WO2022042221A1 - 植入体输送装置 - Google Patents

植入体输送装置 Download PDF

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Publication number
WO2022042221A1
WO2022042221A1 PCT/CN2021/110121 CN2021110121W WO2022042221A1 WO 2022042221 A1 WO2022042221 A1 WO 2022042221A1 CN 2021110121 W CN2021110121 W CN 2021110121W WO 2022042221 A1 WO2022042221 A1 WO 2022042221A1
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WO
WIPO (PCT)
Prior art keywords
inner tube
delivery device
outer tube
implant delivery
fixing
Prior art date
Application number
PCT/CN2021/110121
Other languages
English (en)
French (fr)
Inventor
贾士奇
梅杰
林兴
刘世红
陈国明
Original Assignee
上海微创心通医疗科技有限公司
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Application filed by 上海微创心通医疗科技有限公司 filed Critical 上海微创心通医疗科技有限公司
Publication of WO2022042221A1 publication Critical patent/WO2022042221A1/zh

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/24Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
    • A61F2/2442Annuloplasty rings or inserts for correcting the valve shape; Implants for improving the function of a native heart valve
    • A61F2/2466Delivery devices therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/24Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/95Instruments specially adapted for placement or removal of stents or stent-grafts

Definitions

  • the present invention relates to the technical field of medicine, in particular to an implant delivery device.
  • valve disease the traditional treatment method is surgery, which is a valve replacement surgery that requires sawing of the sternum, establishment of cardiopulmonary bypass, and cardiac arrest during the operation.
  • surgery which is a valve replacement surgery that requires sawing of the sternum, establishment of cardiopulmonary bypass, and cardiac arrest during the operation.
  • the risk of surgical heart valve replacement under CPB is high.
  • About 30% of patients give up surgical valve replacement due to various reasons such as advanced age, poor left ventricular function and serious comorbidities. Therefore, for such patients, transcatheter valve replacement, which does not require thoracotomy, cardiopulmonary bypass, and cardiac arrest, is less invasive and has a faster recovery is the best choice.
  • the procedure of implanting an interventional prosthetic heart valve into the body usually requires an implant delivery device to deliver the interventional prosthetic heart valve to a predetermined site.
  • the existing heart valve implant delivery device does not know where the heart valve is delivered and whether it is released in place during delivery. Doctors operate the implant delivery device based on experience. Therefore, often lead to poor surgical results.
  • the purpose of the present invention is to solve the technical problem that the existing implant delivery device cannot accurately determine the delivery position when the implant is delivered.
  • an implant delivery device comprising:
  • a catheter assembly comprising an inner tube, an outer tube sleeved on the inner tube, the space between the outer tube and the inner tube is used for placing an implant, and the outer tube or the outer tube
  • the inner tube is provided with a pick;
  • a transmission assembly for driving the inner tube or the outer tube provided with the paddle to move in a direction parallel to the axis of the inner tube;
  • a fixed structure, a sound prompt assembly is provided on the fixed structure, and when the inner tube or the outer tube provided with the paddle moves to drive the paddle to move on the voice prompt assembly, the dial The sheet acts on the sound prompt assembly to produce sound.
  • the implant delivery device further includes a connector, the connector is fixedly connected with the inner tube or the outer tube, and the pick is arranged on the connector.
  • the sound prompt assembly includes a knocking body, the knocking body has a non-smooth knocking surface, and when the paddle moves on the sound prompt assembly, the paddle scrapes the knocker. Hit the face to make a sound.
  • the sound prompt assembly further includes a first fixing member, and the first fixing member passes through the knocking body to fix the knocking body on the fixing structure.
  • the first fixing member is elastically arranged, and when the paddle exerts a force on the knocking body, the elastically arranged first fixing member accumulates elastic potential energy and generates a reverse force, so that the The striking body moves up and down in a direction perpendicular to the striking surface under the force of the paddle and the first fixing member.
  • the first fixing member includes: a fixing body and an elastic member, the fixing body passes through the striking body to fix the striking body on the fixing structure, and the elastic member is sleeved On the fixed body, when the paddle exerts a force on the percussion body, the elastic piece accumulates elastic potential energy and generates a reverse force, so that the percussion body is placed between the paddle and the percussion body.
  • the elastic member moves up and down in a direction perpendicular to the striking surface.
  • the striking body further includes a body and a plurality of protrusions arranged on the body, the body is arranged on the fixing structure, and the plurality of the protrusions and the top surface of the body are formed. the striking surface.
  • the distances between at least some of the protrusions are not equal.
  • the body is provided with an accommodating hole, the accommodating hole is provided with a limit block, the limit block is fixedly connected with the side wall of the accommodating hole, and one end of the elastic member extends into the accommodating hole. into the accommodating hole and abut against the limiting block.
  • the body has a position adjustment mechanism to adjust the position of the body fixed on the fixing structure.
  • the position adjustment mechanism is a first chute provided on the body and extending along the axis of the inner tube, the first fixing member passes through the first chute, and the body is located in the The first fixing piece moves to a predetermined position along the axis of the inner tube under the limit of the first fixing piece, and the body is fixed on the fixing structure by locking the first fixing piece.
  • the position adjustment mechanism is a sliding block arranged under the main body, the sliding block cooperates with the chute on the fixing structure to move the main body to a predetermined position, and the sliding block is fixed to move the main body to a predetermined position.
  • the body is fixed on the fixed structure.
  • the sound prompt assembly further includes: limit assemblies located on both sides of the knocking body, the limit assemblies are arranged on the fixed structure and the setting positions on the fixed structure are adjustable. , so that when the knocking body is installed at a predetermined position, the limiting assembly is adjusted and fixed to limit the knocking body on both sides of the knocking body.
  • the connector is annularly arranged and sleeved on the outer tube.
  • the fixing structure includes two half-ring shells, and the two half-ring shells are detachably sleeved on the connecting piece in mirror images centered on the axis of the inner tube, and the sound prompt assembly provided on the end of one of the two half-ring shells extending along the axis of the inner tube.
  • the catheter assembly further includes a pick carrier ring, the pick piece is arranged on the pick piece carrier ring, the pick piece carrier ring is fixedly connected with the end of the connector and sleeved on the on the outer tube.
  • the transmission assembly is annularly arranged, and the transmission assembly is sleeved on the connecting piece and is screwed with the connecting piece.
  • the transmission assembly includes two sub-transmission assemblies, and the two sub-transmission assemblies are detachably mounted on the connecting member in mirror images centered on the axis of the inner tube.
  • the connecting piece has a plate-like structure, and a through groove extending along the axis of the inner tube and passing through the plate-like structure is formed in the plate-like structure, and the plate-like structure is formed with a groove along the axis of the plate-like structure.
  • the axis of the transmission assembly extends through the screw hole of the plate-like structure, the outer tube passes through the through groove and is clamped in the through groove, and the transmission assembly passes through the screw hole and is connected with the The connector is screwed.
  • a strength enhancement ring is provided on the outer tube, and the strength enhancement ring is sleeved on the outer tube and at least partially engaged in the through groove.
  • an indication scale is also provided on the outer tube or the inner tube provided with the pick, and/or on the fixed structure, and the indication scale is used to indicate the outer tube or the inner tube.
  • the moving distance of the inner tube is also provided on the outer tube or the inner tube provided with the pick, and/or on the fixed structure, and the indication scale is used to indicate the outer tube or the inner tube. The moving distance of the inner tube.
  • the implant delivery device of the present invention is provided with a paddle on the inner tube or the outer tube, and a sound prompt component is arranged on the fixed structure, so that the inner tube or the outer tube with the paddle moves to drive the paddle to move.
  • the paddle acts on the voice prompt assembly to produce sound. In this way, the doctor can determine the moved position of the inner tube or the outer tube according to the sound emitted by the voice prompting assembly when performing the implantation operation.
  • FIG. 1 is a schematic structural diagram of an outer tube of an implant delivery device provided with an indicator scale in an embodiment of the present invention
  • FIG. 2 is a partial structural schematic diagram of an implant delivery device in an embodiment of the present invention, wherein a half-ring housing and a sub-transmission assembly have been disassembled;
  • Fig. 3 is a partial enlarged view of part A in Fig. 2;
  • FIG. 4 is a schematic structural diagram of an indication scale provided on the fixing structure of the implant delivery device according to an embodiment of the present invention.
  • FIG. 5 is a schematic structural diagram of the sound prompt component of the implant delivery device installed on the fixed structure according to an embodiment of the present invention
  • FIG. 6 is a schematic structural diagram of the protrusions in the voice prompt assembly of the implant delivery device in an embodiment of the present invention being disposed on the body;
  • FIG. 7 is another schematic structural diagram of an implant delivery device in an embodiment of the present invention.
  • FIG. 8 is another structural schematic diagram of the sound prompt component of the implant delivery device installed on the fixed structure according to an embodiment of the present invention.
  • Fig. 1 is a schematic structural diagram of an outer tube of an implant delivery device in an embodiment of the present invention provided with an indicator scale
  • Fig. 2 is a partial structural schematic diagram of an implant delivery device in an embodiment of the present invention, wherein the Disassemble a half-ring housing and a sub-transmission assembly
  • Fig. 3 is a partial enlarged view of part A in Fig. 2;
  • an implant delivery device in this embodiment includes a catheter assembly 1 , a fixing structure 2 and a transmission assembly 3 .
