CN208355915U - Pulmonary valve expansion device - Google Patents

Pulmonary valve expansion device Download PDF

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Publication number
CN208355915U
CN208355915U CN201720835293.4U CN201720835293U CN208355915U CN 208355915 U CN208355915 U CN 208355915U CN 201720835293 U CN201720835293 U CN 201720835293U CN 208355915 U CN208355915 U CN 208355915U
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CN
China
Prior art keywords
expansion
expansion board
spring
rear end
pulmonary valve
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CN201720835293.4U
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Chinese (zh)
Inventor
孙琦
刘锦纷
孙彦隽
张海波
郑景浩
王伟
张玉奇
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Shanghai Childrens Medical Center Affiliated to Shanghai Jiaotong University School of Medicine
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Shanghai Childrens Medical Center Affiliated to Shanghai Jiaotong University School of Medicine
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Abstract

The utility model relates to a kind of pulmonary valve expansion devices, are made of front-end case, spring, fixed disk, arc expansion board, rear end housing and needle core;Front-end case is the cylindrical body of head rounded corner, there is perforative front end center hole, and side is equipped with deep calibration line, and tail portion is equipped with spring positioning slot and is connected with spring, and spring is connected in fixed disk, and lower surface is equipped with expansion board locating slot;Arc expansion board is fixedly connected with fixed disk and rear end upper surface of outer cover;End housing has perforative back-end central hole afterwards, and side is equipped with deep calibration line;The side of needle core is equipped with deep calibration line, other side is equipped with push forwards after end housing when, expansion board open maximum expansion diameter graduation mark, centre is fixedly connected with round fixed disk;Needle core runs through front and back end centre bore.Its advantage is shown: primary conveying completes pulmonary valve and reliably punctures and quantitatively expand, and reduces heart or vascular wall is stabbed, and can carry out accurate evaluation to the depth and degrees of expansion that device is sent into.

