WO2023093575A1 - Rapid exchange balloon system - Google Patents

Rapid exchange balloon system Download PDF

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Publication number
WO2023093575A1
WO2023093575A1 PCT/CN2022/132057 CN2022132057W WO2023093575A1 WO 2023093575 A1 WO2023093575 A1 WO 2023093575A1 CN 2022132057 W CN2022132057 W CN 2022132057W WO 2023093575 A1 WO2023093575 A1 WO 2023093575A1
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WO
WIPO (PCT)
Prior art keywords
guide wire
catheter
proximal end
exchange balloon
rapid exchange
Prior art date
Application number
PCT/CN2022/132057
Other languages
French (fr)
Chinese (zh)
Inventor
周海燕
邵萌
赵磊
黄海云
Original Assignee
生一科技(北京)有限公司
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Application filed by 生一科技(北京)有限公司 filed Critical 生一科技(北京)有限公司
Publication of WO2023093575A1 publication Critical patent/WO2023093575A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/09Guide wires
    • A61M2025/091Guide wires having a lumen for drug delivery or suction
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/09Guide wires
    • A61M2025/09125Device for locking a guide wire in a fixed position with respect to the catheter or the human body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0169Exchanging a catheter while keeping the guidewire in place
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/09Guide wires
    • A61M25/09041Mechanisms for insertion of guide wires

Definitions

  • the invention belongs to the technical field of interventional therapy, and in particular relates to a rapid exchange balloon system.
  • Interventional therapy is a minimally invasive treatment using modern high-tech means. Under the guidance of medical imaging equipment, special catheters, guide wires and other precision instruments are introduced into the human body for diagnosis and local treatment of pathological conditions in the body. Interventional therapy includes endovascular intervention and non-vascular interventional therapy.
  • vascular diseases mainly include percutaneous transluminal angioplasty, vascular stent, thrombolytic therapy, vascular malformation, arteriovenous fistula and hemangioma embolization treatment, inferior vena cava filter, various angiographic diagnosis and venous blood diagnosis wait.
  • Non-vascular interventional therapy mainly includes various percutaneous biopsies, various non-vascular cavity angioplasty, local incapacitation of solid tumors, and interventional treatment of intervertebral disc herniation.
  • the rapid exchange balloon system is the most widely used in vascular interventional therapy.
  • the main advantage is that it is not necessary to replace the catheter at any time during the operation of the guide wire.
  • the replacement of the balloon dilation catheter does not require an extended guide wire.
  • the guide wire can be inserted from the top of the balloon and passed through the side hole, which is convenient for the operator to operate.
  • catheters are not available in existing rapid-exchange balloon systems. Rapid exchange of balloon catheters and guide wires needs to be adjusted to adjust the position of the proximal end according to the movement of the distal end. The operation steps are cumbersome, which increases the difficulty of interventional therapy.
  • the present invention provides a rapid exchange balloon system, which has a simple structure, can quickly, accurately and conveniently control the silk tube of the rapid exchange balloon system, and reduces the cost of interventional therapy. Operational difficulty ensures the smooth completion of interventional surgery.
  • the present invention provides a rapid exchange balloon system, the rapid exchange balloon system comprising:
  • catheter proximal ends including catheter proximal ends
  • a rapid-exchange balloon catheter inserted into said catheter and comprising a removable rapid-exchange balloon catheter distal end and a guidewire access port on the wall of the catheter;
  • a guide wire including a rotatable guide wire proximal end and a movable guide wire distal end, the guide wire distal end can pass through the guide wire rapid port and the rapid exchange balloon catheter distal end;
  • the proximal end of the guide wire and the proximal end of the catheter are spaced apart and fixed relative to each other, and between the proximal end of the guide wire and the proximal end of the catheter, the guide wire is bent.
  • the proximal end of the guidewire is cylindrical and the axis of the proximal end of the guidewire is non-coaxial to the axis of the tube at the proximal end of the catheter.
  • the proximal end of the guide wire is spaced parallel to the proximal end of the catheter.
  • the guide wire further includes a guide wire connection section connected to the guide wire proximal end and the guide wire distal end, the guide wire connection section is U-shaped and includes guide wire turns parallel to each other The front part and the guide wire turning back part and the arc-shaped connecting part connected between the guide wire turning front part and the guide wire turning back part.
  • the rapid exchange balloon system further comprises:
  • a plurality of mobile driving seats are installed on the seat body and are respectively used to drive the catheter distal end of the catheter to move, to drive the guide wire to move distally, and to drive the rapid exchange balloon catheter distally to move;
  • a plurality of rotating drive bases installed on the base body and used to respectively drive the proximal end of the catheter to rotate and the guide wire to rotate proximally;
  • the guide wire guiding structure is fixedly installed on the base and used to adjust the direction of the guide wire.
  • the seat includes:
  • the base has a sliding part and is installed on the fixed seat
  • the fixing seat is L-shaped and is provided with a slide rail for the sliding part to slide.
  • the mobile drive base includes:
  • a moving wheel set comprising a tubing drive wheel and a tubing idler extending from said base;
  • the tube wire driving wheel and the tube wire idler wheel are arranged in parallel and at intervals and jointly form a space for clamping the tube wire.
  • the rotary drive base includes:
  • the rotary drive motor is fixedly installed on the base;
  • the tube wire clamp is connected with the bevel gear transmission part in transmission and is used for clamping and fixing the catheter or the guide wire.
  • the wire guiding structure is open and includes a bottom plate fixedly installed on the base and two limiting plates arranged at intervals on the bottom plate, the limiting plates are used to limit The range of movement of the guide wire; or, the guide wire guiding structure is a sleeve member and includes a guide housing and a limiting accommodating space defined around the guide housing for accommodating the guide wire.
  • the rapid exchange balloon system further includes a three-way tube connected to the proximal end of the catheter, and a three-way tube for inserting the rapid exchange balloon catheter and the guide wire is formed on the three-way tube.
  • the tube filament inlet and the injection fluid inlet used to communicate with the external syringe.
  • the combination of catheter, guide wire and rapid exchange balloon catheter is adopted, and the helical position of the guide wire can be realized through the rotation and movement of the guide wire, so that the rapid exchange balloon system can be accurately Copy the doctor's actions.
  • the distance between the proximal end of the catheter and the proximal end of the guide wire is set at a fixed position so that the guide wire is always in a curved state. There is no need to adaptively adjust the position of the proximal end of the guide wire according to the movement of the distal end of the guide wire, and the guide wire is bent and can move in an orderly manner, ensuring fast, accurate and convenient interventional surgery.
  • Fig. 1 is a three-dimensional schematic diagram of a rapid exchange balloon system according to a specific embodiment of the present invention
  • Fig. 2 is a schematic structural diagram of Fig. 1 under different viewing angles
  • Fig. 3 is a rear view structural diagram of Fig. 2, showing the seat body and the guide wire guiding structure;
  • Fig. 4 is a schematic diagram of the top view of Fig. 2, showing the seat body, the guide wire guiding structure and the catheter;
  • Figure 5 is an enlarged view of the partial structure of Figure 2, showing the rotating drive seat
  • orientation words such as “up, down, top, bottom” generally refer to the directions shown in the drawings or refer to the vertical, perpendicular or gravitational directions The terms used to describe the mutual positional relationship of the various components mentioned above.
  • the rapid exchange balloon system is the most widely used in vascular interventional therapy.
  • the main advantage is that it is not necessary to replace the catheter at any time during the operation of the guide wire.
  • the replacement of the balloon dilation catheter does not require an extended guide wire.
  • the guide wire can be inserted from the top of the balloon and passed through the side hole, which is convenient for the operator to operate.
  • the catheter, rapid-exchange balloon catheter, and guide wire need to be adjusted according to the movement of the distal end to adjust the position of the proximal end.
  • the operation steps are cumbersome, which increases the difficulty of interventional therapy. Therefore, how to solve the problem of ensuring the speed, accuracy and convenience of rapid exchange balloon interventional surgery is worth studying.
  • the specific structure and function of the rapid exchange balloon system will be described in detail below.
  • the present invention discloses a rapid exchange balloon system, which includes: a catheter 1, a rapid exchange balloon catheter 2 and a guide wire 3;
  • the catheter 1 includes the proximal end 101 of the catheter.
  • the catheter 1 is used as an external member, and the interior of the catheter 1 can accommodate the rapid exchange balloon catheter 2 and the guide wire 3.
  • the rapid exchange balloon catheter 2 and the guide wire 3 can be inserted from the proximal end 101 of the catheter, so that the operation is convenient and the rapid exchange balloon catheter 2 and the guide wire 3 are effectively protected;
  • the rapid exchange balloon catheter 2 is inserted into the catheter 1 and includes a movable distal end of the rapid exchange balloon catheter and a quick port of the guide wire on the wall of the tube.
  • the rapid exchange balloon catheter 2 generally includes a balloon part and a catheter part , under a specified pressure, the balloon at the distal end of the rapid exchange balloon catheter can be expanded to a specified diameter, wherein the distal end of the rapid exchange balloon catheter is inserted into the catheter 1 and can move along the length of the catheter 1, so that it can be The distal end of the rapid exchange catheter is moved to the patient's lesion to facilitate the treatment of the lesion; and
  • the guide wire 3 includes a rotatable guide wire proximal end 301 and a movable guide wire distal end 304.
  • the guide wire distal end 304 can pass through the guide wire fast opening and the rapid exchange balloon catheter distal end.
  • the guide wire 3 near the guide wire
  • the end 301 can rotate, which determines the angular deflection of the guide wire distal end 304.
