CN105496480A - Blood vessel puncture site closer and operation method thereof - Google Patents
Blood vessel puncture site closer and operation method thereof Download PDFInfo
- Publication number
- CN105496480A CN105496480A CN201610040383.4A CN201610040383A CN105496480A CN 105496480 A CN105496480 A CN 105496480A CN 201610040383 A CN201610040383 A CN 201610040383A CN 105496480 A CN105496480 A CN 105496480A
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- China
- Prior art keywords
- blood vessel
- puncture
- sealing valve
- external member
- guiding sheath
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
- A61B2017/00575—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
- A61B2017/00601—Implements entirely comprised between the two sides of the opening
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
- A61B2017/00575—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
- A61B2017/00606—Implements H-shaped in cross-section, i.e. with occluders on both sides of the opening
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
- A61B2017/00575—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
- A61B2017/00623—Introducing or retrieving devices therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
- A61B2017/00646—Type of implements
- A61B2017/00654—Type of implements entirely comprised between the two sides of the opening
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00778—Operations on blood vessels
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00831—Material properties
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00831—Material properties
- A61B2017/00884—Material properties enhancing wound closure
Abstract
The invention discloses a blood vessel puncture site closer and an operation method thereof. The blood vessel puncture site closer comprises a puncture site closing valve suite and a guide sheath. The guide sheath is inserted into skin and penetrates into a blood vessel in the skin, then the puncture site closing valve suite is inserted into the guide sheath, a push button is pressed down to enable a blood vessel closing valve to enter the blood vessel, then the guide sheath is made to exit, a traction line is pulled outwards, at the moment, a disc at the upper end of the blood vessel closing valve is located outside the wall of the blood vessel, a disc at the lower end of the blood vessel closing valve is tightly attached to the interior of the wall of the blood vessel, and finally the portion, exposed out of the skin, of the traction line is shorn off. The blood vessel puncture site closer can rapidly and effectively close a blood vessel puncture site and has the biodegradability. Vascular intervention postoperative complications can be reduced, postoperative recovery is promoted, and the blood vessel puncture site closer is the ideal blood vessel puncture site closing instrument, and has the wide market application prospect.
Description
Technical field
The present invention relates to medical apparatus and instruments, relate to a kind of vascular puncture mouth closer and operational approach thereof specifically.
Background technology
Intravascular intervention diagnosis and therapy technology is as emerging Advances in Medicine, progressively promoted at home in recent years, its process is under the guiding of medical imaging device, interventional medical device is sent to a lot of vitals of human body and position through naturally occurring blood vessel access by super-selective, as: heart, liver, brain, kidney, digestive system and reproductive system, thus carry out important technology and the method for Diagnosis and Treat, there is advantage that is little without the need to surgical operation, wound, medical expense relative moderate.But intravascular intervention diagnosis and therapy is postoperative, closed vascular puncture mouth often becomes a difficult problem clinically.
If puncture orifice closes bad after intravascular interventional procedure, easily cause site of puncture massive hemorrhage, traumatic aneurysm, angiemphraxis etc., be expert at femoral artery puncture time also usually need long-time bed etc.Also have blood vessel suture instrument at present abroad, but need to sew up, and its structure is more complicated, operating procedure is many, as the PercloseProglide blood vessel suture instrument of Abott company; Some then can may cause blood vessel far-end inaccessible and close bad as the Angio-seal of StJude company because Ink vessel transfusing closes material fixation problem and disintegrate absorption pattern.
Summary of the invention
For deficiency of the prior art, the technical problem to be solved in the present invention there are provided a kind of vascular puncture mouth closer and operational approach thereof.
For solving the problems of the technologies described above, the present invention is realized by following scheme: a kind of vascular puncture mouth closer, and this vascular puncture mouth closer comprises puncture orifice closed valve external member, guiding sheath;
Described puncture orifice closed valve external member comprises vessel sealing valve, conduit, propelling movement pipe, pushes button, drag wire, described propelling movement pipe is placed in the pipe of conduit, and be reserved with vessel sealing valve rest area in the insertion end of conduit, described propelling movement pipe connects propelling movement button, described propelling movement button is exposed to the end of conduit, is provided with hole in the middle part of it, and described drag wire one end connects vessel sealing valve, the other end through pushing pipe, pushing button, and leaves the drag wire of a segment length in the outside pushing button;
Described guiding sheath inserts skin, the blood vessel in skin is thrust in its end, then puncture orifice closed valve external member is inserted guiding sheath, press propelling movement button, make, in vessel sealing valve intravasation, then to exit guiding sheath, and outside tractive drag wire, now on vessel sealing valve, end disc is positioned at outside blood vessel wall, and lower end disc is then close in blood vessel wall, finally cuts off and is exposed to extracutaneous drag wire.
