CN208660114U - It can the double sacculus of filling type aorta clamping - Google Patents
It can the double sacculus of filling type aorta clamping Download PDFInfo
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- CN208660114U CN208660114U CN201721716608.XU CN201721716608U CN208660114U CN 208660114 U CN208660114 U CN 208660114U CN 201721716608 U CN201721716608 U CN 201721716608U CN 208660114 U CN208660114 U CN 208660114U
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Abstract
The utility model provide one kind can the double sacculus of filling type aorta clamping the first sacculus is located in left subclavian artery lower edge to the top half region between coeliac trunk, active proximal arteries and veins can be obstructed, utmostly control blood loss using the double sacculus of segmented；Second sacculus is located in arteria renalis lower edge to the lower half portion region between common iliac artery crotch, can be selective to be irrigated to vitals such as bilateral lower limb while blood loss is isolated between coeliac trunk and the arteria renalis；That realizes selectivity carries out pouring liquid to not damaged relevant range, solves the problems, such as internal organs and limb ischemia.
Description
Technical field
The utility model belongs to medical instruments field, and in particular to one kind can the double sacculus of filling type aorta clamping, application
In battlefield and emergency situations lower trunk and the hemostasis of important organ bleeding.
Background technique
Current recovery aortic obstruction sacculus (REBOA) is can not be thoroughly to trunk and abdominal viscera bleeding in emergency treatment
The corresponding region of sacculus merging aorta is subjected to blood flow retardance in the case where being stopped blooding, when striving for for thorough surgical hemostasis
Between.But there are following disadvantages: 1, the active distal arteries and veins of sacculus obstruction is completely isolated, and the internal organs and limbs of blood supply are in
Strong ischemia, even if later period recovery will also face " ischemia-reperfusion " damage；2, partial blockage sacculus (p-REBOA) meeting
It plays a role to the blood supply of distal end internal organs and limbs, but will cause the harm for aggravating blood loss simultaneously.
Chinese patent application CN106924862A discloses double horizontal balloon occlusions pressurization infusion systems in a kind of aorta lumen
System, including main pipe, aortic arch sacculus and distal aorta sacculus, and fill the water or inject gas to sacculus channel and
Injection port.Although this patent application provides double balloon-systems in a kind of aorta lumen, emphasize what " setting pipe through femoral artery " was realized
" arch of aorta enhancing perfusion ", thus innovatively design and apply to blood loss sudden cardiac arrest CECA) recovery.In the blood loss heart
It, can be in master by the arch of aorta enhancing perfusion setting pipe mode and being realized in inverse aortic flow direction during dirty all standing occurs
Reverse pressurization blood flow is formed in the arch of aorta, aortic arch inflated temporary interruption transfusion is lost to distal aorta, makes
Coronary artery can be opened in the shortest possible time by obtaining, and improve heart muscle perfusion, while generating the raised power of aortic arch blood pressure,
Improve brain perfusion, it is final to realize the resuscitation effect for improving the blood loss rapid f pavilion of heart.Also, before spontaneous circulation foundation and certainly
After major cycle is established, the system is in aorta lumen respectively at aortic arch and the water of abdominal aorta distal end bifurcation two
Flat catheter-balloon successively can selectively inflate blocking aorta lumen, and blocking position and opportunity according to CPP recovery situation and can also go out
Blood position difference selects the sacculus emergency pneumatic of different level to block.
But after inflated blocking, for the position between double sacculus and the internal organs below distal balloon catheter, limbs
Deng being all unable to get blood supply, the internal organs and limbs of its blood supply are in strong ischemia for a long time, even if later period recovery also will
" ischemia-reperfusion " damage can be faced.
Therefore, this field be badly in need of one kind can the double sacculus of filling type aorta clamping, to solve the defect of the prior art.
Utility model content
In view of the problems of the existing technology, the utility model provide one kind can the double sacculus of filling type aorta clamping, energy
Distal limb caused by existing recovery sacculus in the world and internal organs ischemic phenomenon are enough avoided, and can guarantee distal limb and dirty
The function and activity of device increase salvage success rate.
