CN118873818A - A controllable guide wire and preparation method thereof - Google Patents
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- 238000007493 shaping process Methods 0.000 claims description 61
- 238000000034 method Methods 0.000 claims description 32
- 239000003292 glue Substances 0.000 claims description 27
- 229910001285 shape-memory alloy Inorganic materials 0.000 claims description 17
- 229910001566 austenite Inorganic materials 0.000 claims description 9
- 239000004020 conductor Substances 0.000 claims description 9
- 238000005452 bending Methods 0.000 claims description 4
- 239000011248 coating agent Substances 0.000 claims description 4
- 238000000576 coating method Methods 0.000 claims description 4
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/09—Guide wires
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/09—Guide wires
- A61M2025/09108—Methods for making a guide wire
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/09—Guide wires
- A61M2025/09133—Guide wires having specific material compositions or coatings; Materials with specific mechanical behaviours, e.g. stiffness, strength to transmit torque
- A61M2025/09141—Guide wires having specific material compositions or coatings; Materials with specific mechanical behaviours, e.g. stiffness, strength to transmit torque made of shape memory alloys which take a particular shape at a certain temperature
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/09—Guide wires
- A61M2025/09175—Guide wires having specific characteristics at the distal tip
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/09—Guide wires
- A61M2025/09175—Guide wires having specific characteristics at the distal tip
- A61M2025/09183—Guide wires having specific characteristics at the distal tip having tools at the distal tip
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Abstract
Description
技术领域Technical Field
本发明涉及医疗器械技术领域,尤其涉及一种可控导丝及其制备方法。The present invention relates to the technical field of medical devices, and in particular to a controllable guide wire and a preparation method thereof.
背景技术Background Art
当前,在涉及使用导管导丝的人工手术中,术者需要站在受术者附近操作如导丝、导管或血管成形术导管等腔内医疗器械进入具有血管系统的受术者体内或者从受术者体内撤出。所使用的导丝头部具有一定固定角度。医生在数字影像的监视下,将导丝推进一定距离,并在血管分支处通过旋转导丝,将其弯曲头部适配并进入目标分支,在该过程中必要时需要根据分支弯曲情况更换具有其它弯曲形状的导丝,随后推动导管,使其穿过导丝,进入目标分支。重复上述过程,直到导管抵达病灶位置后,将导丝抽出患者体外,最后将特定的医疗器械沿着已经在患者体内成型的导管内推进并抵达病灶,完成介入治疗。这会导致手术时间延长,使医护人员接受更多X光辐射,同时手术风险也高,使得患者的有效治疗窗口缩短。Currently, in manual surgeries involving the use of catheter guidewires, the operator needs to stand near the patient to operate intracavitary medical devices such as guidewires, catheters or angioplasty catheters to enter or withdraw from the patient's body with a vascular system. The guidewire head used has a certain fixed angle. Under the monitoring of digital images, the doctor pushes the guidewire a certain distance, and rotates the guidewire at the vascular branch to adapt its curved head and enter the target branch. In this process, if necessary, it is necessary to replace the guidewire with other curved shapes according to the branch bending situation, and then push the catheter to pass through the guidewire and enter the target branch. Repeat the above process until the catheter reaches the lesion, then pull the guidewire out of the patient's body, and finally push the specific medical device along the catheter that has been formed in the patient's body and reach the lesion to complete the interventional treatment. This will lead to a longer operation time, expose medical staff to more X-ray radiation, and the surgical risk is also high, which shortens the patient's effective treatment window.
发明内容Summary of the invention
基于此,有必要针对现有技术中的不足,提供一种可控导丝及其制备方法。Based on this, it is necessary to provide a controllable guide wire and a preparation method thereof to address the deficiencies in the prior art.
本发明提供一种可控导丝,其包括细长型的第一导线和第二导线,所述第一导线和第二导线相互绝缘地并靠在一起,所述第一导线和第二导线的远端连接在一起,从而形成纵长的导丝本体及位于所述导丝本体远端并对应所述第一导线和第二导线的远端的转向端,当所述第一导线和第二导线分别作为正负电极形成导电回路时,所述第一导线的远端的形状记忆功能被触发而偏离所述第一导线的轴线方向,所述第二导线的远端跟随所述第一导线的远端一起偏离而发生弹性变形,以控制所述导丝本体的转向端方向,当所述第一导线和第二导线构成的导电回路断电时,所述第一导线的远端的形状记忆功能消失而在所述第二导线的远端的弹性恢复力作用下恢复。The present invention provides a controllable guidewire, which comprises a first and a second slender guidewire, wherein the first and the second guidewire are insulated from each other and close together, and the distal ends of the first and the second guidewire are connected together to form a longitudinally long guidewire body and a turning end located at the distal end of the guidewire body and corresponding to the distal ends of the first and the second guidewires. When the first and the second guidewires are used as positive and negative electrodes to form a conductive loop, respectively, the shape memory function of the distal end of the first guidewire is triggered to deviate from the axial direction of the first guidewire, and the distal end of the second guidewire deviates with the distal end of the first guidewire and undergoes elastic deformation to control the direction of the turning end of the guidewire body. When the conductive loop formed by the first and the second guidewires is powered off, the shape memory function of the distal end of the first guidewire disappears and is restored under the action of the elastic restoring force of the distal end of the second guidewire.
优选地,所述第一导线在靠近远端处设置塑形点,以让所述第一导线的远端偏离所述第一导线的轴线方向。Preferably, a shaping point is provided near the distal end of the first guide wire so as to allow the distal end of the first guide wire to deviate from the axial direction of the first guide wire.
优选地,所述第一导线的远端相对所述第一导线的轴线方向在0°-360°之间弯折。Preferably, the distal end of the first wire is bent between 0° and 360° relative to the axial direction of the first wire.
优选地,所述第一导线的塑形点与远端之间经塑形处理而成。Preferably, the first guide wire is shaped between the shaping point and the distal end.
