WO2023197367A1 - Burst wave generation method for angioplasty and burst wave generation system - Google Patents

Burst wave generation method for angioplasty and burst wave generation system Download PDF

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Publication number
WO2023197367A1
WO2023197367A1 PCT/CN2022/088753 CN2022088753W WO2023197367A1 WO 2023197367 A1 WO2023197367 A1 WO 2023197367A1 CN 2022088753 W CN2022088753 W CN 2022088753W WO 2023197367 A1 WO2023197367 A1 WO 2023197367A1
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Prior art keywords
burst wave
transducer
module
burst
wave generation
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PCT/CN2022/088753
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French (fr)
Chinese (zh)
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肖杨
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深圳高性能医疗器械国家研究院有限公司
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Publication of WO2023197367A1 publication Critical patent/WO2023197367A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/22004Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves
    • A61B17/22012Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/22004Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves
    • A61B17/22012Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement
    • A61B17/22022Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement using electric discharge
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22051Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22082Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for after introduction of a substance
    • A61B2017/22091Explosive

Definitions

  • the present application relates to the technical field of medical devices, and in particular to a burst wave generation method and burst wave generation system for angioplasty.
  • Vascular stenosis is caused by arterial stenosis, which is mainly manifested by the accumulation of lipids and complex carbohydrates in the arteries, bleeding, thrombus, fibrous tissue proliferation, and calcium precipitation, thereby forming atherosclerotic lipid-containing necrosis lesions and blood vessel walls.
  • the hardening of the arteries can block the arterial lumen and hinder blood circulation in severe cases, leading to ischemia or necrosis of blood supplying tissues and organs.
  • calcification occurs in blood vessels, the blood vessel wall becomes irregularly narrowed and occluded, the hardness of the blood vessel increases, and the compliance decreases, making treatment difficult, especially for patients with calcified lesions and calcified nodules.
  • the commonly used interventional treatments for calcified lesions include: one is simple balloon dilatation angioplasty, which expands the lumen through balloon expansion; although the lumen is expanded, it cannot improve vascular compliance, and the incidence of dissection is high.
  • the incidence of postoperative restenosis is high;
  • the second is intravascular shock wave calcification fragmentation, which places a fluid-filled balloon in the calcified area and applies a voltage electric field between the electrodes in the balloon, using the hydroelectric effect to cause rapid expansion of the balloon.
  • the shock wave generated by the hydroelectric effect is difficult to accurately control its conduction area, the direction of the impact force, and its uniformity.
  • the range of action is also small, and the impact pressure acting on the balloon is high (usually up to 50 atmospheres), which can easily cause damage to the balloon, resulting in the risk of high-voltage electric leakage.
  • This application provides a burst wave generation method and burst wave generation system for angioplasty, which are used to solve the problem of poor therapeutic effect and danger during interventional treatment of calcified lesions.
  • This application proposes a burst wave generation method for angioplasty, which includes the following steps:
  • the transducer is located at the distal end of the catheter assembly, and the transducer is transported to a preset position within the blood vessel through the catheter assembly;
  • the burst wave generator Start the burst wave generator, and generate a burst wave at the preset position through the transducer; wherein the signal amplitude range of the burst wave is 20V-500V, the frequency range is 100kHz-10MHz, and the peak pressure is less than 8MPa.
  • the duty cycle range of the burst wave is 0.1%-10%
  • the pulse duration of the burst wave ranges from 10 ⁇ s to 500 ⁇ s;
  • the repetition frequency range of the burst wave is 20Hz-1000Hz.
  • the burst wave generation method further includes the steps:
  • the burst wave generator is started, and the burst wave is generated at the preset position by the transducer, and the burst wave is conducted to the preset position of the blood vessel through the sound-conducting liquid; wherein, the transducer
  • the central frequency range of the energizer is 100kHz-10MHz, and the action area range of the burst wave is 5mm2-150mm2.
  • This application also provides a burst wave generation system for angioplasty, including:
  • a catheter assembly including a catheter body and a balloon, the balloon being connected to the distal end of the catheter body;
  • a burst wave generator is located at the proximal end of the catheter body and is electrically connected to the transducer through a wire connection wire.
  • the burst wave generator is used to drive the transducer to generate a burst wave; wherein,
  • the signal amplitude range of the burst wave is 20V-500V, the frequency range is 100kHz-10MHz, and the peak pressure is less than 8MPa.
  • the catheter assembly further includes a radioactive marking ring, the radioactive marking ring is sleeved on the catheter body, and the radioactive marking ring is located within the balloon.
  • the catheter assembly further includes a liquid-adding syringe
  • the proximal end of the catheter body further includes a liquid-filling interface
  • the liquid-adding syringe is detachably connected to the liquid-filling interface
  • the balloon is connected to the liquid injection interface, and the liquid adding syringe is used to inject sound-conducting liquid into the balloon.
  • the burst wave generator includes a pulse waveform generation module, a connector module and a transducer matching module.
  • the transducer matching module is signal-connected to the pulse waveform generation module and the transducer matching module respectively.
  • a connector module has a high-voltage pulse signal terminal and is connected to the transducer through the high-voltage pulse signal terminal.
  • the burst wave generator further includes a power amplification module, which is respectively connected to the pulse wave generation module and the transducer matching module;
  • the power amplification module includes a gain control module and field effect transistor, and used to amplify the signal sent by the pulse wave generating module;
  • the burst wave generator further includes an operation control module, the operation control module is signal-connected to the pulse waveform generation module and the connector module respectively, and is used to control the startup or shutdown of the pulse waveform generation module.
  • the duty cycle range of the burst wave is 0.1%-10%
  • the pulse duration of the burst wave ranges from 10 ⁇ s to 500 ⁇ s;
  • the repetition frequency range of the burst wave is 20Hz-1000Hz.
  • the number of the transducers is multiple, and the multiple transducers are arranged at intervals along the conduit body, and the burst wave generators are respectively connected with signals to multiple transducers. energy device.
  • the burst wave is generated by starting the transducer through the set burst generator, which can accurately control the burst wave, and the burst wave can be transmitted to the calcified area through the balloon. It is highly efficient and will not damage the soft tissue and balloon around the calcified area, making it highly safe to use.
  • Figure 1 is a schematic flow chart of a burst wave generation method in an embodiment of the present application
  • Figure 2 is a partial flow diagram of a burst wave generation method in an embodiment of the present application
  • Figure 3 is a schematic structural diagram of the burst wave generation system in the embodiment of the present application.
  • Figure 4 is a schematic diagram of the principle of the burst wave generation system in the embodiment of the present application.
  • Figure 5 is a single waveform diagram of the burst wave generated by the burst wave generation system in the embodiment of the present application;
  • Figure 6 is a pulse signal waveform diagram of a burst wave repeatedly emitted by the burst wave generation system in the embodiment of the present application;
  • Catheter assembly 110. Catheter body; 111. Liquid injection interface; 112. Guide wire interface; 113. Connection interface; 120. Balloon; 130. Radioactive marking ring; 140. Liquid adding syringe; 150. Guide wire;
  • Burst wave generator 210. Pulse waveform generation module; 220. Connector module; 230. Transducer matching module; 240. Power amplification module; 250. Operation control module;
  • embodiments of the present application provide a burst wave generation method for angioplasty, which is used to dissolve calcified plaques in blood vessels and improve blood vessel compliance, which includes the following steps:
  • Step S100 Provide the catheter assembly 100 and the transducer 300.
  • the transducer 300 is located at the distal end of the catheter assembly 100, and the transducer 300 is delivered to a preset position in the blood vessel through the catheter assembly 100;
  • Step S200 Provide a burst wave generator 200, and connect the burst wave generator 200 to the transducer 300 through wires;
  • Step S300 Start the burst wave generator 200 and generate a burst wave at a preset position through the transducer 300.
  • the signal amplitude range of the burst wave is 20V-500V
  • the frequency range is 100kHz-10MHz
  • the peak pressure is less than 8MPa.
  • the burst wave is generated by starting the transducer 300 through the set burst generator.
  • the burst wave can be accurately controlled, and the burst wave can be conducted to the calcified area through the balloon 120, with high conduction efficiency. High, while not damaging the soft tissue and balloon 120 around the calcification area, it is highly safe to use.
  • a high-voltage pulse electrical signal is applied to both ends of the electrodes of the transducer 300 through the burst wave generator 200, so that the transducer 300 repeatedly generates burst waves.
  • the burst wave generation method of this embodiment utilizes the mechanical effect of the generated burst wave to generate a controllable, repetitive, and uniform mechanical force that directly acts on the calcified plaque to crack and break it without damaging the surrounding tissue.
  • the soft tissue and balloon 120 in the catheter assembly 100 effectively improve the compliance of blood vessels without causing thermal damage.
  • the action area can be controlled by the shape and structure of the transducer 300, the emission energy can be adjusted to control the size of the action force, and the emission frequency can be adjusted to control the size of the calcified fragments.
  • the structure of the transducer 300 includes but is not limited to single array element, multiple array element, circular tube shape, flat plate shape, area array, and ring array.
  • the duty cycle range of the burst wave is 0.1%-10%; the pulse duration range of the burst wave is 10 ⁇ s-500 ⁇ s; and the repetition frequency range of the burst wave is 20Hz-1000Hz.
  • the burst wave of this embodiment compared with the existing shock wave, the burst wave has a longer pulse delay time, an order of magnitude lower energy than the shock wave, and a higher repetition frequency.
  • the transducer 300 By setting the transducer 300 to output the burst wave, it is possible By adjusting the emission energy to control the size of the force, and adjusting the emission frequency to control the size of the calcified fragments, the effect is good.
  • the catheter body 110 includes a guide wire interface 112 and a connection interface 113.
  • the guide wire interface 112 is used to penetrate the guide wire 150 and guide the movement of the catheter body 110 so that the catheter assembly 100 moves to a preset position.
  • the connection interface 113 is used to pass through the connection wire 310 and electrically connect the burst wave generator 200 and the transducer 300 .
