KR102129950B1 - A hemostatic device for hemostasis - Google Patents

Abstract

The present invention relates to a lumen haemostatic device using a hemostatic cell that can conveniently haemostatically bleed a bleeding site of a lumen.
In the present invention, in the hemostatic device that stops the bleeding portion of the lumen, a first guide hole and a second guide hole are provided, the guide tube inserted into the lumen, and slidably inserted into the first guide hole to remove the bleeding portion. A hemostatic member comprising a hemostatic hemostasis and a memory wire connected so that the hemostatic cell is expanded while exiting the exit of the first guide hole, a balloon that is slidably inserted into the second guide hole and inflated so that the hemostatic cell compresses the bleeding site A catheter and a handle member slidably connected to adjust the position of the balloon catheter.
Therefore, the present invention has a very useful effect that can be easily and quickly bleeding after removing the bleeding site of the lumen by hemostasis and balloon catheter.

Description

Hemostatic device for hemostasis using hemostatic cells {A hemostatic device for hemostasis}

The present invention relates to a lumen haemostatic device using a haemostatic cell, and more particularly, to a lumen haemostatic device using a haemostatic cell that can conveniently haemostasis a bleeding site of a lumen using a haemostatic cell.

As is well known, when bleeding occurs in the lumens of the human arteries or in the intestine, it blocks the airways and leads to respiratory failure or death due to blood loss.

Recently, various technologies have been developed to stop the bleeding site of the lumen, and as a related prior art, Korea Utility Model No. 0312455 (Registration Date 2003.04.23)'Gastroesophageal Variceal Hemorrhage Hemostasis Device' and Registered Patent No. 1624043 (Registration date 2016.05.18)'Hemostatic gauze intraperitoneal insertion and removal device' and the like are disclosed.

However, the above-described prior art has a problem in that it is difficult to quickly stop bleeding by compressing only the bleeding area, since the process is complicated and cumbersome, using at least two balloons to stop the bleeding area.

(Advanced Technology 0001) Republic of Korea Utility Model No. 0312455 (Registration Date 2003.04.23) (Prior Art 0002) Republic of Korea Registered Patent No. 1624043 (Registration Date 2016.05.18)

The present invention has been devised to solve the conventional problems as described above, and an object of the present invention is to provide a lumen haemostatic device using a hemostatic cell capable of easily and quickly bleeding and removing a bleeding site of a lumen.

The present invention for achieving the above object, in the hemostatic device to stop the bleeding portion of the lumen, the first guide hole and the second guide hole is provided, the guide tube is inserted into the lumen, the first guide hole is slidable A hemostatic member is inserted into the bleeding site, and a hemostatic member comprising a memory wire connected to the hemostatic cell to expand while exiting the outlet of the first guide hole, and the hemostatic cell is slidably inserted into the second guide hole so that the hemostatic cell is the bleeding site It includes a balloon catheter to expand to press the, a handle member slidably connected to adjust the position of the balloon catheter.

The memory wire according to the first embodiment of the present invention, a handle wire slidably extending along the first guide hole and extending to the outside of the handle member, is branched to both sides from a front end of the handle wire, and the hemostat is unfolded It may include a restoring wire to restore.

At this time, the restoration wire includes a branch wire branched to both sides while exiting the outlet of the first guide hole, and an insert wire detachably inserted into a wire hole formed on both sides of the hemostat to be connected to ends of the branch wire. Can.

The balloon catheter according to this embodiment of the present invention is slidably inserted into the second guide hole of the guide tube to expand the catheter to supply the inflation material, and to expand the hemostat to the bleeding site by expanding the inflation material supplied from the catheter It may include a pressing balloon.

In addition, the handle member according to an embodiment of the present invention may include a tube handle connected to the inlet of the guide tube and a catheter handle slidably connected to the tube handle to adjust the position of the balloon catheter.

According to the present invention implemented as the above-described solution, the bleeding site of the bleeding site can be prevented from being narrowed between the lumens of the lumen by simply and quickly depositing hemostasis and hemostatic cells by the hemostatic cells and the balloon catheter. There is also a very useful effect that can be easily removed adhered hemostat.

