CN116262052A - Traction rings, sheaths and interventional instruments - Google Patents
Traction rings, sheaths and interventional instruments Download PDFInfo
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- A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
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- A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
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- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
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- A—HUMAN NECESSITIES
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- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
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- A61B2017/00292—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/0034—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means adapted to be inserted through a working channel of an endoscope
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/0194—Tunnelling catheters
- A61M2025/0197—Tunnelling catheters for creating an artificial passage within the body, e.g. in order to go around occlusions
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Abstract
Description
技术领域technical field
本发明涉及介入医疗器械技术领域,尤其涉及一种牵引环、鞘管及介入器械。The invention relates to the technical field of interventional medical devices, in particular to a traction ring, a sheath and an interventional device.
背景技术Background technique
医用鞘管在微创介入诊断和治疗手术中用于建立通道、输送或回收器械、输入药物或导出体液等;其中的可调弯鞘管具有远端可调弯功能,能快速、可靠地到达靶病变位置,以减少手术时间。在手术前和手术过程中医生为了精确地调节管体远端的角度,使其弯曲角度适应不同的人体内管腔的复杂解剖结构会进行反复的调弯操作,因此,这就要求可调弯鞘管的牵引系统具有较好的牵拉疲劳性能。牵引系统的拉伸强度、拉伸疲劳强度和对管体壁厚的影响在可调弯鞘管中至关重要。Medical sheaths are used in minimally invasive interventional diagnosis and treatment operations to establish channels, transport or recover instruments, infuse drugs or export body fluids, etc.; the adjustable curved sheath has a distal adjustable bending function, which can quickly and reliably reach the Target lesion location to reduce operation time. In order to accurately adjust the angle of the distal end of the tube body before and during the operation, the doctor will perform repeated bending operations to adapt the bending angle to the complex anatomical structure of different human lumens. Therefore, this requires adjustable bending The traction system of the sheath has good traction fatigue performance. The tensile strength of the traction system, the tensile fatigue strength and the effect on the wall thickness of the tube body are critical in adjustable curved sheaths.
参照图1所示,现有的牵引系统中是将牵引丝20’对折后套在固定环10’上,牵引丝20’受拉力后作用在固定环10’上是“点”受力,这样容易使固定环破裂或者牵引丝的对折处断裂,可靠性欠缺。为此,在其基础上有人提出另一种连接方式,参照图2所示,是将牵引丝20”穿过固定环10”上的孔进行连接,虽然这种连接方式有一定的可靠性,但是整体结构的厚度比固定环的厚度大,会导致鞘管管体壁厚增大。Referring to Fig. 1, in the existing traction system, the traction wire 20' is folded in half and placed on the fixed ring 10', and the traction wire 20' acts on the fixed ring 10' after being pulled, which is a "point" force, so It is easy to break the fixing ring or the double fold of the pulling wire, and the reliability is lacking. For this reason, someone proposes another connection method based on it. Referring to FIG. 2, the
发明内容Contents of the invention
本发明要解决的技术问题在于,针对现有技术中的上述缺陷,提供一种既能保证可靠性同时能做到薄壁的牵引环、鞘管及介入器械。The technical problem to be solved by the present invention is to provide a traction ring, a sheath and an interventional instrument that can not only ensure reliability but also be thin-walled in view of the above-mentioned defects in the prior art.
本发明解决其技术问题所采用的技术方案是:The technical solution adopted by the present invention to solve its technical problems is:
提供一种牵引环,用于连接牵引丝,包括一环体,所述环体具有相对的近端环面和远端环面、以及位于所述近端环面和所述远端环面之间的两相对的周壁,所述环体的其中一周壁上凹设有第一容纳槽,所述环体的近端环面上凹设有与所述第一容纳槽相通的容纳通道,所述第一容纳槽内形成有用于勾挂所述牵引丝的勾挂部,置于所述第一容纳槽内的牵引丝勾挂于所述勾挂部后自所述容纳通道穿过。A traction ring is provided for connecting a traction wire, comprising a ring body, the ring body has a proximal ring surface and a distal ring surface opposite to each other, and a ring located between the proximal ring surface and the distal ring surface Two opposite peripheral walls between the ring body, one of the peripheral walls of the ring body is recessed with a first accommodation groove, and the proximal ring surface of the ring body is concavely provided with an accommodation channel communicating with the first accommodation groove, so A hooking portion for hooking the pulling wire is formed in the first accommodation groove, and the pulling wire placed in the first accommodation groove is hooked on the hooking portion and passes through the accommodation channel.
在其中一个实施例中,所述容纳通道为贯穿所述环体的另一周壁的第二容纳槽,所述环体上还设有连通所述第一容纳槽和所述第二容纳槽的穿孔,置于所述第一容纳槽内的牵引丝勾挂于所述勾挂部后穿过所述穿孔后进入所述第二容纳槽。In one of the embodiments, the accommodating channel is a second accommodating groove that runs through the other peripheral wall of the ring body, and the ring body is also provided with a channel connecting the first accommodating groove and the second accommodating groove. through the hole, the pulling wire placed in the first receiving groove is hooked on the hooking part, passes through the through hole, and then enters the second receiving groove.
在其中一个实施例中,所述第一容纳槽与所述第二容纳槽轴向上交叠形成可供牵引丝穿过的所述穿孔。In one embodiment, the first receiving groove and the second receiving groove overlap axially to form the through hole through which the pulling wire can pass.
在其中一个实施例中,所述第二容纳槽为凹设形成的弧形凹槽。In one of the embodiments, the second accommodating groove is an arc-shaped groove formed by recessing.
在其中一个实施例中,所述第一容纳槽在所述环体的周壁上局部设置,所述勾挂部包括形成于所述第一容纳槽内的一凸块。In one embodiment, the first accommodating groove is partially disposed on the peripheral wall of the ring body, and the hooking portion includes a protrusion formed in the first accommodating groove.