  • the burst wave generator 200 includes a plurality of signal ports, and is electrically connected to a plurality of transducers 300 through the plurality of signal ports, so that the plurality of transducers 300 emit high-voltage pulse signals to generate bursts. Wave.
  • the preset position is preferably a calcified lesion area within the blood vessel.
  • the burst wave generator 200 is started and the transducer 300 generates burst waves to crush the calcified tissue in the calcified lesion area. Thereby achieving the effect of dredging blood vessels.
  • step S300 also includes the steps:
  • Step S301 Provide a liquid-adding syringe 140 connected to the conduit assembly 100, and inject the sound-conducting liquid into the conduit assembly 100 so that it is located at a preset position;
  • Step S302 Start the burst wave generator 200, and generate a burst wave at a preset position through the transducer 300.
  • the burst wave is conducted to the preset position of the blood vessel through the sound-guiding liquid; wherein, the center frequency range of the transducer 300 is 100 kHz. -10MHz, the action area of the burst wave is 5mm2-150mm2.
  • the catheter assembly 100 further includes a liquid filling interface 111, and is connected to an external liquid filling syringe 140 through the liquid filling interface 111, and the catheter body 110 is connected to the balloon 120 through the liquid filling interface 111.
  • the catheter body 110 The distal end has a liquid filling port connected to the liquid injection interface 111.
  • the liquid filling port is located inside the balloon 120.
  • the balloon 120 is sealingly connected to the catheter body 110 and is enclosed with the catheter body 110 to form a liquid injection cavity.
  • the liquid filling syringe 140 Inject the sound-conducting liquid through the connection interface 113 and fill it outside the transducer 300.
  • the sound-conducting liquid is sealed in the liquid injection cavity through the balloon 120 to prevent it from leaking to the blood vessels. middle.
  • the burst wave generator 200 drives the transducer 300 to generate a burst wave
  • the burst wave can be transmitted through the sound-conducting liquid, thereby ensuring the impact strength of the burst wave.
  • the present application also provides a burst wave generation system 10 for angioplasty, which includes a catheter assembly 100, a burst wave generator 200 and a transducer 300.
  • the catheter assembly 100 is used for The transducer 300 is guided to move to a preset position, and the burst wave generator 200 is used to drive the transducer 300 to generate a burst wave; specifically, the catheter assembly 100 includes a catheter body 110 and a balloon 120, and the balloon 120 is connected to the catheter body 110. the distal end; the transducer 300 is located in the balloon 120; the burst wave generator 200 is located at the proximal end of the catheter body 110, and is electrically connected to the transducer 300 through the connecting wire 310.
  • the burst wave generator 200 is A burst wave is generated by driving the transducer 300; the signal amplitude range of the burst wave is 20V-500V, the frequency range is 100kHz-10MHz, and the peak pressure is less than 8MPa.
  • the burst wave is generated by starting the transducer 300 with the burst generator.
  • the burst wave can be accurately controlled, and the burst wave can be transmitted to the calcified area through the balloon 120. It is highly efficient, will not damage the soft tissue and balloon 120 around the calcification area, and is highly safe to use.
  • the burst wave generated by the burst wave generation system 10 of this embodiment has a longer pulse delay time, an order of magnitude lower energy than the shock wave, and a higher repetition frequency.
  • the device 300 outputs a burst wave, and can control the size of the force by adjusting the emission energy, and control the size of the calcification fragments by adjusting the emission frequency, and the use effect is good.
  • the conduit body 110 can be made of insulating materials such as polyimide, polyetheretherketone, PEBA, PET, FEP, PTFE, etc.
  • the connecting wire 310 can be made of conductive materials such as gold, silver, platinum, copper, etc. There is no unique limitation here.
  • the number of transducers 300 is multiple, and the multiple transducers 300 are spaced apart along the conduit body 110 , and the burst wave generator 200 is connected to the multiple transducers 300 via signals respectively.
  • the number of transducers 300 may be two or more, the center frequency range of the transducers 300 may be 100kHz-10MHz, and the action area of the burst wave may be 5mm2-150mm2.
  • the transducer 300 can be a piezoelectric transducer. In other embodiments, the transducer 300 can also use, for example, mechanical energy, acoustic energy, magnetic energy, optical energy and thermal energy to generate burst waves. This is not the case here. Make the only limitation.
  • the catheter assembly 100 also includes a guide wire 150; the catheter body 110 includes a guide wire interface 112 and a connection interface 113.
  • the guide wire interface 112 is used to penetrate the guide wire 150 and guide the movement of the catheter body 110 to The catheter assembly 100 is moved to a preset position, and the connection interface 113 is used to pass through the connection wire 310 and electrically connect the burst wave generator 200 and the transducer 300 .
  • the burst wave generator 200 includes a plurality of signal ports, and is electrically connected to a plurality of transducers 300 through the plurality of signal ports, so that the plurality of transducers 300 emit high-voltage pulse signals to generate bursts. Wave.
  • the catheter assembly 100 further includes a radioactive marking ring 130 .
  • the radioactive marking ring 130 is sleeved on the catheter body 110 , and the radioactive marking ring 130 is located in the balloon 120 .
  • the position of the transducer 300 in the blood vessel can be determined by developing the radioactive marking ring 130; specifically, the radioactive marking ring 130 can be used to detect under X-ray Develop, including but not limited to, made of platinum materials.
  • the catheter assembly 100 further includes a liquid filling syringe 140, and the proximal end of the catheter body 110 further includes a liquid filling interface 111.
  • the liquid filling syringe 140 is detachably connected to the liquid filling interface 111; the balloon 120 is connected through the catheter body 110.
  • the liquid adding syringe 140 is used to inject the sound-conducting liquid into the balloon 120.
  • the balloon 120 is sealingly connected to the distal end of the catheter body 110 to form a liquid injection cavity, and the transducer 300 and at least part of the catheter body 110 are located in the liquid injection cavity.
  • the balloon 120 is filled with the catheter
  • the acoustic liquid is then expanded to adhere to the inner wall of the blood vessel and/or the calcified tissue.
  • the burst wave generated by the transducer 300 can be transmitted to the balloon 120 through the acoustic liquid with almost no loss and further reach the calcified area.
  • the sound-conducting liquid may be physiological saline or a physiological saline/contrast agent mixture
  • the balloon 120 may be made of sound-conducting materials, including but not limited to non-compliant sound-conducting materials such as PET, such as polyethylene.
  • non-compliant sound-conducting materials such as PET, such as polyethylene.
  • Semi-compliant sound-conducting materials such as ethylene, PBAX, nylon, and PEBA, and compliant sound-conducting materials such as polyurethane and silicone.
  • the burst wave generator 200 includes a pulse waveform generation module 210, a connector module 220 and a transducer matching module 230.
  • the transducer matching module 230 is signal-connected to the pulse waveform generation module 210 and the connection module 230, respectively.
  • the connector module 220 has a high-voltage pulse signal terminal and is connected to the transducer 300 through the high-voltage pulse signal terminal.
  • the pulse waveform generation module 210 supports multi-channel waveform transmission, corresponding to multiple transducers 300, and the timing and waveform parameters of each channel can be independently controlled.
  • the excitation sequence control is completed by a programmable logic device (FPGA).
  • the basic parameters of the pulses including frequency, number, duty cycle, repetition frequency, etc., can be programmed and controlled;
  • the connector module 220 is provided with a high-voltage pulse signal terminal, and passes the high-voltage
  • the pulse signal end is connected to the connection interface 113 of the conduit body 110 to provide the transducer 300 to emit pulse signals to generate burst waves.
  • the transducer matching module 230 includes an inductor, a capacitor, and a resistor, matches the output resistance to 50 ohms, and is connected to the connector module 220 for signals.
  • the burst wave generator 200 also includes a power amplification module 240, which is connected to the pulse wave generation module and the transducer matching module 230 respectively; the power amplification module 240 includes a gain control module and a field effect transistor, and is used for amplification The signal sent by the pulse wave generation module.
  • the power amplification module 240 amplifies the amplitude of the signal generated by the receiving front-end pulse waveform generation module 210, and then sends it to the power metal-oxide semiconductor field effect transistor for power amplification.
  • the two signals are connected to the programmable logic device and Under its control, the amplified waveform is output to the impedance matching circuit and conducted to the transducer 300 to generate a burst wave.
  • the burst wave generator 200 further includes an operation control module 250.
  • the operation control module 250 is connected with signals to the pulse waveform generation module 210 and the connector module 220 respectively, and is used to control the startup or shutdown of the pulse waveform generation module 210.
  • the operation control module 250 can be an operating handle or a foot pedal, and is connected to a programmable logic device with signals.
  • the key instructions can be compiled, and the pulse waveform generation module 210 can be controlled accordingly through the control signal to implement the corresponding function. .
  • the duty cycle of the burst wave ranges from 0.1% to 10%; the pulse duration of the burst wave ranges from 10 ⁇ s to 500 ⁇ s; and the repetition frequency range of the burst wave ranges from 20 Hz to 1000 Hz.
  • the burst wave of this embodiment compared with the existing shock wave, the burst wave has a longer pulse delay time, an order of magnitude lower energy than the shock wave, and a higher repetition frequency.
  • the transducer 300 By setting the transducer 300 to output the burst wave, it is possible By adjusting the emission energy to control the size of the force, and adjusting the emission frequency to control the size of the calcified fragments, the effect is good.
  • the transducer matching module 230 includes a matching layer, an electrode layer, a piezoelectric material layer, a common electrode layer, a backing layer and a connecting wire 310.
  • Multiple transducers 300 are connected in parallel, and their common electrode layers Commonly connected to the connecting wire 310, each electrode layer independently leads out the wire, and is connected to the high-voltage pulse signal end of the connector module 220 of the burst wave generator 200 at the proximal end of the catheter body 110, and the burst wave generator 200 provides a transmission signal.
  • a burst wave is generated, as shown in Figure 3.
