CN217548750U - Guide tube for nerve insertion microcatheter - Google Patents
Guide tube for nerve insertion microcatheter Download PDFInfo
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- CN217548750U CN217548750U CN202220164524.4U CN202220164524U CN217548750U CN 217548750 U CN217548750 U CN 217548750U CN 202220164524 U CN202220164524 U CN 202220164524U CN 217548750 U CN217548750 U CN 217548750U
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Abstract
一种神经介入微导管的导引管,其包括导引管主体1,在所述导引管主体的上端一体成型的连接设置有一口径由下至上逐渐增大呈喇叭口状的引导锥斗,所述引导锥斗的下端与所述导引管主体上端之间相连接的部位设置为倒圆角结构的平滑过渡曲面。在所述导引管主体与引导锥斗构成的整体的一侧壁上开设有一轴向延伸出整体两端并径向贯穿侧壁的切口,且所述切口的宽度不超过所述导引管主体以及引导锥斗的侧壁厚度。神经介入手术导入微导管时,微导管可以从所述导引管主体中稳定顺畅的通过Y型止血阀,在所述微导管成功到达目标点后,利用所述导引管主体本身的材料弹性以及侧壁上开设的切口,可以沿着所述切口将所述导引管主体从所述微导管上轻易剥离。
A guide tube for a nerve interventional microcatheter, which includes a guide tube body 1, and a guide cone with a diameter gradually increasing from bottom to top and a bell-shaped guide cone is integrally formed at the upper end of the guide tube body. The connecting part between the lower end of the guiding cone and the upper end of the main body of the guiding tube is set as a smooth transition surface with a rounded corner structure. A notch extending axially from both ends of the whole body and radially penetrating the side wall is provided on a side wall of the whole body formed by the guide tube main body and the guide cone, and the width of the notch does not exceed the guide tube The thickness of the side wall of the main body and the guide cone. When the microcatheter is introduced into the neurointerventional surgery, the microcatheter can stably and smoothly pass through the Y-shaped hemostatic valve from the main body of the guiding tube. After the microcatheter successfully reaches the target point, the elasticity of the material of the main body of the guiding tube is used. and the incision on the side wall, the main body of the guiding tube can be easily peeled off from the microcatheter along the incision.
Description
技术领域technical field
本实用新型涉及一种神经介入手术使用的医疗器械技术领域,特别是指一种神经介入微导管的导引管。The utility model relates to the technical field of medical instruments used in nerve intervention operations, in particular to a guide tube of a nerve intervention micro-catheter.
背景技术Background technique
介入治疗不像完全打开的那种暴露、开放似的手术,同时,也不是一种靠药物来治疗的手术,它介于两者之间,所以美国医生给它命名intervention(介入干预的意思),神经介入治疗是在具有透视和数字减影功能的x线机(dsa机)等影像设备的引导下,使用特殊材料(导管、导丝、栓塞物、支架等),经血管内诊断和治疗中枢神经系统血管性和非血管性疾病。治疗时,一般采用股动脉或桡动脉穿刺,利用seldinger经皮血管穿刺和导管技术等,在x线影像监视下,置入导引导管,然后通过导引导管将内径更细、头端柔软的微导管选择性地插入到达颅内责任病灶的目标血管内进行治疗。神经介入治疗损伤轻、痛苦小,疗效好、术后恢复快,适应症广泛。手术中微导管是通过经皮穿刺鞘管送入到患者血管内,鞘管后端安装有Y型止血阀。在手术治疗颅内动脉瘤栓塞时,微导管前端塑形是治疗颅内动脉瘤栓塞的关键技术,合适、准确的微导管形态可以使手术操作更加顺利。微导管需经过Y型止血阀进入股动脉或桡动脉等穿刺血管最终到达颅内目标动脉。由于微导管前端较细且柔软,在没有进行保护的情况下可能无法通过Y型止血阀,且或者在经过Y型止血阀时很容易使微导管前端塑形发生变形,甚至在通过过程中由于摩擦而导致微导管的损伤,从而在一定程度上增加了手术的风险,影响了手术的操作进程。Interventional therapy is not like an exposed, open surgery that is completely opened, and it is not a surgery that is treated by drugs. It is somewhere in between, so American doctors named it intervention (meaning interventional intervention). , Neurointerventional therapy is the use of special materials (catheters, guide wires, emboli, stents, etc.) under the guidance of imaging equipment such as X-ray machines (dsa machines) with fluoroscopy and digital subtraction functions. Vascular and nonvascular diseases of the central nervous