CN110638501A - An ultrasonic balloon catheter system for cardiovascular lithotripsy - Google Patents
An ultrasonic balloon catheter system for cardiovascular lithotripsyDownload PDFInfo
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Abstract
Translated fromChineseDescription
Translated fromChinese技术领域technical field
本发明涉及医疗器械技术领域，具体涉及一种用于心血管碎石的超声波球囊导管系统。The invention relates to the technical field of medical devices, in particular to an ultrasonic balloon catheter system for cardiovascular lithotripsy.
背景技术Background technique
随着人口老年化的加剧及环境、饮食、生活习惯等因素的影响，血管钙化和(或)瓣膜钙化的发病人群在逐年增加。当血管出现钙化需要打通或出现轻微钙化形成的薄膜需要修复时，常规的做法是利用充气球囊预扩。这通常需要很大的压力，充气球囊在内部压力作用下逐渐扩张，直至球囊内的压力使得钙化病变破裂或爆裂，这同时可能对血管造成损伤。With the aging of the population and the influence of factors such as environment, diet, and living habits, the incidence of vascular calcification and/or valve calcification is increasing year by year. When the blood vessels are calcified and need to be opened or the thin film formed by slight calcification needs to be repaired, the conventional method is to pre-dilate with an inflatable balloon. This usually requires a lot of pressure, and the inflated balloon is gradually inflated by the internal pressure until the pressure inside the balloon ruptures or bursts the calcified lesion, which can also cause damage to the blood vessel.
国外的SHOCKWAVE MEDICAL公司把液电碎石技术应用在血管成形术或瓣膜钙化成形术中。它的基本原理是利用一定的电压，在充满液体的球囊内产生气泡，此气泡在极短的时间里坍塌，产生冲击波，从而达到碎石钙化病变组织的目的。该公司申请号为CN104519809A的专利公开了具有多个球囊的冲击波瓣膜成形术。此专利描述的是用于钙化心脏瓣膜治疗的冲击波装置和方法。冲击波装置的一个变型包括三个球囊，设置其中每个球囊的尺寸和形状以当球囊被液体充胀时匹配在瓣膜尖瓣的凹入部分内。每个球囊单独地并/或独立地可控。使用冲击波装置治疗钙化心脏瓣膜的方法包括将冲击波装置推进以接触心脏瓣膜，其中该冲击波装置具有一个或多个球囊并且在每个球囊中有冲击波源，该方法还包括采用液体充胀一个或多个球囊以致球囊安置在瓣膜尖瓣的凹入部分内，并且激活冲击波源。此方法在治疗瓣膜钙化上存在一个问题就是冲击方向均匀，导致某个方向收到连续冲击而其他方向收到冲击很少或没有；另外一个问题是一旦出现球囊破裂的情况，高压电压作用到人体，导致人体触电。另外一篇申请号为CN104582621A的专利，公开了用于血管成形冲击波导管的低剖面电极的专利也同样存在上述的问题。The foreign company SHOCKWAVE MEDICAL applies hydroelectric lithotripsy technology in angioplasty or valve calcification. Its basic principle is to use a certain voltage to generate bubbles in a liquid-filled balloon, and the bubbles collapse in a very short period of time to generate shock waves, so as to achieve the purpose of calcifying the diseased tissue with gravel. The company's patent application number CN104519809A discloses shock wave valvuloplasty with multiple balloons. This patent describes a shock wave device and method for the treatment of calcified heart valves. One variation of the shock wave device includes three balloons, each of which is sized and shaped to fit within the concave portion of the valve cusp when the balloon is inflated with liquid. Each balloon is individually and/or independently controllable. A method of treating a calcified heart valve using a shock wave device includes advancing the shock wave device to contact the heart valve, wherein the shock wave device has one or more balloons and a shock wave source in each balloon, the method further comprising inflating a shock wave device with a liquid or multiple balloons such that the balloons are seated within the concave portion of the valve cusp and activate the shock wave source. One problem with this method in the treatment of valve calcification is that the impact direction is uniform, resulting in continuous impact in one direction and little or no impact in other directions; another problem is that once the balloon ruptures, the high-voltage voltage acts on it. human body, causing electric shock to the human body. Another patent with an application number of CN104582621A, which discloses a patent with a low profile electrode for an angioplasty shock wave catheter, also has the above problems.