  • the guide wire distal end 304 can move, which determines the distance that the guide wire 3 can move. In this way, through the rotation of the guide wire proximal end 301 and the guide wire distal end The movement of 304, the two movement modes are superimposed on the distal end of the guide wire 304, which can realize the helical position of the guide wire 3.
  • the rapid exchange balloon system can accurately copy the doctor's action , to ensure the fast, accurate and convenient interventional surgery.
  • the guide wire 3 can pass through the distal end of the rapid exchange balloon catheter and the quick port of the guide wire, it is not necessary to use an extended guide wire 3 when replacing the rapid exchange balloon catheter 2 .
  • the proximal end 301 of the guide wire and the proximal end 101 of the catheter are arranged at intervals and their relative positions are fixed.
  • the guide wire 3 is bent and arranged. 301 and the catheter proximal end 101 are spaced apart, that is, the distance between the two is fixed.
  • the position of the guide wire proximal end 301 is fixed, and the guide wire distal end 304 is inserted into the catheter proximal end 101.
  • the guidewire proximal end 301 and the guidewire portion outside the catheter proximal end 101 are formed as a guidewire exterior, which is always in a curved state. There is no need to adjust the position of the proximal end 301 of the guide wire according to the movement of the distal end 304 of the guide wire, and the guide wire is bent and can move in an orderly manner, ensuring fast, accurate and convenient interventional surgery.
  • the catheter 1 can be a medical catheter with a certain inner diameter and has two catheter ends, one of which is the catheter proximal end 101.
  • a system mounting seat can be included, and the catheter proximal
  • the end 101 can be fixedly installed on the system installation seat, and the installation seat can be a plate structure or a frame structure, which is not specifically limited.
  • two balloon catheter ends may be included, wherein one end of the balloon catheter is used as the distal end of the rapid exchange balloon catheter, and the other end is used as the proximal end of the rapid exchange balloon catheter, which
  • the outer diameter is smaller than the inner diameter of the catheter 1 , so it can be inserted into the catheter 1 and can move inside the catheter 1 .
  • the proximal end of the rapid-exchange balloon catheter can have a female luer connector that can be connected to a device capable of inflating the balloon to adjust the size of the balloon.
  • the material of the rapid-exchange balloon catheter 2 needs to meet medical requirements.
  • the balloon segment of the rapid-exchange balloon catheter 2 can be a polyetheramide block copolymer, and the catheter segment can be a polyetheramide block copolymer.
  • the material of the rapid exchange balloon catheter 2 is not limited thereto.
  • a wheel set can be used to clamp the quick-exchange balloon catheter 2, and the rotation of the wheels of the wheel set can be converted into the linear movement of the quick-exchange balloon catheter 2 In this way, the distal end of the rapid exchange balloon catheter can be accurately and efficiently controlled to move to the designated lesion.
  • the guide wire 3 can guide the catheter 1 to move to a designated position.
  • the guide wire 3 plays a role of guidance, positioning and support in the rapid exchange balloon system, and can help the catheter enter blood vessels and other cavities Therefore, accurate manipulation of the guide wire 3 is a necessary condition for accurately replicating the actions of medical personnel.
  • the guide wire 3 may include two parts, an inner part and an inner part, wherein the outer part may be a high-quality stainless steel wire wound on a spring lathe, and the inner part may be a hard and straight steel wire core accommodated in the outer part.
  • the guide wire distal end 304 of the guide wire 3 can be a J-shaped safety guide wire, and its guide wire 3 includes two ends, wherein the movable guide wire distal end 304 is bent in a J shape, so that when inserted If there is a bent and deformed blood vessel during the tube, the front end of the guide wire will not be fixed on the blood vessel wall, which can effectively prevent damage to the blood vessel.
  • the J-shaped structure at the distal end of the guide wire can be divided into large, medium and small sizes.
  • the small size can be Applicable to blood vessels, the large size can help adjust the direction of intubation, and in places where the direction of the bile duct changes, the catheter 1 can be inserted into branches in different directions by means of the bending of the guide wire 3 .
  • both the proximal end of the guide wire 301 and the proximal end of the catheter 101 are fixed in position.
  • the two can be arranged at intervals on the system mount, that is, the distance between the two is fixed. Since the guide wire distal end 304 is inserted into the catheter proximal end 101, at this time, between the guide wire proximal end 301 and the catheter proximal end 101, the guide wire 3 can be bent by a stopper, so that there is no need to press the guide wire distal end 304 moves to adjust the position of the proximal end 301 of the guide wire, and the guide wire is bent and can move in an orderly manner, ensuring fast, accurate and convenient interventional surgery.
  • the proximal end of the guide wire 301 is cylindrical and the axis Z1 of the proximal end of the guide wire 301 is arranged non-coaxially with the axis Z2 of the pipeline at the proximal end of the catheter 101 .
  • the guide wire 3 can be arranged in a curved manner and always maintain a In this way, the orderly arrangement of the guide wire 3 can be ensured at the initial stage of the system; and the position of the proximal end 301 of the guide wire can be adjusted without adaptively when the distal end 304 of the guide wire moves, effectively ensuring The movement of the guide wire is required.
  • the rotation of the guide wire proximal end 301 can be effectively transmitted to the guide wire distal end 304 to adjust the deflection direction of the guide wire distal end 304, and the movement of the guide wire distal end 304 can realize the smooth movement of the guide wire distal end 304, and the rotation and the movement is superimposed on the distal end 304 of the guide wire to accurately replicate the operation of medical personnel, and the structure is simple and easy to operate.
  • the proximal end 301 of the guide wire is arranged in parallel with the proximal end 101 of the catheter.
  • FIG. 2 it can be understood that the axis Z1 of the guide wire and the axis Z2 of the pipeline are arranged in parallel, which can improve the structural compactness of the system.
  • the guide wire 3 also includes a guide wire connection section connected to the guide wire proximal end 301 and the guide wire distal end 304, the guide wire connection section is U-shaped and includes guide wire turning directions parallel to each other.
  • the guide wire connection section between the guide wire proximal end 301 and the catheter proximal end 101 is in a U-shaped structure, and the guide wire turning front 302 and the guide wire turning rear 303 can pass through the external components of the system Structural restrictions are carried out, and the distance between the guide wire turning front 302 and the guide wire turning rear 303 is always the same as the distance between the guide wire axis Z1 and the pipeline axis Z2, which not only ensures the orderly arrangement of the guide wire 3, but also improves the guide wire 3's structural compactness.
  • the arc is not too large, and the distance between the axis Z1 of the guide wire and the axis Z2 of the pipeline can be at least 5 cm. In this way, the bending angle of the guide wire 3 is prevented from being too large, and the order of the guide wire 3 is ensured. Move, reduce the operation difficulty of operation.
  • the rapid exchange balloon system further includes: a seat body 100 for installing the catheter 1, the rapid exchange balloon catheter 2 and the guide wire 3; as shown in FIG. 1 and 3, the seat body 100 can be a plate-shaped member with a planar structure, which is convenient for processing.
  • the installation catheter 1 , the rapid exchange balloon catheter 2 and the guide wire 3 are installed on the base body 100 , and are compact in structure and do not interfere with each other, which provides a premise guarantee for the successful completion of interventional therapy.
  • the system includes a plurality of mobile driving seats 200, which are installed on the seat body 100 and are used to drive the distal end of the catheter 1 to move respectively. , driving the distal end of the guide wire 304 to move and driving the distal end of the rapid exchange balloon catheter to move, as shown in FIGS.
  • the intervals are independently controlled, so that the distal end of the catheter, the distal end of the guide wire 304 and the distal end of the rapid exchange balloon catheter can independently adjust their moving distances.
  • the system includes a plurality of rotating drive bases 300, which are installed on the base body 100 and are respectively used to drive the rotation of the proximal end of the catheter 101 and the rotation of the proximal end of the guide wire 301.
  • the rotation center of the rotating drive seat 300 should coincide with the center of circle of the corresponding catheter proximal end 101 and guide wire proximal end 301, so that the catheter proximal end 101 and guide wire proximal end 301 capable of self-rotation to adjust the angle of its corresponding distal end;
  • the system also includes a guide wire guiding structure 440 fixedly installed on the base body 100 and used to adjust the direction of the guide wire 3 .
  • the guide wire 3 can be supported by the guide wire guiding structure 440, and the bending arc and turning direction of the guide wire 3 can be limited to ensure the order of the guide wire 3, reduce the operation difficulty of interventional therapy, and ensure the smooth completion of the interventional operation.
  • the seat body 100 includes: a fixed seat 120; and a base 110, which has a slider and is installed on the fixed seat 120, wherein the fixed seat 120 is L-shaped and is provided with a slide rails.
  • the L-shaped fixed seat 120 includes a base connection part and a base extension part, the catheter distal end of the catheter 1 is movably installed on the base extension part, and the catheter near The end 101 is rotatably mounted on the base 110, and there can be one or more sets of slide rail sliders between the base connection part and the base 110, and the extension of the base can be adjusted by adjusting the position of the slider on the slide rail. In this way, as the position of the distal end of the catheter moves, the proximal end 101 of the catheter can be adaptively adjusted to avoid pulling the catheter 1 and ensure the normal use of the catheter 1 .
  • the mobile drive base 200 includes: a wheel drive motor 210, fixedly installed on the base 110; An idler; wherein, the tube wire driving wheel and the tube wire idler are arranged in parallel and at intervals and jointly form a space for clamping the tube wire.
  • the clamping wire space of multiple mobile driving bases 200 can be used to clamp the catheter 1, the guide wire 3 or the rapid exchange balloon catheter 2 respectively.