1 is a perspective view according to an embodiment of the present invention.
Figure 2 is a cross-sectional view according to an embodiment of the present invention.
Figure 3 is a cross-sectional view of only the guide tube according to an embodiment of the present invention.
Figure 4 is an exemplary view showing a hemostatic member according to an embodiment of the present invention in three dimensions.
Figure 5 is an operation diagram showing the hemostatic process of the bleeding site according to an embodiment of the present invention.
6 is an operation diagram showing a removal process according to an embodiment of the present invention.

Hereinafter, preferred embodiments of the present invention will be described with reference to the accompanying drawings in order to fully understand the present invention.

The embodiments of the present invention may be modified in various forms, and the scope of the present invention should not be interpreted as being limited to the embodiments described in detail below. This embodiment is provided to more fully describe the present invention to those skilled in the art.

Therefore, the shape of the components expressed in the drawings may be exaggerated to emphasize a more clear description. It should be noted that the same configuration in each drawing may be indicated by the same reference numeral. In addition, detailed descriptions of well-known functions and configurations that are determined to unnecessarily obscure the subject matter of the present invention are omitted.

Lumen haemostasis apparatus using a hemostatic bag according to an embodiment of the present invention, the first guide hole 11 and the second guide hole 12 is provided with a guide tube 10, the first guide is inserted into the lumen (1) The hemostat 21 that slides into the hole 11 and stops the bleeding portion 2 of the lumen 1 so that the hemostat 21 and the hemostat 21 unfold while exiting the exit of the first guide hole 11 Hemostatic member (20) including a memory wire (23) of a restorable material connected, is slidably inserted into the second guide hole (12) to expand the hemostat (21) to inflate the bleeding area (2) (30), the handle member 40 is slidably connected to adjust the position of the balloon catheter (30).

The guide tube 10 is a tube formed with a round circumference, and such a guide tube 10 has flexibility to be inserted into the lumen 1 of the human body.

Inside the guide tube 10, the first guide hole 11 and the second guide hole 12 are formed along the axis direction. 3 is a view showing a cross-section of the guide tube, the second guide hole 12 is formed in the center of the guide tube 10, the balloon catheter 30 is slidably inserted, and the second guide hole 12 The first guide hole 11 is formed on the outside, and the hemostatic member 20 is slidably inserted.

The hemostatic member 20 is a memory wire 23 that is connected so that the hemostatic cells 21 and the hemostatic cells 21 that hemostatically bleed the bleeding portion 2 of the lumen 1 unfold while exiting the exit of the first guide hole 11 ).

The hemostat 21 is formed in a square or rectangular thin plate shape made of a light and soft gauze material. Referring to a partial enlarged view of a left dashed line in the lower left portion of FIG. 4 (a), wire holes 21a are formed at both left and right ends of the hemostat 21 from the rear end to the middle point to form the memory wire 23. Is inserted detachably.

The hemostat 21 is inserted into the first guide hole 11 in the form of being wound around the outer diameter of both sides of the memory wire 23 or folded between the two sides of the memory wire 23, such as a bamboo line. As it exits the exit of the hole 11, it is unfolded in a plate shape by the stability of the memory wire 23.

The memory wire 23 automatically unfolds the wound or folded hemostat 21 into the plate shape while exiting the exit of the first guide hole 11, and the memory wire 23 remembers the original shape. It is preferably made of a shape-memory alloy that is restored to its original shape soon in the contracted state.

The memory wire 23 is slidably connected along the first guide hole 11 and branched to both right and left from the handle wire 24 extended to the outside of the tube handle 41 and the front end of the handle wire 24. It includes a restoring wire 25 to restore the hemostat 21 to unfold.

The handle wire 24 and the restoration wire 25 are preferably made of the shape memory alloy described above, but the handle wire 24 may be made of a material other than the shape memory alloy.

One end of the handle wire 24 is formed to extend through the tube handle 41 to the outside, so that the operator can slide or rotate back and forth along the first guide hole 11 of the guide tube 10.

Restoration wire 25 is detachably inserted into the wire holes 21a of the branch wires 25a and the hemostats 21, where both sides of the left and right sides diverge into an approximately'∨' shape while exiting the exit of the first guide hole 11 It includes an insert wire (25b).