  • the transducer 300 can be in the shape of a circular tube and is set on the outside of the catheter body 110.
  • the inner diameter of the circular tube transducer 300 ranges from 0.5mm to - 3mm, the outer diameter range is 1mm-5mm, and the tube length range is 1mm-10mm; when the transducer 300 is flat, the length range of the transducer 300 is 0.5mm-10mm, and the width range is 0.5mm-5mm.
  • the transducer 300 is a piezoelectric energy conversion device that converts the received high-voltage pulse electrical signal into a burst wave signal in the ultrasonic frequency range. It can adopt a circular tube shape or a back-to-back planar structure, and can be regarded as an approximate
  • the point source is a multi-layered structure, and the action area and direction of the burst wave can be controlled by setting the shape, structure, and size of the transducer 300 .
  • the emission energy can be set to control the size of the force
  • the emission frequency can be set to control the size of the calcified fragments to meet the needs of treating different degrees of vascular calcification lesions.
  • the piezoelectric material layer can realize mutual conversion between electrical signals and acoustic signals according to its unique piezoelectric effect, and is the core component of the transducer 300. After receiving the electrical signal, the piezoelectric material layer will move in the thickness direction. The piezoelectric material vibrates to generate a burst wave signal, and its operating frequency is related to the size of the material. The thinner the piezoelectric material layer, the higher the operating frequency.
  • the piezoelectric material layer can be prepared using materials including, but not limited to, piezoelectric single crystals, polycrystalline piezoelectric ceramics, polymer piezoelectric materials, and polymer-piezoelectric ceramic composite materials.
  • the common electrode layer and the electrode layer can be made of conductive materials such as gold, silver, platinum, copper, etc.
  • a plurality of connection wires 310 connecting the common electrode layer and the electrode layer of the transducer 300 are placed in multiple inner cavities of the catheter body 110, connected with the connection interface 113 of the catheter body 110, and with the connector module of the burst wave generator 200 220 is connected, thereby providing a high-voltage pulse signal to the transducer 300 through the burst wave generator 200 to generate a burst wave.
  • the backing layer absorbs the energy radiated internally by the piezoelectric material layer due to vibration and prevents interference caused by energy reflection.
  • the backing layer can be prepared using epoxy resin, tungsten powder, alumina powder and additives that enhance attenuation.
  • the matching layer can be prepared using epoxy resin and dense powder such as alumina, glass powder, etc., so as to acoustically match the acoustic impedance of the transducer 300 with the acoustic impedance of the biological tissue and enhance the burst wave energy propagated into the tissue.
  • connection should be understood in a broad sense.
  • it can be a fixed connection or a detachable connection. Or integrated connection; it can be a mechanical connection or an electrical connection; it can be a direct connection or an indirect connection through an intermediate medium.
  • connection should be understood in specific situations.
  • the first feature "on” or “below” the second feature may be that the first and second features are in direct contact, or the first and second features are in intermediate contact. Indirect media contact.
  • the terms “above”, “above” and “above” the first feature is above the second feature may mean that the first feature is directly above or diagonally above the second feature, or simply means that the first feature is higher in level than the second feature.
  • "Below”, “below” and “beneath” the first feature to the second feature may mean that the first feature is directly below or diagonally below the second feature, or simply means that the first feature has a smaller horizontal height than the second feature.
  • references to the terms “one embodiment,” “some embodiments,” “an example,” “specific examples,” or “some examples” or the like means that specific features are described in connection with the embodiment or example. , structures, materials or features are included in at least one embodiment or example of the embodiments of this application. In this specification, the schematic expressions of the above terms are not necessarily directed to the same embodiment or example. Furthermore, the specific features, structures, materials or characteristics described may be combined in any suitable manner in any one or more embodiments or examples. Furthermore, those skilled in the art may combine and combine different embodiments or examples and features of different embodiments or examples described in this specification unless they are inconsistent with each other.

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Abstract

Provided are a burst wave generation method for angioplasty and a burst wave generation system (10). The burst wave generation method comprises the following steps: providing a catheter assembly (100) and a transducer (300) arranged at the distal end of the catheter assembly (100), and delivering the transducer (300) to a preset position in a blood vessel by means of the catheter assembly (100) (S100); providing a burst wave generator (200), and connecting the burst wave generator (200) to the transducer (300) by means of a connecting wire (310) (S200); and starting the burst wave generator (200) to generate a burst wave at the preset position by means of the transducer (300) (S300). According to the burst wave generation method, the transducer (300) is started by means of the provided burst wave generator (200) to generate a burst wave, such that the burst wave can be accurately controlled. The burst wave can be conducted to a calcified vascular region by means of a balloon (120) with high conduction efficiency, and will cause no damage to the soft tissue and the balloon (120) around the calcified region, thus possessing high safety.

Description

用于血管成形术的爆裂波发生方法及爆裂波发生系统Burst wave generation method and burst wave generation system for angioplasty 技术领域Technical field
本申请涉及医疗器械技术领域,尤其涉及一种用于血管成形术的爆裂波发生方法及爆裂波发生系统。The present application relates to the technical field of medical devices, and in particular to a burst wave generation method and burst wave generation system for angioplasty.
背景技术Background technique
血管狭窄是由动脉血管狭窄引起的,主要表现为动脉内的脂质、复合糖类物质的积累、出血、血栓、纤维组织增生、钙质沉淀,从而形成粥糜样含脂坏死病灶和血管壁的硬化,严重时会堵塞动脉管腔,阻碍血液流通,从而导致供血的组织、器官发生缺血性或坏死。当血管发生钙化时,血管壁不规则狭窄、闭塞,血管硬度增加,顺应性下降,治疗困难,特别是对于存在钙化病变和钙化结节现象的患者。Vascular stenosis is caused by arterial stenosis, which is mainly manifested by the accumulation of lipids and complex carbohydrates in the arteries, bleeding, thrombus, fibrous tissue proliferation, and calcium precipitation, thereby forming atherosclerotic lipid-containing necrosis lesions and blood vessel walls. The hardening of the arteries can block the arterial lumen and hinder blood circulation in severe cases, leading to ischemia or necrosis of blood supplying tissues and organs. When calcification occurs in blood vessels, the blood vessel wall becomes irregularly narrowed and occluded, the hardness of the blood vessel increases, and the compliance decreases, making treatment difficult, especially for patients with calcified lesions and calcified nodules.
技术问题technical problem
目前,对钙化性病变的常用介入治疗方法有:其一是单纯球囊扩张血管成形术,通过球囊膨胀扩张管腔;虽然扩大了管腔,但无法改善血管顺应性,夹层发生率高,术后再狭窄发生率高;其二是血管内冲击波钙化碎裂术,将充满液体的球囊放置钙化区域并在球囊内的电极之间施加电压电场,利用液电效应引起球囊急速扩张来向钙化区域传导冲击波;但利用液电效应产生的冲击波难以精准控制其传导区域、冲击力的方向以及均匀一致性,作用范围也较小,并且产生作用于球囊的冲击压力较高(通常可达50个大气压),很容易导致球囊发生破损,从而产生高压电漏电的危险。Currently, the commonly used interventional treatments for calcified lesions include: one is simple balloon dilatation angioplasty, which expands the lumen through balloon expansion; although the lumen is expanded, it cannot improve vascular compliance, and the incidence of dissection is high. The incidence of postoperative restenosis is high; the second is intravascular shock wave calcification fragmentation, which places a fluid-filled balloon in the calcified area and applies a voltage electric field between the electrodes in the balloon, using the hydroelectric effect to cause rapid expansion of the balloon. to conduct shock waves to the calcified area; however, the shock wave generated by the hydroelectric effect is difficult to accurately control its conduction area, the direction of the impact force, and its uniformity. The range of action is also small, and the impact pressure acting on the balloon is high (usually up to 50 atmospheres), which can easily cause damage to the balloon, resulting in the risk of high-voltage electric leakage.
如何实现钙化组织破碎同时保证手术安全是目前业界亟待解决的重要课题。How to break up calcified tissue while ensuring surgical safety is an important issue that needs to be solved urgently in the industry.
技术解决方案Technical solutions
本申请提供一种用于血管成形术的爆裂波发生方法及爆裂波发生系统,用于解决钙化性病变介入治疗时治疗效果不佳,存在危险的问题。This application provides a burst wave generation method and burst wave generation system for angioplasty, which are used to solve the problem of poor therapeutic effect and danger during interventional treatment of calcified lesions.
本申请提出一种用于血管成形术的爆裂波发生方法,包括如下步骤:This application proposes a burst wave generation method for angioplasty, which includes the following steps:
提供导管组件和换能器,所述换能器设于所述导管组件的远端,将所述换能器通过所述导管组件输送至血管内的预设位置;Provide a catheter assembly and a transducer, the transducer is located at the distal end of the catheter assembly, and the transducer is transported to a preset position within the blood vessel through the catheter assembly;
提供爆裂波发生器,将所述爆裂波发生器通过导线连接导线与所述换能器连接;Provide a burst wave generator, and connect the burst wave generator to the transducer through a wire connection wire;
启动所述爆裂波发生器,并通过所述换能器在所述预设位置产生爆裂波;其中,所述爆裂波的信号幅度范围为20V-500V,频率范围为100kHz-10MHz,峰值压强小于8MPa。Start the burst wave generator, and generate a burst wave at the preset position through the transducer; wherein the signal amplitude range of the burst wave is 20V-500V, the frequency range is 100kHz-10MHz, and the peak pressure is less than 8MPa.
根据本申请的一个实施例,所述爆裂波的占空比范围为0.1%-10%;According to an embodiment of the present application, the duty cycle range of the burst wave is 0.1%-10%;
和/或所述爆裂波的脉冲持续时间范围为10μs-500μs;and/or the pulse duration of the burst wave ranges from 10 μs to 500 μs;
和/或所述爆裂波的重复频率范围为20Hz-1000Hz。And/or the repetition frequency range of the burst wave is 20Hz-1000Hz.
