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CN211301686U - A double-balloon precise quantitative drug injection catheter - Google Patents

A double-balloon precise quantitative drug injection catheter Download PDF

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Publication number
CN211301686U
CN211301686U CN201921324027.0U CN201921324027U CN211301686U CN 211301686 U CN211301686 U CN 211301686U CN 201921324027 U CN201921324027 U CN 201921324027U CN 211301686 U CN211301686 U CN 211301686U
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China
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balloon
catheter
sacculus
medicine
drug injection
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Expired - Fee Related
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CN201921324027.0U
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Chinese (zh)
Inventor
关怀敏
尚莎莎
陈玉善
解金红
罗明华
王贺
柴爽爽
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First Affiliated Hospital of Henan University of TCM
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First Affiliated Hospital of Henan University of TCM
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Abstract

The utility model discloses an accurate quantification injection pipe of two saccules, including seal wire, main duct and sacculus, the sacculus comprises interior sacculus and outer sacculus, outer sacculus and interior sacculus intermediate part are arranged in to the main duct, in the main duct was arranged in to the seal wire, the seal wire penetrated from the seal wire exit by the seal wire entry that sets up on the main duct and worn out, was equipped with pressurization pipe and injection pipe in the main duct, the exit end of injection pipe passes the pipe and arranges the clearance department between interior sacculus and the outer sacculus in, and the other end and the injection pump of injection pipe are connected, are equipped with the control valve on the injection pipe. The outlet end of the pressurizing conduit passes through the main conduit to be communicated with the inner balloon, and the other end of the pressurizing conduit is connected with the pressurizing pump. The utility model discloses can realize controlling the accurate control of using the medicine dosage respectively through injection pipe and forcing pipe and annotate the medicine volume and pressurize the size, in the medicine pours into the vascular intimal wall into, the medicine is even, makes medicine can the full play effect to can annotate the medicine repeatedly, still can change the injection kind.

Description

一种双球囊精准量化注药导管A double-balloon precise quantitative drug injection catheter

技术领域technical field

本实用新型属于医疗器械,尤其涉及一种用于双球囊精准量化注药导管。The utility model belongs to medical equipment, in particular to a double-balloon precise and quantitative drug injection catheter.

背景技术Background technique

支架内再狭窄(ISR)是当今冠心病PCI时代面临的一大难题,在目前的ISR治疗方案中,冠状动脉旁路移植术的危险因素及禁忌证较多,而再次置入支架则可能引发再次ISR和其他多次支架置入风险,药物洗脱球囊(DCB)治疗避免了异物植物,为患者保留了必要时的后续治疗机会。目前市面上应用的药物球囊,可将药物释放至局部血管壁,减少抗血小板治疗的时间和强度,且避免体内置入异物,用于治疗ISR,其次在小血管病变、分叉病变、具有高出血风险的患者、正在口服抗凝药或近期进行外科手术的患者、既往有亚急性支架内血栓史的患者、拒绝体内置入异物的患者,球囊表面涂有固定的药物,但涂层的药物多采用紫杉醇或雷帕霉素等抗平滑肌细胞增殖的药物,通过实现局部治疗斑块,防治ISR,在冠心病介入治疗领域占有重要地位,尽管如此,药物涂层球囊仍存在一些问题:1、市面上涂药球囊种类有限;2、不能实现均匀精准给药;3、不能重复给药;4、费用昂贵。针对以上缺陷,我们将关注点转移至注药球囊。注药球囊目前仅用于动物实验,(1)clearway,产量极少,品种有限,无法转化临床应用,而且注药量无法精确控制;(2)两端带有阻塞球囊的中间段灌注球囊仅仅能将药物注入到血管腔内,对血管壁无任何作用。In-stent restenosis (ISR) is a major problem in the era of PCI for coronary heart disease. In the current ISR treatment plan, there are many risk factors and contraindications for coronary artery bypass grafting. With the risk of repeat ISR and other multiple stent placements, drug-eluting balloon (DCB) therapy avoids foreign body plants and preserves the patient the opportunity for follow-up treatment if necessary. The currently available drug balloons on the market can release the drug to the local blood vessel wall, reduce the time and intensity of antiplatelet therapy, and avoid the insertion of foreign bodies in the body for the treatment of ISR. Patients at high risk of bleeding, patients undergoing oral anticoagulants or undergoing recent surgery, patients with a history of subacute stent thrombosis, patients who refuse to insert foreign bodies in the body, the surface of the balloon is coated with fixed drugs, but the coating Most of the drugs used are anti-smooth muscle cell proliferation drugs such as paclitaxel or rapamycin, which play an important role in the field of coronary heart disease interventional therapy by achieving local treatment of plaque and prevention and treatment of ISR. Nevertheless, there are still some problems with drug-coated balloons. : 1. There are limited types of drug-coated balloons on the market; 2. Uniform and precise administration cannot be achieved; 3. Repeated administration is not possible; 4. The cost is expensive. In view of the above shortcomings, we will focus on the injection balloon. The drug injection balloon is currently only used in animal experiments, (1) clearway, the output is very small, the variety is limited, it cannot be transformed into clinical application, and the injection volume cannot be accurately controlled; (2) the middle segment perfusion with blocking balloons at both ends The balloon can only inject the drug into the lumen of the blood vessel and has no effect on the blood vessel wall.