在其中一个实施例中,所述凸块的与所述牵引丝勾挂处的表面呈弧面。In one of the embodiments, the surface of the projection where the hooking wire is hooked is an arc surface.
在其中一个实施例中,所述凸块的顶部处设有一用于对勾挂其上的牵引丝进行限位的凹陷部,和/或,所述凸块的远离所述第一容纳槽底壁的一侧表面轴向上延伸形成有一用于对勾挂其上的牵引丝进行限位的阻挡部。In one of the embodiments, the top of the protruding block is provided with a concave portion for limiting the pulling wire hooked on it, and/or, the protruding block is far away from the bottom of the first receiving groove One side surface of the wall extends axially to form a blocking portion for limiting the pulling wire hooked thereon.
在其中一个实施例中,一所述第一容纳槽、一所述容纳通道及一所述凸块形成一组牵引结构,所述牵引结构沿所述环体的周向间隔设置多组。In one of the embodiments, a first receiving groove, a receiving channel and a protrusion form a set of traction structures, and multiple sets of the traction structures are arranged at intervals along the circumferential direction of the ring body.
在其中一个实施例中,所述第一容纳槽在所述环体的外周壁上周向设置,使得形成的所述第一容纳槽呈环形凹槽,所述环形凹槽的环形壁形成所述勾挂部。In one of the embodiments, the first accommodating groove is arranged circumferentially on the outer peripheral wall of the ring body, so that the formed first accommodating groove is an annular groove, and the annular wall of the annular groove forms the Describe the hooking part.
在其中一个实施例中,与所述牵引丝接触的所述第一容纳槽和所述容纳通道的交汇处的表面呈弧面。In one of the embodiments, the surface at the intersection of the first receiving groove and the receiving channel which is in contact with the pulling wire is an arc surface.
在其中一个实施例中,所述容纳通道包括周向间隔设置的第一子通道和第二子通道,所述第一子通道和所述第二子通道均与所述第一容纳槽相通;其中,In one of the embodiments, the accommodating channel includes a first sub-channel and a second sub-channel arranged at intervals in the circumferential direction, and both the first sub-channel and the second sub-channel communicate with the first accommodating groove; in,
在所述容纳通道为贯穿所述环体的另一周壁形成的第二容纳槽时,所述第一子通道和所述第二子通道分别为与所述第一容纳槽连通的第一子容纳槽和第二子容纳槽;其中,When the accommodating channel is a second accommodating groove formed through the other peripheral wall of the ring body, the first sub-channel and the second sub-channel are respectively first sub-channels communicating with the first accommodating groove The accommodation tank and the second sub-accommodation tank; wherein,
在所述第一容纳槽与所述第二容纳槽轴向上交叠形成可供牵引丝穿过的所述穿孔时,所述第一子容纳槽和所述第二子容纳槽分别与所述第一容纳槽轴向上交叠形成可供牵引丝两端分别穿过的第一穿孔和第二穿孔;其中,When the first receiving groove and the second receiving groove axially overlap to form the through hole through which the pulling wire can pass, the first sub-accommodating groove and the second sub-accommodating groove are respectively connected to the second receiving groove The first receiving groove overlaps axially to form a first through hole and a second through hole through which the two ends of the pulling wire can respectively pass; wherein,
在所述第二容纳槽为凹设形成的弧形凹槽时,所述第一子容纳槽和所述第二子容纳槽分别为凹设形成的第一弧形凹槽和第二弧形凹槽。When the second receiving groove is an arc-shaped groove formed by recessing, the first sub-accommodating groove and the second sub-accommodating groove are respectively a first arc-shaped groove and a second arc-shaped groove formed by recessing groove.
在其中一个实施例中,当所述勾挂部包括形成于所述第一容纳槽内的一凸块时,所述凸块介于所述第一子通道和所述第二子通道之间。In one of the embodiments, when the hooking portion includes a protrusion formed in the first receiving groove, the protrusion is interposed between the first sub-channel and the second sub-channel .
本发明解决其技术问题所采用的另一技术方案是:Another technical solution adopted by the present invention to solve its technical problems is:
提供一种鞘管,包括管体、设于所述管体上的如上述所述的牵引环以及牵引丝,所述管体内设有与所述牵引环的容纳通道连通的牵引通道,从所述容纳通道穿过的所述牵引丝进入所述容纳通道。A sheath tube is provided, including a tubular body, a traction ring as described above and a traction wire arranged on the tubular body, a traction channel communicated with the accommodating channel of the traction ring is provided in the tubular body, and from the The drawing wire passing through the accommodation channel enters the accommodation channel.
本发明解决其技术问题所采用的又一技术方案是:Another technical solution adopted by the present invention to solve its technical problems is:
提供一种介入器械,其特征在于,包括上述所述的鞘管、连接于所述鞘管近端的手柄及设于所述手柄内的调弯机构,进入所述容纳通道内的牵引丝自所述牵引通道穿出后与所述调弯机构连接。An interventional instrument is provided, which is characterized in that it comprises the above-mentioned sheath tube, a handle connected to the proximal end of the sheath tube, and a bending adjustment mechanism arranged in the handle, and the pulling wire entering the accommodating channel is automatically After passing through, the traction channel is connected with the bending adjustment mechanism.
