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CN1810214A - Shape memory alloy driven miniature guide device for interventional blood vessel operation - Google Patents

Shape memory alloy driven miniature guide device for interventional blood vessel operation Download PDF

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Publication number
CN1810214A
CN1810214A CNA2005101273505A CN200510127350A CN1810214A CN 1810214 A CN1810214 A CN 1810214A CN A2005101273505 A CNA2005101273505 A CN A2005101273505A CN 200510127350 A CN200510127350 A CN 200510127350A CN 1810214 A CN1810214 A CN 1810214A
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shape memory
memory alloy
spring
blood vessel
bias spring
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付宜利
李显凌
马炘
梁兆光
刘浩
王树国
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Harbin Institute of Technology Shenzhen
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Harbin Institute of Technology Shenzhen
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Abstract

用于血管介入式手术的形状记忆合金驱动的导向微型装置,它涉及形状记忆合金(SMA)应用于生物医学工程技术领域。为解决现有介入式手术中人工方式控制导管导向所存在的手术的有效性和安全性受到局限的问题,本发明包括偏置弹簧(1)、至少三个形状记忆合金弹簧(2)和至少两个连接件(3),偏置弹簧(1)为压缩弹簧,连接件(3)开有中心通孔(3-1),偏置弹簧(1)穿过连接件(3)上的中心通孔(3-1)并与中心通孔(3-1)固连为一体,形状记忆合金弹簧(2)均匀分布在偏置弹簧(1)的外侧并且分别与连接件(3)的外表面固连为一体。本发明利用了形状记忆合金的特点,它能够从前端主动控制导管或导丝的运动方向,定位准确,从而缩短手术时间、减轻病人痛苦、提高手术的安全性和成功率。

Figure 200510127350

A guiding microdevice driven by a shape memory alloy for vascular interventional surgery relates to the application of the shape memory alloy (SMA) to the technical field of biomedical engineering. In order to solve the problem that the effectiveness and safety of the operation are limited in the manual control of catheter guidance in the existing interventional operation, the present invention includes a bias spring (1), at least three shape memory alloy springs (2) and at least Two connecting pieces (3), the bias spring (1) is a compression spring, the connecting piece (3) has a central through hole (3-1), and the biasing spring (1) passes through the center of the connecting piece (3) The through hole (3-1) is solidly connected with the central through hole (3-1), and the shape memory alloy spring (2) is evenly distributed on the outer side of the bias spring (1) and connected to the outer side of the connecting piece (3) respectively. The surface is solidly bonded together. The invention utilizes the characteristics of the shape memory alloy, which can actively control the moving direction of the catheter or the guide wire from the front end, and the positioning is accurate, thereby shortening the operation time, reducing the patient's pain, and improving the safety and success rate of the operation.

Figure 200510127350

Description

用于血管介入式手术的形状记忆合金驱动的导向微型装置Guided microdevices actuated by shape memory alloys for vascular interventional procedures

技术领域technical field

本发明涉及形状记忆合金(SMA)应用于生物医学工程技术领域。The invention relates to the application of shape memory alloy (SMA) to the technical field of biomedical engineering.