The moment the branch wire 25a exits the exit of the first guide hole 11, it spreads from side to side in the center of the handle wire 24. At this time, the branch wire 25a is inclined at the central axis of the handle wire 24. It is restored to the shape as shown in FIG. 4.

Insert wire (25b) is connected to the end of the branch wire (25a) is bent to be connected to the insertion into the wire hole (21a) of the hemostat (21) in a parallel state in parallel, pull the handle wire (24) to the rear wire It is separated while falling out of the hole 21a.

The memory wire 23 may include an elliptical restoration wire 25 as shown in FIG. 7.

The memory wire 23 stores the elliptical shape in the restoration wire 25 and then inserts the hemostat 21 into the first guide hole 11, and the restoration wire 25 is the first guide. When exiting the exit of the hole 11, the original elliptical shape is unfolded.

The balloon catheter 30 is to expand the hemostat 21 so as to press the bleeding site 2, and the balloon catheter 30 is slidably inserted into the second guide hole 12 of the guide tube 10 It includes a catheter (31) for supplying an inflation material, and a balloon (35) that expands with the inflation material supplied from the catheter (31) and presses the hemostat (21) to the bleeding site (2).

The catheter 31 is a flexible rubber or metal thin tube, and the catheter 31 is elongated to connect from the exit of the guide tube 10 to the end of the catheter handle 45. A connector 32 for supplying and discharging inflation material is connected to the inlet of the catheter 31. The expanding material is made of either gas or liquid.

At the outlet end of the catheter 31, a tip 31a having a rounded end is formed as shown in the upper right portion of FIG. 2, and is guided smoothly along the second guide hole 12.

The balloon 35 is connected to the end of the catheter 31 and is inflated by the inflation material supplied from the catheter 31, thereby increasing the volume, thereby compressing the hemostat 21 in the direction of the bleeding site 2. The expanded balloon 35 is preferably formed to be longer and larger than the length and width of the hemostat 21.

The handle member 40 is a tube handle 41 connected to the inlet of the guide tube 10 and a catheter handle 45 slidably connected to the tube handle 41 to adjust the position of the balloon catheter 30. It includes.

First, the tube handle 41 is connected between the guide tube 10 and the catheter handle 45 to support the guide tube 10 and guide the front and rear sliding of the catheter handle 45, such a tube handle 41 Since the inside is formed in an empty tube shape, the catheter handle 45 is slidably connected back and forth on the inlet side, and the guide tube 10 is fixedly connected on the outlet side.

The guide slits 42 are formed long in the axial direction on both sides of the inner and lower sides of the tube handle 41, so that the slider 46 of the catheter handle 45 to be described later is guided to slide back and forth, so that the catheter handle 45 is a tube handle 41 ) Is not rotated in the circumferential direction.

The handle wire 24 of the memory wire 23 described above is penetrated to one side of the tube handle 41. The handle wire 24 is penetrated to one side of the tube handle 41 so as not to interfere when sliding back and forth of the catheter handle 45.

And the catheter handle 45 is slidably connected back and forth to the tube handle 41 by the slider 46 to adjust the front and rear positions of the balloon catheter 30. That is, the catheter handle 45 is operated to slide the balloon catheter 30 back and forth to be positioned at a position where the hemostat 21 can be compressed.

The inlet end of the catheter handle 45 is provided with a supply pipe 47 and a discharge pipe 48 connected to the connector 32 of the balloon catheter 30, so that the inflation material is supplied to the balloon catheter 30 through the supply pipe 47. Supply or discharge the inflation material from the balloon catheter 30 through the discharge pipe (48).

The overall operation and effects of the embodiment according to the present invention configured as described above will be described in detail with reference to the accompanying drawings.

First, by inserting the guide tube 10 into the lumen 1 while checking the bleeding part 2 of the lumen 1 through the endoscope, the outlet side of the guide tube 10 as shown in Fig. 5(a). The end is moved to a position close to the bleeding site (2).

