CN208492200U - A kind of injecting glue closure left auricle of heart device of the front end with closure sacculus - Google Patents

A kind of injecting glue closure left auricle of heart device of the front end with closure sacculus Download PDF

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Publication number
CN208492200U
CN208492200U CN201720604491.XU CN201720604491U CN208492200U CN 208492200 U CN208492200 U CN 208492200U CN 201720604491 U CN201720604491 U CN 201720604491U CN 208492200 U CN208492200 U CN 208492200U
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CN
China
Prior art keywords
outer sheath
left auricle
sacculus
rubber hose
injecting glue
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Withdrawn - After Issue
Application number
CN201720604491.XU
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Chinese (zh)
Inventor
姜海滨
杨承建
徐欣
曹佳宁
张月军
金艳
叶新和
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Wuxi No 2 Peoples Hospital
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Wuxi No 2 Peoples Hospital
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Priority to CN201720604491.XU priority Critical patent/CN208492200U/en
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Abstract

The utility model discloses a kind of front ends to block left auricle of heart device with the injecting glue for blocking sacculus, including the adjustable outer sheath of crooked radian and positioned at the injected rubber hose of the outer sheath radially inner side, the injected rubber hose has in the outer sheath and has radiopaque mark with the matched crooked radian of the outer sheath, the injecting glue tube head;The epitheca tube head is radiopaque identification fields, and the end connection of the radiopaque identification fields is for temporary plugging left auricle of heart opening, shrinkable and expansion closure sacculus;The end of the outer sheath is connected to double Y-valves, the first branch pipe connection exhaust syringe of double Y-valves, and the second branch pipe connection of double Y-valves connects rotary seal valve for controlling the pressure pump for blocking balloon expandable and contraction, the end of the supervisor of double Y-valves;The end of the injected rubber hose is connected to glue injection machine by the rotary seal valve.

