Background technology
Interventional therapy is a kind of invasive treatment that utilizes modern high tech method to carry out, and is exactly under the guiding of medical imaging device, and special conduit, seal wire and Implantable Medical Device are introduced to human body, and pathological changes in body is diagnosed and topical therapeutic.Wherein Implantable Medical Device comprises stopper, vena cava filter, turn, support etc.
Stopper is the medical apparatus and instruments that one is used for the treatment of the diseases such as structural heart disease atrial septal defect (ASD), ventricular septal defect (VSD), patent ductus arteriosus (PDA), but the phenomenon that exists stopper to come off in the time of operation, stopper comes off and generally occurs in art, when release, just can find, most applications is because stopper edge lacks enough supporting tissues, causes the rear stopper of release to come off.
Vena cava filter is the medical apparatus and instruments of one class preventing and control pulmonary embolism, can there is various structures, in the time that release vena cava filter is in blood vessel, because blood flow is larger, for fixing, vena cava filter has fixed structure, can be barb-like fixing foot, the complex configuration of this structure and blood vessel has affected accurate orientation and the location of vena cava filter, and it is very inconvenient therefore to adjust, and also has the risk that comes off.
Turn is a kind of medical apparatus and instruments that is used for the treatment of stricture of artery, in operation, a microtubular is inserted in aneurysm cavity, then with push rod by turn in microtubular pushes aneurysm cavity, in the time that turn is stablized in aneurysm cavity, remove the connection between push rod and turn with physical methods such as energising or hydraulic pressure or mechanical stretches, be freeing of turn, turn stays in aneurysm cavity after freeing, and push rod is withdrawn from microtubular, then prepared sending into and freeing of next piece of turn.Before turn is freed, if finding the shape of turn and size does not mate with aneurysm, can use at any time push rod pull-off spring circle, use the turn that another piece is more suitable for instead, if but turn has been freed, cannot pass through again push rod pull-off spring circle, can only take out by other devices, when taking-up, also may have situation about coming off to occur.In addition, get involved in hands and use other medical apparatus and instruments also can exist some to reclaim inconvenience, caducous situation, do not do one by one and introduce at this.
Can reach a conclusion by foregoing: the location of Implantable Medical Device in human body and discharge the technological difficulties on clinical and equipment often, there is great difficulty and risk, if mishandling, can there is the accident that Implantable Medical Device comes off, in cardio-cerebrovascular, these Implantable Medical Devices that come off can become serious thrombus source, jeopardize patient's life, often need the rescue treatment of emergency surgery operation, and the insurance and the retracting device that do not have at present special or general Implantable Medical Device to perform the operation while release, and can with original induction system synergism.
Utility model content
The technical problems to be solved in the utility model is to provide the conveyer device of a kind of highly versatile, Implantable Medical Device easy to use, to overcome the above-mentioned defect of prior art.
In order to solve the problems of the technologies described above, this utility model adopts following technical scheme: a kind of conveyer device for Implantable Medical Device, comprise guide rod, sheath pipe and exhausting line, described guide rod can be in sheath pipe slides before and after vertically, the front end of described guide rod is provided with the union joint being connected with described Implantable Medical Device, the guide rod at described union joint rear is provided with the first ring baffle, one end of described exhausting line is fixed on the first ring baffle or guide rod, the other end is connected with a limited block, when at and the rear at first ring baffle inner at sheath pipe when described limited block, gap between described sheath inside pipe wall and the first ring baffle outer rim can not allow limited block deviate to move to the front of the first ring baffle, the rear end of described guide rod is provided with an alignment pin, the rear end of described sheath pipe has the elongated slot that forward end is extended, in the time of described guide rod and sheath pipe relative sliding, described alignment pin can enter in elongated slot and with elongated slot and match.
Preferably, on described guide rod, be also provided with the second ring baffle at the first ring baffle rear, described limited block can be placed between the first ring baffle and the second ring baffle.
Preferably, described guide rod is provided with location graduation.
Preferably, the rear end of described guide rod is provided with detachable handle, and described handle is connected on guide rod by connecting knob.
Preferably, described limited block is spheroid or cone.