Description

Pulmonary valve expansion device
Technical field
The utility model relates to the field of medical instrument technology, specifically, being a kind of pulmonary valve expansion device.
Background technique
In patients with congenital heart, with the presence of the locking of a kind of pulmonary valve or the infant of Serious Stenosis, because it goes out Occur severe hypoxia threat to life at once after life and usually needs to carry out emergent management in neonatal period.However due to the age is small, Weight is low, and big by traditional lower incision of extracorporal circulatory system auxiliary operation direct-view or expansion pulmonary valve wound, infant is often difficult to Tolerance operation strike causes the death rate higher.It, directly will be straight after the total arteriotomy of lung if not using extracorporal circulatory system to be assisted Depending on lower operation then often due to moment amount of bleeding is big and causes the unstable or even threat to life of the serious circulation of infant.Carry out tradition Transcathether interventional procedure need RF ablation or balloon expandable from the femoral vein vascular puncture of thigh root and by conduit Device is sent to the corresponding position of pulmonary valve at the top of right ventricular outflow and is handled.Firstly, the infant of low age, under-weight due to Femoral vein blood pipe diameter very little, the diameter of catheter delivery device are very restricted;In addition implemented in interposing catheter treatment It, can not be bright by radiography for the patient of pulmonary atresia because without blood flow pulmonary artery can be entered from right ventricle in journey The true corresponding position of pulmonary valve may cause cardiac perforation rupture to the RF ablation that the pulmonary artery of film property locking carries out blindness Serious risk, certainly for flesh locking unlikely handled by traditional interventional therapy means.
In view of traditional surgery and traditional interventional therapy means for processing pulmonary atresia and Serious Stenosis All there is respective obvious shortcoming, therefore the thinking of Medicine and Surgery Hybrid therapy is come into being.So-called Hybrid therapy is in surgery hand It is treated while art is treated or successively in conjunction with interventional method.For the Hybrid therapy of pulmonary atresia or Serious Stenosis infant Process is to be completed to open chest by cardiac surgeon after anaesthetizing, and the device of interventional therapy is directly sent by right ventricle or the total artery of lung Carry out the needle thorn or expansion of pulmonary artery.Device used in art is ordinary venous puncture needle, guiding steel wire, inflatable expansion at present Sacculus.Direct needle thorn either still has syringe needle to accidentally injure cardiac structure or pulmonary artery from right ventricle approach from pulmonary artery approach The risk of wall, and need successively to carry out by the pocket that sews in advance needle thorn, be sent into guide wire, the withdraw of the needle, be sent into it is expansible Sacculus, which is inflated, expands these steps, probably due to cumbersome, step more causes device to slip and needs again again The possibility of operation.
Extracorporal circulatory system assists menisectomy wound big, be easy to cause neonatal lung and anasarca, inflammatory mediator release etc. Complication causes post-operative recovery difficult.The total arteriotomy of lung is carried out under O ff-pump auxiliary to look at lower pulmonary valve incision straight And/or dilatation causes moment amount of bleeding big, be easy to cause infant circulation unstability or even direct threat to life.Tradition intervention is controlled The treatment means newborn small for weight is limited by femoral vein blood pipe diameter, conveys RF ablation or balloon expandable device is tired It is difficult.The positioning of pulmonary valve has difficulties in right ventricle, and the RF ablation of blindness may cause the severe complication of cardiac rupture, For the flesh pulmonary atresia of narrow segment length, it is even more impossible to handle.
Hybrid therapy is the mode that current processing neonatal pulmonary is latched or Serious Stenosis is relatively good, but currently without spy Fixed processing unit.More, the operation using traditional needle thorn, feeding guiding steel wire, the withdraw of the needle, feeding inflating balloon progress expansion step It is cumbersome, however it remains syringe needle accidentally injures risk or guiding steel wire and falls off the possibility that need to be re-operated again.Therefore designing one kind can The Hybrid therapy device for allowing surgeon to be sent into pulmonary valve corresponding position safely, can reliably expand by being once sent into completion Just become urgent problem to be solved.
Chinese patent literature: CN205515941U discloses a kind of pulmonary valve balloon dilator, including siphunculus, in siphunculus Upper setting is fluted, expansion air bag is provided on groove, the expansion air bag is connected with gas tube, described to fill Tracheae is arranged on siphunculus outer wall.Chinese patent literature: it is narrow that CN205759114U discloses a kind of ultrasound guidance pulmonary valve Narrow Nephrolithotomy Percutaneous guiding catheter is provided with connection in conduit including the balloon-expandable being arranged outside conduit and conduit The inlet channel of sacculus, inlet channel are connected to balloon lumen, are hollow conduit into conduit, silk guide passage is arranged inside, described Conduit in be provided with measuring pressure passage, there are two pressure taps, measuring pressure passage to be connected to pressure tap for setting on conduit, surveys pressure sheet metal and sets It sets in the position where the pressure tap, measuring pressure passage, silk guide passage and inlet channel are mutually indepedent, and conduit is provided with sacculus One end be provided with end sheet metal.But the pulmonary valve expansion device about the utility model yet there are no report.
