CN215084043U - Air exhaust type balloon catheter kit for brain surgery - Google Patents
Air exhaust type balloon catheter kit for brain surgery Download PDFInfo
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- CN215084043U CN215084043U CN202120119542.6U CN202120119542U CN215084043U CN 215084043 U CN215084043 U CN 215084043U CN 202120119542 U CN202120119542 U CN 202120119542U CN 215084043 U CN215084043 U CN 215084043U
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Abstract
The utility model discloses an air exhaust type balloon catheter kit for brain surgery, which comprises a guide wire and a catheter body, wherein the inner cavity of the catheter body is hollow, the front end of the catheter body is connected with a balloon, and the tail end of the catheter body is connected with a four-way joint; the four-way joint comprises a main pipeline and two side pipelines, the two side pipelines are symmetrically arranged, the included angle between the two side pipelines and the main pipeline is 30-45 degrees, and stop valves are arranged on the main pipeline and the two side pipelines; the front end of the main pipeline is connected with the catheter body, the tail end of the main pipeline is connected with a pressure measuring pipe, the end part of the pressure measuring pipe is connected with a pressure measuring device, and the length of the pressure measuring pipe is equal to or slightly greater than that of the pressure measuring interface; the first side pipeline is connected with a first injector used for injecting contrast medium, and the second side pipeline is connected with a second injector used for pumping air. Before injecting the contrast agent, a part of gas in the catheter body is firstly discharged through the second injector, so that the influence of the filling degree of the balloon on the operation curative effect and the influence on the pressure data are reduced.
Description
Technical Field
The utility model belongs to the technical field of medical equipment, concretely relates to but brain branch of academic or vocational study operation is with air discharge formula sacculus pipe external member.
Background
The balloon dilatation catheter is one of the most basic medical instruments used for the purpose of interventional therapy and comprises a blood vessel dilatation balloon catheter for treating cardiovascular and cerebrovascular stenosis or occlusion, an dilatation balloon catheter for treating lumen stenosis of a digestive system, a urinary system and a respiratory system and a trigeminal neuralgia balloon sleeve for cranial nerve pain. When the balloon for treating trigeminal neuralgia is used for interventional operation, a contrast agent is injected into the balloon to fill the balloon (0.75-1 ml) into a pear shape, the balloon is pressed in a brain Meckel's cavity for 2-3 minutes, and the trigeminal neuralgia is treated by the pressing effect generated by the liquid pressure of the contrast agent in the balloon.
The existing balloon catheter has the following problems: 1. the pear shape of the saccule in the craniocerebral Meckel's is the curative effect judgment index of the successful operation at present, the pear shape is judged by the experience of an operator in the operation, the injection amount of the contrast agent is mainly controlled by the experience of the operator, the shape of the pear shape is judged, and the pressure generated by the contrast agent is accurately measured after the saccule is inflated to press the shape of the pear shape based on the judgment, so that the accurate judgment of the curative effect of the operator in the operation is more facilitated. 2. In addition, because the balloon has gas in the filling process of the catheter, the gas can be converted into bubbles to stay in the liquid in the balloon after the liquid is filled, and compared with the liquid, the gas has stronger compressibility, the gas can interfere with the filling degree of the balloon, and the gas in the balloon can be discharged as much as possible.
SUMMERY OF THE UTILITY MODEL
The utility model provides a brain branch of academic or vocational study operation is with air exhaust formula sacculus pipe external member, aim at solves above-mentioned technical problem.
Therefore, the utility model adopts the following technical scheme:
an air exhaust type balloon catheter kit for brain surgery, wherein the balloon assembly comprises a guide wire and a catheter body, the inner cavity of the catheter body is hollow, the front end of the catheter body is connected with a balloon, and the tail end of the catheter body is connected with a four-way connector; the four-way joint comprises a main pipeline and two side pipelines, the two side pipelines are symmetrically arranged and form an included angle of 30-45 degrees with the main pipeline, the two side pipelines are respectively a first side pipeline and a second side pipeline, and stop valves are arranged on the main pipeline and the two side pipelines; the front end of the main pipeline is connected with the pipe body, the tail end of the main pipeline is connected with a pressure measuring pipe, the tail end of the pressure measuring pipe is connected with a pressure measuring device, and the length of the pressure measuring pipe is equal to or slightly greater than the length of a pressure measuring interface on the pressure measuring device; the first side pipeline is connected with a first injector used for injecting contrast medium, and the second side pipeline is connected with a second injector used for pumping air.
Furthermore, the four-way joint is detachably or fixedly connected with the catheter body.
Furthermore, the piezometric tube and the four-way joint are detachably connected or fixedly connected.
Furthermore, the pressure measuring device is a portable handheld digital pressure gauge.