Description

A kind of injecting glue closure left auricle of heart device of the front end with closure sacculus
Technical field
The utility model relates to a kind of front ends of medical instruments field to block left auricle of heart device with the injecting glue for blocking sacculus.
Background technique
Left auricle of heart is located on the outside of atrium sinistrum, is hollow structure, inside there is a large amount of musculi pectinatis, slow blood flow, in auricular fibrillation Thrombus is easily formed, thrombus, which once falls off, can cause Embolic events, therefore left auricle of heart plays key player in atrial fibrillation is sudden. Currently, clinically various transcatheter means realize the closing of left auricle of heart, wound is small, and patient is easily accepted by, and has been found to pacify It is complete feasible.Have been used for clinic there are many transcatheter left auricle of heart device at present, wherein study it is more be PLAATO, The devices such as Watchman, Amplatzer Cardiac Plug and LARIAT.In addition to LARIAT, it is quiet that other devices pass through stock Arteries and veins and atrial septal puncture approach enter, and delivery sheath generally needs 9~14Fr.
Watchman device is the currently the only device for left atrial appendage occlusion being approved by the FDA in the United States.Plugging device NiTi Alloy frame configuration is similar " jellyfish ", is cladded with polyester fiber film, and plays the role of barb and play to be fixed in auricle.Plugging device has 21,24,27,30,5 kinds of sizes such as 33mm, select big compared with left auricle of heart opening diameter 10%~20% plugging device, 12Fr are needed to convey Sheath.Sheath will be conveyed by pigtail catheter to send to auricle depths, plugging device in place after, discharge plugging device by withdrawing conveying sheath.
However, the shape design difference of occluder for left auricle difference plugging device is very big, left auricle of heart can be completely enclosed very The form that left auricle of heart itself is depended in big degree, selects the plugging device for being suitble to auricle form that closure success rate can be improved.And Left auricle of heart form, depth, aperture position and size, and its there is larger variability with the relationship of pulmonary vein, different shape The thrombosed risk of auricle is also different.In addition, current occluder for left auricle is mainly based on the metal structures such as Nitinol Body, poor to the compliance of left auricle of heart structure, when closure, which is also easy to cause, there are the complication such as left auricle of heart rupture, pericardial tamponade.
In addition, the surgical procedure difficulty of left atrial appendage occlusion is bigger, learning curve is longer, the requirement to operator It is high.
Utility model content
The purpose of this utility model is to overcome the deficiencies in the prior art, provide a kind of note of the front end with closure sacculus Glue blocks left auricle of heart device, can replace the plugging device of metal material with medical glue or high-intensitive biogel to block the left heart Ear opening, greatly reduces the risk and difficulty for blocking left auricle of heart operation, reduces left atrial appendage occlusion and performs the operation and gives patient's bring Damage.
Realizing a kind of technical solution of above-mentioned purpose is: a kind of injecting glue closure left auricle of heart dress of the front end with closure sacculus It sets, including the adjustable outer sheath of crooked radian and positioned at the injected rubber hose of the outer sheath radially inner side, the injected rubber hose is in institute It states to have in outer sheath and has radiopaque mark with the matched crooked radian of the outer sheath, the injecting glue tube head;
The epitheca tube head is radiopaque identification fields, and the end connection of the radiopaque identification fields is for temporarily sealing Stifled left auricle of heart opening, shrinkable and expansion closure sacculus;The end of the outer sheath is connected to double Y-valves, and the of double Y-valves One branch pipe is connected to exhaust syringe, and the second branch pipe connection of double Y-valves is for controlling the closure balloon expandable and contraction The end of pressure pump, the supervisor of double Y-valves connects rotary seal valve;The end of the injected rubber hose passes through the rotary seal valve It is connected to glue injection machine.
Further, the outer sheath further includes positioned at the controllable bending tune for blocking sacculus rear end, the outer sheath End be equipped with controlled deflection nut for controlling the controllable bending tune crooked radian.
Further, the outer sheath further includes the epitheca tube body for connecting controllable bending tune end.
Further, the head of the injected rubber hose is equipped with the soft head of injected rubber hose rotation for stretching out the epitheca tube head.
Further, the internal diameter of the outer sheath is 6-14Fr, and the outer diameter of the injected rubber hose is 4~10Fr.
Further, the closure sacculus is flat ellipsoid under expansion state, and radially the length of short axle is its axis To about 2-5 times of length.
