A method of prevent pacemaker electrode conducting wire from slidingTechnical field
The present invention relates to the field of medical instrument technology, and in particular to a method of prevent pacemaker electrode conducting wire from sliding.
Background technique
It is intracorporal for replacing or supplementing normal excitement and control systaltic that pacemaker is that one kind is implanted inElectronic therapeutic instrument, it is periodically provided by impulse generator and provides the electric pulse of energy by battery, by lead electrodeConduction, the cardiac muscle that stimulating electrode is contacted makes heartbeat and contraction, to reach treatment sinus arrest, sino atrial block, sinusThe purpose of the property heart diseases such as bradycardia or tachycardia.With the research and development of pacemaker function, electrode cable also has automaticallyThe functions such as defibrillation, left ventricular pacing.The electrode cable thickness of different performance is different, suppleness is different；And performance is more complicatedPacemaker, electrode cable are often more.
If patient size is short and small, heart is little, electrode cable is often outside vein in pacemaker implantation processIt is remaining more, if extra electrode cable presses closer pouch side wall, it is easy for causing pouch skin tension excessive or even occursLocal damage causes surgical wound secondary damage.And the relaxation of the subcutaneous tissue of chest of gerontal patient or obese patient, extra electricityPolar conductor be easy to cause pouch overrelaxation.If patient, which also suffers from underlying diseases, leads to malnutritive or progressive emaciation, can makeExtra electrode cable surrounding annulus forms bad, and then pouch is thinning, is easy damaged infection.And cardiac pacemaker electrodes are ledWhen line is more, situation is increasingly complex, therefore it is necessary to fixed extra electrode during pacemaker implant surgeryConducting wire prevents its sliding.
But in the prior art, the remaining part of cardiac pacemaker electrodes conducting wire is often only in a direction direct by itIt is coiled in the method below pacemaker to be handled, electrode cable is not fixed, it is disorderly and unsystematic, very loosely, it is easyIt slides, there are above-mentioned numerous risks.
Summary of the invention
According to the deficiencies of the prior art described above, It is an object of the present invention to provide one kind to prevent pacemaker electrode conducting wireThe method of sliding, this method, which passes through, applies independent binding piece, can be needed that extravascular electrode cable is arranged according to clinic anySite is assembly place, and electrode cable is made to assemble fixed bunchy at the assembly place, so that reaching prevents electrode cable from scattering, and is tiedBandaging piece can be further secured on the wall of the chest fascia tissue of subcutaneous tissue pouch bottom to realize the purpose for preventing sliding.
The object of the invention realization is completed by following technical scheme:
A method of prevent pacemaker electrode conducting wire from sliding, the method is related to pacemaker and its several electrode cables, specialSign is the described method comprises the following steps: in several located subcutaneously tissue pouches of electrode cable；In the electrode cableUpper setting assembly place；Several electrode cables are made to assemble fixed bunchy at the assembly place.
The set-up mode of the assembly place are as follows: several electrode cables are fixed into bunchy to form the collection with binding pieceNode.
The binding piece is any one or two kinds in electrode cable fixing clamp and nonabsorable suture.
The both ends of the electrode cable fixing clamp offer hole, and the electrode cable fixing clamp runs through its both ends by sutureThe hole tie up the fixed bunchy of assembly to several electrode cables.
The electrode cable fixing clamp is opening-like corrosion-resistant annulus, and described corrosion-resistant annulus one end has pin thread,The other end has female thread compatible with the pin thread.
The setting quantity of the assembly place is at least 1.
It, will be described while several electrode cables are fixed bunchy to form the assembly place with the binding pieceBinding piece is fixed on the wall of the chest fascia tissue of subcutaneous tissue pouch bottom.
The invention has the advantages that operating process is easy, only by the way that assembly place is arranged on electrode cable, and make electrode cableAssemble fixed bunchy at assembly place, can prevent electrode cable from scattering and slide, to reduce the wind of leather bag ulceration infectionDanger.
Detailed description of the invention
Fig. 1 is the antiskid fixed structure signal for being provided with single binding piece in the present invention on pacemaker electrode conducting wireFigure；
Fig. 2 is the antiskid fixed structure schematic diagram being arranged on pacemaker electrode conducting wire in the present invention there are two binding piece；
Fig. 3 is the schematic diagram for assembling fixed electrode cable in the present invention using corrosion-resistant annulus；
Fig. 4 is the structural schematic diagram of corrosion-resistant split ring in the present invention；
Fig. 5 is the schematic diagram for assembling fixed electrode cable in the present invention using corrosion-resistant split ring.
