CN105662490B - Vascular Dilator Implantation Surgical Tool - Google Patents
Vascular Dilator Implantation Surgical Tool Download PDFInfo
- Publication number
- CN105662490B CN105662490B CN201610129569.7A CN201610129569A CN105662490B CN 105662490 B CN105662490 B CN 105662490B CN 201610129569 A CN201610129569 A CN 201610129569A CN 105662490 B CN105662490 B CN 105662490B
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- China
- Prior art keywords
- push rod
- special
- handle
- monofilament
- spiral
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- Legal status (The legal status 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 status listed.)
- Expired - Fee Related
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00778—Operations on blood vessels
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
- A61F2002/9505—Instruments specially adapted for placement or removal of stents or stent-grafts having retaining means other than an outer sleeve, e.g. male-female connector between stent and instrument
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
- A61F2002/9505—Instruments specially adapted for placement or removal of stents or stent-grafts having retaining means other than an outer sleeve, e.g. male-female connector between stent and instrument
- A61F2002/9511—Instruments specially adapted for placement or removal of stents or stent-grafts having retaining means other than an outer sleeve, e.g. male-female connector between stent and instrument the retaining means being filaments or wires
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Veterinary Medicine (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Vascular Medicine (AREA)
- Cardiology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Transplantation (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Prostheses (AREA)
Abstract
Description
技术领域technical field
本发明涉及一种医疗器具,具体说是一种血管扩张器植入手术工具。The invention relates to a medical device, in particular to a surgical tool for implanting a blood vessel dilator.
背景技术Background technique
目前,常用的心血管扩张手术主要是安装支架或者球囊,由于心血管管道比较细,手术过程中操作很麻烦。支架的安装和位置的调整都要花费大量时间和精力,给手术带来难度和风险。中国专利2010202319042公开了一种《心血管扩张装置》将网状支架事先安装在一个导引管中,同时在导引管中还安装一个管芯,手术时先将导引管植入血管,再利用管芯将网状支架推出来。这种“心血管扩张装置”虽然可以一定程度地简化手术操作,提高网状支架到位的准确度,但由于导引管的直径大于网状支架的直径,其适用范围受到限制,有时候也会增加手术的难度;另一中国专利2013200482005公开了一种《心血管扩张装置》,其采用单丝螺旋缠绕形成的螺旋管式扩张器,并在螺旋管的内腔中设置有支撑杆,在支撑杆的前端设置有固定叉,支撑杆的中段设置有定位孔,将单丝紧密缠绕在支撑杆上,单丝的两端分别插装在固定叉和定位孔中,放进血管以后,松开单丝的两端,抽出支撑杆,单丝直径自动扩张,起到扩张和支撑血管壁的作用,其结构简单、操作方便、应用范围广泛。但由于其支撑杆为一体式的固定结构,在支撑杆上安装和释放单丝两端的操作非常困难,在抽出支撑杆的过程中容易将半释放状态的单丝带出来,造成手术失败。At present, the commonly used cardiovascular dilation surgery is mainly to install stents or balloons. Since the cardiovascular pipeline is relatively thin, the operation during the operation is very troublesome. It takes a lot of time and energy to install and adjust the position of the stent, which brings difficulty and risk to the operation. Chinese patent 2010202319042 discloses a "cardiovascular dilation device" in which the mesh stent is installed in a guide tube in advance, and a stylet is also installed in the guide tube. During the operation, the guide tube is first implanted into the blood vessel, and then Use the die to push out the mesh support. Although this "cardiovascular dilation device" can simplify the operation to a certain extent and improve the accuracy of the mesh stent in place, its scope of application is limited because the diameter of the guide tube is larger than that of the mesh stent, and sometimes Increase the difficulty of the operation; another Chinese patent 2013200482005 discloses a "cardiovascular expansion device", which adopts a helical tube dilator formed by helical winding of monofilament, and a support rod is arranged in the lumen of the helical tube. The front end of the rod is provided with a fixed fork, and the middle section of the support rod is provided with a positioning hole. The monofilament is tightly wound on the support rod. The two ends of the monofilament are respectively inserted into the fixed fork and the positioning hole. The two ends of the monofilament pull out the support rod, and the diameter of the monofilament automatically expands to expand and support the blood vessel wall. It has a simple structure, convenient operation, and a wide range of applications. However, due to the integral fixed structure of the support rod, it is very difficult to install and release the two ends of the monofilament on the support rod, and it is easy to bring out the half-released monofilament in the process of pulling out the support rod, resulting in surgical failure.
