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CN102068293A - Magnetic device applied to anastomosis of large and medium blood vessels - Google Patents

Magnetic device applied to anastomosis of large and medium blood vessels Download PDF

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Publication number
CN102068293A
CN102068293A CN 201110030863 CN201110030863A CN102068293A CN 102068293 A CN102068293 A CN 102068293A CN 201110030863 CN201110030863 CN 201110030863 CN 201110030863 A CN201110030863 A CN 201110030863A CN 102068293 A CN102068293 A CN 102068293A
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anastomosis
anastomotic
permanent magnet
face
blood vessels
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吕毅
刘仕琪
雷鹏
马佳
王善佩
董鼎辉
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Xian Jiaotong University
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Xian Jiaotong University
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Abstract

一种适用于大中型血管吻合的磁性装置,利用与待吻合的大中型血管的管径对应的两个内含永磁铁的永磁铁吻合环完成不同管径血管的吻合,这样避免了缝线手工吻合所带来的管腔狭窄、假性动脉瘤、吻合口渗漏、吻合速度慢以及并发症多的缺点,两个永磁铁吻合环相对而平滑光整使血管内膜整齐对合,避免了吻合口狭窄、渗漏血、结扎线滑脱致大出血、局部组织肉芽肿、假性动脉形成的缺点,且吻合速度较手工吻合者要快10倍以上,避免了组织器官因长时间阻断血流而导致器官淤血水肿致吻合渗血。

Figure 201110030863

A magnetic device suitable for anastomosis of large and medium-sized blood vessels, which uses two permanent magnet anastomotic rings containing permanent magnets corresponding to the diameter of the large and medium-sized blood vessels to be anastomosed to complete the anastomosis of blood vessels with different diameters, thus avoiding manual suturing. The disadvantages of lumen stenosis, pseudoaneurysm, anastomotic leak, slow anastomosis and many complications caused by anastomosis, the two permanent magnet anastomotic rings are relatively smooth and smooth, so that the intima of the vessel is aligned neatly, avoiding the The shortcomings of anastomotic stenosis, blood leakage, massive bleeding caused by ligature slippage, local tissue granuloma, and pseudoartery formation, and the anastomosis speed is more than 10 times faster than that of manual anastomosis, avoiding the long-term blockage of blood flow by tissues and organs As a result, organ congestion and edema cause anastomotic oozing.

Figure 201110030863

Description

一种适用于大中型血管吻合的磁性装置 A magnetic device suitable for anastomosis of large and medium vessels

技术领域technical field

本发明涉及一种医疗器械,具体涉及一种适用于大中型血管吻合的磁性装置。The invention relates to a medical device, in particular to a magnetic device suitable for anastomosis of large and medium blood vessels.

背景技术Background technique

传统手术中血管吻合却仍沿用100多年前Carrel所提出手工吻合方法,现在成为主流的血管吻合技术,但是它尚未完全符合理想的血管吻合原则,不仅吻合速度慢,这可能导致术中出现严重的血流动力学及内环境紊乱,手术创伤较大,炎症介质释放,特别是在重大手术中需吻合大、中型动静脉时,可因长时间阻断血流而导致器官淤血水肿致吻合渗血或术后因结扎线滑脱而出现继发性大出血,术后还可因结扎线在体内存留而引起局部肉芽组织反应和增生,加重了患者机体损伤;另外还会导致血管壁的损伤形成假性动脉瘤等各种并发症,影响吻合口愈合,而且手工吻合还需要较高外科技巧。这些缺点至今仍然在影响着各种涉及血管吻合手术的长期疗效。但目前为止除了术中利用缝线手工吻合血管外尚无专门用于血管吻合的装置。In traditional surgery, the manual anastomosis method proposed by Carrel is still used more than 100 years ago. Now it has become the mainstream vascular anastomosis technique, but it has not yet fully complied with the ideal principle of vascular anastomosis. Hemodynamics and internal environment are disordered, surgical trauma is large, and inflammatory mediators are released, especially when large and medium-sized arteries and veins need to be anastomosed during major operations, which can lead to organ congestion and edema due to long-term blockage of blood flow, resulting in anastomotic bleeding Or postoperative secondary hemorrhage due to ligature slippage, postoperative local granulation tissue reaction and hyperplasia may also be caused by the ligature remaining in the body, which aggravates the body injury of the patient; Various complications such as aneurysms affect the healing of the anastomosis, and manual anastomosis also requires high surgical skills. These shortcomings are still affecting the long-term efficacy of various vascular anastomosis operations. But so far there is no special device for blood vessel anastomosis except utilizing sutures in the operation to manually anastomose blood vessels.

