CN219110567U - Improved guide wire for radial artery puncture - Google Patents
Improved guide wire for radial artery puncture Download PDFInfo
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- CN219110567U CN219110567U CN202222093452.1U CN202222093452U CN219110567U CN 219110567 U CN219110567 U CN 219110567U CN 202222093452 U CN202222093452 U CN 202222093452U CN 219110567 U CN219110567 U CN 219110567U
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- 210000002321 radial artery Anatomy 0.000 title claims abstract description 14
- 238000000576 coating method Methods 0.000 claims abstract description 27
- 239000011248 coating agent Substances 0.000 claims abstract description 21
- 230000001154 acute effect Effects 0.000 claims abstract description 7
- 239000002202 Polyethylene glycol Substances 0.000 claims description 3
- XUIMIQQOPSSXEZ-UHFFFAOYSA-N Silicon Chemical compound [Si] XUIMIQQOPSSXEZ-UHFFFAOYSA-N 0.000 claims description 3
- 150000004676 glycans Chemical class 0.000 claims description 3
- 229920001223 polyethylene glycol Polymers 0.000 claims description 3
- 229920001282 polysaccharide Polymers 0.000 claims description 3
- 239000005017 polysaccharide Substances 0.000 claims description 3
- 229920000036 polyvinylpyrrolidone Polymers 0.000 claims description 3
- 235000013855 polyvinylpyrrolidone Nutrition 0.000 claims description 3
- 239000001267 polyvinylpyrrolidone Substances 0.000 claims description 3
- 229910052710 silicon Inorganic materials 0.000 claims description 3
- 239000010703 silicon Substances 0.000 claims description 3
- 210000004204 blood vessel Anatomy 0.000 description 7
- 208000029078 coronary artery disease Diseases 0.000 description 4
- 230000000694 effects Effects 0.000 description 4
- 239000000463 material Substances 0.000 description 4
- 229910000831 Steel Inorganic materials 0.000 description 3
- 238000000034 method Methods 0.000 description 3
- 239000010959 steel Substances 0.000 description 3
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 230000002792 vascular Effects 0.000 description 2
- 208000024172 Cardiovascular disease Diseases 0.000 description 1
- 206010018852 Haematoma Diseases 0.000 description 1
- 206010028980 Neoplasm Diseases 0.000 description 1
- 238000005452 bending Methods 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 238000002586 coronary angiography Methods 0.000 description 1
- 238000003745 diagnosis Methods 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 238000002224 dissection Methods 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 238000003384 imaging method Methods 0.000 description 1
- 239000011229 interlayer Substances 0.000 description 1
- 239000010410 layer Substances 0.000 description 1
- 230000003902 lesion Effects 0.000 description 1
- 230000001050 lubricating effect Effects 0.000 description 1
- 238000005461 lubrication Methods 0.000 description 1
- 230000000399 orthopedic effect Effects 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 238000004904 shortening Methods 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 229940126585 therapeutic drug Drugs 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
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- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y02—TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
- Y02A—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
- Y02A50/00—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
- Y02A50/30—Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change
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Abstract
本实用新型提供了一种用于桡动脉穿刺的改良导丝,包括导丝本体和头端,导丝本体与头端之间的锐角夹角为15°‑40°;导丝本体包括依次连接的导丝亲水段和导丝非亲水段,导丝亲水段和头端连接且表面均设置有超滑涂层,导丝亲水段和头端的总长度不超过2cm。本实用新型所述改良导丝既能提供导丝手感反馈,又能精准调控导丝头端前进方向,同时兼顾导丝通过性,可有效提高桡动脉穿刺成功率。
The utility model provides an improved guide wire for radial artery puncture, which comprises a guide wire body and a head end, and the acute angle between the guide wire body and the head end is 15°-40°; The hydrophilic section of the guidewire and the non-hydrophilic section of the guidewire, the hydrophilic section of the guidewire is connected to the head end and the surface is provided with a super slippery coating, and the total length of the hydrophilic section of the guidewire and the head end does not exceed 2cm. The improved guide wire described in the utility model can not only provide the feel feedback of the guide wire, but also precisely control the advancing direction of the head end of the guide wire, and at the same time take into account the passability of the guide wire, which can effectively improve the success rate of radial artery puncture.