背景技术Background technique

90年代初开始,介入式微创手术技术开始应用于血管病症的治疗。手术过程中,医生将导管插入血管中,在X光图像的引导下,将导管伸到目标位置,然后在目标位置完成一定的医疗过程。这样的介入式手术不仅能有效地解决血管病症,而且有很多突出的优点,如手术时间大大缩短,患者的痛苦极大减小,手术恢复时间从几个月缩短为几天等等。由于这些优点,介入式手术被越来越多的医生所采用,越来越多的患者所接受。但是常规的血管导管使用的是人工控制方式,这种方式依赖于机械性的偏移机制,力的传输受导管与曲折的血管壁摩擦接触的限制,需要较长的操作时间;导管操纵过程中作用在血管壁上的力无法估计,容易造成血管损伤;大多数导管的转向半径是固定的,手术过程中经常会多次更换不同转向半径的导管;而且血管的分支非常多,当导管成功的跨越了第一或第二分支后,医生就会对导管失去控制,将使整个设备变得无法预测。这就使得这种手术在有效性和安全性上存在很大的局限。形状记忆合金是能将自身的塑性变形在某一特定温度下自动恢复为原始形状的合金,它还具有耐磨损、抗腐蚀、高阻尼和超弹性等优异特点。因此可以满足各类工程和医学的应用需求,是一种非常优秀的功能材料。Beginning in the early 1990s, interventional minimally invasive surgery techniques began to be applied to the treatment of vascular diseases. During the operation, the doctor inserts the catheter into the blood vessel, and under the guidance of the X-ray image, extends the catheter to the target position, and then completes certain medical procedures at the target position. Such interventional surgery can not only effectively solve vascular diseases, but also has many outstanding advantages, such as greatly shortening the operation time, greatly reducing the pain of patients, and shortening the recovery time from months to days. Due to these advantages, interventional surgery is adopted by more and more doctors and accepted by more and more patients. However, conventional vascular catheters use a manual control method, which relies on a mechanical offset mechanism, and the force transmission is limited by the frictional contact between the catheter and the tortuous vessel wall, which requires a long operating time; during catheter manipulation The force acting on the vessel wall is unpredictable, which can easily cause vessel damage; the turning radius of most catheters is fixed, and catheters with different turning radii are often replaced many times during the operation; and there are many branches of blood vessels, when the catheter is successfully Once the first or second branch is crossed, the physician loses control of the catheter, making the entire device unpredictable. This makes this kind of operation have great limitations in effectiveness and safety. Shape memory alloy is an alloy that can automatically restore its own plastic deformation to its original shape at a certain temperature. It also has excellent characteristics such as wear resistance, corrosion resistance, high damping and superelasticity. Therefore, it can meet the application requirements of various engineering and medicine, and is a very excellent functional material.

发明内容Contents of the invention

为解决现有介入式手术中人工方式控制导管导向所存在的手术的有效性和安全性受到局限的问题,进而提供了一种用于血管介入式手术的形状记忆合金驱动的导向微型装置,它能够从前端主动控制导管或导丝的运动方向,定位准确,从而缩短手术时间、减轻病人痛苦、提高手术的安全性和成功率。本发明包括偏置弹簧、至少三个形状记忆合金弹簧和至少两个连接件,偏置弹簧为压缩弹簧,连接件开有中心通孔,偏置弹簧穿过连接件上的中心通孔并与中心通孔固连为一体,形状记忆合金弹簧均匀分布在偏置弹簧的外侧并且分别与连接件的外表面固连为一体。本发明利用了形状记忆合金的特点,模拟自然界蛇的运动方式,SMA弹簧具有肌肉的作用,偏置弹簧同时具有骨骼和肌肉的作用。本发明的外径约为1.2毫米,安装在导管/导丝的前端,在不通电状态下,由于偏置弹簧的作用,整个微型装置接近直线状态;在通电的状态下,一根或多根SMA弹簧纵向收缩,迫使偏置弹簧弯曲收缩,从而实现整个导管导向微型装置的不同方向和半径的弯曲,为医生提供了实施介入手术安全且方便的治疗装置。In order to solve the problem that the effectiveness and safety of the operation are limited by manual control of catheter guidance in the existing interventional surgery, a guide micro-device driven by shape memory alloy for vascular interventional surgery is provided. It can actively control the movement direction of the catheter or guide wire from the front end, and the positioning is accurate, thereby shortening the operation time, reducing the patient's pain, and improving the safety and success rate of the operation. The present invention comprises a bias spring, at least three shape memory alloy springs and at least two connecting pieces, the biasing spring is a compression spring, the connecting piece has a central through hole, and the biasing spring passes through the central through hole on the connecting piece and is connected with the connecting piece The central through hole is fixedly connected as a whole, and the shape memory alloy springs are evenly distributed on the outer side of the bias spring and are respectively fixedly connected with the outer surface of the connecting piece as a whole. The invention utilizes the characteristics of the shape memory alloy to simulate the movement mode of the natural snake, the SMA spring has the function of muscle, and the bias spring has the function of bone and muscle at the same time. The outer diameter of the present invention is about 1.2 millimeters, and it is installed on the front end of the catheter/guide wire. In the state of no power supply, due to the effect of the bias spring, the whole micro-device is close to a straight line state; in the state of power supply, one or more The SMA spring shrinks longitudinally, forcing the bias spring to bend and contract, thereby realizing the bending of the entire catheter guiding micro-device in different directions and radii, providing doctors with a safe and convenient treatment device for interventional operations.