现有技术中，还有在其他部位，如尿道或胆道采用超声波进行碎石的技术，它是把超声波换能器直接作用于病变组织，利用超声波的传导使结石达到了共振频率而是结石破碎，且超声波换能器由于体积较大，不能直接把其引入到心血管碎石的技术领域。如直接引用，存在以下几个问题：1.超声波换能器为固态，不能适应不同的血管及不同的病变组织；2.超声波直接作用于血液，使血液产生气化现象，导致气栓的形成；3.超声波换能器直接作用于病变组织，没有缓冲作用，容易对血管造成损伤。In the prior art, there are other parts, such as the urethra or biliary tract, that use ultrasonic waves to carry out lithotripsy technology, which is to use the ultrasonic transducer directly on the diseased tissue, and use the conduction of ultrasonic waves to make the calculus reach the resonance frequency and break the calculus. , and the ultrasonic transducer cannot be directly introduced into the technical field of cardiovascular lithotripsy due to its large size. If directly quoted, there are the following problems: 1. The ultrasonic transducer is solid and cannot adapt to different blood vessels and different diseased tissues; 2. The ultrasonic directly acts on the blood, causing the blood to vaporize, resulting in the formation of air embolism. 3. The ultrasonic transducer acts directly on the diseased tissue without buffering effect, which is easy to cause damage to the blood vessels.
发明内容SUMMARY OF THE INVENTION
因此，为了克服现有技术中在心血管碎石领域内冲击波碎石术冲击不均匀且存在漏电危险的问题，从而提供一种在能够在心血管内利用超声波均匀碎石的的超声波球囊导管系统。Therefore, in order to overcome the problems in the prior art that shock wave lithotripsy has uneven impact and the risk of electric leakage in the field of cardiovascular lithotripsy, an ultrasonic balloon catheter system capable of uniform lithotripsy using ultrasonic waves in cardiovascular lithotripsy is provided.
本发明的设计方案如下：The design scheme of the present invention is as follows:
一种用于心血管碎石的超声波球囊导管系统，包括：超声波发生器；导管管体，一端与所述超声波发生器连接；球囊治疗端，设于所述导管管体远离所述超声波发生器的一端，所述球囊治疗端内设有若干单晶体超声波换能器和超声波接收器，所述单晶体超声波换能器通过所述导管管体与所述超声波发生器电连接；所述超声波发生器用于向所述超声波换能器输送电能，所述单晶体超声波换能器用于将电能转换为超声波震动进行碎石，所述超声波接收器用于接收超声波并转换为电信号。An ultrasonic balloon catheter system for cardiovascular lithotripsy, comprising: an ultrasonic generator; a catheter pipe body, one end of which is connected to the ultrasonic generator; a balloon treatment end, which is arranged on the catheter pipe body away from the ultrasonic wave One end of the generator, the balloon treatment end is provided with a number of single crystal ultrasonic transducers and ultrasonic receivers, and the single crystal ultrasonic transducer is electrically connected to the ultrasonic generator through the catheter tube body; the ultrasonic wave The generator is used for delivering electrical energy to the ultrasonic transducer, the single crystal ultrasonic transducer is used for converting the electrical energy into ultrasonic vibration for stone crushing, and the ultrasonic receiver is used for receiving ultrasonic waves and converting them into electrical signals.
优选的，各所述单晶体超声波换能器沿所述球囊治疗端的轴向呈圆周形排布。Preferably, each of the single crystal ultrasonic transducers is circumferentially arranged along the axial direction of the balloon treatment end.
优选的，所述导管管体包括注液腔，所述注液腔与所述球囊治疗端连通，所述球囊治疗端与所述导管管体密封连接。Preferably, the catheter tube body includes a liquid injection cavity, the liquid injection cavity is in communication with the balloon treatment end, and the balloon treatment end is sealedly connected to the catheter tube body.
优选的，所述导管管体包括导丝腔，所述球囊治疗端与所述导丝腔密封连接。Preferably, the catheter tube body includes a guide wire lumen, and the balloon treatment end is sealedly connected to the guide wire lumen.
优选的，所述导管管体远离所述球囊治疗端的一端还设有导管手柄，所述导管手柄上设有与所述注液腔相连通的注液接口和与所述导丝腔连通的导丝接口。Preferably, one end of the catheter body away from the balloon treatment end is further provided with a catheter handle, and the catheter handle is provided with a liquid injection port communicating with the liquid injection cavity and a liquid injection port communicating with the guide wire cavity. Guide wire interface.
