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CN205073020U - Radio frequency melts monopole pipe - Google Patents

Radio frequency melts monopole pipe Download PDF

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Publication number
CN205073020U
CN205073020U CN201520470964.2U CN201520470964U CN205073020U CN 205073020 U CN205073020 U CN 205073020U CN 201520470964 U CN201520470964 U CN 201520470964U CN 205073020 U CN205073020 U CN 205073020U
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ablation
catheter
radio frequency
head
ptc thermistor
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陈志明
李林华
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Shengyuan Ruichuang Medical Equipment Technology Guangzhou Co ltd
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Anjun Medical Science & Technology (nanjing) Co Ltd
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Abstract

The utility model provides a radio frequency melts monopole pipe, characterized by includes the electrode melts head (10), the PTC thermistor body (20) and inner conductor (30), the electrode melts head (10) and sets up at inner conductor (30) tip, and the electrode melts and is equipped with the PTC thermistor body between head (10) and inner conductor (30), and inner conductor (30) are connected with cable plug subassembly (40). This radio frequency melts monopole pipe and the treatment device who contains this radio frequency melts monopole pipe can carry out the accurate control to melting the temperature through PTC.

Description

一种射频消融单极导管A radiofrequency ablation monopolar catheter

技术领域 technical field

本实用新型涉及医学射频消融技术领域,尤其是一种射频消融单极导管。 The utility model relates to the technical field of medical radiofrequency ablation, in particular to a radiofrequency ablation monopolar catheter.

背景技术 Background technique

微创消融是医疗行业的发展趋势,其中,热消融因其效果确切,已成为消融类治疗手段的主流。热消融主要包含:微波、激光、射频这三类,每种热消融手段均有各自的优劣势。这三类微创热消融治疗手段,均通过各种消融电极实现,消融电极从结构上大体可分为:硬电极和软性电极,血管性介入治疗主要靠软性电极(浅表的血管介入可以用硬电极),例如静脉曲张、心律失常、血管梗阻等病症的治疗,而非血管性的介入治疗主要靠硬性电极直接或间接穿刺,例如经皮穿刺消融治疗肝癌、子宫肌瘤、肺癌、甲状腺结节等等(其中,激光消融,因激光光纤结构的特殊性,无论是血管性介入还是非血管性介入,均需导管引导)。在微创治疗领域,导管类消融电极具有广阔的发展空间,其中射频导管电极,具有不可比拟的优势。 Minimally invasive ablation is the development trend of the medical industry. Among them, thermal ablation has become the mainstream of ablation treatment because of its definite effect. Thermal ablation mainly includes three types: microwave, laser, and radiofrequency. Each thermal ablation method has its own advantages and disadvantages. These three types of minimally invasive thermal ablation treatment methods are all realized by various ablation electrodes. The ablation electrodes can be roughly divided into hard electrodes and soft electrodes in terms of structure. Vascular interventional therapy mainly relies on soft electrodes (superficial vascular intervention Hard electrodes can be used), such as the treatment of varicose veins, arrhythmia, vascular obstruction and other diseases, while non-vascular interventional therapy mainly relies on direct or indirect puncture with hard electrodes, such as percutaneous puncture ablation for liver cancer, uterine fibroids, lung cancer, Thyroid nodules, etc. (Among them, laser ablation requires catheter guidance for both vascular and non-vascular interventions due to the special structure of the laser fiber). In the field of minimally invasive treatment, catheter ablation electrodes have broad development space, among which radio frequency catheter electrodes have incomparable advantages.

腿部静脉曲张既痛苦又影响美观。静脉曲张是静脉系统最常见的疾病形成的主要原因是因长时间维持相同姿势很少改变血液蓄积下肢在日积月累的情况下破坏静脉瓣膜而产生静脉压过高造成静脉曲张 Varicose veins in the legs are painful and unsightly. Varicose veins are the most common disease of the venous system. The main reason for the formation of varicose veins is that maintaining the same posture for a long time rarely changes the accumulation of blood in the lower limbs, and damages the venous valves over time, resulting in excessive venous pressure.

静脉曲张多发生在下肢腿部皮肤冒出红色或蓝色像是蜘蛛网蚯蚓的扭曲血管或者像树瘤般的硬块结节静脉发生异常的扩大肿胀和曲张因人体没有自我修复办膜的机制所以静脉曲张为一种不可逆的现象。 Varicose veins mostly occur on the skin of the lower limbs, red or blue twisted blood vessels like spider webs, earthworms, or hard nodules like tree tumors. The abnormal expansion, swelling and varicose veins occur because the human body does not have a self-repairing membrane mechanism. Varicose veins are an irreversible phenomenon.