根据本申请的一个实施例,所述爆裂波发生方法还包括步骤:According to an embodiment of the present application, the burst wave generation method further includes the steps:
提供加液注射器连接于所述导管组件,并将导声液体注入所述导管组件内,以使其位于所述预设位置处;Provide a liquid-adding syringe connected to the conduit assembly, and inject the sound-conducting liquid into the conduit assembly so that it is located at the preset position;
启动所述爆裂波发生器,并通过所述换能器在所述预设位置产生爆裂波,所述爆裂波通过所述导声液体传导至所述血管的预设位置;其中,所述换能器的中心频率范围为100kHz-10MHz,所述爆裂波的作用区域范围为5mm2-150mm2。The burst wave generator is started, and the burst wave is generated at the preset position by the transducer, and the burst wave is conducted to the preset position of the blood vessel through the sound-conducting liquid; wherein, the transducer The central frequency range of the energizer is 100kHz-10MHz, and the action area range of the burst wave is 5mm2-150mm2.
本申请还提供了一种用于血管成形术的爆裂波发生系统,包括:This application also provides a burst wave generation system for angioplasty, including:
导管组件,包括导管体和球囊,所述球囊连接于所述导管体的远端;a catheter assembly, including a catheter body and a balloon, the balloon being connected to the distal end of the catheter body;
换能器,设于所述球囊内;以及a transducer located in the balloon; and
爆裂波发生器,设于所述导管体的近端,并通过导线连接导线与所述换能器电性连接,所述爆裂波发生器用于驱动所述换能器产生爆裂波;其中,所述爆裂波的信号幅度范围为20V-500V,频率范围为100kHz-10MHz,峰值压强小于8MPa。A burst wave generator is located at the proximal end of the catheter body and is electrically connected to the transducer through a wire connection wire. The burst wave generator is used to drive the transducer to generate a burst wave; wherein, The signal amplitude range of the burst wave is 20V-500V, the frequency range is 100kHz-10MHz, and the peak pressure is less than 8MPa.
根据本申请的一个实施例,所述导管组件还包括放射标记环,所述放射标记环套设于所述导管体上,且所述放射标记环位于所述球囊内。According to one embodiment of the present application, the catheter assembly further includes a radioactive marking ring, the radioactive marking ring is sleeved on the catheter body, and the radioactive marking ring is located within the balloon.
根据本申请的一个实施例,所述导管组件还包括加液注射器,所述导管体的近端还包括注液接口,所述加液注射器可拆卸连接于所述注液接口;所述球囊通过所述导管体连通于所述注液接口,所述加液注射器用于将导声液体注入所述球囊内。According to one embodiment of the present application, the catheter assembly further includes a liquid-adding syringe, the proximal end of the catheter body further includes a liquid-filling interface, and the liquid-adding syringe is detachably connected to the liquid-filling interface; the balloon The catheter body is connected to the liquid injection interface, and the liquid adding syringe is used to inject sound-conducting liquid into the balloon.
根据本申请的一个实施例,所述爆裂波发生器包括脉冲波形发生模块、连接器模块和换能器匹配模块,所述换能器匹配模块分别信号连接于所述脉冲波形发生模块和所述连接器模块,所述连接器模块具有高压脉冲信号端,并通过所述高压脉冲信号端连接于所述换能器。According to an embodiment of the present application, the burst wave generator includes a pulse waveform generation module, a connector module and a transducer matching module. The transducer matching module is signal-connected to the pulse waveform generation module and the transducer matching module respectively. A connector module has a high-voltage pulse signal terminal and is connected to the transducer through the high-voltage pulse signal terminal.
根据本申请的一个实施例,所述爆裂波发生器还包括功率放大模块,所述功率放大模块分别连接于所述脉冲波发生模块和所述换能器匹配模块;所述功率放大模块包括增益控制模块和场效应晶体管,并用于放大所述脉冲波发生模块发出的信号;According to an embodiment of the present application, the burst wave generator further includes a power amplification module, which is respectively connected to the pulse wave generation module and the transducer matching module; the power amplification module includes a gain control module and field effect transistor, and used to amplify the signal sent by the pulse wave generating module;
和/或所述爆裂波发生器还包括操作控制模块,所述操作控制模块分别信号连接于所述脉冲波形发生模块和连接器模块,并用于控制所述脉冲波形发生模块的启动或关闭。And/or the burst wave generator further includes an operation control module, the operation control module is signal-connected to the pulse waveform generation module and the connector module respectively, and is used to control the startup or shutdown of the pulse waveform generation module.
根据本申请的一个实施例,所述爆裂波的占空比范围为0.1%-10%;According to an embodiment of the present application, the duty cycle range of the burst wave is 0.1%-10%;
和/或所述爆裂波的脉冲持续时间范围为10μs-500μs;and/or the pulse duration of the burst wave ranges from 10 μs to 500 μs;
和/或所述爆裂波的重复频率范围为20Hz-1000Hz。And/or the repetition frequency range of the burst wave is 20Hz-1000Hz.
根据本申请的一个实施例,所述换能器的数量为多个,且多个所述换能器沿所述导管体间隔设置,所述爆裂波发生器分别信号连接于多个所述换能器。According to an embodiment of the present application, the number of the transducers is multiple, and the multiple transducers are arranged at intervals along the conduit body, and the burst wave generators are respectively connected with signals to multiple transducers. energy device.
有益效果beneficial effects
实施本申请实施例,具有如下有益效果:Implementing the embodiments of this application has the following beneficial effects:
在本实施例的爆裂波发生方法及发生系统中,通过设置的爆裂发生器启动换能器来产生爆裂波,可以对爆裂波进行精准控制,并且爆裂波可以通过球囊传导至钙化区域,传导效率高,同时不会损伤钙化区域周围的软组织和球囊,使用安全性高。In the burst wave generation method and generation system of this embodiment, the burst wave is generated by starting the transducer through the set burst generator, which can accurately control the burst wave, and the burst wave can be transmitted to the calcified area through the balloon. It is highly efficient and will not damage the soft tissue and balloon around the calcified area, making it highly safe to use.
附图说明Description of the drawings
为了更清楚地说明本申请实施例或现有技术中的技术方案,下面将对实施例或现有技术描述中所需要使用的附图作简单地介绍,显而易见地,下面描述中的附图仅仅是本申请的一些实施例,对于本领域普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据这些附图获得其他的附图。In order to explain the embodiments of the present application or the technical solutions in the prior art more clearly, the drawings needed to be used in the description of the embodiments or the prior art will be briefly introduced below. Obviously, the drawings in the following description are only These are some embodiments of the present application. For those of ordinary skill in the art, other drawings can be obtained based on these drawings without exerting creative efforts.
其中:in:
图1是本申请的实施例中爆裂波发生方法的流程示意图;Figure 1 is a schematic flow chart of a burst wave generation method in an embodiment of the present application;
图2是本申请的实施例中爆裂波发生方法的部分流程示意图;Figure 2 is a partial flow diagram of a burst wave generation method in an embodiment of the present application;
图3是本申请的实施例中爆裂波发生系统的结构示意图;Figure 3 is a schematic structural diagram of the burst wave generation system in the embodiment of the present application;
图4是本申请的实施例中爆裂波发生系统的原理示意图;Figure 4 is a schematic diagram of the principle of the burst wave generation system in the embodiment of the present application;
图5是本申请的实施例中爆裂波发生系统产生的爆裂波的单次波形图;Figure 5 is a single waveform diagram of the burst wave generated by the burst wave generation system in the embodiment of the present application;
图6是本申请的实施例中爆裂波发生系统重复发射的爆裂波的脉冲信号波形图;Figure 6 is a pulse signal waveform diagram of a burst wave repeatedly emitted by the burst wave generation system in the embodiment of the present application;
附图标记:Reference signs:
10、爆裂波发生系统;10. Explosion wave generation system;
100、导管组件;110、导管体;111、注液接口;112、导丝接口;113、连接接口;120、球囊;130、放射标记环;140、加液注射器;150、导引导丝;100. Catheter assembly; 110. Catheter body; 111. Liquid injection interface; 112. Guide wire interface; 113. Connection interface; 120. Balloon; 130. Radioactive marking ring; 140. Liquid adding syringe; 150. Guide wire;
200、爆裂波发生器;210、脉冲波形发生模块;220、连接器模块;230、换能器匹配模块;240、功率放大模块;250、操作控制模块;200. Burst wave generator; 210. Pulse waveform generation module; 220. Connector module; 230. Transducer matching module; 240. Power amplification module; 250. Operation control module;
300、换能器;310、连接导线。300. Transducer; 310. Connecting wires.
本发明的实施方式Embodiments of the invention
下面将结合本申请实施例中的附图,对本申请实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本申请一部分实施例,而不是全部的实施例。基于本申请中的实施例,本领域普通技术人员在没有作出创造性劳动前提下所获得的所有其他实施例,都属于本申请保护的范围。The technical solutions in the embodiments of the present application will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present application. Obviously, the described embodiments are only some of the embodiments of the present application, rather than all of the embodiments. Based on the embodiments in this application, all other embodiments obtained by those of ordinary skill in the art without creative efforts fall within the scope of protection of this application.
参阅图1至图6所示,本申请实施例提供了一种用于血管成形术的爆裂波发生方法,应用于裂解血管内钙化斑块,改善血管顺应性,其包括如下步骤:Referring to Figures 1 to 6, embodiments of the present application provide a burst wave generation method for angioplasty, which is used to dissolve calcified plaques in blood vessels and improve blood vessel compliance, which includes the following steps:
步骤S100、提供导管组件100和换能器300,换能器300设于导管组件100的远端,将换能器300通过导管组件100输送至血管内的预设位置;Step S100: Provide the catheter assembly 100 and the transducer 300. The transducer 300 is located at the distal end of the catheter assembly 100, and the transducer 300 is delivered to a preset position in the blood vessel through the catheter assembly 100;
步骤S200、提供爆裂波发生器200,将爆裂波发生器200通过导线与换能器300连接;Step S200: Provide a burst wave generator 200, and connect the burst wave generator 200 to the transducer 300 through wires;
步骤S300、启动爆裂波发生器200,并通过换能器300在预设位置产生爆裂波。其中,爆裂波的信号幅度范围为20V-500V,频率范围为100kHz-10MHz,峰值压强小于8MPa。Step S300: Start the burst wave generator 200 and generate a burst wave at a preset position through the transducer 300. Among them, the signal amplitude range of the burst wave is 20V-500V, the frequency range is 100kHz-10MHz, and the peak pressure is less than 8MPa.
