WO2024104184A1 - Bendable tube, blood pump, and method for manufacturing bendable tube - Google Patents

Bendable tube, blood pump, and method for manufacturing bendable tube Download PDF

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Publication number
WO2024104184A1
WO2024104184A1 PCT/CN2023/129315 CN2023129315W WO2024104184A1 WO 2024104184 A1 WO2024104184 A1 WO 2024104184A1 CN 2023129315 W CN2023129315 W CN 2023129315W WO 2024104184 A1 WO2024104184 A1 WO 2024104184A1
Authority
WO
WIPO (PCT)
Prior art keywords
tube
bendable
spring
developing ring
bendable tube
Prior art date
Application number
PCT/CN2023/129315
Other languages
French (fr)
Chinese (zh)
Inventor
孙玮
陆晨
赵余建
Original Assignee
苏州心岭迈德医疗科技有限公司
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by 苏州心岭迈德医疗科技有限公司 filed Critical 苏州心岭迈德医疗科技有限公司
Publication of WO2024104184A1 publication Critical patent/WO2024104184A1/en

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Classifications

    • 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
    • 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
    • A61M60/00Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
    • A61M60/10Location thereof with respect to the patient's body
    • A61M60/122Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body
    • A61M60/126Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body implantable via, into, inside, in line, branching on, or around a blood vessel
    • 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
    • A61M60/00Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
    • A61M60/20Type thereof
    • A61M60/205Non-positive displacement blood pumps
    • A61M60/216Non-positive displacement blood pumps including a rotating member acting on the blood, e.g. impeller
    • 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
    • A61M60/00Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
    • A61M60/80Constructional details other than related to driving
    • A61M60/802Constructional details other than related to driving of non-positive displacement blood pumps
    • A61M60/804Impellers
    • 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
    • A61M60/00Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
    • A61M60/80Constructional details other than related to driving
    • A61M60/855Constructional details other than related to driving of implantable pumps or pumping devices
    • A61M60/865Devices for guiding or inserting pumps or pumping devices into the patient's body
    • A61M60/867Devices for guiding or inserting pumps or pumping devices into the patient's body using position detection during deployment, e.g. for blood pumps mounted on and driven through a catheter

Definitions

  • the present specification relates to the field of medical devices, and in particular to a bendable tube, a blood pump, and a method for manufacturing the bendable tube.
  • Blood pumps e.g., catheter-intervention heart pumps
  • They deliver blood to specific organs through the lift generated by the fluid when the impeller rotates. They can be used to pump blood to the left ventricle, right ventricle, kidneys, and other organs.
  • the blood pump When the blood pump is applied to the heart, it can reduce the load on the ventricle, improve myocardial ischemia by increasing the blood input of the coronary artery, and enable patients to receive more complete revascularization and more thorough treatment in high-risk surgeries such as high-risk percutaneous coronary intervention (PCI).
  • PCI percutaneous coronary intervention
  • Current blood pumps are usually delivered to a specific location through a guidewire and through a blood vessel, and their auxiliary functions are realized at the specific location.
  • the bendable tube includes an inner tube, a spring tube, an outer tube and at least one developing ring, wherein the outer tube is coaxially arranged outside the inner tube, the spring wire of the spring tube is spirally arranged between the inner tube and the outer tube, and the developing ring is arranged between the inner tube and the outer tube; the spring tube and the developing ring are coaxially arranged along the length direction of the bendable tube, and the pitch of the spring tube at the corresponding position of the developing ring is greater than the width of the developing ring along the length direction of the bendable tube.
  • a notch is provided on the developing ring, and the spring wire of the spring tube passes through the notch.
  • the pitch of the spring tube is unevenly distributed.
  • the pitch of the middle portion of the spring tube is greater than the pitch of the two end portions.
  • the outer diameters of the bendable tubes are the same, and the inner diameters at both ends of the bendable tubes are larger than the inner diameter of the middle portion of the bendable tubes; or, the inner diameters of the bendable tubes are the same, and the outer diameters at both ends of the bendable tubes are smaller than the outer diameter of the middle portion of the bendable tubes.
  • the length of the inner tube is different from the length of the outer tube, so that two axial ends of the bendable tube form stepped connecting portions.
  • the bendable tube further comprises a fiber channel tube, which is disposed between the inner tube and the outer tube; an inner cavity of the fiber channel tube is used for optical fibers to pass through.
  • a notch is provided on the developing ring, and the optical fiber channel tube is disposed at a position corresponding to the notch.
  • One of the embodiments of the present specification provides a blood pump, which includes the bendable tube described in any of the above embodiments.
  • the blood pump further comprises a pigtail catheter, an impeller, a motor and a catheter;
  • the pigtail catheter is connected to the front end of the flexible tube, and a blood inlet is provided between the pigtail catheter and the flexible tube;
  • the catheter is connected to the rear end of the flexible tube, and a blood outlet is provided between the flexible tube and the catheter;
  • the impeller is disposed in the flexible tube, and the motor comprises a stator side and an output shaft, the output shaft is fixedly connected to the impeller, and the stator side is fixedly connected to the catheter.
  • One of the embodiments of the present specification provides a method for manufacturing a bendable tube, the method comprising: sleeve an inner tube on the outer surface of a liner rod; sleeve a spring tube and a developing ring on the outer surface of the inner tube; sleeve an outer tube on the outer surface of the spring tube; sleeve a heat shrink tube on the outside of the outer tube, and perform a heat shrink treatment process to obtain a bendable tube after the heat shrink treatment.
  • the outer surface of the liner rod is provided with a polytetrafluoroethylene coating
  • the method further comprises: before the inner tube is sleeved on the outer surface of the liner rod, applying silicone oil on the outer surface of the liner rod.
  • a notch is provided on the developing ring; the method further comprises: after the spring tube and the developing ring are sleeved on the outer surface of the inner tube, the relative positions of the spring wire of the spring tube and the developing ring are adjusted so that the spring wire of the spring tube passes through the notch.
  • the heat shrinkable tube includes a polyperfluoroethylene propylene heat shrinkable tube or a polytetrafluoroethylene heat shrinkable tube; the heat shrinking temperature in the heat shrinking treatment process is 150-250°; and the heat shrinking time in the heat shrinking treatment process is 5-20 minutes.
  • the method also includes a shaping process; the shaping process includes: placing the bendable tube after heat shrinkage treatment into a shaping cavity of a shaping mold, and placing the shaping mold into a hot air box or a heat treatment furnace for shaping, and cooling and drying to obtain the shaped bendable tube; wherein the shaping temperature in the shaping process is 100 to 160°C; and the shaping time in the shaping process is 20 to 60 minutes.
  • the diameters of the two end portions of the liner rod are larger than the diameter of the middle portion of the liner rod, so that the inner diameters of the two end portions of the bendable tube are larger than the inner diameter of the middle portion of the bendable tube.
  • the method further includes: disposing the fiber channel tube between the spring tube and the inner tube; or disposing the fiber channel tube between the spring tube and the outer tube.
  • the fiber optic channel tube is arranged between the spring tube and the inner tube.
  • the method also includes: sticking the fiber optic channel tube on the outer surface of the inner tube; sleeveing the inner tube and the fiber optic channel tube with a heat shrink tube, and performing a preliminary heat shrink treatment process.
  • FIG1 is a schematic diagram of the structure of a bendable tube according to some embodiments of the present specification.
  • FIG2 is an enlarged schematic diagram of point A in FIG1;
  • Fig. 3 is a cross-sectional view taken along line B-B in Fig. 1;
  • FIG4 is a schematic diagram of the structure of a bendable tube according to other embodiments of the present specification.
  • FIG5 is a schematic structural diagram of a bendable tube according to some other embodiments of the present specification.
  • FIG6 is a schematic structural diagram of a bendable tube according to some other embodiments of the present specification.
  • Fig. 7 is a cross-sectional view taken along the line C-C in Fig. 6;
  • FIG8 is an enlarged schematic diagram of point D in FIG7;
  • FIG9A is a schematic diagram of the structure of a fiber channel tube according to some embodiments of the present specification.
  • FIG9B is a schematic diagram of the structure of a fiber channel tube under stress according to some embodiments of the present specification.
  • FIG9C is a schematic diagram of the structure of a fiber channel tube according to other embodiments of the present specification.
  • FIG9D is a schematic diagram of the structure of a fiber channel tube under stress according to other embodiments of the present specification.
  • FIG10 is a schematic diagram of the structure of a blood pump according to some embodiments of the present specification.
  • FIG11 is a schematic diagram of an exploded structure of a blood pump according to some embodiments of the present specification.
  • FIG12 is a diagram showing a use scenario of a blood pump according to some embodiments of this specification.
  • FIG. 13 is a schematic flow diagram of a method for manufacturing a bendable tube according to some embodiments of the present specification.
  • FIG. 14 is a schematic flow chart of a method for manufacturing a bendable tube according to other embodiments of the present specification.
  • FIG. 15 is a schematic diagram of the structure of a shaping mold according to some embodiments of the present specification.
  • blood pump 100, flexible tube; 110, inner tube; 120, spring tube; 121, groove; 130, outer tube; 140, developing ring; 141, notch; 150, fiber optic channel tube; 160, optical fiber; 200, pigtail catheter; 300, inlet cage; 310, blood inlet; 400, outlet cage; 410, blood outlet; 500, impeller; 600, motor; 610, output shaft; 700, catheter; 800, pressure sensor; 20, lining rod; 30, heat shrink tube; 40, molding mold; 41, molding cavity; 1, left ventricle; 2, aortic arch.
  • installed should be understood in a broad sense, for example, it can be a fixed connection, a detachable connection, or an integral connection; it can be a mechanical connection or an electrical connection; it can be a direct connection, an indirect connection through an intermediate medium, or the internal communication of two elements.
  • the words can be replaced by other expressions.
  • the bendable tube in the embodiments of this specification is applied to a blood pump.
  • An intravascular blood pump delivers blood to a specific organ through the lift generated by the fluid when the impeller rotates, and can be used to pump blood in the left ventricle, right ventricle, kidneys and other organs.
  • a blood pump is usually delivered to a specific location through a guide wire and through a blood vessel, and performs its auxiliary function at the specific location. When the blood pump is propelled through the patient's tortuous path or calcified anatomical structure to reach the designated location, these tortuous paths may cause damage to the blood pump assembly or the patient, so a bendable tube is required to provide guidance in the blood pump delivery and to withstand the load of blood on the pump housing.
  • the bendable tube can be bent in a natural state, and will be elastically deformed under the action of an external force, and will return to a natural state under the action of an elastic restoring force after the external force disappears.
  • the bendable tube is arranged in the blood pump so that the bendable tube has a certain bending angle to adapt to the angle between the left ventricle and the aorta, making it easier for the bendable tube to guide the blood flow of the left ventricle into the aorta.
  • FIG. 1 is a schematic diagram of the structure of a bendable tube according to some embodiments of the present specification
  • FIG. 2 is an enlarged schematic diagram of point A in FIG. 1 .
  • an embodiment of the present specification provides a bendable tube 100 , which is applied to a blood pump 10 , and includes an inner tube 110 , a spring tube 120 , an outer tube 130 , and at least one developing ring 140 .
  • the bendable tube 100 may be a tube for guiding a blood flow path.
  • the diameter (eg, outer diameter) of the bendable tube 100 may be in the range of 4 mm to 7 mm (eg, 4 mm, 5 mm, 5.5 mm, 6 mm, 7 mm, etc.).
  • the outer tube 130 is coaxially arranged outside the inner tube 110, and the spring wire of the spring tube 120 is spirally arranged between the inner tube 110 and the outer tube 130.
  • the inner tube 110 and the outer tube 130 can be made of polymer materials (for example, thermoplastic polyurethane elastomer, referred to as TPU), and the spring tube 120 can be a spring tube formed by spirally winding nickel-titanium wire.
  • TPU thermoplastic polyurethane elastomer
  • the three-layer structure of the inner tube 110, the spring tube 120 and the outer tube 130 is formed by heat shrinkage to form the bendable tube 100, so that the bendable tube 100 has a certain degree of flexibility to adapt to various bending angles in the blood vessel.
  • the developing ring 140 can be developed in an imaging device (such as an X-ray imaging device) to locate and mark the position of the bendable tube 100 in the human body.
  • the developing ring 140 can be made of a metal material, such as tantalum, platinum-iridium alloy, etc.
  • the developing ring 140 is disposed between the inner tube 110 and the outer tube 130.
  • the developing ring 140 can be bonded between the inner tube 110 and the outer tube 130 by heat shrinking.
  • the outer surface of the bendable tube 100 prepared in this way is smooth and does not have small sharp steps, which effectively avoids the problem of hemolysis or thrombosis caused by the small sharp steps on the outer surface of the bendable tube 100.
  • the length direction of the tube 100 is respectively arranged at different positions to more accurately display the position and posture of the bendable tube 100 in the human body.
  • the specific number and position of the developing ring 140 can be set according to different surgical requirements.
  • the spring tube 120 and the developing ring 140 are coaxially arranged along the length direction of the bendable tube 100, and the pitch of the spring tube 120 at the corresponding position of the developing ring 140 is greater than the width of the developing ring 140 along the length direction of the bendable tube 100.
  • the ratio of the pitch of the spring tube 120 at the corresponding position of the developing ring 140 to the width of the developing ring 140 along the length direction of the bendable tube 100 may be 1.1 to 3 times.
  • the ratio of the pitch of the spring tube 120 at the corresponding position of the developing ring 140 to the width of the developing ring 140 may be 1.5 to 2.6 times.
  • the ratio of the pitch of the spring tube 120 at the corresponding position of the developing ring 140 to the width of the developing ring 140 along the length direction of the bendable tube 100 may be 1.9 to 2.2 times.
  • the diameter of the spring wire of the spring tube 120 may be greater than or equal to the thickness of the developing ring 140.
  • the developing ring 140 is at least partially disposed between two adjacent spring wires of the spring tube 120 to keep the outer surface of the bendable tube 100 flat and smooth, to avoid unnecessary protrusions on the outer surface of the bendable tube 100, and to prevent hemolysis or thrombosis caused by the uneven outer surface of the bendable tube 100.
  • FIG3 is a cross-sectional view taken along the B-B direction in FIG1 .
  • a notch 141 is provided on the developing ring 140, and the width of the notch 141 is greater than the cross-sectional width of the spring wire of the spring tube 120, and the spring wire of the spring tube 120 passes through the notch 141. Since the spring wire of the spring tube 120 is spirally disposed on the outer surface of the inner tube 110, the cross-section of the spring wire in the B-B direction is elliptical, and the cross-sectional width of the spring wire refers to the maximum width of the spring wire at the cross-section in the B-B direction.
  • the developing ring 140 By arranging both the spring tube 120 and the developing ring 140 between the inner tube 110 and the outer tube 130, the developing ring 140 is clamped between two adjacent spring wires of the spring tube 120, and the spring wire passes through the notch 141, the thickness of the bendable tube 100 in the radial direction at the corresponding position of the developing ring 140 can be reduced, and unnecessary protrusions can be avoided from forming on the outer surface of the bendable tube 100.
  • the pitch of the spring tube 120 is unevenly distributed. In some embodiments, the pitch of the spring tube 120 is related to the bending angle thereof. The larger the pitch of the spring tube 120, the larger the bending angle. In some embodiments, the pitch of the spring tube 120 is also related to the strength of the bendable tube 100. The smaller the pitch of the spring tube 120, the higher the strength of the bendable tube 100. Therefore, the pitch of the spring tube 120 can be designed to be unevenly distributed according to different surgical requirements.
  • the pitch of the middle part of the spring tube 120 is greater than the pitch of the two end parts.
  • the middle part of the spring tube 120 may be a part from 1/4 of one end to 1/4 of the other end.
  • the middle part of the spring tube 120 may be a part within a preset length from the midpoint (for example, a part within 1/3 of each end from the midpoint of the spring tube 120).
  • the part other than the middle part of the spring tube 120 may be the two end parts.
  • the pitch of the middle part of the spring tube 120 may be the average pitch of the middle part; the pitch of the two end parts of the spring tube 120 may be the average pitch of the two end parts.
  • the bendable tube 100 extends into the left ventricle 1, and the bending angle of the middle part of the bendable tube 100 is the largest. Then, the spring tube 120 at the corresponding position of the maximum bending should be set with a larger pitch to adapt to the bending angle of the bendable tube 100.
  • the bending angles of the two ends of the bendable tube 100 are relatively small (e.g., close to a straight line), and the two ends of the bendable tube 100 can be connected to two front and rear parts (as shown in FIG. 10 , the front end is connected to the inlet chuck 300, and the rear end is connected to the outlet chuck 400). If the two ends of the bendable tube 100 require higher strength, the spring tube 120 at the corresponding positions of the two ends of the bendable tube 100 can be set with a smaller pitch.
  • the pitch of one end of the spring tube 120 is smaller than the pitch of other parts.
  • the outlet saddle 400 can be integrally formed with the bendable tube 100, and the pitch of the front end of the spring tube 120 is smaller than the pitch of other parts. Since the front end of the spring tube 120 needs to be connected to the inlet saddle 300, the front end of the spring tube 120 is set with a smaller pitch to improve the strength of the connection section to ensure connection stability and sealing.
  • the outer diameters of the bendable tube 100 are the same, and the inner diameters of the two ends of the bendable tube 100 are larger than the inner diameter of the middle part of the bendable tube 100.
  • the two ends of the bendable tube 100 may form a stepped hole connection section, and the outer surface of the parts connected to the front and rear ends of the bendable tube 100 may be provided with a matching stepped shaft connection section. After the two ends of the bendable tube 100 are connected to the front and rear parts, the inner and outer surfaces of the bendable tube 100 and the front and rear parts are aligned. As shown in Figures 10 and 11 As shown, the front end of the bendable tube 100 is connected to the inlet chuck 300, and the rear end is connected to the outlet chuck 400.
  • the blood inlet 310 is provided on the inlet chuck 300, and the inlet chuck 300 is in a grid shape, which can prevent the heart tissue (such as the chordae tendineae of the mitral valve) from being sucked into the bendable tube 100, and prevent the ventricular wall from blocking the blood flow inlet due to negative pressure, resulting in overload of the motor 600.
  • the inlet chuck 300 can be made of metal material or polymer material.
  • at least part of the outlet chuck 400 is in a grid shape, forming a blood outlet 410, which can adjust the direction of blood flowing out of the blood outlet 410.