  • the catheter assembly 1 includes an inner tube 12 and an outer tube 13 sleeved on the inner tube 12, wherein the space between the outer tube 13 and the inner tube 12 is used for placing an implant (not shown in the figure).
  • a paddle 15 is provided on the outer tube 13 or the inner tube 12 .
  • the transmission assembly 3 is used to drive the inner tube 12 or the outer tube 13 provided with the paddles 15 to move along the axis of the inner tube 12 .
  • the fixed structure 2 is provided with a sound prompt assembly 4 , when the inner tube 12 or the outer tube 13 provided with the paddle 15 moves to drive the paddle 15 to move to the voice prompt member 4 , the paddle 15 acts on the voice prompt assembly 4 to sound.
  • the paddle 15 is provided on the inner tube 12 or the outer tube 13, and the sound prompting component 4 is provided on the fixing structure 2, so that the When the inner tube 12 or the outer tube 13 provided with the paddle 15 moves to drive the paddle 15 to move on the voice prompt assembly 4 , the paddle 15 acts on the voice prompt assembly 4 , so that the voice prompting component 4 sounds.
  • the doctor can determine the moved position of the inner tube 12 or the outer tube 13 according to the sound emitted by the sound prompting assembly 4 when performing the implantation operation.
  • the implant delivery device further includes a connecting piece 14 , and the connecting piece 14 is fixedly connected with the inner tube 12 or with the outer tube 13 .
  • the fixing structure 2 is annularly arranged and at least sleeved on the connecting piece 14 .
  • the inner tube 12 when the implant delivery device delivers the implant to a predetermined position of the human body and releases the implant, the inner tube 12 can be moved along the axis of the inner tube 12 or the inner tube 12 can be moved along the inner tube 12.
  • the tube 12 moves the outer tube 13 axially to release the implant. Whether the inner tube 12 or the outer tube 13 is moved when the implant is released is not specifically limited here. In this embodiment, the description is given by moving the outer tube 13 along the direction of the inner tube axis 12 as an example.
  • the catheter assembly 1 further includes a conical head 11 , the conical head 11 is fixedly connected with one end of the inner tube 12 , and the other end of the inner tube 12 is also connected with a fixing seat 5 .
  • the inner tube 12 , the fixing seat 5 and the conical head 11 may be integrally formed, or may be fixedly connected by a fixing member, or may be bonded by an adhesive layer.
  • the inner tube 12 may not extend into the tapered head 11 and the fixing seat 5 , but only connect with the surfaces of the tapered head 11 and the fixing seat 5 .
  • the inner tube 12 can also extend into the conical head 11 and the fixing base 5 to be fixedly connected with the conical head 11 and the fixing base 5 .
  • connection between the inner tube 12 and the conical head 11 and the fixing seat 5 is firmer.
  • the connection method between the inner tube 12 and the tapered head 11 and the fixing seat 5 and whether the inner tube 12 extends into the tapered head 11 and the fixing seat 5 are not specifically limited here. The actual situation shall prevail.
  • the connecting member 14 is annularly arranged and sleeved on the outer tube 13 , wherein the connecting member 14 can be integrally formed with the outer tube 13 , or can be formed by a fixing member or an adhesive The adhesive layer is fixedly connected with the outer tube 13 .
  • the implant delivery device in this embodiment further includes an indicator scale 6, and the indicator scale 6 is provided on the outer tube 13 or the inner tube 12 provided with the pick 15, or the The indicating scale is provided on the fixing structure 2 , or the indicating scale 6 can also be simultaneously provided on the outer tube 13 or the inner tube 12 and the fixing structure 2 provided with the paddle 15 .
  • the situation when the indicating scale 6 is set at different positions will be described in detail below.
  • the indicating scale 6 is set at the On the outer tube 13 , the indicating scale 6 is used to indicate the moving distance of the outer tube 13 .
  • the indication scale 6 can indicate the moving distance between the outer tube 13 moving from the position where it just started to move to its predetermined position; the indication scale 6 can also indicate that the outer tube 13 moves from the paddle.
  • 15 is the distance from the position where the voice prompt assembly 4 starts to move to a predetermined position, wherein the distance refers to the moving distance of the paddle 15 or the outer tube 13 along the axis of the inner tube .
  • the moving distance of the outer tube 13 and the paddle 15 can be read through the indication scale 6 .
  • This enables the doctor to clearly and intuitively obtain the moving distance of the outer tube 13 or the paddle 15 during the implantation operation, which further improves the accuracy of the position where the implant is implanted into the human body.
  • the indicator scale 6 is arranged on the inner tube 12 .
  • the specific position of the indicating scale on the inner tube 12 is set according to the actual situation, which is not specifically limited here.
  • FIG. 4 is a schematic structural diagram of the indication scale provided on the fixing structure of the implant delivery device according to an embodiment of the present invention.
  • the indicating scale 6 is arranged on the outer surface of the fixing structure 2 .
  • the voice prompt assembly 4 may also be disposed on the end of one of the two half-ring shells 21 extending along the axis of the inner tube, and the two The indicator scale 6 may also be provided on the outer surface of the other of the half-ring housings 21 , and the indicator scale 6 extends along the axis of the inner tube.
  • the indication scale 6 when the indication scale 6 is provided on the outer surface of the other of the two half-ring housings 21 , the indication scale 6 can indicate that the outer tube 13 has just started to move. The moving distance between the position moving to its predetermined position; the indicating scale 6 can also indicate that the outer tube 13 is moved from the position where the paddle 15 just starts to act on the sound prompt assembly 4 to the predetermined position. The distance between them, wherein the distance refers to the moving distance of the paddle 15 or the outer tube 13 along the axis of the inner tube.
  • the indicator scale 6 since the indicator scale 6 is provided on the outer surface of the half-ring housing 21 , the indicator scale 6 is closer to the fixing base 5 . Therefore, when a doctor performs an operation, the indication scale 6 is closer to the human eye, so that the doctor can read the moving distance of the paddle 15 and the outer tube 13 more clearly.
  • the doctor can select one of the indication scales 6 located at two different positions to read the moving distance of the outer tube 13 according to actual needs. In this way, the reading of the moving distance of the outer tube 13 More convenient and more accurate.
  • the catheter assembly 1 further includes a pick carrier ring 16 , the pick piece 15 is disposed on the pick piece carrier ring 16 , and the pick piece carrier ring 16 is connected to the A piece 14 is sleeved on the end of the outer tube 13 facing the conical head 11 .
  • the number of the picks 15 is two, and the two picks 15 are symmetrically arranged on both ends of the pick-carrying ring 16 with the axis of the inner tube as the center.
  • One of the two paddles 15 cooperates with the voice prompt assembly 4 to act on the voice prompt assembly 4 to produce sound.
  • the indicating scale 6 is arranged on the fixed structure 2
  • the other paddle 15 is used in cooperation with the indicating scale 6 to indicate the moving distance of the paddle 15 .
  • the inner diameter of the pick carrier ring 16 is greater than or equal to the outer diameter of the outer tube 13 .
  • the pick carrier ring 16 can also be fixedly connected with the outer tube 13, so as to further prevent the relative displacement between the pick carrier ring 16 and the outer tube 13, so as to lift the The paddle 15 acts on the accuracy of the voice indication given on the voice prompt assembly 4 .
  • the fixed connection method of the pick carrier ring 16 and the outer tube 13 may include: integral molding, screw connection or glue connection, etc., and the fixing method is not specifically limited here. , subject to actual needs.
  • An outer thread is provided on the outer side of one end of the connecting member 14 facing the fixing base 5 .
  • the transmission assembly 3 is annularly arranged and the inner wall is provided with an inner thread, so as to be sleeved on the connecting piece 14 and engaged with the outer thread of the connecting piece 14, so that the transmission assembly 3 and the connecting piece 14 can be connected with each other.
  • the connecting member 14 can be linearly moved forward and backward by rotating the transmission assembly 3 .
  • the implant delivery device of this embodiment will be described below with reference to FIGS. 1 to 3 .
  • the implant is placed in the space between the inner tube 12 and the outer tube 13; then, the end of the implant delivery device with the tapered head 11 is extended into the patient's body; Then, the doctor holds the fixing member 5 and rotates the transmission assembly 3, so that the transmission assembly 3 drives the connecting member 14 and the outer tube 13 along the The axis of the inner tube is moved until the implant is exposed from the catheter assembly 1, and then the implant is implanted into the patient; wherein, when the outer tube 13 moves to a predetermined position, the dial on the connector 14 The sheet 15 acts on the sound prompt assembly 4 to emit sound. In this way, the doctor can know that the outer tube has moved to the predetermined position according to the voice prompt, so as to perform the predetermined operation.
  • the predetermined position may be the position corresponding to the movement of the outer tube when the implant is released, or may be the position corresponding to the movement of the outer tube when the implant is released into the key area, etc.
  • the specific meaning of the location is not specifically limited here, and the actual situation shall prevail.
  • the predetermined operation may be a stop operation corresponding to the completion of the implant release, or a speed reduction operation corresponding to the implant release to a critical position, or the like. In this embodiment, the predetermined operation is not specifically limited here, and is determined corresponding to the predetermined position.
  • the fixing structure 2 includes two half-ring shells 21 , and the two half-ring shells 21 are mirror images centered on the axis of the inner tube ( Symmetrical) is detachably sleeved on the connecting piece 14 , and the sound prompt assembly 4 is arranged on one of the two half-ring shells 21 .