The beneficial effects of the utility model reside in that:
1. before injecting contrast agent, discharging partial gas in the catheter body through a second injector to reduce the gas content in the catheter body, thereby reducing the interference of the gas on the filling degree of the balloon and the interference on pressure data;
2. the tail end of the catheter body is connected with a pressure measuring device, so that the pressure value can be read visually and quantitatively, the pressure values of different units can be read, data support is provided for the filling pressure in the balloon operation, the pear-shaped balloon filling pressure can be controlled accurately, the operation curative effect is improved, and the operation pressure data is provided for the trigeminal neuralgia balloon compression operation;
3. by shortening the length of the piezometer tube, the reflux quantity of the contrast agent is reduced to the maximum extent, and the pressure loss is reduced; the pressure measuring device is connected to the tail end of the catheter body and is positioned in the same direction with the catheter body, so that pressure can be conveniently transmitted by liquid, and the accuracy of data is further improved;
4. pipe body, four way connection and pressure-measuring pipe adopt fixed connection, directly take in the operation of being convenient for, reduce the equipment fixing link, facilitate the use, and the second syringe injects normal saline evacuation air simultaneously, reduces contrast medium evacuation air, also can prevent to pollute in the art.
Drawings
Fig. 1 is a schematic structural diagram of the present invention;
FIG. 2 is a schematic view of the usage state of the present invention;
in the figure: the device comprises a catheter body 1, a balloon 2, a four-way joint 3, a main pipeline 31, a main valve 311, a first side pipeline 32, a first side valve 321, a second side pipeline 33, a second side valve 331, a pressure measuring pipe 34, a pressure measuring device 4, a pressure measuring interface 5, a first injector 6 and a second injector 7.
Detailed Description
The present invention will be further explained with reference to the accompanying drawings:
as shown in fig. 1 and 2, the balloon 2 assembly comprises a guide wire and a catheter body 1, the inner cavity of the catheter body 1 is hollow, the front end of the catheter body is connected with the balloon 2, and the tail end of the catheter body is connected with a four-way joint 3. The outer diameter of the catheter body 1 is about 3mm, and the length of the catheter body is about 18-50 cm; according to different specifications, the filling magnitude of the balloon is 0.15-1 ml, and the catheter body 1 and the four-way joint 3 are fixedly connected in a hot melting or gluing manner.
The four-way joint 3 comprises a main pipeline 31 and two side pipelines, the two side pipelines are symmetrically arranged and form an included angle of 30-45 degrees with the main pipeline 31, and the two side pipelines are a first side pipeline 32 and a second side pipeline 33 respectively. All be equipped with the stop valve on main line 31 and the two side pipelines, wherein be main valve 311 on the main line 31, be first side valve 321 on the first side pipeline 32, be second side valve 331 on the second side pipeline 33, and the tail end of side pipeline is pressed close to first side valve 321 and second side valve 331, can reduce liquid reflux, reduces pressure loss. When the knobs on the three stop valves are rotated to be parallel to the pipeline, the valves are opened, and the pipeline is communicated; when the knob is rotated to be vertical to the pipeline, the valve is closed, and the pipeline is blocked.
The front end connecting pipe body 1, the trailing end of trunk line are connected with pressure-measuring pipe 34, and pressure-measuring pipe 34 is the hose material and pressure-measuring pipe 34 adopts the cementing fixed with the trunk line. The end of the pressure measuring pipe 34 is connected with a pressure gaugeThe pressure device 4, the pressure measuring device 4 chooses portable hand-held digital pressure gauge for use, and the portable hand-held digital pressure gauge supports bar, mbar, kpa, kgf/cm2、mmHg、cmH2O、ozf/in2、psi、inHg、inH2O、ftH2And O and the like, and the proper measuring unit can be selected according to the requirement in the operation process. The front end of pressure measurement device 4 is equipped with the metal system pressure measurement interface 5 that outwards stretches out, and pressure measurement interface 5 is the bell mouth, makes things convenient for chucking pressure-measuring pipe 34, prevents that pressure-measuring pipe 34 from becoming flexible and droing. To reduce the pressure loss due to the backflow of the fluid, the length of the pressure measuring tube 34 is equal to or slightly greater than the length of the pressure measuring tap 5.
The first side pipeline 32 is connected with a first injector 6 for injecting contrast medium, and the first injector 6 is an injector with the specification of 2 mm; the second side pipeline 33 is connected with a second injector 7 for air extraction, and the second injector 7 is an injector with 5mm specification. It should be noted that the inner diameters of the first side conduit 32 and the second side conduit 33 are equal to the outer diameter of the injector head end.
Taking the operation process as an example, the using method of the utility model is further explained:
the patient lies on the back, and the trachea cannula is taken from the central middle head position after full anesthesia takes effect. The lateral X-ray of the C-arm shows complete overlap of the bilateral bony auditory canals. The puncture point was selected 3cm outside the affected oral horn. Under the guidance of X-ray, the puncture needle is inserted towards the inner edge of the pupil on the same side and 3cm in front of the horizontal external auditory canal of the zygomatic arch. When the needle tip reaches the cranial base foramen ovale, the needle core is withdrawn, the catheter body 11 of the utility model is placed in the Meckel cavity along the puncture needle, and then the guide wire is withdrawn.
