WO2022033193A1 - Balloon dilatation catheter - Google Patents
Balloon dilatation catheter Download PDFInfo
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- WO2022033193A1 WO2022033193A1 PCT/CN2021/102216 CN2021102216W WO2022033193A1 WO 2022033193 A1 WO2022033193 A1 WO 2022033193A1 CN 2021102216 W CN2021102216 W CN 2021102216W WO 2022033193 A1 WO2022033193 A1 WO 2022033193A1
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- balloon
- tube
- proximal end
- push
- dilatation catheter
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/10—Balloon catheters
- A61M25/104—Balloon catheters used for angioplasty
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L29/00—Materials for catheters, medical tubing, cannulae, or endoscopes or for coating catheters
- A61L29/04—Macromolecular materials
- A61L29/06—Macromolecular materials obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L29/00—Materials for catheters, medical tubing, cannulae, or endoscopes or for coating catheters
- A61L29/14—Materials characterised by their function or physical properties, e.g. lubricating compositions
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/0009—Making of catheters or other medical or surgical tubes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/0021—Catheters; Hollow probes characterised by the form of the tubing
- A61M25/0023—Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
- A61M25/0026—Multi-lumen catheters with stationary elements
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/0043—Catheters; Hollow probes characterised by structural features
- A61M25/0045—Catheters; Hollow probes characterised by structural features multi-layered, e.g. coated
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/0067—Catheters; Hollow probes characterised by the distal end, e.g. tips
- A61M25/0068—Static characteristics of the catheter tip, e.g. shape, atraumatic tip, curved tip or tip structure
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/10—Balloon catheters
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/10—Balloon catheters
- A61M25/1027—Making of balloon catheters
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/10—Balloon catheters
- A61M25/1027—Making of balloon catheters
- A61M25/1036—Making parts for balloon catheter systems, e.g. shafts or distal ends
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M29/00—Dilators with or without means for introducing media, e.g. remedies
- A61M29/02—Dilators made of swellable material
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/0043—Catheters; Hollow probes characterised by structural features
- A61M25/0045—Catheters; Hollow probes characterised by structural features multi-layered, e.g. coated
- A61M2025/0046—Coatings for improving slidability
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/10—Balloon catheters
- A61M2025/1043—Balloon catheters with special features or adapted for special applications
- A61M2025/1075—Balloon catheters with special features or adapted for special applications having a balloon composed of several layers, e.g. by coating or embedding
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/32—General characteristics of the apparatus with radio-opaque indicia
Definitions
- the invention relates to the technical field of medical devices, in particular to a balloon dilatation catheter.
- interventional therapy has developed rapidly in the past four decades, especially in the last decade.
- the application of interventional therapy has developed from the initial coronary artery to almost all blood vessels in the body.
- Interventional therapy has the advantages of less bleeding, less trauma, less complications, quick postoperative recovery, safety and reliability, and greatly reduces the pain suffered by patients.
- Balloon dilation is a common interventional procedure used to dilate narrowed blood vessels.
- the purpose of the present invention is to provide a balloon dilatation catheter, which has good pushability and can smoothly pass through calcified lesions and long occluded blood vessels.
- the present invention provides a balloon dilatation catheter, comprising a push tube, an inner tube and a balloon, the inner tube is arranged at the distal end of the push tube, and the balloon is sleeved inside the inner tube.
- the mass ratio of the polylaurolactam to the polyether block polyamide is (1.5-9):1.
- the balloon is a high pressure balloon.
- the balloon dilatation catheter further comprises a hydrophilic coating, the hydrophilic coating covers the outer surface of the balloon and the outer surface of the distal end of the push tube; and/or, the balloon
- the balloon dilation catheter further includes a tapered tip, which is disposed at the distal end of the inner tube and protrudes from the distal end of the balloon; the hydrophilic coating covers the outer surface of the tapered tip surface, the outer surface of the balloon, and the distal outer surface of the pusher tube.
- the length of the hydrophilic coating is 300mm-500mm.
- the push tube includes a filling cavity and a guide wire cavity that are arranged in parallel along its axial direction and are isolated from each other; the cross section of the filling cavity is crescent-shaped, and the distal end of the filling cavity is connected to the balloon. communication; the cross section of the guide wire lumen is circular, and the distal end of the guide wire lumen communicates with the inner tube.
- the distal lumen wall of the guide wire lumen and the proximal pipe wall of the inner tube are integrally formed by hot pressing.
- the balloon dilation catheter further includes a connecting piece, the connecting piece is disposed at the proximal end of the pushing tube and includes a first joint and a second joint; the first joint is communicated with the filling cavity, The second connector communicates with the guide wire lumen.
- the distance from the proximal end of the filling cavity to the proximal end of the balloon is less than the distance from the proximal end of the guide wire cavity to the proximal end of the balloon;
- a perfusion hole is provided on the proximal cavity wall, the perfusion hole communicates with the first joint, and the proximal end of the filling cavity is a closed end.
- the proximal end of the push tube extends into the interior of the connector; the balloon dilatation catheter further includes a first connection tube, and the first connection tube is arranged on the push tube by hot pressing.
- the proximal end of the connecting piece is used to close the proximal end of the filling cavity; the inner wall of the connecting piece is sealedly connected with the first connecting tube.
- the balloon dilatation catheter further comprises a second connecting pipe, the second connecting pipe is sleeved on the pushing pipe by means of hot pressing; at least part of the second connecting pipe is disposed on the connecting pipe inside of the connecting piece and sealingly connected with the inner wall of the connecting piece.
- the balloon dilation catheter further includes a stress diffusion tube sleeved on the outer surface of the proximal end of the push tube and disposed adjacent to the distal end of the connecting piece.
- the inner tube is further provided with developing elements, and the number of the developing elements is two, which are respectively arranged corresponding to the proximal end and the distal end of the balloon.
- the balloon dilatation catheter of the present invention has the following advantages:
- the balloon dilatation catheter comprises a push tube, an inner tube and a balloon, the inner tube is arranged at the distal end of the push tube, and the balloon is sleeved on the outer surface of the inner tube; wherein , the push tube is formed by blending and extruding polylaurolactam and polyether block polyamide.
- the push tube made of the mixture of polylaurolactam and block polyetheramide has both good flexibility and supporting force, so that it can smoothly pass through calcified lesions and long occluded blood vessels.
- the balloon is a high-pressure balloon, which improves the pressure resistance of the entire balloon dilatation catheter and improves the dilation effect.
- the balloon dilatation catheter further includes a hydrophilic coating, and the hydrophilic coating covers at least the outer surface of the balloon and the outer surface of the distal end of the pushing tube. This allows the balloon dilation catheter to have less friction when it travels in the blood vessel, which is convenient for pushing, and the hydrophilic coating is not provided on the outer surface of the middle part and the proximal end of the pushing tube, so that the pushing The tube has good handling.
- FIG. 1 is a schematic structural diagram of a balloon dilatation catheter provided by the present invention according to an embodiment
- Fig. 2 is the A-A sectional view of the balloon dilatation catheter shown in Fig. 1;
- Fig. 3 is the B-B sectional view of the balloon dilatation catheter shown in Fig. 1;
- FIG. 4 is a schematic diagram of the distal end of the original tubing of the pusher tube being cut when the inner tube of the balloon dilatation catheter is connected to the pusher tube according to an embodiment of the present invention
- FIG. 5 is a schematic diagram of the inner tube of the balloon dilation catheter provided according to an embodiment of the present invention is connected to the push tube;
- FIG. 6 is a schematic diagram of the proximal end of the original pipe material of the pusher tube after being cut when the pusher tube of the balloon dilation catheter provided by the present invention is connected to the connector according to an embodiment of the present invention
- FIG. 7 is a schematic diagram of a push tube of a balloon dilation catheter provided according to an embodiment of the present invention when a first connecting tube and a second connecting tube are provided.
- each embodiment of the following description has one or more technical features, but this does not mean that the person using the present invention must implement all the technical features in any embodiment at the same time, or can only implement different embodiments separately.
- One or all of the technical features of the .
- those skilled in the art can selectively implement some or all of the technical features in any embodiment according to the disclosure of the present invention and according to design specifications or actual needs, or select
- the combination of some or all of the technical features in the multiple embodiments can be implemented flexibly, thereby increasing the flexibility of the implementation of the present invention.
- the singular forms “a,” “an,” and “the” include plural referents unless the content clearly dictates otherwise.
- the term “or” is generally employed in its sense including “and/or” unless the content clearly dictates otherwise.
- the terms “installed”, “connected” and “connected” should be understood in a broad sense, for example, it may be a fixed connection, a detachable connection, or an integral connection; it may be a mechanical connection, It can also be an electrical connection; it can be a direct connection or an indirect connection through an intermediate medium, and it can be an internal connection between two elements or an interaction relationship between the two elements.
- the specific meanings of the above terms in the present invention can be understood according to specific situations.
- proximal distal
- distal is the relative orientation, relative position, orientation of elements or actions relative to each other from the perspective of the physician using the medical device, although “proximal”, “distal” “ is not limiting, but “proximal” generally refers to the end of the medical device that is closest to the physician during normal operation, and “distal” generally refers to the end that first enters the patient.