实用新型内容Utility model content

本实用新型的目的在于克服上述现有技术的缺点,提供一种结构简单合理,球囊表面均匀的乳突在高压作用下突入到血管壁内膜并将药物注入其中,同一患者多处病变血管可反复使用并注药,精准控制剂量,方便更换注药种类,可降低使用成本,并可减轻病人及家属的经济负担。The purpose of this utility model is to overcome the shortcomings of the above-mentioned prior art, and to provide a simple and reasonable structure, the mastoid with a uniform surface of the balloon protrudes into the intima of the blood vessel wall under the action of high pressure and injects medicine into it, and the same patient has multiple diseased blood vessels. It can be used and injected repeatedly, the dose can be precisely controlled, the type of injection can be easily changed, the cost of use can be reduced, and the economic burden of patients and their families can be reduced.

本实用新型是通过以下技术方案实现的:The utility model is achieved through the following technical solutions:

一种双球囊精准量化注药导管,包括导丝、主导管和球囊,所述球囊由内球囊和外球囊组成,外球囊包裹在内球囊外部,所述主导管置于外球囊和内球囊中间部,所述导丝置于主导管内,导丝由主导管上设置的导丝入口穿入从导丝出口处穿出,所述主导管内设有加压导管和注药导管,所述注药导管的出口端穿过导管置于内球囊和外球囊之间的间隙处,注药导管的另一端与注药泵连接,并在注药导管上设有控制阀;所述加压导管的出口端穿过主导管与内球囊联通,加压导管的另一端与加压泵连接;所述外球囊的外壁上设有若干个乳突,乳突上设有出药孔。A double-balloon precise quantitative drug injection catheter, comprising a guide wire, a main catheter and a balloon, the balloon is composed of an inner balloon and an outer balloon, the outer balloon is wrapped outside the inner balloon, and the main catheter is placed In the middle part of the outer balloon and the inner balloon, the guide wire is placed in the main catheter, the guide wire is threaded through the guide wire inlet set on the main catheter and passed out from the guide wire outlet, and the main catheter is provided with a pressurized catheter And the drug injection catheter, the outlet end of the drug injection catheter is placed in the gap between the inner balloon and the outer balloon through the catheter, the other end of the drug injection catheter is connected with the drug injection pump, and the drug injection catheter is provided with There is a control valve; the outlet end of the pressurizing catheter is communicated with the inner balloon through the main catheter, and the other end of the pressurizing catheter is connected with the pressurizing pump; A medicine outlet hole is provided on the protrusion.

所述加压导管的出口端设有至少一个出口与内球囊联通。The outlet end of the pressurizing catheter is provided with at least one outlet in communication with the inner balloon.

本实用新型的优点是:本实用新型专利的双球囊精准量化注药导管可实现对使用药物剂量的精准控制,药物注入血管内膜内,且给药均匀,不浪费药物,使药物能够充分发挥作用。并可反复注药,还可更换注药种类。通过注药管和加压管分别控制注药量和加压大小,药囊内的药物在内球囊的压力下由外球囊上的乳突处排出,将药物与血管充分接触,以此达到较好的治疗效果。The advantages of the utility model are: the double-balloon precise quantification drug injection catheter of the utility model patent can realize the precise control of the dose of the drug used, the drug is injected into the intima of the blood vessel, and the drug is administered evenly, and the drug is not wasted, so that the drug can be fully Play a role. It can be injected repeatedly, and the type of injection can be changed. The injection volume and pressure are controlled by the injection tube and the pressure tube, respectively. The medicine in the medicine bag is discharged from the mastoid on the outer balloon under the pressure of the inner balloon, and the medicine is fully contacted with the blood vessels. achieve better therapeutic effect.