  • the end of one of the half-ring casings 21 extending along the axis of the inner tube has a groove, and the sound prompt assembly 4 is arranged in the groove.
  • the positions of the ends of the two half-ring shells 21 extending along the axis of the inner tube can form a cavity.
  • the paddle 15 acts on the voice prompt assembly 4 to emit a prompt sound
  • the prompt sound can oscillate in the cavity to increase the decibel of the prompt sound.
  • the fixing structure 2 includes two half-ring casings 21 , and the two half-ring casings 21 are detachably connected. Based on this, when assembling the implant delivery device of this embodiment, the two half-annular shells 21 can be separated, and then one of the two half-annular shells 21 can be engaged with the on one side of the conduit assembly 1, then snap the other half-ring shell 21 on the other side of the conduit assembly 1, and finally fix the two half-ring shells 21 with a fixing piece to complete Assembly of the fixed structure 2. That is, the assembly of the fixing structure 2 in this embodiment is relatively convenient, and when one of the two half-ring casings 21 is damaged, the damaged half-ring casings 21 can be detached from the fixing. The half-ring shell 21 is replaced, so that the entire fixing structure 2 does not need to be replaced, which is beneficial to reduce the cost of the implant delivery device.
  • the two half-ring shells 21 may be fixed by screws or bolts, which are not specifically limited herein.
  • the transmission assembly 3 includes two sub-transmission assemblies 31 .
  • the two sub-transmission assemblies 31 are detachably mounted on the connecting member 14 in a mirror image (symmetrical) manner with the axis of the inner tube as the center.
  • the two sub-transmission members 31 can be separated, and then one of the two sub-transmission members 31 is snapped on one side of the connecting member 14, and then the other One of the sub-transmission members 31 is clamped on the other side of the connecting member 14 , and finally two sub-transmission members 31 are fixed with a fixing member to complete the assembly of the transmission assembly 3 .
  • the assembly of the transmission assembly 3 in this embodiment is relatively convenient, and when one of the two sub-transmission assemblies 31 is damaged, the damaged sub-transmission assembly 31 can be disengaged from the fixed sub-transmission.
  • the assembly 31 is replaced, so that the entire transmission assembly 3 does not need to be replaced, which is beneficial to reduce the cost of the implant delivery device.
  • the two sub-transmission assemblies 31 may be fixed by screws or bolts. There is no specific limitation here.
  • the sound prompt assembly 4 includes a knocking body 41, and the knocking body has a non-smooth knocking surface B. As shown in Figs. When the paddle 15 moves onto the sound prompt assembly 4, the paddle 15 scrapes the striking surface B to make a sound.
  • the sound prompt assembly further includes a first fixing member 42 , and the first fixing member 42 passes through the knocking body 41 to fix the knocking body 41 on the fixing structure 2 .
  • the first fixing member 42 fixes the knocking body 41 on the end surface of one end of the half-ring shell 21 of the fixing structure 2 extending along the axis of the inner tube.
  • the first fixing member 42 is elastically arranged, and when the paddle 15 exerts a force on the knocking body 41 , the elastically arranged first fixing member 42 accumulates elastic potential energy and releases the elastic potential energy. A reverse force is generated, so that the knocking body 41 reciprocates under the force of the paddle 15 and the first fixing member 42 .
  • the knocking body 41 reciprocates in a direction perpendicular to the knocking surface B under the force of the pulling piece 15 and the first fixing member 42 .
  • the striking body 41 reciprocates obliquely in a direction that forms a small included angle with the striking surface B under the force of the paddle 15 and the first fixing member 42 . move.
  • the first fixing member 42 may be configured as a component with an elastic function.
  • the component with an elastic function accumulates elastic potential energy and generates an elastic potential energy. opposite force.
  • the first fixing member 42 can be set as a screw with elastic function, and the screw with elastic function accumulates elastic potential energy and generates elastic potential energy when the paddle 15 exerts a force on the knocking body 41 . opposite force.
  • the first fixing member 42 may also be provided in a separate body, wherein the first fixing member 42 may include: a fixing body 421 and an elastic member 422 .
  • the fixing body 421 passes through the striking body 41 to fix the striking body 41 on the fixing structure 2 , and the elastic member 422 is sleeved on the fixing body 421 .
  • the elastic member 422 accumulates elastic potential energy and generates a reverse force, so that the knocking body 41 can be placed between the paddle 15 and the knocking body 41 .
  • the elastic member 422 moves up and down in a direction perpendicular to the striking surface B.
  • the striking body 41 includes a main body 411 and a plurality of protrusions 412 arranged on the main body 411 .
  • the top surface constitutes the striking surface B.
  • a plurality of the protrusions 412 and the top surface of the main body 411 constitute the striking surface B.
  • the knocking surface B may also be a rough surface, and the specific shape of the knocking surface B is not specifically limited here. Just make a sound when you tap face B.
  • the first fixing member 42 passes through the body 411 of the striking body 41 to attach the striking body 41 is fixed on the fixing structure 2 .
  • the body 411 is provided with an accommodating hole 101 , a limiting block 4111 is arranged in the accommodating hole 101 , and the limiting block 4111 is fixedly connected to the side wall of the accommodating hole 101 .
  • One end of the elastic member 422 extends into the accommodating hole 101 and abuts with the limiting block 4111 , and the other end of the elastic member 422 abuts with the fixing structure 2 .
  • the paddle 15 when the paddle 15 moves onto the sound prompt assembly 4 , the paddle 15 acts on the protrusion 412 to make a sound, and at the same time, the main body 411 faces the fixing structure 2 . (that is, the half-ring casing 21 is moved in the direction of the end face of one end extending along the axis of the inner tube). At this time, the elastic member 422 is compressed and accumulates elastic potential energy. When the paddle 15 moves between the adjacent protrusions 412 , the elastic member 422 generates a half distance away from the sound prompt assembly 4 .
  • the stress on the end surface of the ring housing 21 further pushes the body 411 to move in a direction away from the end surface of the half ring housing 21 where the sound prompt assembly 4 is located, so that the paddles 15 and the adjacent protrusions 412 are moved.
  • the top surface of the body 411 between them touches to further emit sound.
  • the elastic potential energy generated by the elastic member 422 causes the body 411 to reciprocate in a direction perpendicular to the axis of the inner tube, and then vibrate and scrape with the paddle 15 to increase the size of the paddle 15
  • the decibel of the sound emitted when acting on the sound prompting component 4 This is helpful for the doctor to judge the moving position of the outer tube 13 according to the high-decibel sound.
  • the distances between the protrusions 412 can be equal, so that when the paddle 15 acts on the sound prompt assembly 4 to emit prompt sounds, the intervals between the prompt sounds are the same.
  • the distances between at least some of the protrusions 412 can also be made unequal, so that the interval time between at least part of the prompt sounds can be unequal, so that the movement of the outer tube 13 can be judged by the prompt sounds with unequal intervals Location.
  • the distance between the protrusions 412 and the number of the protrusions 412 can also be adjusted according to different requirements.
  • the sound prompting component 4 needs to emit prompting sound intermittently, a relatively small number of protrusions 412 should be provided, and the adjacent protrusions 412 should have a large distance, for example, 10 protrusions can be set within a range of 10 cm. If the sound prompting component 4 needs to emit prompting sound continuously and intensively, set a relatively large number of protrusions 412, and make the adjacent protrusions 412 have a small distance, for example, 20 protrusions can be set within a range of 10cm Raised.
  • the material of the pick 15 and the protrusion 412 can be selected from PC (polycarbonate), ABS (copolymer of propylene-butadiene-benzenediene), etc.
  • the materials of the picks 15 and the protrusions 412 are not specifically limited here, as long as they can achieve a lighter weight and provide sufficient elasticity and wear resistance.
  • the fixing body 421 is a screw
  • the elastic member 422 is a spring
  • the fixing body 421 may also be a bolt
  • the elastic member 422 may be an object with elastic properties, such as an elastic sheet or an elastic block.
  • the elastic member 422 may not extend into the accommodating hole 101 , but is clamped between the fixing structure 2 and the body 411 . Specific, subject to the actual situation.
  • the first fixing member 42 may also be an elastic fixing member, and at least a part of the elastic fixing member located between the body 411 and the fixing structure 2 is elastically arranged.
  • the specific arrangement structure of the first fixing member 41 is not specifically limited here, as long as the main body 411 can be reciprocated in a direction perpendicular to the axis of the inner tube.
  • the first fixing member 42 is a combined structure in which the elastic member 422 is sleeved on the fixing body 431 .
  • the first fixing member 42 may only be provided with a fixing body 431 without the elastic member 422 , so as to fix the body 411 on the fixing structure 2 .
  • an adhesive layer is disposed between the body 411 and the fixing structure 2 , so as to fix the body 411 and the fixing structure 2 through the adhesive layer.
  • the fixing method between the main body 411 and the fixing structure 2 is not specifically limited, and is subject to actual requirements.
  • FIG. 7 is another schematic structural diagram of an implant delivery device in an embodiment of the present invention.
  • the connecting piece 14 may also have a plate-like structure, and both the outer tube 13 and the transmission assembly 3 pass through the plate-like structure.
  • the connecting member 14 has a plate-like structure, and the plate-like structure is provided with a passage extending along the axis of the inner tube and passing through the plate-like structure.
  • the groove 102 and the plate-like structure are provided with screw holes (not shown) extending along the axis of the transmission assembly and passing through the plate-like structure.