As mentioned above, a kind of conveyer device for Implantable Medical Device of this utility model, has following beneficial effect:
This device is by designing cleverly, the several functions such as conveying in Implantable Medical Device course of conveying, location, recovery are rolled into one, it is applied widely, can be applied in the dispose procedure of all kinds of Implantable Medical Device operations such as stopper, vein filter, turn and support, greatly strengthen safety and the controllability of Implantable Medical Device intervene operation.In addition, this device does not almost obviously change for doctor's operation technique custom, does not need to make intervention or surgeon be familiar with the operation of this device by complexity training.Meanwhile, this device is to propose in the mentality of designing of existing Implantable Medical Device conveying equipment, has saved to the full extent cost, implements without supporting other Special Equipments, and operability is improved greatly.
Detailed description of the invention
Structure that Figure of description illustrates, ratio, size etc., all contents in order to coordinate description to disclose only, understand and read for person skilled in the art scholar, not in order to limit the enforceable qualifications of this utility model, therefore the not technical essential meaning of tool, the adjustment of the modification of any structure, the change of proportionate relationship or size, do not affecting under effect that this utility model can produce and the object that can reach, all should still drop in the scope that technology contents that this utility model discloses can contain.Simultaneously, in this description, quote as " on ", the term such as D score, 'fornt', 'back', " centre ", also only for ease of understanding of narrating, but not in order to limit the enforceable scope of this utility model, the change of its relativeness or adjustment, changing under technology contents, when being also considered as the enforceable category of this utility model without essence.
Shown in Fig. 1-3, the conveyer device of a kind of Implantable Medical Device of this utility model, comprises guide rod 1, sheath pipe 2 and exhausting line 3, and described guide rod 1 can be in sheath pipe 2 slides before and after vertically, and described guide rod 1 is longer than sheath pipe 2, the front end of described guide rod 1 is provided with and Implantable Medical Device (stopper, support etc.) union joint 11 that is connected, guide rod 1 periphery at described union joint 11 rears is provided with the first ring baffle 12, one end of described exhausting line 3 is stiff end, this stiff end can be fixed on the first ring baffle 12 or guide rod 1, exhausting line 3 other ends are movable end, movable end is connected with a limited block 31, when at and the rear at first ring baffle 12 inner at sheath pipe 2 when described limited block 31, gap between described sheath pipe 2 inwalls and the first ring baffle 12 outer rims can not allow limited block 31 deviate to move to the front of the first ring baffle 12.The rear end of described guide rod 1 is provided with an alignment pin 4, and the rear end of described sheath pipe 2 has the elongated slot 21 that forward end is extended, and described alignment pin 4 can match with elongated slot 21.Because this utility model is applied in intervene operation, and often need to carry Implantable Medical Device along blood vessel or other people soma in intervene operation, so guide rod 1 and sheath pipe 2 in this utility model have certain elasticity, can flexural deformation according to actual operation situation in the time of operation.
Because limited block 31 described in this device can not be deviate from from the gap before sheath pipe 2 inwalls and the first ring baffle 12 outer rims in when work, so limited block 31 will have certain volume.As shown in Figure 4, described limited block 31 can be the bicone shown in the cone shown in the spheroid shown in the hemisphere shown in a, b, c or d, and other versions.The spheroid shown in b preferably in the present embodiment, because the processing of sphere is convenient, without corner angle, easily controls when work.
In preferred implementation of the present utility model, in order further to limit the position of limited block 31, on described guide rod, 1 is also provided with the second ring baffle 13 at the first ring baffle 12 rears, and described limited block 31 can be placed between the first ring baffle 12 and the second ring baffle 13.
In the time using this device, have relative slip because of guide rod 1 with sheath pipe 2, so in order to ensure to there will not be maloperation in the time performing the operation, described guide rod 1 is provided with location graduation 14, medical personnel judge overhang and the withdrawal amount of guide rod 1 front end in the time of operation according to the location graduation 14 on guide rod 1, ensure the Accuracy and high efficiency of operation.
In the time using this device, the rear end of described guide rod 1 is provided with detachable handle 5, described handle 5 is connected on guide rod 1 by connecting knob 6, and the setting of handle 5 is the individual demands according to medical personnel, because some medical personnel is accustomed to using some uncomfortable use.