Description
技术领域technical field
本实用新型涉及医疗器械技术领域,尤其涉及一种用于桡动脉穿刺的改良导丝。The utility model relates to the technical field of medical instruments, in particular to an improved guide wire for radial artery puncture.
背景技术Background technique
桡动脉介入治疗是一种介于内科与外科治疗之间的治疗方式,通过在介入成像系统DSA的引导下,将治疗药物,设备直接作用病灶部位,具有安全、微创、副作用小、治疗费用低、术后恢复快等优势。对于肿瘤、骨科疾病、心血管疾病都能起到很好的疗效。桡动脉-冠状动脉造影术是目前最佳的冠心病诊疗方式,手术的医生能够直观的看到冠状动脉病变的范围和病变程度,对于冠心病的诊断率达98%以上,被医学界誉为冠心病诊断的“金标准”。Radial artery interventional therapy is a treatment method between medical and surgical treatment. Under the guidance of the interventional imaging system DSA, the therapeutic drugs and equipment are directly applied to the lesion, which is safe, minimally invasive, with few side effects and low cost of treatment. Low cost and fast postoperative recovery. It can have a good curative effect on tumors, orthopedic diseases, and cardiovascular diseases. Radial artery-coronary angiography is currently the best way to diagnose and treat coronary heart disease. The surgeon can intuitively see the extent and degree of coronary artery disease. The diagnostic rate for coronary heart disease is over 98%. The "gold standard" for coronary heart disease diagnosis.
目前常用的桡动脉穿刺导丝主要分为两类:以泰尔茂公司为代表的超滑亲水导丝以及埃普特公司为代表的非超滑钢丝。超滑亲水导丝通过性好,但是导丝误入夹层之后手感反馈效果差,不容易及时发现;非超滑钢丝手感反馈好,但是通过性欠佳。此外,这两类导丝的头端均为直头,无法精准调控导丝前进方向,如果血管纤细或者穿刺鞘角度过大,导丝很容易误入血管内膜形成血管夹层血肿,导致穿刺失败。At present, the commonly used radial artery puncture guide wires are mainly divided into two categories: super-smooth hydrophilic guide wires represented by Terumo and non-super-smooth steel wires represented by Apter. The ultra-smooth hydrophilic guide wire has good passability, but the feel feedback effect is poor after the guide wire strays into the interlayer, and it is not easy to find it in time; the non-super-smooth steel wire has good feel feedback, but the passability is not good. In addition, the tips of these two types of guide wires are both straight, and the forward direction of the guide wire cannot be precisely controlled. If the blood vessel is thin or the angle of the puncture sheath is too large, the guide wire can easily enter the intima of the blood vessel and form a dissection hematoma, resulting in puncture failure. .
实用新型内容Utility model content
为了解决上述问题,本实用新型提供了用于桡动脉穿刺的改良导丝,既能提供导丝手感反馈,又能精准调控导丝头端前进方向,同时兼顾导丝通过性,可有效提高桡动脉穿刺成功率。In order to solve the above problems, the utility model provides an improved guide wire for radial artery puncture, which can not only provide the feel feedback of the guide wire, but also precisely control the forward direction of the guide wire head, and at the same time take into account the passability of the guide wire, which can effectively improve the diameter of the radial artery. arterial puncture success rate.
为了实现上述目的,本实用新型提供了一种用于桡动脉穿刺的改良导丝,包括导丝本体和头端,导丝本体与头端之间的锐角夹角为15°-40°;In order to achieve the above purpose, the utility model provides an improved guide wire for radial artery puncture, which includes a guide wire body and a head end, and the acute angle between the guide wire body and the head end is 15°-40°;
导丝本体包括依次连接的导丝亲水段和导丝非亲水段,导丝亲水段和头端连接且表面均设置有超滑涂层,导丝亲水段和头端的总长度不超过2cm。The guidewire body includes a guidewire hydrophilic section and a guidewire non-hydrophilic section connected in sequence. The guidewire hydrophilic section is connected to the head end and is provided with a super-slip coating on the surface. The total length of the guidewire hydrophilic section and the head end is not More than 2cm.
优选地,头端和导丝本体之间的锐角夹角为30°。Preferably, the acute angle between the head end and the guide wire body is 30°.
优选地,头端长度不超过2mm。Preferably, the length of the head end does not exceed 2mm.
优选地,导丝亲水段的长度不超过2cm。Preferably, the length of the hydrophilic segment of the guide wire is no more than 2 cm.