  • the outer tube 13 passes through the through slot 102 and is clamped in the through slot 102
  • the transmission assembly 3 passes through the screw hole and is screwed with the connecting member 14 .
  • the outer tube 13 and the transmission assembly 3 are eccentrically arranged, that is, the outer tube 13 and the transmission assembly 3 are not on the same straight line.
  • the connecting member 14 is a rectangular parallelepiped
  • the transmission assembly 3 is a screw rod
  • one end of the screw rod extends into the screw hole of the connecting member 14 , away from the connection
  • the other end of the connecting piece 14 is provided with a motor 33.
  • the motor 33 is connected with the screw through a coupling 34.
  • the motor 33 rotates to drive the screw to rotate, thereby driving the connecting piece 14 and the inner tube 13. Moving away from or close to the conical head 11 in the direction of the inner tube axis.
  • the through groove 102 penetrates the connecting piece 14 in a direction perpendicular to the axis of the inner tube, so the conduit assembly 1 can penetrate through the connecting piece 14 from the through groove 102
  • One end of the connector extends into or disengages from the through slot 102 to be connected to or disengaged from the connector 14 .
  • the conduit assembly 1 is easy to install and remove.
  • the outer tube 13 can be fixedly connected with the connecting piece 14 by means of screwing, abutting or bonding, etc., and the specific connection method of the outer tube 13 and the connecting piece 14 is not specified here. limited.
  • the outer tube 13 is provided with a strength-enhancing ring 7 , and the strength-enhancing ring 7 is sleeved on the outer tube 13 and at least partially engaged with the outer tube 13 . inside the through groove 102 .
  • the strength-enhancing ring 7 is used to enhance the strength of the outer tube 13, so as to prevent the area of the outer tube 13 connected to the connecting piece 14 from being broken when subjected to force.
  • the strength-enhancing ring 7 may be integrally formed with the outer tube 13 , or may be detachably arranged with the outer tube 13 .
  • the strength enhancement ring 7 and the outer tube 13 are detachably arranged, when either the outer tube 13 or the strength enhancement ring 7 is damaged, only the damaged outer tube 13 or the outer tube 13 can be damaged.
  • the strength-enhancing ring 7 is replaced without simultaneously replacing the outer tube 13 and the strength-enhancing ring 7 . To reduce damage to consumables and reduce costs.
  • the strength enhancement ring 7 is sleeved with two protruding rings 8 arranged at intervals, and the two protruding rings 8 abut against the two ends of the through groove 102 respectively.
  • the plate-like structure is connected to prevent the connecting piece 14 and the outer tube 13 from moving on the axis of the inner tube.
  • the protruding ring 8 and the strength enhancing ring 7 can be integrally formed, or can be detachably connected.
  • the protruding ring 8 When the protruding ring 8 is detachably connected to the strength enhancing ring 7, when one of the protruding ring 8 and the strength enhancing ring 7 is damaged, the damaged protruding ring 8 or the The strength-enhancing ring 7 can be replaced, so that the cost can be reduced.
  • the fixing structure 2 is arranged in a plate shape.
  • the fixing structure 2 is provided as a rectangular plate.
  • the structure of the fixing structure 2 is not specifically limited here, and can be set as a plane structure.
  • the voice prompt assembly 4 is fixed on the plate-shaped fixing structure 2 .
  • the implant delivery device further includes a housing (not shown), and the fixing structure 2 is located in the housing and is fixedly connected to the housing of the housing.
  • FIG. 8 is another structural schematic diagram of the sound prompt component of the implant delivery device installed on the fixed structure according to an embodiment of the present invention.
  • the first fixing member 43 may include a fixing body 431 and an elastic member 432 .
  • the body 411 has a first chute 103 extending along the axis of the inner tube, the first fixing member 43 passes through the first sliding slot 103 , and the body 411 is located at the position of the first fixing member 43 . Under the limit, after moving to a predetermined position along the axis of the inner tube, the first fixing member 43 is fixed to restrain the main body 411 above the fixing structure 2, so that the striking body can The elastic member 432 vibrates up and down under the action of the elastic potential energy.
  • the fixing body 431 of the first fixing member 43 can be passed through the first chute 103 to the body 411 first. Carry out pre-positioning, then move the main body 411 along the inner tube axis to fine-tune the main body 411, and tighten the first fixing member 43 after the main body 411 moves to the predetermined position (ie, the fixing main body 431 is in the first sliding position). The position in the groove 103 is fixed) to fix the body 411 on the half-ring housing 21 .
  • the main body 411 in this embodiment is provided with the first chute 103 extending along the axis of the inner tube, the main body 411 can move the main body 411 after the first fixing member 43 is positioned so that all
  • the position of the first fixing member 43 in the first chute 103 is adjustable, so as to fine-tune the position of the main body 411 .
  • the positional accuracy of the sound-generating component 4 is more precise, so that the doctor can operate more accurately when implanting the implant.
  • it can be fine-tuned according to the axial length of the valve prosthesis to be adapted to fit different specifications of the valve prosthesis.
  • the voice prompt assembly 4 in this embodiment further includes: two limit assemblies 44 located on both sides of the main body 411 , and the two limit assemblies 44 are arranged at the The end portion of the half-ring shell 21 extending along the axis of the inner tube is adjustable in position, so that when the main body 411 is installed at a predetermined position, the limiting assembly 44 can be adjusted and fixed so as to be in the position of the main body 411 .
  • the body 411 is limited on both sides.
  • the implant delivery device of this embodiment is provided with a limiting component 44, and the position of the limiting component 44 on the half-ring housing 21 is adjustable, when the body 411 is installed at a predetermined position, the fixed The limiting assembly 44 (ie, the position of the limiting member 442 in the second chute 104 is fixed) so that the body 411 does not shake greatly along the axis of the inner tube.
  • the limiting component 44 includes: a limiting member 441 and a second fixing member 442 , and the limiting member 441 has a second fixing member 441 extending along the axis of the inner tube.
  • the sliding groove 104, the second fixing member 442 passes through the second sliding groove 104, so as to fix the limiting member 441 when the main body 411 is installed at a predetermined position.
  • the first fixing member 43 can be passed through the first fixing member 43 first.
  • the main body 411 is pre-positioned by the chute 103 ; then the limiting pieces 441 are placed on both sides of the main body 411 , the second fixing piece 442 is passed through the second chute 104 , and the The limiting member 441 is pre-positioned; finally, the position of the body 411 is adjusted along the axis of the inner tube until the body 411 is installed at the predetermined position, and the position of the limiting member 441 is adjusted so that the position of the limiting member 441 is The distance between 441 and the body 411 is adjusted to a predetermined distance, and then the second fixing member 442 is tightened, so as to fix the limiting member 441 on the half-ring housing 21 and limit the body 411 along the The displacement in the axial direction of the inner tube can prevent the main body 411 from shaking greatly in the axial direction of the
  • a sliding block is provided below the main body 411 , the voice prompt assembly 4 is connected to the sliding block, and the fixing structure 2 is provided with a sliding groove corresponding to the sliding block , the sliding block is configured to move axially along the chute, so as to drive the voice prompt assembly 4 to move.
  • the sliding block is provided with a toggle handle outward along the circumferential direction of the fixing structure 2 to facilitate moving the sliding block.
  • a sliding block is used to move the striking body 41 and the first fixing member 42 to a predetermined sounding position, and then the sliding block is fixed. When the paddle 5 is in contact with the sound-producing component 4 to produce relative displacement, a sound can be issued to prompt.

