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CN109009297A - Occluding device for operation on aorta - Google Patents

Occluding device for operation on aorta
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Publication number
CN109009297A
CN109009297ACN201810647292.6ACN201810647292ACN109009297ACN 109009297 ACN109009297 ACN 109009297ACN 201810647292 ACN201810647292 ACN 201810647292ACN 109009297 ACN109009297 ACN 109009297A
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air pump
sacculus
balloon
appendix
connecting rod
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彭博
孙晓刚
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Fuwai Hospital of CAMS and PUMC
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Fuwai Hospital of CAMS and PUMC
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Abstract

Translated fromChinese

本发明公开了一种用于主动脉手术的阻断装置,包括可置入人体主动脉血液导通孔中的置入系统;所述置入系统包括均采用柔性材料制成的导管、球囊Ⅰ、球囊Ⅱ、输气管Ⅰ及输气管Ⅱ;所述导管的上下两端均设有开口,所述球囊Ⅰ密封连接在导管靠近上端开口的位置,所述球囊Ⅱ密封连接在导管靠近下端开口的位置;所述球囊Ⅰ、球囊Ⅱ均为可充气膨胀并在膨胀后堵塞血液导通孔的气囊结构,所述球囊Ⅰ与输气管Ⅰ相连通,所述球囊Ⅱ与输气管Ⅱ相连通;本发明使得心脏泵出的血液可输出至远端脏器,而需要手术操作的区域则没有血液,可以安全地进行切开操作,提高手术质量及手术安全性。

The invention discloses a blocking device for aortic surgery, which includes an insertion system that can be inserted into the aortic blood conduction hole of a human body; the insertion system includes a catheter and a balloon all made of flexible materials. I. Balloon II, air delivery tube I and air delivery tube II; the upper and lower ends of the catheter are provided with openings, the balloon I is sealed and connected to the position close to the upper opening of the catheter, and the balloon II is sealed and connected to the catheter The position close to the opening of the lower end; the balloon I and the balloon II are all balloon structures that can be inflated and block the blood conduction hole after inflation, the balloon I is connected with the airway I, and the balloon II It is connected with the trachea II; the invention enables the blood pumped by the heart to be exported to the remote organs, and there is no blood in the area requiring surgical operation, and the incision operation can be performed safely, improving the quality and safety of the operation.

Description

Translated fromChinese
用于主动脉手术的阻断装置Occlusion Devices for Aortic Surgery

技术领域technical field

本发明涉及医疗器械领域,尤其涉及一种用于主动脉手术的阻断装置。The invention relates to the field of medical devices, in particular to a blocking device for aortic surgery.

背景技术Background technique

主动脉瘤是死亡率极高的疾病,如果不及时治疗极可能发展为主动脉夹层(48小时死亡率高达50%),而无论是主动脉瘤或动脉夹层手术最关键的就是脏器保护,即在阻断升主动脉后,远端脏器的供血问题。目前所采用的方式主要是上下肢分别插管建立体外循环,虽然可以减少脑部及下肢缺血时间,但肠系膜动脉、腹腔干、肾动脉、脊髓的缺血根本无法避免,而这些脏器的供血术后几乎都会发生肾功能衰竭(必须上血滤支持)、消化道缺血(消化道溃疡穿孔或顽固胀气)、脊髓损伤(截肢),这也是主动脉手术高死亡率、高并发症的原因。另外一个令外科医生棘手的问题是面临巨大主动脉瘤的时候,由于空间有限,无法找到合适的角度下阻断钳。Aortic aneurysm is a disease with a very high mortality rate. If it is not treated in time, it is very likely to develop into aortic dissection (the mortality rate within 48 hours is as high as 50%). The most important thing in the operation of aortic aneurysm or arterial dissection is organ protection. That is, after blocking the ascending aorta, the blood supply problem of the distal organs. The current method is to intubate the upper and lower extremities separately to establish extracorporeal circulation. Although the ischemia time of the brain and lower extremities can be reduced, the ischemia of the mesenteric artery, celiac trunk, renal artery, and spinal cord cannot be avoided at all. Renal failure (necessary for hemofiltration support), gastrointestinal ischemia (perforation of gastrointestinal ulcer or stubborn flatulence), spinal cord injury (amputation) will almost always occur after blood supply, which is also the cause of high mortality and high complications of aortic surgery. reason. Another difficult problem for surgeons is that when facing a huge aortic aneurysm, due to limited space, it is impossible to find a suitable angle to lower the blocking forceps.