优选的，所述单晶体超声波换能器包括振动片、陶瓷晶体和外壳，所述陶瓷晶体与所述外壳固定连接，所述振动片与所述陶瓷晶体贴合接触。Preferably, the single crystal ultrasonic transducer includes a vibrating plate, a ceramic crystal and a casing, the ceramic crystal is fixedly connected to the casing, and the vibrating plate is in contact with the ceramic crystal.
优选的，还包括终端，所述终端包括：人机交互模块；控制模块；超声波发送模块，包括所述超声波发生器，与所述球囊治疗端相连，所述控制模块接收所述人机交互模块的指令，并控制所述超声波发送模块工作；超声波接收模块，与所述球囊治疗端相连，接收所述超声波接收器的信号，并传送给所述控制模块。Preferably, it also includes a terminal, the terminal includes: a human-computer interaction module; a control module; an ultrasonic sending module, including the ultrasonic generator, connected to the balloon treatment end, and the control module receives the human-computer interaction The ultrasonic receiving module is connected to the balloon treatment end, receives the signal of the ultrasonic receiver, and transmits it to the control module.
优选的，所述导管手柄通过柔性连接管与所述终端可拆卸连接，所述导管管体包括导线腔，所述导线腔与所述柔性连接管相连所述导线腔和所述柔性连接管内设有连接所述终端和所述治疗端球囊的导线。Preferably, the catheter handle is detachably connected to the terminal through a flexible connecting tube, the catheter tube body includes a guide wire cavity, the guide wire cavity is connected to the flexible connecting tube, and the guide wire cavity and the flexible connecting tube are internally provided There is a wire connecting the terminal and the treatment end balloon.
优选的，所述球囊治疗端内设有压力传感器和温度传感器，所述压力传感器和所述温度传感器分别用于检测所述球囊治疗端内的液体压力和温度，所述压力传感器和所述温度传感器与所述控制模块连接。Preferably, the balloon treatment end is provided with a pressure sensor and a temperature sensor, and the pressure sensor and the temperature sensor are respectively used to detect the liquid pressure and temperature in the balloon treatment end, and the pressure sensor and the temperature sensor are respectively used to detect the liquid pressure and temperature in the balloon treatment end. The temperature sensor is connected to the control module.
优选的，所述终端还包括成像模块，所述成像模块接收所述超声波接收模块的信号并转换为图像并通过所述人机交互模块输出。Preferably, the terminal further includes an imaging module, and the imaging module receives the signal of the ultrasonic receiving module, converts it into an image, and outputs it through the human-computer interaction module.
本发明技术方案，具有如下优点：The technical scheme of the present invention has the following advantages:
1、本发明提供的一种用于心血管碎石的超声波球囊导管系统，包括：超声波发生器；导管管体，一端与所述超声波发生器连接；球囊治疗端，设于所述导管管体远离所述超声波发生器的一端，所述球囊治疗端内设有若干单晶体超声波换能器和超声波接收器，所述单晶体超声波换能器通过所述导管管体与所述超声波发生器电连接；所述超声波发生器用于向所述超声波换能器输送电能，所述单晶体超声波换能器用于将电能转换为超声波震动进行碎石，所述超声波接收器用于接收超声波并转换为电信号。本发明的超声波发生器将电能输送给单晶体超声波换能器再发射超声波，与现有技术通过高压电直接作用于液体产生气泡冲击波相比，本发明确保了冲击力相对均匀，在保证效率的同时减少了碎石后的残留。在采取超声波制造冲击的方案下，避免了球囊内存在高压电压从而可能存在的危险性，进而可以避免球囊在意外破损情况下，内部高压电压对人体产生危害。本发明利用超声波换能器把电能装换成超声波，超声波作用于球囊里的液体，液体在超声波的作用下，出现“空化”现象，此现象产生冲击力作用于球囊，球囊弹性震动再把震动力传导到钙化组织里，使钙化组织破裂。球囊能适应不同的血管和病变组织；“空化”现象在球囊内出现，不会出现在血液里；球囊的弹性震动作用于钙化组织，不会造成对血管的损伤，这样就成功的克服了现有技术存在的问题。1. An ultrasonic balloon catheter system for cardiovascular lithotripsy provided by the present invention includes: an ultrasonic generator; a catheter tube body, one end of which is connected to the ultrasonic generator; a balloon treatment end, which is arranged on the catheter The end of the tube body away from the ultrasonic generator, the balloon treatment end is provided with a number of single crystal ultrasonic transducers and ultrasonic receivers, and the single crystal ultrasonic transducer passes through the catheter tube body and the ultrasonic generator. Electrical connection; the ultrasonic generator is used to deliver electrical energy to the ultrasonic transducer, the single crystal ultrasonic