在本实施例的爆裂波发生方法中,通过设置的爆裂发生器启动换能器300来产生爆裂波,可以对爆裂波进行精准控制,并且爆裂波可以通过球囊120传导至钙化区域,传导效率高,同时不会损伤钙化区域周围的软组织和球囊120,使用安全性高。使用爆裂波发生器200时,通过爆裂波发生器200在换能器300的电极两端施加高压脉冲电信号,以使换能器300重复产生爆裂波。In the burst wave generation method of this embodiment, the burst wave is generated by starting the transducer 300 through the set burst generator. The burst wave can be accurately controlled, and the burst wave can be conducted to the calcified area through the balloon 120, with high conduction efficiency. High, while not damaging the soft tissue and balloon 120 around the calcification area, it is highly safe to use. When the burst wave generator 200 is used, a high-voltage pulse electrical signal is applied to both ends of the electrodes of the transducer 300 through the burst wave generator 200, so that the transducer 300 repeatedly generates burst waves.
需要说明的是,本实施例的爆裂波发生方法通过利用产生的爆裂波的机械效应,产生可控、重复、均匀的机械力直接作用于钙化斑块,使其裂解破碎,而不损伤周围的软组织和导管组件100内的球囊120,有效改善血管的顺应性,不产生热损伤。并且可以通过换能器300的形状结构来控制作用区域,调节发射能量来控制作用力的大小,调节发射频率来控制钙化碎片的大小。具体地,换能器300的结构包括但不限于单阵元、多阵元,圆管状、平板状、面阵,环阵。It should be noted that the burst wave generation method of this embodiment utilizes the mechanical effect of the generated burst wave to generate a controllable, repetitive, and uniform mechanical force that directly acts on the calcified plaque to crack and break it without damaging the surrounding tissue. The soft tissue and balloon 120 in the catheter assembly 100 effectively improve the compliance of blood vessels without causing thermal damage. And the action area can be controlled by the shape and structure of the transducer 300, the emission energy can be adjusted to control the size of the action force, and the emission frequency can be adjusted to control the size of the calcified fragments. Specifically, the structure of the transducer 300 includes but is not limited to single array element, multiple array element, circular tube shape, flat plate shape, area array, and ring array.
进一步地,爆裂波的占空比范围为0.1%-10%;爆裂波的脉冲持续时间范围为10μs-500μs;爆裂波的重复频率范围为20Hz-1000Hz。Further, the duty cycle range of the burst wave is 0.1%-10%; the pulse duration range of the burst wave is 10μs-500μs; and the repetition frequency range of the burst wave is 20Hz-1000Hz.
采用本实施例的爆裂波,相较于现有的冲击波,爆裂波的脉冲延迟时间较长,能量也比冲击波低一个数量级,同时重复频率较高,通过设置换能器300输出爆裂波,可以通过调节发射能量来控制作用力的大小,调节发射频率来控制钙化碎片的大小,使用效果好。Using the burst wave of this embodiment, compared with the existing shock wave, the burst wave has a longer pulse delay time, an order of magnitude lower energy than the shock wave, and a higher repetition frequency. By setting the transducer 300 to output the burst wave, it is possible By adjusting the emission energy to control the size of the force, and adjusting the emission frequency to control the size of the calcified fragments, the effect is good.
具体地,导管体110包括导丝接口112和连接接口113,导丝接口112用于穿入导引导丝150,并对导管体110的移动进行导向,以使导管组件100移动至预设值位置,连接接口113用于穿过连接导线310并使爆裂波发生器200与换能器300电性连接。在一实施例中,爆裂波发生器200包括多个信号端口,并通过多个信号端口分别与多个换能器300电性连接,以使多个换能器300发射高压脉冲信号而产生爆裂波。Specifically, the catheter body 110 includes a guide wire interface 112 and a connection interface 113. The guide wire interface 112 is used to penetrate the guide wire 150 and guide the movement of the catheter body 110 so that the catheter assembly 100 moves to a preset position. , the connection interface 113 is used to pass through the connection wire 310 and electrically connect the burst wave generator 200 and the transducer 300 . In one embodiment, the burst wave generator 200 includes a plurality of signal ports, and is electrically connected to a plurality of transducers 300 through the plurality of signal ports, so that the plurality of transducers 300 emit high-voltage pulse signals to generate bursts. Wave.
在本申请的爆裂波发生系统10中,预设位置优选为血管内的钙化病变区域,通过爆裂波发生器200启动并使换能器300产生爆裂波对钙化病变区域的钙化组织进行击碎,从而达到疏通血管的效果。In the burst wave generation system 10 of the present application, the preset position is preferably a calcified lesion area within the blood vessel. The burst wave generator 200 is started and the transducer 300 generates burst waves to crush the calcified tissue in the calcified lesion area. Thereby achieving the effect of dredging blood vessels.
具体地,参阅图2和图3所示,步骤S300还包括步骤:Specifically, referring to Figures 2 and 3, step S300 also includes the steps:
步骤S301、提供加液注射器140连接于导管组件100,并将导声液体注入导管组件100内,以使其位于预设位置处;Step S301: Provide a liquid-adding syringe 140 connected to the conduit assembly 100, and inject the sound-conducting liquid into the conduit assembly 100 so that it is located at a preset position;
步骤S302、启动爆裂波发生器200,并通过换能器300在预设位置产生爆裂波,爆裂波通过导声液体传导至血管的预设位置;其中,换能器300的中心频率范围为100kHz-10MHz,爆裂波的作用区域范围为5mm2-150mm2。Step S302: Start the burst wave generator 200, and generate a burst wave at a preset position through the transducer 300. The burst wave is conducted to the preset position of the blood vessel through the sound-guiding liquid; wherein, the center frequency range of the transducer 300 is 100 kHz. -10MHz, the action area of the burst wave is 5mm2-150mm2.
在本实施例中,导管组件100还包括注液接口111,并通过注液接口111与外部的加液注射器140连接,并且导管体110通过注液接口111连通于球囊120内,导管体110的远端具有连通于注液接口111的加液口,加液口位于球囊120内部,球囊120密封连接于导管体110,并与导管体110围合形成注液腔体,加液注射器140通过连接接口113注入导声液体,并使其填充于换能器300的外侧,需要注意的是,此时导声液体通过球囊120密封于注液腔体内,以避免其外泄至血管中。当爆裂波发生器200驱动换能器300产生爆裂波时,爆裂波可以通过导声液体进行传导,从而保证爆裂波的冲击强度。In this embodiment, the catheter assembly 100 further includes a liquid filling interface 111, and is connected to an external liquid filling syringe 140 through the liquid filling interface 111, and the catheter body 110 is connected to the balloon 120 through the liquid filling interface 111. The catheter body 110 The distal end has a liquid filling port connected to the liquid injection interface 111. The liquid filling port is located inside the balloon 120. The balloon 120 is sealingly connected to the catheter body 110 and is enclosed with the catheter body 110 to form a liquid injection cavity. The liquid filling syringe 140 Inject the sound-conducting liquid through the connection interface 113 and fill it outside the transducer 300. It should be noted that at this time, the sound-conducting liquid is sealed in the liquid injection cavity through the balloon 120 to prevent it from leaking to the blood vessels. middle. When the burst wave generator 200 drives the transducer 300 to generate a burst wave, the burst wave can be transmitted through the sound-conducting liquid, thereby ensuring the impact strength of the burst wave.
参阅图3至图5所示,本申请还提供了一种用于血管成形术的爆裂波发生系统10,其包括导管组件100、爆裂波发生器200和换能器300,导管组件100用于引导换能器300移动至预设位置,爆裂波发生器200用于驱动换能器300产生爆裂波;具体地,导管组件100包括导管体110和球囊120,球囊120连接于导管体110的远端;换能器300设于球囊120内;爆裂波发生器200,设于导管体110的近端,并通过连接导线310与换能器300电性连接,爆裂波发生器200用于驱动换能器300产生爆裂波;其中,爆裂波的信号幅度范围为20V-500V,频率范围为100kHz-10MHz,峰值压强小于8MPa。Referring to Figures 3 to 5, the present application also provides a burst wave generation system 10 for angioplasty, which includes a catheter assembly 100, a burst wave generator 200 and a transducer 300. The catheter assembly 100 is used for The transducer 300 is guided to move to a preset position, and the burst wave generator 200 is used to drive the transducer 300 to generate a burst wave; specifically, the catheter assembly 100 includes a catheter body 110 and a balloon 120, and the balloon 120 is connected to the catheter body 110. the distal end; the transducer 300 is located in the balloon 120; the burst wave generator 200 is located at the proximal end of the catheter body 110, and is electrically connected to the transducer 300 through the connecting wire 310. The burst wave generator 200 is A burst wave is generated by driving the transducer 300; the signal amplitude range of the burst wave is 20V-500V, the frequency range is 100kHz-10MHz, and the peak pressure is less than 8MPa.
在本实施例的爆裂波发生系统10中,通过设置的爆裂发生器启动换能器300来产生爆裂波,可以对爆裂波进行精准控制,并且爆裂波可以通过球囊120传导至钙化区域,传导效率高,同时不会损伤钙化区域周围的软组织和球囊120,使用安全性高。In the burst wave generation system 10 of this embodiment, the burst wave is generated by starting the transducer 300 with the burst generator. The burst wave can be accurately controlled, and the burst wave can be transmitted to the calcified area through the balloon 120. It is highly efficient, will not damage the soft tissue and balloon 120 around the calcification area, and is highly safe to use.