The technical solution of left auricle of heart device is blocked with the injecting glue for blocking sacculus using a kind of front end of the utility model, Including the adjustable outer sheath of crooked radian and positioned at the injected rubber hose of the outer sheath radially inner side, the injected rubber hose is described outer Having in sheath has radiopaque mark with the matched crooked radian of the outer sheath, the injecting glue tube head;The outer sheath Head is radiopaque identification fields, and the end connection of the radiopaque identification fields, can for temporary plugging left auricle of heart opening The closure sacculus for shrinking and expanding;The end of the outer sheath is connected to double Y-valves, the first branch pipe connection exhaust note of double Y-valves Emitter, the second branch pipe connection of double Y-valves is for controlling the pressure pump for blocking balloon expandable and contraction, double Y-valves Supervisor end connect rotary seal valve;The end of the injected rubber hose is connected to glue injection machine.Its technical effect is that: medical adhesive can be used Water, high-intensitive biogel, Nitinol metal clusters are replaced with the compound of medical glue or high-intensitive biogel The plugging device of metal material greatly reduces to block left auricle of heart opening and blocks risk and difficulty that left auricle of heart is performed the operation, reduce Left atrial appendage occlusion is performed the operation to be damaged to patient's bring.
Detailed description of the invention
Fig. 1 blocks left auricle of heart device at closure sacculus with the injecting glue for blocking sacculus for a kind of front end of the utility model Schematic diagram when expansion state.
Fig. 2 is a kind of front end showing with the injected rubber hose for the injecting glue closure left auricle of heart device for blocking sacculus of the utility model It is intended to.
Fig. 3 is that a kind of front end of the utility model is received with the injecting glue closure left auricle of heart device for blocking sacculus when sacculus is in When contracting state with glue injection machine and pressure pump connection schematic diagram.
Fig. 4 is that a kind of front end of the utility model is received with the injecting glue closure left auricle of heart device for blocking sacculus when sacculus is in When contracting state with exhaust syringe connection schematic diagram.
Specific embodiment
Referring to Fig. 1, the inventor of the utility model is in order to preferably managing the technical solution of the utility model Solution, below by specifically embodiment, and will be described in detail with reference to the accompanying drawings:
It includes outer sheath 1 and position that a kind of front end of the utility model, which blocks left auricle of heart device with the injecting glue for blocking sacculus, In the injected rubber hose 2 of 1 radially inner side of outer sheath.The internal diameter of outer sheath 1 is that 6-14Fr is followed successively by from the head of outer sheath 1 to tail end Radiopaque identification fields 11 block sacculus 12, controllable bending tune 13 and epitheca tube body 14.It blocks sacculus 12 and is used for temporary plugging Left auricle of heart opening, blocking under 12 expansion state of sacculus is flat ellipsoid, and radially the length of short axle is its axial length about 2-5 Times;It is axial for the axial parallel direction of outer sheath 1, radial is the direction axially vertical with outer sheath 1, blocks 12 distance of sacculus The head of outer sheath 1 about 1-5cm, the i.e. length of radiopaque identification fields 11 are 1~5cm.The radiopaque identification fields of outer sheath 1 11 are used for positioning of the head opening end in human body left auricle of heart of outer sheath 1, more soft, interior without anti-fold is woven, not easy damaged Left auricle of heart tissue.The tail end of outer sheath 1 is connected to double Y-valves 17, and the first branch pipe 171 connection of double Y-valves 17 is for exhaust in outer sheath 1 Exhaust syringe 31, the second branch pipe 172 of double Y-valves 17 is connected to pressure pump 32, blocks the expansion of sacculus 12 for controlling and shrinks. The end of the supervisor 173 of double Y-valves 17 is equipped with rotary seal valve 18, and seal wire, inner core or injecting glue are being sent into human body femoral vein Play the role of sealing when pipe 2.Seal wire one end passes through the controllable bending tune 13 of outer sheath 1, connects radiopaque identification fields 11, separately The controlled deflection nut 16 that outer one end connection is located at 1 end of outer sheath is controlled using stretch bending principle by the seal wire The bending degree of controllable bending tune 13 can subtly adjust the position at 1 head opening end of outer sheath.Rotate clockwise controlled deflection Nut 16 can be such that the crooked radian of controllable bending tune 13 increases;And rotary steerable is bent nut 16 counterclockwise, can make controlled deflection The bending section radian of section 13 becomes smaller.
The outer diameter of injected rubber hose 2 is more slightly smaller than the internal diameter of outer sheath 1, generally 4-8Fr, keeps and outer sheath 1 in outer sheath 1 Matched crooked radian, the head of injected rubber hose 2 are equipped with the injected rubber hose stretched out from 1 head opening end of outer sheath and rotate soft head 21, note Sebific duct, which rotates on soft head 21, radiopaque mark.2 material of injected rubber hose is high molecular polymer, have certain flexibility and It is indeformable to be able to maintain lumen for fold resistance.Injected rubber hose, which rotates soft head 21, can safely protrude into injected gel in left auricle of heart, without making Left auricle of heart wall is damaged and perforates.The tail end of injected rubber hose 2 passes through rotary seal valve 18 and 4 close communication of glue injection machine.