传统的大隐静脉高位结扎及抽除、曲张静脉剥脱术是治疗下肢静脉曲张的经典手术,但因其存在住院时间长、切口多、术后切口瘢痕较重影响美观等缺陷,特别是很多要求腿部美观的女性患者,更是惧怕这种手术,以至延误了病情。随着生活水平的不断提高,部分患者特别是年轻女性患者对治疗水平提出更高的标准,不仅要求治疗疾病,预防并发症发生,而且要求切口少、切开小甚至无切口,要求术后美观等。 The traditional high ligation and extraction of the great saphenous vein and stripping of varicose veins are classic operations for the treatment of varicose veins of the lower extremities. Female patients with beautiful legs are even more afraid of this kind of surgery, which delays their treatment. With the continuous improvement of living standards, some patients, especially young female patients, put forward higher standards for the treatment level, not only requiring the treatment of diseases and preventing complications, but also requiring fewer incisions, small incisions or even no incisions, and postoperative aesthetics Wait.

而传统的静脉剥离或手术疗法后则需休息3周,同时留下的伤疤也较大;另外一种非手术性的血管硬化疗法则是通过注射放射性物质使曲张静脉闭锁,对正常机体有一定损害而且有静脉曲张复发的可能。 After the traditional vein stripping or surgical treatment, you need to rest for 3 weeks, and the scars left at the same time are also relatively large; another non-surgical vascular sclerotherapy is to block the varicose veins by injecting radioactive substances, which has a certain effect on the normal body. Damage and the possibility of recurrence of varicose veins.

射频消融静脉闭合是一种新型治疗大隐静脉曲张的方法,近年来在欧美等国开展,效果满意。目前,多个多中心前瞻性临床随机对照研究已经证实静脉腔内射频闭合治疗大隐静脉曲张安全、有效。 Radiofrequency ablation of venous closure is a new method for the treatment of varicose veins. It has been carried out in Europe and the United States in recent years, and the effect is satisfactory. At present, multiple multi-center prospective clinical randomized controlled studies have confirmed that radiofrequency closure of venous cavity is safe and effective in the treatment of saphenous varicose veins.

发明内容 Contents of the invention

本实用新型的目的在于提供一种射频消融单极导管。 The purpose of the utility model is to provide a radiofrequency ablation monopolar catheter.

本实用新型的技术方案是: The technical scheme of the utility model is:

一种射频消融单极导管,包括电极消融头10、PTC热敏电阻体20和内导体30,所述电极消融头10设置在内导体30端部,电极消融头10与内导体30之间设有PTC热敏电阻体,内导体30与线缆插头组件40连接。 A radiofrequency ablation unipolar catheter, comprising an electrode ablation head 10, a PTC thermistor body 20 and an inner conductor 30, the electrode ablation head 10 is arranged at the end of the inner conductor 30, and an electrode ablation head 10 and the inner conductor 30 are arranged There is a PTC thermistor body, and the inner conductor 30 is connected with the cable plug assembly 40.

所述电极消融头10为管状体,其末端为光滑的圆弧形。 The electrode ablation head 10 is a tubular body with a smooth arc-shaped end.

所述电极消融头10的材质为医用304不锈钢材料。 The electrode ablation head 10 is made of medical 304 stainless steel.

所述PTC热敏电阻体20的临界温度为80℃至120℃。 The critical temperature of the PTC thermistor body 20 is 80°C to 120°C.

本实用新型的另一种射频消融导管,包括外导体1、PTC热敏电阻层2、内导体3、绝缘导管4,所述绝缘导管4为棒状,其末端为圆弧形,绝缘导管4外表面设有筒状的外导体1,外导体1内壁设有PTC热敏电阻层2,绝缘导管4内部设有内线缆7,内线缆7与外导体1在绝缘导管4内部通过PTC热敏电阻层2连接。连接的线缆插头组件6和Y型三通绝缘管5,内线缆7经由Y型三通绝缘管5的内部与线缆插头组件6连接。 Another radio frequency ablation catheter of the present invention includes an outer conductor 1, a PTC thermistor layer 2, an inner conductor 3, and an insulating catheter 4. The insulating catheter 4 is rod-shaped, and its end is arc-shaped. A cylindrical outer conductor 1 is provided on the surface, a PTC thermistor layer 2 is provided on the inner wall of the outer conductor 1, and an inner cable 7 is provided inside the insulating conduit 4, and the inner cable 7 and the outer conductor 1 pass through the PTC heat inside the insulating conduit 4. The sensitive resistor layer 2 is connected. The connected cable plug assembly 6 is connected to the Y-shaped three-way insulating tube 5 , and the inner cable 7 is connected to the cable plug assembly 6 through the inside of the Y-shaped three-way insulating tube 5 .