Further, described vessel sealing valve adopts PLLA polylactic acid, PTMC PTMC material is made, or vessel sealing valve adopts polylactic acid to make with the mutually embedding thing material of PTMC, described PLLA polylactic acid, PTMC PTMC have biodegradability.
Further, described vessel sealing valve comprises end disc and lower end disc, and upper end disk diameter is less than lower end disk diameter, and two disks are by middle cylinder connection, in upper end, disc centre place is provided with arc bag, and the top of this arc bag is provided with drag wire connecting portion.
Further, the shape of described upper end disc and lower end disc is provided with two kinds, and a kind of is circular disk-like structure, and another kind is fan-shaped point of laminated.
Further, described guiding sheath is a guide wire, and the insertion end of its puncture orifice closed valve external member is provided with the cylinder that diameter is greater than guide wire overall diameter, and the hole of cylinder is communicated with guide wire.
An operational approach for vascular puncture mouth closer, is characterized in that: the method comprises the following steps:
1), be full of liquid latex tubing one end close, the other end is connected to water-filled plastic water bag, and this water bag outsourcing is around wound form sphygmomanometer cuff, and connect mercurial sphygmomanometer, hand pump pressurization sphygomanometer, make water bag pressure remain on 120 millimetress of mercury, the pressure of water is maintained by sphygomanometer supplementary pressure;
2), guiding sheath is inserted to latex tubing puncture, then the insert port of puncture orifice closed valve external member self-aiming sheath is inserted, until puncture orifice closed valve external member expands place near the place of expanding guiding sheath, now, the front end outstanding guiding sheath intravasation intracavity of puncture orifice closed valve external member;
3) the propelling movement button, in press-in puncture orifice closed valve external member, makes vessel sealing valve enter into Ink vessel transfusing in conduit;
4) guiding sheath is moved back, outward, and outside tractive drag wire, now on vessel sealing valve, end disc is positioned at outside blood vessel wall, and lower end disc is then close in blood vessel wall;
5), cut off drag wire, gauze covers skin penetrating point, and operation terminates.
Relative to prior art, the invention has the beneficial effects as follows: vascular puncture mouth closer of the present invention is formed primarily of biocompatible materials, the intervention diagnosis and therapy vascular puncture mouth of all size can be closed easily, simplify intra-operative procedures, and be conducive to self repairing of vascular puncture mouth.Vessel sealing valve of the present invention adopts polylactic acid (PLLA) or PTMC (PTMC) to form through die casting, also can adopt casting or 3D printing and making; Drag wire adopts the material of Absorbable rod or nonabsorable to make, and connects end disc in closed valve and draws through pushing in tube chamber.Vascular puncture mouth closer of the present invention can close vascular puncture mouth rapidly, effectively, and has biodegradability; The complication after vascular procedure can be reduced and promote post-operative recovery, being that a kind of desirable vascular puncture mouth closes apparatus, there is wide market application foreground.
Accompanying drawing explanation
Fig. 1 is vessel sealing valve arrangement schematic diagram of the present invention.
Fig. 2 is puncture orifice closed valve external member structure schematic diagram of the present invention.
Fig. 3 is the A portion enlarged drawing in Fig. 2.
Fig. 4 is embodiment of the present invention step 1 ~ 2 schematic diagrams.
Fig. 5 is embodiment of the present invention step 2 schematic diagram.
Fig. 6 is embodiment of the present invention step 3 schematic diagram.
Fig. 7 is embodiment of the present invention step 4 schematic diagram.
Fig. 8 is embodiment of the present invention step 5 schematic diagram.
Fig. 9 is the another kind of structural representation of vessel sealing valve of the present invention.
