CN103252013A - Puncturing sheath for aortic vessel lumen interventional surgery - Google Patents
Puncturing sheath for aortic vessel lumen interventional surgery Download PDFInfo
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- CN103252013A CN103252013A CN2013102201087A CN201310220108A CN103252013A CN 103252013 A CN103252013 A CN 103252013A CN 2013102201087 A CN2013102201087 A CN 2013102201087A CN 201310220108 A CN201310220108 A CN 201310220108A CN 103252013 A CN103252013 A CN 103252013A
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Abstract
The invention discloses a puncturing sheath for an aortic vessel lumen interventional surgery, which comprises a sheath tube and a sheath handle, wherein an annular air bag which blocks an inner wall of the sheath tube after inflated is arranged on the inner wall of the sheath tube; a pore passage capable of elastically wrapping inlet and outlet instruments is formed in the center of the annular air bag; the annular air bag is connected with an inflation device by an air bag catheter; and an inflation locking device is arranged on the inflation device. According to the puncturing sheath, the air bag is matched with the inflation device, so that the surgical instruments can pass through a membrane hole in the center of the air bag conveniently; the air bag can bear pressure of an artery; no blood leakage is ensured; a convenient instrument is provided for an aortic endovascular surgery; a surgical procedure is facilitated; and the surgery is reliable.
Description
Technical field
The present invention relates to a kind ofly for interventional operation equipment, relate to aortic blood tube chamber intervene operation puncture sheath; Especially a kind of large scale vascular puncture sheath with interior shutoff sacculus.
Background technology
The aorta lumen endoprosthesis is the developing direction of present various arotic disease treatments, and along with the development of interventional technique, equipment, the aorta vessel intracavitary therapy has replaced traditional open surgery, becomes the main flow modus operandi.
The aorta intracavity operation, different with common blood vessel intervention operation, because the aortic stents induction system is thick (generally greater than 20F), generally do not use the vascular puncture sheath, but get groin incision, expose femoral artery, the transection femoral artery, after introducing the wire catheter location, directly insert stent delivery system from the femoral artery otch, support is placed on diseased region discharges.But this kind method does not have blood vessel puncture sheath protection blood vessel, makes intraoperative hemorrhage wayward.And stent delivery sheath directly contacts with femoral artery, and it is more to rub, and makes the support difficulty of transportation, simultaneously, can arterial intima, cause the art medium vessels to sew up difficulty, easily cause the postoperative angiostenosis, thrombosis, complication such as artery of lower extremity ischemia.
Clinical puncture sheath commonly used below 10F, is used for medium and small blood vessel intervention operation mostly.The large-scale vagina vasorum that is used for the trunk intervene operation is not almost seen the vagina vasorum of the clinical use of minority, poor effect, bad sealing is close, defectives such as leakiness blood, and idol has the vagina vasorum of band plugging system, complex structure uses inconvenience, still exists than the massive hemorrhage risk simultaneously.
At present, the large-scale vagina vasorum that Shang Weiyou is simple and easy to the stifled blood function of band of usefulness occurs, and makes the patient that sensation unable to do what one wishes be arranged, the operation of influence operation and operation quality.
The vascular puncture shutoff sheath of the CN201210020329 dribbling capsule that the applicant proposes, sacculus is positioned at the external diameter of vascular puncture shutoff sheath, but the vascular puncture shutoff sheath that is used for band topping up (gas) sacculus of artificial blood vessel's bypass turn of tidal stream operation use is for the good visual field and the haemostatic effect that guarantee when operation techniques such as artificial blood vessel's operation; But be not suitable for the aorta lumen endoprosthesis.The aorta vessel EVAR needs most large scale vascular puncture sheath, has hemostasis device in the fabulous puncture sheath, and the hemostasis device one deck elastica that sheath is not held that just punctures is held (5-9mm) blood pressure when can't stand major diameter in the following puncture of the existing 10F sheath.
