CN2836751Y - The unidirectional embolization device of bronchus under the branchofiberoscope - Google Patents
The unidirectional embolization device of bronchus under the branchofiberoscope Download PDFInfo
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- CN2836751Y CN2836751Y CN 200520083350 CN200520083350U CN2836751Y CN 2836751 Y CN2836751 Y CN 2836751Y CN 200520083350 CN200520083350 CN 200520083350 CN 200520083350 U CN200520083350 U CN 200520083350U CN 2836751 Y CN2836751 Y CN 2836751Y
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- umbrella
- unidirectional
- valve
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- thromboembolism
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Abstract
This utility model provides the unidirectional embolization device of bronchus under a kind of branchofiberoscope for clinical treatment, and this device is made up of two kinds of unidirectional thromboembolism valves and applier thereof, is used for the treatment of non-invasive lung volume reducing operation and pulmonary belb.Unidirectional thromboembolism valve is expansible and recoverable umbrella-shaped structure, is the umbrella support that umbrella frame is made by the stronger memorial alloy of elasticity, and withdrawal frame and withdrawal ring that umbrella that outside lining medical macromolecular materials are made and memorial alloy are made constitute.The applier of valve by being made up of delivery tube and push rod directly inserted in the bronchus under direct-view through the branchofiberoscope service aisle, accurate positioning, and easy, practical, better tolerance once can be put a plurality ofly, and close afterwards that valve easily takes out in that the lung section is sunken.
Description
Affiliated technical field
This utility model belongs to technical field of medical instruments, and the unidirectional embolization device of bronchus under specifically a kind of branchofiberoscope that is used for the treatment of non-invasive lung volume reducing operation and pulmonary belb comprises two kinds of unidirectional thromboembolism valves and applier.
Background technology
In recent years, lung volume reducing operation has become the serious emophysematous effective ways of treatment, and main both at home and abroad at present application operation is carried out traumatic lung and subtracted appearance; The pulmonary belb treatment also is to adopt excision.Because operation requires height to patient, selectivity is strong, and many patients can not carry out, and the complication of operation is many, and postoperative is prone to gas leakage, prognosis mala.Carry out the corresponding lobe of the lung or lung section through the branchofiberoscope guiding, even inferior segmental bronchus thromboembolism, make the corresponding lobe of the lung, lung section or the atrophy of inferior section, fall into and close, thereby reach the purpose that reduces the lung volume or remove pulmonary belb.At present, external many with various emboluses or one-way valve thromboembolism or the biological gluing bronchus of closing, but used embolus or valve are bigger, can not directly put through the branchofiberoscope service aisle, must pull out mirror through the seal wire guiding puts, complicated operation once can only be put one, the patient who needs is put a plurality of valves, need repeatedly advance the mirror operation, and need tracheal intubation, patient is difficult for tolerance, also only has a kind of valve to be applied to III phase clinical verification at present.In addition, use the direct thromboembolism bronchus of embolus, the gas of corresponding lung section and secretions can not be discharged, easily accompanying infection.One-way valve can stop gas to enter, and allows gas and secretions to discharge, thereby avoids complication to take place.At present domestic only have the external valve of application to carry out zooperal report, do not have homemade thromboembolism valve and placing device.
Summary of the invention
In order to overcome existing external thromboembolism valve and placing device method complexity, patient is difficult for deficiencies such as tolerance, fill the domestic gaps, clinical easy, practical, the better tolerance of a kind of non-invasive lung volume reducing operation and pulmonary belb treatment and the device that can take out of providing is provided this utility model.This device can directly be inserted the thromboembolism valve through the branchofiberoscope service aisle under direct-view, accurate positioning once can be put a plurality of valves, and easily takes out at the sunken back valve that closes of lung section.