发明内容Contents of the invention

为了克服上述现有技术存在的不足,本发明的目的在于提供一种适用于大中型血管吻合的磁性装置,利用与待吻合的大中型血管的管径对应的两个内含永磁铁的永磁铁吻合环完成不同管径血管的吻合,这样避免了缝线手工吻合所带来的管腔狭窄、假性动脉瘤、吻合口渗漏、吻合速度慢以及并发症多的缺点,两个永磁铁吻合环相对而平滑光整使血管内膜整齐对合,避免了吻合口狭窄、渗漏血、结扎线滑脱致大出血、局部组织肉芽肿、假性动脉形成的缺点,且吻合速度较手工吻合者要快10倍以上,避免了组织器官因长时间阻断血流而导致器官淤血水肿致吻合渗血。In order to overcome the deficiencies in the above-mentioned prior art, the object of the present invention is to provide a magnetic device suitable for anastomosis of large and medium-sized blood vessels, using two permanent magnets containing permanent magnets corresponding to the diameter of the large and medium-sized blood vessels to be anastomosed The anastomotic ring completes the anastomosis of blood vessels with different diameters, which avoids the shortcomings of lumen stenosis, pseudoaneurysm, anastomotic leak, slow anastomosis speed and many complications caused by manual anastomosis with sutures. Two permanent magnet anastomosis The ring is relatively smooth and smooth to make the intima of the blood vessel fit neatly, avoiding the shortcomings of anastomotic stenosis, blood leakage, massive bleeding caused by ligation slippage, local tissue granuloma, and pseudoartery formation, and the anastomotic speed is faster than that of manual anastomosis. It is more than 10 times faster, and avoids anastomotic oozing of tissues and organs caused by congestion and edema of organs due to long-term blockage of blood flow.

为了达到上述目的,本发明所采用的技术方案是:In order to achieve the above object, the technical scheme adopted in the present invention is:

一种适用于大中型血管吻合的磁性装置,由两个永磁铁吻合环组成,两个永磁铁吻合环各包括一个形状大小一致且带有孔径同待吻合血管11管径相符合的中空孔5的聚丙烯柱状壳2,该柱状壳2在一个端面上开有圆柱环形凹槽3,这样该端面就被凹槽3分为外端面和内端面两部分,该凹槽3内嵌有其中心轴线和该圆柱环形凹槽中心轴线相吻合的圆柱环状永磁铁1,该两个永磁铁吻合环的永磁铁1的磁性相反,永磁铁1的一个端面同所述的外端面和内端面相平齐,另外在外端面上还分布有两个以上的椎尖向外的圆锥状钛合金针7,相邻的两个钛合金针7之间的外端面上带有一个椎尖向内的圆锥状小孔4,每一个永磁铁吻合环的钛合金针7和另一个永磁铁吻合环的圆锥状小孔4位置一一镜像对应且对应的钛合金针7的外表面和圆锥状小孔4的内壁形状大小一致。A magnetic device suitable for anastomosis of large and medium-sized blood vessels, consisting of two permanent magnet anastomosis rings, each of which has a hollow hole 5 with the same shape and size and a diameter corresponding to the diameter of the blood vessel 11 to be anastomotic The polypropylene cylindrical shell 2, the cylindrical shell 2 has a cylindrical annular groove 3 on one end face, so that the end face is divided into two parts by the groove 3, the outer end face and the inner end face, and the groove 3 is embedded with its center A cylindrical annular permanent magnet 1 whose axis coincides with the central axis of the cylindrical annular groove, the magnetic properties of the permanent magnets 1 of the two permanent magnets matching the ring are opposite, and one end face of the permanent magnet 1 is the same as the outer end face and the inner end face. In addition, there are more than two conical titanium alloy needles 7 with outward-facing vertebral points distributed on the outer end surface, and there is a conical point-inward conical needle on the outer end surface between two adjacent titanium alloy needles 7. small hole 4, the titanium alloy needle 7 of each permanent magnet anastomosis ring and the conical small hole 4 positions of another permanent magnet anastomosis ring correspond one by one and the outer surface of the corresponding titanium alloy needle 7 and the conical small hole 4 The shape and size of the inner wall are the same.

