Thrombus aspiration catheter with telescopic thrombus block crushing assemblyTechnical Field
The invention relates to the technical field of medical instruments, in particular to a thrombus suction catheter with a telescopic thrombus block crushing assembly.
Background
Acute Myocardial Infarction (AMI) is that on the basis of coronary artery pathological changes, coronary artery blood supply is sharply reduced or interrupted, so that corresponding myocardium is seriously and durably subjected to acute ischemia to cause myocardial necrosis, the AMI is extremely dangerous to occur, and the fatal disability rate is high. Since atherosclerosis is the pathological basis for acute cardiovascular and cerebrovascular events, the main causes of acute cardiovascular events are local atherosclerotic plaque rupture and thrombosis, and thrombosis depends on the vulnerability of the atherosclerotic plaque, which is prone to plaque rupture and thrombosis, resulting in the occurrence of acute coronary syndrome.
The thrombus suction is a new method applied to clinic in recent years, and aims to quickly draw out thrombus blocking a diseased blood vessel through mechanical action, theoretically reduce thrombus load and microvascular embolism, change blood flow of coronary artery, reduce incidence rate of postoperative 'slow blood flow' and 'no-reflow', and further verify clinically, through a thrombus suction catheter and by combining with medicaments, the incidence rate of no-reflow can be obviously reduced, the blood flow of a target blood vessel is improved, clinical prognosis is improved, good near-term and far-term effects are achieved for treating patients suffering from acute myocardial infarction, and after the thrombus suction is applied, a stent can be directly implanted in cases with 2/3 without balloon pre-expansion, so that medical cost is saved.
The thrombus suction is mainly divided into a manual thrombus suction catheter and a mechanical thrombus suction device, and the principle of manual suction of the manual thrombus suction catheter is to suck out thrombus by using negative pressure generated by suction of an injector. The suction device consists of basic components such as a suction duct, a pressure extension tube, a suction syringe, a suction filter screen and the like, wherein the suction duct is generally provided with a lockable joint or a tee joint. Mechanical thrombus suction devices can be divided into two main categories according to the working principle: one is the removal of thrombi (such as Rescue and TVAC) by negative pressure suction with a mechanical vacuum pump, similar in principle to a manual thrombi aspiration catheter, except that the negative pressure suction is generated by a mechanical vacuum pump. While negative pressure is continuously formed, the thrombus is sucked by slowly pushing and withdrawing the catheter. The other type of mechanical thrombus aspiration device is used for mechanically crushing and discharging thrombus out of the body, and can be divided into mechanical rotary cutting and fluid crushing according to different thrombus crushing mechanisms.
For example, patent application No. CN102319097A discloses a thrombus aspiration catheter, which comprises a catheter tube seat connecting catheter, wherein a sleeve is movably sleeved on the outer wall of the aspiration tube, the sleeve comprises a Y-shaped connector, a double-cavity tube and a balloon, the Y-shaped connector is connected with the double-cavity tube, and the balloon is arranged on the outer wall of the far end of the double-cavity tube; an interference wire may be inserted into the aspiration tube, with a distal end of the interference wire extending beyond the distal end of the aspiration tube. The suction catheter can rapidly remove thrombus spread in a wide area of a blood vessel and treat embolism of coronary peripheral microvasculature; when thrombus with large volume and high viscosity is encountered, the interference metal wire can be used for scattering the thrombus and then sucking the thrombus, so that the thrombus which is difficult to suck can be treated by the invention. Although the technical scheme solves the problems of large suction volume and high viscosity thrombus, certain defects still exist. First, the head end of the suction tube is a beveled opening, which is convenient for the puncture of the suction tube to enter, but also has the risk of misoperation and puncture of the head end to the blood vessel. Secondly, the operation of breaking up the thrombus and the suction operation can not be carried out simultaneously, the operation of breaking up the thrombus can not be carried out during suction, the suction can not be carried out during the breaking up of the thrombus, the parts need to be frequently replaced between the two operations, the operation is complex, and the suction efficiency is low.
Disclosure of Invention
The invention aims to solve the defects in the prior art and provides a thrombus suction catheter with a telescopic thrombus mass breaking assembly.