The technical scheme that its technical problem that solves this utility model adopts is: according to supporting and withdrawal and the little characteristics of the big far-end of bronchus caliber near-end of umbrella, make and can open with the unidirectional thromboembolism valve of recoverable umbrella automatically and be used to put the applier of this valve.The elasticity umbrella support umbrella frame of valve, withdrawal frame and withdrawal ring adopt memorial alloy to make, and the medical high polymer umbrella is covered outside support.Because little and thin and the taking down the exhibits property of its materials, be convenient to be made into smaller volume and put through the branchofiberoscope service aisle being adapted to.Volume was little when this valve was regained, and can be positioned in the delivery tube, and can place a plurality ofly as required, was convenient to once put.Valve discharges its big free within the specific limits convergent-divergent of I in umbrella footpath of back from pipe, thereby is adapted to the bronchus of different big or small calibers.Be placed in the bronchus, its umbrella mouth is towards near-end, and the resilient expansion of support makes its umbrella oral area be close to tube wall, can more and more go deep into when air-breathing to far-end, thus firm more caulked, this moment, gas can not enter the lung section.During expiration, gas can be discharged by the slit between tube wall and the umbrella, and valve is anchored on the bronchus tube wall by the tuberosity of umbrella frame end, and the effect that is subjected to elastic dilatation power can not be discharged from.In like manner, sputum is discharged during the cough expectoration, and valve can be by expectoration.Like this, along with breathing, the finally firm caulked of valve, corresponding lung section gas and secretions are discharged, and the lung section falls into and closes, thereby reaches the therapeutic purposes that lung subtracts appearance and pulmonary belb elimination.(need the several months) after treating the firm locking of bronchus, under the branchofiberoscope direct-view, hook draws the withdrawal ring of valve and regains frame, makes valve slowly regain, take out.
The beneficial effects of the utility model are once can put a plurality of through the storing of branchofiberoscope service aisle, easy and simple to handle, better tolerance are adapted to the bronchus of different big or small calibers, and accurate positioning, caulked are effective, help secretions and discharge, and can take out.
Description of drawings
Below in conjunction with accompanying drawing this utility model is further specified.
Fig. 1 (1 ,-2) is the structure chart of two kinds of unidirectional thromboembolism valve open configurations of the present utility model.
Fig. 2 (1 ,-2) is the structure chart of two kinds of unidirectional thromboembolism valve rounding states of the present utility model.
Fig. 3 (1 ,-2) is the structure charts of two kinds of unidirectional thromboembolism valves of the present utility model at delivery tube internal state and applier.
Fig. 4 is the sketch map of applier through the branchofiberoscope service aisle.
Fig. 5 is a sketch map of putting valve through the branchofiberoscope service aisle.
Fig. 6 is that valve is placed to intrabronchial view.
Fig. 7 (1 ,-2) is two kinds of unidirectional thromboembolism valves thromboembolism and gas flow situation sketch maps in bronchus.
Among Fig. 1~Fig. 7: 1. regain ring, 2. umbrella, 3. support umbrella frame, 4. stand base is 5. regained frame, 6. rounding state valve, 7. delivery tube, 8. push rod, 9. branchofiberoscope, 10. service aisle, 11. bronchial tree, 12. are placed in intrabronchial valve state, 13. bronchial walls, 14. air-breathing airintake direction (obstruction), 15. expiration outgassing directions (discharge).
The specific embodiment
In the embodiment of Fig. 1-1, the support umbrella frame (3) that the umbrella support of valve is made by 6 memorial alloys constitutes, the umbrella top of umbrella frame is connected on the stand base that diameter is 1.8mm~2.0mm (4), end slightly expands and is tuberosity, inboard form Movable joint with regaining between the frame (5) at point midway, regain frame (5) terminal connect to regain encircle (1), the support umbrella (2) that medical macromolecular materials are made that is covered outward, umbrella (2) is covered to the end of support umbrella frame (3), but does not cover tuberosity.
Fig. 1-2 is the modification of Fig. 1-1 embodiment, it will regain the direct extension of frame (5) as 6 umbrella frames (3), make spindle-shaped structure, umbrella frame (3) head end connects stand base (4), the first two/ umbrella (2) that outer lining medical macromolecular materials are made, back 1/2nd extends into regains frame (5), and terminal the connection regained ring (1).
Fig. 2 (1,-2) be the rounding state of two kinds of valves among Fig. 1 embodiment, its diameter is between 1.8mm~2mm, so that put through branchofiberoscope service aisle (10) when drawing in, open the back diameter between 5mm~15mm, to be applicable to the following bronchus thromboembolism of leaf.Storing or when standby, valve can draw in the aseptic storage pipe, before using it is imported in delivery tube.
At Fig. 3 (1,-2) among the embodiment, applier is made up of elongated delivery tube and its built-in push rod, delivery tube (7) is for outward through 2mm~2.5mm, the plastic tube of internal diameter 1.8mm~2mm, push rod (8) is elongated, a flexible tinsel, and head end connects and the consistent piston of delivery tube (7) internal diameter, the terminal handle that connects.Push rod (8) inserts in the delivery tube (7), and front end is placed the valve that draws in, can place a plurality of simultaneously.
