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CN102357278A - Congenital heart disease surgical saccule dilating catheter special for children - Google Patents

Congenital heart disease surgical saccule dilating catheter special for children Download PDF

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Publication number
CN102357278A
CN102357278A CN2011103626935A CN201110362693A CN102357278A CN 102357278 A CN102357278 A CN 102357278A CN 2011103626935 A CN2011103626935 A CN 2011103626935A CN 201110362693 A CN201110362693 A CN 201110362693A CN 102357278 A CN102357278 A CN 102357278A
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CN
China
Prior art keywords
saccule
catheter
sacculus
diameter
heart disease
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Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN2011103626935A
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Chinese (zh)
Inventor
莫绪明
杨玉忠
钱龙宝
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Nanjing Children's Hospital Affiliated To Nanjing Medical University
Original Assignee
Nanjing Children's Hospital Affiliated To Nanjing Medical University
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Publication date
Application filed by Nanjing Children's Hospital Affiliated To Nanjing Medical University filed Critical Nanjing Children's Hospital Affiliated To Nanjing Medical University
Priority to CN2011103626935A priority Critical patent/CN102357278A/en
Publication of CN102357278A publication Critical patent/CN102357278A/en
Pending legal-status Critical Current

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Abstract

The invention discloses a congenital heart disease surgical saccule dilating catheter special for children. The heart disease surgical saccule dilating catheter special for children comprises a wire guide port, a water injection port, a fixed sleeve, an outer catheter, an inner catheter, a saccule and a guide wire; the rear end of the saccule is fixed on the outer wall of the front end of the outer catheter; the front end of the saccule is fixed on the outer wall of the front end of the inner catheter; a cavity which is formed by the inner catheter and the outer catheter is communicated with the water injection port; the guide wire is inserted into the inner catheter; the saccule is a small saccule which has a shape of a waist drum and of which the middle part is thick and two heads are thin; the total length of the saccule is 15 to 20mm; the diameter of each of two ends of the saccule is 15 to 20mm; the diameter of each of two heads of the saccule is 8 to 20mm; and the diameter of the middle part of the saccule is 2/3 to 4/5 the diameter of each of the two heads. The diameter of the middle part of the saccule is smaller than that of each of two heads, so the saccule can be accurately positioned on the narrow part of an artery and does not slip; the outer catheter is provided with scale marks to ensure accurate positioning; the chance that a patient suffering from pulmonary stenosis is damaged when the saccule is dilated can be obviously reduced, and safety of straight open thoracotomy is higher. The blank of the saccule dilating catheter special for the children at present is filled.