Summary of the invention
The present invention seeks to: propose a kind of heavy caliber vascular puncture sheath with stifled vim and vigour capsule, by the design of air bag and the design of aerating device, make the present invention can be used for the aorta intracavity operation, heavy caliber vascular puncture sheath all is positioned at blood vessel (be typically support carry and lay) when making all operation techniques, be convenient to operation technique, operation is reliable; The object of the invention also is to propose the vascular puncture sheath that a kind of scavenge pipe exit position places front end, more effectively cooperates with the present invention.
Technical solution of the present invention is: aortic blood tube chamber intervene operation puncture sheath, comprise sheath pipe 1, sheath handle 5, and sheath pipe 1 inwall is equipped with the annular air-pocket 7 that sheath pipe 1 inwall is stopped up in the inflation back, and the central authorities of annular air-pocket 7 have the duct of elasticity parcel turnover apparatus.
Further, annular air-pocket 7 connects aerating device 8 by balloon catheter 9.
Further, aerating device 8 is provided with inflation locking device 8-1.
Further, the outlet 3 of tube for transfusion in the sheath pipe 1, interior tube for transfusion 4, outer tube for transfusion 6, annular air-pocket 7, aerating device 8, inflation locking device 8-1, balloon catheter 9,
Further, annular air-pocket 7 turns to the structure of annular air-pocket by tubulose air bag 7, turns to annular air-pocket and has folded limit 10; The central membrane 11 that the limit of latex builds up.
Annular air-pocket 7 is connected with balloon catheter 9 by balloon catheter union joint 12, and balloon catheter 9 can place sheath pipe 1 outside or be the inner chamber of sheath pipe.
Further, the inner chamber of sheath pipe 1 is provided with interior tube for transfusion, and the outlet 3 of interior tube for transfusion is positioned at the front end of annular air-pocket position, the connecting from sheath handle 5 of interior tube for transfusion.
The present invention punctures the caliber of sheath especially more than the 14F, even 24F, is convenient to be prepared into the multi-lumen tube that contains tube for transfusion.
Beneficial effect of the present invention is: by the coupling of air bag and aerating device, make operating theater instruments conveniently can pass through the fenestra of air bag central authorities, air bag can bear the pressure of tremulous pulse again, guarantees not spill blood.A kind of apparatus easily is provided for the aorta intracavity operation, is convenient to operation technique, operation is reliable; Cleaning or liquid medicine injection pipe exit position place vascular puncture sheath front end, also are injection or cleaning (can slightly unclamp air bag during cleaning) in the convenient operation.The present invention typically is used for aortic blood tube chamber intervene operation, by the transection femoral artery, behind the introducing wire catheter location, directly inserts stent delivery system from the femoral artery otch, support is placed on diseased region discharges.The present invention is by vascular puncture sheath protection blood vessel, and intraoperative hemorrhage is easy to control.And stent delivery sheath does not directly contact with femoral artery, and support is carried easily, can arterial intima, be difficult for causing the postoperative angiostenosis, thrombosis, complication such as artery of lower extremity ischemia.The large scale vascular puncture sheath of shutoff sacculus is on probation respond well in operation in the band of the present invention, has reached Expected Results.
Description of drawings
Fig. 1 is structural representation of the present invention;
Fig. 2 is the annular air-pocket structural representation.
The specific embodiment
Shown in Fig. 1-2, sheath pipe 1, tube for transfusion internal diameter 2, sheath handle 5, the outlet 3 of interior tube for transfusion, interior tube for transfusion 4, outer tube for transfusion 6, annular air-pocket 7, aerating device 8, inflation locking device 8-1, balloon catheter 9, folded limit 10, central membrane 11, balloon catheter union joint 12.The sheath pipe adopts rustless steel or hard macromolecular material, and sacculus adopts latex or elastic composite rubber-plastic material.