  • the motor is driven by the wheel 210 provides a driving force
  • the guide wire 3 is clamped by the tube wire driving wheel and the tube wire idler wheel and converted into a driving force for the linear movement of the guide wire 3 with the rotation of the tube wire driving wheel, so that the advancement or movement of the guide wire 3 can be realized Back, and the moving distance of the guide wire 3 within the range is equal, which is convenient for medical personnel to control accurately.
  • the rotary drive base 300 includes: a rotary drive motor 310 fixedly installed on the base 110; a bevel gear transmission 320 connected to the rotary drive motor 310; and a pipe clamp 330 connected with the bevel gear
  • the transmission member 320 is connected by transmission and is used to clamp and fix the catheter 1 or the guide wire 3 .
  • the rotary drive motor can be installed on the back of the base 110, and the bevel gear transmission 320 can be located on the front of the base 110, so that the structure is compact, The degree of integration is high, the rotating drive motor 310 drives the bevel gear transmission part 320, and the catheter 1 is clamped and fixed by the tube wire clamp 330 installed on the bevel gear transmission part 320, so as to ensure the precise rotation of the catheter 1, thereby adjusting the distal end of the catheter. deflection direction.
  • the guide wire guiding structure 440 is in the shape of an opening and includes a bottom plate 41 fixedly installed on the base 110 and two limiting plates 42 arranged at intervals on the bottom plate 41.
  • the position plate 42 is used to limit the range of movement of the guide wire 3, as shown in Figures 1 and 2, the base plate 41 can support the guide wire 3 to ensure that the guide wire 3 is always located in the same plane, so as to facilitate the movement and control of the guide wire 3.
  • the distance between the guide wire turning to the front part 302 and the guide wire turning to the rear part 303 can be limited by the limit plate 42, so that the order and integration of the guide wire 3 are improved, and the bending of the guide wire is guaranteed and limited radian.
  • the limiting plate 42 can be a straight plate or an L-shaped plate, that is, it can limit the guide wire 3 in the height direction of the bottom plate 41 to prevent the guide wire 3 from slipping out of the guide wire guide structure 440 .
  • the guide wire guiding structure 440 is a sleeve member and includes a guide housing and a limited accommodating space defined around the guide housing for accommodating the guide wire 3 .
  • the tube wire supporting surface of the guide wire guiding structure 440 is concave, and the housing space defined by the cover can well restrict the guide wire 3 and prevent the guide wire 3 from falling out of the guide housing.
  • the rapid exchange balloon system also includes a three-way tube 4 that communicates with the proximal end 101 of the catheter.
  • the three-way tube 4 is formed with a tube wire inlet 401 for inserting the rapid exchange balloon catheter 2 and the guide wire 3 and for connecting with the catheter proximal end 101.
  • the injection liquid inlet 402 connected with the external syringe is shown in FIG. 2 .
  • the tubing wire inlet 401 can allow rapid exchange balloon catheter 2 and guide wire 3 to enter, and the injection fluid inlet 402 can allow an external syringe to inject medical fluid into the catheter 1 and discharge it along the distal end of the catheter to the lesion.

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Abstract

A rapid exchange balloon system, comprising: a catheter (1) comprising a catheter proximal end (101); a rapid exchange balloon catheter (2) inserted into the catheter (1) and comprising a movable rapid exchange balloon catheter (2) distal end and a guidewire quick port located on a catheter wall; and a guidewire (3) comprising a rotatable guidewire proximal end (301) and a movable guidewire distal end (304), the guidewire distal end (304) being capable of penetrating through the guidewire quick port and the rapid exchange balloon catheter (2) distal end. The catheter proximal end (101) and the guidewire proximal end (301) are spaced from each other and fixedly arranged at positions, such that the guidewire (3) is always in a bent state. The position of the guidewire proximal end (301) does not need to be adaptively adjusted according to the movement of the guidewire distal end (304), thereby ensuring the rapidness, accuracy and convenience of an interventional operation.

Description

快速交换球囊系统Rapid Exchange Balloon System
本申请要求于2021年11月23日提交中国专利局、申请号为202111396007.6、发明名称为“快速交换球囊系统”的中国专利申请的优先权,其全部内容通过引用结合在申请中。This application claims the priority of the Chinese patent application with the application number 202111396007.6 and the title of the invention "Rapid Exchange Balloon System" filed with the China Patent Office on November 23, 2021, the entire contents of which are incorporated by reference in the application.
技术领域technical field
本发明属于介入治疗技术领域,具体地,尤其涉及一种快速交换球囊系统。The invention belongs to the technical field of interventional therapy, and in particular relates to a rapid exchange balloon system.
背景技术Background technique
介入治疗是利用现代高科技手段进行的一种微创性治疗,就是在医学影像设备的引导下,将特制的导管,导丝等精密器械,引入人体,对体内病态进行诊断和局部治疗。介入治疗包括血管内介入和非血管介入治疗。其中,血管疾病方面主要包包括经皮腔内血管成形、血管支架、溶栓治疗、血管畸形以及动静脉瘘与血管瘤栓塞治疗、下腔静脉过滤器、各种血管造影诊断和静脉取血诊断等。非血管类介入治疗主要包括各种经皮活检术、各种非血管性腔道的成形术、实体瘤局部灭能术和椎间盘突出介入治疗等。Interventional therapy is a minimally invasive treatment using modern high-tech means. Under the guidance of medical imaging equipment, special catheters, guide wires and other precision instruments are introduced into the human body for diagnosis and local treatment of pathological conditions in the body. Interventional therapy includes endovascular intervention and non-vascular interventional therapy. Among them, vascular diseases mainly include percutaneous transluminal angioplasty, vascular stent, thrombolytic therapy, vascular malformation, arteriovenous fistula and hemangioma embolization treatment, inferior vena cava filter, various angiographic diagnosis and venous blood diagnosis wait. Non-vascular interventional therapy mainly includes various percutaneous biopsies, various non-vascular cavity angioplasty, local incapacitation of solid tumors, and interventional treatment of intervertebral disc herniation.
快速交换球囊系统是血管介入治疗中应用最广泛的一种,主要优点是操作导丝过程不需要随时更换导管,同时更换球囊扩张导管不需要用延长导丝,在该导管距离球囊顶25厘米处有一侧孔,导丝可以从球囊顶端插入,从该侧孔穿出,可方便术者的操作空间。然而,现有的快速交换球囊系统中导管。快速交换球囊导管以及导丝需要调节根据远端的移动调节其近端的位置,操作步骤繁琐,增加了介入治疗的手术难度。The rapid exchange balloon system is the most widely used in vascular interventional therapy. The main advantage is that it is not necessary to replace the catheter at any time during the operation of the guide wire. At the same time, the replacement of the balloon dilation catheter does not require an extended guide wire. There is a side hole at 25 cm. The guide wire can be inserted from the top of the balloon and passed through the side hole, which is convenient for the operator to operate. However, catheters are not available in existing rapid-exchange balloon systems. Rapid exchange of balloon catheters and guide wires needs to be adjusted to adjust the position of the proximal end according to the movement of the distal end. The operation steps are cumbersome, which increases the difficulty of interventional therapy.
技术解决方案technical solution
针对现有技术的上述缺陷或不足,本发明提供了快速交换球囊系统,该快速交换球囊系统结构简单,能够快速、精准且便捷的控制快速交换球囊系统的丝管,降低介入治疗的操作难度,保证介入手术的顺利完成。Aiming at the above defects or deficiencies of the prior art, the present invention provides a rapid exchange balloon system, which has a simple structure, can quickly, accurately and conveniently control the silk tube of the rapid exchange balloon system, and reduces the cost of interventional therapy. Operational difficulty ensures the smooth completion of interventional surgery.
为实现上述目的,本发明提供了一种快速交换球囊系统,所述快速交换球囊系统包括:To achieve the above object, the present invention provides a rapid exchange balloon system, the rapid exchange balloon system comprising:
导管,包括导管近端;Catheters, including catheter proximal ends;
快速交换球囊导管,插装入所述导管内并包括可移动的快速交换球囊导管远端和位于管壁上的导丝快速口;和a rapid-exchange balloon catheter inserted into said catheter and comprising a removable rapid-exchange balloon catheter distal end and a guidewire access port on the wall of the catheter; and
导丝,包括可旋转的导丝近端以及可移动的导丝远端,所述导丝远端能够贯穿所述导丝快速口和所述快速交换球囊导管远端;A guide wire, including a rotatable guide wire proximal end and a movable guide wire distal end, the guide wire distal end can pass through the guide wire rapid port and the rapid exchange balloon catheter distal end;
其中,所述导丝近端与所述导管近端间隔布置且相对位置固定,在所述导丝近端与所述导管近端之间,所述导丝弯曲设置。Wherein, the proximal end of the guide wire and the proximal end of the catheter are spaced apart and fixed relative to each other, and between the proximal end of the guide wire and the proximal end of the catheter, the guide wire is bent.
在一些实施例中,所述导丝近端呈圆柱状且所述导丝近端的导丝轴线与所述导管近端的管路轴线非同轴布置。In some embodiments, the proximal end of the guidewire is cylindrical and the axis of the proximal end of the guidewire is non-coaxial to the axis of the tube at the proximal end of the catheter.
在一些实施例中,所述导丝近端与所述导管近端平行间隔布置。In some embodiments, the proximal end of the guide wire is spaced parallel to the proximal end of the catheter.
在一些实施例中,所述导丝还包括连接于所述导丝近端与所述导丝远端的导丝连接段,所述导丝连接段呈U形并包括相互平行的导丝转向前部和导丝转向后部以及连接于所述导丝转向前部和所述导丝转向后部之间的弧形连接部。In some embodiments, the guide wire further includes a guide wire connection section connected to the guide wire proximal end and the guide wire distal end, the guide wire connection section is U-shaped and includes guide wire turns parallel to each other The front part and the guide wire turning back part and the arc-shaped connecting part connected between the guide wire turning front part and the guide wire turning back part.