When implementing to block left auricle of heart operation through 2 injecting glue of injected rubber hose, operation order is as follows: puncturing stock with atrial septal puncture sheath Seal wire is sent to atrium sinistrum along atrial septal puncture sheath, establishes femoral vein-inferior caval vein-atrium dextrum-atrial septum-atrium sinistrum by vein Track;Atrial septal puncture sheath is exited into human body femoral vein;The outer sheath 1 of built-in expansion pipe is sent along the track to the left heart Room after the expansion pipe is exited out of outer sheath 1, is sent into pigtail catheter to left auricle of heart through outer sheath 1, adjusts outer sheath 1 Controlled deflection nut 16, the head opening end of outer sheath 1 is sent to left auricle of heart.Expansion blocks sacculus 12, and interim block up closes a left side Auricle opening, the pigtail is exited from outer sheath 1, and injected rubber hose 2 is sent into outer sheath 1, makes the note on 2 head of injected rubber hose Sebific duct rotates soft head 21 and enters left auricle of heart bottom, and after confirmation position is accurate, injected rubber hose 2 is connected to glue injection machine 4, passes through 4 He of glue injection machine Injected rubber hose 2 injects medical glue into left auricle of heart, and perhaps the medical glue of biogel or biogel are fast in left auricle of heart opening It is instant swollen, left auricle of heart cavity wall is binded, left auricle of heart is full of to medical glue or biogel, injected rubber hose 2 is exited into outer sheath 1.Deng It after medical glue or biogel solidification, shrinks and blocks sacculus 12, exit outer sheath 1, complete to block.
Another way: before injecting glue, Nitinol clusters in varying numbers, silk are sent by microtubular first Then group's diameter injects medical glue or high-intensitive biogel by injected rubber hose 2 between 5-30mm, mixed similar to reinforcing bar Xtah Crude Clay structure is to increase the structural strength of plug in left auricle of heart.
A kind of front end of the utility model blocks left auricle of heart device with the injecting glue for blocking sacculus, is sealed using medical aquogel Stifled left auricle of heart opening, by clinical verification, medical aquogel biocompatibility is very high, and is answered in heart failure therapy With, and obtain FDA approval clinical use.Compared with the current clinical prior art carried out, a kind of front end band of the utility model There is the injecting glue for blocking sacculus to block left auricle of heart device, structure is simple, and the outer diameter of outer sheath 1 is obviously reduced, and body surface wound is smaller.Together When so that the shape of hydrogel is suitable for the shape of left auricle of heart, can accomplish that no dead angle blocks, be more not required to prefabricated plugging device model and Shape, easy to operate, high reliablity, after the completion of operation, in vivo will not kish foreign matter, or only remain a small amount of Nitinol Silk, whole process are less prone to the complication such as pericardial tamponade.
A kind of front end of the utility model can be used various types of with the injecting glue closure left auricle of heart device for blocking sacculus Biogel come block left auricle of heart opening, than it is better suited be medical aquogel, this is a kind of macromolecule network system, and property is soft It is soft, it is able to maintain certain shape, a large amount of water can be absorbed, after injecting left auricle of heart, the gap in left auricle of heart can be filled up rapidly.It is medical Hydrogel shows good biocompatibility when being in contact with blood, body fluid and tissue, neither influences life entity Metabolic process, and metabolite can be made to be discharged by hydrogel.Medical aquogel all connects than other any synthesising biological materials Nearly living tissue is similar to extracellular matrix components in nature, and the friction to surrounding tissue and mechanical work can be reduced after water suction With significantly improving the biology performance of material.
Left auricle of heart device closure left auricle of heart is blocked with the injecting glue for blocking sacculus by a kind of front end of the utility model to open Used medical aquogel must be injectable when mouth, swelling rate is fast, structural strength is high, good biocompatibility, degradation Period longer medical aquogel, as polyvinyl alcohol medical aquogel, nano combined medical aquogel, alginates are porous medical Hydrogel, porous copolymer of acrylamide medical aquogel etc., it is possible to use the medical adhesive of the closure vascular fistula of clinical use at present Water, such as Onyx glue.
Left auricle of heart device closure left auricle of heart is blocked with the injecting glue for blocking sacculus by a kind of front end of the utility model to open When mouth, atrial septum approach is punctured by venous system, outer sheath 1 is sent to left auricle of heart, 12 envelope of closure sacculus carried with outer sheath 1 Left auricle of heart opening is closed, directly injects biogel into left auricle of heart by outer sheath 1;Or it is sent into injected rubber hose 2 through outer sheath 1, Injected rubber hose 2 is sent into the bottom of the left heart, injection biogel blocks left auricle of heart.The closure sacculus 12 on 1 top of outer sheath can be interim Left auricle of heart opening is blocked, the excessive effect of limitation biogel can be played.Secondly, moulding can also be carried out to biogel, make It is smooth, be easy endothelialization, be not easy to form thrombus.
It includes that distally blocks the outer sheath 1 of sacculus 12, injected rubber hose 2 that the whole series, which block left auricle of heart device assembly through conduit injecting glue, And guidance inner core.Auxiliary instrument includes glue injection machine, pressure pump, exhaust syringe.Atrial septum will be also used in surgical procedure to wear Other articles such as sheath of sting, all kinds of seal wires, pigtail catheter.
A kind of front end of the utility model blocks left auricle of heart device with the injecting glue for blocking sacculus, and it is left to greatly reduce closure The risk and difficulty of auricle operation, shorten learning curve.
Those of ordinary skill in the art it should be appreciated that more than embodiment be intended merely to illustrate that this is practical new Type, and be not used as the restriction to the utility model, as long as in the spirit of the utility model, to the above Variation, the modification of embodiment will all be fallen in the Claims scope of the utility model.

