Cardiac pacemaker
Technical Field
The utility model relates to the technical field of medical equipment, mainly relate to a cardiac pacemaker.
Background
The cardiac pacemaker is an electronic therapeutic apparatus implanted in a human body. The basic structure of a cardiac pacemaker includes a pulse generator and an electrode lead. The electrode wire comprises a connector, a wire and an electrode tip, wherein the connector is arranged at one end of the wire and is electrically connected with the wire, the electrode tip is arranged at the other end of the wire and is electrically connected with the wire, and the wire is electrically connected with the pulse generator through the connector. One end of the electrode lead connected with the electrode tip is implanted into the heart cavity through a blood vessel, the pulse generator sends pulse current which is transmitted to the contacted cardiac muscle through the electrode lead implanted into the heart cavity, so that local cardiac muscle cells are stimulated by external electrical stimulation and spread to the whole heart to generate contraction activity, thereby treating heart diseases such as bradyarrhythmia, heart failure and the like.
In the prior art, the connection head of one electrode wire corresponds to a connection socket on the pulse generator. The pulse generator in the pacemaker uses the battery as a power supply, and needs to be replaced before the service life of the battery is exhausted, so that when the pulse generator is replaced, in order to avoid the risk that a patient depending on the cardiac pacemaker faces cardiac arrest when the internal electrode connecting end is pulled out of the pulse generator, the connecting head connected to the connecting socket cannot be directly pulled out, and then a new pulse generator is inserted. The general method is that before replacing the pulse generator, a temporary pacing electrode is implanted in another vein to be connected with an external heart temporary pacemaker so as to prevent cardiac arrest caused by replacing the pulse generator, then the pulse generator with exhausted batteries is separated from an electrode lead and taken out, and after a new pulse generator is connected with an electrode connector, the temporary pacing electrode is pulled out. However, in the process of implanting and removing the cardiac temporary pacemaker electrode, the risks of venous thrombosis, cerebral thrombosis, pulmonary embolism, pacemaker electrode infection and the like are easily increased, and the pacemaker cannot be replaced once implantation of vascular malformation fails.
SUMMERY OF THE UTILITY MODEL
Therefore, the to-be-solved technical problem of the utility model lies in that need implant interim pacing electrode and external heart interim pacemaker in another vein blood vessel when solving current cardiac pacemaker and changing pulse generator and be connected, nevertheless at the in-process of implanting and pulling out heart interim pacemaker electrode, increase venous thrombosis, cerebral thrombosis, pulmonary embolism risk and pacemaker electrode infection risk etc. once the vascular deformity implantation fails then can not carry out the problem that pacemaker changed etc..
To this end, the present invention provides a cardiac pacemaker comprising: a pulse generator for generating a pulse current; the electrode lead is detachably connected with the pulse generator through at least two plug-in structures which are arranged in parallel; the electrode lead is provided with at least one working state that the plug-in structure is connected with the pulse generator in a plug-in mode, when the pulse generator is replaced, one plug-in structure in the two plug-in structures arranged in parallel is connected with the temporary cardiac pacemaker in a plug-in mode, and the other plug-in structure is connected with the pulse generator in a plug-in mode in a transition state.
The grafting structure includes: the socket and the plug matched and plugged with the socket.
The pulse generator is provided with the socket or the plug, and correspondingly, the plug or the socket is arranged on the electrode lead.
The electrode lead includes: an electrode tip, at least one, disposed within the heart chamber; the two plugs are plugged with a socket arranged on the pulse generator; the electrode tip is connected with the plug through a flow guide line.
The electrode lead includes: the electrode tip comprises a first electrode tip and a second electrode tip, the first electrode tip is connected with the ventricle through a flow guide line, and the second electrode tip is connected with the atrium through the flow guide line; the plug comprises a first plug, a second plug and a third plug, the first plug and the second plug are connected with the second electrode tip through one diversion line, the third plug is connected with the first electrode tip through the other diversion line, and the first plug, the second plug and the third plug are connected with a socket arranged on the pulse generator in an inserting mode.