因此,为解决上述问题,就需要一种用于主动脉手术的阻断装置,使得心脏泵出的血液可输出至远端脏器,而需要手术操作的区域则没有血液,可以安全地进行切开操作,提高手术质量及手术安全性。Therefore, in order to solve the above problems, there is a need for a blocking device for aortic surgery, so that the blood pumped by the heart can be output to the remote organs, and the area requiring surgical operation has no blood, and can be safely cut. Open operation, improve surgical quality and surgical safety.

发明内容Contents of the invention

有鉴于此,本发明的目的在于提供一种用于主动脉手术的阻断装置,使得心脏泵出的血液可输出至远端脏器,而需要手术操作的区域则没有血液,可以安全地进行切开操作,提高手术质量及手术安全性。In view of this, the object of the present invention is to provide a blocking device for aortic surgery, so that the blood pumped by the heart can be output to the remote organs, and the area requiring surgical operation has no blood and can be performed safely. Incision operation, improve operation quality and operation safety.

本发明的用于主动脉手术的阻断装置,包括可置入人体主动脉血液导通孔中的置入系统;所述置入系统包括均采用柔性材料制成的导管、球囊Ⅰ、球囊Ⅱ、输气管Ⅰ及输气管Ⅱ;所述导管的上下两端均设有开口,所述球囊Ⅰ密封连接在导管靠近上端开口的位置,所述球囊Ⅱ密封连接在导管靠近下端开口的位置;所述球囊Ⅰ、球囊Ⅱ均为可充气膨胀并在膨胀后堵塞血液导通孔的气囊结构,所述球囊Ⅰ与输气管Ⅰ相连通,所述球囊Ⅱ与输气管Ⅱ相连通。The blocking device for aortic surgery of the present invention includes an insertion system that can be inserted into the aortic blood passage hole of a human body; the insertion system includes a catheter, a balloon I, and a balloon all made of flexible materials Balloon II, tracheal tube I and tracheal tube II; the upper and lower ends of the catheter are provided with openings, the balloon I is sealingly connected to the position close to the upper opening of the catheter, and the balloon II is sealingly connected to the position near the lower opening of the catheter The position of the balloon I and the balloon II are all balloon structures that can be inflated and blocked the blood conduction hole after inflation, the balloon I is connected with the air delivery tube I, and the balloon II is connected with the air delivery tube Ⅱ is connected.

作为对上述技术方案的进一步改进,所述球囊Ⅰ、球囊Ⅱ均呈椭球形。As a further improvement to the above technical solution, both the balloon I and the balloon II are ellipsoidal.

作为对上述技术方案的进一步改进,所述球囊Ⅰ、球囊Ⅱ上均设有显影标记。As a further improvement to the above technical solution, the balloons I and II are provided with developing marks.

作为对上述技术方案的进一步改进,所述导管的直径为6mm-10mm;所述球囊Ⅰ、球囊Ⅱ在完全充盈时的直径为40mm-50mm。As a further improvement to the above technical solution, the diameter of the catheter is 6mm-10mm; the diameter of the balloon I and balloon II is 40mm-50mm when fully inflated.

作为对上述技术方案的进一步改进,该阻断装置还包括充气系统,所述充气系统通过输气管Ⅰ控制球囊Ⅰ的充放气,所述充气系统通过输气管Ⅱ控制球囊Ⅱ的充放气。As a further improvement to the above technical solution, the blocking device also includes an inflation system, the inflation system controls the inflation and deflation of the balloon I through the air delivery tube I, and the inflation system controls the inflation and discharge of the balloon II through the air delivery tube II gas.

作为对上述技术方案的进一步改进,所述充气系统包括手动气泵Ⅰ及手动气泵Ⅱ,所述手动气泵Ⅰ通过输气管Ⅰ与球囊Ⅰ相连,所述手动气泵Ⅱ通过输气管Ⅱ与球囊Ⅱ相连。As a further improvement to the above technical solution, the inflation system includes a manual air pump I and a manual air pump II, the manual air pump I is connected to the balloon I through the air delivery tube I, and the manual air pump II is connected to the balloon II through the air delivery tube II connected.

作为对上述技术方案的进一步改进,所述充气系统还包括电动气泵Ⅰ及电动气泵Ⅱ,所述电动气泵Ⅰ与手动气泵Ⅰ并联后通过输气管Ⅰ与球囊Ⅰ相连,所述电动气泵Ⅱ与手动气泵Ⅱ并联后通过输气管Ⅱ与球囊Ⅱ相连。As a further improvement to the above technical solution, the inflation system also includes an electric air pump I and an electric air pump II, the electric air pump I and the manual air pump I are connected in parallel to the balloon I through the air delivery pipe I, and the electric air pump II is connected to the balloon I. The manual air pump II is connected in parallel with the balloon II through the air delivery tube II.