  • the outlet chuck 400 can be integrally formed with the bendable tube 100, that is, a plurality of incisions are provided on the side wall at the rear end of the bendable tube 100 to form the outlet chuck 400.
  • the outlet chuck 400 can be a component independent of the bendable tube 100, and is fixed to the rear end of the bendable tube 100 by means of snap-fitting, welding, bonding, etc.
  • the outlet chuck 400 may be made of metal material or polymer material.
  • the inner diameters of the bendable tube 100 are the same, and the outer diameters of the two end portions of the bendable tube 100 are smaller than the outer diameter of the middle portion of the bendable tube 100.
  • the two ends of the bendable tube 100 may form a stepped shaft connection section, and the inner surfaces of the inlet chuck 300 and the outlet chuck 400 may be provided with a stepped hole connection section matching therewith. After the two ends of the bendable tube 100 are connected to the inlet chuck 300 and the outlet chuck 400, the inner and outer surfaces of the bendable tube 100 and the inlet chuck 300 and the outlet chuck 400 are aligned.
  • the length of the inner tube 110 is different from the length of the outer tube 130, so that the two axial ends of the bendable tube 100 form a stepped connection portion.
  • the stepped connection portion can be a stepped hole connection section, or the stepped connection portion can be a stepped shaft connection section.
  • the two ends of the bendable tube 100 can be fixedly connected to the inlet chuck 300 and the outlet chuck 400 respectively by means of clamping, welding, bonding, etc.
  • Fig. 4 is a schematic diagram of the structure of a bendable tube according to other embodiments of the present specification.
  • the inner tube 110 is longer than the outer tube 130, and the length of the spring tube 120 is the same as that of the inner tube 110, so that the axial ends of the bendable tube 100 form stepped shaft connection sections.
  • Fig. 5 is a schematic diagram of the structure of a bendable tube according to some other embodiments of the present specification.
  • the outer tube 130 is longer than the inner tube 110, and the length of the spring tube 120 is the same as that of the outer tube 130, so that the axial ends of the bendable tube 100 form a stepped hole connection section.
  • FIG6 is a schematic diagram of the structure of a bendable tube according to some other embodiments of the present specification
  • FIG7 is a cross-sectional view taken along the C-C axis in FIG6
  • FIG8 is an enlarged schematic diagram of D in FIG7.
  • the bendable tube 100 further includes a fiber channel tube 150, which is disposed between the inner tube 110 and the outer tube 130.
  • the inner cavity of the fiber channel tube 150 is used for passing an optical fiber 160.
  • the inner diameter of the fiber channel tube 150 is greater than the outer diameter of the optical fiber 160, and the optical fiber 160 is inserted into the fiber channel tube 150 through a traction wire.
  • the optical fiber 160 is a medium for data and signal transmission, and can be used to realize signal connection between a pressure sensor (e.g., the pressure sensor 800 described below) disposed in the blood pump 10 and an external controller.
  • a pressure sensor e.g., the pressure sensor 800 described below
  • the pressure sensor used in the blood pump 10 is an optical fiber pressure sensor.
  • the optical fiber of the optical fiber pressure sensor is usually made of glass fiber, which is brittle and easy to break. When the blood pump 10 is pushed through the patient's tortuous path or calcified anatomical structure to reach the designated position, the optical fiber 160 is easily damaged, resulting in damage to the insulation layer of the optical fiber 160, which reduces the life of the optical fiber 160 or makes it unusable.
  • the commonly used bonding method of the blood pump sensor is to bond the optical fiber of the pressure sensor to the outside of the bendable tube 100, which increases the size of the entire device and affects the blood flow movement.
  • the embodiment of this specification minimizes the effect of the optical fiber 160 on the blood flow movement by placing the optical fiber 160 inside the bendable tube 100 without increasing the size of the device, and at the same time changes the placement of the optical fiber 160 to reduce the force on the optical fiber 160 when the bendable tube 100 is bent, thereby increasing the service life of the optical fiber 160.
  • the inner diameter of the fiber channel tube 150 is 1.1 to 3 times the outer diameter of the optical fiber 160. In some embodiments, the inner diameter of the fiber channel tube 150 is 1.4 to 2.6 times the outer diameter of the optical fiber 160. The inner diameter of the fiber channel tube 150 is 1.8 to 2.2 times the outer diameter of the optical fiber 160.
  • the inner cavity of the fiber channel tube 150 is not only for the optical fiber 160 to pass through, but the fiber channel tube 150 can also provide a certain activity space for the optical fiber 160, so that when the bendable tube 100 is subjected to external force, the optical fiber 160 can be deformed within a certain space range, such as the optical fiber 160 can be appropriately stretched, but will not be damaged, thereby increasing the service life of the optical fiber 160.
  • the fiber channel tube 150 is disposed along the length direction of the bendable tube 100.
  • the side of the bendable tube 100 that bends inward when it is bent Since the side of the bendable tube 100 that bends inward has relatively more blood flow during surgery, arranging the fiber channel tube 150 and the pressure sensor on this side can better monitor the pressure. Arranging the fiber channel tube 150 on the side of the bendable tube 100 can also reduce the deformation of the optical fiber 160 when it is bent (such as the elongation of the optical fiber 160 when the fiber channel tube 150 is bent).
  • the developing ring 140 is provided with a notch 141, and the setting position of the fiber channel tube 150 corresponds to the notch 141.
  • the fiber channel tube 150 passes through the notch 141 (not shown in the figure).
  • the fiber channel tube 150 when the fiber channel tube 150 is set outside the spring tube 120, it can be set radially outside the notch 141 (not shown in the figure).
  • the axial thickness of the flexible tube 100 at the corresponding position of the developing ring 140 and the fiber channel tube 150 can be reduced, and unnecessary protrusions can be avoided on the outer surface of the flexible tube 100, so as to prevent hemolysis or thrombosis caused by the uneven outer surface of the flexible tube 100.
  • the bendable tube 100 may be provided with only the developing ring 140 without the fiber channel tube 150, or only the fiber channel tube 150 without the developing ring 140. In some embodiments, the bendable tube 100 may be provided with both the developing ring 140 and the fiber channel tube 150.
  • the fiber channel tube 150 is disposed between the spring tube 120 and the outer tube 130.
  • the spring tube 120 may be provided with a groove 121, the groove 121 being opened along the axial direction of the spring tube 120, and the fiber channel tube 150 is partially embedded in the groove 121. As shown in FIGS. 6 and 7, the groove 121 may be opened on the outer circumference of the spring tube 120.
  • the fiber channel tube 150 is disposed between the spring tube 120 and the inner tube 110.
  • the groove 121 may be opened on the inner circumference of the spring tube 120 (not shown in the figure).
  • the spring tube 120 may further open an axial groove 121 on its outer circumference or inner circumference after the spring wire is spirally formed.
  • the opening of the groove 121 may be processed by a rod milling cutter, end milling or laser cutting.
  • the fiber channel tube 150 may be attached to the inner surface or the outer surface of the spring tube 120.
  • a groove for accommodating the fiber channel tube 150 may be provided on the outer surface of the inner tube 110 or the inner surface of the outer tube 130. In this embodiment, the thickness of the inner tube 110 and/or the outer tube 130 is greater than the outer diameter of the fiber channel tube 150.
  • the fiber channel tube 150 can be arranged in a spiral shape along the length direction of the bendable tube 100, and its spiral direction is the same as the spiral direction of the spring wire of the spring tube 120. In some embodiments, the fiber channel tube 150 can be arranged in a spiral shape along the gap of the spring wire of the spring tube 120.
  • the optical fiber 160 passes through the spiral fiber channel tube 150, so that the optical fiber 160 can also be spiral, so as to increase the deformation margin of the optical fiber 160.
  • This structure allows the optical fiber 160 to be appropriately stretched when the bendable tube 100 passes through the patient's tortuous or calcified anatomical structure to reach a predetermined position, and can reduce the force on the optical fiber 160 when the bendable tube 100 is bent, so that the optical fiber 160 will not be damaged when it is deformed.
  • FIG. 9A is a schematic diagram of the structure of a fiber channel tube according to some embodiments of the present specification
  • FIG. 9B is a schematic diagram of the structure of a fiber channel tube under stress according to some embodiments of the present specification.
  • the optical fiber 160 can be pre-shaped into a curved shape that can increase the deformation margin, for example, the optical fiber 160 can be S-shaped, wavy or spiral.
  • the pre-shaping of the optical fiber 160 refers to the pre-shaping of the originally linear optical fiber 160 into an S-shape, wavy or spiral shape, which can be pre-shaped manually or by tooling. As shown in FIG9A, the optical fiber 160 is in an S-shaped curved shape. When the bendable tube 100 is assembled for the blood pump, the front end of the optical fiber 160 is bonded with a traction wire.
  • the traction wire is removed, so that the optical fiber 160 can maintain an S-shaped curved shape in a natural state in the optical fiber channel tube 150.
  • the optical fiber 160 of this structure reaches the predetermined position through the patient's tortuous or calcified anatomical structure, the optical fiber 160 can be appropriately stretched, which can reduce the force on the optical fiber 160 when the bendable tube 100 is bent, as shown in FIG9B.
  • FIG. 9C is a schematic diagram of the structure of a fiber channel tube according to other embodiments of the present specification
  • FIG. 9D is a schematic diagram of the structure of a fiber channel tube under stress according to other embodiments of the present specification.
  • the predetermined bending angle of the optical fiber 160 is greater than the predetermined bending angle of the bendable tube 100.
  • the predetermined bending angle of the optical fiber 160 can be the same as the maximum bending angle of the bendable tube 100. After the blood pump passes through the aortic arch and enters the left ventricle, the optical fiber 160 can bend together with the bendable tube 100, thereby reducing the risk of the optical fiber 160 bending. Excessive bending may cause the insulation layer to be damaged, which may reduce the life of the optical fiber 160 or make it unusable.
  • the predetermined bending angle of the optical fiber 160 can be determined according to the expected bending angle of the bendable tube 100. If the expected bending angle of the bendable tube 100 is large, the predetermined bending shape of the optical fiber 160 can be an S-shape for the entire optical fiber 160; if the expected bending angle of the bendable tube 100 is small, the predetermined bending shape of the optical fiber 160 can be an S-shape corresponding to the bent section of the bendable tube 100, and a straight shape corresponding to the straight section of the bendable tube 100.
  • the bendable tube 100 can be prepared by casting, and the fiber channel tube 150 is formed by using a mold during the casting process. For example, when the bendable tube 100 is cast, a long steel rod is added at the position of the fiber channel tube 150, and the fiber channel tube 150 can be formed by removing the steel rod after casting.
  • the bendable tube 100 is formed by heat shrinking, and the fiber channel tube 150 is formed by pre-embedded channel tube.
  • the fiber channel tube 150 can be a polyimide tube (PI tube for short). The specific heat shrinking molding manufacturing method of the bendable tube 100 is described below.
  • Figure 10 is a schematic diagram of the structure of a blood pump according to some embodiments of this specification
  • Figure 11 is a schematic diagram of the exploded structure of a blood pump according to some embodiments of this specification.
  • the blood pump 10 may include a flexible tube as described in any embodiment of the present specification. As shown in Figures 10 and 11, the blood pump 10 also includes a pigtail catheter 200, a blood inlet 310, a blood outlet 410, an impeller 500, a motor 600 and a catheter 700.
  • the pigtail catheter 200 is connected to the front end of the flexible tube 100, and a blood inlet 310 is provided between the pigtail catheter 200 and the flexible tube 100.
  • the catheter 700 is connected to the rear end of the flexible tube 100, and a blood outlet 410 is provided between the flexible tube 100 and the catheter 700.
  • the impeller 500 is arranged in the flexible tube 100, and the motor 600 includes a stator side and an output shaft 610, the output shaft 610 is fixedly connected to the impeller 500, and the stator side is fixedly connected to the catheter 700.
  • the front end in the embodiment of the present specification refers to the end that first enters the human body during surgery
  • the rear end refers to the end that enters the human body later during surgery.
  • the blood pump 10 further includes a pressure sensor 800.
  • the pressure sensor 800 includes, but is not limited to, a piezoelectric pressure sensor, a piezoresistive pressure sensor, an electromagnetic pressure sensor, a capacitive pressure sensor, and the like.
  • the pressure sensor 800 is disposed at the front end of the bendable tube 100, and the pressure sensor 800 can be used to detect the blood perfusion pressure at the front end of the bendable tube 100.
  • the bendable tube 100 if the bendable tube 100 is inserted into the left ventricle 1, as shown in FIG12, when the blood pump enters the left ventricle 1, the bendable tube 100 guides the blood pump to cross the aortic arch 2 and reach the left ventricle 1, and the pressure sensor 800 can be used to detect the blood perfusion pressure in the left ventricle.
  • the pressure sensor 800 can be used to detect the perfusion pressure in the aorta.
  • the setting position of the pressure sensor 800 is closer to the front end of the blood pump 10 relative to the blood inlet 310 (as shown in FIG10 and FIG11).
  • the blood pump 10 further includes a second pressure sensor (not shown in the figure), which is disposed at the rear end of the flexible tube 100.
  • a second pressure sensor (not shown in the figure), which is disposed at the rear end of the flexible tube 100.
  • the second pressure sensor is disposed at the rear end of the bendable tube 100, and the second pressure sensor can be used to detect the blood perfusion pressure at the rear end of the bendable tube 100.
  • the blood perfusion pressure at the rear end of the bendable tube 100 can be the blood pressure after the blood is pressurized by the bendable tube 100, the impeller 500 and other components.
  • the pressure sensor 800 transmits signals through the optical fiber 160 in the optical fiber channel tube 150.
  • One end of the optical fiber 160 is connected to the pressure sensor 800 signal, and the other end is connected to the external controller signal.
  • the controller can receive the first pressure signal of the pressure sensor 800 through the optical fiber 160.
  • the blood pump 10 in the above embodiment, it can be inserted into tissues and organs such as the heart or blood vessels, and the impeller 500 can increase the perfusion pressure of the heart or blood vessels, thereby increasing the heart's pumping function and reducing the burden on the heart.
  • the bendable tube 100 has a certain bending angle to adapt to the angle between the left ventricle and the aorta, making it easier for the bendable tube 100 to guide the blood flow of the left ventricle into the aorta.
  • FIG. 13 is a schematic flow chart of a method for manufacturing a bendable tube according to some embodiments of the present specification
  • FIG. 14 is a schematic flow chart of a method for manufacturing a bendable tube according to other embodiments of the present specification.
  • some embodiments of the present specification provide a method for manufacturing a bendable tube, and a process 1000 of the method for manufacturing a bendable tube may include the following steps.
  • Step 1100 sleeve the inner tube 110 on the outer surface of the liner rod 20.
  • the liner rod 20, which can also be called a core shaft can be a metal rod (for example, a long cylindrical rod made of stainless steel, titanium, aluminum alloy, etc.).
  • the inner tube 110 can be made of polyurethane material (TPU for short), and TPU of different hardness can be selected according to needs (for example, TPU with a hardness range of 60A to 92A).
  • the outer surface of the liner rod 20 is provided with a polytetrafluoroethylene coating (PTFE for short), and the PTFE coating can reduce the friction between the inner tube 110 and the liner rod 20.
  • Step 1100 may also include steps 1110 and 1120.
  • Step 1110 applying silicone oil on the outer surface of the liner rod 20. Lubricating the liner rod 20 with silicone oil can further reduce friction and facilitate the flexible tube 100 to fall off from the liner rod 20 after heat shrinkage.
  • Step 1120 sleeve the inner tube 110 on the outer surface of the liner rod 20.
  • the inner diameter of the inner tube 110 can be slightly larger than the outer diameter of the liner rod 20, so as to facilitate sleeve the inner tube 110 on the outside of the liner rod 20.
  • Step 1200 sleeve the spring tube 120 and the developing ring 140 on the outer surface of the inner tube 110.
  • the spring tube 120 and the developing ring 140 can be sleeved on the outer surface of the inner tube 110 simultaneously or successively.
  • step 1200 may include step 1210 and step 1220.
  • Step 1210 bonding or clamping the developing ring 140 to the expected position of the inner tube 110.
  • the expected position refers to the corresponding position of the developing ring 140 on the inner tube 110 after the bendable tube 100 is manufactured and formed by heat shrinking.
  • a notch 141 is provided on the developing ring 140, so that the developing ring 140 has a certain amount of deformability, which facilitates the developing ring 140 to be quickly put on the outer surface of the inner tube 110 (for example, under the action of external force, the notch 141 can be slightly opened to expand the inner diameter of the developing ring 140, which is convenient for putting on the inner tube 110).
  • the developing ring 140 can be bonded to the TPU inner tube by glue or other means for positioning, and maintain a certain stability to avoid displacement during hot melting.
  • Step 1220 the spring wire of the spring tube 120 is sleeved on the outer surface of the inner tube 110.
  • the spring wire can be dispersed to avoid the local bending of the spring tube 120 during the force process.
  • the spring wire can preferably be a shape memory material (for example: nickel-titanium alloy, copper-aluminum alloy, etc.).
  • the inner diameter of the spring tube 120 formed by the spring wire can be slightly smaller than the outer diameter of the inner tube 110 to avoid the spring wire of the spring tube 120 from being loose after being installed on the outer surface of the inner tube 110.
  • the pitch of the spring tube 120 can also be manually adjusted to make the pitch of the spring tube 120 evenly distributed or unevenly distributed.
  • the pitch of the spring tube 120 can be adjusted to make the pitch uniform or uneven.
  • the pitch of the middle part of the spring tube 120 is greater than the pitch of the two end parts. Then, after the spring tube 120 is sleeved on the outer surface of the inner tube 110, the pitch of the spring tube 120 is adjusted according to the bending requirements of the bendable tube 100 to meet the requirements of uneven pitch. For another example, when it is required that any position of the entire bendable tube 100 can be bent, the pitch of the spring tube 120 can be adjusted to a uniform pitch.
  • the diameter of the spring wire of the spring tube 120 is greater than or equal to the thickness of the developing ring 140.
  • the spring wire and the developing ring 140 can be staggered to avoid forming unnecessary protrusions.
  • Step 1300 sleeve the outer tube 130 on the outer surface of the spring tube 120.
  • the outer tube 130 can be made of polyurethane material (TPU for short), and TPUs of different hardnesses can be selected as needed (for example, TPUs with a hardness range of 60A to 92A).