The utility model discloses technical scheme has following advantage:
1. the utility model provides a cardiac pacemaker, which is a pulse generator used for generating pulse current; the electrode lead is detachably connected with the pulse generator through at least two plug-in structures which are arranged in parallel; the electrode lead is provided with at least one working state that the plug-in structure is connected with the pulse generator in a plug-in mode; and the transition state that one plug structure is connected with the temporary cardiac pacemaker in a plug way, and the other plug structure is connected with the pulse generator in a plug way. Therefore, when the pulse generator needs to be replaced, one plug-in structure is connected with the temporary cardiac pacemaker, the remaining plug-in structure still keeps plug-in connection with the pulse generator, so that the normal work of the cardiac pacemaker can be maintained, then the plug-in structure plugged in the pulse generator with the exhausted battery is pulled out and inserted into a new pulse generator after the normal work of the temporary cardiac pacemaker is ensured, the new pulse generator is implanted into the bag, and the replacement process of the whole pulse generator is completed.
2. The utility model provides a cardiac pacemaker, the grafting structure includes: the socket and the plug matched and plugged with the socket. Through the arrangement mode of the socket and the plug matched and plugged with the socket, the pulse generator is simple and convenient to operate and convenient to replace quickly.
3. The utility model provides a cardiac pacemaker, the electrode wire includes: the electrode tip comprises a first electrode tip and a second electrode tip, the first electrode tip is connected with the ventricle through a flow guide line, and the second electrode tip is connected with the atrium through the flow guide line; the plug comprises a first plug, a second plug and a third plug, wherein the first plug and the second plug are connected with the second electrode tip through a flow guide line, the third plug is connected with the first electrode tip through another flow guide line, the first plug, the second plug and the third plug are connected with a socket arranged on the pulse generator in an inserting mode, when a patient needs to be implanted into the dual-cavity pacemaker, the first plug and the second electrode tip can be adopted at the same time, the first electrode tip is connected with a ventricle through the flow guide line, and the second electrode tip is connected with the atrium through the flow guide line so as to adapt to different requirements of the patient.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the embodiments or the technical solutions in the prior art will be briefly described below, and it is obvious that the drawings in the following description are some embodiments of the present invention, and for those skilled in the art, other drawings can be obtained according to these drawings without creative efforts.
Fig. 1 is a schematic structural diagram of a single-chamber cardiac pacemaker according to the present invention;
fig. 2 is a schematic structural view of a dual-chamber cardiac pacemaker according to the present invention;
description of reference numerals:
1-a pulse generator; 2-electrode lead; 3-a plug-in structure; 4-a socket; 5-a plug; 6-electrode head; 7-a diversion line; 8-a second electrode head; 9-a first plug; 10-a second plug; 11-a third plug; 12-first electrode head.
Detailed Description
The technical solution of the present invention will be described clearly and completely with reference to the accompanying drawings, and obviously, the described embodiments are some, but not all embodiments of the present invention. Based on the embodiments in the present invention, all other embodiments obtained by a person skilled in the art without creative work belong to the protection scope of the present invention.
In the description of the present invention, it should be noted that the terms "center", "upper", "lower", "left", "right", "vertical", "horizontal", "inner", "outer", and the like indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings, and are only for convenience of description and simplification of description, but do not indicate or imply that the device or element referred to must have a specific orientation, be constructed and operated in a specific orientation, and thus, should not be construed as limiting the present invention. Furthermore, the terms "first," "second," and "third" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance.
In the description of the present invention, it is to be noted that, unless otherwise explicitly specified or limited, the terms "mounted," "connected," and "connected" are to be construed broadly, and may be, for example, fixedly connected, detachably connected, or integrally connected; can be mechanically or electrically connected; they may be connected directly or indirectly through intervening media, or they may be interconnected between two elements. The specific meaning of the above terms in the present invention can be understood in specific cases to those skilled in the art.
Furthermore, the technical features mentioned in the different embodiments of the invention described below can be combined with each other as long as they do not conflict with each other.
Example 1
The present embodiment provides a single chamber cardiac pacemaker, as shown in fig. 1, a pulse generator 1 for generating a pulse current; the electrode lead 2 is detachably connected with the pulse generator 1 through two plug-in structures 3 which are arranged in parallel; the electrode lead 2 has two working states that the plug-in structure 3 is connected with the pulse generator 1 in a plug-in manner, and a transition state that the plug-in structure 3 is connected with the temporary cardiac pacemaker in a plug-in manner, and the other plug-in structure 3 is connected with the pulse generator 1 in a plug-in manner.
The pulse generator 1 is provided with the socket 4 and, correspondingly, the plug 5 on the electrode lead 2. As an alternative embodiment, the pulse generator 1 is provided with the plug 5, and the electrode lead 2 is provided with the socket 4.
