CN208785591U - Temporary heart Pacing lead - Google Patents
Temporary heart Pacing lead Download PDFInfo
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- CN208785591U CN208785591U CN201820378114.3U CN201820378114U CN208785591U CN 208785591 U CN208785591 U CN 208785591U CN 201820378114 U CN201820378114 U CN 201820378114U CN 208785591 U CN208785591 U CN 208785591U
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- pacing lead
- needle
- straight type
- flexible insulated
- puncture needle
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Abstract
The utility model relates to the field of medical instrument technology, and in particular to temporary heart Pacing lead, comprising: suture needle, Pacing lead and straight type puncture needle, suture needle are connect with straight type puncture needle by flexible insulated hose;Annular perforation is set on flexible insulated hose;Pacing lead is located inside flexible insulated hose, and Pacing lead one end is connect with straight type puncture needle, and the other end is hanging and beyond annular perforation.Temporary heart Pacing lead provided by the utility model, by the way that annular perforation is arranged on the flexible insulated hose between suture needle and straight type puncture needle, the fixed straight type puncture needle of one hand, another hand pulls suture needle, disconnect flexible insulated hose from annular perforation, it is accommodated in Pacing lead in myocardium shallow-layer tunnel, after use, the straight related Pacing lead of type puncture needle is extracted, reduce the artificial moulding time, simplify operation, in withdrawal process, heart stress is small, a possibility that heart injury and bleeding, is small, foreign residual, reduce the inducement of infection, reduce the risk that foreign matter causes heart injury and bleeding.
Description
Technical field
The utility model relates to the field of medical instrument technology, and in particular to temporary heart Pacing lead.
Background technique
Provisional cardiac pacing is to reach diagnosis using the bipolar internal membrane of heart or epicardial lead connection external pacemaker pace-making
With the treatment method of therapeutic purposes.
Current clinically common temporary cardiac pacing conducting wire has following several:
1. in artificial moulding and conducting wire indwelling body: after Pacing lead is sewed up heart surface by patient, voluntarily to conducting wire front end
Moulding is carried out, form includes spiral shape or knotting etc., to prevent conducting wire from deviating from;Generally voluntarily after moulding, conducting wire is difficult to extract,
Therefore the temporary cardiac pacing conducting wire of most patients is cut in discharge in skin end, and part conducting wire indwelling is in internal;Artificial modeling
Shape, which can extend, places the temporary cardiac pacing conducting wire time, especially for the patient for needing rapid pacing to treat, may delay treatment.
2. the temporary cardiac pacing conducting wire with the insulation wing: some external producers devise the temporary cardiac pacing with insulation wing front end and lead
Line, not manually moulding in art, but in withdrawal process, the insulation wing can generate heart surface and pull the power dragged, and there are bleeding wind
Danger, and the wing that insulate may also can be left permanently in vivo.
Utility model content
The technical problem to be solved by the present invention is to overcome the defects of above-mentioned background technique.
For this purpose, the technical solution used, temporary heart Pacing lead, comprising: suture needle, Pacing lead and straight type puncture needle,
Straight type puncture needle is conductive material, and suture needle is connect with straight type puncture needle by flexible insulated hose;Annular perforation is set on flexible insulated hose;
Pacing lead is located inside flexible insulated hose, and Pacing lead one end is connect with straight type puncture needle, and the other end is hanging and exceeds annular tooth
Hole.
In order to which the distance for making Pacing lead be passed to heart is small, the wound caused by heart is small, makes the suture needle of arc from heart
Side is pierced by, and preferred technical solution is that the shape of suture needle is arc.
It in order to be fixed on Pacing lead in myocardium tunnel, and is come into full contact with cardiac muscle, increases conduction efficiency, while not
Cardiac muscle can be caused to damage, and pulled out without violence, any foreign matter will not be finally remained, preferred technical solution is to rise
Conducting wire of fighting is arranged far from one end of straight type puncture needle paces ring, and the width of pace-making ring free state is greater than the diameter of flexible insulated hose,
It can be fixed in myocardium tunnel by the outside tension of pace-making ring itself, Pacing lead is bifilar wire composition, paces ring
For the ring structure that wire surrounds, the both ends for pacing ring are connect with Pacing lead respectively.