附图说明Description of drawings

图1是本发明总体结构的主视图,图2是本发明总体结构的横截面剖视图,图3是本发明总体结构正常状态的立体示意图,图4是本发明弯曲状态下的立体示意图,图5是本发明在血管手术过程中的应用示意图。Fig. 1 is the front view of the overall structure of the present invention, Fig. 2 is the cross-sectional view of the overall structure of the present invention, Fig. 3 is the perspective view of the normal state of the overall structure of the present invention, Fig. 4 is the perspective view of the present invention in the bending state, Fig. 5 It is a schematic diagram of the application of the present invention in the process of vascular surgery.

具体实施方式Detailed ways

具体实施方式一:(参见图1-图5)本实施方式由偏置弹簧1、三个形状记忆合金(SMA)弹簧2和两个连接件3组成,偏置弹簧1为压缩弹簧,连接件3开有中心通孔3-1,偏置弹簧1穿过两个连接件3上的中心通孔3-1并与中心通孔3-1固连为一体,三个形状记忆合金弹簧2均匀分布在偏置弹簧1的外侧并且分别与连接件3的外表面固连为一体。由于NiTi合金的抗拉强度在1000Mpa以上,延伸率在20%以上,疲劳寿命达107次,阻尼特性比普通的弹簧高10倍,其耐腐蚀性优于目前最好的医用不锈钢,本实施方式所述的偏置弹簧可选用以镍钛(NiTi)为基体的形状记忆合金材料。工作原理:SMA弹簧2处于通电加热状态时,SMA弹簧2发生相变,产生强大的收缩力,使导管或导丝末端按需要的角度和半径转向指定方向的血管分支(如图4和图5所示);当这些SMA弹簧2处于断电冷却状态时,SMA弹簧2发生逆相变,收缩力消失,在偏置弹簧1的作用下,微型装置恢复直线状态。Specific embodiment one: (see Fig. 1-Fig. 5) this embodiment is made up of bias spring 1, three shape memory alloy (SMA) springs 2 and two connectors 3, bias spring 1 is a compression spring, connector 3 has a central through hole 3-1, the bias spring 1 passes through the central through hole 3-1 on the two connectors 3 and is firmly connected with the central through hole 3-1, and the three shape memory alloy springs 2 are uniform are distributed on the outer side of the bias spring 1 and fixedly connected with the outer surface of the connecting piece 3 as a whole. Because the tensile strength of NiTi alloy is above 1000Mpa, the elongation is above 20%, the fatigue life is 107 times, the damping characteristic is 10 times higher than that of ordinary springs, and its corrosion resistance is better than the best medical stainless steel at present. The bias spring described in the method can be selected as a shape memory alloy material based on nickel titanium (NiTi). Working principle: When the SMA spring 2 is in the energized and heated state, the SMA spring 2 undergoes a phase change, generating a strong contraction force, so that the end of the catheter or guide wire turns to the vascular branch in the specified direction according to the required angle and radius (as shown in Figure 4 and Figure 5 shown); when these SMA springs 2 are in the power-off cooling state, the SMA springs 2 undergo a reverse phase transition, and the contraction force disappears. Under the action of the bias spring 1, the micro-device returns to a straight state.