附图说明Description of drawings

图1是本实用新型的结构示意图。Figure 1 is a schematic structural diagram of the present invention.

具体实施方式Detailed ways

实施:如图所示的双球囊精准量化注药导管,包括导丝8、主导管1和球囊,所述球囊由内球囊7和外球囊5组成,根据球囊的特性所述的内球囊7为顺应性,外球囊5为非顺应性,外球囊5包裹在内球囊7外部,所述外球囊5的外壁上设有若干个均匀分布的乳突4,乳突4上设有出药孔6。所述主导管1置于外球囊5和内球囊7中间部,所述导丝8置于主导管1内,导丝8由主导管1上设置的导丝入口10穿入从导丝出口13处穿出,所述主导管1内设有加压导管3和注药导管2,所述注药导管2的出口端穿过导管置于内球囊7和外球囊5之间的间隙处,注药导管2的另一端与注药泵11连接,在注药导管2上位于主导管1的外部设有控制阀9。所述加压导管3的出口端穿过主导管1与内球囊7联通,加压导管3的出口端为至少一个出口与内球囊7联通,加压导管3的另一端与加压泵12(带压力表的注射器)连接。Implementation: As shown in the figure, the double-balloon precise quantitative drug injection catheter includes a guide wire 8, a main catheter 1 and a balloon. The balloon is composed of an inner balloon 7 and an outer balloon 5. According to the characteristics of the balloon, The inner balloon 7 is compliant, the outer balloon 5 is non-compliant, the outer balloon 5 is wrapped outside the inner balloon 7, and the outer wall of the outer balloon 5 is provided with a number of evenly distributed papillae 4. , the mastoid 4 is provided with a drug outlet hole 6 . The main catheter 1 is placed in the middle of the outer balloon 5 and the inner balloon 7, the guide wire 8 is placed in the main catheter 1, and the guide wire 8 is inserted through the guide wire inlet 10 provided on the main catheter 1 from the guide wire The outlet 13 goes out, the main conduit 1 is provided with a pressurizing conduit 3 and a medicine injection conduit 2, and the outlet end of the medicine injection conduit 2 passes through the conduit and is placed between the inner balloon 7 and the outer balloon 5. At the gap, the other end of the drug injection conduit 2 is connected to the drug injection pump 11 , and a control valve 9 is provided on the drug injection conduit 2 outside the main conduit 1 . The outlet end of the pressurizing catheter 3 communicates with the inner balloon 7 through the main catheter 1, the outlet end of the pressurizing catheter 3 is at least one outlet and communicates with the inner balloon 7, and the other end of the pressurizing catheter 3 is connected with the pressurizing pump. 12 (syringe with pressure gauge) connection.