The technical solution of the utility model is: can the double sacculus of filling type aorta clamping, comprising:
Main pipe, the opening of top first is the outlet of main pipe infusion, when the main pipe is placed in aorta lumen
When, main pipe infusion outlet is placed in the aorta lumen of aortic arch, and leading to external tail end is for being perfused
First intracaudate injection mouth of liquid or blood；
First sacculus is connected to the top part below of the main pipe；When the main pipe is placed on aorta
When intracavitary, first sacculus is located in left subclavian artery lower edge to the top half region between coeliac trunk；
First sacculus injects conduit, is attached on the main pipe；The top of the first sacculus injection conduit is connected to institute
The first sacculus is stated, the external bottom end that leads to of the first sacculus injection conduit is for injecting gas into first sacculus
Or the second intracaudate injection mouth of sterile water；
Second sacculus is connected to the middle section part of the main pipe；When the main pipe is placed in aorta lumen,
Second sacculus is located in arteria renalis lower edge to the lower half portion region between common iliac artery crotch；
Second sacculus injects conduit, is attached on the main pipe；The top of the second sacculus injection conduit is connected to institute
The second sacculus is stated, the external bottom end that leads to of the second sacculus injection conduit is for injecting gas into second sacculus
Or the third intracaudate injection mouth of sterile water；
Second opening, is opened on the main pipe between the first sacculus and the second sacculus；
Second subsidiary conduit is attached to inside the main pipe；The top connection described second of second subsidiary conduit
The external tail end that leads to of opening, second subsidiary conduit is the 4th tail for liquid or blood to be perfused to the second opening
Hold injection port；
Third opening, is opened in the second sacculus part below；
Third subsidiary conduit is attached to inside the main pipe；The top of the third subsidiary conduit connects the third
The external tail end that leads to of opening, the third subsidiary conduit is the 5th tail for liquid or blood to be perfused to third opening
Hold injection port.
Further, the first sacculus injection conduit and the second sacculus injection conduit are placed in external part and indicate quarter
Degree.Achieve the purpose that control merging length, it is ensured that implantation site is accurate.It may insure that the first sacculus moves under left clavicle when use
In arteries and veins lower edge to the top half region between coeliac trunk, the second sacculus is in arteria renalis lower edge under between common iliac artery crotch
In half portion subregion.
Further, the first intracaudate injection mouth is provided with pressure pump, branch's connection of the bottom end of the main pipe the
One pressure sensor receives the arch of aorta cavity pressure of the top of supply line from the main pipe, and outside connector
Receive display.
Further, the 4th intracaudate injection mouth is provided with pressure injector.
Further, the 5th intracaudate injection mouth is provided with pressure injector.
Further, the shape of first sacculus and second sacculus is that spheroidal or cylindroid are spherical.
Further, it described second is opened in away from the first sacculus lower section 1-2cm.
Further, the third is opened in away from the second sacculus lower section 1-2cm.
Further, all injection ports, settable check valve, or using unified calparine cap interface.
The beneficial effects of the utility model are:
1, provide one kind can the double sacculus of filling type aorta clamping the first sacculus is located in using the double sacculus of segmented
In left subclavian artery lower edge to the top half region between coeliac trunk, active proximal arteries and veins can be obstructed, is utmostly controlled
Blood loss；Second sacculus is located in arteria renalis lower edge to the lower half portion region between common iliac artery crotch, can be in coeliac trunk
It is selective that the vitals such as bilateral lower limb are irrigated while blood loss is isolated between the arteria renalis.Realize selection
Property to not damaged relevant range carry out pouring liquid, solve the problems, such as internal organs and limb ischemia；
2, different from the low capacity sacculus of part blocks, the design uses pressure injector, it can be provided and timing is perfused,
Manual mode can also be switched to be perfused manually.
Detailed description of the invention
Fig. 1 is the overall structure diagram of the utility model.
In figure: 1 is main pipe, and 2 be the outlet of main pipe infusion, and 3 be the first intracaudate injection mouth, and 4 be the first sacculus, and 5 be the
One sacculus injects conduit, and 6 be the second intracaudate injection mouth, and 7 be the second sacculus, and 8 inject conduit for the second sacculus, and 9 be third tail end
Injection port, 10 be the second opening, and 11 be the second subsidiary conduit, and 12 be the 4th intracaudate injection mouth, and 13 are open for third, and 14 be third
Subsidiary conduit, 15 be the 5th intracaudate injection mouth.
Specific embodiment
The utility model is described further with reference to the accompanying drawing.