具体实施方式二:(参见图1-图5)本实施方式与具体实施方式一的不同点在于所述连接件3上的与偏置弹簧1的连接处为内凹圆弧面1-1,内凹圆弧面1-1形状和大小与偏置弹簧1的外径相吻合。其它组成和连接关系与具体实施方式一相同。由于内凹圆弧面1-1形状和大小与偏置弹簧1的外径相吻合,连接件3与偏置弹簧1的接触面积为最大,在SMA弹簧2发生相变时,保证了本发明动作的可靠性。Specific embodiment 2: (see Fig. 1-Fig. 5) The difference between this embodiment and specific embodiment 1 is that the connecting part on the connecting piece 3 and the bias spring 1 is a concave arc surface 1-1, The shape and size of the concave arc surface 1-1 match the outer diameter of the bias spring 1. Other compositions and connections are the same as in the first embodiment. Because the shape and size of the inner concave arc surface 1-1 match the outer diameter of the bias spring 1, the contact area between the connector 3 and the bias spring 1 is the largest, and when the SMA spring 2 undergoes a phase change, the present invention is guaranteed Action reliability.

具体实施方式三:(参见图1-图5)本实施方式与具体实施方式一或二的不同点在于所述连接件3为绝缘材料或外表面镀绝缘膜的导电材料。其它组成和连接关系与具体实施方式一或二相同。本实施方式避免了SMA弹簧之间或SMA弹簧与偏置弹簧之间通电而影响整个微型装置性能的问题。Specific embodiment 3: (see Fig. 1-Fig. 5) The difference between this embodiment and specific embodiment 1 or 2 is that the connector 3 is an insulating material or a conductive material coated with an insulating film on the outer surface. Other compositions and connections are the same as those in Embodiment 1 or Embodiment 2. This embodiment avoids the problem that the performance of the whole micro-device is affected by the conduction of electricity between the SMA springs or between the SMA spring and the bias spring.

具体实施方式四:(参见图1-图5)本实施方式与具体实施方式一、二或三的不同点在于所述偏置弹簧1与连接件3上的中心通孔3-1粘接为一体,所述形状记忆合金弹簧2分别与连接件3的外表面粘接为一体。其它组成和连接关系与具体实施方式一、二或三相同。Embodiment 4: (see Fig. 1-Fig. 5) The difference between this embodiment and Embodiment 1, 2 or 3 is that the bias spring 1 is bonded to the central through hole 3-1 on the connector 3 as Integral, the shape memory alloy springs 2 are respectively bonded to the outer surface of the connector 3 as a whole. Other compositions and connections are the same as those in Embodiment 1, 2 or 3.

具体实施方式五:(参见图1-图5)本实施方式与具体实施方式一、二、三或四的不同点在于它又增加了两个连接件3,所增加的两个连接件3沿中心线方向间隔地置在本装置的中部。其它组成和连接关系与具体实施方式一、二、三或四相同。Specific embodiment five: (referring to Fig. 1-Fig. 5) the difference between this embodiment and specific embodiment one, two, three or four is that it has increased two connectors 3 again, and the added two connectors 3 are along The central line direction is placed at intervals in the middle of the device. Other compositions and connections are the same as those in Embodiment 1, 2, 3 or 4.

本发明所述连接件3可根据需要设置为多个,形成类似蛇形的一节一节的结构,只要能满足使用要求,都在本专利的保护范围内。The connecting piece 3 of the present invention can be provided in multiples as required, forming a serpentine-like structure, as long as it can meet the requirements of use, it is within the scope of protection of this patent.