transducer is used to convert electrical energy into ultrasonic vibration for rock crushing, and the ultrasonic receiver is used to receive ultrasonic waves and convert them into electrical signals . The ultrasonic generator of the present invention transmits electric energy to the single crystal ultrasonic transducer and then emits ultrasonic waves. Compared with the prior art, the high-voltage electricity directly acts on the liquid to generate bubble shock waves. At the same time, the residue after crushing is reduced. Under the scheme of using ultrasonic wave to produce shock, the potential danger caused by the existence of high voltage voltage in the balloon is avoided, thereby preventing the internal high voltage voltage from causing harm to the human body in the event of accidental damage of the balloon. The invention uses ultrasonic transducers to replace electrical energy with ultrasonic waves. The ultrasonic waves act on the liquid in the balloon. Under the action of the ultrasonic waves, the liquid appears "cavitation" phenomenon. This phenomenon produces impact force on the balloon, and the elasticity of the balloon increases. The vibration then transmits the vibration force to the calcified tissue and ruptures the calcified tissue. The balloon can adapt to different blood vessels and diseased tissues; the phenomenon of "cavitation" occurs in the balloon and will not appear in the blood; the elastic vibration of the balloon acts on the calcified tissue without causing damage to the blood vessels, so it is successful It overcomes the problems existing in the prior art.
2、本发明提供的一种用于心血管碎石的超声波球囊导管系统，各所述单晶体超声波换能器沿所述球囊治疗端的轴向呈圆周形排布，与现有冲击波碎石技术中呈线状分布的电极相比，呈圆周面分布的换能器确保了超声波在产生及传播上相对均匀，避免了电极线状发射导致碎石不均匀。2. An ultrasonic balloon catheter system for cardiovascular lithotripsy provided by the present invention, each of the single crystal ultrasonic transducers is arranged in a circular shape along the axial direction of the balloon treatment end, which is different from the existing shock wave lithotripsy. Compared with the linearly distributed electrodes in the technology, the circumferentially distributed transducers ensure that the ultrasonic waves are relatively uniform in generation and propagation, and avoid the unevenness of the crushed stone caused by the linear emission of the electrodes.
3、本发明提供的一种用于心血管碎石的超声波球囊导管系统，所述导管管体包括注液腔，所述注液腔与所述球囊治疗端连通，所述球囊治疗端与所述导管管体密封连接。通过注液腔向所述球囊导管注入液体，由于球囊的存在，其内的液体不流入血管，因此不限于使用生理盐水，还可以是其他液体。3. An ultrasonic balloon catheter system for cardiovascular lithotripsy provided by the present invention, the catheter body includes a liquid injection cavity, the liquid injection cavity is communicated with the balloon treatment end, and the balloon treatment The end is sealingly connected to the conduit body. The liquid is injected into the balloon catheter through the liquid injection cavity. Due to the existence of the balloon, the liquid in the balloon does not flow into the blood vessel, so it is not limited to the use of physiological saline, and other liquids may also be used.
4、本发明提供的一种用于心血管碎石的超声波球囊导管系统，所述导管管体包括导丝腔，所述球囊治疗端与所述导丝腔密封连接。不同于其他部位，心血管需要通过导丝先行，再由导管管体跟随导丝前进。4. The present invention provides an ultrasonic balloon catheter system for cardiovascular lithotripsy, wherein the catheter tube body includes a guide wire cavity, and the balloon treatment end is sealedly connected to the guide wire cavity. Different from other parts, the cardiovascular needs to go through the guide wire first, and then the catheter tube body follows the guide wire to advance.