在一些实施例中,所述快速交换球囊系统还包括:In some embodiments, the rapid exchange balloon system further comprises:
座体,用于安装所述导管、所述快速交换球囊导管以及所述导丝;a seat for mounting the catheter, the rapid exchange balloon catheter, and the guidewire;
多个移动驱动座,安装于所述座体上并分别用于驱动所述导管的导管远端移动、驱动所述导丝远端移动以及驱动所述快速交换球囊导管远端移动;A plurality of mobile driving seats are installed on the seat body and are respectively used to drive the catheter distal end of the catheter to move, to drive the guide wire to move distally, and to drive the rapid exchange balloon catheter distally to move;
多个旋转驱动座,安装于所述座体上并分别用于驱动所述导管近端旋转和驱动所述导丝近端旋转;以及a plurality of rotating drive bases, installed on the base body and used to respectively drive the proximal end of the catheter to rotate and the guide wire to rotate proximally; and
导丝导向结构,固定安装于所述座体上并用于调节所述导丝转向。The guide wire guiding structure is fixedly installed on the base and used to adjust the direction of the guide wire.
在一些实施例中,所述座体包括:In some embodiments, the seat includes:
固定座;和mounts; and
基座,具有滑动件并安装于所述固定座上;The base has a sliding part and is installed on the fixed seat;
其中,所述固定座呈L形并设置有用于所述滑动件滑动的滑轨。Wherein, the fixing seat is L-shaped and is provided with a slide rail for the sliding part to slide.
在一些实施例中,所述移动驱动座包括:In some embodiments, the mobile drive base includes:
轮驱动电机,固定安装于所述基座上;和a wheel drive motor fixedly mounted on said base; and
移动轮组,包括从所述基座伸出的管丝驱动轮和管丝惰轮;a moving wheel set comprising a tubing drive wheel and a tubing idler extending from said base;
其中,所述管丝驱动轮和所述管丝惰轮平行间隔布置并共同形成有夹管丝空间。Wherein, the tube wire driving wheel and the tube wire idler wheel are arranged in parallel and at intervals and jointly form a space for clamping the tube wire.
在一些实施例中,所述旋转驱动座包括:In some embodiments, the rotary drive base includes:
旋转驱动电机,固定安装于所述基座上;The rotary drive motor is fixedly installed on the base;
伞齿轮传动件,传动连接于所述旋转驱动电机上;和a bevel gear drive transmission connected to said rotary drive motor; and
管丝夹,与所述伞齿轮传动件传动相连并用于夹持固定所述导管或所述导丝。The tube wire clamp is connected with the bevel gear transmission part in transmission and is used for clamping and fixing the catheter or the guide wire.
在一些实施例中,所述导丝导向结构呈开口状并包括固定安装于所述基座上的底板以及间隔布置于所述底板上的两个限位板,所述限位板用于限制所述导丝的移动范围;或,所述导丝导向结构为套筒件并包括导向壳体以及所述导向壳体围绕限定的用于容置所述导丝的限位容置空间。In some embodiments, the wire guiding structure is open and includes a bottom plate fixedly installed on the base and two limiting plates arranged at intervals on the bottom plate, the limiting plates are used to limit The range of movement of the guide wire; or, the guide wire guiding structure is a sleeve member and includes a guide housing and a limiting accommodating space defined around the guide housing for accommodating the guide wire.
在一些实施例中,所述快速交换球囊系统还包括与所述导管近端相连通的三通管,所述三通管上形成有用于插入所述快速交换球囊导管和所述导丝的管丝入口以及用于与外接注射器相连通的注射液入口。In some embodiments, the rapid exchange balloon system further includes a three-way tube connected to the proximal end of the catheter, and a three-way tube for inserting the rapid exchange balloon catheter and the guide wire is formed on the three-way tube. The tube filament inlet and the injection fluid inlet used to communicate with the external syringe.
有益效果Beneficial effect
在本发明的快速交换球囊系统,采用导管、导丝和快速交换球囊导管的组合方式,通过导丝的旋转和移动能够实现导丝的螺旋线走位,使得快速交换球囊系统能够精准复制医生的动作。通过导管近端和导丝近端间隔且位置固定设置,使得导丝始终呈弯曲状态。无需根据导丝远端的移动而适配性地调节导丝近端的位置,且导丝弯曲并能够有序移动,保证介入手术的快速、精准与便捷。In the rapid exchange balloon system of the present invention, the combination of catheter, guide wire and rapid exchange balloon catheter is adopted, and the helical position of the guide wire can be realized through the rotation and movement of the guide wire, so that the rapid exchange balloon system can be accurately Copy the doctor's actions. The distance between the proximal end of the catheter and the proximal end of the guide wire is set at a fixed position so that the guide wire is always in a curved state. There is no need to adaptively adjust the position of the proximal end of the guide wire according to the movement of the distal end of the guide wire, and the guide wire is bent and can move in an orderly manner, ensuring fast, accurate and convenient interventional surgery.
本发明的其它特征和优点将在随后的具体实施方式部分予以详细说明。Other features and advantages of the present invention will be described in detail in the detailed description that follows.
附图说明Description of drawings
附图是用来提供对本发明的理解,并且构成说明书的一部分,与下面的具体实施方式一起用于解释本发明,但并不构成对本发明的限制。在附图中:The accompanying drawings are used to provide an understanding of the present invention, and constitute a part of the description, together with the following specific embodiments, are used to explain the present invention, but do not constitute a limitation to the present invention. In the attached picture:
图1为根据本发明的具体实施方式的快速交换球囊系统的立体结构示意图;Fig. 1 is a three-dimensional schematic diagram of a rapid exchange balloon system according to a specific embodiment of the present invention;
图2为图1不同视角下的结构示意图;Fig. 2 is a schematic structural diagram of Fig. 1 under different viewing angles;
图3为图2的后视结构图,展示了座体和导丝导向结构;Fig. 3 is a rear view structural diagram of Fig. 2, showing the seat body and the guide wire guiding structure;
图4为图2的俯视结构示意图,展示了座体、导丝导向结构和导管;Fig. 4 is a schematic diagram of the top view of Fig. 2, showing the seat body, the guide wire guiding structure and the catheter;
图5为图2的局部结构放大图,展示了旋转驱动座;Figure 5 is an enlarged view of the partial structure of Figure 2, showing the rotating drive seat;
附图标记说明Explanation of reference signs
11 导管 catheter 22 快速交换球囊导管rapid exchange balloon catheter
101101 导管近端catheter proximal end 33 导丝 guide wire
301301 导丝近端Guidewire Proximal 302302 导丝转向前部Guidewire steering anterior
303303 导丝转向后部Guidewire steering to the rear 100100 座体 Body
110110 基座 base 120120 固定座 Fixing seat
200200 移动驱动座 Mobile drive seat 210210 轮驱动电机 wheel drive motor
220220 移动轮组 mobile wheels 300300 旋转驱动座 Rotary drive seat
310310 旋转驱动电机 rotary drive motor 320320 伞齿轮传动件 Bevel gear transmission
330330 管丝夹 Pipe clamp 440440 导丝导向结构 wire guide structure
4141 底板 Bottom plate 4242 限位板 limit plate
44 三通管 Tee pipe 401401 管丝入口 Tubing entrance
402402 注射液入口Injection inlet Z1Z1 导丝轴线guide wire axis
Z2Z2 管路轴线Piping axis  the  the
具体实施方式Detailed ways
以下结合附图对本发明的具体实施方式进行详细说明。应当理解的是,此处所描述的具体实施方式仅用于说明和解释本发明,并不用于限制本发明。Specific embodiments of the present invention will be described in detail below in conjunction with the accompanying drawings. It should be understood that the specific embodiments described here are only used to illustrate and explain the present invention, and are not intended to limit the present invention.
需要说明的是,在不冲突的情况下,本发明中的实施例及实施例中的特征可以相互组合。It should be noted that, in the case of no conflict, the embodiments of the present invention and the features in the embodiments can be combined with each other.
在本发明中,在未作相反说明的情况下,使用的方位词如“上、下、顶、底”通常是针对附图所示的方向而言的或者是针对竖直、垂直或重力方向上而言的各部件相互位置关系描述用词。In the present invention, unless stated to the contrary, the used orientation words such as "up, down, top, bottom" generally refer to the directions shown in the drawings or refer to the vertical, perpendicular or gravitational directions The terms used to describe the mutual positional relationship of the various components mentioned above.
快速交换球囊系统是血管介入治疗中应用最广泛的一种,主要优点是操作导丝过程不需要随时更换导管,同时更换球囊扩张导管不需要用延长导丝,在该导管距离球囊顶25厘米处有一侧孔,导丝可以从球囊顶端插入,从该侧孔穿出,可方便术者的操作空间。然而,现有的快速交换球囊系统中导管、快速交换球囊导管以及导丝需要调节根据远端的移动调节其近端的位置,操作步骤繁琐,增加了介入治疗的手术难度。因此,如何解决保证快速交换球囊类介入手术的快速、精准和便捷性是值得研究的问题。以下将详细阐述该快速交换球囊系统的具体结构和功能。The rapid exchange balloon system is the most widely used in vascular interventional therapy. The main advantage is that it is not necessary to replace the catheter at any time during the operation of the guide wire. At the same time, the replacement of the balloon dilation catheter does not require an extended guide wire. There is a side hole at 25 cm. The guide wire can be inserted from the top of the balloon and passed through the side hole, which is convenient for the operator to operate. However, in the existing rapid-exchange balloon system, the catheter, rapid-exchange balloon catheter, and guide wire need to be adjusted according to the movement of the distal end to adjust the position of the proximal end. The operation steps are cumbersome, which increases the difficulty of interventional therapy. Therefore, how to solve the problem of ensuring the speed, accuracy and convenience of rapid exchange balloon interventional surgery is worth studying. The specific structure and function of the rapid exchange balloon system will be described in detail below.