This device is in the time carrying Implantable Medical Device, coupled by exhausting line 3, the release end of described Implantable Medical Device need to be provided with the structures such as mesh, hole, groove and pass with exhausting line 3 for limited block 31, the eyed structure of the tail end eyed structure of for example stopper, the groove structure of retrievable vena cava filter tail end, recyclable turn tail end pore structure and support tail end.Because this device can be carried different Implantable Medical Devices, so the union joint 11 of guide rod 1 front end can have different syndetons in this utility model, this belongs to the known technology of this area, for example, shown in Fig. 3,5, this device is for delivery of stopper 7, stopper 7 rear ends are to be with female stainless steel sleeve, and that union joint 11 is exactly with externally threaded bar; For example, shown in Fig. 3,6, if this device for delivery of support 8, union joint 11 front ends connect sacculus 9, and described guide rod 1 will offer through hole along axis, liquid will be injected from through hole to sacculus 9 and then expand support when work; Union joint 11 in this device also has other forms, so differ one for example because belong to known technology.
This device can be used for carrying different Implantable Medical Devices, in conjunction with Fig. 1,3,5, to use this device to carry stopper to set forth using method and the principle of this device as example:
Union joint 11 is with externally threaded bar in the present embodiment, and limited block 31 is spheroid forms, and 31 folding and unfoldings of normality lower position block are in sheath pipe 2.While using this device, first rotating guide-bar 1 allows alignment pin 4 align with the elongated slot 21 on sheath pipe 2, guide rod 1 is released forward, alignment pin 4 enters in the elongated slot 21 on sheath pipe 2, until the second ring baffle 13 exposes from sheath pipe 2 front ends, the limited block 31 of guide rod 1 front end after stretching out, because there is no the obstruction of sheath pipe 2, comes off from guide rod 1, the rear end of the stopper 7 of now operation being used is facing to the front end of guide rod 1, union joint 11 and the stainless steel sleeve of stopper 7 are connected, Lian Haohou is the mesh through the rear end of stopper 7 by the movable end of exhausting line 3, then limited block 31 is placed in the space between the first ring baffle 12 and the second ring baffle 13, guide rod 1 is pulled back, by the first ring baffle 12, the position of the second ring baffle 13 and sheath pipe 2 inner wall limit limited blocks 31, and because stopper 7 is flexible, enter into sheath pipe 2 so whole stopper 7 is drawn into strip in the time pulling back guide rod 1, pull back put in place after rotating guide 1 allow alignment pin 4 and elongated slot 21 misplace, prevent that guide rod 1 from skidding off and then causing that limited block 31 is freely movable to be deviate from from the mesh of stopper 7 from the front end of sheath pipe 2.
After stopper 7 is worked good with this device, can carry out the intervene operation of stopper, when operation, want first in human body, to pass into a hollow guiding tube, the front end of guiding tube will be placed the position of stopper in human body, rear end is outside human body, by the rear end docking of the front end of this device and guiding tube, then push forward guide rod 1, until stopper 7 stretches out and opens completely from guiding tube front end, rotating guide-bar 1 allows union joint 11 separate with stopper 7, leave standstill 7 a period of times of stopper, determine whether to adjust it according to the situation of stopper in time of repose 7, if need to withdraw replacement stopper 7, this device entirety is pulled out backward, because stopper 7 is also connected with this device by exhausting line 3, if instead stopper 7 is in good condition, do not come off or do not need and adjust, rotating guide 1 allows alignment pin 4 and elongated slot 21 match, sheath pipe 2 and guiding tube are pulled back simultaneously, give limited block 31 open spaces and discharge limited block 31, the limited block 31 after release can be deviate from from the mesh of stopper 7, and limited block 31 is removed this device entirety after deviating from from surgery location, then guiding tube is also taken out in human body, the conveying that completes stopper 7 is installed.
In sum, the conveyer device of a kind of Implantable Medical Device of this utility model, can solve when Implantable Medical Device is installed and easily come off, and the problem of resetting is reclaimed in inconvenience.So, have very high value and use meaning thereby this utility model has effectively overcome practical problems more of the prior art.
Above-mentioned embodiment is illustrative principle of the present utility model and effect thereof only, but not for limiting this utility model.This utility model also has many aspects under the prerequisite without prejudice to overall thought, to improve, and all can, under spirit of the present utility model and category, can above-described embodiment be modified or be changed for person skilled in the art scholar.Therefore, have in technical field under such as and conventionally know that the knowledgeable modifies or changes not departing from all equivalences that complete under spirit that this utility model discloses and technological thought, must be contained by claim of the present utility model.