5、本发明提供的一种用于心血管碎石的超声波球囊导管系统，所述单晶体超声波换能器包括振动片、陶瓷晶体和外壳，所述陶瓷晶体与所述外壳固定连接，所述振动片与所述陶瓷晶体贴合接触。陶瓷晶体制成的超声波换能器体积小巧，适用于心血管碎石术的球囊，振动片与陶瓷晶体贴合接触，提高超声波振动的效率。5. An ultrasonic balloon catheter system for cardiovascular lithotripsy provided by the present invention, the single crystal ultrasonic transducer comprises a vibrating sheet, a ceramic crystal and a casing, the ceramic crystal is fixedly connected to the casing, and the The vibrating piece is in close contact with the ceramic crystal. The ultrasonic transducer made of ceramic crystal is small in size and is suitable for the balloon of cardiovascular lithotripsy. The vibrating sheet is in contact with the ceramic crystal to improve the efficiency of ultrasonic vibration.
6、本发明提供的一种用于心血管碎石的超声波球囊导管系统，还包括终端，所述终端包括：人机交互模块；控制模块；超声波发送模块，包括所述超声波发生器，与所述球囊治疗端相连，所述控制模块接收所述人机交互模块的指令，并控制所述超声波发送模块工作；超声波接收模块，与所述球囊治疗端相连，接收所述超声波接收器的信号，并传送给所述控制模块，通过终端可以对超声波球囊导管进行控制并接受反馈。6. An ultrasonic balloon catheter system for cardiovascular lithotripsy provided by the present invention further includes a terminal, the terminal includes: a human-computer interaction module; a control module; an ultrasonic transmission module, including the ultrasonic generator, and The balloon treatment end is connected, the control module receives the instruction of the human-computer interaction module, and controls the ultrasonic transmission module to work; the ultrasonic receiving module is connected with the balloon treatment end, receives the ultrasonic receiver The signal is transmitted to the control module, and the ultrasonic balloon catheter can be controlled and fed back through the terminal.
7、本发明提供的一种用于心血管碎石的超声波球囊导管系统，所述导管手柄通过柔性连接管与所述终端可拆卸连接，所述导管管体包括导线腔，所述导线腔与所述柔性连接管相连所述导线腔和所述柔性连接管内设有连接所述终端和所述治疗端球囊的导线。终端和导管可拆卸连接，从而方便更换导管耗材。7. An ultrasonic balloon catheter system for cardiovascular lithotripsy provided by the present invention, the catheter handle is detachably connected to the terminal through a flexible connecting tube, the catheter tube body includes a guide wire cavity, and the guide wire cavity Connecting with the flexible connecting tube, the guide wire lumen and the flexible connecting tube are provided with a guide wire connecting the terminal and the treatment end balloon. Terminals and catheters are detachably attached, allowing for easy replacement of catheter consumables.
8、本发明提供的一种用于心血管碎石的超声波球囊导管系统，所述球囊治疗端内设有压力传感器和温度传感器，所述压力传感器和所述温度传感器分别用于检测所述球囊治疗端内的液体压力和温度，所述压力传感器和所述温度传感器与所述控制模块连接。在治疗过程中，压力传感器监测球囊内部压力，温度传感器记录温度，并将数据传送至控制模块。在启动超声波发生器后，球囊内部温度逐渐升高，该信息反馈至控制模块后，被确认为开始治疗。当目标区域的结石被碎时，球囊所受压迫力会改变，通过压力传感器检测到的球囊内部的压力也会随之改变，该信息反馈至控制模块后，被确认为碎石。通过压力传感器和温度传感器的组合，达到了对超声波发生器工作状态及碎石状态实时进度的监测功能。8. An ultrasonic balloon catheter system for cardiovascular lithotripsy provided by the present invention, the balloon treatment end is provided with a pressure sensor and a temperature sensor, and the pressure sensor and the temperature sensor are respectively used to detect the The pressure and temperature of the liquid in the treatment end of the balloon, the pressure sensor and the temperature sensor are connected to the control module. During treatment, the pressure sensor monitors the pressure inside the balloon, and the temperature sensor records the temperature and transmits the data to the control module. After the ultrasonic generator is activated, the temperature inside the balloon gradually increases, and the information is fed back to the control module, which is confirmed as the start of treatment. When the stone in the target area is broken, the compression force on the balloon will change, and the pressure inside the balloon detected by the pressure sensor will also change accordingly. After this information is fed back to the control module, it is confirmed as broken stone. Through the combination of the pressure sensor and the temperature sensor, the monitoring function of the working state of the ultrasonic generator and the real-time progress of the gravel state is achieved.