优选地,所述第二导线在靠近远端处设置塑形点,以让所述第二导线的远端偏离所述第二导线的轴线方向,所述可控导丝还包括绝缘地设置在所述第二导线并覆盖塑形点的弹性丝。Preferably, a shaping point is provided near the distal end of the second guide wire to allow the distal end of the second guide wire to deviate from the axial direction of the second guide wire, and the controllable guide wire also includes an elastic wire insulatedly provided on the second guide wire and covering the shaping point.
优选地,所述第二导线的远端相对所述第二导线的轴线方向在0°-360°之间弯折。Preferably, the distal end of the second wire is bent between 0° and 360° relative to the axial direction of the second wire.
优选地,所述第二导线的塑形点与远端之间经塑形处理而成。Preferably, the second guide wire is shaped between the shaping point and the distal end.
优选地,所述导丝本体上对应所述第一导线和第二导线的远端的转向端由形状记忆合金制成并经塑形处理而成。Preferably, the turning end on the guidewire body corresponding to the distal ends of the first and second guidewires is made of shape memory alloy and is formed by shaping.
优选地,所述导丝本体由形状记忆合金制成。Preferably, the guidewire body is made of shape memory alloy.
优选地,所述第一导线和第二导线为温控导线。Preferably, the first wire and the second wire are temperature-controlled wires.
优选地,所述弹性丝绝缘地延伸至所述第二导线的远端。Preferably, the elastic wire is insulated and extends to a distal end of the second conductive wire.
优选地,所述弹性丝绝缘地延伸至所述第二导线的近端。Preferably, the elastic wire is insulated and extends to the proximal end of the second conductive wire.
优选地,所述弹性丝具有超弹性。Preferably, the elastic thread has superelasticity.
优选地,所述第一导线的近端和第二导线的近端分别形成接线端,用于连接电源。Preferably, the proximal end of the first conductive wire and the proximal end of the second conductive wire respectively form wiring terminals for connecting to a power source.
本发明还提供一种可控导丝的制备方法,其包括:1)提供连接在一起的细长型的第一导线和第二导线,并让所述第一导线和第二导线相互绝缘地并靠在一起,从而形成纵长的导丝本体及位于所述导丝本体远端的转向端;2)对所述第一导线上对应连接处的远端进行塑形处理,以便当所述第一导线和第二导线分别作为正负电极形成导电回路时,所述第一导线的远端的形状记忆功能被触发而偏离所述第一导线的轴线方向,所述第二导线的远端跟随所述第一导线的远端一起偏离而发生弹性变形,以控制所述导丝本体的转向端方向,当所述第一导线和第二导线构成的导电回路断电时,所述第一导线的远端的形状记忆功能消失而在所述第二导线的远端的弹性恢复力作用下恢复。The present invention also provides a method for preparing a controllable guidewire, which comprises: 1) providing a first and a second slender wire connected together, and making the first and the second wires insulated from each other and close together, so as to form a longitudinal guidewire body and a turning end located at the distal end of the guidewire body; 2) shaping the distal end of the corresponding connection on the first wire, so that when the first and the second wires are used as positive and negative electrodes to form a conductive loop respectively, the shape memory function of the distal end of the first wire is triggered to deviate from the axial direction of the first wire, and the distal end of the second wire deviates with the distal end of the first wire and undergoes elastic deformation to control the direction of the turning end of the guidewire body, and when the conductive loop formed by the first and the second wires is powered off, the shape memory function of the distal end of the first wire disappears and is restored under the action of the elastic restoring force of the distal end of the second wire.
优选地,将同一导线弯折后形成所述第一导线和第二导线。Preferably, the first conductive wire and the second conductive wire are formed by bending the same conductive wire.
优选地,将所述第一导线的远端和第二导线的远端焊接在一起。Preferably, the distal end of the first conductive wire and the distal end of the second conductive wire are welded together.
优选地,所述第一导线和第二导线编织在一起。Preferably, the first conductive wire and the second conductive wire are braided together.
优选地,对所述第一导线进行塑形处理而在靠近远端处形成塑形点。Preferably, the first conductive wire is shaped to form a shaping point near the distal end.
优选地,对所述第一导线的塑形点与远端之间进行塑形处理。Preferably, shaping processing is performed between the shaping point and the distal end of the first guide wire.
优选地,所述第一导线由形状记忆合金制成。Preferably, the first conductive wire is made of shape memory alloy.
优选地,对所述第二导线进行塑形处理而在靠近远端处形成塑形点,所述第二导线的塑形点上绝缘地覆盖弹性丝。Preferably, the second conductive wire is shaped to form a shaping point near the distal end, and the shaping point of the second conductive wire is insulated and covered with an elastic wire.
优选地,对所述第二导线的塑形点与远端之间进行塑形处理。Preferably, shaping processing is performed between the shaping point and the distal end of the second guide wire.
优选地,所述第二导线由形状记忆合金制成。Preferably, the second conductive wire is made of shape memory alloy.
优选地,所述塑形处理为在高温下对形状记忆合金进行塑性变形,让形状记忆合金处于完全奥氏体相。Preferably, the shaping process is to perform plastic deformation on the shape memory alloy at a high temperature so that the shape memory alloy is in a complete austenite phase.
优选地,分别在所述第一导线和第二导线表面上涂覆胶水并进行固化后形成绝缘层。Preferably, glue is coated on the surfaces of the first conductive wire and the second conductive wire respectively and then cured to form an insulating layer.
优选地,给并靠在一起的所述第一导线和第二导线涂覆胶水并进行固化后形成所述导丝本体。Preferably, the first conductive wire and the second conductive wire that are close together are coated with glue and cured to form the guide wire body.
优选地,在所述弹性丝表面上涂覆胶水并进行固化后形成绝缘层。Preferably, glue is coated on the surface of the elastic thread and cured to form an insulating layer.
优选地,通过涂覆胶水并进行固化而将所述弹性丝固定在所述第二导线上。Preferably, the elastic thread is fixed to the second conductive wire by coating glue and curing the glue.