  • the inner diameter of the outer tube 130 can be slightly larger than the outer diameter of the spring tube 120, so that the outer tube 130 can be smoothly sleeved on the outer surface of the spring tube 120 without damaging the adjusted pitch of the spring tube 120.
  • Step 1400 may include step 1410 and step 1420.
  • Step 1410 Cover the outer tube 130 with a heat shrink tube 30 and perform a heat shrinking process to obtain a heat-shrinkable bendable tube 100.
  • Step 1420 After heat shrinking, remove the heat shrink tube 30 and the lining rod 20 in the inner tube 110.
  • the heat shrink tube 30 is mainly used to transfer heat and pressurize the inner tube 110 and the outer tube 130 by shrinking itself, so that the inner tube 110 and the outer tube 130 can be melted by heat and then, under the action of pressure, the inner tube 110, the spring tube 120 and the outer tube 130 can be integrated into a structure.
  • the heat shrink tube 30 can be made of polytetrafluoroethylene (FEP) or polytetrafluoroethylene (PTFE). Materials.
  • step 1410 performs a heat shrinking process by hot air equipment, rheoforming machines and other equipment.
  • the heat shrinking temperature in the heat shrinking process is 150-250°.
  • the heat shrinking time in the heat shrinking process is 5-20 minutes.
  • the heat shrinking temperature in the heat shrinking process is 180-230°.
  • the heat shrinking time in the heat shrinking process is 7-18 minutes.
  • the heat shrinking temperature in the heat shrinking process is 190-220°.
  • the heat shrinking time in the heat shrinking process is 10-16 minutes.
  • the heat shrinking temperature in the heat shrinking process is 200-215°.
  • the heat shrinking time in the heat shrinking process is 12-15 minutes.
  • the manufacturing method of the bendable tube further includes a shaping process.
  • the shaping process includes: as shown in FIG15, placing the bendable tube 100 after heat shrinkage treatment into the shaping cavity 41 of the shaping mold 40, and placing the shaping mold 40 into a hot air box or a heat treatment furnace for shaping, and cooling and drying to obtain the shaped bendable tube 100.
  • the shaping temperature in the shaping process is 100 to 160°C.
  • the shaping time in the shaping process is 20 to 60 minutes.
  • a plurality of shaping cavities 41 can be opened on the shaping mold 40, and a plurality of bendable tubes 100 can be shaped at the same time to improve production efficiency.
  • a variable diameter liner rod 20 in order to manufacture a variable diameter bendable tube 100, can be used.
  • the diameter of the two end portions of the liner rod 20 is greater than the diameter of the middle portion of the liner rod 20, so that the inner diameter of the two end portions of the obtained bendable tube 100 is greater than the inner diameter of the middle portion of the bendable tube 100, and the two end portions of the bendable tube 100 form stepped holes.
  • the liner rod 20 in order to facilitate the removal of the liner rod 20 from the inner tube 110 in the subsequent process, the liner rod 20 can be set into a multi-section combination according to different diameters.
  • the two sections with larger diameters at the two end portions of the liner rod 20 can be detachably connected to the middle section.
  • the inner tube 110 is first sleeved on the middle section of the liner rod 20 with a smaller diameter, and then the two sections with larger diameters at the two end portions are connected to the middle section to assemble into a complete liner rod 20.
  • the two sections at the two end portions of the liner rod 20 are first removed, and then the middle section of the liner rod 20 is taken out.
  • the diameter of the two ends of the liner rod 20 is smaller than the diameter of the middle part of the liner rod 20, so that the outer diameter of the two ends of the bendable tube 100 is smaller than the outer diameter of the middle part of the bendable tube 100, and the two ends of the bendable tube 100 form a stepped axis.
  • an inner tube 110 and/or an outer tube 130 with different thicknesses in the radial direction may be used, so that a bendable tube 100 with a variable diameter is obtained after heat shrinkage.
  • an outer tube 130 with a thick middle portion and thin end portions may be used, so that the outer diameter of the end portions of the bendable tube 100 obtained is smaller than the outer diameter of the middle portion of the bendable tube 100, and the end portions of the bendable tube 100 form a stepped shaft.
  • a spring tube 120 with a variable diameter can also be used to manufacture a bendable tube 100 with a variable diameter.
  • the diameter of the spring tube 120 at different axial positions can be changed when the spring tube 120 is made by spirally winding the spring wire.
  • a spring tube 120 with an outer diameter at both ends smaller than the outer diameter at the middle portion can be manufactured to manufacture a bendable tube 100 with an outer diameter at both ends smaller than the outer diameter at the middle portion.
  • a spring tube 120 with an inner diameter at both ends larger than the outer diameter at the middle portion can be manufactured to manufacture a bendable tube 100 with an inner diameter at both ends larger than the outer diameter at the middle portion.
  • the method for manufacturing the bendable tube 100 further includes: disposing the fiber channel tube 150 between the spring tube 120 and the inner tube 110 ; or disposing the fiber channel tube 150 between the spring tube 120 and the outer tube 130 .
  • the optical fiber channel tube 150 is formed by pre-embedded tube during the manufacturing process of the bendable tube 100 , and the pre-embedded tube may be a polyimide tube (PI tube for short).
  • the fiber channel tube 150 is disposed between the spring tube 120 and the inner tube 110. Before the spring tube 120 and the developing ring 140 are sleeved on the outer surface of the inner tube 110 (i.e., before step 1200), the fiber channel tube 150 is first pasted on the outer surface of the inner tube 110.
  • a groove for accommodating the embedded tube can be provided along the axial direction on the outer surface of the inner tube 110.
  • the groove can be a groove matching the embedded tube, or a groove having a width greater than or less than the diameter of the embedded tube.
  • the fiber channel tube 150 is disposed between the spring tube 120 and the outer tube 130.
  • the spring tube 120 and the developing ring 140 can be sleeved on the outer surface of the inner tube 110, and then the fiber channel tube 150 can be pasted on the inner tube 110.
  • the fiber channel tube 150 can be pasted on the inner tube 110.
  • a groove for accommodating the embedded pipe may be provided along the axial direction on the inner surface of the outer tube 130.
  • the groove may be a groove matching the embedded pipe, or a groove having a width greater than or less than the diameter of the embedded pipe.
  • grooves for accommodating the embedded tubes may also be provided on the inner surface and the outer surface of the spring tube 120 .
  • one end of the fiber channel tube 150 near the pressure sensor 800 is sealed and connected to the pressure sensor 800, the optical fiber 160 in the fiber channel tube 150 is electrically connected to the pressure sensor 800, and the portion of the other end of the fiber channel tube 150 extending out of the bendable tube can be disposed on a subsequent structure (such as the motor 600, the catheter 700), for example, the subsequent fiber channel tube 150 can be disposed inside or outside the subsequent structure of the blood pump 10.
  • the second pressure sensor can be connected to another optical fiber, which can also be disposed in the fiber channel tube 150 and located inside or outside the subsequent structure of the blood pump 10.
  • the fiber channel tube 150 is disposed between the spring tube 120 and the inner tube 110.
  • the fiber channel tube 150 can be pasted on the outer surface of the inner tube 110, and then the heat shrink tube 30 is sleeved on the outer surface of the inner tube 110 and the fiber channel tube 150, and a preliminary heat shrink treatment process is performed.
  • the preliminary heat shrink treatment process the fiber channel tube 150 is pasted on the outer surface of the inner tube 110.
  • the heat shrink tube 30 is removed and step 1200 is continued.
  • the fiber channel tube 150 can also be glued to the outer surface of the inner tube 110 to facilitate shaping and maintain relative stability. After the fiber channel tube 150 is glued, no preliminary heat shrinking process is required, and step 1200 can be performed directly.
  • the beneficial effects that may be brought about by the embodiments of the present specification include but are not limited to: 1) In the bendable tube of the embodiment of the present specification, the developing ring 140 is arranged between the inner tube 110 and the outer tube 130.
  • This structural design makes the outer surface of the bendable tube 100 smooth without the problem of small sharp steps, effectively avoiding the problem of hemolysis or thrombosis caused by the small sharp steps on the outer surface of the bendable tube 100; 2)
  • the bendable tube of the embodiment of the present specification by arranging the optical fiber inside the bendable tube 100, the size of the device is reduced, and the influence of the optical fiber on the blood flow movement is minimized; 3) In the bendable tube of the embodiment of the present specification, when experiencing certain special anatomical structures, such as tortuous paths or calcification, the optical fiber can be appropriately stretched, but will not be damaged, which can effectively extend the service life of the optical fiber; 4)
  • the variable diameter structure design of the two end parts of the bendable tube 100 can eliminate the steps at the connection and avoid the phenomenon of

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Abstract

Embodiments of the specification provide a bendable tube, comprising an inner tube, a spring tube, an outer tube, and at least one developing ring. The outer tube is coaxially arranged outside the inner tube, a spring wire of the spring tube is spirally arranged between the inner tube and the outer tube, and the developing ring is arranged between the inner tube and the outer tube. The spring tube and the developing ring are coaxially arranged in the length direction of the bendable tube, and the pitch of the spring tube at a position corresponding to the developing ring is larger than the width of the developing ring in the length direction of the bendable tube. Embodiments of the specification also provide a blood pump comprising the described bendable tube. Embodiments of the specification also provide a method for manufacturing the described bendable tube. The method comprises: sleeving the outer surface of a lining rod with the inner tube; sleeving the outer surface of the inner tube with the spring tube and the developing ring; sleeving the outer surface of the spring tube with the outer tube; and sleeving the outer tube with a heat-shrink tube, and carrying out a heat-shrink treatment process to obtain a heat-shrunk bendable tube.

Description

一种可弯曲管、血泵以及可弯曲管的制造方法A bendable tube, a blood pump and a method for manufacturing the bendable tube
交叉引用cross reference
本申请要求于2022年11月15日提交的中国专利申请202211432352.5的优先权,其全部内容通过引用结合于此。This application claims priority to Chinese patent application 202211432352.5 filed on November 15, 2022, the entire contents of which are incorporated herein by reference.
技术领域Technical Field
本说明书涉及医疗器械领域,具体涉及一种可弯曲管、血泵以及可弯曲管的制造方法。The present specification relates to the field of medical devices, and in particular to a bendable tube, a blood pump, and a method for manufacturing the bendable tube.
背景技术Background technique
血泵(例如,导管介入心脏泵)通常用于血液动力学维持,其通过叶轮旋转时对流体产生的升力将血液输送到特定器官,可用于左心室、右心室、肾脏及其他脏器的泵血。当血泵应用于心脏时,能够起到减轻心室的负荷的作用,通过增大冠脉的血液输入量从而改善心肌缺血状态,使得患者在诸如高危经皮冠状动脉介入手术(Percutaneous coronary intervention,PCI)等高危手术中得到更完整的血运重建和更为彻底的治疗。目前的血泵通常是通过导丝、经由血管输送到特定位置,并在该特定位置实现其辅助功能,在推进血泵通过患者的曲折路径或钙化的解剖结构到达指定位置时,由于这些曲折的路径可能引起对血液泵组件或患者的损伤,因此需要可弯曲管在血泵输送中提供引导以及承受血液对泵壳的载荷。Blood pumps (e.g., catheter-intervention heart pumps) are usually used for hemodynamic maintenance. They deliver blood to specific organs through the lift generated by the fluid when the impeller rotates. They can be used to pump blood to the left ventricle, right ventricle, kidneys, and other organs. When the blood pump is applied to the heart, it can reduce the load on the ventricle, improve myocardial ischemia by increasing the blood input of the coronary artery, and enable patients to receive more complete revascularization and more thorough treatment in high-risk surgeries such as high-risk percutaneous coronary intervention (PCI). Current blood pumps are usually delivered to a specific location through a guidewire and through a blood vessel, and their auxiliary functions are realized at the specific location. When the blood pump is pushed through the patient's tortuous path or calcified anatomical structure to reach the specified location, these tortuous paths may cause damage to the blood pump components or the patient, so a flexible tube is required to provide guidance in the blood pump delivery and to withstand the load of blood on the pump housing.
发明内容Summary of the invention
本说明书实施例之一提供一种可弯曲管,应用于血泵。该可弯曲管包括内管、弹簧管、外管和至少一个显影环,所述外管同轴设置在所述内管外,所述弹簧管的弹簧丝呈螺旋状设置在所述内管和所述外管之间,所述显影环设置在所述内管和所述外管之间;所述弹簧管和所述显影环沿所述可弯曲管的长度方向同轴设置,所述弹簧管与所述显影环对应位置处的螺距大于所述显影环沿所述可弯曲管的长度方向的宽度。One of the embodiments of the present specification provides a bendable tube, which is applied to a blood pump. The bendable tube includes an inner tube, a spring tube, an outer tube and at least one developing ring, wherein the outer tube is coaxially arranged outside the inner tube, the spring wire of the spring tube is spirally arranged between the inner tube and the outer tube, and the developing ring is arranged between the inner tube and the outer tube; the spring tube and the developing ring are coaxially arranged along the length direction of the bendable tube, and the pitch of the spring tube at the corresponding position of the developing ring is greater than the width of the developing ring along the length direction of the bendable tube.
在一些实施例中,所述显影环上设有缺口,所述弹簧管的弹簧丝从所述缺口处通过。In some embodiments, a notch is provided on the developing ring, and the spring wire of the spring tube passes through the notch.
在一些实施例中,所述弹簧管的螺距不均匀分布。In some embodiments, the pitch of the spring tube is unevenly distributed.
在一些实施例中,所述弹簧管的中间部位的螺距大于两端部位的螺距。In some embodiments, the pitch of the middle portion of the spring tube is greater than the pitch of the two end portions.
在一些实施例中,所述可弯曲管的外径相同,所述可弯曲管两端部位的内径大于所述可弯曲管中间部位的内径;或者,所述可弯曲管的内径相同,所述可弯曲管两端部位的外径小于所述可弯曲管中间部位的外径。In some embodiments, the outer diameters of the bendable tubes are the same, and the inner diameters at both ends of the bendable tubes are larger than the inner diameter of the middle portion of the bendable tubes; or, the inner diameters of the bendable tubes are the same, and the outer diameters at both ends of the bendable tubes are smaller than the outer diameter of the middle portion of the bendable tubes.
在一些实施例中,所述内管的长度和所述外管的长度不同,以使所述可弯曲管的轴向两端形成台阶状连接部。In some embodiments, the length of the inner tube is different from the length of the outer tube, so that two axial ends of the bendable tube form stepped connecting portions.
在一些实施例中,所述可弯曲管还包括光纤通道管,所述光纤通道管设置在所述内管和所述外管之间;所述光纤通道管的内腔用于供光纤穿过。In some embodiments, the bendable tube further comprises a fiber channel tube, which is disposed between the inner tube and the outer tube; an inner cavity of the fiber channel tube is used for optical fibers to pass through.
在一些实施例中,所述显影环上设有缺口,所述光纤通道管的设置位置与所述缺口对应。In some embodiments, a notch is provided on the developing ring, and the optical fiber channel tube is disposed at a position corresponding to the notch.
本说明书实施例之一提供一种血泵,该血泵包括上述任一项实施例所述的可弯曲管。One of the embodiments of the present specification provides a blood pump, which includes the bendable tube described in any of the above embodiments.
在一些实施例中,所述血泵还包括猪尾导管、叶轮、电机和导管;所述猪尾导管连接在所述可弯曲管的前端,所述猪尾导管和所述可弯曲管之间设有血液进口;所述导管连接在所述可弯曲管的后端,所述可弯曲管和所述导管之间设有血液出口;所述叶轮设置在所述可弯曲管内,所述电机包括定子侧和输出转轴,所述输出转轴与所述叶轮固定连接,所述定子侧与所述导管固定连接。In some embodiments, the blood pump further comprises a pigtail catheter, an impeller, a motor and a catheter; the pigtail catheter is connected to the front end of the flexible tube, and a blood inlet is provided between the pigtail catheter and the flexible tube; the catheter is connected to the rear end of the flexible tube, and a blood outlet is provided between the flexible tube and the catheter; the impeller is disposed in the flexible tube, and the motor comprises a stator side and an output shaft, the output shaft is fixedly connected to the impeller, and the stator side is fixedly connected to the catheter.
本说明书实施例之一提供一种可弯曲管的制造方法,所述方法包括:将内管套设在衬棒的外表面;将弹簧管和显影环套设在所述内管的外表面;将外管套设在所述弹簧管的外表面;在所述外管外部套上热缩管,并进行热缩处理工序,以获得热缩处理后的可弯曲管。 One of the embodiments of the present specification provides a method for manufacturing a bendable tube, the method comprising: sleeve an inner tube on the outer surface of a liner rod; sleeve a spring tube and a developing ring on the outer surface of the inner tube; sleeve an outer tube on the outer surface of the spring tube; sleeve a heat shrink tube on the outside of the outer tube, and perform a heat shrink treatment process to obtain a bendable tube after the heat shrink treatment.
在一些实施例中,所述衬棒的外表面设有聚四氟乙烯涂层,所述方法还包括:在将所述内管套设在所述衬棒的外表面前,在所述衬棒的外表面上涂硅油。In some embodiments, the outer surface of the liner rod is provided with a polytetrafluoroethylene coating, and the method further comprises: before the inner tube is sleeved on the outer surface of the liner rod, applying silicone oil on the outer surface of the liner rod.
在一些实施例中,所述显影环上设有缺口;所述方法还包括:将所述弹簧管和所述显影环套设在所述内管的外表面后,调整所述弹簧管的弹簧丝和所述显影环的相对位置使得所述弹簧管的弹簧丝从所述缺口处通过。In some embodiments, a notch is provided on the developing ring; the method further comprises: after the spring tube and the developing ring are sleeved on the outer surface of the inner tube, the relative positions of the spring wire of the spring tube and the developing ring are adjusted so that the spring wire of the spring tube passes through the notch.
在一些实施例中,所述热缩管包括聚全氟乙丙烯热缩管或聚四氟乙烯热缩管;所述热缩处理工序中的热缩温度为150-250°;所述热缩处理工序中的热缩时间为5-20分钟。In some embodiments, the heat shrinkable tube includes a polyperfluoroethylene propylene heat shrinkable tube or a polytetrafluoroethylene heat shrinkable tube; the heat shrinking temperature in the heat shrinking treatment process is 150-250°; and the heat shrinking time in the heat shrinking treatment process is 5-20 minutes.