综上所述,本发明的牵引环、鞘管及介入器械中,牵引丝勾挂于勾挂部上后与勾挂部形成面接触,保证了可靠性;同时,牵引丝置于第一容纳槽内后自环体上的容纳通道引出,这就使得牵引丝的至少部分是容置于环体内的,有效的减少了整体结构的厚度,实现了薄壁设计。使得在鞘管同外径的前提上,本发明可以做到鞘管内径更大,输送更大规格的器械;或者在鞘管同内径的前提上,本发明可以做到鞘管外径更小,鞘管可以在更小的血管中使用。In summary, in the traction ring, sheath and interventional instrument of the present invention, the traction wire is hooked on the hook part and forms surface contact with the hook part, which ensures reliability; at the same time, the traction wire is placed in the first storage After being inside the groove, it is led out from the accommodation channel on the ring body, which makes at least part of the pulling wire accommodated in the ring body, effectively reducing the thickness of the overall structure and realizing a thin-walled design. So that on the premise of the same outer diameter of the sheath tube, the present invention can achieve a larger inner diameter of the sheath tube and transport larger-sized instruments; or on the premise of the same inner diameter of the sheath tube, the present invention can achieve a smaller outer diameter of the sheath tube , the sheath can be used in smaller vessels.
附图说明Description of drawings
下面将结合附图及实施例对本发明作进一步说明,附图中:The present invention will be further described below in conjunction with accompanying drawing and embodiment, in the accompanying drawing:
图1是现有牵引系统中牵引丝与牵引环的一种固定方式;Fig. 1 is a kind of fixing method of pulling wire and pulling ring in the existing pulling system;
图2是现有牵引系统中牵引丝与牵引环的另一种固定方式;Fig. 2 is another kind of fixing method of pulling wire and pulling ring in the existing pulling system;
图3是本发明示例性的牵引环的一种实施方式的外部结构示意图;Fig. 3 is a schematic diagram of the external structure of an embodiment of the exemplary traction ring of the present invention;
图4是图3所示的牵引环的内部结构示意图;Fig. 4 is a schematic diagram of the internal structure of the traction ring shown in Fig. 3;
图5是牵引丝与图3所示的牵引环连接的结构示意图;Fig. 5 is a schematic diagram of the structure of the drawing wire connected to the drawing ring shown in Fig. 3;
图6是图3所示的牵引环的俯视示意图;Fig. 6 is a schematic top view of the traction ring shown in Fig. 3;
图7是图3所示的牵引环上形成有穿孔的示意图;Fig. 7 is a schematic diagram of perforations formed on the traction ring shown in Fig. 3;
图8是牵引丝穿过图3所示的牵引环上的穿孔的示意图;Fig. 8 is a schematic diagram of the drawing wire passing through the perforation on the drawing ring shown in Fig. 3;
图9是包括有图3所示的牵引环的鞘管的结构示意图;Fig. 9 is a schematic structural view of a sheath including the traction ring shown in Fig. 3;
图10是本发明示例性的牵引环的另一种实施方式的外部结构示意图;Fig. 10 is a schematic diagram of the external structure of another embodiment of the exemplary traction ring of the present invention;
图11是图10所示的牵引环的内部结构示意图;Fig. 11 is a schematic diagram of the internal structure of the traction ring shown in Fig. 10;
图12是包括有图10所示的牵引环的鞘管的结构示意图。Fig. 12 is a schematic structural view of a sheath including the traction ring shown in Fig. 10 .
具体实施方式Detailed ways
为使本发明的上述目的、特征和优点能够更加明显易懂,下面结合附图对本发明的具体实施方式做详细的说明。在下面的描述中阐述了很多具体细节以便于充分理解本发明。但是本发明能够以很多不同于在此描述的其它方式来实施,本领域技术人员可以在不违背本发明内涵的情况下做类似改进,因此本发明不受下面公开的具体实施的限制。In order to make the above objects, features and advantages of the present invention more comprehensible, specific implementations of the present invention will be described in detail below in conjunction with the accompanying drawings. In the following description, numerous specific details are set forth in order to provide a thorough understanding of the present invention. However, the present invention can be implemented in many other ways different from those described here, and those skilled in the art can make similar improvements without departing from the connotation of the present invention, so the present invention is not limited by the specific implementations disclosed below.
需要说明的是,当元件被称为“固定于”或“设置于”另一个元件,它可以直接在另一个元件上或者也可以存在居中的元件。当一个元件被认为是“连接”另一个元件,它可以是直接连接到另一个元件或者可能同时存在居中元件。本文所使用的术语“垂直的”、“水平的”、“左”、“右”以及类似的表述只是为了说明的目的,并不表示是唯一的实施方式。It should be noted that when an element is referred to as being “fixed on” or “disposed on” another element, it may be directly on the other element or there may be an intervening element. When an element is referred to as being "connected to" another element, it can be directly connected to the other element or intervening elements may also be present. The terms "vertical," "horizontal," "left," "right," and similar expressions are used herein for purposes of illustration only and are not intended to represent the only embodiments.
除非另有定义,本文所使用的所有的技术和科学术语与属于本发明的技术领域的技术人员通常理解的含义相同。本文中在本发明的说明书中所使用的术语只是为了描述具体的实施方式的目的,不是旨在于限制本发明。本文所使用的术语“及/或”包括一个或多个相关的所列项目的任意的和所有的组合。Unless otherwise defined, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the technical field of the invention. The terminology used herein in the description of the present invention is only for the purpose of describing specific embodiments, and is not intended to limit the present invention. As used herein, the term "and/or" includes any and all combinations of one or more of the associated listed items.
另外,需要说明的是,在介入医疗器械领域,一般将植入人体或动物体内的医疗器械或者输送该医疗器械的输送系统的距离操作者较近的一端称为“近端”,将距离操作者较远的一端称为“远端”,并依据此原理定义医疗器械或者输送系统的任一部件的“近端”和“远端”。“轴向”一般是指医疗器械在被输送时的长度方向,“径向”一般是指医疗器械的与其“轴向”垂直的方向,并依据此原理定义医疗器械的任一部件的“轴向”和“径向”。In addition, it should be noted that in the field of interventional medical devices, the end of the medical device implanted in the human body or animal body or the delivery system that transports the medical device that is closer to the operator is generally referred to as the "proximal end", and the distance from the operator The far end is called the "distal end", and according to this principle, the "proximal end" and "distal end" of any part of the medical device or delivery system are defined. "Axial" generally refers to the length direction of the medical device when it is being transported, and "radial" generally refers to the direction perpendicular to the "axial" of the medical device, and the "axis" of any part of the medical device is defined according to this principle to" and "radial".
