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CN100509076C - Angiography catheter with controllable tip direction - Google Patents

Angiography catheter with controllable tip direction Download PDF

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Publication number
CN100509076C
CN100509076C CNB2007100206042A CN200710020604A CN100509076C CN 100509076 C CN100509076 C CN 100509076C CN B2007100206042 A CNB2007100206042 A CN B2007100206042A CN 200710020604 A CN200710020604 A CN 200710020604A CN 100509076 C CN100509076 C CN 100509076C
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catheter
cavity
contrast catheter
tip
contrast
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CN101020092A (en
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刘长建
夏成勇
卫志庆
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Nanjing Drum Tower Hospital
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Nanjing Drum Tower Hospital
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Abstract

本发明涉及一种尖端方向可控的造影导管。本发明采用在造影导管侧壁上开设一孔腔并沿侧壁一直延伸,牵引线放置其间,造影导管尖端向孔腔一侧倾斜,牵引线顶端与向孔腔一侧倾斜的造影导管尖端连接,在造影导管尾部侧壁连接旋钮,牵引线末端经孔腔与旋钮连接。本发明解决了现有技术存在的多个孔腔、牵引线,部件太多,在小口径血管腔内很难有大的作为,且操作越复杂,也不易准确控制并到达病变部位,容易出故障,协调起来很麻烦,导管尖端位置就可能移动。本发明结构简单、部件少,同时旋钮在侧边,不妨碍手术者后续操作。由于侧壁孔内置单根牵引线,因此可制作成直径2mm及以下的造影导管方便进入小口径血管。

Figure 200710020604

The invention relates to a contrast catheter with controllable tip direction. In the present invention, a cavity is opened on the side wall of the contrast catheter and extends along the side wall, the traction wire is placed in between, the tip of the contrast catheter is inclined to the side of the cavity, and the top of the traction line is connected to the tip of the contrast catheter inclined to the side of the cavity. , the knob is connected to the side wall of the tail of the contrast catheter, and the end of the traction wire is connected to the knob through the cavity. The present invention solves the problem of multiple holes and traction wires in the prior art, and there are too many components, so it is difficult to achieve great results in the small-caliber vessel cavity, and the more complex the operation, the more difficult it is to accurately control and reach the lesion site, and it is easy to get out. Failure, coordination is cumbersome, and the position of the catheter tip may shift. The invention has simple structure and few parts, and the knob is on the side, which does not hinder the follow-up operation of the operator. Since a single traction wire is built into the side wall hole, it can be made into a contrast catheter with a diameter of 2mm or less to facilitate access to small-diameter blood vessels.

Figure 200710020604

Description

尖端方向可控的造影导管 Contrast catheter with controllable tip direction

技术领域 technical field

本发明涉及一种介入手术器械,特别涉及一种尖端方向可控的造影导管。The invention relates to an interventional operation instrument, in particular to a contrast catheter with a controllable tip direction.

背景技术 Background technique

医疗手术中经常使用的造影导管多种多样,有用聚乙烯或聚氯乙烯等原料制成的,导管口径有大有小,外形也各不相同,使用的目的就是快速、准确地到达病变部位,以便进一步介入手术治疗。但在临床应用中,常常会因为血管走行异常、血管扭曲、血管管腔狭窄以及造影导管、导丝的不可控制等原因,使导管及导丝并不能如愿到达病变部位,从而给下一步的介入手术治疗带来了困难。There are many kinds of contrast catheters that are often used in medical operations. They are made of polyethylene or polyvinyl chloride and other materials. The diameters of the catheters are large and small, and the shapes are also different. The purpose of use is to reach the lesion quickly and accurately. for further surgical intervention. However, in clinical applications, due to abnormal vascular running, vascular distortion, vascular lumen stenosis, and uncontrollable angiography catheters and guide wires, catheters and guide wires cannot reach the lesion as expected, thus hindering the next step of intervention. Surgical treatment poses difficulties.