发明内容Contents of the invention
本发明的目的是提供一种结构简单、操作方便的血管扩张器植入手术工具。The object of the present invention is to provide a surgical tool for implanting a blood vessel dilator with simple structure and convenient operation.
为了达到以上目的,本发明所采用如下的技术方案:血管扩张器植入手术工具包括手柄、插装在手柄中可轴向移动的推杆,所述推杆的后端设置有压板,所述推杆上套装有螺旋夹套,所述螺旋夹套是由异形单丝螺旋状盘绕而成,所述异形单丝截面的上、下两端对称设置有上夹持螺旋和下夹持螺旋,异形单丝的一端固定连接在推杆的前端,异形单丝的另一端固定连接在手柄上。In order to achieve the above purpose, the present invention adopts the following technical solution: the surgical tool for implanting the vascular dilator includes a handle, and a push rod inserted in the handle to move axially, the rear end of the push rod is provided with a pressing plate, and the A spiral jacket is set on the push rod, and the spiral jacket is formed by helically coiling a special-shaped monofilament. The upper and lower ends of the section of the special-shaped monofilament are symmetrically provided with an upper clamping helix and a lower clamping helix. One end of the special-shaped monofilament is fixedly connected to the front end of the push rod, and the other end of the special-shaped monofilament is fixedly connected to the handle.
所述上夹持螺旋和下夹持螺旋是设置在异形单丝上的下凹的弧形螺旋槽,所述弧形螺旋槽与异形单丝平行设置。The upper clamping helix and the lower clamping helix are concave arc-shaped spiral grooves arranged on the special-shaped monofilament, and the arc-shaped spiral groove is arranged in parallel with the special-shaped monofilament.
所述异形单丝包括圆柱状的单丝本体、固定连接在单丝本体的上下两端对称设置的两个截面为弧形的螺旋板。The special-shaped monofilament includes a cylindrical monofilament body, and two spiral plates with arc-shaped sections fixedly connected to the upper and lower ends of the monofilament body and arranged symmetrically.
所述手柄的内壁上设置有轴向设置的键槽,所述推杆上设置有匹配该键槽的花键。The inner wall of the handle is provided with an axially arranged keyway, and the push rod is provided with a spline matching the keyway.
本发明的有益效果在于:螺旋夹套利用两侧的上夹持螺旋和下夹持螺旋夹住同样螺旋形状的血管扩张器,使其处于压缩、拧紧的状态,管径较小,方便植入血管的操作,植入以后通过推杆拉伸螺旋夹套,又可以很方便地释放扩张器,将该工具取出,其结构简单、操作方便、应用范围广泛。The beneficial effects of the present invention are: the spiral jacket utilizes the upper clamping helix and the lower clamping helix on both sides to clamp the vascular dilator of the same helical shape, so that it is in a compressed and tightened state, and the tube diameter is small, which is convenient for implantation In the operation of the blood vessel, after implantation, the helical jacket is stretched by the push rod, and the dilator can be easily released, and the tool can be taken out. The structure is simple, the operation is convenient, and the application range is wide.
附图说明Description of drawings
图1为本发明一个实施例的结构示意图。Fig. 1 is a schematic structural diagram of an embodiment of the present invention.
图2是带有扩张器的结构示意图。Fig. 2 is a schematic diagram of the structure with a dilator.
图3是异形单丝的一个实施例的剖面视图。Figure 3 is a cross-sectional view of one embodiment of a shaped monofilament.
图4是异形单丝的另一个实施例的剖面视图。Figure 4 is a cross-sectional view of another embodiment of a shaped monofilament.
图5是异形单丝的又一个实施例的剖面视图。Figure 5 is a cross-sectional view of yet another embodiment of a shaped monofilament.