实施例1Example 1
参照图3和图10所示,本发明示例性的提供一种牵引环100,用于连接牵引丝200,牵引环100包括一环体10,环体10具有相对的近端环面10a和远端环面10b、以及位于近端环面10a和远端环面10b之间的两相对的周壁,环体10的其中一周壁上凹设有一第一容纳槽,环体10的近端环面10a上凹设有与第一容纳槽相通的容纳通道,其中,此处的相通可指直接相通或间接相通。第一容纳槽内形成有用于勾挂牵引丝200的勾挂部,置于第一容纳槽内的牵引丝200勾挂于勾挂部后自容纳通道穿过引出。牵引丝200勾挂于勾挂部上后与勾挂部形成面接触,保证了可靠性;同时,牵引丝200置于凹设的第一容纳槽内后自环体10上的容纳通道引出,这就使得牵引丝200的至少部分是容置于环体10内的,有效的减少了整体结构的厚度,实现了薄壁设计。应当说明的是,本实施例所示置于第一容纳槽内的牵引丝200勾挂于勾挂部后自容纳通道穿过引出的仅是为了说明勾挂过程的一种实施方式,不应当是对本发明示例性的牵引环100的结构而进行限定,例如,还可实现勾挂的方式是,将牵引丝200的一延伸端从容纳通道穿出经过第一容纳槽内的勾挂部,勾挂于勾挂部上后再回折从容纳通道穿出,这一过程依然可以实现勾挂并自容纳通道穿过。3 and 10, the present invention exemplarily provides a
进一步的,由于在环体10轴向上设置通道穿孔对工艺要求很高,难度很大,而且会导致在设置通道穿孔后环体10的整体强度较弱,鉴于此,在其他实施例中,容纳通道为贯穿环体的另一周壁的第二容纳槽,环体10径向厚度方向上还设有连通第一容纳槽和第二容纳槽的穿孔,置于第一容纳槽内的牵引丝勾挂于勾挂部后穿过穿孔后进入第二容纳槽。本实施例将容纳通道设置为贯穿环体的另一周壁的第二容纳槽,并通过一径向穿孔连通第一容纳槽和第二容纳槽,使得置于第一容纳槽的牵引丝弯折穿过穿孔后进入第二容纳槽内,牵引丝的两侧的至少部分分别置于第一容纳槽和第二容纳槽内,不仅更利于实现环体的薄壁设计,且保证了设有容纳通道的牵引环的整体强度,同时极大降低了工艺难度。Further, since the channel perforation in the axial direction of the
在其他实施例中,作为实现上述穿孔的一种实施方式,第一容纳槽与第二容纳槽轴向上交叠形成可供牵引丝穿过的穿孔。穿孔如此设置,一方面简化了设置穿孔的工艺过程,另一方面第一容纳槽和第二容纳槽在径向上的凹陷深度有重叠,可使得其内部可以容置更多体积的牵引丝,从而进一步实现薄壁设计。In other embodiments, as an implementation manner of realizing the above-mentioned perforation, the first receiving groove and the second receiving groove axially overlap to form a perforation through which the pulling wire can pass. The perforation is set in this way, on the one hand, it simplifies the process of setting the perforation, and on the other hand, the recess depths of the first accommodation groove and the second accommodation groove overlap in the radial direction, so that more volumes of pulling wires can be accommodated inside, so that Further realization of thin-wall design.
参照图4所示,优选的,由于第二容纳槽也是凹陷设置的方式,因此,为了避免凹陷的第二容纳槽导致环体局部强度变弱,同时保证第二容纳槽具有更多的容置体积,第二容纳槽为凹设形成的弧形凹槽。Referring to Figure 4, preferably, since the second accommodation groove is also recessed, in order to avoid the weakening of the local strength of the ring due to the recessed second accommodation groove, at the same time ensure that the second accommodation groove has more accommodating volume, the second receiving groove is an arc-shaped groove formed by a concave design.
示例性的,容纳通道包括周向间隔设置的第一子通道和第二子通道,第一子通道和第二子通道均与第一容纳槽相通;其中,在容纳通道为贯穿环体的另一周壁形成的第二容纳槽时,第一子通道和第二子通道分别为与第一容纳槽连通的第一子容纳槽和第二子容纳槽;其中,在第一容纳槽与第二容纳槽轴向上交叠形成可供牵引丝穿过的穿孔时,第一子容纳槽和第二子容纳槽分别与第一容纳槽轴向上交叠形成可供牵引丝两端分别穿过的第一穿孔和第二穿孔;其中,在第二容纳槽为凹设形成的弧形凹槽时,第一子容纳槽和第二子容纳槽分别为凹设形成的第一弧形凹槽和第二弧形凹槽。Exemplarily, the accommodating channel includes a first sub-channel and a second sub-channel arranged at intervals in the circumferential direction, and both the first sub-channel and the second sub-channel communicate with the first accommodating groove; When the second accommodation groove formed by the peripheral wall, the first sub-channel and the second sub-channel are respectively the first sub-accommodation groove and the second sub-accommodation groove communicated with the first accommodation groove; wherein, between the first accommodation groove and the second When the accommodating grooves are axially overlapped to form perforations through which the pulling wires can pass, the first sub-accommodating grooves and the second sub-accommodating grooves overlap with the first accommodating grooves in the axial direction respectively to form holes for the two ends of the pulling wires to pass through respectively. The first perforation and the second perforation; wherein, when the second accommodating groove is an arc-shaped groove formed by a concave design, the first sub-accommodating groove and the second sub-accommodating groove are respectively first arc-shaped grooves formed by a concave design and the second arc groove.