在一些实施例中,所述方法还包括定型处理工序;所述定型处理工序包括:将热缩处理后的所述可弯曲管放入定型模具的定型腔道中,并将所述定型模具放入热风箱或者热处理炉中进行定型,并经过冷却、烘干以获得定型后的所述可弯曲管;其中,所述定型处理工序中的定型温度为100~160℃;所述定型处理工序中的定型时间为20~60min。In some embodiments, the method also includes a shaping process; the shaping process includes: placing the bendable tube after heat shrinkage treatment into a shaping cavity of a shaping mold, and placing the shaping mold into a hot air box or a heat treatment furnace for shaping, and cooling and drying to obtain the shaped bendable tube; wherein the shaping temperature in the shaping process is 100 to 160°C; and the shaping time in the shaping process is 20 to 60 minutes.
在一些实施例中,所述衬棒两端部位的直径大于所述衬棒中间部位的直径,以使获得的所述可弯曲管两端部位的内径大于所述可弯曲管中间部位的内径。In some embodiments, the diameters of the two end portions of the liner rod are larger than the diameter of the middle portion of the liner rod, so that the inner diameters of the two end portions of the bendable tube are larger than the inner diameter of the middle portion of the bendable tube.
在一些实施例中,所述方法还包括:将所述光纤通道管设置在所述弹簧管和所述内管之间;或者,将所述光纤通道管设置在所述弹簧管和所述外管之间。In some embodiments, the method further includes: disposing the fiber channel tube between the spring tube and the inner tube; or disposing the fiber channel tube between the spring tube and the outer tube.
在一些实施例中,所述光纤通道管设置在所述弹簧管和所述内管之间,在将所述弹簧管和所述显影环套设在所述内管的外表面之前,所述方法还包括:将所述光纤通道管粘贴在所述内管的外表面上;在所述内管和所述光纤通道管外部套上热缩管,并进行初步热缩处理工序。In some embodiments, the fiber optic channel tube is arranged between the spring tube and the inner tube. Before the spring tube and the developing ring are sleeved on the outer surface of the inner tube, the method also includes: sticking the fiber optic channel tube on the outer surface of the inner tube; sleeveing the inner tube and the fiber optic channel tube with a heat shrink tube, and performing a preliminary heat shrink treatment process.
附图说明BRIEF DESCRIPTION OF THE DRAWINGS
本说明书将以示例性实施例的方式进一步说明,这些示例性实施例将通过附图进行详细描述。这些实施例并非限制性的,在这些实施例中,相同的编号表示相同的结构,其中:This specification will be further described in the form of exemplary embodiments, which will be described in detail by the accompanying drawings. These embodiments are not restrictive, and in these embodiments, the same number represents the same structure, wherein:
图1是根据本说明书一些实施例所示的可弯曲管的结构示意图;FIG1 is a schematic diagram of the structure of a bendable tube according to some embodiments of the present specification;
图2是图1中A处放大示意图;FIG2 is an enlarged schematic diagram of point A in FIG1;
图3是图1中B-B向的截面图;Fig. 3 is a cross-sectional view taken along line B-B in Fig. 1;
图4是根据本说明书另一些实施例所示的可弯曲管的结构示意图;FIG4 is a schematic diagram of the structure of a bendable tube according to other embodiments of the present specification;
图5是根据本说明书又一些实施例所示的可弯曲管的结构示意图;FIG5 is a schematic structural diagram of a bendable tube according to some other embodiments of the present specification;
图6是根据本说明书再一些实施例所示的可弯曲管的结构示意图;FIG6 is a schematic structural diagram of a bendable tube according to some other embodiments of the present specification;
图7是图6中C-C向的截面图;Fig. 7 is a cross-sectional view taken along the line C-C in Fig. 6;
图8是图7中D处放大示意图;FIG8 is an enlarged schematic diagram of point D in FIG7;
图9A是根据本说明书一些实施例所示的光纤通道管的结构示意图;FIG9A is a schematic diagram of the structure of a fiber channel tube according to some embodiments of the present specification;
图9B是根据本说明书一些实施例所示的光纤通道管受力时的结构示意图;FIG9B is a schematic diagram of the structure of a fiber channel tube under stress according to some embodiments of the present specification;
图9C是根据本说明书另一些实施例所示的光纤通道管的结构示意图;FIG9C is a schematic diagram of the structure of a fiber channel tube according to other embodiments of the present specification;
图9D是根据本说明书另一些实施例所示的光纤通道管受力时的结构示意图;FIG9D is a schematic diagram of the structure of a fiber channel tube under stress according to other embodiments of the present specification;
图10是根据本说明书一些实施例所示的血泵的结构示意图;FIG10 is a schematic diagram of the structure of a blood pump according to some embodiments of the present specification;
图11是根据本说明书一些实施例所示的血泵的分解结构示意图;FIG11 is a schematic diagram of an exploded structure of a blood pump according to some embodiments of the present specification;
图12是根据本说明书一些实施例所示的血泵的使用场景图;FIG12 is a diagram showing a use scenario of a blood pump according to some embodiments of this specification;
图13是根据本说明书一些实施例所示的可弯曲管的制造方法的流程示意图;FIG. 13 is a schematic flow diagram of a method for manufacturing a bendable tube according to some embodiments of the present specification;
图14是根据本说明书另一些实施例所示的可弯曲管的制造方法的流程示意图;FIG. 14 is a schematic flow chart of a method for manufacturing a bendable tube according to other embodiments of the present specification;
图15是根据本说明书一些实施例所示的定型模具的结构示意图。FIG. 15 is a schematic diagram of the structure of a shaping mold according to some embodiments of the present specification.
图中:10、血泵;100、可弯曲管;110、内管;120、弹簧管;121、凹槽;130、外管;140、显影环;141、缺口;150、光纤通道管;160、光纤;200、猪尾导管;300、进口笼头;310、血液进口;400、出口笼头;410、血液出口;500、叶轮;600、电机;610、输出转轴;700、导管;800、压力传感器;20、衬棒;30、热缩管;40、定型模具;41、定型腔道;1、左心室;2、主动脉弓。 In the figure: 10, blood pump; 100, flexible tube; 110, inner tube; 120, spring tube; 121, groove; 130, outer tube; 140, developing ring; 141, notch; 150, fiber optic channel tube; 160, optical fiber; 200, pigtail catheter; 300, inlet cage; 310, blood inlet; 400, outlet cage; 410, blood outlet; 500, impeller; 600, motor; 610, output shaft; 700, catheter; 800, pressure sensor; 20, lining rod; 30, heat shrink tube; 40, molding mold; 41, molding cavity; 1, left ventricle; 2, aortic arch.
具体实施方式Detailed ways
为了更清楚地说明本说明书实施例的技术方案,下面将对实施例描述中所需要使用的附图作简单的介绍。显而易见地,下面描述中的附图仅仅是本说明书的一些示例或实施例,对于本领域的普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据这些附图将本说明书应用于其它类似情景。除非从语言环境中显而易见或另做说明,图中相同标号代表相同结构或操作。In order to more clearly illustrate the technical solutions of the embodiments of this specification, the following is a brief introduction to the drawings required for the description of the embodiments. Obviously, the drawings described below are only some examples or embodiments of this specification. For ordinary technicians in this field, without paying creative work, this specification can also be applied to other similar scenarios based on these drawings. Unless it is obvious from the language environment or otherwise explained, the same reference numerals in the figures represent the same structure or operation.
应当理解,“安装”、“相连”、“连接”、“耦合”应做广义理解,例如,可以是固定连接,也可以是可拆卸连接,或一体地连接;可以是机械连接,也可以是电连接;可以是直接相连,也可以通过中间媒介间接相连,还可以是两个元件内部的连通。然而,如果其他词语可实现相同的目的,则可通过其他表达来替换所述词语。It should be understood that "installed", "connected", "connected" and "coupled" should be understood in a broad sense, for example, it can be a fixed connection, a detachable connection, or an integral connection; it can be a mechanical connection or an electrical connection; it can be a direct connection, an indirect connection through an intermediate medium, or the internal communication of two elements. However, if other words can achieve the same purpose, the words can be replaced by other expressions.
如本说明书和权利要求书中所示,除非上下文明确提示例外情形,“一”、“一个”、“一种”和/或“该”等词并非特指单数,也可包括复数。一般说来,术语“包括”与“包含”仅提示包括已明确标识的步骤和元素,而这些步骤和元素不构成一个排它性的罗列,方法或者设备也可能包含其它的步骤或元素。As shown in this specification and claims, unless the context clearly indicates an exception, the words "a", "an", "an" and/or "the" do not refer to the singular and may also include the plural. Generally speaking, the terms "comprises" and "includes" only indicate the inclusion of the steps and elements that have been clearly identified, and these steps and elements do not constitute an exclusive list. The method or device may also include other steps or elements.
本说明书实施例中的可弯曲管,应用于血泵。血管内血泵,通过叶轮旋转时对流体产生的升力将血液输送到特定器官,可用于左心室、右心室、肾脏及其他脏器的泵血。血泵通常是通过导丝、经由血管输送到特定位置,并在该特定位置实现其辅助功能,在推进血泵通过患者的曲折路径或钙化的解剖结构到达指定位置时,由于这些曲折的路径可能引起对血液泵组件或患者的损伤,因此需要可弯曲管在血泵输送中提供引导以及承受血液对泵壳的载荷。The bendable tube in the embodiments of this specification is applied to a blood pump. An intravascular blood pump delivers blood to a specific organ through the lift generated by the fluid when the impeller rotates, and can be used to pump blood in the left ventricle, right ventricle, kidneys and other organs. A blood pump is usually delivered to a specific location through a guide wire and through a blood vessel, and performs its auxiliary function at the specific location. When the blood pump is propelled through the patient's tortuous path or calcified anatomical structure to reach the designated location, these tortuous paths may cause damage to the blood pump assembly or the patient, so a bendable tube is required to provide guidance in the blood pump delivery and to withstand the load of blood on the pump housing.
可弯曲管在自然状态下可以成弯曲形状,可弯曲管在受外力作用下会产生弹性变形,外力消失后在弹性恢复力的作用下恢复为自然状态。在一些实施例中,在血泵内通过设置可弯曲管,使可弯曲管具有一定的弯折角度来适配左心室和主动脉之间的角度,更便于可弯曲管将左心室的血流引向主动脉内。The bendable tube can be bent in a natural state, and will be elastically deformed under the action of an external force, and will return to a natural state under the action of an elastic restoring force after the external force disappears. In some embodiments, the bendable tube is arranged in the blood pump so that the bendable tube has a certain bending angle to adapt to the angle between the left ventricle and the aorta, making it easier for the bendable tube to guide the blood flow of the left ventricle into the aorta.
以下将结合图1-图9D对本说明书实施例所涉及的应用于血泵的可弯曲管进行详细说明。值得注意的是,以下实施例仅用以解释本申请,并不构成对本申请的限定。The bendable tube for a blood pump according to the embodiments of this specification will be described in detail below in conjunction with Figures 1 to 9D. It should be noted that the following embodiments are only used to explain the present application and do not constitute a limitation on the present application.
图1是根据本说明书一些实施例所示的可弯曲管的结构示意图;图2是图1中A处放大示意图。FIG. 1 is a schematic diagram of the structure of a bendable tube according to some embodiments of the present specification; FIG. 2 is an enlarged schematic diagram of point A in FIG. 1 .
如附图1所示,本说明书实施例提供一种可弯曲管100,应用于血泵10,包括内管110、弹簧管120、外管130和至少一个显影环140。As shown in FIG. 1 , an embodiment of the present specification provides a bendable tube 100 , which is applied to a blood pump 10 , and includes an inner tube 110 , a spring tube 120 , an outer tube 130 , and at least one developing ring 140 .
可弯曲管100可以是引导血液流动路径的管件。在一些实施例中,可弯曲管100的直径(如外径)可以在4毫米~7毫米范围内(如4毫米、5毫米、5.5毫米、6毫米、7毫米等)。The bendable tube 100 may be a tube for guiding a blood flow path. In some embodiments, the diameter (eg, outer diameter) of the bendable tube 100 may be in the range of 4 mm to 7 mm (eg, 4 mm, 5 mm, 5.5 mm, 6 mm, 7 mm, etc.).
在一些实施例中,外管130同轴设置在内管110外,弹簧管120的弹簧丝呈螺旋状设置在内管110和外管130之间。在一些实施例中,内管110和外管130可以采用高分子材料(例如,热塑性聚氨酯弹性体,简称TPU)制成,弹簧管120可以是镍钛金属丝呈螺旋状缠绕形成的弹簧管。通过内管110、弹簧管120和外管130三层结构经由热缩形成可弯曲管100,使可弯曲管100具有一定的可弯曲性来适配血管内的各种弯折角度。In some embodiments, the outer tube 130 is coaxially arranged outside the inner tube 110, and the spring wire of the spring tube 120 is spirally arranged between the inner tube 110 and the outer tube 130. In some embodiments, the inner tube 110 and the outer tube 130 can be made of polymer materials (for example, thermoplastic polyurethane elastomer, referred to as TPU), and the spring tube 120 can be a spring tube formed by spirally winding nickel-titanium wire. The three-layer structure of the inner tube 110, the spring tube 120 and the outer tube 130 is formed by heat shrinkage to form the bendable tube 100, so that the bendable tube 100 has a certain degree of flexibility to adapt to various bending angles in the blood vessel.
显影环140能够在成像设备(如X射线成像设备)中显影,用于定位标记可弯曲管100在人体中的位置。在一些实施例中,显影环140可以由金属材料制成,如钽、铂铱合金等。在一些实施例中,显影环140设置在内管110和外管130之间。在一些实施例中,显影环140可以通过热缩方式粘结在内管110和外管130之间,通过这种方法制备的可弯曲管100外表面是光滑的,不会有小的锋利台阶,有效避免了可弯曲管100因外表面有小的锋利台阶而引起溶血或血栓问题。The developing ring 140 can be developed in an imaging device (such as an X-ray imaging device) to locate and mark the position of the bendable tube 100 in the human body. In some embodiments, the developing ring 140 can be made of a metal material, such as tantalum, platinum-iridium alloy, etc. In some embodiments, the developing ring 140 is disposed between the inner tube 110 and the outer tube 130. In some embodiments, the developing ring 140 can be bonded between the inner tube 110 and the outer tube 130 by heat shrinking. The outer surface of the bendable tube 100 prepared in this way is smooth and does not have small sharp steps, which effectively avoids the problem of hemolysis or thrombosis caused by the small sharp steps on the outer surface of the bendable tube 100.
在一些实施例中,显影环140可以只有一个,设置在可弯曲管100的最大弯曲处,能够更准确的显示可弯曲管100在人体中的位置,同时还能够便于观察可弯曲管100在人体中的姿态。在一些实施例中,显影环140可以有多个(例如,2个、3个、4个等),沿可弯曲 管100的长度方向分别设置在不同位置,以更准确地显示可弯曲管100在人体中的位置及姿态。在一些实施例中,可以根据不同手术需求设置显影环140的具体数量和位置。In some embodiments, there may be only one developing ring 140, which is disposed at the maximum bending position of the bendable tube 100, so as to more accurately display the position of the bendable tube 100 in the human body and facilitate observation of the posture of the bendable tube 100 in the human body. The length direction of the tube 100 is respectively arranged at different positions to more accurately display the position and posture of the bendable tube 100 in the human body. In some embodiments, the specific number and position of the developing ring 140 can be set according to different surgical requirements.
在一些实施例中,如图1-图2所示,弹簧管120和显影环140沿可弯曲管100的长度方向同轴设置,弹簧管120与显影环140对应位置处的螺距大于显影环140沿可弯曲管100的长度方向的宽度。在一些实施例中,弹簧管120与显影环140对应位置处的螺距和显影环140沿可弯曲管100的长度方向的宽度的比例可以是1.1~3倍。在一些实施例中,弹簧管120与显影环140对应位置处的螺距和显影环140的宽度的比例可以是1.5~2.6倍。在一些实施例中,弹簧管120与显影环140对应位置处的螺距和显影环140沿可弯曲管100的长度方向的宽度的比例可以是1.9~2.2倍。In some embodiments, as shown in FIGS. 1-2 , the spring tube 120 and the developing ring 140 are coaxially arranged along the length direction of the bendable tube 100, and the pitch of the spring tube 120 at the corresponding position of the developing ring 140 is greater than the width of the developing ring 140 along the length direction of the bendable tube 100. In some embodiments, the ratio of the pitch of the spring tube 120 at the corresponding position of the developing ring 140 to the width of the developing ring 140 along the length direction of the bendable tube 100 may be 1.1 to 3 times. In some embodiments, the ratio of the pitch of the spring tube 120 at the corresponding position of the developing ring 140 to the width of the developing ring 140 may be 1.5 to 2.6 times. In some embodiments, the ratio of the pitch of the spring tube 120 at the corresponding position of the developing ring 140 to the width of the developing ring 140 along the length direction of the bendable tube 100 may be 1.9 to 2.2 times.
在一些实施例中,如图2所示,弹簧管120的弹簧丝的直径可以大于或等于显影环140的厚度。显影环140至少部分卡设在弹簧管120的其中两个相邻的弹簧丝之间,以使可弯曲管100外表面保持平整光滑,避免可弯曲管100外表面形成不必要的凸起,以防止出现因可弯曲管100外表面不平整而引起溶血或血栓问题。In some embodiments, as shown in FIG2 , the diameter of the spring wire of the spring tube 120 may be greater than or equal to the thickness of the developing ring 140. The developing ring 140 is at least partially disposed between two adjacent spring wires of the spring tube 120 to keep the outer surface of the bendable tube 100 flat and smooth, to avoid unnecessary protrusions on the outer surface of the bendable tube 100, and to prevent hemolysis or thrombosis caused by the uneven outer surface of the bendable tube 100.