9、本发明提供的一种用于心血管碎石的超声波球囊导管系统，所述终端还包括成像模块，所述成像模块接收所述超声波接收模块的信号并转换为图像并通过所述人机交互模块输出。现有的冲击波碎石技术中心，需要观察钙化位置和形态时，采用体外超声的形式，影像模糊，影响手术效果，本发明的超声波球囊导管系统设置有超声波接收模块和超声波接收器，能够接收和处理超声信号，成像模块在后期对接收到的信号进行滤波等处理，来获取超声图像。由于该信号是从血管内部获取的，因此能够清楚地看到血管内的图像，准确地判断钙化的位置和钙化形态，能够精准碎石。9. An ultrasonic balloon catheter system for cardiovascular lithotripsy provided by the present invention, the terminal further includes an imaging module, and the imaging module receives the signal of the ultrasonic receiving module, converts it into an image, and passes the signal through the human body. Computer interaction module output. The existing shock wave lithotripsy technology center needs to observe the position and shape of calcification in the form of extracorporeal ultrasound, and the image is blurred, which affects the surgical effect. The ultrasonic balloon catheter system of the present invention is provided with an ultrasonic receiving module and an ultrasonic receiver, which can receive And processing the ultrasonic signal, the imaging module performs filtering and other processing on the received signal in the later stage to obtain the ultrasonic image. Since the signal is obtained from the inside of the blood vessel, the images in the blood vessel can be clearly seen, the location and shape of the calcification can be accurately determined, and the stone can be crushed accurately.
附图说明Description of drawings
为了更清楚地说明本发明具体实施方式或现有技术中的技术方案，下面将对具体实施方式或现有技术描述中所需要使用的附图作简单地介绍，显而易见地，下面描述中的附图是本发明的一些实施方式，对于本领域普通技术人员来讲，在不付出创造性劳动的前提下，还可以根据这些附图获得其他的附图。In order to illustrate the specific embodiments of the present invention or the technical solutions in the prior art more clearly, the following briefly introduces the accompanying drawings that need to be used in the description of the specific embodiments or the prior art. Obviously, the accompanying drawings in the following description The drawings are some embodiments of the present invention. For those of ordinary skill in the art, other drawings can also be obtained based on these drawings without creative efforts.
图1为本发明的超声波球囊导管系统结构示意图；1 is a schematic structural diagram of an ultrasonic balloon catheter system of the present invention;
图2为本发明的球囊治疗端局部结构示意图；2 is a schematic diagram of the local structure of the balloon treatment end of the present invention;
图3为本发明的单晶体超声波换能器结构示意图；3 is a schematic structural diagram of a single crystal ultrasonic transducer of the present invention;
图4为本发明的导管管体截面结构示意图。FIG. 4 is a schematic view of the cross-sectional structure of the catheter tube body of the present invention.
附图标记说明：Description of reference numbers:
1-超声波发生器；2-导管管体；3-球囊治疗端；4-单晶体超声波换能器；5-超声波接收器；6-导管手柄；7-柔性连接管；8-终端；9-陶瓷晶体；10-振动片；11-导丝腔；12-导线腔；13-注液腔。1- Ultrasonic generator; 2- Catheter tube body; 3- Balloon treatment end; 4- Single crystal ultrasonic transducer; 5- Ultrasonic receiver; 6- Catheter handle; 7- Flexible connecting tube; 8- Terminal; 9- Ceramic crystal; 10-vibration plate; 11-guide wire cavity; 12-lead cavity; 13-liquid injection cavity.
具体实施方式Detailed ways
下面将结合附图对本发明的技术方案进行清楚、完整地描述，显然，所描述的实施例是本发明一部分实施例，而不是全部的实施例。基于本发明中的实施例，本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例，都属于本发明保护的范围。The technical solutions of the present invention will be clearly and completely described below with reference to the accompanying drawings. Obviously, the described embodiments are a part of the embodiments of the present invention, but not all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by those of ordinary skill in the art without creative efforts shall fall within the protection scope of the present invention.