实施例2Example 2
本发明在上述实施例1提供的牵引环100的基础上,示例性的提供一种鞘管,鞘管包括管体、设于管体上的如实施例1所述的牵引环100以及牵引丝200,管体内设有与牵引环100的容纳通道连通的牵引通道,从容纳通道穿过的牵引丝200进入容纳通道。选择实施例1所述的牵引环100,使得在鞘管同外径的前提上,本发明可以做到鞘管内径更大,输送更大规格的器械;或者在鞘管同内径的前提上,本发明可以做到鞘管外径更小,鞘管可以在更小的血管中使用。On the basis of the
实施例3Example 3
本发明在上述实施例1提供的牵引环和实施例2提供的鞘管的基础上,示例性的提供一种介入器械,介入器械包括如实施例2的鞘管、连接于鞘管近端的手柄及设于手柄内的调弯机构,进入容纳通道内的牵引丝200自牵引通道穿出后与调弯机构连接,调弯机构在外力驱动下运动,以牵拉和释放牵引丝200,从而实现鞘管的弯曲。On the basis of the traction ring provided in the above-mentioned embodiment 1 and the sheath tube provided in the embodiment 2, the present invention exemplarily provides an interventional device, the interventional device includes the sheath tube as in the embodiment 2, the sheath connected to the proximal end of the sheath The handle and the bending adjustment mechanism arranged in the handle, the pulling
实施例4Example 4
本实施例在上述实施例1提供的牵引环100的基础上,提出一种牵引环100的具体实施方式。具体的,参照图3所示,本实施例的第一容纳槽在环体10的周壁上局部设置,形成一局部第一容纳槽21,勾挂部包括形成于第一容纳槽内的一凸块41。也就是说,凸块41形成于局部第一容纳槽21内,环体10的近端环面10a上凹设有与局部第一容纳槽21相通的容纳通道,此处的相通指直接相通或间接相通,置于局部第一容纳槽21内的牵引丝200勾挂于勾挂部后自容纳通道穿过。In this embodiment, a specific implementation manner of the
其中,环体10具有位于近端环面10a和远端环面10b之间的相对的第一周壁和第二周壁。在第一周壁为内周壁时,则第二周壁为外周壁;在第一周壁为外周壁,则第二周壁为内周壁。可理解,在本实施例中,就实现调弯功能而言,局部第一容纳槽21可设于环体10的第一周壁或第二周壁上,即局部第一容纳槽21可以设置在内周壁,或者也可以设置在外周壁上,具体可根据需要进行选择。在本实施例中,为了便于开槽以及勾挂部的设置,如图3所示,局部第一容纳槽21设于环体10的外周壁上。还应当理解,局部第一容纳槽21的远端处可贯穿环体10的远端环面10b,也可以不贯穿环体10的远端环面10b,只要牵引丝200可置于局部第一容纳槽21内并勾挂于凸块41上即可。Wherein, the
继续参照图3所示,为了更好的适应牵引丝200柔顺形态与之贴合,加大受力面积,凸块41的与牵引丝200勾挂处的表面呈弧面,即图3中凸块41的顶部呈圆弧状,相对棱角的接触方式,圆弧状的接触面可更有效降低磨损,降低牵引丝与固定环失效风险,使牵引丝与固定环连接更加可靠。Continuing to refer to Fig. 3, in order to better adapt to the flexible shape of the
进一步的,为了避免勾挂于凸块41上的牵引丝200从凸块41上脱离,作为一种防脱实施方式,凸块41的顶部处设有一用于对勾挂其上的牵引丝200进行限位的凹陷部41a。作为另一种防脱实施方式,凸块41的远离第一容纳槽底壁的一侧表面轴向上延伸形成有一用于对勾挂其上的牵引丝200进行限位的阻挡部41b。还可的是,在其他实施例中,上述两种防脱方式可结合设置,即既设置凹陷部41a,又设置阻挡部41b。凹陷部41a、阻挡部41b均对勾挂于凸块41上的牵引丝进行了径向限位,避免其脱离失效,保证了勾挂的可靠性。Further, in order to prevent the pulling
作为本实施例中容纳通道的一种实施方式,容纳通道为自环体10的近端环面10a处凹设形成于环体10内的通孔,该通孔与局部第一容纳槽21相通,此处的相通可指直接相通或间接相通,置于局部第一容纳槽21内的牵引丝200勾挂于勾挂部后自通孔穿过。注意,此处的形成于环体10内的通孔指通孔并不贯穿环体10的任何一周壁。As an implementation of the accommodating channel in this embodiment, the accommodating channel is a through hole formed in the
作为本实施例中容纳通道的另一种实施方式,容纳通道为自环体10的近端环面10a处凹设形成于环体10上的第二容纳槽,该第二容纳槽贯穿环体10的另一周壁。需要说明的是,该第二容纳槽贯穿的周壁为与设有局部第一容纳槽21的周壁相对的另一周壁,也就是说,当局部第一容纳槽21设置在第一周壁上时,该第二容纳槽贯穿第二周壁;当局部第一容纳槽21设置在第二周壁上时,该第二容纳槽贯穿第一周壁。即局部第一容纳槽21与该第二容纳槽在环体10厚度方向上相对。其中,该第二容纳槽贯穿环体10的另一周壁的方式不仅更利于容纳通道的设置,制作工艺更加简单容易实现,且对环体10的壁厚要求更低,更利于薄壁的设置。As another embodiment of the accommodating channel in this embodiment, the accommodating channel is a second accommodating groove formed on the
进一步地,结合图3~图5所示,容纳通道包括周向间隔设置的第一子通道31a和第二子通道31b,第一子通道31a和第二子通道31b均与局部第一容纳槽21相通,置于局部第一容纳槽21内的牵引丝200勾挂于勾挂部后其两延伸端分别自该第一子通道31a和第二子通道31b穿出,牵引丝200的两延伸段分别独立,避免了自一个容纳通道穿过的牵引丝200彼此之间相互缠绕以及磨损而带来的产品失效问题。优选的,如图3所示,在其他实施例中,当勾挂部为形成于第一容纳槽内的一凸块41时,凸块41介于第一子通道31a和第二子通道31b之间,使得牵引丝受力的更加的均衡,牵拉更加平稳。Further, as shown in FIG. 3 to FIG. 5 , the accommodating channel includes a