- FIG. 1 shows a schematic structural diagram of a balloon dilatation catheter provided by an embodiment of the present invention
- FIG. 2 shows a cross-sectional view taken along line A-A of FIG. 1
- the balloon dilation catheter includes a push tube 100 , an inner tube 200 and a balloon 300
- the inner tube 200 is disposed at the distal end of the push tube 100
- the balloon 300 is sleeved on the outer surface of the inner tube 200
- the push tube 100 is formed by blend extrusion of polylaurolactam (PA12) and polyether block polyamide (Pebax).
- the specific extrusion molding process is set according to the actual situation, as long as the polylaurolactam and the polyether block polyamide can be melted, mixed uniformly, and extruded to obtain the original pipe with a predetermined shape of the push pipe.
- the push tube 100 of the balloon dilatation catheter provided in this embodiment has both flexibility and support, so that the balloon dilatation catheter not only has good bending ability, but also has excellent pushing performance, ensuring that it can pass through Tortuous blood vessels, calcified lesions and long occluded blood vessels can improve performance.
- the mass ratio of polylaurolactam and polyether block polyamide is (1.5-9):1, for example (2-8):1, (2-7):1, (3-8) : 1, (2-6): 1.
- the mass ratio of the polylaurolactam to the polyether block polyamide is 8:2.
- a conventional three-point bending test device is used to test the toughness of the push pipe 100 made of the mixed material with this ratio. When the sample is pressed down by 4 mm, the force applied by the indenter to the sample is 1.5N-3.5N, indicating that the push tube 100 has good flexibility.
- the trade mark of polylaurolactam is PA12: Grilamid L25
- the trade mark of polyether block polyamide is Pebax7233SA01MED.
- the total length of the balloon dilatation catheter is 40cm-150cm.
- the push tube 100 is used to transmit the push force applied by the operator, so that the balloon 300 can reach a predetermined position.
- the distal end of the inner tube 200 is also provided with a tapered tip 400 for the convenience of guidance.
- the tapered tip 400 protrudes from the distal end of the balloon 300 .
- the tapered tip 400 is fabricated from a mixture of polyether block polyamide and titanium dioxide (TiO 2 ).
- the balloon dilatation catheter also includes a hydrophilic coating (not shown in the figure).
- the hydrophilic coating covers the outer surface of the tapered tip 400 , the outer surface of the balloon 300 and the outer surface of the distal end of the push tube 100 .
- the use of the hydrophilic coating can reduce the friction between the distal end of the balloon dilatation catheter and the blood vessel during the pushing process, which is easy to transport and reduces damage to the blood vessel wall.
- the hydrophilic coating may only cover the outer surface of the balloon 300 and the distal outer surface of the pusher tube 100 , but not the outer surface of the tapered tip 400 .
- the hydrophilic coating is not provided on the middle and the proximal end of the push tube 100, which can ensure that the push tube 100 has good maneuverability.
- the length of the hydrophilic coating in the axial direction of the balloon dilation catheter is 300mm-500mm, for example, 350mm-500mm, 300mm-450mm, 350mm- 450mm.
- the main component of the hydrophilic coating may be polyvinylpyrrolidone, or may be formed by curing any existing hydrophilic coating composition, which will not be repeated in this embodiment.
- the balloon 300 is a high-pressure balloon, which can effectively expand in calcified blood vessels, fully open the diseased blood vessels, and improve the treatment effect.
- the inner layer of the balloon 300 ie, the part where the inner layer of the balloon is connected to the inner tube 200
- the high-pressure balloon has a diameter of 3.0mm-14.0mm, a length of 20mm-220mm, and can withstand a pressure of 16atm-3atm.
- the balloon 300 includes an inner layer and an outer layer, the inner layer of the balloon is connected to the inner tube at the welding points at both ends of the balloon, and the inner layer and the outer layer are jointly enclosed to form a space for accommodating Filler lumen.
- the inner layer is extruded with polylaurolactam
- the outer layer is extruded with polyether block polyamide.
- the use of the balloon dilation catheter is as follows: firstly, a guide wire is implanted in the patient; then, the balloon dilation catheter is threaded on the guide wire; then, the operator pushes the push tube
- the proximal end of 100 applies a pushing force to push the distal end of the balloon dilation catheter into the blood vessel along the guide wire and reach the lesion site; then, through the pushing tube 100, the balloon 300 is filled with filling agent , so as to expand the balloon 300 to open the narrowed blood vessel.
- the pushing tube 100 includes a filling cavity 110 and a guide wire cavity 120 which are arranged in parallel along the axial direction and are isolated from each other.
- the distal end of the filling cavity 110 communicates with the balloon 300
- the distal end of the guide wire cavity 120 communicates with the inner tube 200 .
- the cross section of the filling cavity 110 is crescent-shaped, and the cross section of the guide wire cavity 120 is circular.
- the push tube 100 with this structure utilizes its cross section to the maximum extent to construct the filling cavity 110, thereby shortening the filling and withdrawal time of the filling agent.
- the balloon dilation catheter further includes a connector 500 .
- the connector 500 is disposed at the proximal end of the push tube 100 and includes a first joint 510 and a second joint 520 .
- the first connector 510 communicates with the filling cavity 110
- the second connector 520 communicates with the guide wire cavity 120 .
- the guide wire penetrates the tapered tip 400 , the guide wire lumen 120 and the second joint 520 .
- the first connector 510 is connected to a filling agent injector, and the filling agent injector fills the balloon 300 with a filling agent via the first connector 510 and the filling cavity 110 , and the filling agent may be a contrast agent or the like .
- the proximal end of the push tube 100 extends into the interior of the connecting member 500 to be connected with the connecting member 500 .
- the distance from the proximal end of the inflation lumen 110 to the proximal end of the balloon 300 is smaller than the distance from the proximal end of the guide wire lumen 120 to the proximal end of the balloon 300 .
- the proximal end of the filling cavity 110 is a closed end, and a perfusion hole (not shown in the figure) is provided on the proximal cavity wall of the filling cavity 110 .
- the first joint 510 communicates with the filling cavity 110 through the filling hole.
- the balloon dilation catheter preferably includes a stress diffusion tube 600 ( As shown in Figure 1).
- the stress spreading tube 600 is sleeved on the outer surface of the proximal end of the pushing tube 100 and is disposed adjacent to the distal end of the connecting member 500 .
- the stress diffusing tube 600 is made of a flexible material such as silica gel, and plays the role of diffusing stress.
- the balloon dilation catheter further includes a first connecting tube 710 (as shown in FIG. 7 ).
- the first connecting tube 710 is fixedly sleeved on the proximal end of the pushing tube 100 .
- the first connecting tube 710 and the pushing tube 100 are connected by thermocompression, and in the process of connecting the two, the first connecting tube 710 also closes the proximal end of the filling cavity 110 (specific method). will be described below).
- the inner wall of the connecting member 500 is sealedly connected to the first connecting pipe 710 through a glue dispensing or injection molding process.
- the balloon dilation catheter further includes a second connecting tube 720 .
- the second connecting pipe 720 is fixedly sleeved on the position corresponding to (ie, combined with) the distal end of the pushing pipe 100 and the connecting piece 500 by hot pressing, so that at least part of the second connecting pipe 720
- the connecting pipe 720 is disposed inside the connecting piece 500 and is sealedly connected to the inner wall of the connecting piece 500 through a glue dispensing or injection molding process.
- the first connecting pipe 710 and the second connecting pipe 720 are used to realize the connection between the pushing pipe 100 and the connecting member 500, so as to improve the sealing performance and avoid leakage.
- the inner tube 200 is made of polylaurolactam.
- the distance from the distal end of the guide wire lumen 120 to the connector 500 is smaller than the distance from the distal end of the filling lumen 110 to the connector 500 .
- the cavity wall of the guide wire cavity 120 and the proximal tube wall of the inner tube 200 are formed integrally by hot pressing, so as to improve the connection strength of the push tube 100 and the inner tube 200 .
- the specific connection method of the two will be introduced in detail below.
- At least one imaging element 800 is provided on the distal end of the balloon dilatation catheter to display the position of the balloon 300 during the pushing process.
- the developing element 800 can be made of a developing metal such as platinum-iridium alloy, and is preferably disposed on the inner tube 200, which is safe and reliable.
- the number of the developing elements 800 is two, and the two developing elements 800 are respectively disposed corresponding to the proximal end and the distal end of the balloon 300 .
- the original tubing 100' of the pusher tube 100 (the original tubing 100' has the filling lumen 110 and the guide wire lumen 120) and the inner tube 200, on the proximal and distal ends of the original tubing of the pusher tube, so The filling cavity 110 and the guide wire cavity 120 are both flush.
- the heating temperature is 420°F, the tensile strength of the connection point is low and cannot meet the requirements for use.
- the heating temperature is preferably 430°F-440°F.
- a perfusion hole is opened on the cavity wall of the filling cavity 110 on the side away from the guide wire cavity 120 .
- the distance from the perfusion hole to the proximal end point of the guide wire lumen 120 is 24mm-28mm.
- connection area on the push tube 100 In the axial direction of the pushing tube 100 , the distance from the connecting region to the proximal end point of the guide wire lumen 120 is 48mm-52mm.