在本发明的描述中，需要说明的是，术语“中心”、“上”、“下”、“左”、“右”、“竖直”、“水平”、“内”、“外”等指示的方位或位置关系为基于附图所示的方位或位置关系，仅是为了便于描述本发明和简化描述，而不是指示或暗示所指的装置或元件必须具有特定的方位、以特定的方位构造和操作，因此不能理解为对本发明的限制。此外，术语“第一”、“第二”、“第三”仅用于描述目的，而不能理解为指示或暗示相对重要性。In the description of the present invention, it should be noted that the terms "center", "upper", "lower", "left", "right", "vertical", "horizontal", "inner", "outer", etc. The indicated orientation or positional relationship is based on the orientation or positional relationship shown in the accompanying drawings, which is only for the convenience of describing the present invention and simplifying the description, rather than indicating or implying that the indicated device or element must have a specific orientation or a specific orientation. construction and operation, and therefore should not be construed as limiting the invention. Furthermore, the terms "first", "second", and "third" are used for descriptive purposes only and should not be construed to indicate or imply relative importance.
在本发明的描述中，需要说明的是，除非另有明确的规定和限定，术语“安装”、“相连”、“连接”应做广义理解，例如，可以是固定连接，也可以是可拆卸连接，或一体地连接；可以是机械连接，也可以是电连接；可以是直接相连，也可以通过中间媒介间接相连，可以是两个元件内部的连通。对于本领域的普通技术人员而言，可以具体情况理解上述术语在本发明中的具体含义。In the description of the present invention, it should be noted that the terms "installed", "connected" and "connected" should be understood in a broad sense, unless otherwise expressly specified and limited, for example, it may be a fixed connection or a detachable connection Connection, or integral connection; can be mechanical connection, can also be electrical connection; can be directly connected, can also be indirectly connected through an intermediate medium, can be internal communication between two elements. For those of ordinary skill in the art, the specific meanings of the above terms in the present invention can be understood in specific situations.
此外，下面所描述的本发明不同实施方式中所涉及的技术特征只要彼此之间未构成冲突就可以相互结合。In addition, the technical features involved in the different embodiments of the present invention described below can be combined with each other as long as they do not conflict with each other.
图1示出了本发明提供的一种用于心血管碎石的超声波球囊导管系统，包括：超声波发生器1；导管管体2，一端与所述超声波发生器1连接；球囊治疗端3，设于所述导管管体2远离所述超声波发生器1的一端，如图2所示，所述球囊治疗端3内设有若干单晶体超声波换能器4和超声波接收器5。如图3所示，所述单晶体超声波换能器4包括振动片10、陶瓷晶体9和外壳，所述陶瓷晶体9与所述外壳固定连接，所述振动片10与所述陶瓷晶体9贴合接触。所述单晶体超声波换能器4通过所述导管管体2与所述超声波发生器1电连接，各所述单晶体超声波换能器4沿所述球囊治疗端3的轴向呈圆周形排布；所述超声波发生器1用于向所述超声波换能器输送电能，所述单晶体超声波换能器4用于将电能转换为超声波震动进行碎石，所述超声波接收器5用于接收超声波并转换为电信号。1 shows an ultrasonic balloon catheter system for cardiovascular lithotripsy provided by the present invention, including: an ultrasonic generator 1; a
如图4所示，所述导管管体2包括注液腔13，所述注液腔13与所述球囊治疗端3连通，所述球囊治疗端3与所述导管管体2密封连接。所述导管管体2包括导丝腔11，所述球囊治疗端3与所述导丝腔11密封连接。所述导管管体2远离所述球囊治疗端3的一端还设有导管手柄6，所述导管手柄6上设有与所述注液腔13相连通的注液接口和与所述导丝腔11连通的导丝接口。As shown in FIG. 4 , the