其中,基于前述容纳通道的设置,当容纳通道为自环体10的近端环面10a处凹设形成于环体10内的通孔时,第一子通道31a和第二子通道31b可为自环体10的近端环面10a处凹设形成于环体10内的第一通孔和第二通孔,该第一通孔和第二通孔均与局部第一容纳槽21相通。那么,置于局部第一容纳槽21内的牵引丝200勾挂于勾挂部后其两延伸端分别自该第一通孔和第二通孔穿出。Wherein, based on the setting of the aforementioned accommodating channel, when the accommodating channel is a through hole recessed and formed in the
当容纳通道为自环体10的近端环面10a处凹设形成于环体10上的第二容纳槽时,第一子通道31a和第二子通道31b分别为自环体10的近端环面10a处凹设形成于环体10上的第一子容纳槽和第二子容纳槽,该第一子容纳槽和第二子容纳槽均贯穿环体10的另一周壁。同样需要说明的是,该第一子容纳槽和第二子容纳槽均贯穿的周壁为与设有局部第一容纳槽21的周壁相对的另一周壁,也就是说,当局部第一容纳槽21设置在第一周壁上时,该第一子容纳槽和第二子容纳槽均贯穿第二周壁;当局部第一容纳槽21设置在第二周壁上时,该第一子容纳槽和第二子容纳槽均贯穿第一周壁。即局部第一容纳槽21与该第一子容纳槽和第二子容纳槽在环体10厚度方向上相对。置于局部第一容纳槽21内的牵引丝200勾挂于勾挂部后其两延伸端分别自该第一子容纳槽和第二子容纳槽引出。When the accommodating channel is the second accommodating groove formed on the
优选的,在其他实施例中,结合图3、图4及图6所示,当第一子通道31a和第二子通道31b分别为自环体10的近端环面10a处凹设形成于环体10上的第一子容纳槽和第二子容纳槽时,第一子容纳槽和第二子容纳槽分别为贯穿环体10另一周壁的第一弧形凹槽和第二弧形凹槽,如图3、图4及图6中所示,第一弧形凹槽和第二弧形凹槽均与第一容纳槽在轴向上交叠形成可供牵引丝200穿过的第一穿孔a和第二穿孔b。本实施例在环状的环体10上设置弧形凹槽,一方面可以使得柱状的牵引丝200尽可能多的置于环体10内,利于薄壁设置;另一方面避免因为非弧形凹槽的设置而导致环状的环体10的局部变得太薄,影响其环体10的强度。也就是说,本实施例的设置方式,即可以做到薄壁设置,同时能够有效保证整体强度及连接的可靠性。Preferably, in other embodiments, as shown in FIG. 3, FIG. 4 and FIG. For the first sub-accommodating groove and the second sub-accommodating groove on the
参照图6和图7所示,第一弧形凹槽和第二弧形凹槽与第一容纳槽在轴向上交叠形成的第一穿孔a和第二穿孔b的轴向长度为W2,周向交叠的长度为W1,可理解,该穿孔可供牵引丝200穿过,则轴向长度W2和周向长度W1中的最小值等于或略大于牵引丝200的直径,可实现牵引丝穿过第一穿孔a和第二穿孔b即可。Referring to Figures 6 and 7, the axial length of the first through hole a and the second through hole b formed by overlapping the first arc-shaped groove and the second arc-shaped groove with the first receiving groove in the axial direction is W2 , the length of the circumferential overlap is W1, it can be understood that the perforation can be passed through by the pulling
示例性的,如图3和图4所示,局部第一容纳槽21设于环体10的外周壁上,形成局部外第一容纳槽,第一子容纳槽和第二子容纳槽均为贯穿环体10的内周壁的内凹槽,则孤形凹槽就为弧形内凹槽,两个弧形内凹槽分别与局部外第一容纳槽形成第一穿孔a和第二穿孔b,凸块41位于局部外第一容纳槽内,且两个弧形内凹槽介于凸块41的两侧,形成的第一穿孔a和第二穿孔b也位于凸块41的两侧,使得在局部外第一容纳槽内形成一个W形槽。参照图8所示,置于W形槽内的牵引丝200沿路径S1勾挂于勾挂部后延伸端沿路径S2穿过穿孔后继续沿路径S3进入容纳通道。该牵引丝沿路径S2穿过穿孔的过程中有一个径向的过渡,这就使得环体10的壁厚可以做到更小。相比现有方案,在鞘管同外径的前提上,本发明可以做到鞘管内径更大,输送更大规格的器械;或者在鞘管同内径的前提上,本发明可以做到鞘管外径更小,鞘管可以在更小的血管中使用。采用本实施例的方案,可以做到牵引丝的直径与牵引环的厚度相等。Exemplarily, as shown in FIG. 3 and FIG. 4 , the partial
其中,本实施例上述的一局部第一容纳槽21、一容纳通道及一凸块41形成一组牵引结构,而为了实现不同方向的调弯,在其他实施方式中,牵引结构沿环体10的周向间隔设置多组。其中,此处的多组指两组及两组以上。示例性的,牵引结构设置两组,两组牵引结构径向相对,从而可实现双向调弯。Among them, a part of the first receiving
进一步的,由于牵引环通常是固定于鞘管远端的,因此,为了增强牵引环与鞘管远端的连接强度,避免环状的牵引环相对鞘管周向转动,参照图3所示,牵引环的外周壁上还凹设有连接凹槽50,连接凹槽50轴向上贯穿环体10的近端环面10a和远端环面10b。优选的,连接凹槽50沿环体10的周向间隔设置多个。Further, since the traction ring is usually fixed on the distal end of the sheath, in order to enhance the connection strength between the traction ring and the distal end of the sheath, and prevent the circumferential rotation of the annular traction ring relative to the sheath, as shown in Figure 3, A connecting
应当说明的是,实施例4中示例出的是一种牵引环100的具体实施方式,并不能限定为其只包括一种方案,其不同结构可有多种不同的方案,上述已说明,其具体方案的选择与结合可根据实际进行设置。It should be noted that what is exemplified in Embodiment 4 is a specific implementation of the
实施例5Example 5
参照图9,本发明在上述实施例4提供的牵引环100的基础上,示例性的提供一种鞘管A,鞘管A包括管体300、设于管体300上的如实施例4所述的牵引环100以及牵引丝200,管体300内设有与牵引环100的容纳通道连通的牵引通道,从容纳通道穿过的牵引丝200进入容纳通道。选择实施例4所述的牵引环100,使得在鞘管同外径的前提上,本发明可以做到鞘管内径更大,输送更大规格的器械;或者在鞘管同内径的前提上,本发明可以做到鞘管外径更小,鞘管可以在更小的血管中使用。Referring to FIG. 9 , the present invention exemplarily provides a sheath tube A on the basis of the