作为对上述技术方案的进一步改进,所述充气系统还包括四通Ⅰ、四通Ⅱ、控制器、显示器、警报器Ⅰ及警报器Ⅱ;As a further improvement to the above technical solution, the inflation system also includes four-way I, four-way II, controller, display, alarm I and alarm II;

所述四通Ⅰ的两个进气端分别连接电动气泵Ⅰ的出气端及手动气泵Ⅰ的出气端,所述四通Ⅰ的两个进气端分别连接输气管Ⅰ及一用于实时探测输气管Ⅰ内气压的气压传感器Ⅰ;所述气压传感器Ⅰ的信号输出端连接于控制器的信号输入端,所述控制器的信号输出端分别与电动气泵Ⅰ、警报器Ⅰ及显示器的信号输入端相连;The two inlet ends of the four-way I are respectively connected to the air outlet of the electric air pump I and the air outlet of the manual air pump I, and the two air inlet ends of the four-way I are respectively connected to the air pipe I and a pipe for real-time detection. The air pressure sensor I of the air pressure in the trachea I; the signal output end of the air pressure sensor I is connected to the signal input end of the controller, and the signal output end of the controller is respectively connected to the signal input end of the electric air pump I, the alarm I and the display connected;

所述四通Ⅱ的两个进气端分别连接电动气泵Ⅱ的出气端及手动气泵Ⅰ的出气端,所述四通Ⅱ的两个进气端分别连接输气管Ⅱ及一用于实时探测输气管Ⅱ内气压的气压传感器Ⅱ;所述气压传感器Ⅱ的信号输出端连接于控制器的信号输入端,所述控制器的信号输出端分别与电动气泵Ⅱ及警报器Ⅱ的信号输入端相连。The two air inlets of the four-way II are respectively connected to the air outlet of the electric air pump II and the air outlet of the manual air pump I, and the two air inlets of the four-way II are respectively connected to the air pipe II and a real-time detection output pipe. Air pressure sensor II for air pressure in the air pipe II; the signal output end of the air pressure sensor II is connected to the signal input end of the controller, and the signal output end of the controller is respectively connected to the signal input ends of the electric air pump II and the alarm II.

作为对上述技术方案的进一步改进,所述充气系统还包括一设有控制按键的主机,所述显示器、警报器Ⅰ及警报器Ⅱ均安装在主机上;所述主机中设有缓冲腔,所述缓冲腔中设有可沿缓冲腔上下滑动的滑动板,所述电动气泵Ⅰ及电动气泵Ⅱ的底部均在滑动板上。As a further improvement to the above technical solution, the inflation system also includes a host with control buttons, the display, alarm I and alarm II are all installed on the host; a buffer cavity is provided in the host, so The buffer cavity is provided with a sliding plate that can slide up and down along the buffer cavity, and the bottoms of the electric air pump I and the electric air pump II are both on the sliding plate.

作为对上述技术方案的进一步改进,所述滑动板通过缓冲机构定位于缓冲腔;所述缓冲机构包括分别支撑在滑动板底部四个边角处的第一组件及支撑在滑动板底部中心的第二组件;所述第一组件包括导向筒、导向柱及弹簧Ⅰ,所述弹簧Ⅰ置于导向筒中,所述导向柱的上端固定于滑动板底部、下端同轴伸入导向筒并与弹簧Ⅰ固定连接;所述第二组件包括包括上支架、下支架、第一连杆、第二连杆、第三连杆、第四连杆及弹簧Ⅱ;所述上支架固定在滑动板底部,所述下支架固定在缓冲腔底面;所述上支架、第一连杆、第二连杆及下支架依次铰接,所述上支架、第三连杆、第四连杆及下支架依次铰接,使得第一连杆、第二连杆、第三连杆、第四连杆形成平面铰链四杆机构,且所述弹簧Ⅱ以平行于水平面的方式设在平面铰链四杆机构内部。As a further improvement to the above technical solution, the sliding plate is positioned in the buffer chamber through a buffer mechanism; the buffer mechanism includes a first component supported at the four corners of the bottom of the sliding plate and a second component supported at the center of the bottom of the sliding plate. Two components; the first component includes a guide cylinder, a guide column and a spring I, the spring I is placed in the guide cylinder, the upper end of the guide column is fixed on the bottom of the sliding plate, and the lower end coaxially extends into the guide cylinder and is connected to the spring I fixed connection; the second assembly includes an upper bracket, a lower bracket, a first connecting rod, a second connecting rod, a third connecting rod, a fourth connecting rod and a spring II; the upper bracket is fixed at the bottom of the sliding plate, and the The lower bracket is fixed on the bottom surface of the buffer cavity; the upper bracket, the first connecting rod, the second connecting rod and the lower bracket are hinged sequentially, and the upper bracket, the third connecting rod, the fourth connecting rod and the lower bracket are hinged sequentially, so that The first connecting rod, the second connecting rod, the third connecting rod and the fourth connecting rod form a planar hinge four-bar mechanism, and the spring II is arranged inside the planar hinge four-bar mechanism in a manner parallel to the horizontal plane.