Labelling in accompanying drawing: vessel sealing valve 1, conduit 2, propelling movement pipe 3, propelling movement button 4, drag wire 5, guiding sheath 6, blood vessel 8, skin 9, gauze 10.
Detailed description of the invention
Below in conjunction with accompanying drawing, the preferred embodiments of the present invention are described in detail, can be easier to make advantages and features of the invention be readily appreciated by one skilled in the art, thus more explicit defining is made to protection scope of the present invention.
Comparatively ideal vascular puncture mouth closer should be able to cut out the vascular puncture mouth of all size at once completely, absorption process can not cause vascular repair process, postoperative puncture orifice repair place foreign is left over.If adopt biodegradation material closed vascular puncture mouth immediately, then can not affect the repair process of vascular puncture mouth due to its good biocompatibility.
From material, select biodegradable and the property the inserted biomaterial of FDA accreditation has PTMC PTMC and PLLA polylactic acid, and can as the closed ideal material of vascular puncture mouth.From principle, for the puncture orifice in blood vessel wall, best method for closing directly will close clogged with material on cut, reaches and effectively stop blooding immediately.Analyze from structure, the double fastener across blood vessel wall closes the most reliable and is convenient to complete in operation.From operation sequence, after catheter sheath directly pushes blood vessel, tractive lead-in wire is only needed to get final product complete operation extremely convenient, effective.
The analysis of comprehensive above selection, operation principle and structural texture, in conjunction with the operation sequence of setting, this is applied to and thisly can closes vascular puncture mouth immediately and the vascular puncture mouth being beneficial to blood vessel wall reparation closes apparatus by the present invention, can be the equipment that clinical intervention medical treatment provides novel, the better interventional medicine of safety, performance uses, vascular puncture mouth closer concrete structure of the present invention is as follows:
Please refer to accompanying drawing 1 ~ 4, a kind of vascular puncture mouth closer of the present invention, this vascular puncture mouth closer comprises puncture orifice closed valve external member, guiding sheath 6; Described guiding sheath 6 is a guide wire, and the insertion end of its puncture orifice closed valve external member is provided with the cylinder that diameter is greater than guide wire overall diameter, and the hole of cylinder is communicated with guide wire.Described puncture orifice closed valve external member comprises vessel sealing valve 1, conduit 2, pushes pipe 3, pushes button 4, drag wire 5, described propelling movement pipe 3 is placed in the pipe of conduit 2, and be reserved with vessel sealing valve 1 rest area in the insertion end of conduit 2, described propelling movement pipe 3 connects propelling movement button 4, described propelling movement button 4 is exposed to the end of conduit 2, hole is provided with in the middle part of it, described drag wire 5 one end connects vessel sealing valve 1, the other end through pushing pipe 3, pushing button 4, and leaves the drag wire 5 of a segment length in the outside pushing button 4; Described guiding sheath 6 inserts skin, the blood vessel in skin is thrust in its end, then puncture orifice closed valve external member is inserted guiding sheath 6, press and push button 4, make in vessel sealing valve 1 intravasation, then exit guiding sheath 6, and outside tractive drag wire 5, now on vessel sealing valve 1, end disc is positioned at outside blood vessel wall, and lower end disc is then close in blood vessel wall, finally cuts off and is exposed to extracutaneous drag wire 5.Described vessel sealing valve 1 adopts PLLA polylactic acid, PTMC PTMC material is made, or vessel sealing valve 1 adopts the mutually embedding thing material of polylactic acid and PTMC to make, described PLLA polylactic acid, PTMC PTMC have biodegradability.
As shown in Fig. 1 and Fig. 9, vessel sealing valve 1 comprises end disc and lower end disc, and upper end disk diameter is less than lower end disk diameter, and two disks are by middle cylinder connection, in upper end, disc centre place is provided with arc bag, and the top of this arc bag is provided with drag wire connecting portion.Drag wire 5 one end is fixed on this drag wire connecting portion, and the shape of described upper end disc and lower end disc is provided with two kinds, and a kind of is circular disk-like structure (as shown in Figure 1), and another kind is fan-shaped point of laminated (as shown in Figure 9).