Landscapes

  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Transplantation (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Prostheses (AREA)

Abstract

一种植入体输送装置,通过在内管(12)或外管(13)上设置拨片(15),并在固定结构(2)上设置声音提示组件(4),使得在设有拨片(15)的内管(12)或外管(13)移动以带动拨片(15)移动至声音提示组件(4)上时拨片(15)作用于声音提示组件(4)以发声。医生在进行植入手术时,能够根据声音提示组件(4)发出的声响确定内管(12)或外管(13)移动后的位置。

Description

植入体输送装置 技术领域
本发明涉及医药技术领域,特别涉及一种植入体输送装置。
背景技术
随着我国人口老龄化的进程,高龄瓣膜病患者及合并高血压、糖尿病、脑血管病变等多种风险因素的患者越来越多。对于瓣膜病变,传统的治疗方式为外科手术,是一种在手术过程中需锯开胸骨、建立体外循环,并在心脏停跳下完成的瓣膜置换手术。然而,对于合并多种风险因素的高龄患者而言,在体外循环下进行外科心脏瓣膜置换手术的风险很高。30%左右的病人因高龄、左心室功能差以及存在严重的合并症等各种原因而放弃进行外科手术换瓣治疗。因此,对于这样的患者,不需要开胸、无须体外循环、不必心脏停跳、创伤小、恢复快的经导管瓣膜置换术是最好的选择。
目前,将介入式人工心脏瓣膜植入体内的过程通常需要依靠植入体输送装置将介入式人工心脏瓣膜输送到预定部位。但是,现有的心脏瓣膜植入体输送装置在输送时,不知道心脏瓣膜具体输送到了什么位置,是否释放到位,医生在使用该植入体输送装置的时候完全根据经验进行操作,因此,常常会导致手术效果不佳。
发明内容
本发明的目的在于,解决现有的植入体输送装置在进行植入体输送时,不能够准确判断输送位置的技术问题。
为解决上述问题,本发明提供一种植入体输送装置,包括:
导管组件,所述导管组件包括内管、套设在所述内管上的外管,所述外管和所述内管之间的空间用于放置植入体,以及所述外管或所述内管上设有拨片;
传动组件,用于带动设有所述拨片的所述内管或所述外管沿平行于内管轴线的方向移动;
固定结构,所述固定结构上设有声音提示组件,设有所述拨片的所述内管或所述外管移动以带动所述拨片移动至所述声音提示组件上时,所述拨片作用于所述声音提示组件以发声。
可选的,所述植入体输送装置还包括连接件,所述连接件与所述内管或所述外管固定连接,所述拨片设置在所述连接件上。
可选的,所述声音提示组件包括敲击体,所述敲击体具有非光滑的敲击面,所述拨片移动到所述声音提示组件上时,所述拨片刮擦所述敲击面以发声。
可选的,所述声音提示组件还包括第一固定件,所述第一固定件穿过所述敲击体以将所述敲击体固定在所述固定结构上。
可选的,所述第一固定件弹性设置,所述拨片对所述敲击体施加作用力时,弹性设置的所述第一固定件积蓄弹性势能并产生反向作用力,以使所述敲击体在所述拨片和所述第一固定件的作用力下在垂直于所述敲击面的方向上下移动。
可选的,所述第一固定件包括:固定主体和弹性件,所述固定主体穿过所述敲击体以将所述敲击体固定在所述固定结构上,所述弹性件套设在所述固定主体上,当所述拨片对所述敲击体施加作用力时,所述弹性件积蓄弹性势能并产生反向作用力,以使所述敲击体在所述拨片和所述弹性件的作用力下在垂直于所述敲击面的方向上下移动。
可选的,所述敲击体还包括本体和设置在所述本体上的多个凸起,所述本体设置在所述固定结构上,多个所述凸起和所述本体的顶表面构成所述敲击面。
可选的,至少部分所述凸起之间的间距不相等。
可选的,所述本体上设有容纳孔,所述容纳孔内设有限位块,所述限位块与所述容纳孔的侧壁固定连接,以及所述弹性件的一端伸入至所述容纳孔中并与所述限位块抵接。
可选的,所述本体具有位置调节机构以调整所述本体固定于所述固定结构上的位置。
可选的,所述位置调节机构为设于所述本体上且沿所述内管轴线延伸的第一滑槽,所述第一固定件穿过所述第一滑槽,所述本体在所述第一固定件的限位下沿所述内管轴线移动到预定位置并通过锁紧所述第一固定件将所述本体固定在所述固定结构上。
可选的,所述位置调节机构为设于所述本体下方的滑动块,所述滑动块与所述固定结构上的滑槽配合将所述本体移动至预定位置并通过固定所述滑动块将所述本体固定在固定结构上。
可选的,所述声音提示组件还包括:位于所述敲击体的两侧的限位组件,所述限位组件设置在所述固定结构上且在所述固定结构上的设置位置可调,从而在所述敲击体安装到预定位置时,调整并固定所述限位组件以在所述敲击体的两侧对所述敲击体进行限位。
可选的,所述连接件环状设置且套设在所述外管上。
可选的,所述固定结构包括两个半环壳体,两个所述半环壳体以所述内管轴线为中心镜像可拆卸地套设在所述连接件上,所述声音提示组件设置在两个所述半环壳体其中之一的沿所述内管轴线延伸的端部上。
可选的,所述导管组件还包括拨片承载环,所述拨片设置在所述拨片承载环上,所述拨片承载环与所述连接件的端部固定连接并套设在所述外管上。
可选的,所述传动组件环状设置,以及所述传动组件套设在所述连接件上,并与所述连接件螺接。
可选的,所述传动组件包括两个子传动组件,两个所述子传动组件以所述内管轴线为中心可拆卸地镜像套设在所述连接件上。
可选的,所述连接件呈板状结构,所述板状结构中开设有沿所述内管轴线延伸且贯穿所述板状结构的通槽,且所述板状结构中开设有沿所述传动组件的轴线延伸且贯穿所述板状结构的螺孔,所述外管穿过所述通槽并卡持在所述通槽内,以及所述传动组件穿过所述螺孔后与所述连接件螺接。
可选的,所述外管上设有强度增强环,所述强度增强环套设在所述外管上且至少部分地卡合在所述通槽内。
可选的,在设有所述拨片的所述外管或所述内管上,和/或在所述固定结 构上还设有指示刻度,所述指示刻度用于指示所述外管或所述内管的移动距离。
本发明的植入体输送装置通过在内管或外管上设有拨片,并在固定结构上设有声音提示组件,使得在设有拨片的内管或外管移动以带动拨片移动到声音提示组件上时所述拨片作用于声音提示组件,以发声。如此,医生在进行植入手术时,能够根据声音提示组件发出的声响确定内管或外管移动后的位置。
附图说明
图1是本发明一实施例中的植入体输送装置的外管上设有指示刻度的结构示意图;
图2是本发明一实施例中的植入体输送装置的部分结构示意图,其中,已拆卸一个半环壳体和一个子传动组件;
图3是图2中A部分的局部放大图;
图4是本发明一实施例中的植入体输送装置的固定结构上设有指示刻度的结构示意图;
图5是本发明一实施例中的植入体输送装置的声音提示组件安装在固定结构上的结构示意图;
图6是本发明一实施例中的植入体输送装置的声音提示组件中的凸起设置在本体上的结构示意图;
图7是本发明一实施例中的植入体输送装置的另一结构示意图;
图8是本发明一实施例中的植入体输送装置的声音提示组件安装在固定结构上的另一结构示意图。
附图标记
1-导管组件;
11-锥形头;                        12-内管;
13-外管;                          14-连接件;
15-拨片;                          16-拨片承载环;
2-固定结构;                        21-半环壳体
3-传动组件;                        31-子传动组件;
33-电机;                           34-联轴器;
4-声音提示组件;
41-敲击体;                         411-本体;
412-凸起;                          4111-限位块;
42,43-第一固定件;                  44-限位组件;
421,431-固定主体;                  422,432-弹性件;
441-限位件;                        442-第二固定件
5-固定座;
6-指示刻度;
7-强度增强环;
8-凸环;
101-容纳孔;                        102-通槽;
103-第一滑槽;                      104-第二滑槽;
具体实施方式
以下结合附图和具体实施例对本发明提出的一种植入体输送装置作进一步详细说明。根据下面说明,本发明的优点和特征将更清楚。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。此外,附图所展示的结构往往是实际结构的一部分。特别的,各附图需要展示的侧重点不同,有时会采用不同的比例。
图1是本发明一实施例中的植入体输送装置的外管上设有指示刻度的结构示意图;图2是本发明一实施例中的植入体输送装置的部分结构示意图,其中,已拆卸一个半环壳体和一个子传动组件;图3是图2中A部分的局部放大图;
如图1~图3所示,本实施例中的一种植入体输送装置,包括导管组件1、固定结构2以及传动组件3。
其中,所述导管组件1包括内管12、套设在所述内管12上的外管13,其中,所述外管13和所述内管12之间的空间用于放置植入体(图中未示出)。所述外管13或所述内管12上设有拨片15。
所述传动组件3用于带动设有所述拨片15的所述内管12或所述外管13沿所述内管12的轴线的方向移动。
所述固定结构2上设有声音提示组件4,设有所述拨片15的所述内管12或所述外管13移动以带动所述拨片15移动至所述声音提示组件4上时,所述拨片15作用于所述声音提示组件4以发声。