- a second connecting pipe 720 is sleeved on the second connecting region of the pushing pipe 100, the second connecting pipe 720 is made of polyether block polyamide, and the axial length is about 28 mm.
- first connecting tube 710 Take out the lining of the filling cavity 110 of the push tube 100, and fit a first connecting tube 710 to the proximal end of the push tube 100 without covering the perfusion hole (ie, The socket location is on the side of the perfusion hole near the proximal end of the push tube).
- the material of the first connecting pipe 710 is polyether block polyamide, and the length is about 15 mm.
- the position of the connecting region, the position of the perfusion hole, the length of the first connecting pipe and the length of the second connecting pipe are all based on the balloon dilation catheter. size is properly set.
- the push tube is formed by blending polylaurolactam and polyether block polyamide, it has both reliable support and good flexibility, and can pass through tortuous When the blood vessel reaches the designated lesion site, it can fully dilate calcified or long occluded blood vessels.
- the balloon dilatation catheter provided by the embodiments of the present invention can also be applied to the expansion of arteriovenous fistulas and the post-expansion of stents.
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Abstract
A balloon dilatation catheter, comprising a push tube (100), an inner tube (200), and a balloon (300); the inner tube (200) is provided at a distal end of the push tube (100), the balloon (300) is sleeved on an outer surface of the inner tube (200), and the push tube (100) is formed by blending and extruding polylaurolactam and polyether block polyamide. The push tube (100) of the balloon dilatation catheter has both reliable support and good flexibility, and can pass through tortuous blood vessels, calcification and long-segment occluded blood vessels, improving usage performance.
Description
本发明涉及医疗器械技术领域,具体涉及一种球囊扩张导管。The invention relates to the technical field of medical devices, in particular to a balloon dilatation catheter.
自1977年首例经皮冠状动脉腔内成形术(PTCA)的成功成为了介入治疗的开端以来,在过去四十年,特别是最近十年,介入治疗得到了飞速的发展。介入治疗的应用从最初的冠脉发展到全身几乎所有的血管。介入治疗具有出血少、创伤小、并发症少、术后恢复快、安全可靠等优点,极大地减轻了患者所承受的痛苦。球囊扩张术是一种常见的介入治疗方式,其可以用于对狭窄的血管进行扩张。Since the first successful percutaneous transluminal coronary angioplasty (PTCA) in 1977 became the beginning of interventional therapy, interventional therapy has developed rapidly in the past four decades, especially in the last decade. The application of interventional therapy has developed from the initial coronary artery to almost all blood vessels in the body. Interventional therapy has the advantages of less bleeding, less trauma, less complications, quick postoperative recovery, safety and reliability, and greatly reduces the pain suffered by patients. Balloon dilation is a common interventional procedure used to dilate narrowed blood vessels.
近年来,随着我国人口老龄化的加剧,老年患者由下肢动脉硬化闭塞导致的下肢缺血的情况日益增多。下肢缺血的病变有钙化和病变部位变长的特点。在利用球囊扩张术进行治疗时,由于现有的球囊扩张导管的推送性能差、耐压强度低,导致球囊扩张导管难以通过钙化病变和长段的闭塞血管,进而无法完成相关的手术治疗。In recent years, with the intensification of the aging population in my country, the incidence of lower extremity ischemia caused by arteriosclerosis and occlusion of the lower extremity in elderly patients is increasing. The lesions of lower extremity ischemia are characterized by calcification and lengthening of the lesions. When using balloon dilatation for treatment, due to the poor pushing performance and low compressive strength of the existing balloon dilatation catheter, it is difficult for the balloon dilatation catheter to pass through calcified lesions and long occluded blood vessels, and the related operation cannot be completed. treat.
发明内容SUMMARY OF THE INVENTION
本发明的目的在于提供一种球囊扩张导管,该球囊扩张导管具有良好的推送性,能够顺利通过钙化病变和长段的闭塞血管。The purpose of the present invention is to provide a balloon dilatation catheter, which has good pushability and can smoothly pass through calcified lesions and long occluded blood vessels.
为实现上述目的,本发明提供了一种球囊扩张导管,包括推送管、内管和球囊,所述内管设置在所述推送管的远端,所述球囊套设在所述内管的外表面上;其中,所述推送管由聚十二内酰胺和聚醚嵌段聚酰胺共混挤出成型。In order to achieve the above purpose, the present invention provides a balloon dilatation catheter, comprising a push tube, an inner tube and a balloon, the inner tube is arranged at the distal end of the push tube, and the balloon is sleeved inside the inner tube. The outer surface of the pipe; wherein, the push pipe is formed by blending and extruding polylauractam and polyether block polyamide.
可选地,所述聚十二内酰胺和所述聚醚嵌段聚酰胺的质量比为(1.5-9):1。Optionally, the mass ratio of the polylaurolactam to the polyether block polyamide is (1.5-9):1.
可选地,所述球囊为高压球囊。Optionally, the balloon is a high pressure balloon.
可选地,所述球囊扩张导管还包括亲水涂层,所述亲水涂层覆盖在所述球囊的外表面及所述推送管的远端外表面;和/或,所述球囊扩张导管还包括 锥形尖端,所述锥形尖端设置在所述内管的远端,并从所述球囊的远端伸出;所述亲水涂层覆盖所述锥形尖端的外表面、所述球囊的外表面及所述推送管的所述远端外表面。Optionally, the balloon dilatation catheter further comprises a hydrophilic coating, the hydrophilic coating covers the outer surface of the balloon and the outer surface of the distal end of the push tube; and/or, the balloon The balloon dilation catheter further includes a tapered tip, which is disposed at the distal end of the inner tube and protrudes from the distal end of the balloon; the hydrophilic coating covers the outer surface of the tapered tip surface, the outer surface of the balloon, and the distal outer surface of the pusher tube.
可选地,在所述球囊扩张导管的轴向上,所述亲水涂层的长度为300mm-500mm。Optionally, in the axial direction of the balloon dilatation catheter, the length of the hydrophilic coating is 300mm-500mm.
可选地,所述推送管包括沿其轴向并行设置且相互隔离的充盈腔和导丝腔;所述充盈腔的横截面为月牙形,且所述充盈腔的远端与所述球囊连通;所述导丝腔的横截面为圆形,且所述导丝腔的远端与所述内管连通。Optionally, the push tube includes a filling cavity and a guide wire cavity that are arranged in parallel along its axial direction and are isolated from each other; the cross section of the filling cavity is crescent-shaped, and the distal end of the filling cavity is connected to the balloon. communication; the cross section of the guide wire lumen is circular, and the distal end of the guide wire lumen communicates with the inner tube.
可选地,所述导丝腔的远端腔壁与所述内管的近端管壁通过热压的方式形成为一体。Optionally, the distal lumen wall of the guide wire lumen and the proximal pipe wall of the inner tube are integrally formed by hot pressing.
可选地,所述球囊扩张导管还包括连接件,所述连接件设置在所述推送管的近端并且包括第一接头和第二接头;所述第一接头与所述充盈腔连通,所述第二接头与所述导丝腔连通。Optionally, the balloon dilation catheter further includes a connecting piece, the connecting piece is disposed at the proximal end of the pushing tube and includes a first joint and a second joint; the first joint is communicated with the filling cavity, The second connector communicates with the guide wire lumen.
可选地,所述充盈腔的近端端点到所述球囊的近端端点的距离小于所述导丝腔的近端端点到所述球囊的近端端点的距离;所述充盈腔的近端腔壁上设置有灌注孔,所述灌注孔与所述第一接头连通,所述充盈腔的近端端部为封闭端。Optionally, the distance from the proximal end of the filling cavity to the proximal end of the balloon is less than the distance from the proximal end of the guide wire cavity to the proximal end of the balloon; A perfusion hole is provided on the proximal cavity wall, the perfusion hole communicates with the first joint, and the proximal end of the filling cavity is a closed end.
可选地,所述推送管的近端伸入所述连接件的内部;所述球囊扩张导管还包括第一连接管,所述第一连接管通过热压的方式设置在所述推送管的近端,并用于封闭所述充盈腔的所述近端端部;所述连接件的内壁与所述第一连接管密封连接。Optionally, the proximal end of the push tube extends into the interior of the connector; the balloon dilatation catheter further includes a first connection tube, and the first connection tube is arranged on the push tube by hot pressing. The proximal end of the connecting piece is used to close the proximal end of the filling cavity; the inner wall of the connecting piece is sealedly connected with the first connecting tube.
可选地,所述球囊扩张导管还包括第二连接管,所述第二连接管通过热压的方式套设在所述推送管上;至少部分所述第二连接管设置在所述连接件的内部,并与所述连接件的内壁密封连接。Optionally, the balloon dilatation catheter further comprises a second connecting pipe, the second connecting pipe is sleeved on the pushing pipe by means of hot pressing; at least part of the second connecting pipe is disposed on the connecting pipe inside of the connecting piece and sealingly connected with the inner wall of the connecting piece.