In order to make Pacing lead when taking out, reduces pace-making ring and damaged caused by heart, preferred technical solution is to rise
Fight ring shape for ellipse.
In order to sufficiently release flexible insulated hose and pace the frictional force between ring so that patient can be convenient by suture needle and
The removal of SI semi-insulation hose, exposure pace-making ring, preferred technical solution are that spiral shape perforation, spiral shape are arranged on flexible insulated hose
Wherein any one end of perforation is connect with annular perforation, and spiral-shaped teeth hole is located between suture needle and annular perforation, spiral shape
Perforation is greater than pace-making ring along the axial length of flexible insulated hose along the axial length of flexible insulated hose.
In order to prevent during temporary heart paces, straight type puncture needle causes to shock by electricity to the part other than patient's heart,
The position that straight type puncture needle is contacted with patient body is insulation system, and preferred technical solution is that straight type puncture needle lateral surface is set
Set insulating layer;The tip of straight type puncture needle is exposed at the outside of insulating layer.
It is disconnected in order to facilitate the flexible insulated hose between suture needle and straight type puncture needle, makes suture needle be easier to clamp and pull, it is excellent
The technical solution of choosing is that the side of suture needle is oppositely arranged clamping notch, and clamping notch is located at the middle position of suture needle, clamps notch
Junction with suture needle is cambered surface, is clipped in clamping notch by tweezers, prevents suture needle from slipping, make to clamp more stable, traction force
It is bigger, while facilitating control drawing angle.
The working principle of the utility model are as follows:
The utility model provides temporary heart Pacing lead, clamps suture needle by surgery needle holder first, clamps notch
In, it prevents suture needle from slipping, makes to clamp more stable, traction force is bigger, while facilitating control drawing angle, and flexible insulated hose is sewed up the heart
The shallow-layer of dirty surface cardiac muscle, length about arrive 1.5-2 centimetres, suture needle and flexible insulated hose are made to both pass through myocardium tunnel;The thick head of left hand
Surgical forceps clamp annular broken cutting with remote Pacing lead, and then fixed, the right hand mentions needle holder clamping Curved seaming needle
And pull, opposite power is generated with left hand, due to the presence of spiral shape perforation and annular perforation, this operation can be by Pacing lead ring
The insulation rubber on surface is completely exfoliated, and final exposure pace-making ring, myocardium tunnel can be fixed on by pacing ring by the tension of its own
In, it is come into full contact with cardiac muscle, Pacing lead of pulling back, pace-making ring is accommodated in myocardium shallow-layer tunnel;Straight type puncture needle is held, by
It is percutaneously pierced by, by outside Pacing lead lead body, and is connect with temporary pacemaker from inside to outside.
Technical solutions of the utility model have the advantages that
Temporary heart Pacing lead provided by the utility model, by the flexible insulated hose between suture needle and straight type puncture needle
Annular perforation, the fixed straight type puncture needle of a hand are set, and another hand pulls suture needle, flexible insulated hose is made to break from annular perforation
It opens, is accommodated in Pacing lead in myocardium shallow-layer tunnel, after use, the straight related Pacing lead of type puncture needle is extracted, and is reduced
Artificial moulding time, simplify operation, in withdrawal process, a possibility that heart stress is small, heart injury and bleeding small, foreign
Residual reduces the inducement of infection, reduces the risk that foreign matter causes heart injury and bleeding.
Detailed description of the invention
It, below will be right in order to illustrate more clearly of specific embodiment of the present invention or technical solution in the prior art
Specific embodiment or attached drawing needed to be used in the description of the prior art are briefly described, it should be apparent that, it is described below
In attached drawing be that some embodiments of the utility model are not paying creativeness for those of ordinary skill in the art
Under the premise of labour, it is also possible to obtain other drawings based on these drawings.
Fig. 1 is the overall structure diagram of the utility model embodiment 1;
Fig. 2 is the structural schematic diagram of the utility model Pacing lead;
The top view of Fig. 3 the utility model suture needle;
Fig. 4 is the side sectional view of the straight type puncture needle of the utility model;
Fig. 5 is the structural schematic diagram of the utility model embodiment 2;
1- suture needle;2- Pacing lead;The straight type puncture needle of 3-;4- flexible insulated hose;5- annular perforation;6- paces ring;7- spiral
Shape perforation;8- insulating layer;9- clamps notch.