图3是是图1中B-B向的截面图。在一些实施例中,显影环140上设有缺口141,缺口141的宽度大于弹簧管120的弹簧丝的横截面宽度,弹簧管120的弹簧丝从缺口141处通过。由于弹簧管120的弹簧丝呈螺旋状位于内管110的外表面,弹簧丝在B-B向的截面呈类椭圆形,弹簧丝的横截面宽度是指该弹簧丝在B-B向截面处的最大宽度。通过将弹簧管120和显影环140均设置在内管110和外管130之间,显影环140卡设在弹簧管120的其中两个相邻的弹簧丝之间,以及弹簧丝从缺口141处通过,可以减小可弯曲管100在显影环140对应位置处径向上的厚度,避免可弯曲管100外表面形成不必要的凸起。FIG3 is a cross-sectional view taken along the B-B direction in FIG1 . In some embodiments, a notch 141 is provided on the developing ring 140, and the width of the notch 141 is greater than the cross-sectional width of the spring wire of the spring tube 120, and the spring wire of the spring tube 120 passes through the notch 141. Since the spring wire of the spring tube 120 is spirally disposed on the outer surface of the inner tube 110, the cross-section of the spring wire in the B-B direction is elliptical, and the cross-sectional width of the spring wire refers to the maximum width of the spring wire at the cross-section in the B-B direction. By arranging both the spring tube 120 and the developing ring 140 between the inner tube 110 and the outer tube 130, the developing ring 140 is clamped between two adjacent spring wires of the spring tube 120, and the spring wire passes through the notch 141, the thickness of the bendable tube 100 in the radial direction at the corresponding position of the developing ring 140 can be reduced, and unnecessary protrusions can be avoided from forming on the outer surface of the bendable tube 100.
在一些实施例中,弹簧管120的螺距不均匀分布。在一些实施例中,弹簧管120的螺距的大小与其弯折角度大小相关,弹簧管120的螺距越大,可弯折的角度越大。在一些实施例中,弹簧管120的螺距的大小还与可弯曲管100的强度相关,弹簧管120的螺距越小,可弯曲管100的强度越高。因此,可以根据不同手术需求进行弹簧管120的螺距不均匀分布设计。In some embodiments, the pitch of the spring tube 120 is unevenly distributed. In some embodiments, the pitch of the spring tube 120 is related to the bending angle thereof. The larger the pitch of the spring tube 120, the larger the bending angle. In some embodiments, the pitch of the spring tube 120 is also related to the strength of the bendable tube 100. The smaller the pitch of the spring tube 120, the higher the strength of the bendable tube 100. Therefore, the pitch of the spring tube 120 can be designed to be unevenly distributed according to different surgical requirements.
在一些实施例中,弹簧管120的中间部位的螺距大于两端部位的螺距。在一些实施例中,弹簧管120的中间部位可以是从一端的1/4到另一端的1/4的部位。在一些实施例中,弹簧管120的中间部位可以是距离中点预设长度内的部位(例如,从弹簧管120的中点往两端各1/3内的部位)。在一些实施例中,弹簧管120的中间部位以外的部位可以为两端部位。在一些实施例中,弹簧管120的中间部位的螺距可以是中间部位的平均螺距;弹簧管120的两端部位的螺距可以是两端部位的平均螺距。如图12,血泵10在左心室介入手术中,可弯曲管100伸入左心室1内,可弯曲管100的中间部位弯折角度最大,则最大弯折处相应位置的弹簧管120应该设置较大的螺距,以适应可弯曲管100的弯折角度。可弯曲管100的两端部位折弯角度较小(如可以接近直线状),且可弯曲管100的两端部位可以与前后两个零件连接(如图10所示,前端与进口笼头300连接,后端与出口笼头400连接),可弯曲管100的两端部位需要较高的强度,则可弯曲管100两端部位相应位置的弹簧管120可以设置较小的螺距。In some embodiments, the pitch of the middle part of the spring tube 120 is greater than the pitch of the two end parts. In some embodiments, the middle part of the spring tube 120 may be a part from 1/4 of one end to 1/4 of the other end. In some embodiments, the middle part of the spring tube 120 may be a part within a preset length from the midpoint (for example, a part within 1/3 of each end from the midpoint of the spring tube 120). In some embodiments, the part other than the middle part of the spring tube 120 may be the two end parts. In some embodiments, the pitch of the middle part of the spring tube 120 may be the average pitch of the middle part; the pitch of the two end parts of the spring tube 120 may be the average pitch of the two end parts. As shown in FIG12, during the left ventricular intervention surgery of the blood pump 10, the bendable tube 100 extends into the left ventricle 1, and the bending angle of the middle part of the bendable tube 100 is the largest. Then, the spring tube 120 at the corresponding position of the maximum bending should be set with a larger pitch to adapt to the bending angle of the bendable tube 100. The bending angles of the two ends of the bendable tube 100 are relatively small (e.g., close to a straight line), and the two ends of the bendable tube 100 can be connected to two front and rear parts (as shown in FIG. 10 , the front end is connected to the inlet chuck 300, and the rear end is connected to the outlet chuck 400). If the two ends of the bendable tube 100 require higher strength, the spring tube 120 at the corresponding positions of the two ends of the bendable tube 100 can be set with a smaller pitch.
在一些实施例中,弹簧管120的其中一端的螺距小于其他部位的螺距。例如,出口笼头400可以与可弯曲管100一体成型,则弹簧管120的前端部位的螺距小于其他部位的螺距。由于弹簧管120的前端需要与进口笼头300连接,因此弹簧管120的前端部位设置较小的螺距,提升连接段的强度,以保证连接稳定性和密封性。In some embodiments, the pitch of one end of the spring tube 120 is smaller than the pitch of other parts. For example, the outlet saddle 400 can be integrally formed with the bendable tube 100, and the pitch of the front end of the spring tube 120 is smaller than the pitch of other parts. Since the front end of the spring tube 120 needs to be connected to the inlet saddle 300, the front end of the spring tube 120 is set with a smaller pitch to improve the strength of the connection section to ensure connection stability and sealing.
在一些实施例中,可弯曲管100的外径相同,可弯曲管100两端部位的内径大于可弯曲管100中间部位的内径。可弯曲管100的两端可以形成阶梯孔连接段,与可弯曲管100前后两端相连接的零件的外表面可以设置有与之相匹配的阶梯轴连接段。可弯曲管100的两端与前后两个零件相连接后,可弯曲管100与前后两个零件内外表面对齐。如图10、图11所 示,可弯曲管100的前端连接进口笼头300,后端连接出口笼头400。在一些实施例中,血液进口310开设在进口笼头300上,进口笼头300呈格栅状,能够防止心脏组织(如二尖瓣腱索)被吸入可弯曲管100,以及防止心室壁因负压堵住血流入口导致电机600过载。在一些实施例中,进口笼头300可以由金属材料或高分子材料制成。在一些实施例中,出口笼头400的至少部分呈格栅状,形成血液出口410,能够调整血液从血液出口410流出的方向。在一些实施例中,出口笼头400可以与可弯曲管100一体成型,即在可弯曲管100后端的侧壁开设多个切口以形成出口笼头400。在一些实施例中,出口笼头400可以是独立于可弯曲管100的部件,通过卡合、焊接、粘接等方式固定到可弯曲管100的后端。在一些实施例中,出口笼头400可以由金属材料或高分子材料制成。In some embodiments, the outer diameters of the bendable tube 100 are the same, and the inner diameters of the two ends of the bendable tube 100 are larger than the inner diameter of the middle part of the bendable tube 100. The two ends of the bendable tube 100 may form a stepped hole connection section, and the outer surface of the parts connected to the front and rear ends of the bendable tube 100 may be provided with a matching stepped shaft connection section. After the two ends of the bendable tube 100 are connected to the front and rear parts, the inner and outer surfaces of the bendable tube 100 and the front and rear parts are aligned. As shown in Figures 10 and 11 As shown, the front end of the bendable tube 100 is connected to the inlet chuck 300, and the rear end is connected to the outlet chuck 400. In some embodiments, the blood inlet 310 is provided on the inlet chuck 300, and the inlet chuck 300 is in a grid shape, which can prevent the heart tissue (such as the chordae tendineae of the mitral valve) from being sucked into the bendable tube 100, and prevent the ventricular wall from blocking the blood flow inlet due to negative pressure, resulting in overload of the motor 600. In some embodiments, the inlet chuck 300 can be made of metal material or polymer material. In some embodiments, at least part of the outlet chuck 400 is in a grid shape, forming a blood outlet 410, which can adjust the direction of blood flowing out of the blood outlet 410. In some embodiments, the outlet chuck 400 can be integrally formed with the bendable tube 100, that is, a plurality of incisions are provided on the side wall at the rear end of the bendable tube 100 to form the outlet chuck 400. In some embodiments, the outlet chuck 400 can be a component independent of the bendable tube 100, and is fixed to the rear end of the bendable tube 100 by means of snap-fitting, welding, bonding, etc. In some embodiments, the outlet chuck 400 may be made of metal material or polymer material.
在一些实施例中,可弯曲管100的内径相同,可弯曲管100两端部位的外径小于可弯曲管100中间部位的外径。可弯曲管100的两端可以形成阶梯轴连接段,进口笼头300和出口笼头400的内表面可以设置有与之相匹配的阶梯孔连接段。可弯曲管100的两端与进口笼头300和出口笼头400相连接后,可弯曲管100与进口笼头300和出口笼头400内外表面对齐。In some embodiments, the inner diameters of the bendable tube 100 are the same, and the outer diameters of the two end portions of the bendable tube 100 are smaller than the outer diameter of the middle portion of the bendable tube 100. The two ends of the bendable tube 100 may form a stepped shaft connection section, and the inner surfaces of the inlet chuck 300 and the outlet chuck 400 may be provided with a stepped hole connection section matching therewith. After the two ends of the bendable tube 100 are connected to the inlet chuck 300 and the outlet chuck 400, the inner and outer surfaces of the bendable tube 100 and the inlet chuck 300 and the outlet chuck 400 are aligned.
在一些实施例中,内管110的长度和外管130的长度不同,以使可弯曲管100的轴向两端形成台阶状连接部。该台阶状连接部可以是阶梯孔连接段,或者,该台阶状连接部可以是阶梯轴连接段。在一些实施例中,可弯曲管100的两端可以通过卡合、焊接、粘接等方式分别与进口笼头300和出口笼头400固定连接。In some embodiments, the length of the inner tube 110 is different from the length of the outer tube 130, so that the two axial ends of the bendable tube 100 form a stepped connection portion. The stepped connection portion can be a stepped hole connection section, or the stepped connection portion can be a stepped shaft connection section. In some embodiments, the two ends of the bendable tube 100 can be fixedly connected to the inlet chuck 300 and the outlet chuck 400 respectively by means of clamping, welding, bonding, etc.
图4是根据本说明书另一些实施例所示的可弯曲管的结构示意图。在一些实施例中,如图4所示,内管110比外管130长,弹簧管120的长度与内管110相同,使可弯曲管100的轴向两端形成阶梯轴连接段。Fig. 4 is a schematic diagram of the structure of a bendable tube according to other embodiments of the present specification. In some embodiments, as shown in Fig. 4, the inner tube 110 is longer than the outer tube 130, and the length of the spring tube 120 is the same as that of the inner tube 110, so that the axial ends of the bendable tube 100 form stepped shaft connection sections.
图5是根据本说明书又一些实施例所示的可弯曲管的结构示意图。在一些实施例中,如图5所示,外管130比内管110长,弹簧管120的长度与外管130相同,使可弯曲管100的轴向两端形成阶梯孔连接段。Fig. 5 is a schematic diagram of the structure of a bendable tube according to some other embodiments of the present specification. In some embodiments, as shown in Fig. 5, the outer tube 130 is longer than the inner tube 110, and the length of the spring tube 120 is the same as that of the outer tube 130, so that the axial ends of the bendable tube 100 form a stepped hole connection section.
图6是根据本说明书再一些实施例所示的可弯曲管的结构示意图;图7是图6中C-C向的截面图;图8是图7中D处放大示意图。在一些实施例中,如图6、图7和图8所示,可弯曲管100还包括光纤通道管150,光纤通道管150设置在内管110和外管130之间。光纤通道管150的内腔用于供光纤160穿过。光纤通道管150的内径大于光纤160的外径,光纤160通过牵引丝穿入光纤通道管150。光纤160是用于进行数据、信号传输的介质,可以用于实现设置在血泵10中的压力传感器(例如,下文所述的压力传感器800)和外部的控制器的信号连接。通常,血泵10中采用的压力传感器为光纤压力传感器,光纤压力传感器的光纤的材质通常为玻璃纤维,质脆易断,在推进血泵10通过患者的曲折路径或钙化的解剖结构到达指定位置时,光纤160容易受到损坏,导致光纤160的绝缘层破损,使光纤160寿命降低或不能使用。同时目前常用的血泵传感器粘结方法是将压力传感器的光纤粘结在可弯曲管100外部,这增加了器械整体的尺寸,会对血流运动产生影响。本说明书实施例通过将光纤160放置在可弯曲管100的内部,不增加器械尺寸,使光纤160对血流运动的影响最小化,同时改变光纤160的放置方式,以减少可弯曲管100弯曲时光纤160所受的力,增加光纤160的使用寿命。FIG6 is a schematic diagram of the structure of a bendable tube according to some other embodiments of the present specification; FIG7 is a cross-sectional view taken along the C-C axis in FIG6; and FIG8 is an enlarged schematic diagram of D in FIG7. In some embodiments, as shown in FIG6, FIG7 and FIG8, the bendable tube 100 further includes a fiber channel tube 150, which is disposed between the inner tube 110 and the outer tube 130. The inner cavity of the fiber channel tube 150 is used for passing an optical fiber 160. The inner diameter of the fiber channel tube 150 is greater than the outer diameter of the optical fiber 160, and the optical fiber 160 is inserted into the fiber channel tube 150 through a traction wire. The optical fiber 160 is a medium for data and signal transmission, and can be used to realize signal connection between a pressure sensor (e.g., the pressure sensor 800 described below) disposed in the blood pump 10 and an external controller. Generally, the pressure sensor used in the blood pump 10 is an optical fiber pressure sensor. The optical fiber of the optical fiber pressure sensor is usually made of glass fiber, which is brittle and easy to break. When the blood pump 10 is pushed through the patient's tortuous path or calcified anatomical structure to reach the designated position, the optical fiber 160 is easily damaged, resulting in damage to the insulation layer of the optical fiber 160, which reduces the life of the optical fiber 160 or makes it unusable. At the same time, the commonly used bonding method of the blood pump sensor is to bond the optical fiber of the pressure sensor to the outside of the bendable tube 100, which increases the size of the entire device and affects the blood flow movement. The embodiment of this specification minimizes the effect of the optical fiber 160 on the blood flow movement by placing the optical fiber 160 inside the bendable tube 100 without increasing the size of the device, and at the same time changes the placement of the optical fiber 160 to reduce the force on the optical fiber 160 when the bendable tube 100 is bent, thereby increasing the service life of the optical fiber 160.
在一些实施例中,光纤通道管150的内径尺寸为光纤160的外径尺寸的1.1~3倍。在一些实施例中,光纤通道管150的内径尺寸为光纤160的外径尺寸的1.4~2.6倍。光纤通道管150的内径尺寸为光纤160的外径尺寸的1.8~2.2倍。光纤通道管150的内腔不仅供光纤160穿过,光纤通道管150还能够为光纤160提供一定的活动空间,从而可弯曲管100受外力时使光纤160可以在一定空间范围内形变,如光纤160可适当拉长,但不会发生损坏,进而增加光纤160使用寿命。In some embodiments, the inner diameter of the fiber channel tube 150 is 1.1 to 3 times the outer diameter of the optical fiber 160. In some embodiments, the inner diameter of the fiber channel tube 150 is 1.4 to 2.6 times the outer diameter of the optical fiber 160. The inner diameter of the fiber channel tube 150 is 1.8 to 2.2 times the outer diameter of the optical fiber 160. The inner cavity of the fiber channel tube 150 is not only for the optical fiber 160 to pass through, but the fiber channel tube 150 can also provide a certain activity space for the optical fiber 160, so that when the bendable tube 100 is subjected to external force, the optical fiber 160 can be deformed within a certain space range, such as the optical fiber 160 can be appropriately stretched, but will not be damaged, thereby increasing the service life of the optical fiber 160.
在一些实施例中,如图6所示,光纤通道管150沿可弯曲管100的长度方向,设置在 可弯曲管100在弯曲时内弯的一侧。由于在手术过程中可弯曲管100在弯曲时,内弯的一侧相对血流较多,将光纤通道管150及压力传感器设置在该侧能更好的监测压力。将光纤通道管150设置在可弯曲管100内弯的一侧,还可以减小弯曲时光纤160的变形量(如光纤160随光纤通道管150弯曲时的伸长量)。In some embodiments, as shown in FIG. 6 , the fiber channel tube 150 is disposed along the length direction of the bendable tube 100. The side of the bendable tube 100 that bends inward when it is bent. Since the side of the bendable tube 100 that bends inward has relatively more blood flow during surgery, arranging the fiber channel tube 150 and the pressure sensor on this side can better monitor the pressure. Arranging the fiber channel tube 150 on the side of the bendable tube 100 can also reduce the deformation of the optical fiber 160 when it is bent (such as the elongation of the optical fiber 160 when the fiber channel tube 150 is bent).
在一些实施例中,显影环140上设有缺口141,光纤通道管150的设置位置与缺口141对应。在一些实施例中,光纤通道管150设置在弹簧管120内部时,光纤通道管150从缺口141处通过(图中未示出)。在另一些实施例中,光纤通道管150设置在弹簧管120外部时,可以设置在缺口141的径向外侧(图中未示出)。将光纤通道管150的设置位置与显影环140上的缺口141对应,可以减小可弯曲管100在显影环140和光纤通道管150对应位置处轴向上的厚度,避免可弯曲管100外表面形成不必要的凸起,以防止出现因可弯曲管100外表面不平整而引起溶血或血栓问题。In some embodiments, the developing ring 140 is provided with a notch 141, and the setting position of the fiber channel tube 150 corresponds to the notch 141. In some embodiments, when the fiber channel tube 150 is set inside the spring tube 120, the fiber channel tube 150 passes through the notch 141 (not shown in the figure). In other embodiments, when the fiber channel tube 150 is set outside the spring tube 120, it can be set radially outside the notch 141 (not shown in the figure). By making the setting position of the fiber channel tube 150 correspond to the notch 141 on the developing ring 140, the axial thickness of the flexible tube 100 at the corresponding position of the developing ring 140 and the fiber channel tube 150 can be reduced, and unnecessary protrusions can be avoided on the outer surface of the flexible tube 100, so as to prevent hemolysis or thrombosis caused by the uneven outer surface of the flexible tube 100.
在一些实施例中,可弯曲管100上可以仅设置显影环140而不设置光纤通道管150,也可以仅设置光纤通道管150而不设置显影环140。在一些实施例中,可弯曲管100上可以同时设置显影环140和光纤通道管150。In some embodiments, the bendable tube 100 may be provided with only the developing ring 140 without the fiber channel tube 150, or only the fiber channel tube 150 without the developing ring 140. In some embodiments, the bendable tube 100 may be provided with both the developing ring 140 and the fiber channel tube 150.