具体实施方式六:(参见图1-图5)本实施方式与具体实施方式一、二、三、四或五的不同点在于它增加了外封装硅胶管4,外封装硅胶管4套装在所述形状记忆合金弹簧2的外面。其它组成和连接关系与具体实施方式一、二、三、四或五相同。本实施方式所述的外封装硅胶管4可起到绝缘和保护装置的作用。Specific embodiment six: (referring to Fig. 1-Fig. 5) the difference between this embodiment and specific embodiment one, two, three, four or five is that it has increased the outer packaging silicone tube 4, and the outer packaging silicone tube 4 is set in the The outside of the shape memory alloy spring 2. Other compositions and connections are the same as those in Embodiment 1, 2, 3, 4 or 5. The outer packaging silicone tube 4 described in this embodiment can function as an insulation and protection device.

使用时,可分别对每个SMA弹簧的每一节的两端通电加热,通过调节供电电流进行控制,电流是可调的,电流值的范围为1毫安到150毫安。本发明的一个完整周期的运动可分解为收缩弯曲过程和舒张伸直过程两个过程:收缩弯曲过程:①对某一根SMA弹簧2通电加热,判断本装置的弯曲方向与血管分支6方向是否一致;②调整加热某一根或两根SMA弹簧2,使本装置的弯曲方向与血管分支6的方向一致;③调节供电电流控制弯曲半径(转角),使本装置的前端进入指定的血管分支6;④SMA弹簧2保温,等待导管/导丝5的进给。舒张伸直过程:⑤SMA弹簧2冷却,在偏置弹簧1的作用下SMA弹簧2逐渐舒张伸长,当低于马氏体相变温度后,在偏置弹簧1的作用下,SMA弹簧2恢复初始状态,整个装置恢复最初的近似直线状态。至此,本装置完成了一个血管分支6的引导转向过程(如图4和图5所示)。重复以上步骤,本发明可引导导管/导丝5在直径允许范围内的人体血管系统中进入任意血管分支6,辅助医生完成各种血管手术。When in use, the two ends of each section of each SMA spring can be energized and heated respectively, and controlled by adjusting the supply current. The current is adjustable, and the current value ranges from 1 mA to 150 mA. A complete cycle of motion in the present invention can be decomposed into two processes: contraction bending process and diastolic straightening process: contraction bending process: ① power on a certain SMA spring 2 and heat it, and judge whether the bending direction of the device is in line with the direction of the blood vessel branch 6 Consistent; ②Adjust and heat one or two SMA springs 2, so that the bending direction of the device is consistent with the direction of the blood vessel branch 6; ③Adjust the power supply current to control the bending radius (rotation angle), so that the front end of the device enters the designated blood vessel branch 6; ④ SMA spring 2 keeps warm, waiting for the feeding of catheter/guide wire 5. Diastolic stretching process: ⑤ SMA spring 2 cools down, and under the action of bias spring 1, SMA spring 2 gradually relaxes and elongates. When it is lower than the martensitic phase transition temperature, under the action of bias spring 1, SMA spring 2 recovers In the initial state, the whole device returns to the initial approximate linear state. So far, the device has completed the guiding and steering process of a blood vessel branch 6 (as shown in Fig. 4 and Fig. 5). By repeating the above steps, the present invention can guide the catheter/guide wire 5 to enter any vascular branch 6 in the human vascular system within the allowable diameter range, and assist doctors to complete various vascular operations.

Claims (7)