As shown in Figure 1, can the double sacculus of filling type aorta clamping, comprising:
Main pipe 1, the opening of top first is main pipe infusion outlet 2, when the main pipe 1 is placed on aorta lumen
When interior, main pipe infusion outlet 2 is placed in the aorta lumen of aortic arch, and leading to external tail end is for filling
First intracaudate injection mouth 3 of fluid injection body or blood；
First sacculus 4 is connected to the top part below of the main pipe；When the main pipe 1 is placed on actively
When arteries and veins is intracavitary, first sacculus 4 is located in left subclavian artery lower edge to the top half region between coeliac trunk；
First sacculus injects conduit 5, is attached on the main pipe 1；The top connection of the first sacculus injection conduit 5
The external bottom end that leads to of first sacculus 4, the first sacculus injection conduit 5 is for injecting into first sacculus
Second intracaudate injection mouth 6 of gas or sterile water；
Second sacculus 7 is connected to the middle section part of the main pipe；When the main pipe is placed in aorta lumen
When, second sacculus is located in arteria renalis lower edge to the lower half portion region between common iliac artery crotch；
Second sacculus injects conduit 8, is attached on the main pipe 1；The top connection of the second sacculus injection conduit 8
The external bottom end that leads to of second sacculus 7, the second sacculus injection conduit 8 is for injecting into second sacculus
The third intracaudate injection mouth 9 of gas or sterile water；
Second opening 10, is opened on the main pipe between the first sacculus 4 and the second sacculus 7, away under first sacculus
At square 1-2cm.
Second subsidiary conduit 11 is attached to inside the main pipe 1；Described in the top connection of second subsidiary conduit 11
The external tail end that leads to of second opening 10, second subsidiary conduit 11 is for liquid or blood to be perfused to the second opening
The 4th intracaudate injection mouth 12；
Third opening 13, is opened in the second sacculus part below, at 1-2cm below second sacculus.
Third subsidiary conduit 14 is attached to inside the main pipe 1；Described in the top connection of the third subsidiary conduit 14
The external tail end that leads to of third opening 13, the third subsidiary conduit 14 is for liquid or blood to be perfused to third opening
The 5th intracaudate injection mouth 15.
As preferred embodiment, the first sacculus injection conduit and the second sacculus injection conduit are placed in external portion
Minute mark has scale.Achieve the purpose that control merging length, it is ensured that implantation site is accurate.It may insure the first sacculus on a left side when use
In subclavian artery lower edge to the top half region between coeliac trunk, the second sacculus is in arteria renalis lower edge to common iliac artery crotch
Between lower half portion region in.
The first intracaudate injection mouth 3 is provided with pressure pump, and branch's connection first pressure of the bottom end of the main pipe passes
Sensor receives the arch of aorta cavity pressure of the top of supply line from the main pipe, and the receiving outside connector is shown
Device.The 4th intracaudate injection mouth 12 is provided with pressure injector, and the 5th intracaudate injection mouth 15 is provided with pressure injector.
Timing can be set into be perfused, manual mode can also be switched to and be perfused manually.
The shape of first sacculus 4 and second sacculus 7 can be designed as spheroidal as needed or cylindroid is spherical.
All injection ports described above, settable check valve, or using unified calparine cap interface.
The design is completely cut off aorta at three sections after two sacculus are expanded simultaneously using the double sacculus of series connected segmented: 1, being risen
Aorta, the arch of aorta, descending aorta to the first sacculus；2, to the second sacculus below the first sacculus；3, below the second sacculus extremely
Common iliac artery.Since current most of trunk and internal organs blood loss come between coeliac trunk and the arteria renalis, and between sacculus 1 and sacculus 2
Region contain between coeliac trunk and the arteria renalis all, therefore, the first sacculus and the second sacculus, can in place and after expanding simultaneously
To completely cut off the blood loss between coeliac trunk and the arteria renalis.Being respectively provided with one below first sacculus and the second sacculus can open at any time
And the perfusing hole being perfused, for being timed perfusion to blood loss region, at the same to below the second sacculus bilateral iliac artery and under
Limb blood vessel carries out Continuous Perfusion blood supply.
By operation, the blood loss of trunk and important organ can be effectively controlled, the perfusion for distal end lower limb is completed at the same time,
Avoid its ischemic injuries.
The above is only the preferred embodiment of the utility model, it is noted that for the common skill of the art
For art personnel, without departing from the principle of this utility model, several improvements and modifications can also be made, these improve and
Retouching also should be regarded as the protection scope of the utility model.