优选地,所述的超滑涂层包括聚乙二醇涂层、多糖类涂层、聚乙烯吡咯烷酮涂层和硅涂层中的一种或多种。Preferably, the super slippery coating includes one or more of polyethylene glycol coating, polysaccharide coating, polyvinylpyrrolidone coating and silicon coating.
与现有技术相比,本实用新型的有益效果:Compared with the prior art, the utility model has the beneficial effects:
1.本实用新型提供的改良导丝带有一定角度的头端,一般的直线型导丝头端遇到血管壁受到阻力容易顶伤血管内膜,本实用新型15°-40°弯折的头端设计有助于使用者精确调控导丝头端前进方向,弯折的头端接触到血管内膜不容易顶伤血管壁,医师更容易感知到阻力从而旋转导丝,导丝会朝着头端弯曲的方向前进,能够在狭窄的桡动脉内部实现精确对导丝前进方向的精确控制。1. The improved guide wire provided by the utility model has a head end with a certain angle. The head end of a general linear guide wire meets the resistance of the blood vessel wall and is easy to damage the intima of the blood vessel. The 15°-40° bent head of the utility model The tip design helps the user to precisely control the forward direction of the guide wire tip. The bent tip touches the intima of the blood vessel and is not easy to damage the vessel wall. It is easier for the doctor to sense the resistance and rotate the guide wire, and the guide wire will move toward the tip. The end of the guide wire can be advanced in the direction of bending, which can realize the precise control of the direction of the guide wire in the narrow radial artery.
2.本实用新型所述改良导丝中导丝亲水段和头端均设置有超滑涂层,具有亲水性,导丝亲水段和头端总长度不超过2cm,相较于现有技术缩短了超滑涂层的涂布位置,在保留超滑涂层减少导丝前端阻力、加强导丝血管通过性的基础上,较长的非亲水段(无超滑涂层)能够提供更优的触觉反馈。2. In the improved guide wire described in the utility model, the hydrophilic section and the head end of the guide wire are provided with a super-slip coating, which is hydrophilic, and the total length of the hydrophilic section and the head end of the guide wire does not exceed 2 cm. Compared with the existing The existing technology shortens the coating position of the super-smooth coating. On the basis of retaining the super-smooth coating to reduce the resistance at the front end of the guide wire and enhance the vascular passage of the guide wire, the longer non-hydrophilic section (without super-smooth coating) can Provide better tactile feedback.
附图说明Description of drawings
图1为本实用新型所述用于桡动脉穿刺的改良导丝的结构示意图;Fig. 1 is the structural representation of the improved guide wire used for radial artery puncture described in the utility model;
其中,1为导丝非亲水段,2为导丝亲水段,3为头端,α为导丝本体与头端之间的锐角,阴影部分为超滑涂层。Among them, 1 is the non-hydrophilic section of the guide wire, 2 is the hydrophilic section of the guide wire, 3 is the head end, α is the acute angle between the guide wire body and the head end, and the shaded part is the super-smooth coating.
具体实施方式Detailed ways
下面将结合附图,对本实用新型的技术方案进行描述。显然,所描述的实施例仅是本申请一部分实施方式,而不是全部的实施方式;并且附图中所示的结构仅仅是示意性的,并不代表实物。需要说明的是,基于本实用新型中的这些实施例,本领域普通技术人员所获得的所有其他实施例,都属于本申请保护的范围。The technical scheme of the utility model will be described below in conjunction with the accompanying drawings. Apparently, the described embodiments are only some, not all, implementations of the application; and the structures shown in the drawings are only schematic and do not represent real objects. It should be noted that, based on these embodiments of the present utility model, all other embodiments obtained by persons of ordinary skill in the art belong to the protection scope of the present application.
在本实用新型的描述中,需要理解的是,术语“长度”、“宽度”、“上”、“下”、“前”、“后”、“左”、“右”、“竖直”、“水平”、“顶”、“底”“内”、“外”等指示的方位或位置关系为基于附图所示的方位或位置关系,仅是为了便于描述本实用新型和简化描述,而不是指示或暗示所指的装置或元件必须具有特定的方位、以特定的方位构造和操作,因此不能理解为对本实用新型的限制。In describing the present invention, it should be understood that the terms "length", "width", "upper", "lower", "front", "rear", "left", "right", "vertical" , "horizontal", "top", "bottom", "inner", "outer" and other indicated orientations or positional relationships are based on the orientations or positional relationships shown in the drawings, and are only for the convenience of describing the utility model and simplifying the description. It does not indicate or imply that the device or element referred to must have a specific orientation, be constructed and operate in a specific orientation, and therefore should not be construed as limiting the present invention.