通过上述公开内容,本发明具有以下有益技术效果:Through the above disclosure, the present invention has the following beneficial technical effects:

本发明的用于主动脉手术的阻断装置,在球囊Ⅰ与球囊Ⅱ均未充气时,通过颈动脉穿刺将置入系统送入主动脉,当球囊Ⅰ与球囊Ⅱ处于手术部位供血处时即通过输气管Ⅰ及输气管Ⅱ分别对球囊Ⅰ及球囊Ⅱ进行充气,球囊Ⅰ及球囊Ⅱ充气膨胀后与主动脉血管内壁紧密接触,从而对血液导通孔形成堵塞;而由于导管是通管结构,球囊Ⅰ及球囊Ⅱ形成的堵塞仅限于球囊Ⅰ及球囊Ⅱ之间且处在导管外部的这部分,心脏泵出的血液通过导管仍可输出至远端脏器,而血液不流通的部分即为手术部位,使得需要手术操作的区域则没有血液,从而可以安全地进行切开操作,提高了手术安全性及手术质量。In the blocking device for aortic surgery of the present invention, when neither the balloon I nor the balloon II is inflated, the insertion system is sent into the aorta through carotid artery puncture, and when the balloon I and the balloon II are at the surgical site When the blood is supplied, the balloon I and balloon II are inflated respectively through the trachea I and the trachea II. After inflated, the balloon I and the balloon II are in close contact with the inner wall of the aortic vessel, thereby blocking the blood conduction hole ; and because the catheter is a through-tube structure, the blockage formed by balloon I and balloon II is limited to the part between balloon I and balloon II and outside the catheter, and the blood pumped by the heart can still be output to the catheter through the catheter. The part of the distal organ where the blood does not circulate is the surgical site, so that there is no blood in the area that needs surgical operation, so that the incision can be performed safely, which improves the safety and quality of surgery.

附图说明Description of drawings

图1为本发明的结构示意图;Fig. 1 is a structural representation of the present invention;

图2为本发明的置入系统置入人体时的结构示意图;Fig. 2 is a schematic structural view of the insertion system of the present invention when it is inserted into the human body;

图3为本发明的充气系统的原理框图;Fig. 3 is the functional block diagram of the inflation system of the present invention;

图4为本发明的缓冲机构的结构示意图。Fig. 4 is a structural schematic diagram of the buffer mechanism of the present invention.

具体实施方式Detailed ways

为使本领域技术人员更好地理解本发明的技术方案,下面结合附图和具体实施例对本发明作进一步的详细说明。In order to enable those skilled in the art to better understand the technical solutions of the present invention, the present invention will be further described in detail below in conjunction with the accompanying drawings and specific embodiments.