可选地,所述球囊扩张导管还包括应力扩散管,套设在所述推送管的近端外表面上,并邻近所述连接件的远端设置。Optionally, the balloon dilation catheter further includes a stress diffusion tube sleeved on the outer surface of the proximal end of the push tube and disposed adjacent to the distal end of the connecting piece.
可选地,所述内管上还设有显影元件,所述显影元件的数量为两个,并分别对应于所述球囊的近端和远端设置。Optionally, the inner tube is further provided with developing elements, and the number of the developing elements is two, which are respectively arranged corresponding to the proximal end and the distal end of the balloon.
与现有技术相比,本发明的球囊扩张导管具有如下优点:Compared with the prior art, the balloon dilatation catheter of the present invention has the following advantages:
第一、所述球囊扩张导管包括推送管、内管和球囊,所述内管设置在所述推送管的远端,所述球囊套设在所述内管的外表面上;其中,所述推送管由聚十二内酰胺和聚醚嵌段聚酰胺共混挤出成型。利用所述聚十二内酰胺和嵌段聚醚酰胺的混合物制成的推送管兼具良好的柔韧性和支撑力,使得其可顺利地通过钙化病变和长段的闭塞血管。First, the balloon dilatation catheter comprises a push tube, an inner tube and a balloon, the inner tube is arranged at the distal end of the push tube, and the balloon is sleeved on the outer surface of the inner tube; wherein , the push tube is formed by blending and extruding polylaurolactam and polyether block polyamide. The push tube made of the mixture of polylaurolactam and block polyetheramide has both good flexibility and supporting force, so that it can smoothly pass through calcified lesions and long occluded blood vessels.
第二、所述球囊为高压球囊,提高整个球囊扩张导管的耐压能力,改善扩张效果。Second, the balloon is a high-pressure balloon, which improves the pressure resistance of the entire balloon dilatation catheter and improves the dilation effect.
第三、所述球囊扩张导管还包括亲水涂层,所述亲水涂层至少覆盖所述球囊的外表面及所述推送管的远端外表面。这使得所述球囊扩张导管在血管中行进时具有较小的摩擦力,便于推送,且所述推送管的中部及近端外表面上并未设置所述亲水涂层,使得所述推送管具有良好的操控性。Third, the balloon dilatation catheter further includes a hydrophilic coating, and the hydrophilic coating covers at least the outer surface of the balloon and the outer surface of the distal end of the pushing tube. This allows the balloon dilation catheter to have less friction when it travels in the blood vessel, which is convenient for pushing, and the hydrophilic coating is not provided on the outer surface of the middle part and the proximal end of the pushing tube, so that the pushing The tube has good handling.
附图用于更好地理解本发明,不构成对本发明的任何限定。其中:The accompanying drawings are used for better understanding of the present invention and do not constitute any limitation to the present invention. in:
图1是本发明根据一实施例所提供的球囊扩张导管的结构示意图;1 is a schematic structural diagram of a balloon dilatation catheter provided by the present invention according to an embodiment;
图2是图1所示的球囊扩张导管的A-A剖视图;Fig. 2 is the A-A sectional view of the balloon dilatation catheter shown in Fig. 1;
图3是图1所示的球囊扩张导管的B-B剖视图;Fig. 3 is the B-B sectional view of the balloon dilatation catheter shown in Fig. 1;
图4是本发明根据一实施例所提供的球囊扩张导管的内管与推送管连接时,推送管的原始管材的远端被切割后的示意图;4 is a schematic diagram of the distal end of the original tubing of the pusher tube being cut when the inner tube of the balloon dilatation catheter is connected to the pusher tube according to an embodiment of the present invention;
图5是本发明根据一实施例所提供的球囊扩张导管的内管与推送管连接时的示意图;5 is a schematic diagram of the inner tube of the balloon dilation catheter provided according to an embodiment of the present invention is connected to the push tube;
图6是本发明根据一实施例所提供的球囊扩张导管的推送管与连接件连接时,推送管的原始管材的近端被切割后的示意图;6 is a schematic diagram of the proximal end of the original pipe material of the pusher tube after being cut when the pusher tube of the balloon dilation catheter provided by the present invention is connected to the connector according to an embodiment of the present invention;
图7是本发明根据一实施例所提供的球囊扩张导管的推送管上设置有第一连接管和第二连接管时的示意图。FIG. 7 is a schematic diagram of a push tube of a balloon dilation catheter provided according to an embodiment of the present invention when a first connecting tube and a second connecting tube are provided.
[附图标记]:[reference number]:
100-推送管,100’-原始管材;100 - push tube, 100' - original tube;
110-充盈腔,120-导丝腔;130-亲水涂层;110-filling cavity, 120-guide wire cavity; 130-hydrophilic coating;
200-内管;200-inner tube;
300-球囊;300-balloon;
400-锥形尖端;400 - tapered tip;
500-连接件;500-connector;
510-第一接头,520-第二接头;510-first joint, 520-second joint;
600-应力扩散管;600 - Stress Diffusion Tube;
710-第一连接管,720-第二连接管;710 - the first connecting pipe, 720 - the second connecting pipe;
800-显影元件;800 - developing element;
900-热缩管。900 - heat shrink tubing.
以下通过特定的具体实例说明本发明的实施方式,本领域技术人员可由本说明书所公开的内容轻易地了解本发明的优点与功效。本发明还可以通过另外不同的具体实施方式加以实施或应用,本说明书中的各项细节也可以基于不同观点与应用,在没有背离本发明的精神下进行各种修饰或改变。需要说明的是,本实施例中所提供的图示仅以示意方式说明本发明的基本构想,因此附图中仅显示与本发明中有关的组件而非按照实际实施时的组件数目、形状及尺寸绘制,其实际实施时各组件的型态、数量及比例可为一种随意的改变,且其组件布局型态也可能更为复杂。The embodiments of the present invention are described below through specific specific examples, and those skilled in the art can easily understand the advantages and effects of the present invention from the contents disclosed in this specification. The present invention can also be implemented or applied through other different specific embodiments, and various details in this specification can also be modified or changed based on different viewpoints and applications without departing from the spirit of the present invention. It should be noted that the drawings provided in this embodiment are only used to illustrate the basic concept of the present invention in a schematic way, so the drawings only show the components related to the present invention rather than the number, shape and number of components in actual implementation. For dimension drawing, the type, quantity and proportion of each component can be changed at will in actual implementation, and the component layout may also be more complicated.
另外,以下说明内容的各个实施例分别具有一个或多个技术特征,然此并不意味着使用本发明者必需同时实施任一实施例中的所有技术特征,或仅能分开实施不同实施例中的一部或全部技术特征。换句话说,在实施为可能的前提下,本领域技术人员可依据本发明的公开内容,并视设计规范或实际需求,选择性地实施任一实施例中的部分或全部技术特征,或者选择性地实施多个实施例中的部分或全部技术特征的组合,借此增加本发明实施时的弹性。In addition, each embodiment of the following description has one or more technical features, but this does not mean that the person using the present invention must implement all the technical features in any embodiment at the same time, or can only implement different embodiments separately. One or all of the technical features of the . In other words, under the premise of possible implementation, those skilled in the art can selectively implement some or all of the technical features in any embodiment according to the disclosure of the present invention and according to design specifications or actual needs, or select The combination of some or all of the technical features in the multiple embodiments can be implemented flexibly, thereby increasing the flexibility of the implementation of the present invention.
如在本说明书中所使用的,单数形式“一”、“一个”以及“该”包括复数对象, 除非内容另外明确指出外。如在本说明书中所使用的,术语“或”通常是以包括“和/或”的含义而进行使用的,除非内容另外明确指出外。如在本说明书中所使用的,术语“安装”、“相连”、“连接”应做广义理解,例如,可以是固定连接,也可以是可拆卸连接,或一体地连接;可以是机械连接,也可以是电连接;可以是直接相连,也可以通过中间媒介间接相连,可以是两个元件内部的连通或两个元件的相互作用关系。对于本领域的普通技术人员而言,可以根据具体情况理解上述术语在本发明中的具体含义。As used in this specification, the singular forms "a," "an," and "the" include plural referents unless the content clearly dictates otherwise. As used in this specification, the term "or" is generally employed in its sense including "and/or" unless the content clearly dictates otherwise. As used in this specification, the terms "installed", "connected" and "connected" should be understood in a broad sense, for example, it may be a fixed connection, a detachable connection, or an integral connection; it may be a mechanical connection, It can also be an electrical connection; it can be a direct connection or an indirect connection through an intermediate medium, and it can be an internal connection between two elements or an interaction relationship between the two elements. For those of ordinary skill in the art, the specific meanings of the above terms in the present invention can be understood according to specific situations.
为使本发明的目的、优点和特征更加清楚,以下结合附图对本发明作进一步详细说明。需说明的是,附图均采用非常简化的形式且均使用非精准的比例,仅用以方便、明晰地辅助说明本发明实施例的目的。附图中相同或相似的附图标记代表相同或相似的部件。In order to make the objects, advantages and features of the present invention clearer, the present invention will be further described in detail below with reference to the accompanying drawings. It should be noted that, the accompanying drawings are all in a very simplified form and in inaccurate scales, and are only used to facilitate and clearly assist the purpose of explaining the embodiments of the present invention. The same or similar reference numbers in the drawings represent the same or similar parts.