Clinical using method of the present utility model
After the conventional fibre bronchoscopy determines to treat the thromboembolism bronchus, valve is imported in the delivery tube (7), once can import more than one, but suggestion is not above three.Can suitably smear lubricant in the delivery tube.Delivery tube is delivered to the homologous bronchi opening through branchofiberoscope service aisle (10), under direct-view, (7+8) pushes valve in the bronchus to live until caulked with applier, after allowing patient do deep breathing for several times, can send toward the deep again with air-breathing, after treating that caulked is fixing, select other bronchus again.Because valve umbrella mouth is to near-end, and the thick far-end of bronchus near-end is thin, therefore, when air-breathing, enter air-flow and is stopped by umbrella, can not enter in the lung section, but valve further can be sent into the deep simultaneously, make it more fixing.And when exhaling, air-flow can be discharged by slit between umbrella and the tube wall, because the grappling and the rack elasticity dilating effect of umbrella frame end, valve can not be pushed out.During taking-up, under the branchofiberoscope direct-view, bite the slow firmly outer taking-up that is pulled to of withdrawal ring (1) equally with buckle seal wire or foreign body forceps hook.
Claims (5)
1. the unidirectional embolization device of bronchus under the branchofiberoscope, it is characterized in that this device by the unidirectional thromboembolism valve of umbrella and the applier that is used to put this valve forms, be positioned in the delivery tube of applier after the valve gathering.
2. the unidirectional embolization device of bronchus under the branchofiberoscope according to claim 1, it is characterized in that unidirectional thromboembolism valve be a kind ofly can open automatically, the unidirectional thromboembolism valve of recoverable umbrella and distortion thereof.
3. according to the unidirectional embolization device of bronchus under claim 1 or the 2 described branchofiberoscopes, the umbrella support that it is characterized in that unidirectional thromboembolism valve is that umbrella frame is made by the stronger memorial alloy of elasticity, the umbrella top of support is that diameter is the stand base of 1.8mm~2.0mm, the end of support umbrella frame is to weigh anchor to have the tuberosity of usefulness made to order, the umbrella that lining medical macromolecular materials in support outside are made, the inboard formation with the withdrawal frame of support umbrella frame is connected the joint, regains the terminal withdrawal ring that connects of frame.
4. according to the unidirectional embolization device of bronchus under claim 1, the 2 or 3 described branchofiberoscopes, the distortion that it is characterized in that the unidirectional thromboembolism valve of umbrella is that umbrella support umbrella frame becomes one with the withdrawal frame, regaining frame is extending naturally of umbrella support umbrella frame, integral body is the spindle shape, the terminal connection regained ring, the umbrella that lining medical macromolecular materials in umbrella bracket end outside are made.
5. according to the unidirectional embolization device of bronchus under the described branchofiberoscope of claim 1, it is characterized in that applier is made up of delivery tube and built-in push rod thereof, delivery tube is elongated plastic tube, push rod is elongated, flexible high-intensity tinsel, its head end is the diameter piston consistent with the delivery tube internal diameter, and end is a handle.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN 200520083350 CN2836751Y (en) | 2005-05-24 | 2005-05-24 | The unidirectional embolization device of bronchus under the branchofiberoscope |
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CN 200520083350 CN2836751Y (en) | 2005-05-24 | 2005-05-24 | The unidirectional embolization device of bronchus under the branchofiberoscope |
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CN101616639B (en) * | 2007-03-20 | 2012-01-11 | Minvasys公司 | Apparatus and methods for stent delivery with embolic protection |
CN101856277B (en) * | 2009-04-10 | 2012-02-01 | 王涛 | Recyclable unidirectional valve covered stent |
CN102580171A (en) * | 2012-01-30 | 2012-07-18 | 先健科技(深圳)有限公司 | Bronchus flap and manufacturing method thereof |
CN103750920A (en) * | 2013-12-31 | 2014-04-30 | 先健科技(深圳)有限公司 | Unidirectional flap |