如图1至图4所示:本实施例的用于主动脉手术的阻断装置,包括可置入人体主动脉血液导通孔9中的置入系统;所述置入系统包括均采用柔性材料制成的导管1、球囊Ⅰ21、球囊Ⅱ22、输气管Ⅰ31及输气管Ⅱ32;所述导管1的上下两端均设有开口,所述球囊Ⅰ21密封连接在导管1靠近上端开口(手术时处于近端)的位置,所述球囊Ⅱ22密封连接在导管1靠近下端开口(手术时处于远端)的位置;所述球囊Ⅰ21、球囊Ⅱ22均为可充气膨胀并在膨胀后堵塞血液导通孔的气囊结构,所述球囊Ⅰ21与输气管Ⅰ31相连通,所述球囊Ⅱ22与输气管Ⅱ32相连通;置入系统的部件需要伸入主动脉,因此必须具有一定的卫生性及柔软度,其采用现有的合乎医用的柔性材料制成,例如可为医用聚氨酯材料或者医用硅胶材料;导管1、输气管Ⅰ31及输气管Ⅱ32的长度可根据需要而定;密封连接是指球囊Ⅰ21、球囊Ⅱ22与导管1之间不连通,而且紧密贴合在一起,球囊Ⅰ21、球囊Ⅱ22裹在导管1外,不影响导管1的连通性;球囊Ⅰ21、球囊Ⅱ22均优选呈椭球形。与血管的截面性状适应,便于进行封堵,提高堵塞效果;同时,在球囊Ⅰ21、球囊Ⅱ22上均设有显影标记(图中未示出),例如可为设在球囊Ⅰ21、球囊Ⅱ22内壁或外壁的不透明的嵌入标记,用于标记球囊Ⅰ21、球囊Ⅱ22的位置;导管1的直径可为6mm-10mm,球囊Ⅰ21、球囊Ⅱ22在完全充盈时的直径可为40mm-50mm,以适于伸入主动脉,便于术中操作。As shown in Figures 1 to 4: the blocking device for aortic surgery of this embodiment includes an insertion system that can be inserted into the aortic blood conduction hole 9 of a human body; Catheter 1, balloon I21, balloon II22, air delivery tube I31 and air delivery tube II32 made of materials; the upper and lower ends of the catheter 1 are provided with openings, and the balloon I21 is sealed and connected to the upper opening of the catheter 1 ( The position at the proximal end during operation), the balloon II22 is sealed and connected to the position of the catheter 1 near the lower end opening (at the distal end during operation); the balloon I21 and the balloon II22 are both inflatable and expandable after inflation. The balloon structure that blocks the blood conduction hole, the balloon I21 is connected with the air delivery tube I31, and the balloon II22 is connected with the air delivery tube II32; the components inserted into the system need to extend into the aorta, so it must have certain hygienic It is made of existing flexible materials suitable for medical use, such as medical polyurethane material or medical silicone material; the length of catheter 1, air delivery pipe I31 and air delivery pipe II32 can be determined according to needs; the sealing connection is Balloon I21, balloon II22 and catheter 1 are not connected, and they are tightly fitted together. Balloon I21 and balloon II22 are wrapped outside catheter 1, which does not affect the connectivity of catheter 1; balloon I21, balloon II22 are preferably ellipsoidal. It adapts to the cross-sectional properties of blood vessels, which is convenient for occlusion and improves the occlusion effect; at the same time, a development mark (not shown in the figure) is provided on the balloon I21 and the balloon II22, for example, it can be located on the balloon I21, the balloon The opaque embedded marker on the inner or outer wall of balloon II22 is used to mark the position of balloon I21 and balloon II22; the diameter of catheter 1 can be 6mm-10mm, and the diameter of balloon I21 and balloon II22 can be 40mm when fully inflated -50mm, suitable for extending into the aorta, convenient for intraoperative operation.

采用本装置,在球囊Ⅰ21与球囊Ⅱ22均未充气时,通过颈动脉穿刺将置入系统送入主动脉,当球囊Ⅰ21与球囊Ⅱ22处于手术部位供血处时即通过输气管Ⅰ31及输气管Ⅱ32分别对球囊Ⅰ21及球囊Ⅱ22进行充气,球囊Ⅰ21及球囊Ⅱ22充气膨胀后与主动脉血管内壁紧密接触,从而对血液导通孔形成堵塞;而由于导管1是通管结构,球囊Ⅰ21及球囊Ⅱ22形成的堵塞仅限于球囊Ⅰ21及球囊Ⅱ22之间且处在导管1外部的这部分,心脏泵出的血液通过导管1仍可输出至远端脏器,而血液不流通的部分即为手术部位,使得需要手术操作的区域则没有血液(如图3所示,图中箭头即为血液流动方向),从而可以安全地进行切开操作,提高了手术安全性及手术质量。With this device, when the balloon I21 and the balloon II22 are not inflated, the implanted system is sent into the aorta through the carotid artery puncture, and when the balloon I21 and the balloon II22 are in the blood supply of the operation site, they are passed through the trachea I31 and The air delivery tube II32 inflates the balloon I21 and the balloon II22 respectively, and the balloon I21 and the balloon II22 are in close contact with the inner wall of the aortic vessel after being inflated, thus blocking the blood conduction hole; and because the catheter 1 is a through-tube structure , the blockage formed by the balloon I21 and the balloon II22 is limited to the part between the balloon I21 and the balloon II22 and outside the catheter 1, the blood pumped by the heart can still be output to the distal organs through the catheter 1, and the The part where the blood does not circulate is the surgical site, so that there is no blood in the area that needs surgical operation (as shown in Figure 3, the arrow in the figure is the direction of blood flow), so that the incision can be performed safely and the safety of the operation is improved. and surgical quality.