Specific embodiment
The technical solution of the utility model is clearly and completely described below in conjunction with attached drawing, it is clear that described
Embodiment is the utility model a part of the embodiment, instead of all the embodiments.Based on the embodiments of the present invention, originally
Field those of ordinary skill every other embodiment obtained without making creative work belongs to practical
Novel protected range.
Embodiment 1
As shown in Figure 1, temporary heart Pacing lead, comprising: suture needle 1, Pacing lead 2 and straight type puncture needle 3, suture needle 1 with
Straight type puncture needle 3 is connected by flexible insulated hose 4, and the tail end of suture needle 1 and straight type puncture needle 3 is connected to the two of flexible insulated hose 4
The tail end of end, suture needle 1 and straight type puncture needle 3 is inserted into the pipe of flexible insulated hose 4;Annular perforation 5, ring are set on flexible insulated hose 4
Shape perforation 5 makes the structure between adjacent perforation occur to break to open up a circle perforation on the longitudinal section of flexible insulated hose 4, by pulling
It splits, perforation mature application in the prior art, so it will not be repeated;Pacing lead 2 is located inside flexible insulated hose 4, Pacing lead
2 one end are connect with straight type puncture needle 3, and the other end is hanging and beyond annular perforation 5.Pacing lead 2 is sewed up to the mistake of myocardial surface
Cheng Zhong, patient's no replacement is required instrument eliminate the movement of assistant's trimming, thoroughly letter without carrying out artificial moulding to Pacing lead 2
Change operating process, shortens operating time;
In order to which the distance for making Pacing lead 2 be passed to heart is small, the wound caused by heart is small, makes the suture needle 1 of arc from the heart
Dirty side is pierced by, and preferred technical solution is that the shape of suture needle 1 is arc.
As shown in Figure 1, 2, it in order to be fixed on Pacing lead 2 in myocardium tunnel, and is come into full contact with cardiac muscle, increases biography
Efficiency is led, while cardiac muscle will not be caused to damage, and pull out without violence, will not finally remain any foreign matter, preferably
Technical solution is that one end setting pace-making ring 6 of the Pacing lead 2 far from straight type puncture needle 3, pace-making ring 6 is endless metal conductive filament,
The diameter that 6 free state of ring is greater than flexible insulated hose 4 along the radial width of flexible insulated hose 4 is paced, outside by pace-making ring 6 itself
Tension can be fixed in myocardium tunnel.Pull back Pacing lead 2 so that pace-making ring 6 is accommodated in myocardial surface tunnel, effectively and
Cardiac muscle contact increases conduction efficiency, while heart surface does not have any sharp objects residual such as conducting wire stump, wing rubber, Du
The possibility that exhausted heart scratches;The fixation of Pacing lead 2 tension outside dependent on pace-making ring 6 itself, can play effective fixation
Effect, and will not impair cardiac surface cardiac muscle.
In order to make Pacing lead 2 when taking out, reducing pace-making ring 6 and damaged caused by heart, preferred technical solution is,
The shape for pacing ring 6 is ellipse.During extracting Pacing lead 2, any violence drawing is not needed, therefore will not be to the heart
Dirty surface cardiac muscle causes to damage, and remains without any foreign matter.
As shown in Figure 1, allowing patient side to sufficiently release flexible insulated hose 4 and pace the frictional force between ring 6
Just suture needle 1 and SI semi-insulation hose 4 are removed, exposure pace-making ring 6, preferred technical solution is that spiral shell is arranged on flexible insulated hose 4
Shape perforation 7 is revolved, wherein any one end of spiral shape perforation 7 is connect with annular perforation 5, and spiral shape perforation 7 is located at 1 He of suture needle
Between annular perforation 5, spiral shape perforation 7 is greater than axial direction length of the pace-making ring 6 along flexible insulated hose 4 along the axial length of flexible insulated hose 4
Degree.
As shown in figure 4, straight type puncture needle 3 is to the portion other than patient's heart in order to prevent during temporary heart paces
Divide and cause to shock by electricity, the position that straight type puncture needle 3 is contacted with patient body is insulation system, and preferred technical solution is that straight type is worn
Insulating layer 8 is arranged in 3 lateral surface of pricker;The tip of straight type puncture needle 3 is exposed at the outside of insulating layer 8, and insulating layer 8 and straight type puncture
The junction of needle 3 is the cambered surface of rounding off.