所述外导体1的材质为医用304不锈钢材料。 The material of the outer conductor 1 is medical 304 stainless steel.

所述绝缘导管4的材质为聚四氟乙烯(PTFE)或特氟龙。 The insulating conduit 4 is made of polytetrafluoroethylene (PTFE) or Teflon.

本实用新型的有益效果是: The beneficial effects of the utility model are:

本实用新型的射频消融单极导管以及包含该射频消融单极导管的治疗装置具有使用方便、瞬间消失、过敏极少、色素沉着不持久、高效、无坏死、治疗速度(疗程持续最多10-15分钟)对于300-400脉冲,单次疗程中,可消除80-100cm的曲张。 The radio frequency ablation monopolar catheter of the utility model and the treatment device comprising the radio frequency ablation monopolar catheter have the advantages of convenient use, instant disappearance, little allergy, non-permanent pigmentation, high efficiency, no necrosis, and treatment speed (the course of treatment lasts at most 10-15 minutes) for 300-400 pulses, in a single course of treatment, 80-100cm of varicose veins can be eliminated.

本实用新型的射频消融单极导管以及包含该射频消融单极导管的治疗装置可用于各种类型的曲张(小曲张),位置全面、微硬化不可到达的区域(<0.3mm),且可用于所有类型的皮肤。 The radiofrequency ablation monopolar catheter of the present utility model and the treatment device comprising the radiofrequency ablation monopolar catheter can be used for various types of varicose (small varicose), the location is comprehensive, and the area (<0.3mm) that cannot be reached by microsclerosis, and can be used for All skin types.

本实用新型的射频消融单极导管以及包含该射频消融单极导管的治疗装置通过PTC可对消融温度实行精确控制。 The radio frequency ablation monopolar catheter of the utility model and the treatment device including the radio frequency ablation monopolar catheter can implement precise control on the ablation temperature through the PTC.

本实用新型的射频消融单极导管可以用于对血管进行疏通扩张。本实用新型的射频消融单极导管是3F、5F、8F三种规格的导管,射频能量传递到导管顶端的两个电极,从而热量被传递到血管内。 The radiofrequency ablation monopolar catheter of the utility model can be used to dredge and expand blood vessels. The radiofrequency ablation unipolar catheter of the present invention is a catheter of three specifications: 3F, 5F and 8F. The radiofrequency energy is transmitted to the two electrodes at the top of the catheter, so that the heat is transferred into the blood vessel.

本实用新型的射频消融单极导管还可以被用于在胃肠道、消化道包括胆胰管的内窥镜或经皮手术中对组织进行凝固射频能量传递到导管顶端的电极,加热导管周围的组织。 The radiofrequency ablation monopolar catheter of the present invention can also be used to coagulate tissues in endoscopic or percutaneous operations of the gastrointestinal tract, digestive tract including bile-pancreatic duct, and transmit radiofrequency energy to the electrode at the top of the catheter to heat the surrounding area of the catheter. organization.

附图说明 Description of drawings

图1是本实用新型的实施例一的结构示意图。 Fig. 1 is a schematic structural view of Embodiment 1 of the present utility model.

图2是本实用新型的实施例二的结构示意图。 Fig. 2 is a structural schematic diagram of Embodiment 2 of the present utility model.

图3是图2中的局部放大图。 FIG. 3 is a partially enlarged view of FIG. 2 .

图中:10为电极消融头、20为PTC热敏电阻体、30为内导体,1为外导体、2为PTC热敏电阻层、3为内线缆、4为绝缘导管、5为Y型三通绝缘管、6为线缆插头组件、7为内线缆。 In the figure: 10 is the electrode ablation head, 20 is the PTC thermistor body, 30 is the inner conductor, 1 is the outer conductor, 2 is the PTC thermistor layer, 3 is the inner cable, 4 is the insulating catheter, 5 is Y-shaped Three-way insulating pipe, 6 is a cable plug assembly, and 7 is an inner cable.