在一些实施例中,光纤通道管150设置在弹簧管120和外管130之间。在一些实施例中,弹簧管120上可以设有凹槽121,凹槽121沿弹簧管120的轴向方向开设,光纤通道管150部分嵌入在凹槽121中。如图6和图7所示,凹槽121可以开设在弹簧管120的外圆周上。在一些实施例中,光纤通道管150设置在弹簧管120和内管110之间。凹槽121可以开设在弹簧管120的内圆周上(图中未示出)。在一些实施例中,弹簧管120可以在弹簧丝螺旋成型后,再进一步在其外圆周上或内圆周上开设轴向的凹槽121。凹槽121的开设可以采用棒铣刀、立铣或激光切割的加工方式。In some embodiments, the fiber channel tube 150 is disposed between the spring tube 120 and the outer tube 130. In some embodiments, the spring tube 120 may be provided with a groove 121, the groove 121 being opened along the axial direction of the spring tube 120, and the fiber channel tube 150 is partially embedded in the groove 121. As shown in FIGS. 6 and 7, the groove 121 may be opened on the outer circumference of the spring tube 120. In some embodiments, the fiber channel tube 150 is disposed between the spring tube 120 and the inner tube 110. The groove 121 may be opened on the inner circumference of the spring tube 120 (not shown in the figure). In some embodiments, the spring tube 120 may further open an axial groove 121 on its outer circumference or inner circumference after the spring wire is spirally formed. The opening of the groove 121 may be processed by a rod milling cutter, end milling or laser cutting.
在一些实施例中,光纤通道管150可以贴合在弹簧管120的内表面或外表面。在一些实施例中,内管110的外表面或外管130的内表面上可以开设有用于容纳光纤通道管150的凹槽。该实施例中,内管110和/或外管130的厚度大于光纤通道管150的外径。In some embodiments, the fiber channel tube 150 may be attached to the inner surface or the outer surface of the spring tube 120. In some embodiments, a groove for accommodating the fiber channel tube 150 may be provided on the outer surface of the inner tube 110 or the inner surface of the outer tube 130. In this embodiment, the thickness of the inner tube 110 and/or the outer tube 130 is greater than the outer diameter of the fiber channel tube 150.
在一些实施例中,光纤通道管150可以沿可弯曲管100的长度方向螺旋状设置,其螺旋方向与弹簧管120的弹簧丝螺旋方向相同。在一些实施例中,光纤通道管150可以沿弹簧管120的弹簧丝的间隙螺旋布置。光纤160从螺旋状光纤通道管150穿过,可以使光纤160也呈螺旋状,以实现光纤160增加形变余量。该结构使光纤160在可弯曲管100通过患者曲折或钙化解剖结构到达预定位置时,光纤160可被适当拉长,可以减少可弯曲管100弯曲时光纤160所受的力,以使光纤160发生形变时不会发生损坏。In some embodiments, the fiber channel tube 150 can be arranged in a spiral shape along the length direction of the bendable tube 100, and its spiral direction is the same as the spiral direction of the spring wire of the spring tube 120. In some embodiments, the fiber channel tube 150 can be arranged in a spiral shape along the gap of the spring wire of the spring tube 120. The optical fiber 160 passes through the spiral fiber channel tube 150, so that the optical fiber 160 can also be spiral, so as to increase the deformation margin of the optical fiber 160. This structure allows the optical fiber 160 to be appropriately stretched when the bendable tube 100 passes through the patient's tortuous or calcified anatomical structure to reach a predetermined position, and can reduce the force on the optical fiber 160 when the bendable tube 100 is bent, so that the optical fiber 160 will not be damaged when it is deformed.
图9A是根据本说明书一些实施例所示的光纤通道管的结构示意图;图9B是根据本说明书一些实施例所示的光纤通道管受力时的结构示意图。FIG. 9A is a schematic diagram of the structure of a fiber channel tube according to some embodiments of the present specification; FIG. 9B is a schematic diagram of the structure of a fiber channel tube under stress according to some embodiments of the present specification.
在一些实施例中,光纤160可以预定型为能增加变形余量的弯曲形状,例如光纤160可以呈S形、波浪形或螺旋形。光纤160的预定型是指原本直线型的光纤160预定型为S形、波浪形或螺旋形,可以采用人为简单预定型,也可以采用工装进行预定型。如图9A所示,光纤160为S形弯曲形状。在可弯曲管100进行血泵组装时,利用牵引丝与光纤160前端粘结,待光纤160穿过光纤通道管150后,去除牵引丝,这样光纤160可以在光纤通道管150中保持自然状态下呈S形弯曲形状。该结构的光纤160在可弯曲管100通过患者曲折或钙化解剖结构到达预定位置时,光纤160可被适当拉长,这样可以减少可弯曲管100弯曲时光纤160所受的力,如图9B所示。In some embodiments, the optical fiber 160 can be pre-shaped into a curved shape that can increase the deformation margin, for example, the optical fiber 160 can be S-shaped, wavy or spiral. The pre-shaping of the optical fiber 160 refers to the pre-shaping of the originally linear optical fiber 160 into an S-shape, wavy or spiral shape, which can be pre-shaped manually or by tooling. As shown in FIG9A, the optical fiber 160 is in an S-shaped curved shape. When the bendable tube 100 is assembled for the blood pump, the front end of the optical fiber 160 is bonded with a traction wire. After the optical fiber 160 passes through the optical fiber channel tube 150, the traction wire is removed, so that the optical fiber 160 can maintain an S-shaped curved shape in a natural state in the optical fiber channel tube 150. When the optical fiber 160 of this structure reaches the predetermined position through the patient's tortuous or calcified anatomical structure, the optical fiber 160 can be appropriately stretched, which can reduce the force on the optical fiber 160 when the bendable tube 100 is bent, as shown in FIG9B.
图9C是根据本说明书另一些实施例所示的光纤通道管的结构示意图;图9D是根据本说明书另一些实施例所示的光纤通道管受力时的结构示意图。在一些实施例中,如图9C所示,光纤160的预定型弯曲角度大于可弯曲管100的预定型弯曲角度。在一些实施例中,如9D所示,光纤160的预定型弯曲角度可以与可弯曲管100的最大弯曲角度相同,该光纤160在血泵通过主动脉弓进入左心室后,光纤160可以与可弯曲管100共同弯曲,减少因光纤160 过度弯曲导致的绝缘层破损使光纤160寿命降低或不能使用的情况。FIG. 9C is a schematic diagram of the structure of a fiber channel tube according to other embodiments of the present specification; FIG. 9D is a schematic diagram of the structure of a fiber channel tube under stress according to other embodiments of the present specification. In some embodiments, as shown in FIG. 9C , the predetermined bending angle of the optical fiber 160 is greater than the predetermined bending angle of the bendable tube 100. In some embodiments, as shown in FIG. 9D , the predetermined bending angle of the optical fiber 160 can be the same as the maximum bending angle of the bendable tube 100. After the blood pump passes through the aortic arch and enters the left ventricle, the optical fiber 160 can bend together with the bendable tube 100, thereby reducing the risk of the optical fiber 160 bending. Excessive bending may cause the insulation layer to be damaged, which may reduce the life of the optical fiber 160 or make it unusable.
在一些实施例中,光纤160的预定型弯曲角度可以根据可弯曲管100的预期弯曲角度确定。如果可弯曲管100的预期弯曲角度大,则光纤160的预定型弯曲形状可以整个光纤160全部呈S型;如果可弯曲管100的预期弯曲角度小,则光纤160的预定型弯曲形状可以对应可弯曲管100折弯段为S型,对应可弯曲管100直线段为直线型。In some embodiments, the predetermined bending angle of the optical fiber 160 can be determined according to the expected bending angle of the bendable tube 100. If the expected bending angle of the bendable tube 100 is large, the predetermined bending shape of the optical fiber 160 can be an S-shape for the entire optical fiber 160; if the expected bending angle of the bendable tube 100 is small, the predetermined bending shape of the optical fiber 160 can be an S-shape corresponding to the bent section of the bendable tube 100, and a straight shape corresponding to the straight section of the bendable tube 100.
在一些实施例中,可弯曲管100可以通过浇筑成型的方式制备,光纤通道管150利用模具在浇筑过程中形成。例如,可弯曲管100进行浇筑成型时,在光纤通道管150的位置增设一根长条状钢棒,浇筑成型后取出钢棒就可以形成光纤通道管150。In some embodiments, the bendable tube 100 can be prepared by casting, and the fiber channel tube 150 is formed by using a mold during the casting process. For example, when the bendable tube 100 is cast, a long steel rod is added at the position of the fiber channel tube 150, and the fiber channel tube 150 can be formed by removing the steel rod after casting.
在一些实施例中,可弯曲管100通过热缩处理的方式成型,光纤通道管150通过预埋通道管的方式形成。在一些实施例中,光纤通道管150可以采用聚酰亚胺管(简称PI管)。可弯曲管100具体的热缩成型制造方法参见下文。In some embodiments, the bendable tube 100 is formed by heat shrinking, and the fiber channel tube 150 is formed by pre-embedded channel tube. In some embodiments, the fiber channel tube 150 can be a polyimide tube (PI tube for short). The specific heat shrinking molding manufacturing method of the bendable tube 100 is described below.
以下将结合图10-图11对本说明书实施例所涉及的血泵进行详细说明。图10是根据本说明书一些实施例所示的血泵的结构示意图;图11是根据本说明书一些实施例所示的血泵的分解结构示意图。The blood pump involved in the embodiments of this specification will be described in detail below in conjunction with Figures 10 and 11. Figure 10 is a schematic diagram of the structure of a blood pump according to some embodiments of this specification; Figure 11 is a schematic diagram of the exploded structure of a blood pump according to some embodiments of this specification.
血泵10可以包括如本说明书任一项实施例中所描述的可弯曲管。如图10和图11所示,血泵10还包括猪尾导管200、血液进口310、血液出口410、叶轮500、电机600和导管700。猪尾导管200连接在可弯曲管100的前端,血液进口310猪尾导管200和可弯曲管100之间设有血液进口310。导管700连接在可弯曲管100的后端,血液出口410可弯曲管100和导管700之间设有血液出口410。叶轮500设置在可弯曲管100内,电机600包括定子侧和输出转轴610,输出转轴610与叶轮500固定连接,定子侧与导管700固定连接。其中,本说明书实施例中的前端是指在手术时先进入人体的一端,后端是指在手术时后进入人体的一端。The blood pump 10 may include a flexible tube as described in any embodiment of the present specification. As shown in Figures 10 and 11, the blood pump 10 also includes a pigtail catheter 200, a blood inlet 310, a blood outlet 410, an impeller 500, a motor 600 and a catheter 700. The pigtail catheter 200 is connected to the front end of the flexible tube 100, and a blood inlet 310 is provided between the pigtail catheter 200 and the flexible tube 100. The catheter 700 is connected to the rear end of the flexible tube 100, and a blood outlet 410 is provided between the flexible tube 100 and the catheter 700. The impeller 500 is arranged in the flexible tube 100, and the motor 600 includes a stator side and an output shaft 610, the output shaft 610 is fixedly connected to the impeller 500, and the stator side is fixedly connected to the catheter 700. Among them, the front end in the embodiment of the present specification refers to the end that first enters the human body during surgery, and the rear end refers to the end that enters the human body later during surgery.
在一些实施例中,血泵10还包括压力传感器800。压力传感器800包括但不限于压电压力传感器、压阻压力传感器、电磁压力传感器、电容压力传感器等。In some embodiments, the blood pump 10 further includes a pressure sensor 800. The pressure sensor 800 includes, but is not limited to, a piezoelectric pressure sensor, a piezoresistive pressure sensor, an electromagnetic pressure sensor, a capacitive pressure sensor, and the like.
在一些实施例中,压力传感器800设置在可弯曲管100前端,压力传感器800可以用于检测可弯曲管100前端的血液灌注压力。在一些实施例中,若可弯曲管100介入到左心室1内,如图12所示,血泵在进入左心室1时,可弯曲管100引导血泵跨过主动脉弓2,到达左心室1,则压力传感器800可以用于检测左心室内的血液灌注压力。在一些实施例中,若可弯曲管100介入到主动脉内,则压力传感器800可以用于检测主动脉内的灌注压力。在一些实施例中,压力传感器800的设置位置相对于血液进口310更靠近血泵10的前端(如图10和图11所示)。In some embodiments, the pressure sensor 800 is disposed at the front end of the bendable tube 100, and the pressure sensor 800 can be used to detect the blood perfusion pressure at the front end of the bendable tube 100. In some embodiments, if the bendable tube 100 is inserted into the left ventricle 1, as shown in FIG12, when the blood pump enters the left ventricle 1, the bendable tube 100 guides the blood pump to cross the aortic arch 2 and reach the left ventricle 1, and the pressure sensor 800 can be used to detect the blood perfusion pressure in the left ventricle. In some embodiments, if the bendable tube 100 is inserted into the aorta, the pressure sensor 800 can be used to detect the perfusion pressure in the aorta. In some embodiments, the setting position of the pressure sensor 800 is closer to the front end of the blood pump 10 relative to the blood inlet 310 (as shown in FIG10 and FIG11).
在一些实施例中,血泵10还包括第二压力传感器(图中未示出),第二压力传感器设置在可弯曲管100后端。通过在血泵10的血液进口310和/或血液出口410处添加压力传感器800和/或第二压力传感器,能够实时监测左心室和主动脉压力,方便地获知血泵10的工作状态。In some embodiments, the blood pump 10 further includes a second pressure sensor (not shown in the figure), which is disposed at the rear end of the flexible tube 100. By adding the pressure sensor 800 and/or the second pressure sensor at the blood inlet 310 and/or the blood outlet 410 of the blood pump 10, the left ventricular and aortic pressures can be monitored in real time, and the working state of the blood pump 10 can be conveniently known.
在一些实施例中,第二压力传感器设置在可弯曲管100后端,第二压力传感器可以用于检测可弯曲管100后端的血液灌注压力。可弯曲管100后端的血液灌注压力可以是血液经过可弯曲管100、叶轮500等组件加压后的血液压力。In some embodiments, the second pressure sensor is disposed at the rear end of the bendable tube 100, and the second pressure sensor can be used to detect the blood perfusion pressure at the rear end of the bendable tube 100. The blood perfusion pressure at the rear end of the bendable tube 100 can be the blood pressure after the blood is pressurized by the bendable tube 100, the impeller 500 and other components.
在一些实施例中,压力传感器800通过光纤通道管150中的光纤160进行信号传输。光纤160的一端与压力传感器800信号连接,另一端与外部的控制器信号连接,控制器通过光纤160可以接收压力传感器800的第一压力信号。In some embodiments, the pressure sensor 800 transmits signals through the optical fiber 160 in the optical fiber channel tube 150. One end of the optical fiber 160 is connected to the pressure sensor 800 signal, and the other end is connected to the external controller signal. The controller can receive the first pressure signal of the pressure sensor 800 through the optical fiber 160.
根据上述实施例中的血泵10的结构,其可以介入心脏或血管等组织器官中,通过叶轮500增压提高心脏或血管等组织器官的灌注压力,增加心脏泵血功能,为心脏减轻负担。通过设置可弯曲管100,使可弯曲管100具有一定的弯折角度来适配左心室和主动脉之间的角度,更便于可弯曲管100将左心室的血流引向主动脉内。 According to the structure of the blood pump 10 in the above embodiment, it can be inserted into tissues and organs such as the heart or blood vessels, and the impeller 500 can increase the perfusion pressure of the heart or blood vessels, thereby increasing the heart's pumping function and reducing the burden on the heart. By providing the bendable tube 100, the bendable tube 100 has a certain bending angle to adapt to the angle between the left ventricle and the aorta, making it easier for the bendable tube 100 to guide the blood flow of the left ventricle into the aorta.
图13是根据本说明书一些实施例所示的可弯曲管的制造方法的流程示意图;图14是根据本说明书另一些实施例所示的可弯曲管的制造方法的流程示意图。FIG. 13 is a schematic flow chart of a method for manufacturing a bendable tube according to some embodiments of the present specification; FIG. 14 is a schematic flow chart of a method for manufacturing a bendable tube according to other embodiments of the present specification.
如图13和图14所示,本说明书一些实施例提供的一种可弯曲管的制造方法,该可弯曲管的制造方法的流程1000可以包括以下步骤。As shown in FIG. 13 and FIG. 14 , some embodiments of the present specification provide a method for manufacturing a bendable tube, and a process 1000 of the method for manufacturing a bendable tube may include the following steps.
步骤1100,将内管110套设在衬棒20的外表面。衬棒20,也可以叫芯轴,衬棒20可以采用金属棒(例如:不锈钢,钛,铝合金等材料制成的长条状圆柱棒)。内管110可以采用聚氨酯材料(简称TPU),可根据需要选择不同硬度的TPU(例如,硬度范围为60A~92A的TPU)。Step 1100, sleeve the inner tube 110 on the outer surface of the liner rod 20. The liner rod 20, which can also be called a core shaft, can be a metal rod (for example, a long cylindrical rod made of stainless steel, titanium, aluminum alloy, etc.). The inner tube 110 can be made of polyurethane material (TPU for short), and TPU of different hardness can be selected according to needs (for example, TPU with a hardness range of 60A to 92A).
在一些实施例中,衬棒20的外表面设有聚四氟乙烯涂层(简称PTFE),PTFE涂层可以减少内管110与衬棒20之间的摩擦力。步骤1100还可以包括步骤1110和步骤1120。步骤1110,在衬棒20的外表面上涂硅油。衬棒20上涂硅油润滑,可以进一步减小摩擦,方便可弯曲管100热缩后从衬棒20上脱落。步骤1120,将内管110套设在衬棒20的外表面。内管110的内径可以略大于衬棒20的外径,便于将内管110套设在衬棒20外。In some embodiments, the outer surface of the liner rod 20 is provided with a polytetrafluoroethylene coating (PTFE for short), and the PTFE coating can reduce the friction between the inner tube 110 and the liner rod 20. Step 1100 may also include steps 1110 and 1120. Step 1110, applying silicone oil on the outer surface of the liner rod 20. Lubricating the liner rod 20 with silicone oil can further reduce friction and facilitate the flexible tube 100 to fall off from the liner rod 20 after heat shrinkage. Step 1120, sleeve the inner tube 110 on the outer surface of the liner rod 20. The inner diameter of the inner tube 110 can be slightly larger than the outer diameter of the liner rod 20, so as to facilitate sleeve the inner tube 110 on the outside of the liner rod 20.