In order to solve the technical problems, the invention provides the following technical scheme: a thrombus suction catheter with a telescopic thrombus block crushing assembly comprises a suction tube, a multi-channel tube seat and a crushing assembly, wherein the suction tube is composed of an inner tube and an outer tube, an annular medicine injection channel is formed between the inner tube and the outer tube, a medicine outlet hole is formed in a tube body of the outer tube close to a head end, the tail ends of the inner tube and the outer tube are arranged in a sealed mode, the multi-channel tube seat is composed of a main tube body, a medicine injection branch tube and a suction branch tube, the medicine injection branch tube and the suction branch tube are symmetrically arranged on the side wall of the main tube body, the main tube body is sleeved at the tail part of the suction tube, the head end of the medicine injection branch tube is communicated with the annular medicine injection channel, the suction branch tube is communicated with the inner part of the inner tube, the crushing assembly comprises a control channel tube, a rotating shaft, a control rod and a crushing unit, the control channel tube penetrates, the pivot is worn to establish in the control channel is intraductal, and crushing unit includes first sleeve, second sleeve and crushing pole, and crushing pole comprises the body of rod that two head ends are articulated together, and the tail end of the two bodies of rod articulates respectively on first sleeve and second sleeve, and the fixed cover of first sleeve is established in the pivot, and second sleeve slip cover is established in the pivot, and the control lever is used for driving the axial displacement of second sleeve along the pivot.
As a further optimization of the thrombus aspiration catheter with the telescopic thrombus mass fragmentation assembly of the present invention: the pivot is the cavity axis body, and the lateral wall symmetry of pivot is provided with two rectangular shape through-holes, and the control lever wears to establish in the pivot, and the head end of control lever is provided with the connecting rod, and the both ends of connecting rod pass the rectangular shape through-hole in both sides respectively and are connected with second sleeve inner wall.
As a further optimization of the thrombus aspiration catheter with the telescopic thrombus mass fragmentation assembly of the present invention: the tail end of the rotating shaft is provided with a control handle in a rotating mode through threaded connection, the lower end of the control handle is provided with a ball groove, the tail end of the control rod is provided with a ball head, and theball head 3/4 of the control rod is partially embedded into the ball groove.
As a further optimization of the thrombus aspiration catheter with the telescopic thrombus mass fragmentation assembly of the present invention: the head end of the suction pipe is of a flat-head structure, and the crushing unit comprises two crushing rods which are symmetrically arranged.
As a further optimization of the thrombus aspiration catheter with the telescopic thrombus mass fragmentation assembly of the present invention: the head end of the suction pipe is of a beveling structure, and the crushing assembly further comprises a top cover arranged at the head end of the rotating shaft.
As a further optimization of the thrombus aspiration catheter with the telescopic thrombus mass fragmentation assembly of the present invention: the control channel pipe is a reducing pipe body, and the head end of the control channel pipe is an expanding pipe body and used for accommodating the crushing unit.
As a further optimization of the thrombus aspiration catheter with the telescopic thrombus mass fragmentation assembly of the present invention: the side wall of the outer tube close to the head end is provided with a medicine outlet hole.
As a further optimization of the thrombus aspiration catheter with the telescopic thrombus mass fragmentation assembly of the present invention: the end of the outer tube is provided with a plurality of medicine outlet holes which are distributed annularly.
As a further optimization of the thrombus aspiration catheter with the telescopic thrombus mass fragmentation assembly of the present invention: the medicine injection branch pipe and the suction branch pipe are arranged at an included angle of 60 degrees with the main pipe body.
Advantageous effects
The thrombus suction catheter is provided with the contractible thrombus crushing assembly, the crushing assembly is contracted in the suction catheter during normal suction, suction operation cannot be influenced, when thrombus with large volume and high viscosity is encountered, the crushing assembly is unfolded, and massive thrombus can be crushed by the crushing assembly so as to smoothly enter the suction catheter;
secondly, the thrombus suction catheter is designed with the top cover, the top cover can avoid damaging blood vessels in the process of placing the suction tube, and the safety coefficient is high.