本实施例中的植入体输送装置通过在所述内管12或所述外管13上设有所述拨片15,并在所述固定结构2上设有所述声音提示组件4,使得在设有拨片15的所述内管12或所述外管13移动以带动所述拨片15移动到所述声音提示组件4上时,所述拨片15作用于所述声音提示组件4,以使所述声音提示组件4发声。如此,医生在进行植入手术时,能够根据所述声音提示组件4发出的声响确定所述内管12或所述外管13移动后的位置。
进一步的,重点参图2所示,在本实施例中,所述植入体输送装置还包括连接件14,所述连接件14与所述内管12或与所述外管13固定连接。所述固定结构2环状设置并至少套设在所述连接件14上。
在本实施例中,所述植入体输送装置在将植入体输送至人体的预定位置并释放时,可通过沿所述内管12轴线方向移动所述内管12或通过沿所述内管12轴线方向移动所述外管13来释放所述植入体。在释放植入体时移动所述内管12还是移动所述外管13,在此不做具体限定。在本实施例中,以沿所述内管轴线12方向移动所述外管13为例进行说明。
继续参考图2所示,所述导管组件1还包括锥形头11,所述锥形头11与所述内管12的一端固定连接,所述内管12的另一端还连接有固定座5。在本实施例中,所述内管12和所述固定座5以及所述锥形头11可一体成型设计,也可通过固定件固定连接,或者可通过黏胶层粘接。此外,所述内管12可不伸入所述锥形头11和所述固定座5,只与所述锥形头11和所述固定座5的表面连接。或者,所述内管12也可伸入所述锥形头11和所述固定座5以与所 述锥形头11和所述固定座5固定连接。如此,所述内管12与所述锥形头11和所述固定座5之间的连接更牢固。所述内管12与所述锥形头11和所述固定座5的连接方式以及所述内管12是否伸入所述锥形头11和所述固定座5,在此不做具体限定,以实际情况为准。
此外,在本实施例中,所述连接件14环状设置且套设在所述外管13上,其中所述连接件14可与所述外管13一体成型,也可通过固定件或黏胶层与所述外管13固定连接。
进一步的,本实施例中的植入体输送装置还包括指示刻度6,所述指示刻度6设置在设有所述拨片15的所述外管13或所述内管12上,或者所述指示刻度设置在固定结构2上,或者,所述指示刻度6还可以同时设置在设有所述拨片15的所述外管13或所述内管12和所述固定结构2上。下面详细介绍所述指示刻度6设置在不同位置时的情形。
继续参照图1所示,在本实施例中,若所述拨片15设置在所述外管13上,且所述外管13带动所述拨片15移动,则所述指示刻度6设置在所述外管13上,其中,所述指示刻度6用于指示所述外管13的移动距离。具体的,所述指示刻度6可以指示所述外管13从刚开始移动的位置移动至其预定位置之间的移动距离;所述指示刻度6也可以指示所述外管13从所述拨片15刚开始作用到所述声音提示组件4上的位置移动至预定位置之间的距离,其中,所述距离指的是所述拨片15或所述外管13沿内管轴线方向的移动距离。本实施例中,通过在所述外管13上设置所述指示刻度6,进而使得所述外管13和所述拨片15的移动距离可以通过所述指示刻度6读取。这使得医生在进行植入手术时,能够清楚直观的得出所述外管13或所述拨片15的移动距离,进一步提升植入体植入人体的位置的准确性。此外,若所述拨片15设置在所述内管12上,且所述内管12移动带动所述拨片15移动,则所述指示刻度6设置在所述内管12上。所述指示刻度在所述内管12上的具体位置根据具体实际情况设定,在此不做具体限定。
图4是本发明一实施例中的植入体输送装置的固定结构上设有所述指示刻度的结构示意图。可选的,所述指示刻度6设置在固定结构2的外表面上。 具体的,请参图4并结合图2所示,所述声音提示组件4还可以设置在两个所述半环壳体21其中之一的沿所述内管轴线延伸的端部上,两个所述半环壳体21中的另一个的外表面上还可以设置有所述指示刻度6,且所述指示刻度6沿所述内管轴线延伸。在本实施例中,当两个所述半环壳体21中的另一个的外表面上设置有所述指示刻度6时,所述指示刻度6可以指示所述外管13从刚开始移动的位置移动至其预定位置之间的移动距离;所述指示刻度6也可以指示所述外管13从所述拨片15刚开始作用到所述声音提示组件4上的位置移动至其预定位置之间的距离,其中,所述距离指的是所述拨片15或所述外管13沿内管轴线方向的移动距离。在本实施例中,由于所述半环壳体21的外表面上设置有所述指示刻度6,故所述指示刻度6更靠近固定座5。因此,在医生做手术时,所述指示刻度6更靠近人眼,使得医生能够更清楚的读取所述拨片15和所述外管13的移动距离。
此外,在可选的方案中,指示刻度6还可以为两个,两个所述指示刻度6同时设置在所述半环壳体21和所述外管13上。这样,医生就可以根据实际需要选取位于两个不同位置处的所述指示刻度6其中之一对所述外管13的移动距离进行读取,如此一来,外管13的移动距离的读取更方便,更准确。
进一步的,继续参图2所示,所述导管组件1还包括拨片承载环16,所述拨片15设置在所述拨片承载环16上,所述拨片承载环16与所述连接件14套设在所述外管13朝向所述锥形头11的端部。
在本实施例中,所述拨片15为两个,两个所述拨片15以所述内管轴线为中心对称设置在所述拨片承载环16的两端。两个拨片15其中之一与所述声音提示组件4配合以作用在所述声音提示组件4上以发声。当所述指示刻度6设置在固定结构2上时,另一个所述拨片15用于与指示刻度6配合使用,以指示所述拨片15的移动距离。
此外,在本实施例中,所述拨片承载环16的内径大于等于所述外管13的外径。当所述拨片承载环16的内径等于所述外管13的外径时,所述拨片承载环16与所述外管13之间无间隙,以使所述拨片承载环16与所述外管13之间不发生相对位移。进一步的,在实施例中,所述拨片承载环16还可与所 述外管13固定连接,从而更进一步的防止拨片承载环16与所述外管13之间发生相对位移,以提升所述拨片15作用在所述声音提示组件4上给出的发声指示的准确性。具体的,在本实施例中,所述拨片承载环16和所述外管13的固定连接的方式可以包括:一体成型、螺接或胶接等,所述固定方式在此不做具体限定,以实际需求为准。
所述连接件14朝向所述固定座5的一端的外侧设有外螺纹。所述传动组件3环状设置且内壁设有内螺纹,以套设在所述连接件14上并与所述连接件14的外螺纹咬合,以使所述传动组件3和所述连接件14螺接,通过转动所述传动组件3可使所述连接件14前后直线运动。
下面结合图1~图3说明本实施例的所述植入体输送装置的工作过程。首先,将所述植入体放置在所述内管12和所述外管13之间的空间中;之后,将所述植入体输送装置设有锥形头11的一端伸入患者体内;然后,医生手握所述固定件5并转动所述传动组件3,以使所述传动组件3带动所述连接件14和所述外管13以远离所述锥形头11的方向沿所述内管轴线运动,直至使所述植入体从导管组件1露出,然后将植入体植入患者体内;其中,当所述外管13运动到预定位置时,所述连接件14上的拨片15作用于所述声音提示组件4上以发出声音。如此一来,医生根据声音提示即可知道所述外管运动到预定位置,从而进行预定操作。
在本实施例中,所述预定位置可以是植入体释放完成时对应的外管移动的位置,也可以是植入体释放到关键区域中时对应的外管移动的位置等,所述预定位置的具体含义在此不做具体限定,以实际情况为准。此外,在本实施例中,所述预定操作可以为对应于上述植入体释放完成时的停止操作,或者对应于所述植入体释放到关键位置时的速度放缓操作等。在本实施例中,所述预定操作在此不做具体限定,以对应于所述预定位置来定。
继续参照图1并结合图2所示,在本实施例中,所述固定结构2包括两个半环壳体21,两个所述半环壳体21以所述内管轴线为中心镜像(对称)可拆卸地套设在所述连接件14上,所述声音提示组件4设置在两个所述半环壳体21其中之一上。具体的,在本实施例中,其中一个半环壳体21沿所述内 管轴线延伸的端部上具有凹槽,所述声音提示组件4设置在所述凹槽内。如此一来,两个半环壳体21沿所述内管轴线延伸的端部的位置可形成空腔。在拨片15作用在声音提示组件4上发出提示声音后,提示声音可在空腔内震荡以增大提示声音的分贝。
在本实施例中,所述固定结构2包括两个半环壳体21,且两个所述半环壳体21可拆卸连接。基于此,在组装本实施例的所述植入体输送装置时,可将两个所述半环壳体21分开,然后将两个所述半环壳体21其中之一卡合在所述导管组件1的一侧上,之后将另一所述半环壳体21卡合在所述导管组件1的另一侧上,最后使用固定件固定两个所述半环壳体21,以完成固定结构2的组装。即,本实施例中的固定结构2的组装较为方便,且在两个半环壳体21其中之一受损时,可通过使两个所述半环壳体21脱离固定而对受损的所述半环壳体21进行更换,从而不用更换整个所述固定结构2,有利于降低植入体输送装置的成本。其中,两个半环壳体21之间可以采用螺丝或螺栓等进行固定,在此不做具体限定。
在本实施例中,所述传动组件3包括两个子传动组件31。两个所述子传动组件31以所述内管轴线为中心可拆卸地镜像(对称)套设在所述连接件14上。在组装所述传动组件3时,可将两个所述子传动件31分开,然后将两个所述子传动件31其中之一卡合在所述连接件14的一侧上,之后将另一所述子传动件31卡合在所述连接件14的另一侧上,最后使用固定件固定两个所述子传动件31,以完成传动组件3的组装。即,本实施例中的传动组件3的组装较为方便,且在两个子传动组件31其中之一受损时可通过使两个所述子传动组件31脱离固定而对受损的所述子传动组件31进行更换,从而不用更换整个所述传动组件3,有利于降低植入体输送装置的成本。其中,两个子传动组件31之间可以采用螺丝或螺栓等进行固定。在此不做具体限定。