Claims (9)
1. can the double sacculus of filling type aorta clamping, it is characterised in that: include:
Main pipe (1), the opening of top first is main pipe infusion outlet (2), when the main pipe (1) is placed on aorta
When intracavitary, the main pipe infusion outlet (2) is placed in the aorta lumen of aortic arch, and leads to external tail end to use
In perfusion liquid or the first intracaudate injection mouth (3) of blood；
First sacculus (4) is connected to the top part below of the main pipe；When the main pipe (1) is placed on actively
When arteries and veins is intracavitary, first sacculus (4) is located in left subclavian artery lower edge to the top half region between coeliac trunk；
First sacculus injects conduit (5), is attached on the main pipe (1)；The top of first sacculus injection conduit (5) connects
Lead to first sacculus (4), the external bottom end that leads to of the first sacculus injection conduit (5) is for first sacculus
Second intracaudate injection mouth (6) of interior injection gas or sterile water；
Second sacculus (7) is connected to the middle section part of the main pipe；When the main pipe is placed in aorta lumen,
Second sacculus is located in arteria renalis lower edge to the lower half portion region between common iliac artery crotch；
Second sacculus injects conduit (8), is attached on the main pipe (1)；The top of second sacculus injection conduit (8) connects
Lead to second sacculus (7), the external bottom end that leads to of the second sacculus injection conduit (8) is for second sacculus
The third intracaudate injection mouth (9) of interior injection gas or sterile water；
Second opening (10), is opened on the main pipe between the first sacculus (4) and the second sacculus (7)；
It is internal to be attached to the main pipe (1) for second subsidiary conduit (11)；The top of second subsidiary conduit (11) connects institute
It states the second opening (10), the external tail end that leads to of second subsidiary conduit (11) is for liquid to be perfused to the second opening
Or the 4th intracaudate injection mouth (12) of blood；
Third is open (13), is opened in the second sacculus part below；
It is internal to be attached to the main pipe (1) for third subsidiary conduit (14)；The top of the third subsidiary conduit (14) connects institute
Third opening (13) is stated, the external tail end that leads to of the third subsidiary conduit (14) is for liquid to be perfused to third opening
Or the 5th intracaudate injection mouth (15) of blood.
2. according to claim 1 can the double sacculus of filling type aorta clamping, it is characterised in that: the first sacculus injection
Conduit (5) and the second sacculus injection conduit (8) are placed in external part and indicate scale.
3. according to claim 1 can the double sacculus of filling type aorta clamping, it is characterised in that: first intracaudate injection
Mouth (3) is provided with pressure pump, and the branch of the bottom end of the main pipe connects first pressure sensor, receives from the master
The arch of aorta cavity pressure of the top of supply line of conduit, and receive display outside connector.
4. according to claim 1 can the double sacculus of filling type aorta clamping, it is characterised in that: the 4th intracaudate injection
Mouth (12) is provided with pressure injector.
5. according to claim 1 can the double sacculus of filling type aorta clamping, it is characterised in that: the 5th intracaudate injection
Mouth (15) is provided with pressure injector.
6. according to claim 1 can the double sacculus of filling type aorta clamping, it is characterised in that: first sacculus (4)
Shape with second sacculus (7) is that spheroidal or cylindroid are spherical.
7. according to claim 1 can the double sacculus of filling type aorta clamping, it is characterised in that: second opening (10)
It is opened in away from the first sacculus (4) lower section 1-2cm.
8. according to claim 1 can the double sacculus of filling type aorta clamping, it is characterised in that: the third is open (13)
It is opened in away from described second sacculus lower section (7) 1-2cm.
9. according to claim 1 can the double sacculus of filling type aorta clamping, it is characterised in that: all injections
Mouthful, settable check valve, or using unified calparine cap interface.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201721716608.XU CN208660114U (en) | 2017-12-11 | 2017-12-11 | It can the double sacculus of filling type aorta clamping |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201721716608.XU CN208660114U (en) | 2017-12-11 | 2017-12-11 | It can the double sacculus of filling type aorta clamping |
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| Publication Number | Publication Date |
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| CN208660114U true CN208660114U (en) | 2019-03-29 |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107929920A (en) * | 2017-12-11 | 2018-04-20 | 上海长海医院 | Can the double sacculus of filling type aorta clamping |
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2017
- 2017-12-11 CN CN201721716608.XU patent/CN208660114U/en active Active
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107929920A (en) * | 2017-12-11 | 2018-04-20 | 上海长海医院 | Can the double sacculus of filling type aorta clamping |
| CN107929920B (en) * | 2017-12-11 | 2024-02-20 | 上海长海医院 | Perfusion type aortic occlusion double saccule |
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