在本文中,术语“近端”、“远端”是从使用该医疗器械的医生角度来看相对于彼此的元件或动作的相对方位、相对位置、方向,尽管“近端”、“远端”并非是限制性的,但是“近端”通常指该医疗设备在正常操作过程中靠近医生的一端,而“远端”通常是指首先进入患者体内的一端。As used herein, the terms "proximal", "distal" are the relative orientation, relative position, orientation of elements or actions relative to each other from the perspective of the physician using the medical device, although "proximal", "distal" " is not limiting, but "proximal" generally refers to the end of the medical device that is closest to the physician during normal operation, and "distal" generally refers to the end that first enters the patient.
图1示出了本发明实施例所提供的球囊扩张导管的结构示意图,图2示出了图1的A-A剖视图。请参考图1及图2,所述球囊扩张导管包括推送管100、内管200和球囊300,所述内管200设置在所述推送管100的远端,所述球囊300套设在所述内管200的外表面上。其中,所述推送管100由聚十二内酰胺(PA12)和聚醚嵌段聚酰胺(Pebax)共混挤出成型。具体挤出成型工艺根据实际情况设定,只要能够使聚十二内酰胺和聚醚嵌段聚酰胺熔融、混合均匀并挤出得到具有预定形状的推送管的原始管材即可。本实施例所提供的球囊扩张导管的推送管100兼具柔韧性和支撑性,使得所述球囊扩张导管在具有良好过弯能力的同时,还具有优异的推送性能,保证其能够穿过迂曲的血管和钙化病变及长段的闭塞血管,提高使用性能。FIG. 1 shows a schematic structural diagram of a balloon dilatation catheter provided by an embodiment of the present invention, and FIG. 2 shows a cross-sectional view taken along line A-A of FIG. 1 . Please refer to FIG. 1 and FIG. 2 , the balloon dilation catheter includes a push tube 100 , an inner tube 200 and a balloon 300 , the inner tube 200 is disposed at the distal end of the push tube 100 , and the balloon 300 is sleeved on the outer surface of the inner tube 200 . Wherein, the push tube 100 is formed by blend extrusion of polylaurolactam (PA12) and polyether block polyamide (Pebax). The specific extrusion molding process is set according to the actual situation, as long as the polylaurolactam and the polyether block polyamide can be melted, mixed uniformly, and extruded to obtain the original pipe with a predetermined shape of the push pipe. The push tube 100 of the balloon dilatation catheter provided in this embodiment has both flexibility and support, so that the balloon dilatation catheter not only has good bending ability, but also has excellent pushing performance, ensuring that it can pass through Tortuous blood vessels, calcified lesions and long occluded blood vessels can improve performance.
优选地,聚十二内酰胺和聚醚嵌段聚酰胺的质量比为(1.5-9):1,例如为(2-8):1,(2-7):1,(3-8):1,(2-6):1。在一个具体实施例中,所述聚十二内酰胺和聚醚嵌段聚酰胺的质量比为8:2。根据GB/T232-2010采用常规 三点弯曲测试装置测试采用该配比的混合材料制造的推送管100的韧性。在试样下压4mm时,压头向试样施加的力为1.5N-3.5N,表明所述推送管100具有良好的柔韧性。本实施例中,聚十二内酰胺的牌号为PA12:Grilamid L25,聚醚嵌段聚酰胺的牌号为Pebax7233SA01MED。Preferably, the mass ratio of polylaurolactam and polyether block polyamide is (1.5-9):1, for example (2-8):1, (2-7):1, (3-8) : 1, (2-6): 1. In a specific embodiment, the mass ratio of the polylaurolactam to the polyether block polyamide is 8:2. According to GB/T232-2010, a conventional three-point bending test device is used to test the toughness of the push pipe 100 made of the mixed material with this ratio. When the sample is pressed down by 4 mm, the force applied by the indenter to the sample is 1.5N-3.5N, indicating that the push tube 100 has good flexibility. In this embodiment, the trade mark of polylaurolactam is PA12: Grilamid L25, and the trade mark of polyether block polyamide is Pebax7233SA01MED.
所述球囊扩张导管的总长度为40cm-150cm。利用所述球囊扩张导管执行球囊扩张术时,所述推送管100用于传递施术者的施加的推送力,以使所述球囊300到达预定位置。在球囊300的行进过程中,为便于导向,所述内管200的远端还设置有锥形尖端400。所述锥形尖端400从所述球囊300的远端伸出。所述锥形尖端400采用聚醚嵌段聚酰胺和二氧化钛(TiO
2)混合物制造而成。进一步地,球囊扩张导管还包括亲水涂层(图中未示出)。所述亲水涂层覆盖在所述锥形尖端400的外表面、所述球囊300的外表面及所述推送管100的远端外表面上。利用所述亲水涂层可以减小所述球囊扩张导管的远端在推送过程中与血管之间的摩擦力,易于输送,减少对血管壁的损伤。在替代性的实施例中,所述亲水涂层也可仅覆盖所述球囊300的外表面和推送管100的远端外表面,而不覆盖锥形尖端400的外表面。所述推送管100的中部及近端上未设置所述亲水涂层,能够确保所述推送管100具有良好的操控性。本实施例中,根据所述球囊300的长度,所述亲水涂层在所述球囊扩张导管的轴向上的长度为300mm-500mm,例如为350mm-500mm,300mm-450mm,350mm-450mm。所述亲水涂层的主要成分可以是聚乙烯吡咯烷酮,或者可采用现有的任意一种亲水涂料组合物固化形成,本实施例不再赘述。
The total length of the balloon dilatation catheter is 40cm-150cm. When the balloon dilation catheter is used to perform balloon dilation, the push tube 100 is used to transmit the push force applied by the operator, so that the balloon 300 can reach a predetermined position. During the advancement of the balloon 300, the distal end of the inner tube 200 is also provided with a tapered tip 400 for the convenience of guidance. The tapered tip 400 protrudes from the distal end of the balloon 300 . The tapered tip 400 is fabricated from a mixture of polyether block polyamide and titanium dioxide (TiO 2 ). Further, the balloon dilatation catheter also includes a hydrophilic coating (not shown in the figure). The hydrophilic coating covers the outer surface of the tapered tip 400 , the outer surface of the balloon 300 and the outer surface of the distal end of the push tube 100 . The use of the hydrophilic coating can reduce the friction between the distal end of the balloon dilatation catheter and the blood vessel during the pushing process, which is easy to transport and reduces damage to the blood vessel wall. In an alternative embodiment, the hydrophilic coating may only cover the outer surface of the balloon 300 and the distal outer surface of the pusher tube 100 , but not the outer surface of the tapered tip 400 . The hydrophilic coating is not provided on the middle and the proximal end of the push tube 100, which can ensure that the push tube 100 has good maneuverability. In this embodiment, according to the length of the balloon 300, the length of the hydrophilic coating in the axial direction of the balloon dilation catheter is 300mm-500mm, for example, 350mm-500mm, 300mm-450mm, 350mm- 450mm. The main component of the hydrophilic coating may be polyvinylpyrrolidone, or may be formed by curing any existing hydrophilic coating composition, which will not be repeated in this embodiment.
较佳地,所述球囊300为高压球囊,其可在钙化的血管中有效扩张,充分打开病变的血管,提升治疗效果。本实施例中所述球囊300的内层(即,球囊的内层与所述内管200连接的部分)是采用聚十二内酰胺制造而成的低顺应性高压球囊。该高压球囊的直径为3.0mm-14.0mm,长度为20mm-220mm,可承受16atm-3atm的压力。具体地,所述球囊300包括内层和外层,该球囊内层在球囊两端焊点处与内管连接,所述内层和所述外层共同围合形成一用于容纳充盈剂的内腔。所述内层采用聚十二内酰胺挤出成型,所述外层采用 聚醚嵌段聚酰胺挤出成型。Preferably, the balloon 300 is a high-pressure balloon, which can effectively expand in calcified blood vessels, fully open the diseased blood vessels, and improve the treatment effect. In this embodiment, the inner layer of the balloon 300 (ie, the part where the inner layer of the balloon is connected to the inner tube 200 ) is a low-compliance high-pressure balloon made of polylaurolactam. The high-pressure balloon has a diameter of 3.0mm-14.0mm, a length of 20mm-220mm, and can withstand a pressure of 16atm-3atm. Specifically, the balloon 300 includes an inner layer and an outer layer, the inner layer of the balloon is connected to the inner tube at the welding points at both ends of the balloon, and the inner layer and the outer layer are jointly enclosed to form a space for accommodating Filler lumen. The inner layer is extruded with polylaurolactam, and the outer layer is extruded with polyether block polyamide.
所述球囊扩张导管的使用方式如下:首先在患者体内植入导引导丝;接着,将所述球囊扩张导管穿设在所述导引导丝上;接着,施术者向所述推送管100的近端施加推送力,以推送所述球囊扩张导管的远端沿所述导引导丝进入血管并到达病变位置;然后,经由所述推送管100向所述球囊300中灌注充盈剂,以使所述球囊300扩张而撑开狭窄的血管。The use of the balloon dilation catheter is as follows: firstly, a guide wire is implanted in the patient; then, the balloon dilation catheter is threaded on the guide wire; then, the operator pushes the push tube The proximal end of 100 applies a pushing force to push the distal end of the balloon dilation catheter into the blood vessel along the guide wire and reach the lesion site; then, through the pushing tube 100, the balloon 300 is filled with filling agent , so as to expand the balloon 300 to open the narrowed blood vessel.