通过利用与待吻合的大中型血管的管径对应的两个内含永磁铁1的永磁铁吻合环完成不同管径血管的吻合,这样避免了缝线手工吻合所带来的管腔狭窄、假性动脉瘤、吻合口渗漏、吻合速度慢以及并发症多的缺点,两个永磁铁吻合环相对而平滑光整使血管内膜整齐对合,避免了吻合口狭窄、渗漏血、结扎线滑脱致大出血、局部组织肉芽肿、假性动脉形成的缺点,且吻合速度较手工吻合者要快10倍以上,避免了组织器官因长时间阻断血流而导致器官淤血水肿致吻合渗血,另外两个永磁铁吻合环表面附带的钛合金针7体积小,与聚丙烯材料均具有良好的组织相容性,另外聚丙烯材料还具有抗感染作用。术后两个永磁铁吻合环包埋于组织中,加上两个永磁铁吻合环本身所具有的磁场对组织的愈合也起着良好的促进作用,由于吻合速度快,组织器官受损伤的程度小且恢复快。使用该装置手术不引起或仅引起极轻微粘连,再次手术简单易行。The anastomosis of blood vessels with different diameters is accomplished by using two permanent magnet anastomotic rings containing permanent magnets 1 corresponding to the diameters of the large and medium-sized blood vessels to be anastomosed, thus avoiding the narrowing of the lumen and false anastomosis caused by manual suture anastomosis. Aneurysm, anastomotic leakage, slow anastomotic speed, and many complications, the two permanent magnet anastomotic rings are relatively smooth and neat, so that the intima of the blood vessel fits neatly, avoiding anastomotic stenosis, blood leakage, and ligatures Slipping causes massive bleeding, local tissue granuloma, and pseudoarterial formation, and the anastomosis speed is more than 10 times faster than that of manual anastomosis, which avoids the anastomotic oozing of tissues and organs caused by organ congestion and edema due to long-term blockage of blood flow. The titanium alloy needles 7 attached to the surfaces of the other two permanent magnet anastomotic rings are small in size and have good tissue compatibility with the polypropylene material, and the polypropylene material also has an anti-infection effect. The two permanent magnet anastomotic rings are embedded in the tissue after the operation, and the magnetic field of the two permanent magnet anastomotic rings also plays a good role in promoting the healing of the tissue. Small and fast recovery. Operation using the device does not cause or only causes very slight adhesion, and reoperation is simple and easy.

附图说明Description of drawings

图1是本发明的一个永磁铁吻合环的结构示意图。Fig. 1 is a structural schematic diagram of a permanent magnet anastomotic ring of the present invention.

图2是本发明的两个永磁性吻合环相对放置的示意图。Fig. 2 is a schematic diagram of the relative placement of two permanent magnetic anastomotic rings of the present invention.

图3是本发明的两个永磁性吻合环分别固定血管断端后拟对合状态的示意图。Fig. 3 is a schematic diagram of the proposed mating state after two permanent magnetic anastomotic rings of the present invention respectively fix blood vessel stumps.

图4是本发明的两个永磁性吻合环完成血管吻合的状态示意图。Fig. 4 is a schematic diagram of a state in which two permanent magnetic anastomotic rings complete blood vessel anastomosis according to the present invention.

具体实施方式Detailed ways

下面结合附图对本发明作更详细的说明。The present invention will be described in more detail below in conjunction with the accompanying drawings.