The present invention is built-in with annular air-pocket 7 at the sheath pipe of traditional vascular puncture sheath, annular air-pocket 7 is prepared by latex, can be any source of the gas that mechanical pump provides malleation by connecting aerating device 8(, also can be hand gun), inflation locking device 8-1 can be the stop valve of malleation gas source pipe, also can be the fixture of loosing core of syringe.
Annular air-pocket 7 also can be irregular shape, turns to as tubulose air bag 7 in the structure of annular air-pocket, can be provided with the passage of turnover apparatus (function with sealed envelope, elastic packing) in tubulose air bag 7 lap-joints.Also can be the structure of similar water wing, but there be closing membrane (function with sealed envelope, elastic packing) in central authorities, can enter and seal for apparatus.
Vagina vasorum of the present invention is when undergoing surgery, and the sheath pipe all can be regulated the degree of sealing when needs liquid medicine injection or cleanout fluid.
Annular air-pocket is connected with balloon catheter by the balloon catheter union joint, and balloon catheter places sheath 1 outside or is the inner chamber of sheath pipe.
Embodiments of the invention do not limit the present invention, anyly do not exceed the scope of protection of present invention based on simple modifications of the present invention.
Claims (8)
1. aortic blood tube chamber intervene operation puncture sheath is characterized in that comprising sheath pipe, sheath handle, and the sheath inside pipe wall is equipped with the annular air-pocket that the sheath inside pipe wall is stopped up in the inflation back, and the central authorities of annular air-pocket have the duct of elasticity parcel turnover apparatus.
2. aortic blood tube chamber intervene operation puncture sheath according to claim 1 is characterized in that annular air-pocket connects aerating device by balloon catheter.
3. aortic blood tube chamber intervene operation puncture sheath according to claim 2 is characterized in that aerating device is provided with the inflation locking device.
4. aortic blood tube chamber intervene operation according to claim 1 puncture sheath is characterized in that the inner chamber of sheath pipe is provided with interior tube for transfusion, and the outlet 3 of interior tube for transfusion is positioned at the front end of annular air-pocket position, the connecting from the sheath handle of interior tube for transfusion.
5. aortic blood tube chamber intervene operation according to claim 1 puncture sheath is characterized in that, annular air-pocket turns to the structure of annular air-pocket by the tubulose air bag, turns to annular air-pocket and has folded limit; The central membrane that the limit of latex builds up.
6. aortic blood tube chamber intervene operation puncture sheath according to claim 1 is characterized in that annular air-pocket passes through the balloon catheter union joint and is connected with balloon catheter, and balloon catheter places the sheath outside or is the inner chamber of sheath pipe.
7. aortic blood tube chamber intervene operation according to claim 1 puncture sheath, the caliber of the sheath that it is characterized in that puncturing especially more than the 14F, is prepared into the multi-lumen tube that contains tube for transfusion.
8. aortic blood tube chamber intervene operation puncture sheath according to claim 1 is characterized in that annular air-pocket is the structure of similar water wing, and there is closing membrane in central authorities.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201310220108.7A CN103252013B (en) | 2013-06-04 | 2013-06-04 | Puncturing sheath for aortic vessel lumen interventional surgery |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201310220108.7A CN103252013B (en) | 2013-06-04 | 2013-06-04 | Puncturing sheath for aortic vessel lumen interventional surgery |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN103252013A true CN103252013A (en) | 2013-08-21 |