system. During treatment, femoral artery or radial artery puncture is generally used, and seldinger percutaneous vascular puncture and catheter technology are used. The microcatheter is selectively inserted into the target vessel to reach the responsible intracranial lesion for treatment. Neurointerventional therapy has the advantages of light injury, less pain, good curative effect, quick postoperative recovery and wide range of indications. During the operation, the microcatheter is sent into the patient's blood vessel through a percutaneous puncture sheath, and a Y-shaped hemostatic valve is installed at the rear end of the sheath. In the surgical treatment of intracranial aneurysm embolization, the shaping of the front end of the microcatheter is the key technology for the treatment of intracranial aneurysm embolization. Appropriate and accurate microcatheter shape can make the operation smoother. The microcatheter needs to pass through the Y-shaped hemostatic valve to enter the punctured blood vessel such as the femoral artery or radial artery, and finally reach the intracranial target artery. Because the tip of the microcatheter is thin and soft, it may not be able to pass through the Y-shaped hemostatic valve without protection, or it is easy to deform the tip of the microcatheter when passing through the Y-shaped hemostasis valve, even during the passing process due to The microcatheter is damaged due to friction, which increases the risk of the operation to a certain extent and affects the operation process of the operation.
针对如上所述的微导管难以依靠本身实现稳定顺畅的通过Y型止血阀的问题,本发明创造旨在设计出一种神经介入微导管的导引管。Aiming at the problem that the above-mentioned microcatheter is difficult to pass through the Y-shaped hemostatic valve stably and smoothly by itself, the invention aims to design a guiding tube for the nerve intervention microcatheter.
实用新型内容Utility model content
本实用新型的目的在于提供一种神经介入微导管的导引管,其所要解决的技术问题在于:神经介入治疗过程中,微导管难以依靠本身实现稳定顺畅的通过Y型止血阀。The purpose of the utility model is to provide a guide tube for a nerve interventional microcatheter. The technical problem to be solved is that the microcatheter is difficult to pass through the Y-shaped hemostatic valve stably and smoothly by itself in the process of nerve interventional therapy.
为解决上述技术问题,本实用新型提供一种神经介入微导管的导引管,其包括导引管主体,在所述导引管主体的上端一体成型的连接设置有一口径由下至上逐渐增大呈喇叭口状的引导锥斗,所述引导锥斗的下端与所述导引管主体上端之间相连接的部位设置为倒圆角结构的平滑过渡曲面。In order to solve the above-mentioned technical problems, the present invention provides a guide tube of a nerve intervention microcatheter, which includes a guide tube main body, and an integrally formed connection at the upper end of the guide tube main body is provided with a diameter that gradually increases from bottom to top. The guide cone is in the shape of a bell mouth, and the connecting part between the lower end of the guide cone and the upper end of the main body of the guide pipe is set as a smooth transition surface with a rounded corner structure.
优选于:在所述导引管主体与引导锥斗构成的整体的一侧壁上开设有一轴向延伸出整体两端并径向贯穿侧壁的切口,且所述切口的宽度不超过所述导引管主体以及引导锥斗的侧壁厚度。Preferably, a notch extending axially from both ends of the whole body and penetrating the side wall radially is provided on a side wall of the whole formed by the main body of the guide tube and the guide cone, and the width of the notch does not exceed the width of the The thickness of the guide tube body and the side wall of the guide cone.