如图1所示,适用于大中型血管吻合的磁性装置,由两个永磁铁吻合环组成,两个永磁铁吻合环各包括一个形状大小一致且带有孔径同待吻合血管11管径相符合的中空孔5的聚丙烯柱状壳2,该柱状壳2在一个端面上开有圆柱环形凹槽3,这样该端面就被凹槽3分为外端面和内端面两部分,该凹槽3内嵌有其中心轴线和该圆柱环形凹槽中心轴线相吻合的圆柱环状永磁铁1,该两个永磁铁吻合环的永磁铁1的磁性相反,永磁铁1的一个端面同所述的外端面和内端面相平齐,另外在外端面上还分布有两个以上的椎尖向外的圆锥状钛合金针7,相邻的两个钛合金针7之间的外端面上带有一个椎尖向内的圆锥状小孔4,每一个永磁铁吻合环的钛合金针7和另一个永磁铁吻合环的圆锥状小孔4位置一一镜像对应且对应的钛合金针7的外表面和圆锥状小孔4的内壁形状大小一致。As shown in Figure 1, the magnetic device suitable for anastomosis of large and medium-sized blood vessels consists of two permanent magnet anastomosis rings, each of which has a shape and size consistent with the diameter of the blood vessel 11 to be anastomotic. The polypropylene cylindrical shell 2 of the hollow hole 5, the cylindrical shell 2 has a cylindrical annular groove 3 on one end face, so that the end face is divided into two parts, the outer end face and the inner end face by the groove 3, and the inner end face of the groove 3 A cylindrical annular permanent magnet 1 whose central axis coincides with the central axis of the cylindrical annular groove is embedded, and the magnetic properties of the permanent magnets 1 of the two permanent magnets matching the ring are opposite, and one end face of the permanent magnet 1 is the same as the outer end face It is flush with the inner end surface, and in addition, there are more than two conical titanium alloy needles 7 with outwardly pointing vertebrae on the outer end surface, and there is a vertebral point on the outer end surface between two adjacent titanium alloy needles 7 The inward conical small hole 4, the titanium alloy needle 7 of each permanent magnet anastomotic ring and the conical small hole 4 positions of another permanent magnet anastomotic ring are mirror images corresponding to the outer surface of the corresponding titanium alloy needle 7 and the cone The shape and size of the inner wall of the small hole 4 are consistent.

本发明的工作原理是:首先两个永磁铁吻合环开有圆柱环形凹槽3的端面相对如图2所示,然后待吻合的血管11经由两个永磁铁吻合环的聚丙烯柱状壳2的的中空孔5穿过如图3所示,接着两个永磁铁吻合环内的永磁体1之间相互吸引自动完成吻合如图4所示,吻合口10密封,形成通畅的血管吻合腔。The working principle of the present invention is: at first two permanent magnet anastomosis rings have the end faces of cylindrical annular groove 3 relative as shown in Figure 2, then the blood vessel 11 to be anastomotic passes through the polypropylene cylindrical shell 2 of two permanent magnet anastomosis rings The hollow hole 5 passes through as shown in Figure 3, and then the permanent magnets 1 in the two permanent magnet anastomosis rings attract each other to automatically complete the anastomosis as shown in Figure 4, and the anastomosis port 10 is sealed to form a smooth blood vessel anastomosis cavity.

通过利用与待吻合的大中型血管的管径对应的两个内含永磁铁1的永磁铁吻合环完成不同管径血管的吻合,这样避免了缝线手工吻合所带来的管腔狭窄、假性动脉瘤、吻合口渗漏、吻合速度慢以及并发症多的缺点,两个永磁铁吻合环相对而平滑光整使血管内膜整齐对合,避免了吻合口狭窄、渗漏血、结扎线滑脱致大出血、局部组织肉芽肿、假性动脉形成的缺点,且吻合速度较手工吻合者要快10倍以上,避免了组织器官因长时间阻断血流而导致器官淤血水肿致吻合渗血,另外两个永磁铁吻合环表面附带的钛合金针7体积小,与聚丙烯材料均具有良好的组织相容性,另外聚丙烯材料还具有抗感染作用。术后两个永磁铁吻合环包埋于组织中,加上两个永磁铁吻合环本身所具有的磁场对组织的愈合也起着良好的促进作用,由于吻合速度快,组织器官受损伤的程度小且恢复快。使用该装置手术不引起或仅引起极轻微粘连,再次手术简单易行。The anastomosis of blood vessels with different diameters is accomplished by using two permanent magnet anastomotic rings containing permanent magnets 1 corresponding to the diameters of the large and medium-sized blood vessels to be anastomosed, thus avoiding the narrowing of the lumen and false anastomosis caused by manual suture anastomosis. Aneurysm, anastomotic leakage, slow anastomotic speed, and many complications, the two permanent magnet anastomotic rings are relatively smooth and neat, so that the intima of the blood vessel fits neatly, avoiding anastomotic stenosis, blood leakage, and ligatures Slipping causes massive bleeding, local tissue granuloma, and pseudoarterial formation, and the anastomosis speed is more than 10 times faster than that of manual anastomosis, which avoids the anastomotic oozing of tissues and organs caused by organ congestion and edema due to long-term blockage of blood flow. The titanium alloy needles 7 attached to the surfaces of the other two permanent magnet anastomotic rings are small in size and have good tissue compatibility with the polypropylene material, and the polypropylene material also has an anti-infection effect. The two permanent magnet anastomotic rings are embedded in the tissue after the operation, and the magnetic field of the two permanent magnet anastomotic rings also plays a good role in promoting the healing of the tissue. Small and fast recovery. Operation using the device does not cause or only causes very slight adhesion, and reoperation is simple and easy.