实施例6Example 6
本发明在上述实施例4提供的牵引环100和实施例5提供的鞘管A的基础上,示例性的提供一种介入器械,一种介入器械包括如实施例5所述的鞘管A、连接于鞘管A近端的手柄及设于手柄内的调弯机构,进入容纳通道内的牵引丝200自牵引通道穿出后与调弯机构连接,调弯机构在外力驱动下运动,以牵拉和释放牵引丝200,从而实现鞘管的弯曲。On the basis of the
实施例7Example 7
本实施例在上述实施例1提供的牵引环100的基础上,提出另一种牵引环100的具体实施方式。具体的,参照图10所示,本实施例的第一容纳槽在环体10的外周壁上周向设置,使得形成的第一容纳槽呈环形凹槽22,环形凹槽22的环形壁42形成勾挂部。也就是说,勾挂部是通过环体10自身形成的,环体10的近端环面10a上凹设的容纳通道与环形凹槽22相通,此处的相通指直接相通或间接相通。牵引丝20绕环体10的环形凹槽22一周后使其勾挂于勾挂部上后自与容纳通道穿过。牵引丝在牵引环外侧环形凹槽22环绕一周,受力时将受力点分布在牵引环一周的各个点,降低牵引丝与牵引环失效风险,使牵引丝与牵引环连接更加可靠。In this embodiment, another specific implementation manner of the
继续参照图3所示,为了更好的适应牵引丝200柔顺形态与之贴合,加大受力面积,第一容纳槽与容纳通道的交汇处的与牵引丝200接触的表面呈弧面,即牵引丝90°折弯位置做弧面处理。相对棱角的接触方式,圆弧状的接触面可更有效降低磨损,降低牵引丝与固定环失效风险,使牵引丝与固定环连接更加可靠。Continuing to refer to Fig. 3, in order to better adapt to the flexible shape of the
作为本实施例中容纳通道的一种实施方式,容纳通道为自环体10的近端环面10a处凹设形成于环体10内的通孔,该通孔与环形凹槽22相通,此处的相通指直接相通或间接相通,置于环形凹槽22内的牵引丝200勾挂于环体10上后自通孔穿过。注意,此处的形成于环体10内的通孔指通孔并不贯穿环体10的任何一周壁。As an implementation of the receiving channel in this embodiment, the receiving channel is a through hole formed in the
作为本实施例中容纳通道的另一种实施方式,容纳通道为自环体10的近端环面10a处凹设形成于环体10上的第二容纳槽,该第二容纳槽贯穿环体10的内周壁。该第二容纳槽贯穿环体10的内周壁的方式不仅更利于容纳通道的设置,制作工艺更加简单容易实现,且对环体10的壁厚要求更低,更利于薄壁的设置。As another embodiment of the accommodating channel in this embodiment, the accommodating channel is a second accommodating groove formed on the
进一步地,结合图10和图12所示,容纳通道包括周向间隔设置的第一子通道31a和第二子通道31b,第一子通道31a和第二子通道31b均与环形凹槽22相通,此处的相通指直接相通或间接相通,置于环形凹槽22内的牵引丝200勾挂于环体10上后其两延伸端分别自该第一子通道31a和第二子通道31b穿出,牵引丝200的两延伸段分别独立,避免了自一个容纳通道穿过的牵引丝200彼此之间相互缠绕以及磨损而带来的产品失效问题。Further, as shown in FIG. 10 and FIG. 12 , the accommodating channel includes a
其中,基于本实施例中前述容纳通道的设置,当容纳通道为自环体10的近端环面10a处凹设形成于环体10内的通孔时,第一子通道31a和第二子通道31b可为自环体10的近端环面10a处凹设形成于环体10内的第一通孔和第二通孔,该第一通孔和第二通孔均与环形凹槽22相通,此处的相通指直接相通或间接相通。那么,置于局部第一容纳槽内的牵引丝200勾挂于环体10上后其两延伸端分别自该第一通孔和第二通孔穿出。Wherein, based on the setting of the aforesaid accommodating channel in this embodiment, when the accommodating channel is a through hole recessed and formed in the
当容纳通道为自环体10的近端环面10a处凹设形成于环体10上的第二容纳槽时,第一子通道31a和第二子通道31b分别为自环体10的近端环面10a处凹设形成于环体10上的第一子容纳槽和第二子容纳槽,该第一子容纳槽和第二子容纳槽均贯穿环体10的内周壁。即环形凹槽22与该第一子容纳槽和第二子容纳槽在环体10厚度方向上相对。置于环形凹槽22内的牵引丝200勾挂于环体10上后其两延伸端分别自该第一子容纳槽和第二子容纳槽引出。When the accommodating channel is the second accommodating groove formed on the
进一步的,由于牵引环通常是固定于鞘管远端的,因此,为了增强牵引环与鞘管远端的连接强度,避免环状的牵引环相对鞘管周向转动,牵引环的外周壁上还凹设有连接凹槽(未示出),连接凹槽轴向上贯穿环体10的近端环面10a和远端环面10b。优选的,连接凹槽沿环体10的周向间隔设置多个。Further, since the traction ring is usually fixed on the distal end of the sheath, in order to enhance the connection strength between the traction ring and the distal end of the sheath, and to prevent the circumferential rotation of the annular traction ring relative to the sheath, the outer peripheral wall of the traction ring A connecting groove (not shown) is also recessed, and the connecting groove axially penetrates the
应当说明的是,实施例7中示例出的是一种牵引环100的具体实施方式,并不能限定为其只包括一种方案,其不同结构可有多种不同的方案,上述已说明,其具体方案的选择与结合可根据实际进行设置。It should be noted that what is exemplified in Embodiment 7 is a specific implementation of the
实施例8Example 8