使用时打开控制阀9,药物通过注药泵11和注药导管2将药物注入内球囊7和外球囊5之间的空隙内,药物达到一定剂量后,关闭控制阀9和注药泵11,然后通过加压泵12将压缩加压泵12内的对比剂注入内球囊7内,使内球囊7膨胀,随着内球囊7的体积不断膨胀增大,内球囊7便会挤压内球囊7和外球囊5之间的药物,在持续受压的过程中位于外球囊5上的乳突4便会刺破血管内膜壁内,药物受到挤压后便会从外球囊5的外壁上的乳突4上的出药孔6排出,使药物进入到血管内膜壁内,由于多个乳突4均匀排列在外球囊5的外壁上,药物从乳突4上的出药孔6排出后可均匀附着在血管内膜壁内的病变处,药物在内膜壁内能够持续较长时间,对病变处可以达到更好的治疗效果。由于本产品能够精确控制药物的剂量,注药进入血管内膜,局部效果好,也降低了药物成本,给患者和家属减轻了经济负担。When in use, open the control valve 9, and the drug is injected into the space between the inner balloon 7 and the outer balloon 5 through the drug injection pump 11 and the drug injection catheter 2. After the drug reaches a certain dose, close the control valve 9 and the drug injection pump. 11. Then, the contrast agent in the compression pump 12 is injected into the inner balloon 7 through the pressure pump 12 to expand the inner balloon 7. As the volume of the inner balloon 7 continues to expand and increase, the inner balloon 7 becomes The medicine between the inner balloon 7 and the outer balloon 5 will be squeezed. During the continuous compression process, the mastoid 4 on the outer balloon 5 will pierce the intima wall of the blood vessel, and the medicine will be squeezed after being squeezed. It will be discharged from the drug outlet hole 6 on the mastoid 4 on the outer wall of the outer balloon 5, so that the drug enters the intima wall of the blood vessel. The drug discharge hole 6 on the protrusion 4 can be evenly attached to the lesion in the intimal wall of the blood vessel after being discharged, and the drug can last for a long time in the intimal wall, and a better therapeutic effect can be achieved on the lesion. Because this product can accurately control the dose of the drug, inject the drug into the intima of the blood vessel, and has a good local effect, it also reduces the cost of the drug, and reduces the economic burden on patients and their families.

Claims (2)

1.一种双球囊精准量化注药导管,包括导丝、主导管和球囊,所述球囊由内球囊和外球囊组成,外球囊包裹在内球囊外部,所述主导管置于外球囊和内球囊中间部,所述导丝置于主导管内,导丝由主导管上设置的导丝入口穿入从导丝出口处穿出,其特征是:所述主导管内设有加压导管和注药导管,所述注药导管的出口端穿过导管置于内球囊和外球囊之间的间隙处,注药导管的另一端与注药泵连接,并在注药导管上设有控制阀;所述加压导管的出口端穿过主导管与内球囊联通,加压导管的另一端与加压泵连接;所述外球囊的外壁上设有若干个乳突,乳突上设有出药孔。1. a double-balloon precise quantification drug injection catheter, comprising a guide wire, a main catheter and a balloon, the balloon is made up of an inner balloon and an outer balloon, and the outer balloon is wrapped outside the inner balloon, and the main The tube is placed in the middle part of the outer balloon and the inner balloon, the guide wire is placed in the main catheter, and the guide wire is threaded through the guide wire inlet set on the main catheter and threaded out from the guide wire outlet. A pressurized catheter and a drug injection catheter are arranged in the tube, the outlet end of the drug injection catheter is placed in the gap between the inner balloon and the outer balloon through the catheter, and the other end of the drug injection catheter is connected with the drug injection pump, and A control valve is provided on the drug injection catheter; the outlet end of the pressurizing catheter is communicated with the inner balloon through the main catheter, and the other end of the pressurizing catheter is connected with the pressurizing pump; the outer wall of the outer balloon is provided with There are several mastoids, and there are drug outlet holes on the mastoids. 2.根据权利要求1所述的双球囊精准量化注药导管,其特征是:所述加压导管的出口端设有至少一个出口与内球囊联通。2 . The double-balloon precise quantitative drug injection catheter according to claim 1 , wherein the outlet end of the pressurizing catheter is provided with at least one outlet that communicates with the inner balloon. 3 .
CN201921324027.0U 2019-08-15 2019-08-15 A double-balloon precise quantitative drug injection catheter Expired - Fee Related CN211301686U (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110292703A (en) * 2019-08-15 2019-10-01 河南中医药大学第一附属医院 A kind of double sacculus precisely quantify injection catheter
CN114159676A (en) * 2020-09-09 2022-03-11 上海鸿脉医疗科技有限公司 Balloon catheter
CN115068731A (en) * 2022-08-08 2022-09-20 河南中医药大学第一附属医院 Contrast agent delivery puncture device for breast ductography and method of use thereof

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110292703A (en) * 2019-08-15 2019-10-01 河南中医药大学第一附属医院 A kind of double sacculus precisely quantify injection catheter
CN114159676A (en) * 2020-09-09 2022-03-11 上海鸿脉医疗科技有限公司 Balloon catheter
CN115068731A (en) * 2022-08-08 2022-09-20 河南中医药大学第一附属医院 Contrast agent delivery puncture device for breast ductography and method of use thereof

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