Firstly, the three stop valves are closed, a second injector 7 with the specification of 5ml is connected to the second side pipeline 33, then the second side valve 331 is opened, air is pumped outwards through the second injector 7, part of air in the catheter body 1 is pumped into the second injector 7, then the second side valve 331 is closed, and the second injector 7 is taken down and is exhausted; the above steps are repeated until the air cannot be pumped out, and finally the second side valve 331 is closed to prevent the external air from entering the catheter body 1. Because the gas in the catheter body 1 is pumped out, a low-pressure environment is formed in the catheter at the moment, and the influence of the gas on the operation pressure measurement is reduced.
Then the portable handheld digital pressure gauge and the first injector 6 with the specification of 2ml are taken, the contrast medium is extracted from the first injector 6, then the first injector 6 is connected to the first side pipeline 32, the pressure measuring pipe 34 is sleeved on the pressure measuring interface 5 of the portable handheld digital pressure gauge, and the portable handheld digital pressure gauge is zeroed.
Then, the first side valve 321 and the main valve 311 are opened, the balloon 2 is inflated with the non-ionic contrast agent Omnipaqne under the X-ray monitoring, the contrast agent enters the main pipeline 31 and the catheter body 1 through the first side pipeline 32, and the contrast agent flows to the front end of the catheter body 1 to inflate the balloon 2. The pressure change in the sacculus 2 is monitored by taking the pressure value change of the portable handheld digital pressure gauge, and after the sacculus 2 is expanded to a satisfactory pear-shaped shape, a side X-ray perspective image and the pressure value are collected. The saccule 2 is emptied after continuous pressing for 3min, and then the saccule and the puncture needle are withdrawn together. The change in pressure within the balloon from formation of the satisfactory "pear" shape to the final release of the balloon 2 was recorded (3 min).
It should be noted that the above are only some embodiments of the present invention, and it should be noted that, for those skilled in the art, a plurality of modifications and substitutions can be made without departing from the technical principle of the present invention, and these modifications and substitutions should also be regarded as the protection scope of the present invention.
Claims (4)
1. The air exhaust type balloon catheter kit for the brain surgery is characterized in that the balloon (2) assembly comprises a guide wire and a catheter body (1), the inner cavity of the catheter body (1) is hollow, the front end of the catheter body is connected with the balloon (2), and the tail end of the catheter body is connected with a four-way joint (3); the four-way joint (3) comprises a main pipeline (31) and two side pipelines, the two side pipelines are symmetrically arranged and form an included angle of 30-45 degrees with the main pipeline (31), the two side pipelines are respectively a first side pipeline (32) and a second side pipeline (33), and stop valves are arranged on the main pipeline (31) and the two side pipelines; the front end of the main pipeline is connected with the catheter body (1), the tail end of the main pipeline is connected with a pressure measuring pipe (34), the tail end of the pressure measuring pipe (34) is connected with a pressure measuring device (4), and the length of the pressure measuring pipe (34) is equal to or slightly greater than the length of a pressure measuring interface (5) on the pressure measuring device (4); the first side pipeline (32) is connected with a first injector (6) used for injecting contrast medium, and the second side pipeline (33) is connected with a second injector (7) used for pumping air.
2. The air exhaust type balloon catheter kit for brain surgery according to claim 1, wherein the four-way joint (3) is detachably or fixedly connected with the catheter body (1).
3. The brain surgery deflatable balloon catheter set according to claim 2, wherein the piezometric tube (34) is detachably or fixedly connected with the four-way joint (3).
4. The brain surgery balloon catheter kit with air exhaust function according to claim 1, wherein the pressure measuring device (4) is a portable handheld digital pressure gauge.
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CN202120119542.6U CN215084043U (en) | 2021-01-18 | 2021-01-18 | Air exhaust type balloon catheter kit for brain surgery |
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CN202120119542.6U CN215084043U (en) | 2021-01-18 | 2021-01-18 | Air exhaust type balloon catheter kit for brain surgery |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
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CN114176552A (en) * | 2021-12-28 | 2022-03-15 | 中国人民解放军陆军特色医学中心 | Abdominal cavity pressure measuring device with exhaust function |
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2021
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Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN114176552A (en) * | 2021-12-28 | 2022-03-15 | 中国人民解放军陆军特色医学中心 | Abdominal cavity pressure measuring device with exhaust function |
CN114176552B (en) * | 2021-12-28 | 2023-10-03 | 中国人民解放军陆军特色医学中心 | Abdominal cavity pressure measuring device with exhaust function |
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