采用本实施例的爆裂波发生系统10产生的爆裂波,相较于现有的冲击波,爆裂波的脉冲延迟时间较长,能量也比冲击波低一个数量级,同时重复频率较高,通过设置换能器300输出爆裂波,可以通过调节发射能量来控制作用力的大小,调节发射频率来控制钙化碎片的大小,使用效果好。具体地,导管体110可以为聚酰亚胺、聚醚醚酮、PEBA、PET、FEP、PTFE等绝缘材料制成,连接导线310可以由例如金、银、铂、铜等导电材质制成,在此不做唯一限定。Compared with the existing shock wave, the burst wave generated by the burst wave generation system 10 of this embodiment has a longer pulse delay time, an order of magnitude lower energy than the shock wave, and a higher repetition frequency. By setting the energy transducer The device 300 outputs a burst wave, and can control the size of the force by adjusting the emission energy, and control the size of the calcification fragments by adjusting the emission frequency, and the use effect is good. Specifically, the conduit body 110 can be made of insulating materials such as polyimide, polyetheretherketone, PEBA, PET, FEP, PTFE, etc., and the connecting wire 310 can be made of conductive materials such as gold, silver, platinum, copper, etc. There is no unique limitation here.
进一步地,换能器300的数量为多个,且多个换能器300沿导管体110间隔设置,爆裂波发生器200分别信号连接于多个换能器300。Furthermore, the number of transducers 300 is multiple, and the multiple transducers 300 are spaced apart along the conduit body 110 , and the burst wave generator 200 is connected to the multiple transducers 300 via signals respectively.
具体地,换能器300的数量可以是两个或两个以上,换能器300的中心频率范围为100kHz-10MHz,爆裂波的作用区域可以为5mm2-150mm2。Specifically, the number of transducers 300 may be two or more, the center frequency range of the transducers 300 may be 100kHz-10MHz, and the action area of the burst wave may be 5mm2-150mm2.
在一实施例中,换能器300可以为压电换能器,在其他实施例中,换能器300也可以采用例如机械能、声能、磁能、光能和热能产生爆裂波,在此不做唯一限定。In one embodiment, the transducer 300 can be a piezoelectric transducer. In other embodiments, the transducer 300 can also use, for example, mechanical energy, acoustic energy, magnetic energy, optical energy and thermal energy to generate burst waves. This is not the case here. Make the only limitation.
具体地,导管组件100还包括导引导丝150;导管体110包括导丝接口112和连接接口113,导丝接口112用于穿入导引导丝150,并对导管体110的移动进行导向,以使导管组件100移动至预设值位置,连接接口113用于穿过连接导线310并使爆裂波发生器200与换能器300电性连接。在一实施例中,爆裂波发生器200包括多个信号端口,并通过多个信号端口分别与多个换能器300电性连接,以使多个换能器300发射高压脉冲信号而产生爆裂波。Specifically, the catheter assembly 100 also includes a guide wire 150; the catheter body 110 includes a guide wire interface 112 and a connection interface 113. The guide wire interface 112 is used to penetrate the guide wire 150 and guide the movement of the catheter body 110 to The catheter assembly 100 is moved to a preset position, and the connection interface 113 is used to pass through the connection wire 310 and electrically connect the burst wave generator 200 and the transducer 300 . In one embodiment, the burst wave generator 200 includes a plurality of signal ports, and is electrically connected to a plurality of transducers 300 through the plurality of signal ports, so that the plurality of transducers 300 emit high-voltage pulse signals to generate bursts. Wave.
进一步地,参阅图2所示,导管组件100还包括放射标记环130,放射标记环130套设于导管体110上,且放射标记环130位于球囊120内。Further, as shown in FIG. 2 , the catheter assembly 100 further includes a radioactive marking ring 130 . The radioactive marking ring 130 is sleeved on the catheter body 110 , and the radioactive marking ring 130 is located in the balloon 120 .
由此设置,当爆裂波发生系统10置入血管内之后,可以通过对放射标记环130进行显影来判断换能器300在血管中的位置;具体地,放射标记环130可用于在X射线下显影,包括但不限由铂金材料制成。According to this arrangement, after the burst wave generating system 10 is placed in the blood vessel, the position of the transducer 300 in the blood vessel can be determined by developing the radioactive marking ring 130; specifically, the radioactive marking ring 130 can be used to detect under X-ray Develop, including but not limited to, made of platinum materials.
在一实施例中,导管组件100还包括加液注射器140,导管体110的近端还包括注液接口111,加液注射器140可拆卸连接于注液接口111;球囊120通过导管体110连通于注液接口111,加液注射器140用于将导声液体注入球囊120内。In one embodiment, the catheter assembly 100 further includes a liquid filling syringe 140, and the proximal end of the catheter body 110 further includes a liquid filling interface 111. The liquid filling syringe 140 is detachably connected to the liquid filling interface 111; the balloon 120 is connected through the catheter body 110. In the liquid injection interface 111, the liquid adding syringe 140 is used to inject the sound-conducting liquid into the balloon 120.
在本实施例中,球囊120与导管体110的远端密封连接并形成注液腔体,并且换能器300以及至少部分的导管体110均位于注液腔体内,当球囊120充满导声液体之后使其膨胀后与血管内壁和/或钙化组织贴合,换能器300产生的爆裂波可以几乎无损耗地通过导声液体传导至球囊120并进一步到达钙化区域。具体地,导声液体可以为生理盐水或生理盐水/造影剂混合物,球囊120可以由导声材料制成,该导声材料包括但不限于例如PET等非顺应性的导声材料、例如聚乙烯、PBAX、尼龙、PEBA等半顺应性的导声材料、例如聚氨酯、硅树脂等顺应性的导声材料。In this embodiment, the balloon 120 is sealingly connected to the distal end of the catheter body 110 to form a liquid injection cavity, and the transducer 300 and at least part of the catheter body 110 are located in the liquid injection cavity. When the balloon 120 is filled with the catheter The acoustic liquid is then expanded to adhere to the inner wall of the blood vessel and/or the calcified tissue. The burst wave generated by the transducer 300 can be transmitted to the balloon 120 through the acoustic liquid with almost no loss and further reach the calcified area. Specifically, the sound-conducting liquid may be physiological saline or a physiological saline/contrast agent mixture, and the balloon 120 may be made of sound-conducting materials, including but not limited to non-compliant sound-conducting materials such as PET, such as polyethylene. Semi-compliant sound-conducting materials such as ethylene, PBAX, nylon, and PEBA, and compliant sound-conducting materials such as polyurethane and silicone.
具体地,参阅图4所示,爆裂波发生器200包括脉冲波形发生模块210、连接器模块220和换能器匹配模块230,换能器匹配模块230分别信号连接于脉冲波形发生模块210和连接器模块220,连接器模块220具有高压脉冲信号端,并通过高压脉冲信号端连接于换能器300。Specifically, as shown in Figure 4, the burst wave generator 200 includes a pulse waveform generation module 210, a connector module 220 and a transducer matching module 230. The transducer matching module 230 is signal-connected to the pulse waveform generation module 210 and the connection module 230, respectively. The connector module 220 has a high-voltage pulse signal terminal and is connected to the transducer 300 through the high-voltage pulse signal terminal.
在本实施例中,脉冲波形发生模块210支持多通道波形发送,对应多个换能器300,每个通道的时序和波形参数均可独立控制。激励时序控制由可编程逻辑器件(FPGA)完成,脉冲的基本参数包括频率、个数、占空比、重复频率等都可以进行编程控制;连接器模块220设置有高压脉冲信号端,并通过高压脉冲信号端与导管体110的连接接口113连接,以提供换能器300发射脉冲信号产生爆裂波。具体地,换能器匹配模块230包括电感、电容、电阻,将输出电阻匹配到50欧姆,并与连接器模块220信号连接。In this embodiment, the pulse waveform generation module 210 supports multi-channel waveform transmission, corresponding to multiple transducers 300, and the timing and waveform parameters of each channel can be independently controlled. The excitation sequence control is completed by a programmable logic device (FPGA). The basic parameters of the pulses, including frequency, number, duty cycle, repetition frequency, etc., can be programmed and controlled; the connector module 220 is provided with a high-voltage pulse signal terminal, and passes the high-voltage The pulse signal end is connected to the connection interface 113 of the conduit body 110 to provide the transducer 300 to emit pulse signals to generate burst waves. Specifically, the transducer matching module 230 includes an inductor, a capacitor, and a resistor, matches the output resistance to 50 ohms, and is connected to the connector module 220 for signals.
进一步地,爆裂波发生器200还包括功率放大模块240,功率放大模块240分别连接于脉冲波发生模块和换能器匹配模块230;功率放大模块240包括增益控制模块和场效应晶体管,并用于放大脉冲波发生模块发出的信号。Further, the burst wave generator 200 also includes a power amplification module 240, which is connected to the pulse wave generation module and the transducer matching module 230 respectively; the power amplification module 240 includes a gain control module and a field effect transistor, and is used for amplification The signal sent by the pulse wave generation module.
在本实施例中,功率放大模块240由接收前端脉冲波形发生模块210产生的信号进行幅度放大,再送至功率金属-氧化物半导体场效应晶体管进行功率放大,二者信号连接于可编程逻辑器件并受其控制,放大后的波形输出给阻抗匹配电路,并传导至换能器300生成爆裂波。In this embodiment, the power amplification module 240 amplifies the amplitude of the signal generated by the receiving front-end pulse waveform generation module 210, and then sends it to the power metal-oxide semiconductor field effect transistor for power amplification. The two signals are connected to the programmable logic device and Under its control, the amplified waveform is output to the impedance matching circuit and conducted to the transducer 300 to generate a burst wave.