Summary of the invention
The purpose of this utility model is to provide a kind of pulmonary valve expansion device.
To achieve the above object, the technical scheme adopted by the utility model is that: a kind of pulmonary valve expansion device, it is described Pulmonary valve expansion device is made of front-end case, spring, fixed disk, arc expansion board, rear end housing and needle core;Before described End housing is the cylindrical body of head rounded corner, and the front-end case has perforative front end center hole, the front-end case side Face is equipped with deep calibration line, and the tail portion of front-end case is equipped with spring positioning slot;The spring positioning slot is fixedly connected with spring, The spring tail portion is fixedly connected on the spring positioning slot in fixed disk;There is coil spring positioning around the fixed disk Slot, lower surface are equipped with expansion board locating slot;Arc expansion board is fixedly connected in the expansion board locating slot, the arc expands Opening plate is arc plate, and the arc expansion board tail portion is fixedly connected in the expansion board locating slot above rear end housing;Institute The rear end housing stated is cylindrical body, and rear end upper surface of outer cover is equipped with expansion board locating slot, and the rear end shell side is equipped with deep Graduation mark is spent, the rear end housing has perforative back-end central hole;The needle core is the cylindrical body that head is tip-like, institute Be fixedly connected with fixed disk among the needle core stated, the side of needle core side is equipped with deep calibration line, the other side of side be equipped with to After the push of front when end housing, expansion board open maximum expansion diameter graduation mark;The zero of the expansion diameter graduation mark starting Scale is concordant with the bottom surface of rear end housing;The needle core is in the front end center hole of front-end case and the rear end of rear end housing Heart hole, needle point is by front-end case backpack cover.
The aperture of the front end center hole, back-end central hole is identical with the diameter of needle core.
The height of the front-end case is 3mm to 5mm, and the length of the spring is 2mm to 3mm, the arc The length of expansion board is 2cm to 3cm, and the pulmonary valve expansion device total length is 10cm to 15cm.
The utility model advantage is:
1, the pulmonary valve expansion device of the utility model can once be conveyed by transpulmonary total arterial route completes pulmonary artery Valve is reliably punctured and is quantitatively expanded.
2, using common needle when the front-end protection needle design of the utility model can effectively reduce conventional damascene treatment Heart caused by head punctures or vascular wall needle are stabbed.
3, the pulmonary valve expansion device of the utility model is equipped with scale marker, the depth and expansion that can be sent into device Degree carries out accurate evaluation.
4, the utility model is that department of cardiac surgery handles pulmonary atresia or narrow, and neonatal period needs undergo surgery low Age, under-weight infant provide a kind of safer, Hybrid therapy device of more convenient operation.
Detailed description of the invention
Attached drawing 1 is a kind of schematic diagram of pulmonary valve expansion device.
Attached drawing 2 is a kind of front-end case schematic diagram of pulmonary valve expansion device.
Attached drawing 3 is a kind of fixed disk schematic diagram of pulmonary valve expansion device.
Attached drawing 4 is that a kind of fixed disk of pulmonary valve expansion device and the combination of arc expansion board and rear end housing are illustrated Figure.
Attached drawing 5 is a kind of rear end housing schematic diagram of pulmonary valve expansion device.
Attached drawing 6 is a kind of needle core of pulmonary valve expansion device and the combination schematic diagram of fixed disk.
Attached drawing 7 is a kind of needle core schematic diagram of pulmonary valve expansion device.
Attached drawing 8 is a kind of schematic diagram of pulmonary valve expansion device
Specific embodiment
The utility model is further described below with reference to embodiment and referring to attached drawing.
Appended drawing reference involved in attached drawing and component part are as follows:
1, front-end case
11, front end center hole
12, spring positioning slot
2, spring
3, fixed disk
31, expansion board locating slot
32, fixed center hole
4, arc expansion board
5, rear end housing
51, back-end central hole
6, needle core
61, expansion diameter graduation mark
62, deep calibration line
Embodiment 1
Referring to attached drawing 1, attached drawing 2, attached drawing 3, attached drawing 4, attached drawing 5, attached drawing 6, attached drawing 7, attached drawing 8, attached drawing 1 is the present embodiment A kind of schematic diagram of pulmonary valve expansion device, attached drawing 2 are a kind of front-end cases of pulmonary valve expansion device of the present embodiment Schematic diagram, attached drawing 3 are a kind of fixed disk schematic diagrames of pulmonary valve expansion device of the present embodiment, and attached drawing 4 is the present embodiment A kind of combination schematic diagram of the fixed disk of pulmonary valve expansion device and arc expansion board and rear end housing, attached drawing 5 is this implementation A kind of rear end housing schematic diagram of pulmonary valve expansion device of example, attached drawing 6 are that a kind of pulmonary valve expansion of the present embodiment is set The combination schematic diagram of standby needle core and fixed disk, attached drawing 7 are a kind of needle core signals of pulmonary valve expansion device of the present embodiment Figure, attached drawing 8 is a kind of schematic diagram of pulmonary valve expansion device of the present embodiment.