优选地,所述胶水为UV胶水并经紫外线固化后形成绝缘层。Preferably, the glue is UV glue and forms an insulating layer after being cured by ultraviolet rays.
本发明可控导丝的第一导线和第二导线相互绝缘地并靠在一起,当所述第一导线和第二导线通电形成导电回路时,从而触发所述第一导线的远端的形状记忆功能,控制所述转向端的弯曲方向,以适配手术需要,不需要在手术中撤换导丝,极大程度节省了手术时间和减轻了患者痛苦。The first and second wires of the controllable guide wire of the present invention are insulated from each other and close together. When the first and second wires are energized to form a conductive loop, the shape memory function of the distal end of the first wire is triggered to control the bending direction of the steering end to adapt to surgical needs. There is no need to replace the guide wire during the operation, which greatly saves surgical time and alleviates patient pain.
附图说明BRIEF DESCRIPTION OF THE DRAWINGS
图1为本发明第一实施例的可控导丝示意图,其中转向端往预先塑形方向偏转约30°。FIG1 is a schematic diagram of a controllable guide wire according to a first embodiment of the present invention, wherein the steering end is deflected by about 30° toward the pre-shaping direction.
图2为本发明第一实施例的可控导丝示意图,其中转向端往预先塑形方向偏转约60°。FIG2 is a schematic diagram of a controllable guide wire according to the first embodiment of the present invention, wherein the steering end is deflected by about 60° toward the pre-shaping direction.
图3为本发明第一实施例的可控导丝示意图,其中转向端往预先塑形方向偏转约90°。FIG3 is a schematic diagram of a controllable guide wire according to the first embodiment of the present invention, wherein the steering end is deflected by about 90° toward the pre-shaping direction.
图4为本发明第一实施例的可控导丝截面图。FIG. 4 is a cross-sectional view of a controllable guide wire according to the first embodiment of the present invention.
图5为本发明第二实施例的可控导丝示意图。FIG5 is a schematic diagram of a controllable guide wire according to a second embodiment of the present invention.
图6为本发明第一实施例的可控导丝的制备方法制得的导丝本体示意图。FIG. 6 is a schematic diagram of a guidewire body obtained by the method for preparing a controllable guidewire according to the first embodiment of the present invention.
图7为对图6中的导丝本体进行塑形处理后的示意图。FIG. 7 is a schematic diagram of the guide wire body in FIG. 6 after being shaped.
图8为图7中的导丝本体塑形恢复后的示意图。FIG8 is a schematic diagram of the guidewire body in FIG7 after the reshaping is restored.
图9为在图8中的导丝本体上设置弹性丝后的示意图。FIG. 9 is a schematic diagram showing a guide wire body in FIG. 8 after an elastic wire is arranged on the guide wire body.
图10为本发明第二实施例的可控导丝的制备方法制得的可控导丝截面图。FIG10 is a cross-sectional view of a controllable guidewire prepared by the method for preparing a controllable guidewire according to the second embodiment of the present invention.
图11为本发明第三实施例的可控导丝的制备方法制得的可控导丝截面图。11 is a cross-sectional view of a controllable guidewire prepared by the method for preparing a controllable guidewire according to the third embodiment of the present invention.
图12为本发明第四实施例的可控导丝的制备方法制得的可控导丝截面图。FIG12 is a cross-sectional view of a controllable guidewire produced by the method for producing a controllable guidewire according to the fourth embodiment of the present invention.
图13为本发明第五实施例的可控导丝的制备方法制得的可控导丝截面图。13 is a cross-sectional view of a controllable guidewire produced by the method for producing a controllable guidewire according to the fifth embodiment of the present invention.
具体实施方式DETAILED DESCRIPTION
为了使发明的目的、技术方案及优点更加清楚明白,以下结合附图及实施例,对发明进行进一步详细说明。应当理解,此处所描述的具体实施例仅用以解释本发明,并不用于限定本发明。In order to make the purpose, technical solution and advantages of the invention more clearly understood, the invention is further described in detail below in conjunction with the accompanying drawings and embodiments. It should be understood that the specific embodiments described herein are only used to explain the invention and are not intended to limit the invention.
在本发明的描述中,术语“近端”指靠近术者的一端、术语“远端”指远离术者的一端;术语“递送”、“推送”、“拉拽”或者“前进”是指从远离术者的地方朝向术者的地方运动的过程、术语“撤出”或“后退”是指从靠近术者的地方朝向远离术者的地方运动的过程,而术语“水平”、“垂直”、“上”、“下”、“左”、“右”、“内”、“外”、“其间”、“之间”等指示的方位或位置关系为基于附图所示的方位或位置关系,仅是为了便于描述本发明和简化描述,而不是指示或暗示所指的装置或元件必须具有特定的方位、以特定的方位构造和操作,因此不能理解为对本发明的限制。除非另有明确的规定和限定,术语“连接”、“相连”、“固定”、“安装”应做广义理解,例如,可以是固定连接,也可以是可拆卸地连接,或一体地连接;可以是机械连接,也可以是电连接或磁连接;可以是直接相连,也可以通过中间媒介间接相连,可以是两个元件内部的连通或两个元件的相互作用关系。对于本领域的普通技术人员而言,可以根据具体情况理解上述术语在本发明中的具体含义。In the description of the present invention, the term "proximal end" refers to the end close to the operator, and the term "distal end" refers to the end far from the operator; the term "delivery", "push", "pull" or "advance" refers to the process of moving from a place far from the operator to a place near the operator, and the term "withdrawal" or "backward" refers to the process of moving from a place close to the operator to a place far from the operator, and the terms "horizontal", "vertical", "up", "down", "left", "right", "inside", "outside", "between", "between" and the like indicate the orientation or position relationship based on the orientation or position relationship shown in the drawings, which is only for the convenience of describing the present invention and simplifying the description, and does not indicate or imply that the device or element referred to must have a specific orientation, be constructed and operated in a specific orientation, and therefore cannot be understood as limiting the present invention. Unless otherwise clearly specified and limited, the terms "connect", "connected", "fixed" and "installed" should be understood in a broad sense, for example, it can be a fixed connection, a detachable connection, or an integral connection; it can be a mechanical connection, an electrical connection or a magnetic connection; it can be a direct connection, or an indirect connection through an intermediate medium, and it can be the internal connection of two elements or the interaction relationship between two elements. For those skilled in the art, the specific meanings of the above terms in the present invention can be understood according to specific circumstances.