Drawings
FIG. 1 is a schematic view showing the construction of a thrombus aspiration catheter (the crushing assembly is in a contracted state) according to example 1;
FIG. 2 is a schematic view showing the construction of a thrombus aspiration catheter (with the crushing assembly in an extended state) according to example 1;
FIG. 3 is a schematic view showing the construction of a thrombus aspiration catheter (in a crushed state by the crushing assembly) in example 1;
FIG. 4 is an enlarged view of a portion of FIG. 3 at A;
FIG. 5 is an enlarged view of a portion of FIG. 3 at B;
FIG. 6 is a schematic view showing the construction of a thrombus aspiration catheter (the crushing assembly is in a contracted state) according to example 2;
FIG. 7 is a schematic view showing the construction of a thrombus aspiration catheter (in a crushed state by the crushing assembly) in example 2;
FIG. 8 is an enlarged partial view of the thrombus aspiration catheter of example 3 at the aspiration tip;
FIG. 9 is a schematic view showing the connection of the control rod and the second sleeve of the thrombus aspiration catheter in accordance with example 1;
the labels in the figure are: 1. the device comprises a suction pipe, 2 parts of a multi-channel pipe seat, 3 parts of a crushing assembly, 1-1 part of an inner pipe, 1-2 parts of an outer pipe, 1-3 parts of a medicine outlet hole, 2-1 part of a main pipe body, 2-2 parts of a medicine injection branch pipe, 2-3 parts of a suction branch pipe, 3-1 part of a control channel pipe, 3-2 parts of a rotating shaft, 3-3 parts of a top cover, 3-4 parts of a control rod, 3-5 parts of a first sleeve, 3-6 parts of a second sleeve, 3-7 parts of a crushing rod, 3-8 parts of a long-strip-shaped through hole, 3-9 parts of a connecting rod, 3-10 parts of a.
Detailed Description
The following detailed description of the preferred embodiments will be made with reference to the accompanying drawings.
Example 1
As shown in the figure: the utility model provides a thrombus suction catheter with broken subassembly of telescopic thrombus piece, includessuction tube 1,multichannel tube socket 2 andbroken subassembly 3, in patient's artery can be put into to the head end ofsuction tube 1,multichannel tube socket 2 is connected at the afterbody ofsuction tube 1 for to carrying out the operation of notes medicine, thrombus suction and crushing function in thesuction tube 1,broken subassembly 3 is used for smashing the thrombus of bulky high ropy. Thesuction tube 1 is composed of an inner tube 1-1 and an outer tube 1-2, the head ends and the tail ends of the inner tube 1-1 and the outer tube 1-2 are sealed through ring plates, an annular medicine injection channel is formed between the inner tube 1-1 and the outer tube 1-2, a medicine outlet 1-3 is formed in the side wall of the outer tube 1-2 close to the head ends, and thrombolytic medicines in the annular medicine injection channel enter the artery of a patient through the medicine outlet 1-3. Themulti-channel tube seat 2 is composed of a main tube body 2-1, a medicine injection branch tube 2-2 and a suction branch tube 2-3, the medicine injection branch tube 2-2 and the suction branch tube 2-3 are symmetrically arranged on the side wall of the main tube body 2-1, an included angle of 60 degrees is formed between the medicine injection branch tube 2-2 and the suction branch tube 2-3 and the main tube body 2-1, the main tube body 2-1 is sleeved at the tail of thesuction tube 1, the tail end of thesuction tube 1 extends out of the main tube body 2-1, the head end of the medicine injection branch tube 2-2 is communicated with the annular medicine injection channel, the suction branch tube 2-3 is communicated with the inner part of the inner tube 1-1, thrombolytic medicines can be input into the annular medicine injection channel through the medicine injection branch tube 2-2, and thrombus extracted from the inner tube 1-1 can. Thecrushing assembly 3 comprises a control channel pipe 3-1, a rotating shaft 3-2, a control rod 3-4 and a crushing unit, wherein the control channel pipe 3-1 penetrates through the inner pipe 1-1 along the axial direction of the inner pipe 1-1, the control channel pipe 3-1 is a reducing pipe body, and the head end of the control channel pipe 3-1 is an expanding pipe body and used for accommodating the crushing unit. The head end of the control channel pipe 3-1 is connected with the inner pipe 1-1 through a support rib, the tail end of the control channel pipe 3-1 extends out of the tail part of thesuction pipe 1, and the position where the control channel pipe 3-1 penetrates out needs to be provided with some conventional sealing structures in order to prevent the leakage of suction liquid. The rotating shaft 3-2 penetrates through the control channel pipe 3-1, a conventional sealing structure is also arranged between the rotating shaft 3-2 and the control channel pipe 3-1 to prevent the pumping liquid from leaking from a gap between the rotating shaft 3-2 and the control channel pipe 3-1, the head end of thepumping pipe 1 is of a flat head structure, the crushing unit comprises two crushing rods 3-7 which are symmetrically arranged, the top cover 3-3 is of a horn-shaped structure, the large-diameter end of the top cover 3-3 is fixedly connected with the head end of the rotating shaft 3-2, and the horn-shaped structure of the top cover 3-3 is beneficial to thepumping pipe 1 to move in an artery. The crushing unit comprises a first sleeve 3-5, a second sleeve 3-6 and a crushing rod 3-7, wherein the crushing rod 3-7 is composed of two rod bodies with hinged head ends, the tail ends of the two rod bodies are respectively hinged to the first sleeve 3-5 and the second sleeve 3-6, the first sleeve 3-5 is fixedly sleeved on the rotating shaft 3-2, the second sleeve 3-6 is slidably sleeved on the rotating shaft 3-2, the control rod 3-4 is used for driving the second sleeve 3-6 to move along the axial direction of the rotating shaft 3-2, the tail end of the rotating shaft 3-2 extends out of the control channel pipe 3-1 and is arranged to push and pull the rotating shaft 3-2, and the crushing unit can move along the axial direction of the control channel pipe 3-1.