参考图1至图5所示,本发明公开了一种快速交换球囊系统,快速交换球囊系统包括:导管1、快速交换球囊导管2和导丝3;Referring to Figures 1 to 5, the present invention discloses a rapid exchange balloon system, which includes: a catheter 1, a rapid exchange balloon catheter 2 and a guide wire 3;
具体地,导管1,包括导管近端101,在快速交换球囊系统,导管1作为外部构件,其内部能够容置快速交换球囊导管2和导丝3,快速交换球囊导管2和导丝3可以自导管近端101插入,这样,方便操作且有效保护快速交换球囊导管2和导丝3;Specifically, the catheter 1 includes the proximal end 101 of the catheter. In the rapid exchange balloon system, the catheter 1 is used as an external member, and the interior of the catheter 1 can accommodate the rapid exchange balloon catheter 2 and the guide wire 3. The rapid exchange balloon catheter 2 and the guide wire 3 can be inserted from the proximal end 101 of the catheter, so that the operation is convenient and the rapid exchange balloon catheter 2 and the guide wire 3 are effectively protected;
快速交换球囊导管2,插装入导管1内并包括可移动的快速交换球囊导管远端和位于管壁上的导丝快速口,快速交换球囊导管2一般包括球囊部和导管部,在指定的压力下,快速交换球囊导管远端的球囊可以扩张至规定的直径,其中快速交换球囊导管远端插入导管1内并可以沿导管1的长度方向移动,这样,能够是快速交换导管远端移动至患者病灶处,方便对病灶处进行治疗;和The rapid exchange balloon catheter 2 is inserted into the catheter 1 and includes a movable distal end of the rapid exchange balloon catheter and a quick port of the guide wire on the wall of the tube. The rapid exchange balloon catheter 2 generally includes a balloon part and a catheter part , under a specified pressure, the balloon at the distal end of the rapid exchange balloon catheter can be expanded to a specified diameter, wherein the distal end of the rapid exchange balloon catheter is inserted into the catheter 1 and can move along the length of the catheter 1, so that it can be The distal end of the rapid exchange catheter is moved to the patient's lesion to facilitate the treatment of the lesion; and
导丝3,包括可旋转的导丝近端301以及可移动的导丝远端304,导丝远端304能够贯穿导丝快速口和快速交换球囊导管远端,导丝3的导丝近端301能够旋转,决定了导丝远端304能够进行角度偏转,导丝远端304能够移动,决定了导丝3能够运动的距离,这样,通过导丝近端301的旋转以及导丝远端304的移动,两种运动方式叠加于导丝远端304,能够实现导丝3的螺旋线的走位方式,基于该螺旋线的走位方式,使得快速交换球囊系统能够精准复制医生的动作,保证介入手术的快速、精准与便捷。此外,由于导丝3可以穿连快速交换球囊导管远端和导丝快速口,使得更换快速交换球囊导管2时不需要用延长导丝3。The guide wire 3 includes a rotatable guide wire proximal end 301 and a movable guide wire distal end 304. The guide wire distal end 304 can pass through the guide wire fast opening and the rapid exchange balloon catheter distal end. The guide wire 3 near the guide wire The end 301 can rotate, which determines the angular deflection of the guide wire distal end 304. The guide wire distal end 304 can move, which determines the distance that the guide wire 3 can move. In this way, through the rotation of the guide wire proximal end 301 and the guide wire distal end The movement of 304, the two movement modes are superimposed on the distal end of the guide wire 304, which can realize the helical position of the guide wire 3. Based on the helical position, the rapid exchange balloon system can accurately copy the doctor's action , to ensure the fast, accurate and convenient interventional surgery. In addition, since the guide wire 3 can pass through the distal end of the rapid exchange balloon catheter and the quick port of the guide wire, it is not necessary to use an extended guide wire 3 when replacing the rapid exchange balloon catheter 2 .
其中,导丝近端301与导管近端101间隔布置且相对位置固定,在导丝近端301与导管近端101之间,导丝3弯曲设置,可以理解为,位置固定的导丝近端301与导管近端101之间间隔布置,即二者之间间距固定,在介入手术治疗过程中,导丝近端301位置固定,导丝远端304插入导管近端101内,这样,在位于导丝近端301与导管近端101外部的导丝部分形成为导丝外部,该导丝外部始终呈弯曲状态。无需根据导丝远端304的移动而调节导丝近端301的位置,且导丝弯曲并能够有序移动,保证介入手术的快速、精准与便捷。Wherein, the proximal end 301 of the guide wire and the proximal end 101 of the catheter are arranged at intervals and their relative positions are fixed. Between the proximal end 301 of the guide wire and the proximal end 101 of the catheter, the guide wire 3 is bent and arranged. 301 and the catheter proximal end 101 are spaced apart, that is, the distance between the two is fixed. During the interventional operation, the position of the guide wire proximal end 301 is fixed, and the guide wire distal end 304 is inserted into the catheter proximal end 101. The guidewire proximal end 301 and the guidewire portion outside the catheter proximal end 101 are formed as a guidewire exterior, which is always in a curved state. There is no need to adjust the position of the proximal end 301 of the guide wire according to the movement of the distal end 304 of the guide wire, and the guide wire is bent and can move in an orderly manner, ensuring fast, accurate and convenient interventional surgery.
可选地,对于导管1,可以为具有一定内径的医用导管并具有两个导管端部,其中一个导管端部为导管近端101,在快速交换球囊系统中可以包括系统 安装座,导管近端101可以位置固定地安装在系统安装座上,该安装座可以为板状结构也可以为架体结构,对此不作具体限定。Optionally, for the catheter 1, it can be a medical catheter with a certain inner diameter and has two catheter ends, one of which is the catheter proximal end 101. In the rapid exchange balloon system, a system mounting seat can be included, and the catheter proximal The end 101 can be fixedly installed on the system installation seat, and the installation seat can be a plate structure or a frame structure, which is not specifically limited.
可选地,对于快速交换球囊导管2,可以包括两个球囊导管端部,其中一个球囊导管端部作为快速交换球囊导管远端,另一端作为快速交换球囊导管近端,其外径小于导管1的内径,因此,可以插入导管1内并能够在导管1的内部移动。快速交换球囊导管近端可以有一个阴性鲁尔接头,可以与能够进行充气作业的装置连接,以调节球囊大小。此外,对于快速交换球囊导管2的材质需要满足医用要求,例如,该快速交换球囊导管2的球囊段可以为聚醚酰胺嵌段共聚物、导管段可以为聚醚酰胺嵌段共聚物,当然对于快速交换球囊导管2的材质也不限于此。Optionally, for the rapid exchange balloon catheter 2, two balloon catheter ends may be included, wherein one end of the balloon catheter is used as the distal end of the rapid exchange balloon catheter, and the other end is used as the proximal end of the rapid exchange balloon catheter, which The outer diameter is smaller than the inner diameter of the catheter 1 , so it can be inserted into the catheter 1 and can move inside the catheter 1 . The proximal end of the rapid-exchange balloon catheter can have a female luer connector that can be connected to a device capable of inflating the balloon to adjust the size of the balloon. In addition, the material of the rapid-exchange balloon catheter 2 needs to meet medical requirements. For example, the balloon segment of the rapid-exchange balloon catheter 2 can be a polyetheramide block copolymer, and the catheter segment can be a polyetheramide block copolymer. , of course, the material of the rapid exchange balloon catheter 2 is not limited thereto.
可选地,对于快速交换球囊导管远端的可移动性,可以采用轮组夹持快速交换球囊导管2,此时轮组的轮部转动能够转换成快速交换球囊导管2的线性移动,这样,能够精准高效的控制快速交换球囊导管远端移动至指定病灶处。Optionally, for the mobility of the distal end of the quick-exchange balloon catheter, a wheel set can be used to clamp the quick-exchange balloon catheter 2, and the rotation of the wheels of the wheel set can be converted into the linear movement of the quick-exchange balloon catheter 2 In this way, the distal end of the rapid exchange balloon catheter can be accurately and efficiently controlled to move to the designated lesion.
可选地,对于导丝3,通过导丝3可以引导导管1移动至指定位置,导丝3在该快速交换球囊系统中起到了导向定位及支持的作用,能够帮助导管进入血管及其他腔隙,引导导管顺利到达病灶,因此,对于导丝3的准确操控是能够精准复制医务人员动作的必要条件。该导丝3可以包括内外两部,其中外部可以为优质的不锈钢丝在弹簧旋床上卷绕而成,内部可以为容置在外部内的硬而直的钢丝芯。Optionally, for the guide wire 3, the guide wire 3 can guide the catheter 1 to move to a designated position. The guide wire 3 plays a role of guidance, positioning and support in the rapid exchange balloon system, and can help the catheter enter blood vessels and other cavities Therefore, accurate manipulation of the guide wire 3 is a necessary condition for accurately replicating the actions of medical personnel. The guide wire 3 may include two parts, an inner part and an inner part, wherein the outer part may be a high-quality stainless steel wire wound on a spring lathe, and the inner part may be a hard and straight steel wire core accommodated in the outer part.