CN104707192A (en) * | 2015-04-07 | 2015-06-17 | 周韶辉 | Reverse treatment device for pulmonary bullae |
CN106132333A (en) * | 2014-03-19 | 2016-11-16 | 波士顿科学国际有限公司 | For assessment and the system and method for the treatment of tissue |
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CN106580387A (en) * | 2016-12-19 | 2017-04-26 | 北京大学第三医院 | Medical intra-cavity pressure apparatus |
CN106725685A (en) * | 2016-12-19 | 2017-05-31 | 北京大学第三医院 | Line traffic control remembers umbrella |
CN108187245A (en) * | 2018-02-06 | 2018-06-22 | 中国人民解放军总医院 | It can indwelling and the instrument of the local internal radiotherapy vein blood vessel cancer embolus taken out |
CN110575577A (en) * | 2019-09-25 | 2019-12-17 | 周诚 | Novel auxiliary device for treating Fontan circulatory failure |
CN110742667A (en) * | 2018-07-23 | 2020-02-04 | 苏州优友瑞医疗科技有限公司 | Methods and devices for treating pulmonary dysfunction using implantable valves |
CN111714760A (en) * | 2020-06-29 | 2020-09-29 | 中南大学湘雅医院 | Supply tube kit for coprophilous fungi transplantation |
WO2020219484A1 (en) * | 2019-04-22 | 2020-10-29 | Eolo Medical Inc. | Devices for the treatment of pulmonary disorders with implantable valves |
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2005
- 2005-05-24 CN CN 200520083350 patent/CN2836751Y/en not_active Expired - Fee Related
Cited By (23)
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CN101616639B (en) * | 2007-03-20 | 2012-01-11 | Minvasys公司 | Apparatus and methods for stent delivery with embolic protection |
CN101856277B (en) * | 2009-04-10 | 2012-02-01 | 王涛 | Recyclable unidirectional valve covered stent |
CN102580171A (en) * | 2012-01-30 | 2012-07-18 | 先健科技(深圳)有限公司 | Bronchus flap and manufacturing method thereof |
WO2013113271A1 (en) * | 2012-01-30 | 2013-08-08 | 先健科技(深圳)有限公司 | Bronchial valve and manufacturing method thereof |
CN102580171B (en) * | 2012-01-30 | 2014-12-10 | 先健科技(深圳)有限公司 | Bronchus flap and manufacturing method thereof |
CN103750920A (en) * | 2013-12-31 | 2014-04-30 | 先健科技(深圳)有限公司 | Unidirectional flap |
CN103750920B (en) * | 2013-12-31 | 2016-01-20 | 先健科技(深圳)有限公司 | Unidirectional valve |
CN106132333A (en) * | 2014-03-19 | 2016-11-16 | 波士顿科学国际有限公司 | For assessment and the system and method for the treatment of tissue |
US10835306B2 (en) | 2014-03-19 | 2020-11-17 | Boston Scientifique Scimed, Inc. | Systems and methods for assessing and treating tissue |
CN104707192A (en) * | 2015-04-07 | 2015-06-17 | 周韶辉 | Reverse treatment device for pulmonary bullae |
CN106344082B (en) * | 2016-09-28 | 2019-01-25 | 宁波迪创医疗科技有限公司 | A kind of left ventricle capacity-reduction device |
CN106344082A (en) * | 2016-09-28 | 2017-01-25 | 宁波迪创医疗科技有限公司 | Volume reduction device for left ventricle |
CN106580387A (en) * | 2016-12-19 | 2017-04-26 | 北京大学第三医院 | Medical intra-cavity pressure apparatus |
CN106725685A (en) * | 2016-12-19 | 2017-05-31 | 北京大学第三医院 | Line traffic control remembers umbrella |
CN106580387B (en) * | 2016-12-19 | 2023-11-14 | 北京积水潭医院 | Medical body cavity internal pressure applying device |
CN106725685B (en) * | 2016-12-19 | 2023-12-01 | 北京积水潭医院 | wire controlled memory umbrella |
CN108187245A (en) * | 2018-02-06 | 2018-06-22 | 中国人民解放军总医院 | It can indwelling and the instrument of the local internal radiotherapy vein blood vessel cancer embolus taken out |
CN108187245B (en) * | 2018-02-06 | 2020-01-14 | 中国人民解放军总医院 | Instrument capable of indwelling and taking out for treating venous blood vessel cancer embolus by local internal radiation |
CN110742667A (en) * | 2018-07-23 | 2020-02-04 | 苏州优友瑞医疗科技有限公司 | Methods and devices for treating pulmonary dysfunction using implantable valves |
WO2020219484A1 (en) * | 2019-04-22 | 2020-10-29 | Eolo Medical Inc. | Devices for the treatment of pulmonary disorders with implantable valves |
CN110575577A (en) * | 2019-09-25 | 2019-12-17 | 周诚 | Novel auxiliary device for treating Fontan circulatory failure |
CN110575577B (en) * | 2019-09-25 | 2022-04-05 | 周诚 | Novel auxiliary device for treating Fontan circulatory failure |
CN111714760A (en) * | 2020-06-29 | 2020-09-29 | 中南大学湘雅医院 | Supply tube kit for coprophilous fungi transplantation |
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Legal Events
Date | Code | Title | Description |
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C14 | Grant of patent or utility model | ||
GR01 | Patent grant | ||
C17 | Cessation of patent right | ||
CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20061115 |