Subsequently, when the handle wire 24 is pushed forward, the restoration wire 25 is shown in FIGS. 4A and 5B by the nature of restoring while exiting the exit of the first guide hole 11. As described above, the hemostat 21 is automatically unfolded.

And when the handle wire 24 is rotated, the restoration wire 25 is rotated and disposed at the bleeding portion 2 as shown in the arrow of FIG. 5(b).

Next, when the tube handle 41 is slid backward while the catheter handle 45 is fixed, the balloon catheter 30 exits the exit of the second guide hole 12, as shown in FIG. 5(c), When the catheter handle 45 is slid forward in the direction of the arrow shown in FIG. 5(d), the balloon catheter 35 is disposed inside the hemostat.

Subsequently, when the inflation material is supplied through the supply pipe 47, the inflation material is injected into the balloon 35 along the catheter 31 to expand as shown in FIG. Compression by the site (2) will act to stop the bleeding.
Due to the adhesion of the hemostatic cells 21, it is possible to prevent the narrowing of the lumens of the bleeding sites from being adhered to each other inside the lumens.

On the other hand, Figure 6 is an operation diagram showing the process of removing the balloon catheter 30 and the memory wire 23.

First, when the inflation material is discharged through the discharge pipe 48 in the state as shown in FIG. 6(a), the balloon 35 is contracted to form the state as shown in FIG. 6(b).

And when the catheter handle 45 is pulled backward, it is inserted into the second guide hole 12 and removed as shown in FIG. 6(c).

Subsequently, when the handle wire 24 is pulled rearward, the restoration wire 25 is elastically bent as in FIGS. 6(c) and (d) as the restoration wire 25 is separated from the wire hole 21a of the hemostat 21 It is inserted back into the guide hole (11).

Thereafter, when the guide tube 10 is removed from the lumen 1, the haemostatic device of the present invention is completely withdrawn.

The embodiments of the present invention described above are only exemplary, and those skilled in the art to which the present invention pertains will appreciate that various modifications and other equivalent embodiments are possible.

Therefore, it will be understood that the present invention is not limited to the forms mentioned in the above detailed description.

Therefore, the true technical protection scope of the present invention should be determined by the technical spirit of the appended claims. It is also to be understood that the invention includes all modifications and equivalents and alternatives within the spirit and scope of the invention as defined by the appended claims.

10: Guide tube
11: 1st guide hole
12: 2nd guide hole
20: absence of hemostasis
21: hemostat
23: memory wire
30: balloon catheter
40: handle member

Claims (6)

In the hemostatic device to stop the bleeding site of the lumen,
A guide tube provided with a first guide hole and a second guide hole and inserted into the lumen,
A hemostatic member that is slidably inserted into the first guide hole and includes a hemostatic cell that stops the bleeding site and a memory wire connected to the hemostatic cell to expand while exiting the outlet of the first guide hole,
A balloon catheter that is slidably inserted into the second guide hole and expands so that the hemostatic blood compresses the bleeding site,
It includes a handle member slidably connected to adjust the position of the balloon catheter,
The memory wire includes a handle wire that is slidably connected along the first guide hole and extends to the outside of the handle member, and branches to both sides from a front end portion of the handle wire to restore the hemostat to unfold, and
The restoring wire, a branch wire that is branched to both sides while exiting the exit of the first guide hole, is connected to an end portion of the branch wire, and a hemostatic cell including an insert wire detachably inserted into a wire hole formed on both sides of the hemostat Lumen haemostasis device using. delete delete The method according to claim 1,
The balloon catheter, a hemostat comprising a balloon that is slidably inserted into a second guide hole of the guide tube to supply an inflation material, and expands with an inflation material supplied from the catheter to press the hemostatic blood into the bleeding site. Lumen haemostasis device using. The method according to claim 1,
The handle member is a lumen hemostatic device using a hemostat comprising a tube handle connected to the inlet of the guide tube and a catheter handle slidably connected to the tube handle to adjust the position of the balloon catheter. The method according to claim 1,
The memory wire is slidably connected along the first guide hole to form a restoring wire in an oval shape at the distal end of the handle wire extending to the outside of the handle member to restore the hemostat to expand the hemostat. Used lumen haemostatic device.

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