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 PDFInfo
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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。
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.
Description
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
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
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
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
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
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Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| 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 |
| US20090143793A1 (en) * | 2007-11-29 | 2009-06-04 | Nanyang Technological University | Connector for surgical anastomoses |
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| CN1218414A (en) * | 1996-02-02 | 1999-06-02 | 血管转换公司 | Methods and devices for connecting openings formed in adjacent blood vessels or other anatomical structures |
| 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 |
| US20090143793A1 (en) * | 2007-11-29 | 2009-06-04 | Nanyang Technological University | Connector for surgical anastomoses |
Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| 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 |