参照图12,本发明在上述实施例7提供的牵引环100的基础上,示例性的提供一种鞘管A,鞘管A包括管体300、设于管体300上的如实施例7所述的牵引环100以及牵引丝200,管体300内设有与牵引环100的容纳通道连通的牵引通道,从容纳通道穿过的牵引丝200进入容纳通道。选择实施例7所述的牵引环100,使得在鞘管同外径的前提上,本发明可以做到鞘管内径更大,输送更大规格的器械;或者在鞘管同内径的前提上,本发明可以做到鞘管外径更小,鞘管可以在更小的血管中使用。Referring to FIG. 12 , the present invention exemplarily provides a sheath tube A on the basis of the
实施例9Example 9
本发明在上述实施例7提供的牵引环100和实施例8提供的鞘管A的基础上,示例性的提供一种介入器械,一种介入器械包括如实施例8所述的鞘管A、连接于鞘管A近端的手柄及设于手柄内的调弯机构,进入容纳通道内的牵引丝200自牵引通道穿出后与调弯机构连接,调弯机构在外力驱动下运动,以牵拉和释放牵引丝200,从而实现鞘管的弯曲。On the basis of the
本发明的牵引环、鞘管及介入器械中,牵引丝勾挂于勾挂部上后与勾挂部形成面接触,保证了可靠性;同时,牵引丝置于第一容纳槽内后自环体上的容纳通道引出,这就使得牵引丝的至少部分是容置于环体内的,有效的减少了整体结构的厚度,实现了薄壁设计。使得在鞘管同外径的前提上,本发明可以做到鞘管内径更大,输送更大规格的器械;或者在鞘管同内径的前提上,本发明可以做到鞘管外径更小,鞘管可以在更小的血管中使用。In the traction ring, sheath and interventional instrument of the present invention, the traction wire is hooked on the hook part and forms surface contact with the hook part, which ensures reliability; at the same time, the traction wire is placed in the first accommodation groove and self-loops The accommodating channel on the body is drawn out, which makes at least part of the pulling wire accommodated in the ring body, effectively reducing the thickness of the overall structure and realizing a thin-walled design. So that on the premise of the same outer diameter of the sheath tube, the present invention can achieve a larger inner diameter of the sheath tube and transport larger-sized instruments; or on the premise of the same inner diameter of the sheath tube, the present invention can achieve a smaller outer diameter of the sheath tube , the sheath can be used in smaller vessels.
以上所述实施例的各技术特征可以进行任意的组合,为使描述简洁,未对上述实施例中的各个技术特征所有可能的组合都进行描述,然而,只要这些技术特征的组合不存在矛盾,都应当认为是本说明书记载的范围。The technical features of the above-mentioned embodiments can be combined arbitrarily. To make the description concise, all possible combinations of the technical features in the above-mentioned embodiments are not described. However, as long as there is no contradiction in the combination of these technical features, should be considered as within the scope of this specification.
以上所述实施例仅表达了本发明的几种实施方式,其描述较为具体和详细,但并不能因此而理解为对发明专利范围的限制。应当指出的是,对于本领域的普通技术人员来说,在不脱离本发明构思的前提下,还可以做出若干变形和改进,这些都属于本发明的保护范围。因此,本发明专利的保护范围应以所附权利要求为准。The above-mentioned embodiments only express several implementation modes of the present invention, and the descriptions thereof are relatively specific and detailed, but should not be construed as limiting the patent scope of the invention. It should be noted that those skilled in the art can make several modifications and improvements without departing from the concept of the present invention, and these all belong to the protection scope of the present invention. Therefore, the protection scope of the patent for the present invention should be based on the appended claims.
Claims (14)
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CN202111520318.9A CN116262052A (en) | 2021-12-13 | 2021-12-13 | Traction rings, sheaths and interventional instruments |
PCT/CN2022/137435 WO2023109629A1 (en) | 2021-12-13 | 2022-12-08 | Traction ring, sheath, and interventional instrument |
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