具体实施方式 detailed description

下面结合附图对本实用新型作进一步描述: Below in conjunction with accompanying drawing, the utility model will be further described:

如图1,实施例一。 As shown in Figure 1, embodiment one.

一种射频消融单极导管,包括电极消融头10、PTC热敏电阻体20和内导体30,所述电极消融头10设置在内导体30端部,电极消融头10与内导体30之间设有PTC热敏电阻体,内导体30与线缆插头组件40连接。 A radiofrequency ablation unipolar catheter, comprising an electrode ablation head 10, a PTC thermistor body 20 and an inner conductor 30, the electrode ablation head 10 is arranged at the end of the inner conductor 30, and an electrode ablation head 10 and the inner conductor 30 are arranged There is a PTC thermistor body, and the inner conductor 30 is connected with the cable plug assembly 40.

所述电极消融头10为管状体,其末端为光滑的圆弧形。 The electrode ablation head 10 is a tubular body with a smooth arc-shaped end.

所述电极消融头10的材质为医用304不锈钢材料。 The electrode ablation head 10 is made of medical 304 stainless steel.

所述PTC热敏电阻体20的临界温度为80℃至120℃。 The critical temperature of the PTC thermistor body 20 is 80°C to 120°C.

如图2,图3,实施例二。 As shown in Fig. 2 and Fig. 3, the second embodiment.

本实用新型的另一种射频消融导管,包括外导体1、PTC热敏电阻层2、内导体3、绝缘导管4,所述绝缘导管4为棒状,其末端为圆弧形,绝缘导管4外表面设有筒状的外导体1,外导体1内壁设有PTC热敏电阻层2,绝缘导管4内部设有内线缆7,内线缆7与外导体1在绝缘导管4内部通过PTC热敏电阻层2连接。连接的线缆插头组件6和Y型三通绝缘管5,内线缆7经由Y型三通绝缘管5的内部与线缆插头组件6连接。 Another radio frequency ablation catheter of the present invention includes an outer conductor 1, a PTC thermistor layer 2, an inner conductor 3, and an insulating catheter 4. The insulating catheter 4 is rod-shaped, and its end is arc-shaped. A cylindrical outer conductor 1 is provided on the surface, a PTC thermistor layer 2 is provided on the inner wall of the outer conductor 1, and an inner cable 7 is provided inside the insulating conduit 4, and the inner cable 7 and the outer conductor 1 pass through the PTC heat inside the insulating conduit 4. The sensitive resistor layer 2 is connected. The connected cable plug assembly 6 is connected to the Y-shaped three-way insulating tube 5 , and the inner cable 7 is connected to the cable plug assembly 6 through the inside of the Y-shaped three-way insulating tube 5 .

所述外导体1的材质为医用304不锈钢材料。 The material of the outer conductor 1 is medical 304 stainless steel.

所述绝缘导管4的材质为聚四氟乙烯(PTFE)或特氟龙。 The insulating conduit 4 is made of polytetrafluoroethylene (PTFE) or Teflon.

本实用新型的射频消融单极导管以及包含该射频消融单极导管的治疗装置热处理温度范围,例如约80℃至120℃,优选100℃。从而实现凝固组织时,消融针不粘黏,不引起再次出血的并发症等风险。 The heat treatment temperature range of the radiofrequency ablation monopolar catheter of the present invention and the treatment device comprising the radiofrequency ablation monopolar catheter is, for example, about 80°C to 120°C, preferably 100°C. In this way, when the tissue is coagulated, the ablation needle is not sticky and does not cause the risk of complications such as re-bleeding.

本实用新型的射频消融治疗机理为仅与发射电极接触的有限范围内的局部组织高热,使其变性,热量在向周围组织传导过程中迅速被驱散,阻止热量向深层组织扩散。射频消融时局部足够的热量作用于静脉壁,引起胶原质收缩、内皮细胞裸露,从而导致静脉壁增厚,管腔收缩、迅速机化并形成纤维条索,最终使静脉闭合。由于治疗时温度被限制在一定温度,避免了组织的燃烧、凝固、汽化和炭化。 The radiofrequency ablation treatment mechanism of the utility model is that only the local tissue in a limited range in contact with the emitter electrode is hyperthermic, causing it to be denatured, and the heat is quickly dissipated during the conduction process to the surrounding tissue, preventing the heat from spreading to the deep tissue. During radiofrequency ablation, sufficient local heat acts on the vein wall, causing collagen to shrink and endothelial cells to be exposed, resulting in thickening of the vein wall, contraction of the lumen, rapid organization and formation of fibrous cords, and finally the closure of the vein. Since the temperature is limited to a certain temperature during treatment, burning, coagulation, vaporization and carbonization of tissues are avoided.