本实施例中,该阻断装置还包括充气系统,所述充气系统通过输气管Ⅰ31控制球囊Ⅰ21的充放气,所述充气系统通过输气管Ⅱ32控制球囊Ⅱ22的充放气;输气管Ⅰ31、输气管Ⅱ32独立作用,互不干涉;充气系统只要能够实现球囊Ⅰ21、球囊Ⅱ22的充放气即可,其结构可采用现有的任意器件;例如,所述充气系统可包括手动气泵Ⅰ41及手动气泵Ⅱ42,所述手动气泵Ⅰ41通过输气管Ⅰ31与球囊Ⅰ21相连,所述手动气泵Ⅱ42通过输气管Ⅱ32与球囊Ⅱ22相连,通过该结构即可以纯手动的方式进行充气,而放气时也只需打开相应的气阀或者气嘴即可;当然,优选地,所述充气系统还可包括电动气泵Ⅰ51及电动气泵Ⅱ52,所述电动气泵Ⅰ51与手动气泵Ⅰ41并联后通过输气管Ⅰ31与球囊Ⅰ21相连,所述电动气泵Ⅱ52与手动气泵Ⅱ42并联后通过输气管Ⅱ32与球囊Ⅱ22相连,采用这一结构,充气时可先通过电动气泵Ⅰ51、电动气泵Ⅱ52对球囊Ⅰ21、球囊Ⅱ22进行充气,当球囊Ⅰ21、球囊Ⅱ22撑开到一定程度时,再通过手动气泵Ⅰ41、手动气泵Ⅱ42对球囊Ⅰ21、球囊Ⅱ22进行微调充气,既能降低医护人员的工作强度,又能够根据患者的实际情况有效控制充气量。In this embodiment, the blocking device also includes an inflation system, the inflation system controls the inflation and deflation of the balloon I21 through the air delivery tube I31, and the inflation system controls the inflation and deflation of the balloon II22 through the air delivery tube II32; the air delivery tube I31 and air delivery pipe II32 act independently and do not interfere with each other; as long as the inflation system can realize the inflation and deflation of the balloon I21 and the balloon II22, its structure can adopt any existing device; for example, the inflation system can include a manual Air pump I41 and manual air pump II42, the manual air pump I41 is connected to the balloon I21 through the air delivery tube I31, the manual air pump II42 is connected to the balloon II22 through the air delivery tube II32, through this structure, it can be inflated purely manually, while When deflated, it is only necessary to open the corresponding air valve or nozzle; of course, preferably, the inflation system may also include an electric air pump I51 and an electric air pump II52, and the electric air pump I51 is connected in parallel with the manual air pump I41 through the transmission The trachea I31 is connected to the balloon I21, and the electric air pump II52 is connected in parallel with the manual air pump II42 and then connected to the balloon II22 through the air delivery pipe II32. With this structure, the electric air pump I51 and the electric air pump II52 can be used to inflate the balloon I21 first. , balloon II22 to inflate, when the balloon I21 and balloon II22 are stretched to a certain extent, the manual air pump I41 and manual air pump II42 are used to fine-tune the inflation of balloon I21 and balloon II22, which can reduce the workload of medical staff Intensity, and can effectively control the amount of inflation according to the actual situation of the patient.

本实施例中,所述充气系统还包括四通Ⅰ61、四通Ⅱ62、控制器63、显示器64、警报器Ⅰ65及警报器Ⅱ66;控制器63可为现有的单片机;所述四通Ⅰ61的两个进气端分别连接电动气泵Ⅰ51的出气端及手动气泵Ⅰ41的出气端,所述四通Ⅰ61的两个进气端分别连接输气管Ⅰ31及一用于实时探测输气管Ⅰ31内气压的气压传感器Ⅰ71;所述气压传感器Ⅰ71的信号输出端连接于控制器63的信号输入端,所述控制器63的信号输出端分别与电动气泵Ⅰ51、警报器Ⅰ65及显示器64的信号输入端相连;输气管Ⅰ31内的气压可表征球囊Ⅰ21的充盈程度,气压越大表示球囊Ⅰ21膨胀得越充分,因此通过对气压的监控和充气的控制可调节球囊Ⅰ21大小,对于球囊Ⅱ22也是同理;所述四通Ⅱ62的两个进气端分别连接电动气泵Ⅱ52的出气端及手动气泵Ⅰ41的出气端,所述四通Ⅱ62的两个进气端分别连接输气管Ⅱ32及一用于实时探测输气管Ⅱ32内气压的气压传感器Ⅱ72;所述气压传感器Ⅱ72的信号输出端连接于控制器63的信号输入端,所述控制器63的信号输出端分别与电动气泵Ⅱ52及警报器Ⅱ66的信号输入端相连;气压传感器Ⅰ71、气压传感器Ⅱ72所测得的气压大小会在显示器64中进行显示,从而便于医护人员随时观察;在控制器63中还设有控制阈值,当气压达到阈值时,控制器63向电动气泵Ⅰ51、电动气泵Ⅱ52发出停止信号,同时向警报器Ⅰ65及警报器Ⅱ66发出启动信号,以提醒医护人员,从而可有效避免过度充气,大大提高了手术安全性。In the present embodiment, the inflation system also includes a four-way I61, a four-way II62, a controller 63, a display 64, an alarm I65 and an alarm II66; the controller 63 can be an existing single-chip microcomputer; the four-way I61 The two air inlets are respectively connected to the air outlet of the electric air pump I51 and the air outlet of the manual air pump I41, and the two air inlets of the four-way I61 are respectively connected to the air pipe I31 and an air pressure sensor for real-time detection of the air pressure in the air pipe I31. Sensor I71; the signal output end of the air pressure sensor I71 is connected to the signal input end of the controller 63, and the signal output end of the controller 63 is respectively connected to the signal input ends of the electric air pump I51, the alarm I65 and the display 64; The air pressure in the trachea I31 can represent the filling degree of the balloon I21. The greater the air pressure, the more fully the balloon I21 is inflated. Therefore, the size of the balloon I21 can be adjusted by monitoring the air pressure and controlling the inflation, and the same is true for the balloon II22. The two inlet ends of the four-way II62 are respectively connected to the air outlet of the electric air pump II52 and the air outlet of the manual air pump I41, and the two inlet ends of the four-way II62 are respectively connected to the air pipe II32 and one for real-time detection The air pressure sensor II72 of the air pressure in the air pipe II32; the signal output end of the air pressure sensor II72 is connected to the signal input end of the controller 63, and the signal output end of the controller 63 is respectively connected to the signal input of the electric air pump II52 and the alarm II66 The air pressure measured by the air pressure sensor I71 and the air pressure sensor II72 will be displayed on the display 64, so that it is convenient for the medical staff to observe at any time; a control threshold is also set in the controller 63. When the air pressure reaches the threshold, the controller 63 sends a stop signal to the electric air pump I51 and electric air pump II52, and at the same time sends a start signal to the alarm I65 and alarm II66 to remind the medical staff, thereby effectively avoiding excessive inflation and greatly improving the safety of the operation.