此外,术语“第一”、“第二”等仅用于描述目的,而不能理解为指示或暗示相对重要性或者隐含指明所指示的技术特征的数量。由此,限定有“第一”、“第二”等的特征可以明示或者隐含地包括一个或者更多个该特征。在本发明的描述中,“多”的含义是一个/次或一个/次以上。In addition, the terms "first", "second", etc. are used for descriptive purposes only and should not be understood as indicating or implying relative importance or implicitly indicating the number of the indicated technical features. Thus, a feature defined as "first", "second", etc. may explicitly or implicitly include one or more of the feature. In the description of the present invention, "multiple" means one/time or more than one/time.
请参考图1-4,为本发明第一实施例公开的可控导丝。为了本发明可控导丝的清晰展示,虽然图中省去某些部件未示出,但其仍然是重要的。Please refer to Figures 1-4, which are controllable guidewires disclosed in the first embodiment of the present invention. For the clear display of the controllable guidewire of the present invention, although some parts are omitted in the figures, they are still important.
该可控导丝包括细长型的第一导线10、第二导线20和弹性丝30。第一导线10和第二导线20相互绝缘地并靠在一起,从而形成纵长的导丝本体40。第一导线10和第二导线20在与导丝本体40远端对应的远端部分连接在一起、在与导丝本体40近端对应的近端部分形成接线端11、21(如长度约为2cm),用于连接电源的正负电极。通常,在第一导线10和第二导线20表面上分别形成绝缘层12、22,让绝缘层12、22由具有生物相容性、隔热、耐热、可塑形的涂层材料制成,最好是不需加热即可固化的涂层材料。本实施例中,在第一导线10和第二导线20表面涂覆一层生物相容性好的UV胶水,而接线端11、21不涂覆,然后使用大功率紫外线灯使UV胶水固化。让第一导线10和第二导线20缠绕编织在一起而紧密结合,再在其上涂覆UV胶水并用大功率紫外线灯固化,即获得导丝本体40。The controllable guidewire includes an elongated first wire 10, a second wire 20 and an elastic wire 30. The first wire 10 and the second wire 20 are insulated from each other and close together to form a longitudinally long guidewire body 40. The first wire 10 and the second wire 20 are connected together at the distal end portion corresponding to the distal end of the guidewire body 40, and the proximal end portion corresponding to the proximal end of the guidewire body 40 forms a terminal 11, 21 (such as a length of about 2cm) for connecting the positive and negative electrodes of the power supply. Usually, insulating layers 12, 22 are formed on the surfaces of the first wire 10 and the second wire 20, respectively, and the insulating layers 12, 22 are made of a coating material with biocompatibility, heat insulation, heat resistance, and plasticity, preferably a coating material that can be cured without heating. In this embodiment, a layer of UV glue with good biocompatibility is coated on the surface of the first wire 10 and the second wire 20, while the terminal 11, 21 is not coated, and then a high-power ultraviolet lamp is used to cure the UV glue. The first conductive wire 10 and the second conductive wire 20 are twisted and braided together to be tightly combined, and then UV glue is coated thereon and cured with a high-power ultraviolet lamp to obtain the guide wire body 40.
如图所示,第一导线10和第二导线20由同一条形状记忆合金导线制成。如获取一定长度、直径、相变温度(马氏体相和奥氏体相的转换温度)的单根镍钛丝,在其表面涂覆一层符合生物相容性的UV胶水并固化后(镍钛丝的首尾两端不涂覆UV胶水),在其中部对折形成两长段,分别作为第一导线10和第二导线20,而UV胶水层形成绝缘层12、22、镍钛丝的首尾两端作为接线端11、21。将第一导线10和第二导线20缠绕编织在一起,并再在其上涂覆UV胶水,然后使用大功率紫外线灯固化而让第一导线10和第二导线20紧密固定在一起,从而制得导丝本体40,而导丝本体40近端即为接线端11、21、导丝本体40远端即为转向端42。其它实施例中,第一导线10和第二导线20可分别由两形状记忆合金导线制成,让它们的一端通过焊接等方式连接在一起。As shown in the figure, the first wire 10 and the second wire 20 are made of the same shape memory alloy wire. For example, a single nickel-titanium wire of a certain length, diameter, and phase transition temperature (transformation temperature of the martensite phase and the austenite phase) is obtained, and a layer of UV glue that meets biocompatibility is coated on its surface and cured (UV glue is not coated on the ends of the nickel-titanium wire), and then folded in the middle to form two long sections, which are respectively used as the first wire 10 and the second wire 20, and the UV glue layer forms an insulating layer 12, 22, and the ends of the nickel-titanium wire are used as the wiring terminals 11, 21. The first wire 10 and the second wire 20 are twisted and braided together, and UV glue is coated on them, and then a high-power ultraviolet lamp is used for curing to allow the first wire 10 and the second wire 20 to be tightly fixed together, thereby obtaining a guide wire body 40, and the proximal end of the guide wire body 40 is the wiring terminal 11, 21, and the distal end of the guide wire body 40 is the turning end 42. In other embodiments, the first wire 10 and the second wire 20 may be respectively made of two shape memory alloy wires, and one end of them may be connected together by welding or the like.