步骤1200,将弹簧管120和显影环140套设在内管110的外表面。在一些实施例中,弹簧管120和显影环140可以同时或先后套设在内管110的外表面。Step 1200: sleeve the spring tube 120 and the developing ring 140 on the outer surface of the inner tube 110. In some embodiments, the spring tube 120 and the developing ring 140 can be sleeved on the outer surface of the inner tube 110 simultaneously or successively.
在一些实施例中,步骤1200可以包括步骤1210和步骤1220。步骤1210,将显影环140粘接或卡接到内管110的预期位置。预期位置,是指可弯曲管100通过热缩方式制造成型后显影环140在内管110上的相应位置。在一些实施例中,显影环140上开设有缺口141,使显影环140具有一定的可变形量,便于将显影环140快速地套至内管110的外表面(例如,在外力作用下缺口141处可以略撑开使显影环140的内径扩大,便于套至内管110上)。在一些实施例中,显影环140可以通过胶水或其他方式粘接在TPU内管用于定位,并保持一定的稳定性,避免热熔时发生位移。In some embodiments, step 1200 may include step 1210 and step 1220. Step 1210, bonding or clamping the developing ring 140 to the expected position of the inner tube 110. The expected position refers to the corresponding position of the developing ring 140 on the inner tube 110 after the bendable tube 100 is manufactured and formed by heat shrinking. In some embodiments, a notch 141 is provided on the developing ring 140, so that the developing ring 140 has a certain amount of deformability, which facilitates the developing ring 140 to be quickly put on the outer surface of the inner tube 110 (for example, under the action of external force, the notch 141 can be slightly opened to expand the inner diameter of the developing ring 140, which is convenient for putting on the inner tube 110). In some embodiments, the developing ring 140 can be bonded to the TPU inner tube by glue or other means for positioning, and maintain a certain stability to avoid displacement during hot melting.
步骤1220,将弹簧管120弹簧丝套设在内管110的外表面。在一些实施例中,弹簧管120弹簧丝套设在内管110的外表面后,可以分散弹簧丝以避免弹簧管120在受力过程中的局部弯折不畅。弹簧丝可以优选形状记忆材料(例如:镍钛合金,铜铝合金等)。在一些实施例中,由弹簧丝形成的弹簧管120的内径可以稍小于内管110的外径,避免弹簧管120的弹簧丝安装在内管110的外表面之后存在松动的现象,此时也能够手动调整弹簧管120的螺距,以使弹簧管120的螺距均匀分布或不均匀分布。Step 1220, the spring wire of the spring tube 120 is sleeved on the outer surface of the inner tube 110. In some embodiments, after the spring wire of the spring tube 120 is sleeved on the outer surface of the inner tube 110, the spring wire can be dispersed to avoid the local bending of the spring tube 120 during the force process. The spring wire can preferably be a shape memory material (for example: nickel-titanium alloy, copper-aluminum alloy, etc.). In some embodiments, the inner diameter of the spring tube 120 formed by the spring wire can be slightly smaller than the outer diameter of the inner tube 110 to avoid the spring wire of the spring tube 120 from being loose after being installed on the outer surface of the inner tube 110. At this time, the pitch of the spring tube 120 can also be manually adjusted to make the pitch of the spring tube 120 evenly distributed or unevenly distributed.
在一些实施例中,将弹簧管120套设在内管110的外表面上后,可以调整弹簧管120的螺距,使螺距均匀或者不均匀。例如,上述其中一个实施例中,弹簧管120的中间部位的螺距大于两端部位的螺距,则在弹簧管120套设在内管110的外表面上后,就按照可弯曲管100的折弯需要调整弹簧管120的螺距,以实现螺距不均匀的需求。又例如,当需要整个可弯曲管100的任何位置都能实现弯折,则可以将弹簧管120的螺距调整为螺距均匀。In some embodiments, after the spring tube 120 is sleeved on the outer surface of the inner tube 110, the pitch of the spring tube 120 can be adjusted to make the pitch uniform or uneven. For example, in one of the above embodiments, the pitch of the middle part of the spring tube 120 is greater than the pitch of the two end parts. Then, after the spring tube 120 is sleeved on the outer surface of the inner tube 110, the pitch of the spring tube 120 is adjusted according to the bending requirements of the bendable tube 100 to meet the requirements of uneven pitch. For another example, when it is required that any position of the entire bendable tube 100 can be bent, the pitch of the spring tube 120 can be adjusted to a uniform pitch.
在一些实施例中,弹簧管120的弹簧丝的直径大于或等于显影环140的厚度,放置弹簧丝时,可以使弹簧丝与显影环140错开,避免形成不必要的凸起。In some embodiments, the diameter of the spring wire of the spring tube 120 is greater than or equal to the thickness of the developing ring 140. When placing the spring wire, the spring wire and the developing ring 140 can be staggered to avoid forming unnecessary protrusions.
步骤1300,将外管130套设在弹簧管120的外表面。外管130可以采用聚氨酯材料(简称TPU),可根据需要选择不同硬度的TPU(例如,硬度范围为60A~92A的TPU)。在一些实施例中,外管130的内径可以略大于弹簧管120的外径,便于将外管130顺利套设在弹簧管120的外表面,且不破坏调整好的弹簧管120的螺距。Step 1300, sleeve the outer tube 130 on the outer surface of the spring tube 120. The outer tube 130 can be made of polyurethane material (TPU for short), and TPUs of different hardnesses can be selected as needed (for example, TPUs with a hardness range of 60A to 92A). In some embodiments, the inner diameter of the outer tube 130 can be slightly larger than the outer diameter of the spring tube 120, so that the outer tube 130 can be smoothly sleeved on the outer surface of the spring tube 120 without damaging the adjusted pitch of the spring tube 120.
步骤1400,可以包括步骤1410和步骤1420。步骤1410,在外管130外部套上热缩管30,并进行热缩处理工序,以获得热缩处理后的可弯曲管100。步骤1420,热缩后,拆去热缩管30,以及内管110中的衬棒20。Step 1400 may include step 1410 and step 1420. Step 1410: Cover the outer tube 130 with a heat shrink tube 30 and perform a heat shrinking process to obtain a heat-shrinkable bendable tube 100. Step 1420: After heat shrinking, remove the heat shrink tube 30 and the lining rod 20 in the inner tube 110.
热缩管30主要用于传递热,并通过自身收缩对内管110、外管130加压,使内管110、外管130受热熔化后能够在压力作用下,使内管110、弹簧管120和外管130成为一体结构。在一些实施例中,热缩管30可以采用聚全氟乙丙烯(简称FEP)或聚四氟乙烯(简称PTFE)等 材料。在一些实施例中,步骤1410通过热风设备、流变成型机等设备进行热缩处理工序。在一些实施例中,热缩处理工序中的热缩温度为150-250°。热缩处理工序中的热缩时间为5-20分钟。在一些实施例中,热缩处理工序中的热缩温度为180-230°。热缩处理工序中的热缩时间为7-18分钟。在一些实施例中,热缩处理工序中的热缩温度为190-220°。热缩处理工序中的热缩时间为10-16分钟。在一些实施例中,热缩处理工序中的热缩温度为200-215°。热缩处理工序中的热缩时间为12-15分钟。The heat shrink tube 30 is mainly used to transfer heat and pressurize the inner tube 110 and the outer tube 130 by shrinking itself, so that the inner tube 110 and the outer tube 130 can be melted by heat and then, under the action of pressure, the inner tube 110, the spring tube 120 and the outer tube 130 can be integrated into a structure. In some embodiments, the heat shrink tube 30 can be made of polytetrafluoroethylene (FEP) or polytetrafluoroethylene (PTFE). Materials. In some embodiments, step 1410 performs a heat shrinking process by hot air equipment, rheoforming machines and other equipment. In some embodiments, the heat shrinking temperature in the heat shrinking process is 150-250°. The heat shrinking time in the heat shrinking process is 5-20 minutes. In some embodiments, the heat shrinking temperature in the heat shrinking process is 180-230°. The heat shrinking time in the heat shrinking process is 7-18 minutes. In some embodiments, the heat shrinking temperature in the heat shrinking process is 190-220°. The heat shrinking time in the heat shrinking process is 10-16 minutes. In some embodiments, the heat shrinking temperature in the heat shrinking process is 200-215°. The heat shrinking time in the heat shrinking process is 12-15 minutes.
在一些实施例中,可弯曲管的制造方法还包括定型处理工序。定型处理工序包括:如图15所示,将热缩处理后的可弯曲管100放入定型模具40的定型腔道41中,并将定型模具40放入热风箱或者热处理炉中进行定型,并经过冷却、烘干以获得定型后的可弯曲管100。在一些实施例中,定型处理工序中的定型温度为100~160℃。在一些实施例中,定型处理工序中的定型时间为20~60min。如图15所示,定型模具40上可以开设多个定型腔道41,可同时进行多个可弯曲管100定型处理,提高生产效率。In some embodiments, the manufacturing method of the bendable tube further includes a shaping process. The shaping process includes: as shown in FIG15, placing the bendable tube 100 after heat shrinkage treatment into the shaping cavity 41 of the shaping mold 40, and placing the shaping mold 40 into a hot air box or a heat treatment furnace for shaping, and cooling and drying to obtain the shaped bendable tube 100. In some embodiments, the shaping temperature in the shaping process is 100 to 160°C. In some embodiments, the shaping time in the shaping process is 20 to 60 minutes. As shown in FIG15, a plurality of shaping cavities 41 can be opened on the shaping mold 40, and a plurality of bendable tubes 100 can be shaped at the same time to improve production efficiency.
在一些实施例中,为了制造出变径的可弯曲管100,可以采用变径的衬棒20。在一些实施例中,衬棒20两端部位的直径大于衬棒20中间部位的直径,以使获得的可弯曲管100两端部位的内径大于可弯曲管100中间部位的内径,则可弯曲管100两端部位形成阶梯孔。该实施例中,为了便于后续工序中将衬棒20从内管110中取出,衬棒20可以根据不同的直径设置成多段组合。例如,可以将衬棒20两端部位的直径较大的两段可拆卸连接在中间段上。在步骤1100中,将内管110先套设在直径较小的衬棒20的中间段,然后将两端部位直径较大的两段连接至中间段上组装成完整的衬棒20。在步骤1420,先将衬棒20的两端部位的两段拆除,再取出衬棒20的中间段。In some embodiments, in order to manufacture a variable diameter bendable tube 100, a variable diameter liner rod 20 can be used. In some embodiments, the diameter of the two end portions of the liner rod 20 is greater than the diameter of the middle portion of the liner rod 20, so that the inner diameter of the two end portions of the obtained bendable tube 100 is greater than the inner diameter of the middle portion of the bendable tube 100, and the two end portions of the bendable tube 100 form stepped holes. In this embodiment, in order to facilitate the removal of the liner rod 20 from the inner tube 110 in the subsequent process, the liner rod 20 can be set into a multi-section combination according to different diameters. For example, the two sections with larger diameters at the two end portions of the liner rod 20 can be detachably connected to the middle section. In step 1100, the inner tube 110 is first sleeved on the middle section of the liner rod 20 with a smaller diameter, and then the two sections with larger diameters at the two end portions are connected to the middle section to assemble into a complete liner rod 20. In step 1420, the two sections at the two end portions of the liner rod 20 are first removed, and then the middle section of the liner rod 20 is taken out.
在一些实施例中,衬棒20两端部位的直径小于衬棒20中间部位的直径,以使获得的可弯曲管100两端部位的外径小于可弯曲管100中间部位的外径,则可弯曲管100两端部位形成阶梯轴。In some embodiments, the diameter of the two ends of the liner rod 20 is smaller than the diameter of the middle part of the liner rod 20, so that the outer diameter of the two ends of the bendable tube 100 is smaller than the outer diameter of the middle part of the bendable tube 100, and the two ends of the bendable tube 100 form a stepped axis.
在一些实施例中,为了制造出变径的可弯曲管100,还可以采用径向上厚度不同的内管110和/或外管130,以使热缩后获得变径的可弯曲管100。例如,可以采用中间部位厚两端部位薄的外管130,以使获得的可弯曲管100两端部位的外径小于可弯曲管100中间部位的外径,则可弯曲管100两端部位形成阶梯轴。In some embodiments, in order to manufacture a bendable tube 100 with a variable diameter, an inner tube 110 and/or an outer tube 130 with different thicknesses in the radial direction may be used, so that a bendable tube 100 with a variable diameter is obtained after heat shrinkage. For example, an outer tube 130 with a thick middle portion and thin end portions may be used, so that the outer diameter of the end portions of the bendable tube 100 obtained is smaller than the outer diameter of the middle portion of the bendable tube 100, and the end portions of the bendable tube 100 form a stepped shaft.
在一些实施例中,还可以采用变径的弹簧管120以制造出变径的可弯曲管100。例如,可以根据预期的变径可弯曲管100的需求,在用弹簧丝螺旋缠绕制作弹簧管120时,改变弹簧管120在不同轴向位置上的直径。在一些实施例中,可以制造两端部位外径小于中间部位外径的弹簧管120,以制造出两端部位外径小于中间部位外径的可弯曲管100。在一些实施例中,可以制造两端部位内径大于中间部位外径的弹簧管120,以制造出两端部位内径大于中间部位外径的可弯曲管100。In some embodiments, a spring tube 120 with a variable diameter can also be used to manufacture a bendable tube 100 with a variable diameter. For example, according to the expected demand for the bendable tube 100 with a variable diameter, the diameter of the spring tube 120 at different axial positions can be changed when the spring tube 120 is made by spirally winding the spring wire. In some embodiments, a spring tube 120 with an outer diameter at both ends smaller than the outer diameter at the middle portion can be manufactured to manufacture a bendable tube 100 with an outer diameter at both ends smaller than the outer diameter at the middle portion. In some embodiments, a spring tube 120 with an inner diameter at both ends larger than the outer diameter at the middle portion can be manufactured to manufacture a bendable tube 100 with an inner diameter at both ends larger than the outer diameter at the middle portion.
在一些实施例中,可弯曲管100的制造方法还包括:将光纤通道管150设置在弹簧管120和所述内管110之间;或者,将光纤通道管150设置在弹簧管120和外管130之间。In some embodiments, the method for manufacturing the bendable tube 100 further includes: disposing the fiber channel tube 150 between the spring tube 120 and the inner tube 110 ; or disposing the fiber channel tube 150 between the spring tube 120 and the outer tube 130 .
在一些实施例中,光纤通道管150采用可弯曲管100的制造过程中进行预埋管的方式形成,该预埋管可以采用聚酰亚胺管(简称PI管)。In some embodiments, the optical fiber channel tube 150 is formed by pre-embedded tube during the manufacturing process of the bendable tube 100 , and the pre-embedded tube may be a polyimide tube (PI tube for short).
在一些实施例中,光纤通道管150设置在弹簧管120和内管110之间,在将弹簧管120和显影环140套设在内管110的外表面之前(即在步骤1200之前),先将光纤通道管150粘贴在内管110的外表面上。在一些实施例中,内管110的外表面上可以沿轴向开设用于容纳预埋管的凹槽。该凹槽可以是与预埋管相匹配的凹槽,也可以是宽度大于或小于预埋管直径的凹槽。利用凹槽作为预埋管的容纳空间,能够避免或减小预埋管导致的可弯曲管100的对应于预埋管的地方厚度增加而造成外表面不平整的情况。In some embodiments, the fiber channel tube 150 is disposed between the spring tube 120 and the inner tube 110. Before the spring tube 120 and the developing ring 140 are sleeved on the outer surface of the inner tube 110 (i.e., before step 1200), the fiber channel tube 150 is first pasted on the outer surface of the inner tube 110. In some embodiments, a groove for accommodating the embedded tube can be provided along the axial direction on the outer surface of the inner tube 110. The groove can be a groove matching the embedded tube, or a groove having a width greater than or less than the diameter of the embedded tube. By using the groove as the accommodating space for the embedded tube, it is possible to avoid or reduce the situation in which the thickness of the bendable tube 100 corresponding to the embedded tube increases due to the embedded tube, thereby causing the outer surface to be uneven.
在一些实施例中,光纤通道管150设置在弹簧管120和外管130之间。在此情况下,可以先将弹簧管120和显影环140套设在内管110的外表面上后,将光纤通道管150粘贴在 弹簧管120的外表面或外管130的内表面上,然后再进行步骤1300和步骤1400。In some embodiments, the fiber channel tube 150 is disposed between the spring tube 120 and the outer tube 130. In this case, the spring tube 120 and the developing ring 140 can be sleeved on the outer surface of the inner tube 110, and then the fiber channel tube 150 can be pasted on the inner tube 110. On the outer surface of the spring tube 120 or the inner surface of the outer tube 130, and then perform steps 1300 and 1400.
在一些实施例中,外管130的内表面上可以沿轴向开设用于容纳预埋管的凹槽。该凹槽可以是与预埋管相匹配的凹槽,也可以是宽度大于或小于预埋管直径的凹槽。利用凹槽作为预埋管的容纳空间,能够避免或减小预埋管导致的可弯曲管100的对应于预埋管的地方厚度增加而造成外表面不平整的情况。In some embodiments, a groove for accommodating the embedded pipe may be provided along the axial direction on the inner surface of the outer tube 130. The groove may be a groove matching the embedded pipe, or a groove having a width greater than or less than the diameter of the embedded pipe. By using the groove as the accommodating space for the embedded pipe, it is possible to avoid or reduce the situation where the thickness of the bendable pipe 100 corresponding to the embedded pipe increases due to the embedded pipe, thereby causing the outer surface to be uneven.
在一些实施例中,用于容纳预埋管的凹槽也可以开设在弹簧管120的内表面和外表面。In some embodiments, grooves for accommodating the embedded tubes may also be provided on the inner surface and the outer surface of the spring tube 120 .