Claims (1)

1.一种适用于大中型血管吻合的磁性装置,其特征在于:由两个永磁铁吻合环组成,两个永磁铁吻合环各包括一个形状大小一致且带有孔径同待吻合血管(11)管径相符合的中空孔(5)的聚丙烯柱状壳(2),该柱状壳(2)在一个端面上开有圆柱环形凹槽(3),这样该端面就被凹槽(3)分为外端面和内端面两部分,该凹槽(3)内嵌有其中心轴线和该圆柱环形凹槽中心轴线相吻合的圆柱环状永磁铁(1),该两个永磁铁吻合环的永磁铁(1)的磁性相反,永磁铁(1)的一个端面同所述的外端面和内端面相平齐,另外在外端面上还分布有两个以上的椎尖向外的圆锥状钛合金针(7),相邻的两个钛合金针(7)之间的外端面上带有一个椎尖向内的圆锥状小孔(4),每一个永磁铁吻合环的钛合金针(7)和另一个永磁铁吻合环的圆锥状小孔(4)位置一一镜像对应且对应的钛合金针(7)的外表面和圆锥状小孔(4)的内壁形状大小一致。1. A magnetic device suitable for large and medium-sized blood vessel anastomosis, characterized in that: it consists of two permanent magnet anastomosis rings, each of which has a shape and size that is the same as that of the blood vessel to be anastomotic (11) The polypropylene cylindrical shell (2) of the hollow hole (5) that pipe diameter conforms to, and this cylindrical shell (2) has cylindrical annular groove (3) on one end face, and this end face just is divided by groove (3) like this It is two parts, the outer end surface and the inner end surface, and the groove (3) is embedded with a cylindrical annular permanent magnet (1) whose central axis coincides with the central axis of the cylindrical annular groove, and the permanent magnets of the two permanent magnets coincide with the ring. The magnetism of the magnet (1) is opposite. One end face of the permanent magnet (1) is flush with the outer end face and the inner end face. In addition, more than two conical titanium alloy needles are distributed on the outer end face. (7), the outer end surface between two adjacent titanium alloy needles (7) has a cone-shaped small hole (4) with the cone point inward, and the titanium alloy needle (7) of each permanent magnet anastomosis ring The position of the conical small hole (4) of the other permanent magnet anastomotic ring corresponds to the mirror image one by one, and the outer surface of the corresponding titanium alloy needle (7) is consistent with the shape and size of the inner wall of the conical small hole (4).
CN 201110030863 2011-01-28 2011-01-28 Magnetic device applied to anastomosis of large and medium blood vessels Pending CN102068293A (en)

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CN102835985A (en) * 2012-08-15 2012-12-26 西安交通大学 Limited portal-caval shunt magnetic anastomosis ring
CN103829980A (en) * 2014-01-28 2014-06-04 西安交通大学 Occlusion repair device for rectovaginal fistula
CN104905836A (en) * 2014-03-13 2015-09-16 臧运金 Chimeric combined vascular anastomosis device
CN107753148A (en) * 2016-08-16 2018-03-06 大连科万维医疗科技有限公司 Endoprosthesis with artificial blood vessel part and covered stent part

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US6352543B1 (en) * 2000-04-29 2002-03-05 Ventrica, Inc. Methods for forming anastomoses using magnetic force
CN1582857A (en) * 2004-06-03 2005-02-23 西安交通大学 Auxiliary ring for surgical anastomosis
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CN102835985A (en) * 2012-08-15 2012-12-26 西安交通大学 Limited portal-caval shunt magnetic anastomosis ring
CN103829980A (en) * 2014-01-28 2014-06-04 西安交通大学 Occlusion repair device for rectovaginal fistula
CN104905836A (en) * 2014-03-13 2015-09-16 臧运金 Chimeric combined vascular anastomosis device
CN104905836B (en) * 2014-03-13 2018-08-28 臧运金 Chimeric combination formula vascular anastomosis device
CN107753148A (en) * 2016-08-16 2018-03-06 大连科万维医疗科技有限公司 Endoprosthesis with artificial blood vessel part and covered stent part

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Application publication date: 20110525