具体实施方式detailed description
如图1所示,本发明所述血管扩张器植入手术工具包括手柄1、插装在手柄1中可轴向移动的推杆2,所述推杆2的后端设置有压板3,手柄1为柱状结构,按动压板3、推杆2可以在手柄1中轴向滑动。所述推杆2上套装有螺旋夹套4,所述螺旋夹套4是由异形单丝螺旋状盘绕而成的螺旋结构,螺旋夹套4的材质采用有弹性的塑料、不锈钢等制成。所述异形单丝截面的上、下两端对称设置有上夹持螺旋5和下夹持螺旋6,异形单丝的一端固定连接在推杆2的前端,异形单丝的另一端固定连接在手柄1上。As shown in Figure 1, the vascular dilator implantation surgical tool of the present invention includes a handle 1, a push rod 2 inserted in the handle 1 and movable axially, the rear end of the push rod 2 is provided with a pressing plate 3, and the handle 1 is a columnar structure, and the pressing plate 3 and the push rod 2 can slide axially in the handle 1. The push rod 2 is covered with a spiral jacket 4, and the spiral jacket 4 is a helical structure formed by spirally coiling a special-shaped monofilament. The material of the spiral jacket 4 is made of elastic plastic, stainless steel, etc. The upper and lower ends of the section of the special-shaped monofilament are symmetrically provided with an upper clamping helix 5 and a lower clamping helix 6, one end of the special-shaped monofilament is fixedly connected to the front end of the push rod 2, and the other end of the special-shaped monofilament is fixedly connected to the handle 1.
如图3、图4所示,所述上夹持螺旋5和下夹持螺旋6是设置在异形单丝上的下凹的弧形螺旋槽,所述弧形螺旋槽与异形单丝平行设置。异形单丝的本体可以采用如图所示的圆柱体结构,也可以采用截面为矩形的矩形柱体结构,或者截面为椭圆形的椭圆柱体结构。As shown in Figure 3 and Figure 4, the upper clamping helix 5 and the lower clamping helix 6 are concave arc-shaped spiral grooves arranged on the special-shaped monofilament, and the arc-shaped spiral groove is arranged in parallel with the special-shaped monofilament . The body of the special-shaped monofilament can adopt a cylindrical structure as shown in the figure, or a rectangular cylindrical structure with a rectangular cross section, or an elliptical cylindrical structure with an elliptical cross section.
如图5所示,作为本发明的又一个实施例,所述异形单丝包括圆柱状的单丝本体41、固定连接在单丝本体41的上下两端对称设置的两个截面为弧形的螺旋板51、61。As shown in Figure 5, as another embodiment of the present invention, the special-shaped monofilament includes a cylindrical monofilament body 41, and two arc-shaped cross-sections that are fixedly connected to the upper and lower ends of the monofilament body 41 and symmetrically arranged. Spiral plates 51,61.
另外,所述手柄1的内壁上设置有轴向设置的键槽,所述推杆2上设置有匹配该键槽的花键51。这样可以通过键槽限定推杆2只能轴向移动而不能旋转,同时还可以通过合理设置键槽的长度限定推杆2轴向移动的范围。In addition, the inner wall of the handle 1 is provided with an axially arranged keyway, and the push rod 2 is provided with a spline 51 matching the keyway. In this way, the push rod 2 can only be axially moved but not rotated through the key groove, and the range of axial movement of the push rod 2 can also be limited by reasonably setting the length of the key groove.
如图2所示,使用时,将螺旋式血管扩张器的单丝卡装在上夹持螺旋5和下夹持螺旋6之间,由于螺旋夹套4的螺距离——即上夹持螺旋5和下夹持螺旋6之间的距离——小于螺旋扩张器单丝的直径,此时螺旋夹套4可以夹住扩张器使其不会松脱,可以很方便地植入血管中。扩张器插入病人血管以后,按压压板3通过推杆拉伸螺旋夹套4,螺旋夹套4的螺间距扩大,即可释放扩张器,扩张器被释放以后其直径扩大,支撑在病人血管壁上,此时即可将该工具取出。As shown in Figure 2, when in use, the monofilament of the helical vascular dilator is clamped between the upper clamping helix 5 and the lower clamping helix 6, due to the screw distance of the helical jacket 4—that is, the upper clamping helix The distance between 5 and the lower clamping helix 6 is smaller than the diameter of the monofilament of the helical dilator. At this time, the helical jacket 4 can clamp the dilator so that it will not loosen, and can be easily implanted in the blood vessel. After the dilator is inserted into the patient's blood vessel, press the pressure plate 3 and stretch the helical jacket 4 through the push rod. The pitch of the helical jacket 4 expands, and the dilator can be released. After the dilator is released, its diameter expands and is supported on the patient's blood vessel wall , the tool can now be removed.