Claims (6)

1. a kind of front end blocks left auricle of heart device with the injecting glue for blocking sacculus;It is adjustable that it is characterized by comprising crooked radians Outer sheath and injected rubber hose positioned at the outer sheath radially inner side, the injected rubber hose have in the outer sheath with it is described outer The matched crooked radian of sheath, the injecting glue tube head have radiopaque mark;
The epitheca tube head is radiopaque identification fields, and the end connection of the radiopaque identification fields is left for temporary plugging Auricle opening, shrinkable and expansion closure sacculus;The double Y-valves of end connection of the outer sheath, first of double Y-valves Pipe connection exhaust syringe, the second branch pipe connection of double Y-valves is for controlling the pressure for blocking balloon expandable and contraction The end of pump, the supervisor of double Y-valves connects rotary seal valve;The end of the injected rubber hose is connected to by the rotary seal valve Glue injection machine.
2. a kind of front end according to claim 1 blocks left auricle of heart device with the injecting glue for blocking sacculus, it is characterised in that: The outer sheath further includes positioned at the controllable bending tune for blocking sacculus rear end, and the end of the outer sheath is equipped with for controlling The controlled deflection nut of the controllable bending tune crooked radian.
3. a kind of front end according to claim 2 blocks left auricle of heart device with the injecting glue for blocking sacculus, it is characterised in that: The outer sheath further includes the epitheca tube body for connecting controllable bending tune end.
4. a kind of front end according to claim 1 blocks left auricle of heart device with the injecting glue for blocking sacculus, it is characterised in that: The head of the injected rubber hose is equipped with the soft head of injected rubber hose rotation for stretching out the epitheca tube head.
5. a kind of front end according to claim 1 blocks left auricle of heart device with the injecting glue for blocking sacculus, it is characterised in that: The internal diameter of the outer sheath is 6-14Fr, and the outer diameter of the injected rubber hose is 4~8Fr.
6. a kind of front end according to claim 1 blocks left auricle of heart device with the injecting glue for blocking sacculus, it is characterised in that: The closure sacculus is flat ellipsoid under expansion state, and radially the length of short axle is 2-5 times of its axial length.
CN201720604491.XU 2017-05-27 2017-05-27 A kind of injecting glue closure left auricle of heart device of the front end with closure sacculus Withdrawn - After Issue CN208492200U (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108938036A (en) * 2017-05-27 2018-12-07 无锡市第二人民医院 A kind of injecting glue closure left auricle of heart device of the front end with closure sacculus
CN111282423A (en) * 2020-03-05 2020-06-16 许翠英 Desulfurization and denitrification treatment method for industrial pollution emission waste gas
CN112823754A (en) * 2019-11-19 2021-05-21 广州是知投资咨询合伙企业(有限合伙) Balloon dilatation catheter and application thereof

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108938036A (en) * 2017-05-27 2018-12-07 无锡市第二人民医院 A kind of injecting glue closure left auricle of heart device of the front end with closure sacculus
CN108938036B (en) * 2017-05-27 2023-12-05 无锡市第二人民医院 Glue injection and left auricle blocking device with blocking saccule at front end
CN112823754A (en) * 2019-11-19 2021-05-21 广州是知投资咨询合伙企业(有限合伙) Balloon dilatation catheter and application thereof
CN111282423A (en) * 2020-03-05 2020-06-16 许翠英 Desulfurization and denitrification treatment method for industrial pollution emission waste gas
CN111282423B (en) * 2020-03-05 2020-11-10 上海汇舸环保科技有限公司 Desulfurization and denitrification treatment method for industrial pollution emission waste gas

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