优选于:所述引导锥斗上端与所述切口对应的另一侧边缘一体成型的连接设置有一向径向外侧延伸扩张的耳柄。Preferably, a lug extending radially outward is provided in an integrally formed connection between the upper end of the guide cone and the other side edge corresponding to the cutout.
优选于:所述导引管主体的轴向长度为60-70mm,所述导引管主体的内直径为1.2-1.4mm,所述导引管主体的侧壁厚度为8-15丝。Preferably, the axial length of the guide tube body is 60-70 mm, the inner diameter of the guide tube body is 1.2-1.4 mm, and the thickness of the side wall of the guide tube body is 8-15 filaments.
优选于:所述导引管主体的轴向长度为64mm,所述导引管主体的内直径为1.27mm,所述导引管主体的侧壁厚度为12丝。Preferably, the axial length of the main body of the guiding tube is 64 mm, the inner diameter of the main body of the guiding tube is 1.27 mm, and the thickness of the side wall of the main body of the guiding tube is 12 wires.
优选于:所述导引管主体及引导锥斗为不锈钢或PP材质。Preferably, the main body of the guide tube and the guide cone are made of stainless steel or PP.
优选于:在所述引导锥斗的上端位于所述切口两侧的拐角部位设置有倒圆角结构。Preferably, a rounded corner structure is provided at the corners of the upper end of the guide cone located on both sides of the cutout.
与现有技术相比,本实用新型的有益效果是:Compared with the prior art, the beneficial effects of the present utility model are:
1、可在神经介入手术导入微导管时,将所述导引管主体置入Y型止血阀中,形成“专属通道”,微导管可以从所述导引管主体中稳定顺畅的通过Y型止血阀;1. When the microcatheter is introduced into the neurointerventional operation, the main body of the guiding tube can be placed in the Y-shaped hemostatic valve to form an "exclusive channel", and the microcatheter can pass through the main body of the guiding tube stably and smoothly through the Y-shaped hemostatic valve. hemostatic valve;
2、在所述微导管成功到达目标点后,利用所述导引管主体本身的材料弹性以及侧壁上开设的切口,可以沿着所述切口将所述导引管主体从所述微导管上轻易剥离。2. After the microcatheter successfully reaches the target point, the main body of the guiding tube can be removed from the microcatheter along the incision by using the material elasticity of the main body of the guiding tube and the incision on the side wall. peels off easily.
附图说明Description of drawings
图1为本实用新型的立体结构状态示意图。FIG. 1 is a schematic diagram of the three-dimensional structure of the present invention.
图2为图1中A的局部放大结构示意图。FIG. 2 is a partial enlarged structural schematic diagram of A in FIG. 1 .
图3为本实用新型的径向投影结构示意图。3 is a schematic diagram of a radial projection structure of the present invention.
在说明书附图中:1、导引管主体;2、引导锥斗;3、切口;4、耳柄。In the accompanying drawings: 1. the main body of the guide tube; 2. the guide cone; 3. the incision; 4. the ear handle.
具体实施方式Detailed ways
以下将结合附图1-3以及较佳实施例对本实用新型提出的一种神经介入微导管的导引管作更为详细说明。The following will describe in more detail a guide tube of a nerve intervention microcatheter proposed by the present invention with reference to Figures 1-3 and preferred embodiments.