Description

Children special-purpose type congenital heart disease surgery sacculus dilating catheter
Technical field
The present invention relates to a kind of opening under the breast direct-view and inlay operative treatment congenital heart disease children special-purpose type surgery sacculus dilating catheter, mainly be applicable to the surgical intervention of child's congenital atresia of pulmonary artery, stenosis of pulmonary artery, aortic stenosis.
Background technology
Pulmonary atresia, stenosis of pulmonary artery, aortic stenosis are neonatal a kind of serious congenital heart diseases; The complete pulmonary atresia of interventricular septum particularly; If emergency operation not, with serious threat to life, conventional surgical method operating difficulty is big; Patient trauma is very big, and the postoperative death rate is high.Stenosis of pulmonary artery is right heart outflow obstruction property disease, and it is narrow to be divided into valve portion, infundibulum, pulmonary trunk and branch according to narrow position, wherein the most common with pulmonary stenosis, accounts for 80%--90%.The operation risk of young infant aortic stenosis is very big, and postoperative complication is many, mortality rate is high.Part pulmonary atresia, stenosis of pulmonary artery, aortic stenosis case can adopt the treatment of internal medicine intervention balloon expandable at present; Its shortcoming is that the location is inaccurate, effect is imprecise, complication is more, infant is accepted x-ray radiation for a long time; It is just practicable particularly need to arrive certain age; Have a strong impact on patient's timely treatment, to serious case, possibility so and threat to life.And minimally invasive surgery treatment technology is in recent years by comparison particularly inlayed operation and has greatly been reduced operation wound, improved the operation survival rate significantly.Inlay child's surgery sacculus dilating catheter that operation does not have special use down but open the breast direct-view at present, employed balloon dilatation catheter comes from the adult and gets involved sacculus dilating catheter, and the length of its sacculus is greater than 35mm, and its seal wire is about 200cm, conduit is about 100cm.And the series of balloon diameter is incomplete, can not be fit to the infant of the different state of an illness, increases difficulty and risk for operation.For child patient, it is long because of sacculus, conduit to inlay when operation, causes operation inconvenience; Operation easier increases; Possibly cause unnecessary damage, and the most dangerous be to be easy to damage lung tremulous pulse, aorta, in case damage will cause out of contior massive hemorrhage and death.This sacculus is when expansion simultaneously, and the easy slippage in stricture of artery place can not produce a desired effect, thereby exists bigger potential safety hazard clinically, demands designing a kind of suitable child's special-purpose surgery foley's tube urgently.
Summary of the invention
The objective of the invention is to provide that a kind of controllability is good, easy operating and the patient damaged less children special-purpose type congenital heart disease surgery sacculus dilating catheter.
Children special-purpose type congenital heart disease surgery sacculus dilating catheter of the present invention comprises seal wire mouth, water filling port, fixed sleeving, outer catheter, inner catheter, sacculus and seal wire, and said sacculus rear end is fixed on the outer wall of outer catheter front end; The sacculus front end is fixed on the outer wall of inner catheter front end; The cavity of forming between inner catheter and the outer catheter communicates with water filling port, and seal wire interts in inner catheter, wherein; Said sacculus is the pluckings dolioform little sacculus in middle part thin two; The sacculus total length is 15~20mm, and sacculus two diameter is 8~20mm, and sacculus middle part diameter equals 2/3~4/5 of two diameter.
For the ease of grasping sacculus position and insertion depth, the front end outer wall of said outer catheter is provided with 5 and is respectively the wide color scale ring of 10mm.Also can on 5 color scale rings, be provided with the length mark of 10 mm, 20 mm, 30 mm, 40 mm, 50 mm successively.
Children special-purpose type congenital heart disease surgery sacculus dilating catheter of the present invention; Because balloon diameter is thinner, can match with child's pulmonary artery and Ad, main is that sacculus is dolioform; Sacculus middle part diameter is littler than two diameter; Can be accurately with sacculus be positioned at tremulous pulse stenosis and can slippage, also the front end at outer catheter is provided with color scale ring equal length sign, obviously has the following advantages: 1. reduce the chance of sacculus to the infant injury of pulmonary artery: the infant pulmonary artery of congenital stenosis of pulmonary artery/locking is tiny and matter is crisp; Sustain damage easily during the balloon expandable treatment; Sacculus shortens and attenuates, and makes its specific aim stronger, thereby reduces the impaired chance of infant pulmonary artery/aorta; 2, sacculus accurate positioning: common sacculus is when expansion; Narrow tremulous pulse possibility slippage; Use dolioform sacculus, can make the narrow lesions position of tremulous pulse when balloon volume increases, slide to the sacculus recess voluntarily, solved the slippage problem and play the effect that is fixed to narrow lesions position automatically; 3, be convenient to the balloon diameter seriation: can be standard by sacculus middle part diameter, every be that a model makes the balloon diameter seriation at a distance from 2 mm, helps accurately expanding pulmonary artery/aorta to proper level; 4, be easy to control, easy and simple to handle, accuracy is high: the shortening of seal wire and sheath pipe, make apparatus be easy to control and operation, thereby it is more accurate to make sacculus locate; 5. the length in the intravasation is clear and definite: traditional conduit does not have reference mark, and length is wayward in the intravasation, and this patent is used the length that the color scale ring helps to show the conduit intravasation, more helps the accurate location of sacculus.The safety of open chest surgery is higher under the feasible direct-view.The child who is fit to congenital heart disease undergos surgery to treat and uses.Filled up the blank of the sacculus dilating catheter of present children special-purpose.
Description of drawings
Accompanying drawing 1-3 is several kinds of structural representations in the embodiments of the invention.
Among the figure 1 is the seal wire mouth, the 2nd, and water filling port, the 3rd, fixed sleeving, the 4th, outer catheter, the 5th, inner catheter, the 6th, sacculus, the 7th, seal wire, the 8th, the color scale ring that 10mm is wide.
The specific embodiment
Referring to accompanying drawing 1-3, children special-purpose type congenital heart disease surgery sacculus dilating catheter of the present invention mainly is on the basis of the surgery sacculus dilating catheter that the adult uses; Sacculus is shortened carefully, and changed drum shape sacculus into dolioform sacculus, its structure comprises seal wire mouth 1, water filling port 2, fixed sleeving 3, outer catheter 4, inner catheter 5, sacculus 6 and seal wire 7; Said sacculus 6 rear ends are fixed on the outer wall of outer catheter 4 front ends, and sacculus 6 front ends are fixed on the outer wall of inner catheter 5 front ends, and the cavity of forming between inner catheter 4 and the outer catheter 5 communicates with water filling port 2; Seal wire 7 interts inner catheter 5 from seal wire mouth 1; Wherein, said sacculus 6 is the pluckings dolioform little sacculus in middle part thin two, and the sacculus total length is 15~20mm; Sacculus two diameter is 8~20mm, and sacculus middle part diameter equals 2/3~4/5 of two diameter.
For the ease of grasping sacculus position and insertion depth, the front end of said outer catheter 4 is provided with 5 and is respectively the wide color scale ring 8 of 10mm.As according to sequence arrangement such as " red, orange, yellow, green, indigo plants ".Also can on 5 color scale rings 8, have additional the length mark of 10 mm, 20 mm, 30 mm, 40 mm, 50 mm backward successively in the past.