导丝本体40由形状记忆合金制成,也即第一导线10和第二导线20由形状记忆合金制成。如上所述,本实施例中,第一导线10和第二导线20为温控镍钛丝,可在高温下对温控镍钛丝进行塑性变形,让温控镍钛丝处于完全奥氏体相,退火冷却后,让变形恢复后的温控镍钛丝连接电源,即第一导线10和第二导线20的接线端11、21分别连接正负电压,根据焦耳效应,随着时间推移,第一导线10和第二导线20的塑形部分温度不断上升达到由马氏体相转换为奥氏体相的相变温度,则塑形部分的形状记忆功能被触发而恢复塑性变形,即导丝本体40采用电流加热方式,让转向端42自动变形至塑形状态。The guide wire body 40 is made of a shape memory alloy, that is, the first wire 10 and the second wire 20 are made of a shape memory alloy. As described above, in this embodiment, the first wire 10 and the second wire 20 are temperature-controlled nickel-titanium wires, which can be plastically deformed at high temperatures to make the temperature-controlled nickel-titanium wires in a complete austenite phase. After annealing and cooling, the temperature-controlled nickel-titanium wires after deformation are connected to a power source, that is, the terminals 11 and 21 of the first wire 10 and the second wire 20 are connected to positive and negative voltages respectively. According to the Joule effect, as time goes by, the temperature of the plastic part of the first wire 10 and the second wire 20 continues to rise to the phase transition temperature from the martensite phase to the austenite phase, then the shape memory function of the plastic part is triggered and the plastic deformation is restored, that is, the guide wire body 40 adopts an electric current heating method to allow the turning end 42 to automatically deform to the plastic state.
如图所示,转向端42由形状记忆镍钛合金制成并经塑形处理而成。具体为,导丝本体40与转向端42之间设置塑形点44,如距离远端约2cm处。让直径较小的圆棍置于塑形点44,将转向端42偏离导丝本体40的轴线方向90°弯折。让热风枪的温度升高至数百度(如350°-600°),并稳定在这个温度,然后让塑形点44放置在热风枪出风口处加热,即可对塑形点44进行塑形,而转向端42基本呈线形。事实上,塑形点44可根据实际需求设置在任意位置;塑形时,转向端42相对于导丝本体40的轴线方向可在0-360°之间变化;对塑形点44进行塑形,也可以使用感应加热或电流电阻加热等其它物理加热方式。事实上,导丝本体40与转向端42之间的塑形点44可以看作第一导线10和第二导线20在靠近远端处分别设置塑形点,以让第一导线10的远端和第二导线20的远端分别偏离第一导线10和第二导线20的轴线方向,也即,第一导线10的远端和第二导线20的远端分别相对第一导线10和第二导线20的轴线方向在0°-360°之间弯折。其它实施例中,可对整个转向端42进行塑形处理,如利用具有弧形槽的模治具,让转向端42放置于弧形槽内而进行加热、塑形处理成呈弧形或弯曲状的转向端42(这也可以看作无限个塑形点44连线而形成呈弧形或弯曲状的转向端42)。As shown in the figure, the turning end 42 is made of shape memory nickel-titanium alloy and is formed by shaping. Specifically, a shaping point 44 is set between the guide wire body 40 and the turning end 42, such as about 2 cm away from the far end. Place a round stick with a smaller diameter at the shaping point 44, and bend the turning end 42 90° away from the axial direction of the guide wire body 40. Let the temperature of the hot air gun rise to hundreds of degrees (such as 350°-600°) and stabilize at this temperature, and then place the shaping point 44 at the outlet of the hot air gun for heating, so that the shaping point 44 can be shaped, and the turning end 42 is basically linear. In fact, the shaping point 44 can be set at any position according to actual needs; during shaping, the axial direction of the turning end 42 relative to the guide wire body 40 can be changed between 0-360°; the shaping point 44 can also be shaped by other physical heating methods such as induction heating or current resistance heating. In fact, the shaping point 44 between the guide wire body 40 and the turning end 42 can be regarded as the first wire 10 and the second wire 20 are respectively provided with shaping points near the distal end, so that the distal end of the first wire 10 and the distal end of the second wire 20 are respectively deviated from the axial direction of the first wire 10 and the second wire 20, that is, the distal end of the first wire 10 and the distal end of the second wire 20 are respectively bent between 0°-360° relative to the axial direction of the first wire 10 and the second wire 20. In other embodiments, the entire turning end 42 can be shaped, such as using a mold with an arc groove, placing the turning end 42 in the arc groove and heating and shaping it into an arc-shaped or curved turning end 42 (this can also be regarded as an infinite number of shaping points 44 connected to form an arc-shaped or curved turning end 42).
塑形点44冷却后,让转向端42恢复至导丝本体40的轴线方向,即第一导线10的远端和第二导线20的远端分别恢复至第一导线10和第二导线20的轴线方向,则导丝本体40与转向端42基本呈直线状。将弹性丝30绝缘地设置在导丝本体40上。如图所示,获取一条与第一导线10和第二导线20的长度相当的超弹性镍钛丝(其直径可与第一导线10和第二导线20的直径相同或不同)作为弹性丝30,将其缠绕编织在导丝本体40上,即弹性丝30的两端分别与导丝本体40的近端、远端相对应。同样涂覆符合生物相容性的UV胶水并使用大功率紫外线灯固化形成绝缘层32,使超弹性镍钛丝和温控镍钛丝形成一体,即让弹性丝30紧密固定在导丝本体40上,由第一导线10和第二导线20和弹性丝30构成整体的可控导丝。一般,可控导丝从近端到远端,长度较长,可以在2000mm-3000mm的范围内变化。其它实施例中,弹性丝30可绝缘地固定在部分导丝本体40上,即从转向端42延伸至部分导丝本体40但没有进一步延伸至导丝本体40近端,也可以仅结合在部分转向端42上(如整个转向端42都经塑形处理时)。After the shaping point 44 is cooled, the turning end 42 is restored to the axial direction of the guide wire body 40, that is, the distal end of the first wire 10 and the distal end of the second wire 20 are restored to the axial direction of the first wire 10 and the second wire 20, respectively, and the guide wire body 40 and the turning end 42 are basically straight. The elastic wire 30 is insulated and arranged on the guide wire body 40. As shown in the figure, a super elastic nickel titanium wire (whose diameter can be the same as or different from the diameter of the first wire 10 and the second wire 20) with a length equivalent to that of the first wire 10 and the second wire 20 is obtained as the elastic wire 30, which is wound and woven on the guide wire body 40, that is, the two ends of the elastic wire 30 correspond to the proximal end and the distal end of the guide wire body 40, respectively. Similarly, a biocompatible UV glue is coated and a high-power ultraviolet lamp is used to cure to form an insulating layer 32, so that the super elastic nickel titanium wire and the temperature-controlled nickel titanium wire are integrated, that is, the elastic wire 30 is tightly fixed on the guide wire body 40, and the first wire 10, the second wire 20 and the elastic wire 30 constitute an integral controllable guide wire. Generally, the controllable guide wire is longer from the proximal end to the distal end, and can vary within the range of 2000mm-3000mm. In other embodiments, the elastic wire 30 can be insulated and fixed on the part of the guide wire body 40, i.e., extending from the turning end 42 to the part of the guide wire body 40 but not further extending to the guide wire body 40 proximal end, or can only be incorporated on the part of the turning end 42 (when the whole turning end 42 is all processed by shaping).