When facing to the needs and implanting single chamber pacemaker patient, be connected electrode wire 2 with impulse generator 1 through two plugs 5, then implant the pacemaker after the connection in patient's the capsule bag of making under the skin to sew up skin, the pacemaker is from the main work. When the power supply in the pulse generator 1 is exhausted and the pulse generator 1 needs to be replaced, a plug 5 is firstly pulled out of the socket 4 and inserted into a connecting socket of the temporary cardiac pacemaker outside the patient, and the pulse generator of the temporary cardiac pacemaker is started. After its normal operation, the other plug 5 is unplugged from the socket 4 of the battery-depleted pulse generator 1 and inserted into the socket 4 of a new pulse generator 1. After the new pulse generator 1 works normally, the plug 5 connected with the temporary cardiac pacemaker is pulled out of the temporary cardiac pacemaker and inserted into the socket 4 of the new pulse generator 1; then, a new pulse generator 1 is placed in the capsular bag again, and the skin is sutured again, completing the replacement.
Example 2
In the present embodiment, a dual-chamber cardiac pacemaker is provided, as shown in fig. 2, a pulse generator 1 for generating a pulse current; the electrode lead 2 is detachably connected with the pulse generator 1 through three plug-in structures 3 which are arranged in parallel; the electrode lead 2 has three working states that the plug-in structure 3 is connected with the pulse generator 1 in a plug-in mode. When the pulse generator is replaced, the transition state that one of the plug-in structures 3 is connected with the temporary cardiac pacemaker in a plug-in mode, and the rest two plug-in structures 3 are connected with the pulse generator 1 in a plug-in mode can ensure that a temporary pacing electrode is not required to be implanted in the other vein vessel and is connected with the temporary cardiac pacemaker in vitro, so that the risks of venous thrombosis, cerebral thrombosis, pulmonary embolism, pacemaker electrode infection and the like are reduced.
Wherein the pulse generator 1 is provided with the socket 4 and correspondingly the plug 5 on the electrode lead 2. As an alternative embodiment, the pulse generator 1 is provided with the plug 5, and the electrode lead 2 is provided with the socket 4.
In this embodiment, the electrode lead 2 includes: two electrode tips 6 arranged in the heart chamber, three plugs 5 connected to sockets 4 arranged in the pulse generator 1, and a guide line 7 for connecting the electrode tips 6 and the plugs 5.
Wherein the electrode tip 6 includes: a first electrode head 12 and a second electrode head 8, wherein the first electrode head 12 is connected to the ventricle via a flow guide line 7, and the second electrode head 8 is connected to the atrium via the flow guide line 7. The plug 5 comprises a first plug 9, a second plug 10 and a third plug 11, the first plug 9 and the second plug 10 are connected with the second electrode tip 8 through one diversion line 7, the third plug 11 is connected with the first electrode tip 12 through the other diversion line 7, and the first plug 9, the second plug 10 and the third plug 11 are all plugged with the socket 4 arranged on the pulse generator 1.
When facing to needs implant two-chamber pacemaker patient, will connect the pacemaker implant patient's the capsule of making under the skin to sew up skin, first electrode tip 12 is placed in the ventricle, and second electrode tip 8 is placed in the atrium, and pulse generator 1 produces pulse current, and the pacemaker is from dynamic work. When the power supply in the pulse generator 1 is about to be exhausted and the pulse generator 1 needs to be replaced, a first electrode tip 12 and a second electrode tip 8 may be used simultaneously, wherein the first electrode tip 12 is connected to the ventricle via a flow guide 7 and the second electrode tip 8 is connected to the atrium via the flow guide 7. When the pulse generator 1 is to be replaced, the first plug 9 is connected with the temporary cardiac pacemaker in an inserting mode, the temporary cardiac pacemaker is started, and after the temporary cardiac pacemaker normally works, the second plug 10 and the third plug 11 are pulled out of the socket 4 of the pulse generator 1 with the exhausted battery and are inserted into a new pulse generator 1, so that the replacement process of the whole pulse generator 1 is completed.
It should be understood that the above examples are only for clarity of illustration and are not intended to limit the embodiments. Other variations and modifications will be apparent to persons skilled in the art in light of the above description. And are neither required nor exhaustive of all embodiments. And obvious variations or modifications can be made without departing from the scope of the invention.