为实现上述目的,如图3所示,所述推送管100包括沿其轴向并行设置且相互隔离的充盈腔110和导丝腔120。所述充盈腔110的远端与所述球囊300连通,所述导丝腔120的远端与所述内管200连通。所述充盈腔110的横截面为月牙形,所述导丝腔120的横截面为圆形。这种结构的推送管100最大限度地利用其横截面构造所述充盈腔110,缩短充盈剂的充盈及回抽时间。In order to achieve the above purpose, as shown in FIG. 3 , the pushing tube 100 includes a filling cavity 110 and a guide wire cavity 120 which are arranged in parallel along the axial direction and are isolated from each other. The distal end of the filling cavity 110 communicates with the balloon 300 , and the distal end of the guide wire cavity 120 communicates with the inner tube 200 . The cross section of the filling cavity 110 is crescent-shaped, and the cross section of the guide wire cavity 120 is circular. The push tube 100 with this structure utilizes its cross section to the maximum extent to construct the filling cavity 110, thereby shortening the filling and withdrawal time of the filling agent.
进一步地,所述球囊扩张导管还包括连接件500。所述连接件500设置在所述推送管100的近端,并包括第一接头510和第二接头520。其中,所述第一接头510与所述充盈腔110连通,所述第二接头520与所述导丝腔120连通。这样,在实际使用时,所述导引导丝贯穿所述锥形尖端400、所述导丝腔120及所述第二接头520。所述第一接头510与充盈剂注射器连接,所述充盈剂注射器经由所述第一接头510、所述充盈腔110向所述球囊300中灌注充盈剂,所述充盈剂可以是造影剂等。Further, the balloon dilation catheter further includes a connector 500 . The connector 500 is disposed at the proximal end of the push tube 100 and includes a first joint 510 and a second joint 520 . Wherein, the first connector 510 communicates with the filling cavity 110 , and the second connector 520 communicates with the guide wire cavity 120 . In this way, in actual use, the guide wire penetrates the tapered tip 400 , the guide wire lumen 120 and the second joint 520 . The first connector 510 is connected to a filling agent injector, and the filling agent injector fills the balloon 300 with a filling agent via the first connector 510 and the filling cavity 110 , and the filling agent may be a contrast agent or the like .
可选地,所述推送管100的近端伸入所述连接件500的内部而与所述连接件500连接。所述充盈腔110的近端端点到所述球囊300的近端端点的距离小于所述导丝腔120的近端端端点到所述球囊300的近端端点的距离。所述充盈腔110的近端端部为封闭端,且所述充盈腔110的近端腔壁上设置有灌注孔(图中未示出)。所述第一接头510通过所述灌注孔与所述充盈腔110连通。Optionally, the proximal end of the push tube 100 extends into the interior of the connecting member 500 to be connected with the connecting member 500 . The distance from the proximal end of the inflation lumen 110 to the proximal end of the balloon 300 is smaller than the distance from the proximal end of the guide wire lumen 120 to the proximal end of the balloon 300 . The proximal end of the filling cavity 110 is a closed end, and a perfusion hole (not shown in the figure) is provided on the proximal cavity wall of the filling cavity 110 . The first joint 510 communicates with the filling cavity 110 through the filling hole.
在推送所述球囊扩张导管的过程中,施术者向所述连接件500施加推送力,并经由所述连接件500将所述推送力传递至所述推送管100。为避免所述推送管100的近端(具体为所述推送管100对应于所述连接件500的远端附 近的位置)受到应力而变形,所述球囊扩张导管优选包括应力扩散管600(如图1所示)。所述应力扩散管600套设在所述推送管100的近端外表面上,并邻近所述连接件500的远端设置。所述应力扩散管600采用柔性材料例如硅胶制造,起到扩散应力的作用。During the process of pushing the balloon dilation catheter, the operator applies a pushing force to the connecting piece 500 , and the pushing force is transmitted to the pushing tube 100 via the connecting piece 500 . In order to prevent the proximal end of the push tube 100 (specifically, the position of the push tube 100 corresponding to the position near the distal end of the connector 500) from being deformed by stress, the balloon dilation catheter preferably includes a stress diffusion tube 600 ( As shown in Figure 1). The stress spreading tube 600 is sleeved on the outer surface of the proximal end of the pushing tube 100 and is disposed adjacent to the distal end of the connecting member 500 . The stress diffusing tube 600 is made of a flexible material such as silica gel, and plays the role of diffusing stress.
进一步地,所述球囊扩张导管还包括第一连接管710(如图7所示)。所述第一连接管710固定地套设在所述推送管100的近端。所述第一连接管710和所述推送管100经热压连接,且在实现两者的连接过程中,所述第一连接管710还封闭所述充盈腔110的近端端部(具体方法将在下文中介绍)。所述连接件500的内壁与所述第一连接管710通过点胶或注塑工艺密封连接。所述球囊扩张导管还包括第二连接管720。所述第二连接管720通过热压的方式固定地套设在所述推送管100与所述连接件500的远端相对应(即,结合)的位置上,以使至少部分所述第二连接管720设置在所述连接件500的内部,并与所述连接件500的内壁通过点胶或注塑工艺密封连接。通过所述第一连接管710及所述第二连接管720来实现所述推送管100与所述连接件500的连接,提高密封性,避免泄露。Further, the balloon dilation catheter further includes a first connecting tube 710 (as shown in FIG. 7 ). The first connecting tube 710 is fixedly sleeved on the proximal end of the pushing tube 100 . The first connecting tube 710 and the pushing tube 100 are connected by thermocompression, and in the process of connecting the two, the first connecting tube 710 also closes the proximal end of the filling cavity 110 (specific method). will be described below). The inner wall of the connecting member 500 is sealedly connected to the first connecting pipe 710 through a glue dispensing or injection molding process. The balloon dilation catheter further includes a second connecting tube 720 . The second connecting pipe 720 is fixedly sleeved on the position corresponding to (ie, combined with) the distal end of the pushing pipe 100 and the connecting piece 500 by hot pressing, so that at least part of the second connecting pipe 720 The connecting pipe 720 is disposed inside the connecting piece 500 and is sealedly connected to the inner wall of the connecting piece 500 through a glue dispensing or injection molding process. The first connecting pipe 710 and the second connecting pipe 720 are used to realize the connection between the pushing pipe 100 and the connecting member 500, so as to improve the sealing performance and avoid leakage.
本实施例中,所述内管200采用聚十二内酰胺制造。所述导丝腔120的远端端点到所述连接件500的距离小于所述充盈腔110的远端端点到所述连接件500的距离。所述导丝腔120的腔壁与所述内管200的近端管壁经热压形成为一体,提高所述推送管100与所述内管200的连接强度。两者的具体连接方法将在下文中详细介绍。In this embodiment, the inner tube 200 is made of polylaurolactam. The distance from the distal end of the guide wire lumen 120 to the connector 500 is smaller than the distance from the distal end of the filling lumen 110 to the connector 500 . The cavity wall of the guide wire cavity 120 and the proximal tube wall of the inner tube 200 are formed integrally by hot pressing, so as to improve the connection strength of the push tube 100 and the inner tube 200 . The specific connection method of the two will be introduced in detail below.
进一步地,所述球囊扩张导管的远端上还设有至少一个显影元件800,以显示在推送过程中所述球囊300的位置。所述显影元件800可采用铂铱合金等显影性金属制作而成,并优选设置在所述内管200上,安全可靠。本实施例中,所述显影元件800的数量为两个,两个所述显影元件800分别对应于所述球囊300的近端和远端设置。Further, at least one imaging element 800 is provided on the distal end of the balloon dilatation catheter to display the position of the balloon 300 during the pushing process. The developing element 800 can be made of a developing metal such as platinum-iridium alloy, and is preferably disposed on the inner tube 200, which is safe and reliable. In this embodiment, the number of the developing elements 800 is two, and the two developing elements 800 are respectively disposed corresponding to the proximal end and the distal end of the balloon 300 .
接着,本文将结合图4及图6介绍所述球囊扩张导管的内管200与推送管100的组装方法,以及推送管100与连接件(图4至图7中未示出)的组 装方法。Next, the assembly method of the inner tube 200 of the balloon dilatation catheter and the push tube 100, and the assembly method of the push tube 100 and the connector (not shown in FIG. 4 to FIG. 7 ) will be described herein with reference to FIG. 4 and FIG. 6 . .
组装所述推送管100和所述内管200的过程如下:The process of assembling the push tube 100 and the inner tube 200 is as follows:
1)提供推送管100的原始管材100’(原始管材100’具有充盈腔110和所述导丝腔120)和内管200,在所述推送管的原始管材的近端和远端上,所述充盈腔110和所述导丝腔120皆齐平。1) Provide the original tubing 100' of the pusher tube 100 (the original tubing 100' has the filling lumen 110 and the guide wire lumen 120) and the inner tube 200, on the proximal and distal ends of the original tubing of the pusher tube, so The filling cavity 110 and the guide wire cavity 120 are both flush.