使用可控导丝进行手术时,将第一导线10和第二导线20的接线端11、21分别连接电源正负电极,将导丝本体40的转向端42置入血管、自然孔道或器官内腔并进行导丝递送。当转向端42到达需要转向的自然孔道、器官内腔、血管分支亦或迂曲血管时,通电则由第一导线10和第二导线20形成导电回路,由于电阻的存在产生热量,则导丝本体40的温度不断升高,当塑形点44的温度到达马氏体相转换为奥氏体相的相变温度时,转向端42逐渐偏离导丝本体40的轴线方向,直至对准需要转向的自然孔道、器官内腔、血管分支亦或迂曲血管,同时弹性丝30跟随转向端42发生弹性变形,从而递送转向端42进入相应的自然孔道、器官内腔、血管分支亦或迂曲血管。When using a controllable guidewire for surgery, the terminals 11 and 21 of the first wire 10 and the second wire 20 are connected to the positive and negative electrodes of the power supply respectively, and the turning end 42 of the guidewire body 40 is placed in a blood vessel, a natural channel or an organ lumen and the guidewire is delivered. When the turning end 42 reaches the natural channel, organ lumen, vascular branch or tortuous blood vessel that needs to be turned, the first wire 10 and the second wire 20 are energized to form a conductive loop. Due to the presence of resistance, heat is generated, and the temperature of the guidewire body 40 continues to rise. When the temperature of the shaping point 44 reaches the phase transition temperature of the martensite phase to the austenite phase, the turning end 42 gradually deviates from the axial direction of the guidewire body 40 until it is aligned with the natural channel, organ lumen, vascular branch or tortuous blood vessel that needs to be turned, and at the same time, the elastic wire 30 follows the turning end 42 to undergo elastic deformation, thereby delivering the turning end 42 into the corresponding natural channel, organ lumen, vascular branch or tortuous blood vessel.
上述转向端42具体偏离导丝本体40轴线方向的程度不仅与导丝粗细有关,还与电流和电压大小、通电时间等参数有关。以下以不同通电时间为例进行说明:1)通电约1-2S时,转向端42往预先塑形方向偏转约30°,如图1所示;2)持续通电约2-3S(累计)时,转向端42往预先塑形方向偏转约60°,如图2所示;3)持续通电约3-5S(累计)时,转向端42往预先塑形方向偏转约90°(即预设最大偏转角度),如图3所示。The specific degree to which the steering end 42 deviates from the axial direction of the guidewire body 40 is not only related to the thickness of the guidewire, but also to parameters such as the current and voltage, and the power-on time. The following is an explanation using different power-on times as an example: 1) When the power is on for about 1-2S, the steering end 42 deflects about 30° toward the pre-shaping direction, as shown in FIG1; 2) When the power is on for about 2-3S (cumulative), the steering end 42 deflects about 60° toward the pre-shaping direction, as shown in FIG2; 3) When the power is on for about 3-5S (cumulative), the steering end 42 deflects about 90° toward the pre-shaping direction (i.e., the preset maximum deflection angle), as shown in FIG3.
这时,关闭电源,则第一导线10和第二导线20构成的导电回路断电,转向端42停止偏转。随之,导丝本体40的温度不断下降,当塑形点44的温度到达奥氏体相转换为马氏体相的相变温度时,其形状记忆功能消失。此时在弹性丝30的弹性恢复力作用下,转向端42跟随弹性丝30恢复至导丝本体40的轴线方向,让转向端42继续沿相应的自然孔道、器官内腔、血管分支亦或迂曲血管前进。如图7所示,电流断开时,温控镍钛丝无偏转力带动超弹性镍钛丝偏转,而是随着温控镍钛丝的温度下降,偏转力持续减小,则超弹性镍钛丝因本身超弹性恢复应力,使温控镍钛丝跟随超弹性镍钛丝沿着原偏转路径逐渐恢复,约3-6S(累计)后恢复至线性状态。根据实际介入手术需求可以反复通电、断电操作多次,其远端可反复在0-360°内偏转循环,非一次性使用,可实现其远端成功进入大角度血管或迂曲病变位置,大大提高手术成功率,无需医生重复取出常规导丝进行远端塑形,极大程度减少了手术时间和患者痛苦。At this time, turn off the power supply, the conductive circuit formed by the first wire 10 and the second wire 20 is powered off, and the steering end 42 stops deflecting. Subsequently, the temperature of the guide wire body 40 continues to decrease, and when the temperature of the shaping point 44 reaches the phase transition temperature of the austenite phase to the martensite phase, its shape memory function disappears. At this time, under the elastic recovery force of the elastic wire 30, the steering end 42 follows the elastic wire 30 to recover to the axial direction of the guide wire body 40, allowing the steering end 42 to continue to advance along the corresponding natural channel, organ lumen, vascular branch or tortuous blood vessel. As shown in Figure 7, when the current is disconnected, the temperature-controlled nickel-titanium wire has no deflection force to drive the superelastic nickel-titanium wire to deflect, but as the temperature of the temperature-controlled nickel-titanium wire decreases, the deflection force continues to decrease, and the superelastic nickel-titanium wire, due to its own superelastic recovery stress, causes the temperature-controlled nickel-titanium wire to follow the superelastic nickel-titanium wire and gradually recover along the original deflection path, and returns to a linear state after about 3-6S (accumulated). According to the actual needs of interventional surgery, it can be repeatedly powered on and off for multiple times. The distal end can repeatedly deflect and cycle within 0-360°. It is not disposable and can enable the distal end to successfully enter large-angle blood vessels or tortuous lesions, greatly improving the success rate of the operation. There is no need for doctors to repeatedly take out conventional guide wires for distal shaping, which greatly reduces operation time and patient pain.