可选地,该导丝3的导丝远端304可以为J形安全导丝,其导丝3包括两个端部,其中可移动的导丝远端304呈J形弯曲,这样,在插管时如果遇到弯曲变形得血管,导丝前端不会定在血管壁上,从而可以有效防止损伤血管,该导丝远端的J形结构可以分为大中小多种尺寸,小号的可以适用于血管,大号的可以帮助调整插管的方向,在胆管等走向有变化的部位,可借助导丝3的弯曲将导管1插入不同方向的分支内。Optionally, the guide wire distal end 304 of the guide wire 3 can be a J-shaped safety guide wire, and its guide wire 3 includes two ends, wherein the movable guide wire distal end 304 is bent in a J shape, so that when inserted If there is a bent and deformed blood vessel during the tube, the front end of the guide wire will not be fixed on the blood vessel wall, which can effectively prevent damage to the blood vessel. The J-shaped structure at the distal end of the guide wire can be divided into large, medium and small sizes. The small size can be Applicable to blood vessels, the large size can help adjust the direction of intubation, and in places where the direction of the bile duct changes, the catheter 1 can be inserted into branches in different directions by means of the bending of the guide wire 3 .
可选地,导丝近端301与导管近端101均为位置固定,此时二者可以在系统安装座上间隔布置,即二者间距固定。由于导丝远端304插入导管近端101,此时在导丝近端301和导管近端101之间,导丝3可以通过限位件使其呈弯曲状,这样,无需根据导丝远端304的移动而调节导丝近端301的位置,且导丝弯曲并能够有序移动,保证介入手术的快速、精准与便捷。Optionally, both the proximal end of the guide wire 301 and the proximal end of the catheter 101 are fixed in position. At this time, the two can be arranged at intervals on the system mount, that is, the distance between the two is fixed. Since the guide wire distal end 304 is inserted into the catheter proximal end 101, at this time, between the guide wire proximal end 301 and the catheter proximal end 101, the guide wire 3 can be bent by a stopper, so that there is no need to press the guide wire distal end 304 moves to adjust the position of the proximal end 301 of the guide wire, and the guide wire is bent and can move in an orderly manner, ensuring fast, accurate and convenient interventional surgery.
对于快速交换球囊系统的具体结构,在一种实施例中,导丝近端301呈圆柱状且导丝近端301的导丝轴线Z1与导管近端101的管路轴线Z2非同轴布置。如图1和图2所示,可以理解为,对于位置固定的导管近端101与导丝近端301不在同一轴线上,如图2所示,导丝3可以呈弯曲布置并始终保持一种松弛的状态,这样,既能够保证在系统初始时,导丝3的有序排布;又能够在导丝远端304移动时,无需适配性地调节导丝近端301的位置,有效保证导丝的运动需要。具体地,导丝近端301的旋转能够有效传递至导丝远端304,以调节导丝远端304的偏转方向,导丝远端304的移动能够实现导丝远端304的顺畅移动,旋转和移动叠加于导丝远端304,以精准复制医务人员的操作,结构简单,易于操作。Regarding the specific structure of the rapid exchange balloon system, in one embodiment, the proximal end of the guide wire 301 is cylindrical and the axis Z1 of the proximal end of the guide wire 301 is arranged non-coaxially with the axis Z2 of the pipeline at the proximal end of the catheter 101 . As shown in Figures 1 and 2, it can be understood that the proximal end of the catheter 101 and the proximal end of the guide wire 301 are not on the same axis, as shown in Figure 2, the guide wire 3 can be arranged in a curved manner and always maintain a In this way, the orderly arrangement of the guide wire 3 can be ensured at the initial stage of the system; and the position of the proximal end 301 of the guide wire can be adjusted without adaptively when the distal end 304 of the guide wire moves, effectively ensuring The movement of the guide wire is required. Specifically, the rotation of the guide wire proximal end 301 can be effectively transmitted to the guide wire distal end 304 to adjust the deflection direction of the guide wire distal end 304, and the movement of the guide wire distal end 304 can realize the smooth movement of the guide wire distal end 304, and the rotation and the movement is superimposed on the distal end 304 of the guide wire to accurately replicate the operation of medical personnel, and the structure is simple and easy to operate.
进一步地,对于导丝近端301与导管近端101的位置关系,在一种实施例中,导丝近端301与导管近端101平行间隔布置。如图2所示,可以理解为,导丝轴线Z1和管路轴线Z2呈平行布置,这样能够提高该系统的结构紧凑度。Further, regarding the positional relationship between the proximal end 301 of the guide wire and the proximal end 101 of the catheter, in one embodiment, the proximal end 301 of the guide wire is arranged in parallel with the proximal end 101 of the catheter. As shown in FIG. 2 , it can be understood that the axis Z1 of the guide wire and the axis Z2 of the pipeline are arranged in parallel, which can improve the structural compactness of the system.
更进一步地,在一种实施例中,导丝3还包括连接于导丝近端301与导丝远端304的导丝连接段,导丝连接段呈U形并包括相互平行的导丝转向前部302和导丝转向后部303以及连接于导丝转向前部302和导丝转向后部303之间的弧形连接部。如图2所示,此时导丝近端301与导管近端101之间的导丝连接段呈U形结构,导丝转向前部302和导丝转向后部303可以通过该系统的外部组件进行结构限制,且导丝转向前部302和导丝转向后部303的间距始终与导丝轴线Z1和管路轴线Z2的间距相同,既保证导丝3的有序排布,又提高导丝3的结构紧凑度。对于弧形连接部,其弧度不易过大,其中,导丝轴线Z1和管路轴线Z2的间距最小可以为5厘米,这样,避免导丝3弯折角度过大,保证导丝3的有序移动,降低手术的操控难度。Furthermore, in one embodiment, the guide wire 3 also includes a guide wire connection section connected to the guide wire proximal end 301 and the guide wire distal end 304, the guide wire connection section is U-shaped and includes guide wire turning directions parallel to each other. The front part 302 and the guide wire turning rear part 303 and the arc-shaped connection part connected between the guide wire turning front part 302 and the guide wire turning rear part 303 . As shown in FIG. 2 , the guide wire connection section between the guide wire proximal end 301 and the catheter proximal end 101 is in a U-shaped structure, and the guide wire turning front 302 and the guide wire turning rear 303 can pass through the external components of the system Structural restrictions are carried out, and the distance between the guide wire turning front 302 and the guide wire turning rear 303 is always the same as the distance between the guide wire axis Z1 and the pipeline axis Z2, which not only ensures the orderly arrangement of the guide wire 3, but also improves the guide wire 3's structural compactness. For the arc-shaped connection part, the arc is not too large, and the distance between the axis Z1 of the guide wire and the axis Z2 of the pipeline can be at least 5 cm. In this way, the bending angle of the guide wire 3 is prevented from being too large, and the order of the guide wire 3 is ensured. Move, reduce the operation difficulty of operation.
对于该快速交换球囊系统的其他具体结构,在一种实施例中,快速交换球囊系统还包括:座体100,用于安装导管1、快速交换球囊导管2以及导丝3;如图1和图3所示,该座体100可以为具有平面结构的板状构件,这样方便加工。安装导管1、快速交换球囊导管2以及导丝3安装在座体100上,结构紧凑且互不干扰,为介入治疗的顺利完成提供了前提保障。For other specific structures of the rapid exchange balloon system, in one embodiment, the rapid exchange balloon system further includes: a seat body 100 for installing the catheter 1, the rapid exchange balloon catheter 2 and the guide wire 3; as shown in FIG. 1 and 3, the seat body 100 can be a plate-shaped member with a planar structure, which is convenient for processing. The installation catheter 1 , the rapid exchange balloon catheter 2 and the guide wire 3 are installed on the base body 100 , and are compact in structure and do not interfere with each other, which provides a premise guarantee for the successful completion of interventional therapy.
对于导管1、快速交换球囊导管2以及导丝3的具体驱动结构,一方面,该系统包括多个移动驱动座200,安装于座体100上并分别用于驱动导管1的 导管远端移动、驱动导丝远端304移动以及驱动快速交换球囊导管远端移动,如图2和图3所示,可以理解为,该移动驱动座200至少包括三个,且三个移动驱动座200之间均为独立控制,这样,使得导管远端、导丝远端304以及快速交换球囊导管远端均能够独立调节其移动距离。Regarding the specific driving structure of the catheter 1, the rapid exchange balloon catheter 2, and the guide wire 3, on the one hand, the system includes a plurality of mobile driving seats 200, which are installed on the seat body 100 and are used to drive the distal end of the catheter 1 to move respectively. , driving the distal end of the guide wire 304 to move and driving the distal end of the rapid exchange balloon catheter to move, as shown in FIGS. The intervals are independently controlled, so that the distal end of the catheter, the distal end of the guide wire 304 and the distal end of the rapid exchange balloon catheter can independently adjust their moving distances.
另一方面,该系统包括多个旋转驱动座300,安装于座体100上并分别用于驱动导管近端101旋转和驱动导丝近端301旋转,如图2所示,该旋转驱动座300为两个且能够进行独立控制,且该旋转驱动座300的旋转中心应该与相应的导管近端101和导丝近端301的圆心相重合,这样,使得导管近端101和导丝近端301能够自转,以调节其相应远端的角度;On the other hand, the system includes a plurality of rotating drive bases 300, which are installed on the base body 100 and are respectively used to drive the rotation of the proximal end of the catheter 101 and the rotation of the proximal end of the guide wire 301. As shown in FIG. There are two and can be independently controlled, and the rotation center of the rotating drive seat 300 should coincide with the center of circle of the corresponding catheter proximal end 101 and guide wire proximal end 301, so that the catheter proximal end 101 and guide wire proximal end 301 capable of self-rotation to adjust the angle of its corresponding distal end;
更重要的是,该系统还包括导丝导向结构440,固定安装于座体100上并用于调节导丝3转向。通过导丝导向结构440可以承托导丝3,并限制导丝3的弯曲弧度和转向方向,保证导丝3的有序性,降低介入治疗的操作难度,保证介入手术的顺利完成。More importantly, the system also includes a guide wire guiding structure 440 fixedly installed on the base body 100 and used to adjust the direction of the guide wire 3 . The guide wire 3 can be supported by the guide wire guiding structure 440, and the bending arc and turning direction of the guide wire 3 can be limited to ensure the order of the guide wire 3, reduce the operation difficulty of interventional therapy, and ensure the smooth completion of the interventional operation.