The pulmonary valve expansion device is by front-end case 1, spring 2, fixed disk 3, arc expansion board 4, rear end housing 5 It is formed with needle core 6.
The front-end case 1 is the cylindrical body of head rounded corner, and the front-end case 1 has perforative front end center hole 11,1 side of front-end case is equipped with deep calibration line 62, and the tail portion of front-end case 1 is equipped with spring positioning slot 12.
The spring positioning slot 12 is fixedly connected with spring 2, and 2 tail portion of spring is fixedly connected in fixed disk 3 Spring positioning slot 12 on;There is a coil spring locating slot 12 around the fixed disk 3, lower surface is equipped with expansion board locating slot 31。
Arc expansion board 4 is fixedly connected in the expansion board locating slot 31, the arc expansion board 4 is arc panel Shape, 4 tail portion of arc expansion board are fixedly connected in the expansion board locating slot 31 above rear end housing 5.
The rear end housing 5 is cylindrical body, and rear 5 upper surface of end housing is equipped with expansion board locating slot 31, and side is equipped with deep Graduation mark 62 is spent, the rear end housing 5 has perforative back-end central hole 51.
The needle core 6 is the cylindrical body that head is tip-like, is fixedly connected with fixed disk 3, side among the needle core 6 Side be equipped with deep calibration line 62, the other side of side is equipped with push forwards after end housing when, expansion board open it is maximum Expansion diameter graduation mark 61;The zero graduation that the expansion diameter graduation mark 61 originates is concordant with the bottom surface of rear end housing 5;It is described Needle core 6 through front-end case 1 front end center hole 11 and rear end housing 5 back-end central hole 51.
The front end center hole 11 is identical with the diameter of needle core 6 with the aperture in back-end central hole 51.
The height of the front-end case 1 is 3mm to 5mm.
The length of the spring 2 is 2mm to 3mm.
The length of the arc expansion board 4 is 2cm to 3cm.
The pulmonary valve expansion device length is 10cm to 15cm.
The syringe needle of the needle core 6 is by 1 backpack cover of front-end case.
Embodiment 2
Referring to attached drawing 1, attached drawing 2, attached drawing 3, attached drawing 4, attached drawing 5, attached drawing 6, attached drawing 7, attached drawing 8, attached drawing 1 is the present embodiment A kind of schematic diagram of pulmonary valve expansion device, attached drawing 2 are a kind of front-end cases of pulmonary valve expansion device of the present embodiment Schematic diagram, attached drawing 3 are a kind of fixed disk schematic diagrames of pulmonary valve expansion device of the present embodiment, and attached drawing 4 is the present embodiment A kind of combination schematic diagram of the fixed disk of pulmonary valve expansion device and arc expansion board and rear end housing, attached drawing 5 is this implementation A kind of rear end housing schematic diagram of pulmonary valve expansion device of example, attached drawing 6 are that a kind of pulmonary valve expansion of the present embodiment is set The combination schematic diagram of standby needle core and fixed disk, attached drawing 7 are a kind of needle core signals of pulmonary valve expansion device of the present embodiment Figure, attached drawing 1 is a kind of schematic diagram of pulmonary valve expansion device of the present embodiment.
The pulmonary valve expansion device is by front-end case 1, spring 2, fixed disk 3, arc expansion board 4, rear end housing 5 It is formed with needle core 6.
Since the fixed disk 3 is fixed on immovable on needle core 6 when use, the front-end case 1 of round blunt passes through spring 2 and fixed disk 3 be connected and fixed with needle core 6.Front-end case 1 touches the total arterial wall of lung or pulmonary valve and receives when pushing meanss The syringe needle of needle core 6 appears after to certain resistance, punctures the total artery of lung or arterial valve, when the syringe needle of needle core 6 punctures the total arterial wall of lung It into the total artery of lung or punctures pulmonary valve and enters after right ventricle front-end case 1 and set back by the elasticity of spring 2, again will The syringe needle backpack cover of needle core 6.4 head end of arc expansion board at 2 rear of spring and the fixed disk 3 above needle core 6 are fixed, tail end and device End housing 5 is fixed afterwards, and the rear end housing 5 in the case where needle core 6 is fixed through pushing meanss can be such that arc expansion board 4 carries out Different degrees of struts.There is the deep calibration line of distance means top length mark after front-end case 1 on end housing 5 and needle core 6 62, the depth that can be inserted into read-out device.There is the maximum extension after 5 arc expansion board 4 of end housing struts after pushing straight on needle core 6 The expansion diameter graduation mark 61 of diameter mark, can be with the size of read-out device expansion diameter.
The above is only the preferred embodiment of the utility model, it is noted that for the common skill of the art Art personnel can also make several improvement and supplement without departing from the principle of this utility model, these are improved and supplement Also it should be regarded as the protection scope of the utility model.