Claims (3)

1. children special-purpose type congenital heart disease surgery sacculus dilating catheter; Comprise seal wire mouth, water filling port, fixed sleeving, outer catheter, inner catheter, sacculus and seal wire, said sacculus rear end is fixed on the outer wall of outer catheter front end, and the sacculus front end is fixed on the outer wall of inner catheter front end; The cavity of forming between inner catheter and the outer catheter communicates with water filling port; Seal wire interts in inner catheter, it is characterized in that said sacculus is the pluckings dolioform little sacculus in middle part thin two, and the sacculus total length is 15~20mm; Sacculus two diameter is 8~20mm, and sacculus middle part diameter equals 2/3~4/5 of two diameter.
2. children special-purpose type congenital heart disease surgery sacculus dilating catheter as claimed in claim 1, the front end outer wall that it is characterized in that said outer catheter is provided with 5 and is respectively the wide color scale ring of 10mm.
3. children special-purpose type congenital heart disease surgery sacculus dilating catheter as claimed in claim 2 is characterized in that being provided with successively on 5 color scale rings the length mark of 10 mm, 20 mm, 30 mm, 40 mm, 50 mm.
CN2011103626935A 2011-11-16 2011-11-16 Congenital heart disease surgical saccule dilating catheter special for children Pending CN102357278A (en)

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Cited By (20)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103622832A (en) * 2013-11-22 2014-03-12 杭州图特生物科技有限公司 Ultrasonic visible gastrointestinal tube
CN105536123A (en) * 2016-02-18 2016-05-04 仇汉诚 Balloon catheter
CN106039597A (en) * 2016-06-29 2016-10-26 青岛大学附属医院 Percutaneous puncture type lung push-away device with balloon retained in thoracic cavity
CN109414528A (en) * 2017-05-05 2019-03-01 优敦力公司 Coated with drug foley's tube for body cavity
CN110680263A (en) * 2019-11-08 2020-01-14 张强 Anti-drop, anti-leakage, anti-reflux, fixing and protecting device for endoscope
CN111228631A (en) * 2020-01-13 2020-06-05 河南大学淮河医院 Ureteroscope guide wire with different color mark depths
CN111265259A (en) * 2020-03-20 2020-06-12 江苏省人民医院(南京医科大学第一附属医院) Device for interventional therapy of adult congenital heart disease under guidance of echocardiogram
CN111449766A (en) * 2020-03-25 2020-07-28 河南省中医院(河南中医药大学第二附属医院) Mammary gland positioning component
CN111772559A (en) * 2020-07-16 2020-10-16 嘉兴市第二医院 Intravascular direct-view system
CN113368376A (en) * 2021-06-08 2021-09-10 中国医学科学院阜外医院 Special sacculus expansion system of open chest operation of cardiac surgery
CN114010918A (en) * 2021-11-05 2022-02-08 首都医科大学宣武医院 Balloon catheter system for intravertebral astride eccentric plaque denudation operation
CN114432578A (en) * 2022-01-27 2022-05-06 美度可医疗科技(上海)有限公司 Adjustable sacculus pipe
US11471655B2 (en) 2012-10-26 2022-10-18 Urotronic, Inc. Drug-coated balloon catheters for body lumens
US11648338B2 (en) 2012-10-26 2023-05-16 Urotronic, Inc. Drug-coated balloon catheters for body lumens
CN116531644A (en) * 2023-07-06 2023-08-04 蓝盾医疗科技(北京)有限公司 Accurate positioning medicine application catheter, application and treatment system thereof
US11730864B2 (en) 2015-04-24 2023-08-22 Urotronic, Inc. Drug coated balloon catheters for nonvascular strictures
US11826532B2 (en) 2012-10-26 2023-11-28 Urotronic, Inc. Balloon catheters for body lumens
US11925729B2 (en) 2012-10-26 2024-03-12 Urotronic, Inc. Drug-coated balloon catheters for body lumens
US11938287B2 (en) 2012-10-26 2024-03-26 Urotronic, Inc. Drug-coated balloon catheters for body lumens
US11957853B2 (en) 2019-02-22 2024-04-16 Urotronic, Inc. Drug-coated balloon catheters for body lumens