还包括终端8，所述终端8包括：人机交互模块；控制模块；超声波发送模块，包括所述超声波发生器1，与所述球囊治疗端3相连，所述控制模块接收所述人机交互模块的指令，并控制所述超声波发送模块工作；超声波接收模块，与所述球囊治疗端3相连，接收所述超声波接收器5的信号，并传送给所述控制模块。所述导管手柄6通过柔性连接管7与所述终端8可拆卸连接，所述导管管体2包括导线腔12，所述导线腔12与所述柔性连接管7相连所述导线腔12和所述柔性连接管7内设有连接所述终端8和所述治疗端球囊的导线。所述球囊治疗端3内设有压力传感器和温度传感器，所述压力传感器和所述温度传感器分别用于检测所述球囊治疗端3内的液体压力和温度，所述压力传感器和所述温度传感器与所述控制模块连接。在启动超声波发生器1后，球囊内部温度逐渐升高，该信息反馈至控制模块后，被确认为开始治疗。当目标区域的结石被碎时，球囊所受压迫力会改变，通过压力传感器检测到的球囊内部的压力也会随之改变，该信息反馈至控制模块后，被确认为碎石。通过压力传感器和温度传感器的组合，达到了对超声波发生器1工作状态及碎石状态实时进度的监测功能。所述终端8还包括成像模块，所述成像模块接收所述超声波接收模块的信号并转换为图像并通过所述人机交互模块输出。现有的冲击波碎石技术中心，需要观察钙化位置和形态时，采用体外超声的形式，影像模糊，影响手术效果，本发明的超声波球囊导管系统设置有超声波接收模块和超声波接收器5，能够接收和处理超声信号，成像模块在后期对接收到的信号进行滤波等处理，来获取超声图像。由于该信号是从血管内部获取的，因此能够清楚地看到血管内的图像，准确地判断钙化的位置和钙化形态，能够精准碎石。Also includes a
如图3所示，本发明的换能器包括振动片10、陶瓷晶体9、外壳和电线，所述陶瓷晶体9被设置在所述外壳内，并与所述外壳固定连接，所述振动片10与所述陶瓷晶体9紧密接触，所述电线的一端与所述陶瓷晶体9电连接，所述电线的另一端与所述导线连接，所述电线与所述外壳通过胶水固定连接。As shown in FIG. 3 , the transducer of the present invention includes a vibrating piece 10 , a ceramic crystal 9 , a casing and wires. The ceramic crystal 9 is arranged in the casing and is fixedly connected to the casing. The vibrating piece 10 is in close contact with the ceramic crystal 9, one end of the wire is electrically connected to the ceramic crystal 9, the other end of the wire is connected to the wire, and the wire and the casing are fixedly connected by glue.
本发明的超声波发生器1将电能输送给单晶体超声波换能器4再发射超声波，与现有技术通过高压电直接作用于液体产生气泡冲击波相比，本发明确保了冲击力相对均匀，在保证效率的同时减少了碎石后的残留。在采取超声波制造冲击的方案下，避免了球囊内存在高压电压从而可能存在的危险性，进而可以避免球囊在意外破损情况下，内部高压电压对人体产生危害。使用单晶体超声波换能器4体积小巧，可以应对球囊治疗端3体积小，难以容纳超声波换能器的问题，同时超声波通过球囊作用于碎石部位，减少了对血管的损伤。The ultrasonic generator 1 of the present invention transmits electric energy to the single-crystal
在治疗过程中，经注液接口使球囊充液。启动超声波发生器1，开始治疗。超声波发生器1发送超声波，进行碎石。此外，超声波在接触血管后产生反射，超声波接收器5接收这些反射的超声波，并反馈到控制模块，经过运算后，在人机交互模块上显示血管内超声图像。通过超声波发生器1和超声波接收器5的协作，完成了血管内超声数据的搜集，并通过控制模块的计算，将血管超声图像显示出来，观察更加直观。从而能实现，既可以血管内成像检查，也可以治疗的双重目的。减少手术器械用量，进而减轻患者医疗负担。呈圆周面分布的换能器除了能碎石均匀外，对于超声图像的清晰度也有较大提升。During treatment, the balloon is filled with fluid through the fluid injection port. Start the ultrasonic generator 1 and start the treatment. The ultrasonic generator 1 transmits ultrasonic waves to perform stone crushing. In addition, the ultrasonic waves are reflected after touching the blood vessels, and the
显然，上述实施例仅仅是为清楚地说明所作的举例，而并非对实施方式的限定。对于所属领域的普通技术人员来说，在上述说明的基础上还可以做出其它不同形式的变化或变动。这里无需也无法对所有的实施方式予以穷举。而由此所引伸出的显而易见的变化或变动仍处于本发明创造的保护范围之中。Obviously, the above-mentioned embodiments are only examples for clear description, and are not intended to limit the implementation manner. For those of ordinary skill in the art, changes or modifications in other different forms can also be made on the basis of the above description. There is no need and cannot be exhaustive of all implementations here. And the obvious changes or changes derived from this are still within the protection scope of the present invention.
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| CN119055317A (en)* | 2024-11-05 | 2024-12-03 | 山东百多安医疗器械股份有限公司 | A multimodal anorectal calculus shock wave balloon system combined with electrocardiography and ultrasound endoscopy |
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