具体地,在一种实施例中,座体100包括:固定座120;和基座110,具有滑动件并安装于固定座120上,其中,固定座120呈L形并设置有用于滑动件滑动的滑轨。如图2和图3所示;可以理解为,该L形固定座120包括基座连接部和基座伸出部,导管1的导管远端可移动地安装在基座伸出部,导管近端101可旋转地安装在基座110上,在基座连接部与基座110之间可以有一组或多组滑轨滑动件,通过调节滑动件在滑轨上的位置可以调节基座伸出部与基座110之间的间距,这样,随着导管远端的位置移动,可以为导管近端101进行适配性的位置调节,以避免拉扯导管1,保证导管1的正常使用。Specifically, in one embodiment, the seat body 100 includes: a fixed seat 120; and a base 110, which has a slider and is installed on the fixed seat 120, wherein the fixed seat 120 is L-shaped and is provided with a slide rails. As shown in Figure 2 and Figure 3; it can be understood that the L-shaped fixed seat 120 includes a base connection part and a base extension part, the catheter distal end of the catheter 1 is movably installed on the base extension part, and the catheter near The end 101 is rotatably mounted on the base 110, and there can be one or more sets of slide rail sliders between the base connection part and the base 110, and the extension of the base can be adjusted by adjusting the position of the slider on the slide rail. In this way, as the position of the distal end of the catheter moves, the proximal end 101 of the catheter can be adaptively adjusted to avoid pulling the catheter 1 and ensure the normal use of the catheter 1 .
进一步地,在一种实施例中,移动驱动座200包括:轮驱动电机210,固定安装于基座110上;和移动轮组220,包括从基座110伸出的管丝驱动轮和管丝惰轮;其中,管丝驱动轮和管丝惰轮平行间隔布置并共同形成有夹管丝空间。如图2和图3所示,多个移动驱动座200的夹管丝空间可以分别用于夹持导管1、导丝3或快速交换球囊导管2,以导丝为例,通过轮驱动电机210提供驱动力,通过管丝驱动轮和管丝惰轮夹持导丝3并随着管丝驱动轮的转动转换成导丝3线性移动的驱动力,这样,能够实现导丝3的前进或后退,且范围时间内导丝3的移动距离相等,便于医务人员精准掌控。Further, in one embodiment, the mobile drive base 200 includes: a wheel drive motor 210, fixedly installed on the base 110; An idler; wherein, the tube wire driving wheel and the tube wire idler are arranged in parallel and at intervals and jointly form a space for clamping the tube wire. As shown in Fig. 2 and Fig. 3, the clamping wire space of multiple mobile driving bases 200 can be used to clamp the catheter 1, the guide wire 3 or the rapid exchange balloon catheter 2 respectively. Taking the guide wire as an example, the motor is driven by the wheel 210 provides a driving force, the guide wire 3 is clamped by the tube wire driving wheel and the tube wire idler wheel and converted into a driving force for the linear movement of the guide wire 3 with the rotation of the tube wire driving wheel, so that the advancement or movement of the guide wire 3 can be realized Back, and the moving distance of the guide wire 3 within the range is equal, which is convenient for medical personnel to control accurately.
在一种实施例中,旋转驱动座300包括:旋转驱动电机310,固定安装于基座110上;伞齿轮传动件320,传动连接于旋转驱动电机310上;和管丝夹330,与伞齿轮传动件320传动相连并用于夹持固定导管1或导丝3。如图2、图4和图5所示,以导管1为例,该旋转驱动电机可以安装在基座110的背面,该伞齿轮传动件320可以位于基座110的正面,这样,结构紧凑,集成度高,旋转驱动电机310带动伞齿轮传动件320并,通过安装在伞齿轮传动件320上的管丝夹330夹持固定导管1,保证导管1的精准旋转,由此调节导管远端的偏转方向。In one embodiment, the rotary drive base 300 includes: a rotary drive motor 310 fixedly installed on the base 110; a bevel gear transmission 320 connected to the rotary drive motor 310; and a pipe clamp 330 connected with the bevel gear The transmission member 320 is connected by transmission and is used to clamp and fix the catheter 1 or the guide wire 3 . As shown in Figure 2, Figure 4 and Figure 5, taking catheter 1 as an example, the rotary drive motor can be installed on the back of the base 110, and the bevel gear transmission 320 can be located on the front of the base 110, so that the structure is compact, The degree of integration is high, the rotating drive motor 310 drives the bevel gear transmission part 320, and the catheter 1 is clamped and fixed by the tube wire clamp 330 installed on the bevel gear transmission part 320, so as to ensure the precise rotation of the catheter 1, thereby adjusting the distal end of the catheter. deflection direction.
对于导丝3的导向,在一种实施例中,导丝导向结构440呈开口状并包括固定安装于基座110上的底板41以及间隔布置于底板41上的两个限位板42,限位板42用于限制导丝3的移动范围,如图1和图2所示,通过底板41可以承托导丝3,保证导丝3始终位于同一平面内,方便操控导丝3的移动和旋转,通过限位板42可以限制导丝转向前部302和导丝转向后部303的间距,这样,既提高了导丝3的有序性和集成度,又保证和限制了导丝的弯曲弧度。对于限位板42可以为一字板,也可以为L形板,即可以在底板41的高度方向上限制导丝3避免导丝3滑出导丝导向结构440。For the guidance of the guide wire 3, in one embodiment, the guide wire guiding structure 440 is in the shape of an opening and includes a bottom plate 41 fixedly installed on the base 110 and two limiting plates 42 arranged at intervals on the bottom plate 41. The position plate 42 is used to limit the range of movement of the guide wire 3, as shown in Figures 1 and 2, the base plate 41 can support the guide wire 3 to ensure that the guide wire 3 is always located in the same plane, so as to facilitate the movement and control of the guide wire 3. Rotate, the distance between the guide wire turning to the front part 302 and the guide wire turning to the rear part 303 can be limited by the limit plate 42, so that the order and integration of the guide wire 3 are improved, and the bending of the guide wire is guaranteed and limited radian. The limiting plate 42 can be a straight plate or an L-shaped plate, that is, it can limit the guide wire 3 in the height direction of the bottom plate 41 to prevent the guide wire 3 from slipping out of the guide wire guide structure 440 .
在另一种实施例中,导丝导向结构440为套筒件并包括导向壳体以及导向壳体围绕限定的用于容置导丝3的限位容置空间。此时,导丝导向结构440的管丝承托面呈凹状,盖限定容置空间可以很好的限制导丝3,避免导丝3从导向壳体内脱落。In another embodiment, the guide wire guiding structure 440 is a sleeve member and includes a guide housing and a limited accommodating space defined around the guide housing for accommodating the guide wire 3 . At this time, the tube wire supporting surface of the guide wire guiding structure 440 is concave, and the housing space defined by the cover can well restrict the guide wire 3 and prevent the guide wire 3 from falling out of the guide housing.
此外,快速交换球囊系统还包括与导管近端101相连通的三通管4,三通管4上形成有用于插入快速交换球囊导管2和导丝3的管丝入口401以及用于与外接注射器相连通的注射液入口402,如图2所示。该管丝入口401能够允许快速交换球囊导管2和导丝3的进入,注射液入口402能够允许外接注射器将药液注入导管1内并能够沿导管远端排出直达病灶。In addition, the rapid exchange balloon system also includes a three-way tube 4 that communicates with the proximal end 101 of the catheter. The three-way tube 4 is formed with a tube wire inlet 401 for inserting the rapid exchange balloon catheter 2 and the guide wire 3 and for connecting with the catheter proximal end 101. The injection liquid inlet 402 connected with the external syringe is shown in FIG. 2 . The tubing wire inlet 401 can allow rapid exchange balloon catheter 2 and guide wire 3 to enter, and the injection fluid inlet 402 can allow an external syringe to inject medical fluid into the catheter 1 and discharge it along the distal end of the catheter to the lesion.
需要特别说明的是,根据本发明实施例中的快速交换球囊系统的其它构成以及作用对于本领域的普通技术人员而言都是已知的,为了减少冗余,此处不做赘述。It should be noted that other configurations and functions of the rapid exchange balloon system according to the embodiment of the present invention are known to those skilled in the art, and will not be repeated here in order to reduce redundancy.
以上结合附图详细描述了本发明的优选实施方式,但是,本发明并不限于上述实施方式中的具体细节,在本发明的技术构思范围内,可以对本发明 的技术方案进行多种简单变型,例如对端板密封层的形状、厚度和材质变化,这些简单变型均属于本发明的保护范围。The preferred embodiment of the present invention has been described in detail above in conjunction with the accompanying drawings, but the present invention is not limited to the specific details of the above embodiment, within the scope of the technical concept of the present invention, various simple modifications can be made to the technical solution of the present invention, For example, changes in the shape, thickness and material of the sealing layer of the end plate, these simple modifications all belong to the protection scope of the present invention.