As shown in figure 3, the flexible insulated hose 4 between suture needle 1 and straight type puncture needle 3 disconnects for convenience, it is easier suture needle 1
It clamps and pulls, preferred technical solution is that the side of suture needle 1 is oppositely arranged clamping notch 9, and clamping notch 9 is located at suture needle 1
The junction of middle position, clamping notch 9 and suture needle 1 is cambered surface, is clipped in clamping notch 9 by tweezers, prevents suture needle 1 sliding
It is de-, make to clamp more stable, traction force is bigger, while facilitating control drawing angle.
Embodiment 2
As shown in figure 5, first directly Curved seaming needle 1 and SI semi-insulation hose 4 are gone when if necessary to carry out auricular pacemaking
It removes, then exposure pace-making ring 6 stitches two needles in the atrial wall for being spaced 3-5 millimeters with 6-0 slip, formed and be recessed inwardly after knotting
Atrium pleat, and will pace-making ring 6 be embedded to atrium pleat in so that pace-making ring 6 and atrial wall come into full contact with, play the work of conduction
With.
Obviously, the above embodiments are merely examples for clarifying the description, and does not limit the embodiments.It is right
For those of ordinary skill in the art, can also make on the basis of the above description it is other it is various forms of variation or
It changes.There is no necessity and possibility to exhaust all the enbodiments.And it is extended from this it is obvious variation or
It changes among the protection scope created still in the utility model.
Claims (7)
1. temporary heart Pacing lead characterized by comprising suture needle (1), Pacing lead (2) and straight type puncture needle (3), seam
Needle (1) is connect with straight type puncture needle (3) by flexible insulated hose (4);Annular perforation (5) is set on flexible insulated hose (4);Pacing lead
(2) it is located at flexible insulated hose (4) inside, Pacing lead (2) one end is connect with straight type puncture needle (3), and the other end is hanging and exceeds ring
Shape perforation (5).
2. temporary heart Pacing lead according to claim 1, which is characterized in that the shape of suture needle (1) is arc.
3. temporary heart Pacing lead according to claim 1, which is characterized in that Pacing lead (2) is punctured far from straight type
The width of one end setting pace-making ring (6) of needle (3), pace-making ring (6) free state is greater than the diameter of flexible insulated hose (4).
4. temporary heart Pacing lead according to claim 3, which is characterized in that the shape of pace-making ring (6) is ellipse.
5. temporary heart Pacing lead according to claim 3, which is characterized in that spiral shape is arranged on (4) in flexible insulated hose
Perforation (7), wherein any one end of spiral shape perforation (7) are connect with annular perforation (5), and spiral shape perforation (7) is located at seam
Between needle (1) and annular perforation (5), spiral shape perforation (7) is greater than pace-making ring (6) along exhausted along the axial length of flexible insulated hose (4)
The axial length of edge hose (4).
6. temporary heart Pacing lead according to claim 1, which is characterized in that straight type puncture needle (3) lateral surface setting
Insulating layer (8);The tip of straight type puncture needle (3) is exposed at the outside of insulating layer (8).
7. temporary heart Pacing lead according to claim 2, which is characterized in that the side of suture needle (1) is oppositely arranged folder
It holds notch (9), clamping notch (9) is located at the middle position of suture needle (1), and the junction for clamping notch (9) and suture needle (1) is arc
Face.
Priority Applications (1)
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CN201820378114.3U CN208785591U (en) | 2018-03-20 | 2018-03-20 | Temporary heart Pacing lead |
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CN201820378114.3U CN208785591U (en) | 2018-03-20 | 2018-03-20 | Temporary heart Pacing lead |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN110681053A (en) * | 2019-09-29 | 2020-01-14 | 山东大学齐鲁医院(青岛) | Epicardial temporary pacing lead assembly |
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2018
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Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN110681053A (en) * | 2019-09-29 | 2020-01-14 | 山东大学齐鲁医院(青岛) | Epicardial temporary pacing lead assembly |
CN110681053B (en) * | 2019-09-29 | 2022-11-22 | 山东大学齐鲁医院(青岛) | Epicardial temporary pacing lead assembly |
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