The second sleeve 3-6 performs the control of the sliding by the following structure: the rotating shaft 3-2 is a hollow shaft body, two elongated through holes 3-8 are symmetrically formed in the side wall of the rotating shaft 3-2, the control rod 3-4 penetrates through the rotating shaft 3-2, the connecting rod 3-9 is arranged at the head end of the control rod 3-4, and two ends of the connecting rod 3-9 penetrate through the elongated through holes 3-8 in the two sides respectively to be connected with the inner wall of the second sleeve 3-6. The tail end of the rotating shaft 3-2 is provided with a control handle 3-10 in a screwed mode through threaded connection, the lower end head of the control handle 3-10 is provided with a ball groove, the tail end of the control rod 3-4 is provided with a ball head, and theball head 3/4 of the control rod 3-4 is partially embedded into the ball groove.
The structural principle and the using method of the thrombus suction catheter of the embodiment are as follows: through femoral artery or radial artery puncture, the head end of a suction tube is placed into an artery of a patient and reaches the occlusion part of a blood vessel, a suction device is started, an external negative pressure device is utilized to continuously suck negative pressure to suck thrombus into the suction tube and discharge the thrombus, when the thrombus with large volume and high viscosity is encountered, a rotating shaft is pushed to move forwards to enable a crushing unit to extend out of a control channel tube, then a control handle is rotated to push the control rod to move forwards, the control rod drives a second sleeve to move forwards, the crushing rod is unfolded along with the reduction of the distance between the first sleeve and the second sleeve, at the moment, a crushing rod piece is driven to rotate by manually rotating the rotating shaft back and forth to crush large-block thrombus, the crushed thrombus is directly sucked into the suction tube to be discharged, when the crushing is not needed, the control handle is rotated reversely to drive the control rod to move backwards, the control rod drives the second sleeve to move backwards, along with the distance between first sleeve and the second sleeve grow, broken pole is by shrink, then pulls out the pivot backward, and it can to make crushing unit take in the control channel pipe. When the medicine needs to be injected, the medicine injector is connected with the medicine injection branch pipe, the injector is pushed, the medicine enters the annular medicine injection channel and enters the blood vessel of a patient through the medicine outlet, and the medicine thrombolysis operation is carried out.
Example 2
As shown in the figure: a thrombus aspiration catheter with a retractable thrombus mass breaking assembly, the basic structure of which is the same as that of example 1 except that: the head end of thesuction pipe 1 is of a beveling structure, the crushingassembly 3 further comprises a top cover 3-3 arranged at the head end of the rotating shaft 3-2, thesuction pipe 1 of the beveling structure is provided with a large thrombus suction inlet, but when a sharp thorn formed by the beveling structure travels in a blood vessel, the sharp thorn end of the beveling structure easily scratches the blood vessel wall.
Example 3
As shown in the figure: a thrombus aspiration catheter with a retractable thrombus mass breaking assembly, the basic structure of which is the same as that of example 1 except that: the end of the outer tube 1-2 is provided with a plurality of drug outlet holes 1-3 which are distributed annularly, different from theembodiment 1, the drug outlet holes 1-3 of the embodiment are arranged on the end surface of the tube opening and arranged towards the suction direction, so that the drugs can directly reach the thrombus blockage position, and in order to prevent the injected drugs from being directly sucked into the suction tube, the suction operation is stopped during the drug injection process.
Although the present invention has been described with reference to a preferred embodiment, it should be understood that various changes, substitutions and alterations can be made herein without departing from the spirit and scope of the invention as defined by the appended claims.