在一实施例中,爆裂波发生器200还包括操作控制模块250,操作控制模块250分别信号连接于脉冲波形发生模块210和连接器模块220,并用于控制脉冲波形发生模块210的启动或关闭。In one embodiment, the burst wave generator 200 further includes an operation control module 250. The operation control module 250 is connected with signals to the pulse waveform generation module 210 and the connector module 220 respectively, and is used to control the startup or shutdown of the pulse waveform generation module 210.
具体地,操作控制模块250可以为操作手柄或脚踏板,并信号连接于可编程逻辑器件,使用时可以将按键指令进行编译,通过控制信号对脉冲波形发生模块210进行相应控制以实现对应功能。Specifically, the operation control module 250 can be an operating handle or a foot pedal, and is connected to a programmable logic device with signals. When used, the key instructions can be compiled, and the pulse waveform generation module 210 can be controlled accordingly through the control signal to implement the corresponding function. .
在较佳实施例中,爆裂波的占空比范围为0.1%-10%;爆裂波的脉冲持续时间范围为10μs-500μs;爆裂波的重复频率范围为20Hz-1000Hz。In a preferred embodiment, the duty cycle of the burst wave ranges from 0.1% to 10%; the pulse duration of the burst wave ranges from 10 μs to 500 μs; and the repetition frequency range of the burst wave ranges from 20 Hz to 1000 Hz.
采用本实施例的爆裂波,相较于现有的冲击波,爆裂波的脉冲延迟时间较长,能量也比冲击波低一个数量级,同时重复频率较高,通过设置换能器300输出爆裂波,可以通过调节发射能量来控制作用力的大小,调节发射频率来控制钙化碎片的大小,使用效果好。Using the burst wave of this embodiment, compared with the existing shock wave, the burst wave has a longer pulse delay time, an order of magnitude lower energy than the shock wave, and a higher repetition frequency. By setting the transducer 300 to output the burst wave, it is possible By adjusting the emission energy to control the size of the force, and adjusting the emission frequency to control the size of the calcified fragments, the effect is good.
具体地,换能器匹配模块230包括匹配层、电极层、压电材料层、公共电极层、背衬层和连接导线310,多个换能器300之间以并联方式连接,其公共电极层共同连接至连接导线310,各自电极层分别独立引出导线,在导管体110的近端分别与爆裂波发生器200的连接器模块220的高压脉冲信号端连接,通过爆裂波发生器200提供发射信号产生爆裂波,参阅图3所示,在本实施例中,换能器300可以为圆管状,并套设于导管体110外侧,具体地,圆管状换能器300的内径范围为0.5mm-3mm,外径范围为1mm-5mm,管长范围为1mm-10mm;当换能器300为平面状时,换能器300的长度范围为0.5mm-10mm,宽度范围为0.5mm-5mm。Specifically, the transducer matching module 230 includes a matching layer, an electrode layer, a piezoelectric material layer, a common electrode layer, a backing layer and a connecting wire 310. Multiple transducers 300 are connected in parallel, and their common electrode layers Commonly connected to the connecting wire 310, each electrode layer independently leads out the wire, and is connected to the high-voltage pulse signal end of the connector module 220 of the burst wave generator 200 at the proximal end of the catheter body 110, and the burst wave generator 200 provides a transmission signal. A burst wave is generated, as shown in Figure 3. In this embodiment, the transducer 300 can be in the shape of a circular tube and is set on the outside of the catheter body 110. Specifically, the inner diameter of the circular tube transducer 300 ranges from 0.5mm to - 3mm, the outer diameter range is 1mm-5mm, and the tube length range is 1mm-10mm; when the transducer 300 is flat, the length range of the transducer 300 is 0.5mm-10mm, and the width range is 0.5mm-5mm.
需要说明的是,换能器300在超声频率范围内将接收的高压脉冲电信号转换成爆裂波信号的压电能量转换器件,可以采用圆管状或背靠背平面状结构,在使用时可以视为近似点源,为多层叠结构,可以通过设置换能器300的形状、结构、大小来控制爆裂波的作用区域和方向。通过对每个换能器300单独引线,可以设置发射能量来控制作用力的大小,可以设置发射频率来控制钙化碎片的大小,以满足治疗不同程度血管钙化病变需求。It should be noted that the transducer 300 is a piezoelectric energy conversion device that converts the received high-voltage pulse electrical signal into a burst wave signal in the ultrasonic frequency range. It can adopt a circular tube shape or a back-to-back planar structure, and can be regarded as an approximate The point source is a multi-layered structure, and the action area and direction of the burst wave can be controlled by setting the shape, structure, and size of the transducer 300 . By providing separate leads to each transducer 300, the emission energy can be set to control the size of the force, and the emission frequency can be set to control the size of the calcified fragments to meet the needs of treating different degrees of vascular calcification lesions.
进一步地,压电材料层根据其特有的压电效应,可实现电信号与声信号的互相转换,是换能器300的核心部件,压电材料层在接收到电信号后会在其厚度方向上振动而产生爆裂波信号,其工作频率与材料的尺寸有关,压电材料层越薄,工作频率越高。具体地,压电材料层可以采用包括但不限于压电单晶体、多晶体压电陶瓷、高分子压电材料及聚合物-压电陶瓷复合材料制备。Furthermore, the piezoelectric material layer can realize mutual conversion between electrical signals and acoustic signals according to its unique piezoelectric effect, and is the core component of the transducer 300. After receiving the electrical signal, the piezoelectric material layer will move in the thickness direction. The piezoelectric material vibrates to generate a burst wave signal, and its operating frequency is related to the size of the material. The thinner the piezoelectric material layer, the higher the operating frequency. Specifically, the piezoelectric material layer can be prepared using materials including, but not limited to, piezoelectric single crystals, polycrystalline piezoelectric ceramics, polymer piezoelectric materials, and polymer-piezoelectric ceramic composite materials.
公共电极层和电极层可以采用例如金、银、铂、铜等导电材料制成。连接换能器300的公共电极层和电极层的多根连接导线310置入导管体110的多个内腔,与导管体110的连接接口113连通,并与爆裂波发生器200的连接器模块220连接,从而通过爆裂波发生器200为换能器300提供高压脉冲信号来产生爆裂波。The common electrode layer and the electrode layer can be made of conductive materials such as gold, silver, platinum, copper, etc. A plurality of connection wires 310 connecting the common electrode layer and the electrode layer of the transducer 300 are placed in multiple inner cavities of the catheter body 110, connected with the connection interface 113 of the catheter body 110, and with the connector module of the burst wave generator 200 220 is connected, thereby providing a high-voltage pulse signal to the transducer 300 through the burst wave generator 200 to generate a burst wave.
进一步地,背衬层吸收压电材料层因震动而往内部辐射的能量,防止能量反射造成干扰,具体可以采用环氧树脂、钨粉、氧化铝粉和增强衰减的添加物制备。Furthermore, the backing layer absorbs the energy radiated internally by the piezoelectric material layer due to vibration and prevents interference caused by energy reflection. Specifically, the backing layer can be prepared using epoxy resin, tungsten powder, alumina powder and additives that enhance attenuation.
具体地,匹配层可以采用环氧树脂和例如氧化铝、玻璃粉等致密粉末制备,以使换能器300的声阻抗与生物组织声阻抗的声学匹配,增强传播到组织中的爆裂波能量。Specifically, the matching layer can be prepared using epoxy resin and dense powder such as alumina, glass powder, etc., so as to acoustically match the acoustic impedance of the transducer 300 with the acoustic impedance of the biological tissue and enhance the burst wave energy propagated into the tissue.
在本申请实施例的描述中,需要说明的是,术语“中心”、“纵向”、“横向”、“上”、“下”、“前”、“后”、“左”、“右”、“竖直”、“水平”、“顶”、“底”、“内”、“外”等指示的方位或位置关系为基于附图所示的方位或位置关系,仅是为了便于描述本申请实施例和简化描述,而不是指示或暗示所指的装置或元件必须具有特定的方位、以特定的方位构造和操作,因此不能理解为对本申请实施例的限制。此外,术语“第一”、“第二”、“第三”仅用于描述目的,而不能理解为指示或暗示相对重要性。In the description of the embodiments of the present application, it should be noted that the terms "center", "longitudinal", "horizontal", "upper", "lower", "front", "back", "left" and "right" The orientations or positional relationships indicated by "vertical", "horizontal", "top", "bottom", "inner", "outer", etc. are based on the orientations or positional relationships shown in the accompanying drawings and are only for the convenience of describing this document. The application embodiments and simplified descriptions do not indicate or imply that the devices or elements referred to must have a specific orientation, be constructed and operated in a specific orientation, and therefore cannot be construed as limiting the embodiments of the application. Furthermore, the terms “first”, “second” and “third” are used for descriptive purposes only and are not to be construed as indicating or implying relative importance.
在本申请实施例的描述中,需要说明的是,除非另有明确的规定和限定,术语“相连”、“连接”应做广义理解,例如,可以是固定连接,也可以是可拆卸连接,或一体连接;可以是机械连接,也可以是电连接;可以是直接相连,也可以通过中间媒介间接相连。对于本领域的普通技术人员而言,可以具体情况理解上述术语在本申请实施例中的具体含义。In the description of the embodiments of this application, it should be noted that, unless otherwise clearly stated and limited, the terms "connected" and "connected" should be understood in a broad sense. For example, it can be a fixed connection or a detachable connection. Or integrated connection; it can be a mechanical connection or an electrical connection; it can be a direct connection or an indirect connection through an intermediate medium. For those of ordinary skill in the art, the specific meanings of the above terms in the embodiments of the present application can be understood in specific situations.