Specific embodiment
Feature of the invention and other correlated characteristics are described in further detail by embodiment below in conjunction with attached drawing, withConvenient for the understanding of technical staff of the same trade:
Such as Fig. 1-5, label 1-9 is respectively as follows: pacemaker 1, electrode cable 2, right atrial electrode head end 3a, right ventricular electrode head in figureHold 3b, left ventricular electrode head end 3c, binding piece 4, fixation hole 5, corrosion-resistant annulus 6, convex block 6a, groove 6b, corrosion-resistant split ring7, hole 8, adapter of plastic 9.
Embodiment 1: as shown in Figs. 1-2, the present embodiment is specifically related to a kind of method for preventing pacemaker electrode conducting wire from sliding,The main part of pacemaker 1 is connected with each of three electrodes conducting wire 2 through adapter of plastic 9, and three ends of each of three electrodes conducting wire 2 are respectivelyRight atrial electrode head end 3a, right ventricular electrode head end 3b and left ventricular electrode head end 3c are assembled by being arranged on electrode cable 2Point makes each of three electrodes conducting wire 2 assemble fixed bunchy at assembly place, to prevent electrode cable 2 from sliding.
As shown in Figure 1, 2, the method for preventing the electrode cable 2 on pacemaker 1 from sliding in the present embodiment specifically includes followingStep: according to clinical demand, quantity and the setting position of assembly place are selected, assembly place can be set in blood vessel dispatch from foreign news agency polar conductor 2Any position, and the quantity of assembly place can be as shown in figure 1 single or such as two in Fig. 2, even more；Make threeRoot electrode cable 2 mutually draws close setting, later ties up each of three electrodes conducting wire 2 for drawing close setting using binding piece 4, makes threeRoot electrode cable 2 assembles fixed bunchy and forms an assembly place, and binding piece 4 herein specifically uses nonabsorable suture；According toBinding piece 4 can further be sutured the wall of the chest fascia tissue for being fixed on subcutaneous tissue pouch bottom by clinical demand, medical workerOn, prevent it from generating sliding while preventing electrode cable 2 from scattering.
As shown in Figs. 1-2, for the fixation for suture through fixation there are two being also set up in the upper edge of adapter of plastic 9Hole 5, during implantable pacemaker 1, in addition to the aforementioned binding piece 4 that is arranged on electrode cable 2 is by the assembly fixation of electrode cable 2Bunchy constitutes electrode cable 2 and assembly place except antiskid fixed structure, also needs to pass through consolidating on adapter of plastic 9 using sutureHole 5 is determined to fix fixation hole 5 with the subcutaneous tissue suture of patient, to prevent the main body of pacemaker 1 from generating sliding.
The beneficial effect of the present embodiment is: by the way that assembly place is arranged on electrode cable, making electrode cable at assembly placeAssemble fixed bunchy, achieve the purpose that prevent electrode cable from scattering and sliding, to reduce the risk of leather bag ulceration, improvesThe success rate of operation.
Embodiment 2: as shown in Figure 1-3, the present embodiment is specifically related to a kind of method for preventing pacemaker electrode conducting wire from sliding,The main part of pacemaker 1 is connected with each of three electrodes conducting wire 2 through adapter of plastic 9, and three ends of each of three electrodes conducting wire 2 are respectivelyRight atrial electrode head end 3a, right ventricular electrode head end 3b and left ventricular electrode head end 3c are assembled by being arranged on electrode cable 2Point makes each of three electrodes conducting wire 2 assemble fixed bunchy at assembly place, to prevent electrode cable 2 from sliding.