图5是本发明一实施例中的植入体输送装置的声音提示组件安装在固定结构上的结构示意图;图6是本发明一实施例中的植入体输送装置的声音提示组件中的凸起设置在本体上的结构示意图。参图3并结合图5和图6所示,在本实施例中,所述声音提示组件4包括敲击体41,所述敲击体具有非光滑 的敲击面B。当所述拨片15移动到所述声音提示组件4上时,所述拨片15刮擦所述敲击面B以发声。其中,所述声音提示组件还包括第一固定件42,所述第一固定件42穿过所述敲击体41以将所述敲击体41固定在所述固定结构2上。具体的,所述第一固定件42将所述敲击体41固定在所述固定结构2的半环壳体21沿所述内管轴线延伸的一端的端面上。
进一步的,在本实施例中,所述第一固定件42弹性设置,所述拨片15对所述敲击体41施加作用力时,弹性设置的所述第一固定件42积蓄弹性势能并产生反向作用力,以使所述敲击体41在所述拨片15和所述第一固定件42的作用力下往复移动。具体的,在本实施例中,所述敲击体41在所述拔片15和所述第一固定件42的作用力下在垂直于所述敲击面B的方向往复移动。在可选实施例中,所述敲击体41在所述拨片15和所述第一固定件42的作用力下在与所述敲击面B呈一定较小夹角的方向斜向往复移动。可选的,所述第一固定件42可以设置为具有弹性功能的部件,所述具有弹性功能的部件在所述拨片15对所述敲击体41施加作用力时,积蓄弹性势能并产生相反作用力。可选的,所述第一固定件42可以设置为具有弹性功能的螺丝,所述具有弹性功能的螺丝在所述拨片15对所述敲击体41施加作用力时,积蓄弹性势能并产生相反作用力。可选的,继续参照图5所示,所述第一固定件42还可以分体设置,其中,所述第一固定件42可以包括:固定主体421和弹性件422。所述固定主体421穿过所述敲击体41以将所述敲击体41固定在所述固定结构2上,所述弹性件422套设在所述固定主体421上。如此,所述拨片15对所述敲击体41施加作用力时,所述弹性件422积蓄弹性势能并产生反向作用力,以使所述敲击体41在所述拨片15和所述弹性件422的作用力下在垂直于所述敲击面B的方向上下移动。
继续参照图5所示,在本实施例中,所述敲击体41包括本体411和设置在所述本体411上的多个凸起412,多个所述凸起412和所述本体411的顶表面构成所述敲击面B。在所述连接件14带动所述拨片15沿远离所述锥形头11方向运动以释放所述植入体,并在所述拨片15移动到所述声音提示组件4上时,所述拨片15与所述敲击面B刮擦,进而发出声响。
在本实施例中,多个所述凸起412与所述本体411顶表面构成所述敲击面B。在其他实施例中,所述敲击面B也可以为粗糙的面,所述敲击面B具体形态在此不做具体限定,以实际情况为准,只需在拨片15刮擦所述敲击面B时发声即可。
进一步的,继续参图3和图5~图6所示,具体的,在本实施例中,所述第一固定件42穿过所述敲击体41的本体411以将所述敲击体41固定在所述固定结构2上。所述本体411上设有容纳孔101,所述容纳孔101内设有限位块4111,所述限位块4111与所述容纳孔101的侧壁固定连接。所述弹性件422的一端伸入至所述容纳孔101中并与所述限位块4111抵接,以及所述弹性件422的另一端与所述固定结构2抵接。
在本实施例中,当所述拨片15移动到所述声音提示组件4上时,所述拨片15作用在所述凸起412上发声,同时使所述本体411朝向所述固定结构2(即,半环壳体21沿所述内管轴线延伸的一端的端面)方向运动。此时,所述弹性件422被压缩,积蓄弹性势能,待所述拨片15运动到相邻所述凸起412之间时,所述弹性件422产生远离所述声音提示组件4所在的半环壳体21的端面的应力进而推动所述本体411朝远离所述声音提示组件4所在的半环壳体21的端面的方向运动,进而使得所述拨片15与相邻所述凸起412之间的所述本体411的顶表面碰触而进一步的发出声音。本实施例中,所述弹性件422产生的弹性势能使得所述本体411在垂直于所述内管轴线方向往复运动,进而与所述拨片15震荡刮擦,以增大所述拨片15作用在所述声音提示组件4上时发出的声音分贝。这有利于医生根据所述分贝较高的声音判断所述外管13的移动位置。
在本实施例中,所述凸起412之间的间距可以相等,如此可使得拨片15作用在所述声音提示组件4上发出提示声音时,提示声音之间的间隔时间相同。同时,还可以使得至少部分所述凸起412之间的间距不相等,如此使得至少部分提示声音之间的间隔时间可以不相等,从而可通过间隔时间不等的提示声音判断外管13的移动位置。此外,凸起412之间的间距和凸起412的个数还可以根据不同需求进行调节。例如,若需要声音提示组件4断续发出 提示声音,则设置比较少数量的凸起412,并使相邻所述凸起412之间具有较大的间距,比如10cm范围内可以设置10个凸起;若需要声音提示组件4连续密集地发出提示声音,则设置比较多数量的凸起412,并使相邻所述凸起412之间具有较小的间距,比如10cm范围内可以设置20个凸起。
此外,在本实施例中,所述拨片15和所述凸起412的材质可以选用PC(聚碳酸酯)、ABS(丙烯--丁二烯--苯二烯的共聚物)等,所述拨片15和所述凸起412的材质在此不做具体限定,只要可以实现较轻的重量但又可以提供足够的弹性和耐磨性即可。
继续参照图3和图5~图6所示,本实施例中,所述固定主体421为螺丝,所述弹性件422为弹簧。在其他实施例中,所述固定主体421还可以为螺栓,所述弹性件422可以为具有弹性性能的物体,比如弹片或弹块等。
此外,在其他实施例中,所述弹性件422还可以不伸入所述容纳孔101,而是夹持在所述固定结构2和所述本体411之间。具体,以实际情况为准。
此外,在其他实施例中,所述第一固定件42还可以为弹性固定件,所述弹性固定件的至少位于所述本体411和所述固定结构2之间的部分弹性设置。所述第一固定件41的具体设置结构在此不做具体限定,只要能够使所述本体411沿垂直于所述内管轴线方向往复运动即可。
在上述实施例中,所述第一固定件42为固定本体431上套设弹性件422的组合结构。在其他实施例中,所述第一固定件42还可以只设置固定本体431,不设置弹性件422,以将所述本体411固定在所述固定结构2上即可。或者,在所述本体411和所述固定结构2之间设置黏胶层,以通过所述黏胶层固定所述本体411和所述固定结构2。所述本体411和所述固定结构2之间的固定方式不做具体限定,以实际需求为准。
图7是本发明一实施例中的植入体输送装置的另一结构示意图。在可选的方案中,连接件14还可以呈板状结构,且所述外管13和传动组件3均穿过所述板状结构。
具体的,如图7所示,在本实施例中,所述连接件14呈板状结构,且所述板状结构中开设有沿所述内管轴线延伸且贯穿所述板状结构的通槽102,以 及所述板状结构中开设有沿所述传动组件的轴线延伸且贯穿所述板状结构的螺孔(未图示)。所述外管13穿过所述通槽102并卡持在所述通槽102内,以及所述传动组件3穿过所述螺孔后与所述连接件14螺接。在本实施例中,所述外管13和所述传动组件3之间偏心设置,即,所述外管13和所述传动组件3不在同一直线上。
如图7所示,在本实施例中,所述连接件14为长方体,所述传动组件3为螺杆,所述螺杆一端伸入所述连接件14的所述螺孔内,远离所述连接件14的另一端设有电机33,所述电机33与所述螺杆通过联轴器34连接,所述电机33转动以带动所述螺杆转动,进而带动所述连接件14和所述内管13沿所述内管轴线方向远离或靠近所述锥形头11方向运动。
此外,在本实施例中,所述通槽102在垂直于所述内管轴线方向上贯穿所述连接件14,因此,所述导管组件1可以从所述通槽102贯穿所述连接件14的一端伸入或脱离所述通槽102以与所述连接件14连接或脱离所述连接件14。如此一来,所述导管组件1安装和拆除方便。其中,所述所述外管13可以通过螺接、抵接或者黏接等方式与所述连接件14固定连接,所述外管13和所述连接件14的具体连接方式在此不做具体限定。
进一步的,继续参照图7所示,在本实施例中,所述外管13上设有强度增强环7,所述强度增强环7套设在所述外管13上且至少部分卡合在所述通槽102内。在本实施例中,所述强度增强环7用于增强所述外管13上的强度,以防止所述外管13的与所述连接件14连接的区域在受力时断裂。在本实施例中,所述强度增强环7可与所述外管13一体成型设置,也可与所述外管13可拆卸设置。当所述强度增强环7与所述外管13可拆卸设置时,在所述外管13或所述强度增强环7其中之一损坏时,可只对损坏的所述外管13或所述强度增强环7更换,而不用对所述外管13和所述强度增强环7同时更换。以减小耗材损坏,降低成本。
继续参照图7所示,在本实施例中,所述强度增强环7上套设有两个间隔设置的凸环8,两个所述凸环8分别在所述通槽102的两端抵接所述板状结构,以用于防止所述连接件14和所述外管13在所述内管轴线上移动。所述 凸环8与所述强度增强环7可一体成型,也可通可拆卸连接。当所述凸环8与所述强度增强环7可拆卸连接时,在所述凸环8和所述强度增强环7二者其中之一损坏时,拆卸损坏的所述凸环8或所述强度增强环7进行更换即可,如此一来可降低成本。
进一步的,继续参照图7所示,在本实施例中,所述固定结构2板状设置。例如,所述固定结构2设置成矩形板。所述固定结构2的结构在此不做具体限定,设置为平面结构即可。所述声音提示组件4固定在所述板状设置的固定结构2上。可选的,在本实施例中,所述植入体输送装置还包括外壳(图未示),所述固定结构2位于所述外壳内并与所述外壳的壳体固定连接。