对于第一实施例的可控导丝,导丝本体40与转向端42之间设置塑形点44,即对于第一导线10和第二导线20均设塑形点而言,塑形点也可只设置在第一导线10上与导丝本体40远端对应的部分或第二导线20上与导丝本体40远端对应的部分。以下以塑形点设置在靠近第一导线10的远端部分为例进行说明:当给第一导线10和第二导线20通电而构成导电回路时,仅第一导线10的远端具有形状记忆功能,其塑形点温度升高而进行相变转换,则第一导线10的远端逐渐偏离其轴线方向,而第二导线20的远端跟随第一导线10的远端一起偏离而发生弹性变形,让导丝本体40的转向端42发生变形。第一导线10和第二导线20上的电流切断后,塑形点逐渐冷却,塑形点由奥氏体相转换为马氏体相,即第一导线10的远端的形状记忆功能消失,在第二导线20的远端的弹性恢复力作用下,第一导线10的远端跟随第二导线20的远端恢复至其轴线方向,让转向端42与导丝本体40恢复线性状态,从而制成第二实施例的可控导丝,如图5所示。由此可见,该第二实施例的可控导丝仅包括第一导线10和第二导线20,不需要设置弹性丝30,工艺更简单,成本更低。For the controllable guidewire of the first embodiment, a shaping point 44 is set between the guidewire body 40 and the turning end 42, that is, for both the first wire 10 and the second wire 20, the shaping point can also be set only on the portion of the first wire 10 corresponding to the distal end of the guidewire body 40 or the portion of the second wire 20 corresponding to the distal end of the guidewire body 40. The following is an example of the shaping point being set at the distal end portion close to the first wire 10: when the first wire 10 and the second wire 20 are energized to form a conductive loop, only the distal end of the first wire 10 has a shape memory function, and the temperature of its shaping point rises and undergoes phase change conversion, then the distal end of the first wire 10 gradually deviates from its axial direction, and the distal end of the second wire 20 deviates with the distal end of the first wire 10 and undergoes elastic deformation, causing the turning end 42 of the guidewire body 40 to deform. After the current on the first wire 10 and the second wire 20 is cut off, the shaping point gradually cools down, and the shaping point is transformed from the austenite phase to the martensite phase, that is, the shape memory function of the distal end of the first wire 10 disappears, and under the elastic restoring force of the distal end of the second wire 20, the distal end of the first wire 10 follows the distal end of the second wire 20 to recover to its axial direction, so that the turning end 42 and the guide wire body 40 are restored to a linear state, thereby manufacturing a controllable guide wire of the second embodiment, as shown in Figure 5. It can be seen that the controllable guide wire of the second embodiment only includes the first wire 10 and the second wire 20, and does not need to be provided with an elastic wire 30, so the process is simpler and the cost is lower.
本发明还提供一种可控导丝的制备方法。如图4、6-9,为本发明可控导丝的制备方法的第一实施例,其包括如下步骤:1)在第一导线10和第二导线20表面上形成绝缘层12、22。既可由同一导线在中部对折形成连接在一起的第一导线10和第二导线20,也可为第一导线10和第二导线20的远端通过焊接等方式连接在一起,从而形成导电回路。让第一导线10和第二导线20绝缘地并靠在一起(如缠绕编织在一起),再在其上涂覆UV胶水,然后使用大功率紫外线灯固化而让第一导线10和第二导线20紧密固定在一起,从而制得导丝本体40及位于导丝本体40远端的转向端42,如6所示。具体过程参前述。The present invention also provides a method for preparing a controllable guidewire. As shown in Figures 4, 6-9, the first embodiment of the method for preparing a controllable guidewire of the present invention comprises the following steps: 1) forming insulating layers 12 and 22 on the surfaces of the first wire 10 and the second wire 20. The first wire 10 and the second wire 20 connected together can be formed by folding the same wire in the middle, or the distal ends of the first wire 10 and the second wire 20 can be connected together by welding or the like to form a conductive loop. The first wire 10 and the second wire 20 are insulated and placed close together (such as being wound and braided together), UV glue is then applied thereon, and then a high-power ultraviolet lamp is used for curing to allow the first wire 10 and the second wire 20 to be tightly fixed together, thereby obtaining a guidewire body 40 and a turning end 42 located at the distal end of the guidewire body 40, as shown in Figure 6. The specific process is described above.