Embodiment:
The operational approach of vascular puncture mouth closer of the present invention, the method comprises the following steps:
1, as shown in Figure 4, the latex tubing one end being full of liquid is closed, the other end is connected to water-filled plastic water bag, this water bag outsourcing is around wound form sphygmomanometer cuff, and connect mercurial sphygmomanometer, hand pump pressurization sphygomanometer, make water bag pressure remain on 120 millimetress of mercury, the pressure of water is maintained by sphygomanometer supplementary pressure;
2, as shown in Fig. 4 ~ 5, guiding sheath 6 is inserted to latex tubing puncture, then the insert port of puncture orifice closed valve external member self-aiming sheath 6 is inserted, until puncture orifice closed valve external member expands place near the place of expanding guiding sheath 6, now, the outstanding guiding sheath 6 in the front end of puncture orifice closed valve external member intravasation intracavity;
3, as shown in Figure 6, the propelling movement button 4 in press-in puncture orifice closed valve external member, makes vessel sealing valve 1 enter into Ink vessel transfusing in conduit;
4, as shown in Figure 7, guiding sheath 6 is moved back outward, and outside tractive drag wire 5, now on vessel sealing valve 1, end disc is positioned at outside blood vessel wall, and lower end disc is then close in blood vessel wall;
5, as shown in Figure 8, cut off drag wire 5, gauze 10 covers skin 9 point of puncture, and operation terminates.
Vessel sealing valve 1 of the present invention adopts polylactic acid (PLLA) or PTMC (PTMC) to form through die casting, also can adopt casting or 3D printing and making; Drag wire 5 adopts the material of Absorbable rod or nonabsorable to make, and connects end disc in closed valve and draws through pushing in tube chamber.Vascular puncture mouth closer of the present invention can close vascular puncture mouth rapidly, effectively, and has biodegradability; The complication after vascular procedure can be reduced and promote post-operative recovery, being that a kind of desirable vascular puncture mouth closes apparatus, there is wide market application foreground.
The foregoing is only the preferred embodiment of the present invention; not thereby the scope of the claims of the present invention is limited; every utilize description of the present invention and accompanying drawing content to do equivalent structure or equivalent flow process conversion; or be directly or indirectly used in other relevant technical field, be all in like manner included in scope of patent protection of the present invention.
Claims (6)
1. a vascular puncture mouth closer, is characterized in that: this vascular puncture mouth closer comprises puncture orifice closed valve external member, guiding sheath (6);
Described puncture orifice closed valve external member comprises vessel sealing valve (1), conduit (2), push pipe (3), push button (4), drag wire (5), described propelling movement pipe (3) is placed in the pipe of conduit (2), and be reserved with vessel sealing valve (1) rest area in the insertion end of conduit (2), described propelling movement pipe (3) connection pushes button (4), described propelling movement button (4) is exposed to the end of conduit (2), hole is provided with in the middle part of it, described drag wire (5) one end connects vessel sealing valve (1), the other end is through pushing pipe (3), push button (4), and the drag wire (5) of a segment length is left in the outside pushing button (4),
Described guiding sheath (6) inserts skin, the blood vessel in skin is thrust in its end, then puncture orifice closed valve external member is inserted guiding sheath (6), press and push button (4), make in vessel sealing valve (1) intravasation, then exit guiding sheath (6), and outside tractive drag wire (5), now the upper end disc of vessel sealing valve (1) is positioned at outside blood vessel wall, and lower end disc is then close in blood vessel wall, finally cuts off and is exposed to extracutaneous drag wire (5).
2. a kind of vascular puncture mouth closer according to claim 1, it is characterized in that: described vessel sealing valve (1) adopts PLLA polylactic acid, PTMC PTMC material is made, or vessel sealing valve (1) adopts polylactic acid to make with the mutually embedding thing material of PTMC, described PLLA polylactic acid, PTMC PTMC have biodegradability.
3. a kind of vascular puncture mouth closer according to claim 1, it is characterized in that: described vessel sealing valve (1) comprises end disc and lower end disc, upper end disk diameter is less than lower end disk diameter, two disks are by middle cylinder connection, in upper end, disc centre place is provided with arc bag, and the top of this arc bag is provided with drag wire connecting portion.