图8是本发明一实施例中的植入体输送装置的声音提示组件安装在固定结构上的另一结构示意图。
进一步的,如图8所示,在本实施例中,所述第一固定件43可以包括固定主体431和弹性件432。所述第一固定件43的具体设置可参照如上所述的第一固定件42,此处不做详细描述。所述本体411上具有沿所述内管轴线延伸的第一滑槽103,所述第一固定件43穿过所述第一滑槽103,所述本体411在所述第一固定件43的限位下,沿所述内管轴线移动到预定位置后,固定所述第一固定件43以将所述本体411限制在所述固定结构2上方,从而使所述敲击体能够在所述弹性件432的弹性势能的作用下上下振动。在本实施例中,在将所述本体411固定到所述固定结构2上时,可先将所述第一固定件43的固定主体431穿过所述第一滑槽103对所述本体411进行预定位,之后沿所述内管轴线移动所述本体411以微调所述本体411,并在本体411移动到预定位置后拧紧所述第一固定件43(即,固定主体431在第一滑槽103内的位置固定)以将所述本体411固定在半环壳体21上。由于本实施例中所述本体411上设有沿所述内管轴线延伸的第一滑槽103,所述本体411在所述第一固定件43定位之后,可通过移动所述本体411使得所述第一固定件43在所述第一滑槽103内的位置可调,以对所述本体411的位置进行微调。如此一来,所述声音发声组件4的位置精度更精准,进而医生在进行植入体植入时操作更准确。或者根据所适配的瓣膜假体轴向长度需求来进行微调,以适配不同规格 的瓣膜假体。
进一步的,继续参图8所示,本实施例中的所述声音提示组件4还包括:位于所述本体411两侧的两个限位组件44,两个所述限位组件44设置在所述半环壳体21沿所述内管轴线延伸的端部上且位置可调,以在所述本体411安装到预定位置时,调整并固定所述限位组件44以在所述本体411的两侧对所述本体411进行限位。由于本实施例的所述植入体输送装置中设有限位组件44,且限位组件44在半环壳体21上的位置可调,故在所述本体411安装到预定位置时,固定所述限位组件44(即,限位件442在第二滑槽104内的位置固定)以使所述本体411在沿所述内管轴线方向不发生较大的晃动。
继续参图8所示,在本实施例中,所述限位组件44包括:限位件441和第二固定件442,所述限位件441上具有沿所述内管轴线延伸的第二滑槽104,所述第二固定件442穿过所述第二滑槽104,以在所述本体411安装到预定位置时固定所述限位件441。
具体的,继续参图8所示,在本实施例中,在将所述本体411固定到所述半环壳体21上时,可先将所述第一固定件43穿过所述第一滑槽103对所述本体411进行预定位;之后将所述限位件441放置在所述本体411两侧后将所述第二固定件442穿过所述第二滑槽104之后对所述限位件441进行预定位;最后沿所述内管轴线调整所述本体411的位置直至所述本体411安装到预定位置,并调整所述限位件441的位置,以在所述限位件441与所述本体411之间的距离调整到预定距离后拧紧所述第二固定件442,从而将所述限位件441固定在所述半环壳体21上并限定所述本体411沿所述内管轴线方向的位移,以防止所述本体411在所述内管轴线方向上发生较大晃动。
参照图8,在本申请的另一实施方式中,所述本体411的下方设置有一个滑动块,声音提示组件4连接到滑动块上,在固定结构2上设置有与滑动块对应的滑槽,滑动块被配置为可沿滑槽轴向移动,以此带动所述声音提示组件4移动。优选地,滑动块上设置有沿所述固定结构2周向向外的拨柄,以方便移动滑动块。在本实施实施方式中,利用滑动块将所述敲击体41和所述第一固定件42移动到预定发声位置,再固定滑动块。当所述拨片5与所述声 音发声组件4接触产生相对位移时,即可发出声响进行提示。如此,实现了仅通过移动滑动块来调整所述声音提示组件4的位置,操作更加简便。需要说明的是,本说明书中各个实施例采用递进的方式描述,每个实施例重点说明的都是与其他实施例的不同之处,各个实施例之间相同相似部分互相参见即可。此外,各个实施例之间不同的部分也可互相组合使用,本发明对此不作限定。
上述描述仅是对本发明较佳实施例的描述,并非对本发明范围的任何限定,本发明领域的普通技术人员根据上述揭示内容做的任何变更、修饰,均属于权利要求书的保护范围。

Claims (21)

  1. 一种植入体输送装置,其特征在于,包括:
    导管组件,所述导管组件包括内管、套设在所述内管上的外管,所述外管和所述内管之间的空间用于放置植入体,所述外管或所述内管上设有拨片;
    传动组件,用于带动设有所述拨片的所述内管或所述外管沿内管轴线的方向移动;
    固定结构,所述固定结构上设有声音提示组件,设有所述拨片的所述内管或所述外管移动以带动所述拨片移动至所述声音提示组件上时,所述拨片作用于所述声音提示组件以发声。
  2. 如权利要求1所述的植入体输送装置,其特征在于,所述植入体输送装置还包括连接件,所述连接件与所述内管或所述外管固定连接,所述拨片设置在所述连接件上。
  3. 如权利要求1所述的植入体输送装置,其特征在于,所述声音提示组件包括敲击体,所述敲击体具有非光滑的敲击面,所述拨片移动到所述声音提示组件上时,所述拨片刮擦所述敲击面以发声。
  4. 如权利要求3所述的植入体输送装置,其特征在于,所述声音提示组件还包括第一固定件,所述第一固定件穿过所述敲击体以将所述敲击体固定在所述固定结构上。
  5. 如权利要求4所述的植入体输送装置,其特征在于,所述第一固定件弹性设置,当所述拨片对所述敲击体施加作用力时,弹性设置的所述第一固定件积蓄弹性势能并产生反向作用力,以使所述敲击体在所述拨片和所述第一固定件的作用力下往复移动。
  6. 如权利要求5述的植入体输送装置,其特征在于,所述第一固定件包括:固定主体和弹性件,所述固定主体穿过所述敲击体以将所述敲击体固定在所述固定结构上,所述弹性件套设在所述固定主体上,当所述拨片对所述敲击体施加作用力时,所述弹性件积蓄弹性势能并产生反向作用力,以使所述敲击体在所述拨片和所述弹性件的作用力下在垂直于所述敲击面的方向上 下移动。
  7. 如权利要求3所述的植入体输送装置,其特征在于,所述敲击体还包括本体和设置在所述本体上的多个凸起,所述本体设置在所述固定结构上,多个所述凸起和所述本体的顶表面构成所述敲击面。
  8. 如权利要求7所述的植入体输送装置,其特征在于,至少部分所述凸起之间的间距不相等。
  9. 如权利要求7所述的植入体输送装置,其特征在于,所述本体上设有容纳孔,所述容纳孔内设有限位块,所述限位块与所述容纳孔的侧壁固定连接,以及所述弹性件的一端伸入至所述容纳孔中并与所述限位块抵接。
  10. 如权利要求4所述的植入体输送装置,其特征在于,所述敲击体还包括本体,所述本体具有位置调节机构以调整所述本体固定于所述固定结构上的位置。
  11. 如权利要求10所述的植入体输送装置,其特征在于,所述位置调节机构为设于所述本体上且沿所述内管轴线延伸的第一滑槽,所述第一固定件穿过所述第一滑槽,所述本体在所述第一固定件的限位下沿所述内管轴线移动到预定位置并通过锁紧所述第一固定件将所述本体固定在所述固定结构上。
  12. 如权利要求10所述的植入体输送装置,其特征在于,所述位置调节机构为设于所述本体下方的滑动块,所述滑动块与所述固定结构上的滑槽配合将所述本体移动至预定位置并通过固定所述滑动块将所述本体固定在固定结构上。
  13. 如权利要求2~10中的任意一项所述的植入体输送装置,其特征在于,所述声音提示组件还包括:位于所述本体的两侧的限位组件,所述限位组件设置在所述固定结构上且位置可调,以在所述本体安装到预定位置时,调整所述限位组件的设置位置并固定所述限位组件以在所述本体的两侧对所述本体进行限位。
  14. 如权利要求2所述的植入体输送装置,其特征在于,所述连接件环状设置且套设在所述外管上。
  15. 如权利要求14所述的植入体输送装置,其特征在于,所述固定结构 包括两个半环壳体,两个所述半环壳体以所述内管轴线为中心镜像可拆卸地套设在所述连接件上,所述声音提示组件设置在两个所述半环壳体其中之一的沿所述内管轴线延伸的端部上。
  16. 如权利要求14所述的植入体输送装置,其特征在于,所述导管组件还包括拨片承载环,所述拨片设置在所述拨片承载环上,所述拨片承载环与所述连接件的端部固定连接并套设在所述外管上。
  17. 如权利要求14所述的植入体输送装置,其特征在于,所述传动组件环状设置,以及所述传动组件套设在所述连接件上,并与所述连接件螺接。
  18. 如权利要求14所述的植入体输送装置,其特征在于,所述传动组件包括两个子传动组件,两个所述子传动组件以所述内管轴线为中心可拆卸地镜像套设在所述连接件上。
  19. 如权利要求2所述的植入体输送装置,其特征在于,所述连接件呈板状结构,所述板状结构中开设有沿所述内管轴线延伸且贯穿所述板状结构的通槽,且所述板状结构中开设有沿所述传动组件的轴线延伸且贯穿所述板状结构的螺孔,所述外管穿过所述通槽并卡持在所述通槽内,以及所述传动组件穿过所述螺孔后与所述连接件螺接。
  20. 如权利要求19所述的植入体输送装置,其特征在于,所述外管上设有强度增强环,所述强度增强环套设在所述外管上且至少部分地卡合在所述通槽内。
  21. 如权利要求1所述的植入体输送装置,其特征在于,在设有所述拨片的所述外管或所述内管上,和/或在所述固定结构上还设有指示刻度,所述指示刻度用于指示所述外管或所述内管的移动距离。
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