在本申请实施例中,除非另有明确的规定和限定,第一特征在第二特征“上”或“下”可以是第一和第二特征直接接触,或第一和第二特征通过中间媒介间接接触。而且,第一特征在第二特征“之上”、“上方”和“上面”可是第一特征在第二特征正上方或斜上方,或仅仅表示第一特征水平高度高于第二特征。第一特征在第二特征“之下”、“下方”和“下面”可以是第一特征在第二特征正下方或斜下方,或仅仅表示第一特征水平高度小于第二特征。In the embodiments of this application, unless otherwise expressly provided and limited, the first feature "on" or "below" the second feature may be that the first and second features are in direct contact, or the first and second features are in intermediate contact. Indirect media contact. Furthermore, the terms "above", "above" and "above" the first feature is above the second feature may mean that the first feature is directly above or diagonally above the second feature, or simply means that the first feature is higher in level than the second feature. "Below", "below" and "beneath" the first feature to the second feature may mean that the first feature is directly below or diagonally below the second feature, or simply means that the first feature has a smaller horizontal height than the second feature.
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申请实施例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。此外,在不相互矛盾的情况下,本领域的技术人员可以将本说明书中描述的不同实施例或示例以及不同实施例或示例的特征进行结合和组合。In the description of this specification, reference to the terms "one embodiment," "some embodiments," "an example," "specific examples," or "some examples" or the like means that specific features are described in connection with the embodiment or example. , structures, materials or features are included in at least one embodiment or example of the embodiments of this application. In this specification, the schematic expressions of the above terms are not necessarily directed to the same embodiment or example. Furthermore, the specific features, structures, materials or characteristics described may be combined in any suitable manner in any one or more embodiments or examples. Furthermore, those skilled in the art may combine and combine different embodiments or examples and features of different embodiments or examples described in this specification unless they are inconsistent with each other.
最后应说明的是:以上实施例仅用以说明本申请的技术方案,而非对其限制;尽管参照前述实施例对本申请进行了详细的说明,本领域的普通技术人员应当理解:其依然可以对前述各实施例所记载的技术方案进行修改,或者对其中部分技术特征进行等同替换;而这些修改或者替换,并不使相应技术方案的本质脱离本申请各实施例技术方案的精神和范围。Finally, it should be noted that the above embodiments are only used to illustrate the technical solution of the present application, but not to limit it; although the present application has been described in detail with reference to the foregoing embodiments, those of ordinary skill in the art should understand that it can still be Modifications are made to the technical solutions described in the foregoing embodiments, or equivalent substitutions are made to some of the technical features; however, these modifications or substitutions do not cause the essence of the corresponding technical solutions to deviate from the spirit and scope of the technical solutions in the embodiments of the present application.

Claims (10)

  1. 一种用于血管成形术的爆裂波发生方法,其特征在于,包括如下步骤:A burst wave generation method for angioplasty, characterized by including the following steps:
    提供导管组件和换能器,所述换能器设于所述导管组件的远端,将所述换能器通过所述导管组件输送至血管内的预设位置;Provide a catheter assembly and a transducer, the transducer is located at the distal end of the catheter assembly, and the transducer is transported to a preset position within the blood vessel through the catheter assembly;
    提供爆裂波发生器,将所述爆裂波发生器通过连接导线与所述换能器连接;Provide a burst wave generator, and connect the burst wave generator to the transducer through a connecting wire;
    启动所述爆裂波发生器,并通过所述换能器在所述预设位置产生爆裂波;其中,所述爆裂波的信号幅度范围为20V-500V,频率范围为100kHz-10MHz,峰值压强小于8MPa。Start the burst wave generator, and generate a burst wave at the preset position through the transducer; wherein the signal amplitude range of the burst wave is 20V-500V, the frequency range is 100kHz-10MHz, and the peak pressure is less than 8MPa.
  2. 根据权利要求1所述的爆裂波发生方法,其特征在于,所述爆裂波的占空比范围为0.1%-10%;The burst wave generation method according to claim 1, characterized in that the duty cycle range of the burst wave is 0.1%-10%;
    和/或所述爆裂波的脉冲持续时间范围为10μs-500μs;and/or the pulse duration of the burst wave ranges from 10 μs to 500 μs;
    和/或所述爆裂波的重复频率范围为20Hz-1000Hz。And/or the repetition frequency range of the burst wave is 20Hz-1000Hz.
  3. 根据权利要求1所述的爆裂波发生方法,其特征在于,所述爆裂波发生方法还包括步骤:The burst wave generation method according to claim 1, characterized in that the burst wave generation method further includes the steps:
    提供加液注射器连接于所述导管组件,并将导声液体注入所述导管组件内,以使其位于所述预设位置处;Provide a liquid-adding syringe connected to the conduit assembly, and inject the sound-conducting liquid into the conduit assembly so that it is located at the preset position;
    启动所述爆裂波发生器,并通过所述换能器在所述预设位置产生爆裂波,所述爆裂波通过所述导声液体传导至所述血管的预设位置;其中,所述换能器的中心频率范围为1MHz-10MHz,所述爆裂波的作用区域范围为5mm2-150mm2。The burst wave generator is started, and the burst wave is generated at the preset position by the transducer, and the burst wave is conducted to the preset position of the blood vessel through the sound-conducting liquid; wherein, the transducer The center frequency range of the energizer is 1MHz-10MHz, and the action area range of the burst wave is 5mm2-150mm2.
  4. 一种用于血管成形术的爆裂波发生系统,其特征在于,包括:A burst wave generation system for angioplasty, characterized by including:
    导管组件,包括导管体和球囊,所述球囊连接于所述导管体的远端;a catheter assembly, including a catheter body and a balloon, the balloon being connected to the distal end of the catheter body;
    换能器,设于所述球囊内;以及a transducer located in the balloon; and
    爆裂波发生器,设于所述导管体的近端,并通过连接导线与所述换能器电性连接,所述爆裂波发生器用于驱动所述换能器产生爆裂波;其中,所述爆裂波的信号幅度范围为20V-500V,频率范围为100kHz-10MHz,峰值压强小于8MPa。A burst wave generator is located at the proximal end of the catheter body and is electrically connected to the transducer through a connecting wire. The burst wave generator is used to drive the transducer to generate a burst wave; wherein, the The signal amplitude range of the burst wave is 20V-500V, the frequency range is 100kHz-10MHz, and the peak pressure is less than 8MPa.
  5. 根据权利要求4所述的爆裂波发生系统,其特征在于,所述导管组件还包括放射标记环,所述放射标记环套设于所述导管体上,且所述放射标记环位于所述球囊内。The blast wave generation system according to claim 4, wherein the catheter assembly further includes a radioactive marking ring, the radioactive marking ring is sleeved on the catheter body, and the radioactive marking ring is located on the ball. In the capsule.
  6. 根据权利要求4所述的爆裂波发生系统,其特征在于,所述导管组件还包括加液注射器,所述导管体的近端还包括注液接口,所述加液注射器可拆卸连接于所述注液接口;所述球囊通过所述导管体连通于所述注液接口,所述加液注射器用于将导声液体注入所述球囊内。The burst wave generation system according to claim 4, wherein the catheter assembly further includes a liquid-adding syringe, the proximal end of the catheter body further includes a liquid-filling interface, and the liquid-adding syringe is detachably connected to the Liquid injection interface; the balloon is connected to the liquid injection interface through the catheter body, and the liquid adding syringe is used to inject sound-conducting liquid into the balloon.
  7. 根据权利要求4所述的爆裂波发生系统,其特征在于,所述爆裂波发生器包括脉冲波形发生模块、连接器模块和换能器匹配模块,所述换能器匹配模块分别信号连接于所述脉冲波形发生模块和所述连接器模块,所述连接器模块具有高压脉冲信号端,并通过所述高压脉冲信号端连接于所述换能器。The burst wave generation system according to claim 4, characterized in that the burst wave generator includes a pulse waveform generation module, a connector module and a transducer matching module, and the transducer matching module is respectively connected to the The pulse waveform generating module and the connector module, the connector module has a high-voltage pulse signal terminal and is connected to the transducer through the high-voltage pulse signal terminal.
  8. 根据权利要求7所述的爆裂波发生系统,其特征在于,所述爆裂波发生器还包括功率放大模块,所述功率放大模块分别连接于所述脉冲波发生模块和所述换能器匹配模块;所述功率放大模块包括增益控制模块和场效应晶体管,并用于放大所述脉冲波发生模块发出的信号;The burst wave generation system according to claim 7, wherein the burst wave generator further includes a power amplification module, and the power amplification module is respectively connected to the pulse wave generation module and the transducer matching module. ;The power amplification module includes a gain control module and a field effect transistor, and is used to amplify the signal sent by the pulse wave generation module;
    和/或所述爆裂波发生器还包括操作控制模块,所述操作控制模块分别信号连接于所述脉冲波形发生模块和连接器模块,并用于控制所述脉冲波形发生模块的启动或关闭。And/or the burst wave generator further includes an operation control module, the operation control module is signal-connected to the pulse waveform generation module and the connector module respectively, and is used to control the startup or shutdown of the pulse waveform generation module.
  9. 根据权利要求4所述的爆裂波发生系统,其特征在于,所述爆裂波的占空比范围为0.1%-10%;The burst wave generation system according to claim 4, characterized in that the duty cycle range of the burst wave is 0.1%-10%;
    和/或所述爆裂波的脉冲持续时间范围为10μs-500μs;and/or the pulse duration of the burst wave ranges from 10 μs to 500 μs;
    和/或所述爆裂波的重复频率范围为20Hz-1000Hz。And/or the repetition frequency range of the burst wave is 20Hz-1000Hz.
  10. 根据权利要求4-8任意一项所述的爆裂波发生系统,其特征在于,所述换能器的数量为多个,且多个所述换能器沿所述导管体间隔设置,所述爆裂波发生器分别信号连接于多个所述换能器。The burst wave generation system according to any one of claims 4 to 8, characterized in that the number of the transducers is multiple, and the plurality of transducers are arranged at intervals along the conduit body, and the The burst wave generator is signal-connected to a plurality of the transducers respectively.
PCT/CN2022/088753 2022-04-13 2022-04-24 Burst wave generation method for angioplasty and burst wave generation system WO2023197367A1 (en)

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