2)在所述原始管材100’的远端切割所述导丝腔120的腔壁,以使所述导丝腔120的远端到所述充盈腔110的远端的距离为4mm-6mm。切割时应注意不损伤所述充盈腔110的腔壁。切割后的原始管材100’的远端如图4所示。然后,在所述内管200和所述充盈腔110中插入内衬(图中未示出),分别支撑所述内管200的管壁和所述充盈腔110的腔壁,避免在后续处理过程中所述内管200和所述充盈腔110变形。2) Cutting the lumen wall of the guide wire lumen 120 at the distal end of the original tubing 100', so that the distance from the distal end of the guide wire lumen 120 to the distal end of the filling lumen 110 is 4 mm-6 mm. Care should be taken not to damage the cavity wall of the filling cavity 110 during cutting. The distal end of the cut raw tubing 100' is shown in FIG. 4 . Then, insert a liner (not shown in the figure) into the inner tube 200 and the filling cavity 110 to support the tube wall of the inner tube 200 and the filling cavity 110 respectively, so as to avoid subsequent processing. During the process, the inner tube 200 and the filling cavity 110 are deformed.
3)将所述内管200的近端插入所述导丝腔120的远端(所述内管200的外径略小于所述导丝腔120的内径,以便于插入对接),且所述内管200中的内衬亦插入所述导丝腔120中。3) Insert the proximal end of the inner tube 200 into the distal end of the guide wire lumen 120 (the outer diameter of the inner tube 200 is slightly smaller than the inner diameter of the guide wire lumen 120 to facilitate insertion and docking), and the The inner liner in the inner tube 200 is also inserted into the guide wire lumen 120 .
4)将一热缩管900套装在所述内管200与所述推送管100的连接处(如图5所示)。4) Put a heat shrinkable tube 900 on the connection between the inner tube 200 and the push tube 100 (as shown in FIG. 5 ).
5)对所述热缩管900进行旋转加热,加热温度为420℉-450℉,加热时间约为55s-65s。5) Rotate the heat shrinkable tube 900, the heating temperature is 420°F-450°F, and the heating time is about 55s-65s.
6)待所述热缩管900冷却后,剥除所述热缩管900。6) After the heat shrinkable tube 900 is cooled, the heat shrinkable tube 900 is peeled off.
采用上述方法制作试样,其中在420℉、430℉、440℉及450℉下加热的试样各十个,每个试样的加热时间均为60s。观察所述内管与所述推送管连接处的外观发现当加热温度为420℉时,连接点的外观符合要求,而当加热温度为450℉时,材料变形严重,连接点的外观存在缺陷。对试样做抗拉测试,具体地,将试样两端夹持在拉伸仪器上,以一定拉伸速率对试样进行拉伸,直至试样发生断裂,记录抗拉强度并将结果示于表1中。由表1可知,当加热温度为420℉时,连接点的抗拉强度较低,无法满足使用要求。综上,在连接所述内管与所述推送管时,加热温度优选为430℉-440℉。Samples were made by the above method, ten samples were heated at 420°F, 430°F, 440°F and 450°F, and the heating time of each sample was 60s. Observing the appearance of the connection between the inner pipe and the push pipe, it is found that when the heating temperature is 420°F, the appearance of the connection point meets the requirements, but when the heating temperature is 450°F, the material is severely deformed and the appearance of the connection point is defective. The tensile test is performed on the sample. Specifically, the two ends of the sample are clamped on a tensile instrument, and the sample is stretched at a certain tensile rate until the sample breaks, and the tensile strength is recorded and the result is displayed. in Table 1. It can be seen from Table 1 that when the heating temperature is 420°F, the tensile strength of the connection point is low and cannot meet the requirements for use. To sum up, when connecting the inner pipe and the push pipe, the heating temperature is preferably 430°F-440°F.
表1 推送管与内管的连接点的抗拉强度Table 1 Tensile strength of the connection point between the push tube and the inner tube
组装所述推送管100与所述连接件的过程如下:The process of assembling the push tube 100 and the connector is as follows:
1)在所述推送管100的原始管材100’的充盈腔110和所述导丝腔120中插入内衬。1) Insert a liner into the filling cavity 110 and the guide wire cavity 120 of the original tube 100' of the push tube 100.
2)在所述推送管100的原始管材100’的近端切割所述充盈腔110的腔壁,以使所述充盈腔110的近端端点与所述导丝腔120的近端端点之间的距离为4mm-6mm,切割时注意不应损伤所述导丝腔120的腔壁。所述推送管100的原始管材100’在切割后的近端形状如图6所示。2) Cut the cavity wall of the filling cavity 110 at the proximal end of the original tube 100 ′ of the pushing tube 100 , so that the proximal end point of the filling cavity 110 and the proximal end end point of the guide wire cavity 120 are between The distance is 4mm-6mm, and care should be taken not to damage the lumen wall of the guide wire lumen 120 when cutting. The shape of the proximal end of the original pipe material 100' of the push pipe 100 after cutting is shown in FIG. 6 .
3)在所述充盈腔110远离所述导丝腔120一侧的腔壁上开设灌注孔。在所述推送管100的轴向上,所述灌注孔到所述导丝腔120的近端端点的距离为24mm-28mm。3) A perfusion hole is opened on the cavity wall of the filling cavity 110 on the side away from the guide wire cavity 120 . In the axial direction of the pushing tube 100 , the distance from the perfusion hole to the proximal end point of the guide wire lumen 120 is 24mm-28mm.
4)在所述推送管100上确定连接区域。在所述推送管100的轴向上,所述连接区域到所述导丝腔120的近端端点的距离为48mm-52mm。将一第二连接管720套装在所述推送管100的第二连接区域上,所述第二连接管720由聚醚嵌段聚酰胺制造,轴向长度约为28mm。4) Determine the connection area on the push tube 100 . In the axial direction of the pushing tube 100 , the distance from the connecting region to the proximal end point of the guide wire lumen 120 is 48mm-52mm. A second connecting pipe 720 is sleeved on the second connecting region of the pushing pipe 100, the second connecting pipe 720 is made of polyether block polyamide, and the axial length is about 28 mm.
5)将一热缩管900套装在所述推送管100上,并包覆所述第二连接管720(如图7所示)。5) Put a heat shrinkable tube 900 on the push tube 100 and cover the second connecting tube 720 (as shown in FIG. 7 ).
6)加热所述热缩管900以使所述第二连接管720与所述推送管100固定连接。6) Heating the heat shrinkable tube 900 so that the second connecting tube 720 is fixedly connected with the pushing tube 100 .
7)取出所述推送管100的充盈腔110的内衬,并将一第一连接管710套装在所述推送管100的近端且该第一连接管710不覆盖所述灌注孔(即,套接位置在灌注孔靠近推送管的近端的一侧)。所述第一连接管710的材质为聚醚嵌段聚酰胺,长度约为15mm。7) Take out the lining of the filling cavity 110 of the push tube 100, and fit a first connecting tube 710 to the proximal end of the push tube 100 without covering the perfusion hole (ie, The socket location is on the side of the perfusion hole near the proximal end of the push tube). The material of the first connecting pipe 710 is polyether block polyamide, and the length is about 15 mm.
8)将另一热缩管900套装在所述推送管100的近端,并包覆第一连接管710(如图7所示)。8) Put another heat shrinkable tube 900 on the proximal end of the push tube 100 and cover the first connecting tube 710 (as shown in FIG. 7 ).
9)加热所述热缩管900,加热温度为190℃,加热时间50s,以使所述第一连接管710与所述推送管100固定连接。由于所述充盈腔110中没有内衬,在热缩管900热收缩时,所述充盈腔110的近端腔壁熔融而将所述充盈腔110的近端封闭。9) Heating the heat shrinkable tube 900 at a heating temperature of 190° C. and a heating time of 50 s, so that the first connecting tube 710 and the pushing tube 100 are fixedly connected. Since there is no lining in the filling cavity 110 , when the heat shrinkable tube 900 is thermally shrunk, the proximal end of the filling cavity 110 is melted to seal the proximal end of the filling cavity 110 .
10)冷却后,剥除两个所述热缩管900。10) After cooling, two of the heat shrinkable tubes 900 are peeled off.
11)最后,将所述推送管100的近端插入所述连接件内,以使所述第一接头510与所述灌注孔连通,所述第二连接管720设置在所述连接件的远端处,且至少部分第二连接管720位于所述连接件内。通过点胶或注塑的工艺使得第一连接管710与所述连接件的内壁密封连接,以及所述第二连接管720与所述连接件的内壁密封连接。11) Finally, insert the proximal end of the push tube 100 into the connecting piece, so that the first joint 510 is communicated with the perfusion hole, and the second connecting tube 720 is arranged at the far end of the connecting piece. end, and at least part of the second connecting tube 720 is located within the connector. The first connecting pipe 710 is sealedly connected to the inner wall of the connecting piece, and the second connecting pipe 720 is sealedly connected to the inner wall of the connecting piece through a process of dispensing or injection molding.