在本发明之前,为了解决这个问题,有在导管侧壁上设置多个孔,将多根牵引线放入不同的孔中,导管尖端采用多级活动管节,绞接连接。牵引线与尖端上的管端帽连接,通过紧、松牵引线来达到控制导管尖端的移动,到达病变部位。这种方法的缺陷非常明显,一是有多个孔腔、多根牵引线,在小口径血管腔内很难有大的作为。二是部件太多,有多根牵引线、多节活动管节、管端帽等,在小口径血管腔内也难以适用;且部件越多,操作越复杂,也不容易准确控制并到达病变部位,容易出故障。三是多根牵引线用手工控制,互相协调起来很麻烦,也难以准确控制精度,手一松,导管尖端位置就可能移动。四是如此多的部件、复杂结构使其无法达到在血管腔直径小于2mm的情形下使用。因此这种可控方向导管只能用于胃肠和气管造影,而不能适用于血管腔内。Before the present invention, in order to solve this problem, a plurality of holes were arranged on the side wall of the catheter, and a plurality of pulling wires were put into different holes, and the tip of the catheter was connected with multi-stage movable tube joints. The traction wire is connected to the tube end cap on the tip, and the movement of the catheter tip is controlled by tightening and loosening the traction wire to reach the lesion. The disadvantages of this method are very obvious. First, there are multiple lumens and multiple traction wires, so it is difficult to make a big difference in the small-caliber vessel lumen. The second is that there are too many components, such as multiple traction wires, multiple movable tube joints, tube end caps, etc., which are difficult to apply in small-diameter blood vessel lumens; more components make the operation more complicated, and it is not easy to accurately control and reach the lesion parts, prone to failure. The third is that multiple traction wires are manually controlled, which is very troublesome to coordinate with each other, and it is also difficult to accurately control the accuracy. Once the hand is loosened, the position of the catheter tip may move. Fourth, there are so many parts and complex structure that it cannot be used in the case where the diameter of the blood vessel lumen is less than 2mm. Therefore, this steerable direction catheter can only be used for gastrointestinal and tracheal angiography, but not for intravascular lumen.

发明内容 Contents of the invention

本发明的目的就在于克服上述缺陷,设计、研制一种尖端方向可控制的简单易行且适用的造影导管。The object of the present invention is to overcome the above-mentioned defects, and to design and develop a simple and applicable contrast catheter whose tip direction can be controlled.

本发明的技术方案是:Technical scheme of the present invention is:

尖端方向可控的造影导管,其主要技术特征在于在造影导管侧壁上开设一孔腔,该孔腔沿侧壁一直延伸,该孔腔与造影导管本身的导管腔是隔开的,牵引线放置其间,造影导管尖端向孔腔一侧倾斜,牵引线顶端与向孔腔一侧倾斜的造影导管尖端连接,在造影导管尾部的侧壁连接旋钮,牵引线末端经孔腔与旋钮连接。The contrast catheter with controllable tip direction, its main technical feature is that a hole is opened on the side wall of the contrast catheter, and the hole extends along the side wall, and the hole is separated from the catheter lumen of the contrast catheter itself. The contrast catheter tip is inclined to the side of the cavity, the top of the traction wire is connected to the tip of the contrast catheter inclined to the cavity side, the side wall of the tail of the contrast catheter is connected to the knob, and the end of the traction line is connected to the knob through the cavity.

本发明的优点和效果在于导管侧壁仅放置一根牵引线,以使导管口径能尽可能的小;导管尖端略向有牵引线孔腔的方向弯曲,牵拉一根牵引线时就能调整导管尖端的方向;牵引线自造影导管尾端侧壁引出,引出尾端接一旋钮,牵拉牵引线,调整好导管尖端方向,扭紧旋钮,就可固定牵引线,同时固定导管尖端方向,精确且调整后不会移动,结构简单、部件少,同时旋钮在侧边,不妨碍手术者后续操作。由于侧壁孔内置单根牵引线,因此可制作成直径2mm及以下的造影导管方便进入小口径血管。The advantages and effects of the present invention are that only one pull wire is placed on the side wall of the catheter, so that the diameter of the catheter can be as small as possible; The direction of the tip of the catheter; the traction wire is led out from the side wall of the end of the contrast catheter, and a knob is connected to the end of the lead-out end. Pull the traction wire, adjust the direction of the catheter tip, and tighten the knob to fix the traction wire and the direction of the catheter tip at the same time. It is accurate and does not move after adjustment, has a simple structure and few parts, and the knob is on the side, which does not hinder the follow-up operation of the operator. Since a single traction wire is built into the side wall hole, it can be made into a contrast catheter with a diameter of 2mm or less to facilitate access to small-diameter blood vessels.