本实用新型的射频疗法是在膝部后侧做一个小切口,并把导管插入静脉,导管中附带的射频探针在静脉中发射能量而产热,使静脉萎缩并封隔。由于静脉曲张是由隐静脉及其分支中的血液回流导致的,封隔该静脉可缓解腿部疲劳、疼痛及瘙痒等症状。患者在接受该疗法后可立即进行正常活动。腔内射频消融闭合术联合电凝术治疗下肢静脉曲张简便、实用,美观,满足患者对美观的要求,深受女性患者青睐。 The radio frequency therapy of the utility model is to make a small incision on the back side of the knee, and insert the catheter into the vein, and the radio frequency probe attached to the catheter emits energy in the vein to generate heat, so that the vein shrinks and is sealed off. Since varicose veins are caused by backflow of blood in the saphenous vein and its branches, sealing off the vein can relieve symptoms such as leg fatigue, pain, and itching. Patients can resume normal activities immediately after receiving the therapy. Endovascular radiofrequency ablation and closure combined with electrocoagulation in the treatment of varicose veins of the lower extremities is simple, practical, and beautiful, which meets the aesthetic requirements of patients and is favored by female patients.

上面所述的实施例仅仅是对本实用新型的优选实施方式进行描述,并非对本实用新型的构思和范围进行限定,在不脱离本实用新型设计构思前提下,本领域中普通工程技术人员对本实用新型的技术方案做出的各种变型和改进,均应落入本实用新型的保护范围,本实用新型请求保护的技术内容已经全部记载在权利要求书中。 The above-mentioned embodiment is only to describe the preferred implementation of the present utility model, not to limit the concept and scope of the present utility model. Various modifications and improvements made in the technical solution should fall within the scope of protection of the utility model, and the technical content claimed in the utility model has been fully recorded in the claims.

Claims (4)

1. a radio-frequency (RF) ablation one pole conduit, it is characterized in that comprising electrode ablation head (10), PTC thermistor body (20) and inner wire (30), described electrode ablation head (10) is arranged on inner wire (30) end, be provided with PTC thermistor body between electrode ablation head (10) and inner wire (30), inner wire (30) is connected with cable plug assembly (40).
2. radio-frequency (RF) ablation one pole conduit according to claim 1, it is characterized in that described electrode ablation head (10) is tubular body, its end is smooth circular arc.
3. radio-frequency (RF) ablation one pole conduit according to claim 1, is characterized in that the material of described electrode ablation head (10) is medical 304 stainless steel materials.
4. radio-frequency (RF) ablation one pole conduit according to claim 1, is characterized in that the critical temperature of described PTC thermistor body (20) is 80 DEG C to 120 DEG C.
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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105147387A (en) * 2015-07-02 2015-12-16 安隽医疗科技(南京)有限公司 Radiofrequency ablation unipolar catheter
WO2017000362A1 (en) * 2015-07-02 2017-01-05 安隽医疗科技(南京)有限公司 Radiofrequency ablation catheter and treatment device containing radiofrequency ablation catheter
US12064174B2 (en) 2020-01-31 2024-08-20 Hepta Medical SAS Systems and methods for tissue ablation and measurements relating to the same
US12161403B2 (en) 2018-05-31 2024-12-10 BH Scientific, LLC Systems and methods for microwave ablation and measuring temperature during ablation

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105147387A (en) * 2015-07-02 2015-12-16 安隽医疗科技(南京)有限公司 Radiofrequency ablation unipolar catheter
WO2017000362A1 (en) * 2015-07-02 2017-01-05 安隽医疗科技(南京)有限公司 Radiofrequency ablation catheter and treatment device containing radiofrequency ablation catheter
US12161403B2 (en) 2018-05-31 2024-12-10 BH Scientific, LLC Systems and methods for microwave ablation and measuring temperature during ablation
US12064174B2 (en) 2020-01-31 2024-08-20 Hepta Medical SAS Systems and methods for tissue ablation and measurements relating to the same

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