As shown in Figure 1-3, the method for preventing the electrode cable 2 on pacemaker 1 from sliding in the present embodiment specifically include it is followingStep: according to clinical demand, quantity and the setting position of assembly place are selected, assembly place can be set in blood vessel dispatch from foreign news agency polar conductor 2Any position, and the quantity of assembly place can be as shown in figure 1 single or such as two in Fig. 2, even more；Make threeRoot electrode cable 2 mutually draws close setting, later ties up each of three electrodes conducting wire 2 for drawing close setting using binding piece 4, makes threeThe fixed bunchy of the assembly of root electrode cable 2 forms an assembly place, and binding piece 4 herein is specifically using as shown in Figure 3 corrosion-resistantAnnulus 6, in the annular shape of opening, one end has compatible with convex block 6a recessed corrosion-resistant annulus 6 with convex block 6a, the other endSlot 6b, only convex block 6a, which need to be inserted into groove 6b, when being tied up using corrosion-resistant annulus 6 to electrode cable 2 leads each electrodeLine 2 assembles fixed bunchy, convenient and efficient, and material used by corrosion-resistant annulus 6 can be plastics or high molecular material,The corrosiveness that human body fluid can be resisted, the longer-term persistence in human body, and the interference in magnetic field can be resisted；In addition, according to clinical needIt asks, binding piece 4 can be further secured on the wall of the chest fascia tissue of subcutaneous tissue pouch bottom by medical worker, prevent electricityPolar conductor 2 prevents it from generating sliding while scattering.
As shown in Figure 1-3, for the fixation for suture through fixation there are two being also set up in the upper edge of adapter of plastic 9Hole 5, during implantable pacemaker 1, in addition to the aforementioned binding piece 4 that is arranged on electrode cable 2 is by the assembly fixation of electrode cable 2Bunchy constitutes electrode cable 2 and assembly place except antiskid fixed structure, also needs to pass through consolidating on adapter of plastic 9 using sutureHole 5 is determined so that fixation hole 5 is tied fixation with the subcutaneous tissue of patient, to prevent the main body of pacemaker 1 from generating sliding.
Embodiment 3: as shown in Fig. 1,2,4,5, the present embodiment prevents pacemaker electrode conducting wire from sliding more particularly to a kind ofThe main part of method, pacemaker 1 is connected with each of three electrodes conducting wire 2, three ends of each of three electrodes conducting wire 2 through adapter of plastic 9Respectively right atrial electrode head end 3a, right ventricular electrode head end 3b and left ventricular electrode head end 3c, by being set on electrode cable 2Assembly place is set, so that each of three electrodes conducting wire 2 is assembled fixed bunchy at assembly place, to prevent electrode cable 2 from sliding.
The method for preventing the electrode cable 2 on pacemaker 1 from sliding as shown in Fig. 1,2,4,5, in the present embodiment specifically includesFollowing steps: according to clinical demand, quantity and the setting position of assembly place are selected, assembly place can be set leads in blood vessel external electrodeAny position of line 2, and the quantity of assembly place can be two in single or such as Fig. 2 as shown in figure 1, it is even more；So that each of three electrodes conducting wire 2 is mutually drawn close setting, later tied up each of three electrodes conducting wire 2 for drawing close setting using binding piece 4,So that each of three electrodes conducting wire 2 is assembled fixed bunchy and form an assembly place, binding piece 4 herein specifically uses as shown in Figure 4,5Corrosion-resistant split ring 7 offers hole 8 on two ends of corrosion-resistant split ring 7 respectively, is using corrosion-resistant 7 pairs of electricity of split ringWhen polar conductor 2 is tied up, by the corrosion-resistant split ring 7 around the winding of electrode cable 2 tie up after using suture through two hole 8And fixation of closing up, each electrode cable 2 is tied up into assembly bunchy, it is convenient and efficient, and material used by corrosion-resistant annulus 6 canTo be plastics or high molecular material, the corrosiveness of human body fluid can be resisted, the longer-term persistence in human body, and magnetic field can be resistedInterference；In addition, binding piece 4 can be further secured to the chest of subcutaneous tissue pouch bottom by medical worker according to clinical demandOn wall fascia tissue, prevent it from generating sliding while preventing electrode cable 2 from scattering.
As shown in Fig. 1,2,4,5, the upper edge of adapter of plastic 9 also set up there are two for for suture through fixedFixation hole 5, during implantable pacemaker 1, in addition to the aforementioned setting binding piece 4 on electrode cable 2 assembles electrode cable 2Fixed bunchy constitutes electrode cable 2 and assembly place except antiskid fixed structure, also needs to pass through on adapter of plastic 9 using sutureFixation hole 5 fixation hole 5 is tied fixation with the subcutaneous tissue of patient, thus prevent pacemaker 1 main body generate sliding.