如图1所示,本实用新型提供了一种用于桡动脉穿刺的改良导丝,包括导丝本体和头端3,导丝本体与头端之间的锐角夹角为15°-40°;导丝本体包括依次连接的导丝亲水段2和导丝非亲水段1,导丝亲水段2和头端3连接且表面均设置有超滑涂层,导丝亲水段和头端的总长度不超过2cm。在本实用新型中,导丝本体通常为直线型;在本实用新型的一些具体实施方式中,所述的改良导丝为一体成型,导丝非亲水段1、导丝亲水段2和亲水头端3依次连接,头端3也呈直线型。As shown in Figure 1, the utility model provides an improved guide wire for radial artery puncture, including a guide wire body and a
在本实用新型的一些具体实施方式中,导丝本体长度为25-35cm,导丝亲水段2和头端的总长度不超过2cm,头端长度为1-2mm,∠α为15°-40°;在一个优选实施方案中,导丝本体长30mm,亲水段长度为1cm,头端长度为1mm,∠α为30°。在本实用新型限定的∠α角度范围内,能够改善传统直线型导丝前进时容易刺破软管,角度过大不利于进入穿刺软管,角度过小对方向调整起不到作用。In some specific implementations of the present utility model, the length of the guide wire body is 25-35 cm, the total length of the guide wire
在本实用新型的一些具体实施方式中,改良导丝由非亲水材质一体成型,导丝亲水段2以及头端3均是在非亲水材质的表面涂覆一层或多层超滑涂层,能够减少导丝前端阻力,加强导丝血管通过性;在一个具体实施方式中,非亲水材质为钢丝,成本低且能够提供一定的触觉反馈。In some specific embodiments of the present utility model, the improved guide wire is integrally formed of non-hydrophilic material, and the
在本实用新型的一些具体实施方式中,超滑涂层包括但不限于聚乙二醇涂层、多糖类涂层、聚乙烯吡咯烷酮涂层和硅涂层中的一种或多种。本领域中已知的各种可用于涂覆在导丝表面并起到润滑作用的涂层均可适用于本装置。In some embodiments of the present invention, the ultra-slip coating includes, but is not limited to, one or more of polyethylene glycol coatings, polysaccharide coatings, polyvinylpyrrolidone coatings, and silicon coatings. Various coatings known in the art that can be coated on the surface of the guide wire and play a lubricating role are applicable to the device.
本实用新型所述改良导丝的使用方法与传统导丝一致,穿刺软管进入血管沿着穿刺软管送入本实用新型所述改良导丝,改良导丝由于头端带有一定角度且亲水段较短,能够更为精确的控制其贴合血管走向前进,缩短亲水段后非亲水段既可以保持润滑作用也可提供较好的触觉反馈,能够显著提高导丝穿刺成功率。改良导丝进入血管后退出软管,沿着改良导丝送入穿刺硬鞘,最后拔出导丝及穿刺鞘内芯,若见穿刺鞘回血良好,桡动脉穿刺即为成功。The usage method of the improved guide wire described in the utility model is consistent with that of the traditional guide wire. The short water section can more accurately control the direction of the blood vessel. After shortening the hydrophilic section, the non-hydrophilic section can maintain lubrication and provide better tactile feedback, which can significantly improve the success rate of guide wire puncture. After the improved guide wire enters the blood vessel, exit the flexible tube, send it into the puncture hard sheath along the improved guide wire, and finally pull out the guide wire and the inner core of the puncture sheath. If the puncture sheath returns to blood well, the radial artery puncture is considered successful.
以上所述仅是本实用新型的优选实施方式,应当指出,对于本技术领域的普通技术人员来说,在不脱离本实用新型原理的前提下,还可以作出若干改进和润饰,这些改进和润饰也应视为本实用新型的保护范围。The above is only a preferred embodiment of the utility model, it should be pointed out that for those of ordinary skill in the art, without departing from the principle of the utility model, some improvements and modifications can also be made. These improvements and modifications It should also be regarded as the protection scope of the present utility model.
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