controllable puncture sheath | |
| CN205287201U (en) | A novel bootstrap system for ventricular septal defect shutoff art | |
| CN104740747A (en) | Ultrasonic-guided percutaneous interventional therapy guide system for arterial duct and usage method thereof | |
| CN101653625B (en) | Percutaneous thoracic puncture closed drainage apparatus | |
| CN204158465U (en) | Novel controlled to puncture sheath | |
| CN203763641U (en) | Double-outlet guide catheter for reverse angiography | |
| CN105188824A (en) | Adaptive guidance system for percutaneous atrial septal defect plugging surgery with only guide of transthoracic echocardiography | |
| CN204169908U (en) | Puncture needle component | |
| US8109939B2 (en) | System and method for removing an implanted catheter from a patient | |
| CN106901784A (en) | A kind of guiding system and its application method for ultrasound guidance research of transcatheter closure of ventricular septal defect | |
| CN206342523U (en) | A kind of Endovascular break catching apparatus | |
| CN205339018U (en) | A novel conveying system for ventricular septal defect shutoff art under ultrasonic guidance | |
| CN203634625U (en) | Dilating balloon catheter for narrow biliary tract and biliary-intestinal anastomotic stoma | |
| CN201012089Y (en) | Plugging tool conveyer for heart surgery | |
| CN208404772U (en) | Percutaneous transhepatic cholangiography and drainage art puncture outfit | |
| CN204798587U (en) | Supersound guide ductus arteriosus percutaneous down intervenes treatment bootstrap system | |
| CN204428085U (en) | With the delivery sheath of sacculus | |
| CN201516188U (en) | Percutaneous thoracic puncture closed drainage apparatus | |
| CN211561514U (en) | Disposable double-J tube inserter for laparoscopic surgery | |
| CN203029784U (en) | Straightener capable of being torn of pigtail catheter |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C14 | Grant of patent or utility model | ||
| GR01 | Patent grant |