附图说明 Description of drawings

图1——本发明结构原理示意图。Fig. 1 - schematic diagram of the structure principle of the present invention.

具体实施方式 Detailed ways

如图1所示,整体是一造影导管,造影导管尖端1向孔腔2一侧倾斜,角度在5度以上,最佳角度在20~30度之间,本例为25度;在导管的侧壁上,沿导管侧壁设置一孔,形成孔腔2;在孔腔2内放置牵引线4,牵引线4的一端与向着孔腔2一侧倾斜的导管尖端1连接,牵引线4的另一端经孔腔2与旋钮6连接,由旋钮6引出,旋钮6设置在导管尾部的侧壁上,与导管形成一定夹角;而牵引线4所处的孔腔2与造影导管本身的导管腔3是隔开的,互不影响。As shown in Figure 1, the whole is a contrast catheter, the tip 1 of the contrast catheter is inclined to the side of the cavity 2, the angle is more than 5 degrees, and the optimal angle is between 20 and 30 degrees, in this case 25 degrees; On the side wall, a hole is set along the side wall of the catheter to form a cavity 2; a pull wire 4 is placed in the cavity 2, and one end of the pull wire 4 is connected to the catheter tip 1 inclined toward the side of the cavity 2, and the end of the pull wire 4 The other end is connected to the knob 6 through the cavity 2, and is led out by the knob 6. The knob 6 is arranged on the side wall of the catheter tail, forming a certain angle with the catheter; The lumens 3 are separated and do not affect each other.

应用时,将造影导管进入血管中,先到达病变血管部位的附近,倾斜的造影导管尖端1朝向病变血管;然后牵拉牵引线4,利用导管本身具有的一定的柔韧性,使导管尖端1准确朝向要进入的血管,再旋紧旋钮6,固定牵引线4,也即固定了导管尖端1的方向;再将导丝(图中省略,未画出)沿导管腔3及造影导管尖端1进入病变血管,再进入下一步支架放置或球囊扩张治疗;结束后退出导管时,先旋转旋钮6,松开牵引线4,使导管尖端1回复到原来形态,将导管从血管中顺利退出。牵引线及孔腔、造影导管的管腔合在一起的直径可以小于2mm,以适合于血管造影应用。During application, the contrast catheter is inserted into the blood vessel, and first reaches the vicinity of the diseased blood vessel, and the tip 1 of the inclined contrast catheter faces the diseased blood vessel; then the traction wire 4 is pulled to make the catheter tip 1 accurately Facing the blood vessel to be entered, tighten the knob 6 to fix the traction wire 4, that is, fix the direction of the catheter tip 1; Enter the diseased blood vessel, and then enter the next step of stent placement or balloon dilatation treatment; when withdrawing the catheter after the end, first rotate the knob 6, loosen the traction wire 4, so that the catheter tip 1 returns to its original shape, and the catheter is smoothly withdrawn from the blood vessel. The combined diameter of the pulling wire, the lumen, and the lumen of the angiography catheter can be less than 2 mm, which is suitable for angiography applications.