2)在导丝本体40与转向端42之间形成塑形点44。通过在第一导线10和第二导线20靠近远端处分别设置塑形点来实现,如第一导线10和第二导线20由形状记忆合金导丝制成,具体为温控镍钛丝,在高温下对温控镍钛丝进行塑性变形,让温控镍钛丝处于完全奥氏体相,以让第一导线10的远端和第二导线20的远端分别偏离第一导线10和第二导线20的轴线方向,如7所示,退火冷却后恢复至第一导线10和第二导线20的轴线方向(实际中需要用工具掰至轴线方向),如8所示。具体过程参前述。2) A shaping point 44 is formed between the guide wire body 40 and the turning end 42. This is achieved by respectively setting shaping points near the distal ends of the first guide wire 10 and the second guide wire 20. For example, the first guide wire 10 and the second guide wire 20 are made of shape memory alloy guide wires, specifically temperature-controlled nickel-titanium wires, and the temperature-controlled nickel-titanium wires are plastically deformed at high temperatures to make the temperature-controlled nickel-titanium wires in a completely austenite phase, so that the distal ends of the first guide wire 10 and the distal ends of the second guide wire 20 deviate from the axial direction of the first guide wire 10 and the second guide wire 20, respectively, as shown in 7, and after annealing and cooling, they are restored to the axial direction of the first guide wire 10 and the second guide wire 20 (in practice, tools are needed to be bent to the axial direction), as shown in 8. The specific process is described above.
3)让弹性丝30绝缘地设置在导丝本体40上。可将弹性丝30缠绕编织在导丝本体40上,且弹性丝30的两端分别与导丝本体40的近端、远端相对应。同前,涂覆符合生物相容性的UV胶水并使用大功率紫外线灯固化形成绝缘层32,即让弹性丝30紧密固定在导丝本体40上,从而构成整体的可控导丝,如图9所示。其它实施例中,也可先在弹性丝30上通过如上方式形成绝缘层,再通过另一绝缘层固定在导丝本体40上,如图10所示。3) The elastic wire 30 is insulated and arranged on the guide wire body 40. The elastic wire 30 can be wound and woven on the guide wire body 40, and the two ends of the elastic wire 30 correspond to the proximal end and the distal end of the guide wire body 40 respectively. As before, a biocompatible UV glue is coated and a high-power ultraviolet lamp is used to cure to form an insulating layer 32, that is, the elastic wire 30 is tightly fixed on the guide wire body 40, thereby forming an integral controllable guide wire, as shown in FIG9. In other embodiments, an insulating layer can also be first formed on the elastic wire 30 in the above manner, and then fixed to the guide wire body 40 through another insulating layer, as shown in FIG10.
此外,关于第一导线10、第二导线20和弹性丝30三者之间的绝缘层,还可以通过如下方式形成:如图11所示,先在第一导线10、第二导线20和弹性丝30表面分别形成绝缘层12、22、32,然后将它们并靠在一起(如缠绕编织在一起)进行一次胶水涂覆并固化而制得整体的可控导丝;如图12所示,先在第一导线10和第二导线20表面分别形成绝缘层12、22并靠在一起,然后将弹性丝30(无绝缘层)也并靠在一起,即进行一次胶水涂覆并固化而形成绝缘层32,制得整体的可控导丝;如图13所示,先在第二导线20(也可以为第一导线10)表面形成绝缘层22,将第一导线10(无绝缘层)并靠在具有绝缘层22的第二导线20,进行胶水涂覆并固化而形成绝缘层12,将弹性丝30(无绝缘层)并靠在第一导线10的无绝缘层12,进行胶水涂覆并固化而形成绝缘层32,制得整体的可控导丝。In addition, the insulating layer between the first conductive wire 10, the second conductive wire 20 and the elastic wire 30 can also be formed in the following manner: as shown in FIG. 11, insulating layers 12, 22, and 32 are respectively formed on the surfaces of the first conductive wire 10, the second conductive wire 20 and the elastic wire 30, and then they are put together (such as twisted and braided together) and coated with glue and cured to obtain an integral controllable guide wire; as shown in FIG. 12, insulating layers 12 and 22 are respectively formed on the surfaces of the first conductive wire 10 and the second conductive wire 20 and put together, and then the elastic wire 30 (without The insulating layer) is also placed together, that is, glue is applied and cured once to form an insulating layer 32, so as to obtain an integral controllable guide wire; as shown in FIG13, an insulating layer 22 is first formed on the surface of the second conductor 20 (which may also be the first conductor 10), the first conductor 10 (without insulating layer) is placed against the second conductor 20 with the insulating layer 22, glue is applied and cured to form an insulating layer 12, the elastic wire 30 (without insulating layer) is placed against the non-insulating layer 12 of the first conductor 10, glue is applied and cured to form an insulating layer 32, so as to obtain an integral controllable guide wire.
该可控导丝的远端还可以设置为具有较好的触觉反馈性能,即遇到阻力时,可以及时传导至近端;施加在可控导丝的近端的推送力,传导至远端的过程中,让近端不产生明显阻滞,以让可控导丝具有较好的传递能力。The distal end of the controllable guide wire can also be configured to have better tactile feedback performance, that is, when encountering resistance, it can be transmitted to the proximal end in time; the pushing force applied to the proximal end of the controllable guide wire is transmitted to the distal end without causing obvious blockage at the proximal end, so that the controllable guide wire has better transmission ability.
最后需要说明的是,如果不冲突,本发明实施例以及实施例中的各个特征可以相互结合,均在本发明的保护范围之内。Finally, it should be noted that, if there is no conflict, the embodiments of the present invention and the various features in the embodiments can be combined with each other, all within the protection scope of the present invention.
以上所述实施例仅表达了发明的有限实施方式,其描述较为具体和详细,但并不能因此而理解为对发明专利范围的限制。应当指出的是,对于本领域的普通技术人员来说,在不脱离发明构思的前提下,还可以做出若干变形和改进或变劣,这些都属于发明的保护范围。因此,发明专利的保护范围以权利要求为准。The above-mentioned embodiments only express limited implementation methods of the invention, and the description thereof is relatively specific and detailed, but it cannot be understood as limiting the scope of the invention patent. It should be pointed out that for ordinary technicians in this field, several modifications and improvements or deteriorations can be made without departing from the inventive concept, which all belong to the protection scope of the invention. Therefore, the protection scope of the invention patent shall be based on the claims.
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