Citations (2)

* Cited by examiner, † Cited by third party
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WO2010078148A1 (en) * 2008-12-29 2010-07-08 Acclarent, Inc. System for dilating an airway stenosis
CN202314894U (en) * 2011-11-16 2012-07-11 南京医科大学附属南京儿童医院 Child dedicated congenital heart disease surgical balloon dilating catheter

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2010078148A1 (en) * 2008-12-29 2010-07-08 Acclarent, Inc. System for dilating an airway stenosis
CN202314894U (en) * 2011-11-16 2012-07-11 南京医科大学附属南京儿童医院 Child dedicated congenital heart disease surgical balloon dilating catheter

Cited By (26)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11826532B2 (en) 2012-10-26 2023-11-28 Urotronic, Inc. Balloon catheters for body lumens
US11925729B2 (en) 2012-10-26 2024-03-12 Urotronic, Inc. Drug-coated balloon catheters for body lumens
US11471656B2 (en) 2012-10-26 2022-10-18 Urotronic, Inc. Drug-coated balloon catheters for body lumens
US11648338B2 (en) 2012-10-26 2023-05-16 Urotronic, Inc. Drug-coated balloon catheters for body lumens
US11471655B2 (en) 2012-10-26 2022-10-18 Urotronic, Inc. Drug-coated balloon catheters for body lumens
US12115286B2 (en) 2012-10-26 2024-10-15 Urotronic, Inc. Drug-coated balloon catheters for body lumens
US11938287B2 (en) 2012-10-26 2024-03-26 Urotronic, Inc. Drug-coated balloon catheters for body lumens
US11648337B2 (en) 2012-10-26 2023-05-16 Urotronic, Inc. Drug-coated balloon catheters for body lumens
US11826533B2 (en) 2012-10-26 2023-11-28 Urotronic, Inc. Balloon catheters for body lumens
CN103622832A (en) * 2013-11-22 2014-03-12 杭州图特生物科技有限公司 Ultrasonic visible gastrointestinal tube
US11904072B2 (en) 2015-04-24 2024-02-20 Urotronic, Inc. Drug coated balloon catheters for nonvascular strictures
US11730864B2 (en) 2015-04-24 2023-08-22 Urotronic, Inc. Drug coated balloon catheters for nonvascular strictures
US12102737B2 (en) 2015-04-24 2024-10-01 Urotronic, Inc. Drug coated balloon catheters for nonvascular strictures
CN105536123A (en) * 2016-02-18 2016-05-04 仇汉诚 Balloon catheter
CN106039597A (en) * 2016-06-29 2016-10-26 青岛大学附属医院 Percutaneous puncture type lung push-away device with balloon retained in thoracic cavity
CN109414528A (en) * 2017-05-05 2019-03-01 优敦力公司 Coated with drug foley's tube for body cavity
US11957853B2 (en) 2019-02-22 2024-04-16 Urotronic, Inc. Drug-coated balloon catheters for body lumens
CN110680263A (en) * 2019-11-08 2020-01-14 张强 Anti-drop, anti-leakage, anti-reflux, fixing and protecting device for endoscope
CN111228631A (en) * 2020-01-13 2020-06-05 河南大学淮河医院 Ureteroscope guide wire with different color mark depths
CN111265259A (en) * 2020-03-20 2020-06-12 江苏省人民医院(南京医科大学第一附属医院) Device for interventional therapy of adult congenital heart disease under guidance of echocardiogram
CN111449766A (en) * 2020-03-25 2020-07-28 河南省中医院(河南中医药大学第二附属医院) Mammary gland positioning component
CN111772559A (en) * 2020-07-16 2020-10-16 嘉兴市第二医院 Intravascular direct-view system
CN113368376A (en) * 2021-06-08 2021-09-10 中国医学科学院阜外医院 Special sacculus expansion system of open chest operation of cardiac surgery
CN114010918A (en) * 2021-11-05 2022-02-08 首都医科大学宣武医院 Balloon catheter system for intravertebral astride eccentric plaque denudation operation
CN114432578A (en) * 2022-01-27 2022-05-06 美度可医疗科技(上海)有限公司 Adjustable sacculus pipe
CN116531644A (en) * 2023-07-06 2023-08-04 蓝盾医疗科技(北京)有限公司 Accurate positioning medicine application catheter, application and treatment system thereof

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Application publication date: 20120222