Claims (5)

1.尖端方向可控的造影导管,其特征在于在造影导管侧壁上开设一孔腔,该孔腔沿侧壁一直延伸,该孔腔与造影导管本身的导管腔是隔开的,牵引线放置其间,造影导管尖端向孔腔一侧倾斜,牵引线顶端与向孔腔一侧倾斜的造影导管尖端连接,在造影导管尾部的侧壁连接旋钮,牵引线末端经孔腔与旋钮连接。1. The contrast catheter with controllable tip direction is characterized in that a cavity is opened on the side wall of the contrast catheter, and the cavity extends along the side wall. The cavity is separated from the catheter lumen of the contrast catheter itself, and the traction The contrast catheter tip is inclined to the side of the cavity, the top of the traction wire is connected to the tip of the contrast catheter inclined to the cavity side, the side wall of the tail of the contrast catheter is connected to the knob, and the end of the traction line is connected to the knob through the cavity. 2.根据权利要求1所述的尖端方向可控的造影导管,其特征在于造影导管尖端向孔腔一侧弯曲的角度在5度以上。2. The contrast catheter with controllable tip direction according to claim 1, characterized in that the tip of the contrast catheter bends to the side of the cavity at an angle of more than 5 degrees. 3.根据权利要求2所述的尖端方向可控的造影导管,其特征在于造影导管尖端向孔腔一侧弯曲的角度在20~30度之间。3. The contrast catheter with controllable tip direction according to claim 2, characterized in that the angle at which the tip of the contrast catheter bends toward the cavity side is between 20° and 30°. 4.根据权利要求1所述的尖端方向可控的造影导管,其特征在于旋钮的旋进、旋退带动牵引线的松、紧。4. The contrast catheter with controllable tip direction according to claim 1, characterized in that the turning in and out of the knob leads to loosening and tightening of the pulling wire. 5.根据权利要求1或4所述的尖端方向可控的造影导管,其特征在于牵引线及孔腔、造影导管的管腔合在一起的直径小于2mm。5. The contrast catheter with controllable tip direction according to claim 1 or 4, characterized in that the combined diameter of the pulling wire, the lumen, and the lumen of the contrast catheter is less than 2 mm.
CNB2007100206042A 2007-03-14 2007-03-14 Angiography catheter with controllable tip direction Expired - Fee Related CN100509076C (en)

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Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105477765B (en) * 2015-11-24 2018-07-03 重庆鑫盛医药有限公司 A kind of seal wire shaping device
CN110339455A (en) * 2019-06-24 2019-10-18 郑州大学第一附属医院 A radiography catheter with adjustable end bending angle
CN111973865A (en) * 2020-08-31 2020-11-24 尚华 Optical fiber guide wire, optical fiber guide wire detection system and method
CN112569456A (en) * 2020-12-23 2021-03-30 上海璞康医疗器械有限公司 Multifunctional radiography catheter device capable of preventing countercurrent

Citations (6)

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Publication number Priority date Publication date Assignee Title
CN88202749U (en) * 1988-04-01 1988-11-30 何树魁 Elastic oviduct duct device
US6478777B1 (en) * 2000-05-25 2002-11-12 Medtronic, Inc. Introducer system for medical electrical lead
CN2571338Y (en) * 2002-10-08 2003-09-10 王建国 Gooseneck type integrated tubal re-through device
US6752800B1 (en) * 2000-02-18 2004-06-22 Intraluminal Therapeutics Inc. Catheter handle for controlling the advancement of a guide wire
JP2005230471A (en) * 2004-02-23 2005-09-02 Japan Lifeline Co Ltd Catheter enabling tip deflecting operation
CN2812967Y (en) * 2005-07-28 2006-09-06 广东药学院附属第一医院 Air bag catheter for salpingographic rethrough

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN88202749U (en) * 1988-04-01 1988-11-30 何树魁 Elastic oviduct duct device
US6752800B1 (en) * 2000-02-18 2004-06-22 Intraluminal Therapeutics Inc. Catheter handle for controlling the advancement of a guide wire
US6478777B1 (en) * 2000-05-25 2002-11-12 Medtronic, Inc. Introducer system for medical electrical lead
CN2571338Y (en) * 2002-10-08 2003-09-10 王建国 Gooseneck type integrated tubal re-through device
JP2005230471A (en) * 2004-02-23 2005-09-02 Japan Lifeline Co Ltd Catheter enabling tip deflecting operation
CN2812967Y (en) * 2005-07-28 2006-09-06 广东药学院附属第一医院 Air bag catheter for salpingographic rethrough

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