1, the guide miniature device that is used for the marmem driving of blood vessel insertion type operation, it is characterized in that it comprises bias spring (1), at least three shape memory alloy springs (2) and at least two connectors (3), bias spring (1) is the compression spring, connector (3) has central through hole (3-1), bias spring (1) passes the central through hole (3-1) on the connector (3) and is fixed with one with central through hole (3-1), and shape memory alloy spring (2) is evenly distributed on the outside of bias spring (1) and is fixed with one with the outer surface of connector (3) respectively.
2, the guide miniature device that is used for the marmem driving of blood vessel insertion type operation according to claim 1, it is characterized in that the junction with bias spring (1) on the described connector (3) is interior concaved circular cambered surface (1-1), interior concaved circular cambered surface (1-1) shape and size match with the external diameter of bias spring (1).
3, the guide miniature device that is used for the marmem driving of blood vessel insertion type operation according to claim 1 and 2, it is characterized in that the central through hole (3-1) on described bias spring (1) and the connector (3) is bonded as one, described shape memory alloy spring (2) is bonded as one with the outer surface of connector (3) respectively.
4, the guide miniature device that is used for the marmem driving of blood vessel insertion type operation according to claim 3 is characterized in that described connector (3) is an insulant.
5, the guide miniature device that is used for the marmem driving of blood vessel insertion type operation according to claim 3 is characterized in that the conductive material of described connector (3) for outer surface plating dielectric film.
6, the guide miniature device that drives according to claim 1,2, the 4 or 5 described marmems that are used for the operation of blood vessel insertion type, it is characterized in that it has increased by two connectors (3) again, two connectors (3) that increased are put the middle part at this device along the centerline direction compartment of terrain.
7, the guide miniature device that is used for the marmem driving of blood vessel insertion type operation according to claim 6, it is characterized in that it has increased outer package silica gel tube (4), outer package silica gel tube (4) is sleeved on the outside of described shape memory alloy spring (2).
CNA2005101273505A 2005-12-16 2005-12-16 Shape memory alloy driven miniature guide device for interventional blood vessel operation Pending CN1810214A (en)

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Cited By (8)

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CN101259300B (en) * 2008-03-04 2010-06-16 深圳先进技术研究院 Catheter for main vessel interventional operation
CN105570366A (en) * 2015-12-28 2016-05-11 哈尔滨工业大学 Variable-stiffness memory alloy spring body and stiffness factor varying method thereof
CN106214190A (en) * 2016-07-12 2016-12-14 天津大学 The snakelike mechanism in the controlled joint of rigidity for single hole operating theater instruments
CN107433579A (en) * 2017-06-27 2017-12-05 西北工业大学 A kind of bionical tail apparatus of more piece of SMA drivings
CN107485474A (en) * 2017-09-21 2017-12-19 哈尔滨医科大学 A kind of intravascular stent system and its method for implantation with guide function
CN108000552A (en) * 2017-11-30 2018-05-08 哈尔滨工业大学 A kind of Modular Flexible artificial-muscle joint
CN106037935B (en) * 2016-07-12 2018-09-25 天津大学 Rigidity controllable tool mechanism for single hole surgical instrument
CN112914679A (en) * 2021-02-02 2021-06-08 广东工业大学 Radially deformable thrombus removal device

Cited By (9)

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CN101259300B (en) * 2008-03-04 2010-06-16 深圳先进技术研究院 Catheter for main vessel interventional operation
CN105570366A (en) * 2015-12-28 2016-05-11 哈尔滨工业大学 Variable-stiffness memory alloy spring body and stiffness factor varying method thereof
CN105570366B (en) * 2015-12-28 2018-03-30 哈尔滨工业大学 The memory alloy spring body and its stiffness factor changing method of variation rigidity
CN106214190A (en) * 2016-07-12 2016-12-14 天津大学 The snakelike mechanism in the controlled joint of rigidity for single hole operating theater instruments
CN106037935B (en) * 2016-07-12 2018-09-25 天津大学 Rigidity controllable tool mechanism for single hole surgical instrument
CN107433579A (en) * 2017-06-27 2017-12-05 西北工业大学 A kind of bionical tail apparatus of more piece of SMA drivings
CN107485474A (en) * 2017-09-21 2017-12-19 哈尔滨医科大学 A kind of intravascular stent system and its method for implantation with guide function
CN108000552A (en) * 2017-11-30 2018-05-08 哈尔滨工业大学 A kind of Modular Flexible artificial-muscle joint
CN112914679A (en) * 2021-02-02 2021-06-08 广东工业大学 Radially deformable thrombus removal device

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