| CN103252013B CN103252013B (en) | 2014-10-22 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201310220108.7A Expired - Fee Related CN103252013B (en) | 2013-06-04 | 2013-06-04 | Puncturing sheath for aortic vessel lumen interventional surgery |
Country Status (1)
| Country | Link |
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| CN (1) | CN103252013B (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110772305A (en) * | 2019-11-22 | 2020-02-11 | 温州医科大学附属第一医院 | Puncture outfit for laparoscopic surgery |
| CN112190334A (en) * | 2020-10-22 | 2021-01-08 | 北京唯迈医疗设备有限公司 | Convenient sterile intervention auxiliary operation robot |
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| CN1883402A (en) * | 2006-06-28 | 2006-12-27 | 金磊 | Occluder delivery system for cardiac surgery department |
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| US20070106324A1 (en) * | 2001-03-01 | 2007-05-10 | Scimed Life Systems, Inc. | Intravascular filter retrieval device having an actuatable dilator tip |
| US20070112422A1 (en) * | 2005-11-16 | 2007-05-17 | Mark Dehdashtian | Transapical heart valve delivery system and method |
| US20110172697A1 (en) * | 2008-09-15 | 2011-07-14 | Joensson Anders | Medical Device, Method And System For Temporary Occlusion Of An Opening In A Lumen Of A Body |
| CN102379731A (en) * | 2011-08-03 | 2012-03-21 | 北京华医圣杰科技有限公司 | Aortic aneurysm dissection stent system and preparation method thereof |
| CN202289179U (en) * | 2011-08-12 | 2012-07-04 | 上海交通大学医学院附属第九人民医院 | Bidirectional conduit exchange sheath |
| CN102551819A (en) * | 2012-01-29 | 2012-07-11 | 南京大学医学院附属鼓楼医院 | Blood vessel puncture plugging sheath with balloon |
| CN103025270A (en) * | 2010-06-07 | 2013-04-03 | 库克医药技术有限责任公司 | Reperfusion catheter system |
-
2013
- 2013-06-04 CN CN201310220108.7A patent/CN103252013B/en not_active Expired - Fee Related
Patent Citations (11)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JPH03503244A (en) * | 1988-03-07 | 1991-07-25 | レオコーア インコーポレーテッド | Low-profile angioplasty balloon catheter that can use a movable and removable guidewire |
| US20070106324A1 (en) * | 2001-03-01 | 2007-05-10 | Scimed Life Systems, Inc. | Intravascular filter retrieval device having an actuatable dilator tip |
| CN2649026Y (en) * | 2003-10-31 | 2004-10-20 | 张人美 | Retainable hydropericardium puncturing needle |
| US20070112422A1 (en) * | 2005-11-16 | 2007-05-17 | Mark Dehdashtian | Transapical heart valve delivery system and method |
| CN1883402A (en) * | 2006-06-28 | 2006-12-27 | 金磊 | Occluder delivery system for cardiac surgery department |
| CN1919151A (en) * | 2006-08-29 | 2007-02-28 | 浙江大学 | Internal support type interlayer gas bag venous blocking-up drainage tube |
| US20110172697A1 (en) * | 2008-09-15 | 2011-07-14 | Joensson Anders | Medical Device, Method And System For Temporary Occlusion Of An Opening In A Lumen Of A Body |
| CN103025270A (en) * | 2010-06-07 | 2013-04-03 | 库克医药技术有限责任公司 | Reperfusion catheter system |
| CN102379731A (en) * | 2011-08-03 | 2012-03-21 | 北京华医圣杰科技有限公司 | Aortic aneurysm dissection stent system and preparation method thereof |
| CN202289179U (en) * | 2011-08-12 | 2012-07-04 | 上海交通大学医学院附属第九人民医院 | Bidirectional conduit exchange sheath |
| CN102551819A (en) * | 2012-01-29 | 2012-07-11 | 南京大学医学院附属鼓楼医院 | Blood vessel puncture plugging sheath with balloon |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110772305A (en) * | 2019-11-22 | 2020-02-11 | 温州医科大学附属第一医院 | Puncture outfit for laparoscopic surgery |
| CN112190334A (en) * | 2020-10-22 | 2021-01-08 | 北京唯迈医疗设备有限公司 | Convenient sterile intervention auxiliary operation robot |
| CN112190334B (en) * | 2020-10-22 | 2022-02-18 | 北京唯迈医疗设备有限公司 | Convenient sterile intervention auxiliary operation robot |
Also Published As
| Publication number | Publication date |
|---|---|
| CN103252013B (en) | 2014-10-22 |
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Granted publication date: 20141022 Termination date: 20160604 |