Claims (1)
Priority Applications (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201711333801.XA CN107802386B (en) | 2016-03-08 | 2016-03-08 | Surgical tools for implantation of vasodilators |
CN201610129569.7A CN105662490B (en) | 2016-03-08 | 2016-03-08 | Vascular Dilator Implantation Surgical Tool |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201610129569.7A CN105662490B (en) | 2016-03-08 | 2016-03-08 | Vascular Dilator Implantation Surgical Tool |
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CN201711333801.XA Division CN107802386B (en) | 2016-03-08 | 2016-03-08 | Surgical tools for implantation of vasodilators |
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CN105662490A CN105662490A (en) | 2016-06-15 |
CN105662490B true CN105662490B (en) | 2017-11-21 |
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CN201711333801.XA Active CN107802386B (en) | 2016-03-08 | 2016-03-08 | Surgical tools for implantation of vasodilators |
CN201610129569.7A Expired - Fee Related CN105662490B (en) | 2016-03-08 | 2016-03-08 | Vascular Dilator Implantation Surgical Tool |
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CN201711333801.XA Active CN107802386B (en) | 2016-03-08 | 2016-03-08 | Surgical tools for implantation of vasodilators |
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CN110917493B (en) * | 2019-12-30 | 2023-09-22 | 龙岩学院 | An epilepsy electrode implantation device |
Citations (4)
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CN101479006A (en) * | 2006-05-24 | 2009-07-08 | 切斯纳特医学技术公司 | System and method for delivering and deploying an occluding device within a vessel |
CN202437399U (en) * | 2012-01-13 | 2012-09-19 | 唐恭芹 | Device for placing cardiovascular expandable stent |
CN203017559U (en) * | 2013-01-29 | 2013-06-26 | 杨琴 | Cardiovascular expansion device |
CN205458828U (en) * | 2016-03-08 | 2016-08-17 | 柳春雷 | Vessel dilator implants operation instrument |
Family Cites Families (7)
Publication number | Priority date | Publication date | Assignee | Title |
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CN2664618Y (en) * | 2003-12-17 | 2004-12-22 | 马兴 | Intraesophageal bracket picker |
WO2006032291A1 (en) * | 2004-09-22 | 2006-03-30 | Dendron Gmbh | Micro-spiral implantation device |
DE102009009003A1 (en) * | 2009-02-16 | 2010-08-26 | Justus-Liebig-Universität Giessen | implant |
CN202235791U (en) * | 2011-09-23 | 2012-05-30 | 中国人民解放军第四军医大学 | Recoverable metal support retrieves hook under scope |
GB2501714B (en) * | 2012-05-02 | 2014-05-07 | Cook Medical Technologies Llc | Implant delivery system |
US9974678B2 (en) * | 2014-03-10 | 2018-05-22 | Cook Medical Technologies Llc | Wire collection device with varying collection diameter |
EP4151164A1 (en) * | 2014-04-11 | 2023-03-22 | Microvention, Inc. | Implant delivery system |
-
2016
- 2016-03-08 CN CN201711333801.XA patent/CN107802386B/en active Active
- 2016-03-08 CN CN201610129569.7A patent/CN105662490B/en not_active Expired - Fee Related
Patent Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN101479006A (en) * | 2006-05-24 | 2009-07-08 | 切斯纳特医学技术公司 | System and method for delivering and deploying an occluding device within a vessel |
CN202437399U (en) * | 2012-01-13 | 2012-09-19 | 唐恭芹 | Device for placing cardiovascular expandable stent |
CN203017559U (en) * | 2013-01-29 | 2013-06-26 | 杨琴 | Cardiovascular expansion device |
CN205458828U (en) * | 2016-03-08 | 2016-08-17 | 柳春雷 | Vessel dilator implants operation instrument |
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CN107802386B (en) | 2019-07-09 |
CN107802386A (en) | 2018-03-16 |
CN105662490A (en) | 2016-06-15 |
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