4. a kind of vascular puncture mouth closer according to claim 3, is characterized in that: the shape of described upper end disc and lower end disc is provided with two kinds, and a kind of is circular disk-like structure, and another kind is fan-shaped point of laminated.
5. a kind of vascular puncture mouth closer according to claim 1, it is characterized in that: described guiding sheath (6) is a guide wire, the insertion end of its puncture orifice closed valve external member is provided with the cylinder that diameter is greater than guide wire overall diameter, and the hole of cylinder is communicated with guide wire.
6., with an operational approach for vascular puncture mouth closer according to claim 1, it is characterized in that: the method comprises the following steps:
1), be full of liquid latex tubing one end close, the other end is connected to water-filled plastic water bag, and this water bag outsourcing is around wound form sphygmomanometer cuff, and connect mercurial sphygmomanometer, hand pump pressurization sphygomanometer, make water bag pressure remain on 120 millimetress of mercury, the pressure of water is maintained by sphygomanometer supplementary pressure;
2), guiding sheath (6) is inserted to latex tubing puncture, then the insert port of puncture orifice closed valve external member self-aiming sheath (6) is inserted, until puncture orifice closed valve external member expands place near the place of expanding guiding sheath (6), now, outstanding guiding sheath (6) the intravasation intracavity in the front end of puncture orifice closed valve external member;
3) the propelling movement button (4), in press-in puncture orifice closed valve external member, makes vessel sealing valve (1) enter into Ink vessel transfusing in conduit;
4) guiding sheath (6) is moved back, outward, and outside tractive drag wire (5), now the upper end disc of vessel sealing valve (1) is positioned at outside blood vessel wall, and lower end disc is then close in blood vessel wall;
5), cut off drag wire (5), gauze covers skin penetrating point, and operation terminates.
Priority Applications (1)
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CN201610040383.4A CN105496480A (en) | 2016-01-21 | 2016-01-21 | Blood vessel puncture site closer and operation method thereof |
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CN201610040383.4A CN105496480A (en) | 2016-01-21 | 2016-01-21 | Blood vessel puncture site closer and operation method thereof |
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Cited By (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN107789023A (en) * | 2016-08-30 | 2018-03-13 | 周佳蓉 | Blood vessel puncture sealing device |
CN109431554A (en) * | 2018-08-22 | 2019-03-08 | 深圳麦普奇医疗科技有限公司 | A kind of interventional medicine I-shaped closer of vascular puncture mouth and preparation method thereof |
CN110269658A (en) * | 2018-03-15 | 2019-09-24 | 北京普益盛济科技有限公司 | A kind of outspoken fast closer of vascular puncture of degradable in vivo and its operating method |
CN116983027A (en) * | 2023-09-27 | 2023-11-03 | 苏州大学附属第二医院 | Vascular closure device |
WO2024051529A1 (en) * | 2022-09-06 | 2024-03-14 | 深圳市先健纬康科技有限公司 | Blood vessel closing device and blood vessel closing system |
CN116983027B (en) * | 2023-09-27 | 2024-04-19 | 苏州大学附属第二医院 | Vascular closure device |
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Cited By (6)
Publication number | Priority date | Publication date | Assignee | Title |
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CN107789023A (en) * | 2016-08-30 | 2018-03-13 | 周佳蓉 | Blood vessel puncture sealing device |
CN110269658A (en) * | 2018-03-15 | 2019-09-24 | 北京普益盛济科技有限公司 | A kind of outspoken fast closer of vascular puncture of degradable in vivo and its operating method |
CN109431554A (en) * | 2018-08-22 | 2019-03-08 | 深圳麦普奇医疗科技有限公司 | A kind of interventional medicine I-shaped closer of vascular puncture mouth and preparation method thereof |
WO2024051529A1 (en) * | 2022-09-06 | 2024-03-14 | 深圳市先健纬康科技有限公司 | Blood vessel closing device and blood vessel closing system |
CN116983027A (en) * | 2023-09-27 | 2023-11-03 | 苏州大学附属第二医院 | Vascular closure device |
CN116983027B (en) * | 2023-09-27 | 2024-04-19 | 苏州大学附属第二医院 | Vascular closure device |
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Application publication date: 20160420 |