本领域技术人员可理解,上述过程中,所述连接区域的位置、所述灌注孔的位置、所述第一连接管的长度和所述第二连接管的长度均根据所述球囊扩张导管的尺寸进行合理设置。Those skilled in the art can understand that in the above process, the position of the connecting region, the position of the perfusion hole, the length of the first connecting pipe and the length of the second connecting pipe are all based on the balloon dilation catheter. size is properly set.
本发明实施例所提供的技术方案,因推送管采用聚十二内酰胺和聚醚嵌段聚酰胺共混挤出成型,使得其兼具可靠的支撑性和良好的柔韧性,能够穿过迂曲血管到达指定的病变部位,能够充分地扩张钙化或长段的闭塞血管。本领域技术人员可理解,本发明实施例所提供的球囊扩张导管还可应用于动静脉瘘的扩张和支架的后扩张。In the technical solution provided by the embodiment of the present invention, because the push tube is formed by blending polylaurolactam and polyether block polyamide, it has both reliable support and good flexibility, and can pass through tortuous When the blood vessel reaches the designated lesion site, it can fully dilate calcified or long occluded blood vessels. Those skilled in the art can understand that the balloon dilatation catheter provided by the embodiments of the present invention can also be applied to the expansion of arteriovenous fistulas and the post-expansion of stents.
虽然本发明披露如上,但并不局限于此。本领域的技术人员可以对本发明进行各种改动和变型而不脱离本发明的精神和范围。这样,倘若本发明的 这些修改和变型属于本发明权利要求及其等同技术的范围之内,则本发明也意图包含这些改动和变型在内。Although the present invention is disclosed above, it is not limited thereto. Various modifications and variations can be made in the present invention by those skilled in the art without departing from the spirit and scope of the invention. Thus, provided that these modifications and variations of the present invention fall within the scope of the claims of the present invention and their equivalents, the present invention is also intended to include these modifications and variations.
Claims (13)
- 一种球囊扩张导管,其特征在于,包括推送管、内管和球囊,所述内管设置在所述推送管的远端,所述球囊套设在所述内管的外表面上;其中,所述推送管由聚十二内酰胺和聚醚嵌段聚酰胺共混挤出成型。A balloon dilatation catheter, characterized in that it comprises a push tube, an inner tube and a balloon, the inner tube is arranged at the distal end of the push tube, and the balloon is sleeved on the outer surface of the inner tube ; Wherein, the push pipe is formed by blending and extruding polylauractam and polyether block polyamide.
- 根据权利要求1所述的球囊扩张导管,其特征在于,所述聚十二内酰胺和所述聚醚嵌段聚酰胺的质量比为(1.5-9):1。The balloon dilatation catheter according to claim 1, wherein the mass ratio of the polylaurolactam to the polyether block polyamide is (1.5-9):1.
- 根据权利要求1所述的球囊扩张导管,其特征在于,所述球囊为高压球囊。The balloon dilatation catheter according to claim 1, wherein the balloon is a high pressure balloon.
- 根据权利要求1-3中的任一项所述的球囊扩张导管,其特征在于,还包括亲水涂层,所述亲水涂层覆盖所述球囊的外表面及所述推送管的远端外表面;和/或,所述球囊扩张导管还包括锥形尖端,所述锥形尖端设置在所述内管的远端,并从所述球囊的远端伸出;所述亲水涂层覆盖所述锥形尖端的外表面、所述球囊的外表面及所述推送管的所述远端外表面。The balloon dilatation catheter according to any one of claims 1-3, further comprising a hydrophilic coating covering the outer surface of the balloon and the outer surface of the pushing tube a distal outer surface; and/or, the balloon dilation catheter further comprises a tapered tip, the tapered tip is disposed at the distal end of the inner tube and protrudes from the distal end of the balloon; the A hydrophilic coating covers the outer surface of the tapered tip, the outer surface of the balloon, and the outer distal surface of the pusher tube.
- 根据权利要求4所述的球囊扩张导管,其特征在于,在所述球囊扩张导管的轴向上,所述亲水涂层的长度为300mm-500mm。The balloon dilation catheter according to claim 4, wherein in the axial direction of the balloon dilation catheter, the length of the hydrophilic coating is 300mm-500mm.
- 根据权利要求1所述的球囊扩张导管,其特征在于,所述推送管包括沿其轴向并行设置且相互隔离的充盈腔和导丝腔;所述充盈腔的横截面为月牙形,且所述充盈腔的远端与所述球囊连通;所述导丝腔的横截面为圆形,且所述导丝腔的远端与所述内管连通。The balloon dilatation catheter according to claim 1, wherein the push tube comprises a filling lumen and a guide wire lumen which are arranged in parallel along the axial direction and are isolated from each other; the cross section of the filling lumen is crescent-shaped, and The distal end of the filling cavity communicates with the balloon; the cross section of the guide wire cavity is circular, and the distal end of the guide wire cavity communicates with the inner tube.
- 根据权利要求6所述的球囊扩张导管,其特征在于,所述导丝腔的远端腔壁与所述内管的近端管壁通过热压的方式形成为一体。The balloon dilatation catheter according to claim 6, wherein the distal end wall of the guide wire cavity and the proximal end tube wall of the inner tube are formed integrally by means of heat pressing.
- 根据权利要求6所述的球囊扩张导管,其特征在于,还包括连接件,所述连接件设置在所述推送管的近端并且包括第一接头和第二接头;所述第一接头与所述充盈腔连通,所述第二接头与所述导丝腔连通。The balloon dilation catheter according to claim 6, further comprising a connecting piece, the connecting piece is disposed at the proximal end of the pushing tube and comprises a first joint and a second joint; the first joint is connected to The filling cavity is in communication, and the second joint is in communication with the guide wire cavity.
- 根据权利要求8所述的球囊扩张导管,其特征在于,所述充盈腔的近端端点到所述球囊的近端端点的距离小于所述导丝腔的近端端点到所述球囊的近端端点的距离;所述充盈腔的近端腔壁上设置有灌注孔,所述灌注孔与所述第一接头连通,所述充盈腔的近端端部为封闭端。The balloon dilation catheter according to claim 8, wherein the distance from the proximal end point of the filling lumen to the proximal end point of the balloon is smaller than the distance from the proximal end point of the guide wire lumen to the balloon The proximal end point of the filling cavity is provided with a perfusion hole, the perfusion hole communicates with the first joint, and the proximal end of the filling cavity is a closed end.
- 根据权利要求9所述的球囊扩张导管,其特征在于,所述推送管的近端伸入所述连接件的内部;所述球囊扩张导管还包括第一连接管,所述第一连接管通过热压的方式设置在所述推送管的近端,并用于封闭所述充盈腔的所述近端端部;所述连接件的内壁与所述第一连接管密封连接。The balloon dilation catheter according to claim 9, wherein the proximal end of the pushing tube extends into the interior of the connecting piece; the balloon dilation catheter further comprises a first connecting tube, the first connecting The tube is arranged at the proximal end of the push tube by hot pressing, and is used to close the proximal end of the filling cavity; the inner wall of the connecting piece is sealedly connected with the first connecting tube.
- 根据权利要求9所述的球囊扩张导管,其特征在于,还包括第二连接管,所述第二连接管通过热压的方式套设在所述推送管上;至少部分所述第二连接管设置在所述连接件的内部,并与所述连接件的内壁密封连接。The balloon dilatation catheter according to claim 9, further comprising a second connection tube, the second connection tube is sleeved on the push tube by means of hot pressing; at least part of the second connection tube The pipe is arranged inside the connecting piece and is sealingly connected with the inner wall of the connecting piece.
- 根据权利要求8所述的球囊扩张导管,其特征在于,还包括应力扩散管,套设在所述推送管的近端外表面上,并邻近所述连接件的远端设置。The balloon dilatation catheter according to claim 8, further comprising a stress diffusion tube sleeved on the outer surface of the proximal end of the push tube and disposed adjacent to the distal end of the connecting piece.
- 根据权利要求1所述的球囊扩张导管,其特征在于,所述内管上还设有显影元件,所述显影元件的数量为两个,并分别对应于所述球囊的近端和远端设置。The balloon dilatation catheter according to claim 1, wherein the inner tube is further provided with imaging elements, and the imaging elements are two in number, corresponding to the proximal end and the distal end of the balloon respectively. end settings.
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CN202010808276.8A CN114073809A (en) | 2020-08-12 | 2020-08-12 | Balloon dilatation catheter |
CN202010808276.8 | 2020-08-12 |
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CN116459433A (en) * | 2023-04-23 | 2023-07-21 | 上海微创医疗器械(集团)有限公司 | Balloon catheter |
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-
2020
- 2020-08-12 CN CN202010808276.8A patent/CN114073809A/en active Pending
-
2021
- 2021-06-24 WO PCT/CN2021/102216 patent/WO2022033193A1/en active Application Filing
- 2021-08-11 AR ARP210102247A patent/AR123213A1/en unknown
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CN116459433B (en) * | 2023-04-23 | 2024-05-17 | 上海微创医疗器械(集团)有限公司 | Balloon catheter |
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AR123213A1 (en) | 2022-11-09 |
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