本实施例中,所述充气系统还包括一设有控制按键68的主机67,所述显示器64、警报器Ⅰ65及警报器Ⅱ66均安装在主机67上;所述主机67中设有缓冲腔67a,所述缓冲腔67a中设有可沿缓冲腔67a上下滑动的滑动板69,所述电动气泵Ⅰ51及电动气泵Ⅱ52的底部均在滑动板69上;主机67安装充气系统部件的主体,有利于系统的紧凑化,便于运输及使用;控制器63设在主机67内,控制按键与控制器63相连,通过控制按键可对充气系统进行主动控制;充气系统中的用电部件可通过市电进行供电;缓冲腔67a的截面可为方形或者圆形;滑动板69的形状则与缓冲腔67a适应,缓冲腔67a的内壁可设置滑轨,滑动板69安装在滑轨上以进行有导向的上下滑动;电动气泵Ⅰ51及电动气泵Ⅱ52在工作时容易产生振动及位移,将其设在缓冲腔67a中可对振动进行缓冲,从而降低其工作时的噪音,并延长部件使用寿命。In this embodiment, the inflation system also includes a host 67 with control buttons 68, the display 64, alarm I 65 and alarm II 66 are all installed on the host 67; the host 67 is provided with a buffer chamber 67a , the buffer chamber 67a is provided with a sliding plate 69 that can slide up and down along the buffer chamber 67a, and the bottoms of the electric air pump I51 and the electric air pump II52 are all on the sliding plate 69; the host 67 is installed with the main body of the inflation system components, which is conducive to The compactness of the system is convenient for transportation and use; the controller 63 is set in the host 67, and the control buttons are connected to the controller 63, and the inflatable system can be actively controlled through the control buttons; Power supply; the section of the buffer cavity 67a can be square or circular; the shape of the sliding plate 69 is adapted to the buffer cavity 67a, the inner wall of the buffer cavity 67a can be provided with slide rails, and the sliding plate 69 is installed on the slide rails to carry out guided up and down Sliding; the electric air pump I51 and the electric air pump II52 are prone to vibration and displacement during work, and setting them in the buffer chamber 67a can buffer the vibration, thereby reducing the noise during work and prolonging the service life of the components.