Claims (3)

1. a kind of pulmonary valve expansion device, which is characterized in that the pulmonary valve expansion device by front-end case, spring, Fixed disk, arc expansion board, rear end housing and needle core composition;The front-end case is the cylindrical body of head rounded corner, described Front-end case have a perforative front end center hole, the front-end case side is equipped with deep calibration line, the tail portion of front-end case Equipped with spring positioning slot;The spring positioning slot is fixedly connected with spring, and the spring tail portion is fixedly connected on fixed disk On spring positioning slot on;There is a coil spring locating slot around the fixed disk, lower surface is equipped with expansion board locating slot;It is described Expansion board locating slot in be fixedly connected with arc expansion board, the arc expansion board is arc plate, the arc expansion Plate tail portion is fixedly connected in the expansion board locating slot above rear end housing;The rear end housing is cylindrical body, rear end housing Upper surface is equipped with expansion board locating slot, and the rear end shell side is equipped with deep calibration line, and the rear end housing, which has, to be run through Back-end central hole;The needle core is the cylindrical body that head is tip-like, is fixedly connected with fixed disk, needle among the needle core The side of core side is equipped with deep calibration line, the other side of side is equipped with push forwards after end housing when, expansion board opens Maximum expansion diameter graduation mark;The zero graduation of the expansion diameter graduation mark starting is concordant with the bottom surface of rear end housing;It is described Needle core through front-end case front end center hole and rear end housing back-end central hole, needle point is by front-end case backpack cover.
2. pulmonary valve expansion device according to claim 1, which is characterized in that in the front end center hole, rear end The aperture in heart hole and the diameter of needle core are identical.
3. pulmonary valve expansion device according to claim 1, which is characterized in that the height of the front-end case is 3mm to 5mm, the length of the spring are 2mm to 3mm, and the length of the arc expansion board is 2cm to 3cm, the lung Arterial valve expansion device total length is 10cm to 15cm.
CN201720835293.4U 2017-07-11 2017-07-11 Pulmonary valve expansion device Active CN208355915U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201720835293.4U CN208355915U (en) 2017-07-11 2017-07-11 Pulmonary valve expansion device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201720835293.4U CN208355915U (en) 2017-07-11 2017-07-11 Pulmonary valve expansion device

Publications (1)

Publication Number Publication Date
CN208355915U true CN208355915U (en) 2019-01-11

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Family Applications (1)

Application Number Title Priority Date Filing Date
CN201720835293.4U Active CN208355915U (en) 2017-07-11 2017-07-11 Pulmonary valve expansion device

Country Status (1)

Country Link
CN (1) CN208355915U (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107185103A (en) * 2017-07-11 2017-09-22 上海交通大学医学院附属上海儿童医学中心 A kind of pulmonary valve extension fixture

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107185103A (en) * 2017-07-11 2017-09-22 上海交通大学医学院附属上海儿童医学中心 A kind of pulmonary valve extension fixture
CN107185103B (en) * 2017-07-11 2023-03-14 上海交通大学医学院附属上海儿童医学中心 Pulmonary valve expanding device

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