在一些实施例中,光纤通道管150靠近压力传感器800的一端与压力传感器800密封连接,光纤通道管150内的光纤160与压力传感器800电连接,光纤通道管150另一端伸出可弯曲管的部分可以设置在后续结构(如电机600、导管700)上,例如后续的光纤通道管150可以设置在血泵10后续结构的内部或外部。第二压力传感器可以另外连接一根光纤,该光纤也可以设置在光纤通道管150内,并位于血泵10后续结构的内部或外部。In some embodiments, one end of the fiber channel tube 150 near the pressure sensor 800 is sealed and connected to the pressure sensor 800, the optical fiber 160 in the fiber channel tube 150 is electrically connected to the pressure sensor 800, and the portion of the other end of the fiber channel tube 150 extending out of the bendable tube can be disposed on a subsequent structure (such as the motor 600, the catheter 700), for example, the subsequent fiber channel tube 150 can be disposed inside or outside the subsequent structure of the blood pump 10. The second pressure sensor can be connected to another optical fiber, which can also be disposed in the fiber channel tube 150 and located inside or outside the subsequent structure of the blood pump 10.
在一些实施例中,光纤通道管150设置在弹簧管120和内管110之间,在将弹簧管120和显影环140套设在内管110的外表面之前,可以将光纤通道管150粘贴在内管110的外表面上,然后在内管110和光纤通道管150外部套上热缩管30,并进行初步热缩处理工序。通过初步热缩处理工序,将光纤通道管150粘贴在内管110的外表面上。初步热缩处理工序后,再拆去热缩管30,继续进行步骤1200。In some embodiments, the fiber channel tube 150 is disposed between the spring tube 120 and the inner tube 110. Before the spring tube 120 and the developing ring 140 are sleeved on the outer surface of the inner tube 110, the fiber channel tube 150 can be pasted on the outer surface of the inner tube 110, and then the heat shrink tube 30 is sleeved on the outer surface of the inner tube 110 and the fiber channel tube 150, and a preliminary heat shrink treatment process is performed. Through the preliminary heat shrink treatment process, the fiber channel tube 150 is pasted on the outer surface of the inner tube 110. After the preliminary heat shrink treatment process, the heat shrink tube 30 is removed and step 1200 is continued.
在一些实施例中,光纤通道管150还可以采用胶水粘接在内管110的外表面上,以便于定型并保持相对稳定。光纤通道管150利用胶水粘接后,无需再进行初步热缩处理工序,可以直接进行步骤1200。In some embodiments, the fiber channel tube 150 can also be glued to the outer surface of the inner tube 110 to facilitate shaping and maintain relative stability. After the fiber channel tube 150 is glued, no preliminary heat shrinking process is required, and step 1200 can be performed directly.
本说明书实施例可能带来的有益效果包括但不限于:1)本说明书实施例的可弯曲管,显影环140设置在内管110和外管130之间,该结构设计使得可弯曲管100外表面是光滑的,不会有小的锋利台阶问题,有效避免了可弯曲管100因外表面有小的锋利台阶而引起溶血或血栓问题;2)本说明书实施例的可弯曲管,通过将光纤设置在可弯曲管100内部,减小器械尺寸,使光纤对血流运动的影响最小化;3)本说明书实施例的可弯曲管,在经历某些特殊解剖结构,如曲折路径或钙化时,光纤可适当拉长,但不会发生损坏,可以有效延长光纤的使用寿命;4)可弯曲管100两端部分的变径结构设计,能够消除连接处的台阶,避免溶血或血栓的现象;5)本说明书实施例的可弯曲管的制造方法,加工方法简易,加工工序可控,可以有效提高生产效率。The beneficial effects that may be brought about by the embodiments of the present specification include but are not limited to: 1) In the bendable tube of the embodiment of the present specification, the developing ring 140 is arranged between the inner tube 110 and the outer tube 130. This structural design makes the outer surface of the bendable tube 100 smooth without the problem of small sharp steps, effectively avoiding the problem of hemolysis or thrombosis caused by the small sharp steps on the outer surface of the bendable tube 100; 2) In the bendable tube of the embodiment of the present specification, by arranging the optical fiber inside the bendable tube 100, the size of the device is reduced, and the influence of the optical fiber on the blood flow movement is minimized; 3) In the bendable tube of the embodiment of the present specification, when experiencing certain special anatomical structures, such as tortuous paths or calcification, the optical fiber can be appropriately stretched, but will not be damaged, which can effectively extend the service life of the optical fiber; 4) The variable diameter structure design of the two end parts of the bendable tube 100 can eliminate the steps at the connection and avoid the phenomenon of hemolysis or thrombosis; 5) The manufacturing method of the bendable tube of the embodiment of the present specification has a simple processing method and controllable processing steps, which can effectively improve production efficiency.
上文已对基本概念做了描述,显然,对于本领域技术人员来说,上述详细披露仅仅作为示例,而并不构成对本说明书的限定。虽然此处并没有明确说明,本领域技术人员可能会对本说明书进行各种修改、改进和修正。该类修改、改进和修正在本说明书中被建议,所以该类修改、改进、修正仍属于本说明书示范实施例的精神和范围。The basic concepts have been described above. Obviously, for those skilled in the art, the above detailed disclosure is only for example and does not constitute a limitation of this specification. Although not explicitly stated here, those skilled in the art may make various modifications, improvements and corrections to this specification. Such modifications, improvements and corrections are suggested in this specification, so such modifications, improvements and corrections still belong to the spirit and scope of the exemplary embodiments of this specification.
同时,本说明书使用了特定词语来描述本说明书的实施例。如“一个实施例”、“一实施例”、和/或“一些实施例”意指与本说明书至少一个实施例相关的某一特征、结构或特点。因此,应强调并注意的是,本说明书中在不同位置两次或多次提及的“一实施例”或“一个实施例”或“一个替代性实施例”并不一定是指同一实施例。此外,本说明书的一个或多个实施例中的某些特征、结构或特点可以进行适当的组合。At the same time, this specification uses specific words to describe the embodiments of this specification. For example, "one embodiment", "an embodiment", and/or "some embodiments" refer to a certain feature, structure or characteristic related to at least one embodiment of this specification. Therefore, it should be emphasized and noted that "one embodiment" or "an embodiment" or "an alternative embodiment" mentioned twice or more in different positions in this specification does not necessarily refer to the same embodiment. In addition, certain features, structures or characteristics in one or more embodiments of this specification can be appropriately combined.
最后,应当理解的是,本说明书中所述实施例仅用以说明本说明书实施例的原则。其他的变形也可能属于本说明书的范围。因此,作为示例而非限制,本说明书实施例的替代配置可视为与本说明书的教导一致。相应地,本说明书的实施例不仅限于本说明书明确介绍和描述的实施例。 Finally, it should be understood that the embodiments described in this specification are only used to illustrate the principles of the embodiments of this specification. Other variations may also fall within the scope of this specification. Therefore, as an example and not a limitation, alternative configurations of the embodiments of this specification may be considered consistent with the teachings of this specification. Accordingly, the embodiments of this specification are not limited to the embodiments explicitly introduced and described in this specification.

Claims (18)

  1. 一种可弯曲管,应用于血泵,其特征在于,包括内管(110)、弹簧管(120)、外管(130)和至少一个显影环(140),所述外管(130)同轴设置在所述内管(110)外,所述弹簧管(120)的弹簧丝呈螺旋状设置在所述内管(110)和所述外管(130)之间,所述显影环(140)设置在所述内管(110)和所述外管(130)之间;A bendable tube, applied to a blood pump, characterized in that it comprises an inner tube (110), a spring tube (120), an outer tube (130) and at least one developing ring (140), wherein the outer tube (130) is coaxially arranged outside the inner tube (110), a spring wire of the spring tube (120) is spirally arranged between the inner tube (110) and the outer tube (130), and the developing ring (140) is arranged between the inner tube (110) and the outer tube (130);
    所述弹簧管(120)和所述显影环(140)沿所述可弯曲管的长度方向同轴设置,所述弹簧管(120)与所述显影环(140)对应位置处的螺距大于所述显影环(140)沿所述可弯曲管的长度方向的宽度。The spring tube (120) and the developing ring (140) are coaxially arranged along the length direction of the bendable tube, and the pitch of the spring tube (120) and the developing ring (140) at corresponding positions is greater than the width of the developing ring (140) along the length direction of the bendable tube.
  2. 如权利要求1所述的可弯曲管,其特征在于,所述显影环(140)上设有缺口(141),所述弹簧管(120)的弹簧丝从所述缺口(141)处通过。The bendable tube according to claim 1 is characterized in that a notch (141) is provided on the developing ring (140), and the spring wire of the spring tube (120) passes through the notch (141).
  3. 如权利要求1所述的可弯曲管,其特征在于,所述弹簧管(120)的螺距不均匀分布。The bendable tube according to claim 1, characterized in that the pitch of the spring tube (120) is unevenly distributed.
  4. 如权利要求3所述的可弯曲管,其特征在于,所述弹簧管(120)的中间部位的螺距大于两端部位的螺距。The bendable tube according to claim 3 is characterized in that the pitch of the middle portion of the spring tube (120) is greater than the pitch of the two end portions.
  5. 如权利要求1所述的可弯曲管,其特征在于,所述可弯曲管(100)的外径相同,所述可弯曲管(100)两端部位的内径大于所述可弯曲管(100)中间部位的内径;The bendable tube according to claim 1, characterized in that the outer diameters of the bendable tubes (100) are the same, and the inner diameters of the two ends of the bendable tube (100) are larger than the inner diameter of the middle part of the bendable tube (100);
    或者,所述可弯曲管(100)的内径相同,所述可弯曲管(100)两端部位的外径小于所述可弯曲管(100)中间部位的外径。Alternatively, the inner diameters of the bendable tubes (100) are the same, and the outer diameters of the two end portions of the bendable tube (100) are smaller than the outer diameter of the middle portion of the bendable tube (100).
  6. 如权利要求1所述的可弯曲管,其特征在于,所述内管(110)的长度和所述外管(130)的长度不同,以使所述可弯曲管(100)的轴向两端形成台阶状连接部。The bendable tube according to claim 1, characterized in that the length of the inner tube (110) is different from the length of the outer tube (130), so that two axial ends of the bendable tube (100) form stepped connecting portions.
  7. 如权利要求1所述的可弯曲管,其特征在于,还包括光纤通道管(150),所述光纤通道管(150)设置在所述内管(110)和所述外管(130)之间;所述光纤通道管(150)的内腔用于供光纤(160)穿过。The bendable tube according to claim 1 is characterized in that it also includes a fiber channel tube (150), wherein the fiber channel tube (150) is arranged between the inner tube (110) and the outer tube (130); the inner cavity of the fiber channel tube (150) is used for the optical fiber (160) to pass through.
  8. 如权利要求7所述的可弯曲管,其特征在于,所述显影环(140)上设有缺口(141),所述光纤通道管(150)的设置位置与所述缺口(141)对应。The bendable tube according to claim 7, characterized in that a notch (141) is provided on the developing ring (140), and the optical fiber channel tube (150) is arranged at a position corresponding to the notch (141).
  9. 一种血泵,其特征在于:包括如权利要求1-8中任一项所述的可弯曲管(100)。A blood pump, characterized by comprising the bendable tube (100) according to any one of claims 1-8.
  10. 如权利要求9所述的血泵,其特征在于:所述血泵(10)还包括猪尾导管(200)、叶轮(500)、电机(600)和导管(700);The blood pump according to claim 9, characterized in that: the blood pump (10) further comprises a pigtail catheter (200), an impeller (500), a motor (600) and a catheter (700);
    所述猪尾导管(200)连接在所述可弯曲管(100)的前端,所述猪尾导管(200)和所述可弯曲管(100)之间设有血液进口(310);The pigtail catheter (200) is connected to the front end of the bendable tube (100), and a blood inlet (310) is provided between the pigtail catheter (200) and the bendable tube (100);
    所述导管(700)连接在所述可弯曲管(100)的后端,所述可弯曲管(100)和所述导管(700)之间设有血液出口(410);The catheter (700) is connected to the rear end of the bendable tube (100), and a blood outlet (410) is provided between the bendable tube (100) and the catheter (700);
    所述叶轮(500)设置在所述可弯曲管(100)内,所述电机(600)包括定子侧和输出转轴(610),所述输出转轴(610)与所述叶轮(500)固定连接,所述定子侧与所述导管(700)固定连接。The impeller (500) is disposed in the bendable tube (100), the motor (600) comprises a stator side and an output shaft (610), the output shaft (610) is fixedly connected to the impeller (500), and the stator side is fixedly connected to the guide tube (700).
  11. 一种可弯曲管的制造方法,其特征在于,所述方法包括:A method for manufacturing a bendable tube, characterized in that the method comprises:
    将内管(110)套设在衬棒(20)的外表面;The inner tube (110) is sleeved on the outer surface of the lining rod (20);
    将弹簧管(120)和显影环(140)套设在所述内管(110)的外表面;The spring tube (120) and the developing ring (140) are sleeved on the outer surface of the inner tube (110);
    将外管(130)套设在所述弹簧管(120)的外表面; The outer tube (130) is sleeved on the outer surface of the spring tube (120);
    在所述外管(130)外部套上热缩管(30),并进行热缩处理工序,以获得热缩处理后的可弯曲管(100)。A heat shrink tube (30) is sheathed on the outer side of the outer tube (130), and a heat shrinking treatment process is performed to obtain a bendable tube (100) after the heat shrinking treatment.
  12. 如权利要求11所述的可弯曲管的制造方法,其特征在于,所述衬棒(20)的外表面设有聚四氟乙烯涂层,所述方法还包括:The method for manufacturing a bendable pipe according to claim 11, characterized in that the outer surface of the lining rod (20) is provided with a polytetrafluoroethylene coating, and the method further comprises:
    在将所述内管(110)套设在所述衬棒(20)的外表面前,在所述衬棒(20)的外表面上涂硅油。Before the inner tube (110) is sleeved on the outer surface of the liner rod (20), silicone oil is applied to the outer surface of the liner rod (20).
  13. 如权利要求11所述的可弯曲管的制造方法,其特征在于,所述显影环(140)上设有缺口(141);所述方法还包括:The method for manufacturing a bendable tube according to claim 11, characterized in that a notch (141) is provided on the developing ring (140); the method further comprises:
    将所述弹簧管(120)和所述显影环(140)套设在所述内管(110)的外表面后,调整所述弹簧管(120)的弹簧丝和所述显影环(140)的相对位置使得所述弹簧管(120)的弹簧丝从所述缺口(141)处通过。After the spring tube (120) and the developing ring (140) are sleeved on the outer surface of the inner tube (110), the relative positions of the spring wire of the spring tube (120) and the developing ring (140) are adjusted so that the spring wire of the spring tube (120) passes through the notch (141).
  14. 如权利要求11所述的可弯曲管的制造方法,其特征在于,所述热缩管(30)包括聚全氟乙丙烯热缩管或聚四氟乙烯热缩管;The method for manufacturing a bendable tube according to claim 11, characterized in that the heat shrinkable tube (30) comprises a polytetrafluoroethylene heat shrinkable tube or a polytetrafluoroethylene heat shrinkable tube;
    所述热缩处理工序中的热缩温度为150-250°;所述热缩处理工序中的热缩时间为5-20分钟。The heat shrinking temperature in the heat shrinking treatment process is 150-250°; the heat shrinking time in the heat shrinking treatment process is 5-20 minutes.
  15. 如权利要求11所述的可弯曲管的制造方法,其特征在于,所述方法还包括定型处理工序;所述定型处理工序包括:将热缩处理后的所述可弯曲管(100)放入定型模具(40)的定型腔道(41)中,并将所述定型模具(40)放入热风箱或者热处理炉中进行定型,并经过冷却、烘干以获得定型后的所述可弯曲管(100);The method for manufacturing a bendable tube according to claim 11, characterized in that the method further comprises a shaping process; the shaping process comprises: placing the bendable tube (100) after heat shrinkage treatment into a shaping cavity (41) of a shaping mold (40), and placing the shaping mold (40) into a hot air box or a heat treatment furnace for shaping, and cooling and drying to obtain the shaped bendable tube (100);
    其中,所述定型处理工序中的定型温度为100~160℃;所述定型处理工序中的定型时间为20~60min。Wherein, the setting temperature in the setting treatment process is 100-160° C.; the setting time in the setting treatment process is 20-60 minutes.
  16. 如权利要求11所述的可弯曲管的制造方法,其特征在于,所述衬棒(20)两端部位的直径大于所述衬棒(20)中间部位的直径,以使获得的所述可弯曲管(100)两端部位的内径大于所述可弯曲管(100)中间部位的内径。The method for manufacturing a bendable tube as described in claim 11 is characterized in that the diameter of the two end portions of the lining rod (20) is larger than the diameter of the middle portion of the lining rod (20), so that the inner diameter of the two end portions of the obtained bendable tube (100) is larger than the inner diameter of the middle portion of the bendable tube (100).
  17. 如权利要求11所述的可弯曲管的制造方法,其特征在于,所述方法还包括:将所述光纤通道管(150)设置在所述弹簧管(120)和所述内管(110)之间;或者,The method for manufacturing a bendable tube according to claim 11, characterized in that the method further comprises: arranging the optical fiber channel tube (150) between the spring tube (120) and the inner tube (110); or,
    将所述光纤通道管(150)设置在所述弹簧管(120)和所述外管(130)之间。The fiber channel tube (150) is disposed between the spring tube (120) and the outer tube (130).
  18. 如权利要求17所述的可弯曲管的制造方法,其特征在于,所述光纤通道管(150)设置在所述弹簧管(120)和所述内管(110)之间,在将所述弹簧管(120)和所述显影环(140)套设在所述内管(110)的外表面之前,所述方法还包括:The method for manufacturing a bendable tube according to claim 17, characterized in that the optical fiber channel tube (150) is arranged between the spring tube (120) and the inner tube (110), and before the spring tube (120) and the developing ring (140) are sleeved on the outer surface of the inner tube (110), the method further comprises:
    将所述光纤通道管(150)粘贴在所述内管(110)的外表面上;Adhere the optical fiber channel tube (150) to the outer surface of the inner tube (110);
    在所述内管(110)和所述光纤通道管(150)外部套上热缩管(30),并进行初步热缩处理工序。 A heat shrink tube (30) is sheathed on the outer sides of the inner tube (110) and the optical fiber channel tube (150), and a preliminary heat shrinkage treatment process is performed.
PCT/CN2023/129315 2022-11-15 2023-11-02 Bendable tube, blood pump, and method for manufacturing bendable tube WO2024104184A1 (en)

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CN117018427B (en) * 2023-08-10 2024-03-08 苏州心岭迈德医疗科技有限公司 Interventional spring tube assembly, interventional blood pump and manufacturing method of interventional spring tube assembly

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