本实施例中,所述滑动板69通过缓冲机构定位于缓冲腔67a;缓冲机构即为缓冲腔67a的缓冲部件;所述缓冲机构包括分别支撑在滑动板69底部四个边角处的第一组件及支撑在滑动板69底部中心的第二组件;所述第一组件包括导向筒801、导向柱802及弹簧Ⅰ803,所述弹簧Ⅰ803置于导向筒801中,所述导向柱802的上端固定于滑动板69底部、下端同轴伸入导向筒801并与弹簧Ⅰ803固定连接;所述第二组件包括包括上支架804、下支架805、第一连杆806、第二连杆807、第三连杆808、第四连杆809及弹簧Ⅱ810;所述上支架804固定在滑动板69底部,所述下支架805固定在缓冲腔67a底面;所述上支架804、第一连杆806、第二连杆807及下支架805依次铰接,所述上支架804、第三连杆808、第四连杆809及下支架805依次铰接,使得第一连杆806、第二连杆807、第三连杆808、第四连杆809形成平面铰链四杆机构,且所述弹簧Ⅱ810以平行于水平面的方式设在平面铰链四杆机构内部;电动气泵Ⅰ51及电动气泵Ⅱ52产生的振动传递至滑动板69,滑动板69向下运动时,弹簧Ⅰ803通过压缩形变而泄压,第一连杆806、第二连杆807、第三连杆808、第四连杆809均往外移动,此时平面铰链四杆机构发生形变,弹簧Ⅱ810被拉伸;在弹簧Ⅰ803及弹簧Ⅱ810的回复弹性作用下,第一连杆806、第二连杆807、第三连杆808、第四连杆809向内移动并逐渐复位,由此最大程度地对振动进行缓冲,有效防止了因充气系统的部件连接出现松动而影响系统精密度。In this embodiment, the sliding plate 69 is positioned in the buffer cavity 67a through a buffer mechanism; the buffer mechanism is the buffer component of the buffer cavity 67a; assembly and a second assembly supported at the center of the bottom of the sliding plate 69; the first assembly includes a guide cylinder 801, a guide column 802 and a spring I 803, the spring I 803 is placed in the guide cylinder 801, and the upper end of the guide column 802 is fixed The bottom and lower end of the sliding plate 69 coaxially extend into the guide cylinder 801 and are fixedly connected with the spring I 803; The connecting rod 808, the fourth connecting rod 809 and the spring II 810; the upper bracket 804 is fixed on the bottom of the sliding plate 69, and the lower bracket 805 is fixed on the bottom surface of the buffer chamber 67a; the upper bracket 804, the first connecting rod 806, the second The second connecting rod 807 and the lower bracket 805 are sequentially hinged, and the upper bracket 804, the third connecting rod 808, the fourth connecting rod 809 and the lower bracket 805 are sequentially hinged, so that the first connecting rod 806, the second connecting rod 807, the third The connecting rod 808 and the fourth connecting rod 809 form a planar hinge four-bar mechanism, and the spring II 810 is arranged inside the planar hinge four-bar mechanism in a manner parallel to the horizontal plane; the vibration generated by the electric air pump I51 and the electric air pump II52 is transmitted to the sliding plate 69. When the sliding plate 69 moves downward, the spring I 803 releases pressure through compression deformation, and the first connecting rod 806, the second connecting rod 807, the third connecting rod 808, and the fourth connecting rod 809 all move outward. At this time, the plane hinge The four-bar mechanism is deformed, and the spring II 810 is stretched; under the elastic recovery action of the spring I 803 and the spring II 810, the first connecting rod 806, the second connecting rod 807, the third connecting rod 808, and the fourth connecting rod 809 move inward And gradually reset, thereby buffering the vibration to the greatest extent, effectively preventing the system precision from being affected by the loose connection of the parts of the inflatable system.

最后说明的是,本文应用了具体个例对本发明的原理及实施方式进行了阐述,以上实施例的说明只是用于帮助理解本发明的核心思想,在不脱离本发明原理的情况下,还可对本发明进行若干改进和修饰,这些改进和修饰也落入本发明的保护范围内。Finally, it is explained that this paper uses specific examples to illustrate the principles and implementation methods of the present invention. The descriptions of the above embodiments are only used to help understand the core idea of the present invention. Several improvements and modifications are made to the present invention, and these improvements and modifications also fall within the protection scope of the present invention.

Claims (10)

10. the occluding device according to claim 9 for operation on aorta, it is characterised in that: the sliding panel passes throughBuffer gear is positioned at cushion chamber;The buffer gear includes the first assembly for being respectively supported at four edges in sliding panel bottomAnd it is supported on the second component of sliding panel bottom centre;The first assembly includes guide cylinder, guide post and spring I, the bulletSpring I is placed in guide cylinder, the upper end of the guide post be fixed on sliding panel bottom, lower end coaxially protrude into guide cylinder and with spring IIt is fixedly connected;Second component includes connecting including upper bracket, lower bracket, first connecting rod, second connecting rod, third connecting rod, the 4thBar and spring II;The upper bracket is fixed on sliding panel bottom, and the lower bracket is fixed on cushion chamber bottom surface;The upper bracket,First connecting rod, second connecting rod and lower bracket are successively hinged, and the upper bracket, third connecting rod, fourth link and lower bracket are successively cut with scissorsConnect so that first connecting rod, second connecting rod, third connecting rod, fourth link formed planar pivot four-bar mechanism, and the spring II withThe mode for being parallel to horizontal plane is located inside planar pivot four-bar mechanism.
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