如图1、2所示,本实用新型提供一种神经介入微导管的导引管,其包括导引管主体1,在所述导引管主体1的上端一体成型的连接设置有一口径由下至上逐渐增大呈喇叭口状的引导锥斗2,所述引导锥斗2的下端与所述导引管主体1上端之间相连接的部位设置为倒圆角结构的平滑过渡曲面;在所述导引管主体1与引导锥斗2构成的整体的一侧壁上开设有一轴向延伸出整体两端并径向贯穿侧壁的切口3,所述切口3将封闭圆环结构的所述导引管主体1以及引导锥斗2切成开放式圆环结构,且所述切口3的宽度不超过所述导引管主体1以及引导锥斗2的侧壁厚度。As shown in Figures 1 and 2, the present invention provides a guide tube for a nerve interventional microcatheter, which includes a guide tube
本实用新型在具体实施时,采用Seldinger穿刺技术经桡动脉或股动脉建立手术通道,经动脉鞘管置入造影导管至造影位置,推注造影剂进行造影,经3D成像后选择合适的手术角度,将本实用新型所述导引管主体1置入Y型止血阀中,再将微导管从所述引导锥斗2通入所述导引管主体1中,并穿过所述导引管主体1,然后可利用所述切口3将所述导引管主体从所述微导管上剥离,并从所述Y型止血阀中撤出,所述微导管进一步向前深入至动脉血管中到达动脉瘤腔中,在此过程中能够有效的防止微导管前端塑形好的形状产生变形,提高了手术成功率。During the specific implementation of the present utility model, the Seldinger puncture technique is used to establish a surgical channel through the radial artery or the femoral artery, an angiography catheter is inserted to the angiography position through an arterial sheath, a contrast agent is injected for angiography, and an appropriate operating angle is selected after 3D imaging. , put the guiding tube
进一步,如图3所示,所述引导锥斗2上端与所述切口3对应的另一侧边缘一体成型的连接设置有一向径向外侧延伸扩张的耳柄4,所述耳柄4可以供医务人员操作。Further, as shown in FIG. 3 , an integrally formed connection between the upper end of the
所述导引管主体1的轴向长度为64mm,所述导引管主体1的内直径为1.27mm,所述导引管主体1的侧壁厚度为12丝,且所述导引管主体1及引导锥斗2为不锈钢或PP材质,其软硬程度刚好适合在受到挤压时不会轻易变形,保证了通道的完整性,并且具备一定的弹性,能够便于从微导管上剥离。The axial length of the guide tube
且,在所述引导锥斗2的上端位于所述切口3两侧的拐角部位设置有倒圆角结构,这一结构可以使所述切口3的一端具有剥离引导结构。In addition, a rounded corner structure is provided at the upper end of the
需要再次说明的是,鉴于手术卫生需要,本发明可以作为一次性使用的手术器具,也可以在医用条件下消毒杀菌后进行再次使用,但是受到本发明启发后能够重复利用的相似结构也应当落入本发明保护的范围。It should be noted again that, in view of the needs of surgical hygiene, the present invention can be used as a disposable surgical instrument, and can also be reused after being sterilized under medical conditions, but similar structures that can be reused after being inspired by the present invention should also be used. into the scope of protection of the present invention.
综合上所述,本实用新型的技术方案可以充分有效的完成上述实用新型目的,且本实用新型的结构原理及功能原理都已经在实施例中得到充分的验证,而能达到预期的功效及目的,且本实用新型的实施例也可以根据这些原理进行变换,因此,本实用新型包括一切在申请专利范围中所提到范围内的所有替换内容。任何在本实用新型申请专利范围内所作的等效变化,皆属本案申请的专利范围之内。In summary, the technical solution of the present utility model can fully and effectively accomplish the above-mentioned purpose of the utility model, and the structural principle and functional principle of the present utility model have been fully verified in the embodiment, and the expected effect and purpose can be achieved. , and the embodiments of the present utility model can also be transformed according to these principles, therefore, the present utility model includes all the replacement contents within the scope mentioned in the scope of the patent application. Any equivalent changes made within the scope of the patent application of the present utility model shall fall within the scope of the patent application of this case.
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN116672056A (en) * | 2023-05-24 | 2023-09-01 | 深圳大学附属华南医院 | Orthopedic Wired Screw Assemblies and Guides |
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| CN116672056A (en) * | 2023-05-24 | 2023-09-01 | 深圳大学附属华南医院 | Orthopedic Wired Screw Assemblies and Guides |
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