另外需要说明的是,在本说明书的描述中,参考术语“一个实施例”、“一些实施例”、“示例”、“具体示例”、或“一些示例”等的描述意指结合该实施例或示例描述的具体特征、结构、材料或者特点包含于本发明的至少一个实施例或示例中。在本说明书中,对上述术语的示意性表述不必须针对的是相同的实施例或示例。而且,描述的具体特征、结构、材料或者特点可以在任一个或多个实施例或示例中以合适的方式结合。在不矛盾的情况下,可以通过任何合适的方式进行组合,为了避免不必要的重复,本发明对各种可能的组合方式不再另行说明。In addition, it should be noted that, in the description of this specification, descriptions referring to the terms "one embodiment", "some embodiments", "examples", "specific examples", or "some examples" mean that the embodiments are combined A specific feature, structure, material, or characteristic described by or example is included in at least one embodiment or example of the present invention. In this specification, the schematic representations of the above terms are not necessarily directed to the same embodiment or example. Furthermore, the described specific features, structures, materials or characteristics may be combined in any suitable manner in any one or more embodiments or examples. In the case of no contradiction, any suitable combination can be used. In order to avoid unnecessary repetition, the present invention will not further describe various possible combinations.
此外,本发明的各种不同的实施方式之间也可以进行任意组合,只要其不违背本发明的思想,其同样应当视为本发明所公开的内容。In addition, various combinations of different embodiments of the present invention can also be combined arbitrarily, as long as they do not violate the idea of the present invention, they should also be regarded as the disclosed content of the present invention.

Claims (10)

  1. 一种快速交换球囊系统,其特征在于,所述快速交换球囊系统包括:A rapid exchange balloon system, characterized in that the rapid exchange balloon system comprises:
    导管(1),包括导管近端(101);a catheter (1), including a catheter proximal end (101);
    快速交换球囊导管(2),插装入所述导管(1)内并包括可移动的快速交换球囊导管远端和位于管壁上的导丝快速口;和A quick-exchange balloon catheter (2), inserted into the catheter (1) and comprising a removable quick-exchange balloon catheter distal end and a guide wire rapid port on the tube wall; and
    导丝(3),包括可旋转的导丝近端(301)以及可移动的导丝远端(304),所述导丝远端(304)能够贯穿所述导丝快速口和所述快速交换球囊导管远端;The guide wire (3) includes a rotatable guide wire proximal end (301) and a movable guide wire distal end (304), and the guide wire distal end (304) can pass through the guide wire rapid port and the rapid guide wire Exchange the distal end of the balloon catheter;
    其中,所述导丝近端(301)与所述导管近端(101)间隔布置且相对位置固定,在所述导丝近端(301)与所述导管近端(101)之间,所述导丝(3)弯曲设置。Wherein, the proximal end of the guide wire (301) and the proximal end of the catheter (101) are spaced apart and relatively fixed in position, and between the proximal end of the guide wire (301) and the proximal end of the catheter (101), the The guide wire (3) is bent and set.
  2. 根据权利要求1所述的快速交换球囊系统,其特征在于,所述导丝近端(301)呈圆柱状且所述导丝近端(301)的导丝轴线与所述导管近端(101)的管路轴线非同轴布置。The rapid exchange balloon system according to claim 1, wherein the proximal end of the guide wire (301) is cylindrical and the axis of the proximal end of the guide wire (301) is aligned with the proximal end of the catheter ( 101) of the pipeline axis non-coaxial arrangement.
  3. 根据权利要求2所述的快速交换球囊系统,其特征在于,所述导丝近端(301)与所述导管近端(101)平行间隔布置。The rapid exchange balloon system according to claim 2, characterized in that, the proximal end of the guide wire (301) is arranged in parallel with the proximal end of the catheter (101).
  4. 根据权利要求1所述的快速交换球囊系统,其特征在于,所述导丝(3)还包括连接于所述导丝近端(301)与所述导丝远端(304)的导丝连接段,所述导丝连接段呈U形并包括相互平行的导丝转向前部(302)和导丝转向后部(303)以及连接于所述导丝转向前部(302)和所述导丝转向后部(303)之间的弧形连接部。The rapid exchange balloon system according to claim 1, wherein the guide wire (3) further comprises a guide wire connected to the guide wire proximal end (301) and the guide wire distal end (304) A connecting section, the guide wire connecting section is U-shaped and includes a guide wire turning front (302) and a guide wire turning rear (303) parallel to each other, and is connected to the guide wire turning front (302) and the guide wire turning front (302) and the guide wire turning front (302) The guidewire turns to the arcuate junction between the rear parts (303).
  5. 根据权利要求1~4中任意一项所述的快速交换球囊系统,其特征在于,所述快速交换球囊系统还包括:The rapid exchange balloon system according to any one of claims 1 to 4, wherein the rapid exchange balloon system further comprises:
    座体(100),用于安装所述导管(1)、所述快速交换球囊导管(2)以及所述导丝(3);A base (100), used for installing the catheter (1), the rapid exchange balloon catheter (2) and the guide wire (3);
    多个移动驱动座(200),安装于所述座体(100)上并分别用于驱动所述导管(1)的导管远端移动、驱动所述导丝远端(304)移动以及驱动所述快速交换球囊导管远端移动;A plurality of mobile driving seats (200), installed on the seat body (100) and respectively used to drive the catheter distal end of the catheter (1) to move, to drive the guide wire distal end (304) to move and to drive the Distal movement of the rapid exchange balloon catheter;
    多个旋转驱动座(300),安装于所述座体(100)上并分别用于驱动所述导管近端(101)旋转和驱动所述导丝近端(301)旋转;以及A plurality of rotating drive bases (300), installed on the base body (100) and respectively used to drive the proximal end of the catheter (101) to rotate and the proximal end of the guide wire (301) to rotate; and
    导丝导向结构(440),固定安装于所述座体(100)上并用于调节所述导丝(3)转向。The guide wire guiding structure (440) is fixedly installed on the base body (100) and used to adjust the steering of the guide wire (3).
  6. 根据权利要求5所述的快速交换球囊系统,其特征在于,所述座体(100)包括:The rapid exchange balloon system according to claim 5, characterized in that, the seat (100) comprises:
    固定座(120);和fixed seat (120); and
    基座(110),具有滑动件并安装于所述固定座(120)上;a base (110), which has a sliding part and is installed on the fixed base (120);
    其中,所述固定座(120)呈L形并设置有用于所述滑动件滑动的滑轨。Wherein, the fixing seat (120) is L-shaped and is provided with a slide rail for sliding the slider.
  7. 根据权利要求6所述的快速交换球囊系统,其特征在于,所述移动驱动座(200)包括:The rapid exchange balloon system according to claim 6, wherein the mobile drive seat (200) comprises:
    轮驱动电机(210),固定安装于所述基座(110)上;和a wheel drive motor (210), fixedly mounted on the base (110); and
    移动轮组(220),包括从所述基座(110)伸出的管丝驱动轮和管丝惰轮;A moving wheel set (220), comprising a tube wire driving wheel and a tube wire idler wheel protruding from the base (110);
    其中,所述管丝驱动轮和所述管丝惰轮平行间隔布置并共同形成有夹管丝空间。Wherein, the tube wire driving wheel and the tube wire idler wheel are arranged in parallel and at intervals and jointly form a space for clamping the tube wire.
  8. 根据权利要求6所述的快速交换球囊系统,其特征在于,所述旋转驱动座(300)包括:The rapid exchange balloon system according to claim 6, characterized in that, the rotating drive seat (300) comprises:
    旋转驱动电机(310),固定安装于所述基座(110)上;A rotary drive motor (310), fixedly installed on the base (110);
    伞齿轮传动件(320),传动连接于所述旋转驱动电机(310)上;和a bevel gear transmission (320), transmission connected to the rotary drive motor (310); and
    管丝夹(330),与所述伞齿轮传动件(320)传动相连并用于夹持固定所述导管(1)或所述导丝(3)。The tube wire clamp (330) is connected with the bevel gear transmission part (320) and used for clamping and fixing the catheter (1) or the guide wire (3).
  9. 根据权利要求6所述的快速交换球囊系统,其特征在于,所述导丝导向结构(440)呈开口状并包括固定安装于所述基座(110)上的底板(41)以及间隔布置于所述底板(41)上的两个限位板(42),所述限位板(42)用于限制所述导丝(3)的移动范围;或,所述导丝导向结构(440)为套筒件并包括导向壳体以及所述导向壳体围绕限定的用于容置所述导丝(3)的限位容置空间。The rapid exchange balloon system according to claim 6, characterized in that, the guide wire guiding structure (440) is in the shape of an opening and includes a base plate (41) fixedly installed on the base (110) and an interval arrangement Two limiting plates (42) on the base plate (41), the limiting plates (42) are used to limit the moving range of the guide wire (3); or, the guide wire guiding structure (440 ) is a sleeve member and includes a guide housing and a limit accommodating space for accommodating the guide wire (3) defined around the guide housing.
  10. 根据权利要求6所述的快速交换球囊系统,其特征在于,所述快速交换球囊系统还包括与所述导管近端(101)相连通的三通管(4),所述三通管(4)上形成有用于插入所述快速交换球囊导管(2)和所述导丝(3)的管丝入口(401)以及用于与外接注射器相连通的注射液入口(402)。The rapid exchange balloon system according to claim 6, characterized in that, the rapid exchange balloon system further comprises a three-way tube (4) communicated with the catheter proximal end (101), and the three-way tube (4) is formed with a tube wire inlet (401) for inserting the rapid exchange balloon catheter (2) and the guide wire (3) and an injection fluid inlet (402) for communicating with an external syringe.
PCT/CN2022/132057 2021-11-23 2022-11-15 Rapid exchange balloon system WO2023093575A1 (en)

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CN114177486A (en) * 2021-11-23 2022-03-15 生一科技(北京)有限公司 Rapid exchange balloon system
WO2023093578A1 (en) * 2021-11-23 2023-06-01 生一科技(北京)有限公司 Medical catheter wire delivery mechanism and transluminal intervention system

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