CN106422064A - Spring-contact type cardiac pacemaker lead wire - Google Patents

Spring-contact type cardiac pacemaker lead wire Download PDF

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Publication number
CN106422064A
CN106422064A CN201610867434.0A CN201610867434A CN106422064A CN 106422064 A CN106422064 A CN 106422064A CN 201610867434 A CN201610867434 A CN 201610867434A CN 106422064 A CN106422064 A CN 106422064A
Authority
CN
China
Prior art keywords
spring
wire portion
wire
pin
lead wire
Prior art date
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
CN201610867434.0A
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Chinese (zh)
Inventor
胡秋明
许春雷
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Individual
Original Assignee
Individual
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Priority to CN201610867434.0A priority Critical patent/CN106422064A/en
Publication of CN106422064A publication Critical patent/CN106422064A/en
Priority to PCT/CN2017/103612 priority patent/WO2018059426A1/en
Pending legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372Arrangements in connection with the implantation of stimulators
    • A61N1/375Constructional arrangements, e.g. casings
    • A61N1/3752Details of casing-lead connections
    • A61N1/3754Feedthroughs

Abstract

The invention relates to a spring-contact type cardiac pacemaker lead wire; the lead wire is located among a heart, a skin and a cardiac pacemaker, and the lead wire comprises a spring lead wire portion (1), a lead wire portion (2), a puncture lead wire portion (3) and a first connecting portion (4), wherein the spring lead wire portion (1) is connected to the lead wire portion (2) by virtue of the first lead wire portion (4); and the other end of the lead wire portion (2) is connected to the puncture lead wire portion (3), wherein the spring lead wire portion (1) is a metal spring coil which has elasticity; and the spring coil is represented as a spiral conical structure. On the basis of the elasticity and tension of the spring coil, contact to heart surface can be effectively guaranteed.

Description

Spring contact cardiac pacing leads
First, technical field
The present invention relates to a kind of medical treatment device, more particularly to a kind of department of cardiac surgery pacemaker attachment means.
2nd, background technology
Cardiac operation is postoperative, especially the poor and postoperative patient of atrial fibrillation ablation of cardiac function, heart rate easily occurs slowly, Serious Patient drug is difficult to lift heart rate, or even may result in patient acute congestive heart failure, threat to life occur.In order to ensure The postoperative peri-operation period heart rate of patient is in safety range, and cardiac surgeon usually can be in operation process, in the heart of patient Surface and skin surface respectively stitch a pin heart pacing electrode, once Heart Rate is partially slow, just can rise external for Pacing lead connection Fight device, control the heart rate of patient, actively improve patient's rhythm of the heart, the generation of prevention of postoperative congestive heart failure.
Current traditional Pacing lead contact jaw is mainly helical plastic line or flexible metal seal wire.The former subject matter It is that conductive contact area is less than normal, helical plastic line may be skidded off with the bounce of heart, causes loose contact, latter issues Essentially consist in the bundles of wire guide of assembly more harder, bleeding risk height big to heart and injury, same easily because of the jump of heart Move and skid off, cause loose contact.
In addition, the main method that traditional Pacing lead is fixed in heart surface is sewing, in the dirty ventricular muscles of pulsatile heart On meat, suture Pacing lead and future have been pulled out bleeding risk, and suture bleeding can cause surgical hemostasises difficulty, extend handss The art time;And removing after operation Pacing lead, more dangerous, easily cause former suture stomatorrhagia, pericardial tamponade, need emergency treatment pericardium Puncture drainage, or even promptly open breast and detect, serious even occurs that heart failure causes death.
In recent years, heart mini-invasive incision operation popularization, case number of cases increases year by year, and traditional Pacing lead is solid using suture Fixed, and most of Minimally Invasive Surgerys cannot expose ventricular muscles, can only expose relatively thin heart muscle, suture fixation cannot even more be applied to The patient with operation of this type.Due to lacking the heart table Pacing lead of non-invasive, the control of heart rate after minimally invasive cardiac surgery operation operation in patients System is even more an insoluble problem.
3rd, content of the invention
The present invention designs a kind of spring contact cardiac pacing leads for the deficiency of tradition Pacing lead at present, this The difference of bright cardiac pacing leads and traditional Pacing lead is its contact jaw without being sewn to myocardial surface, but rely on from The elasticity of body contact spring coil is directly contacted with heart surface, and its elastic dynamics will not oppress heart itself, spring coil sheet Body can also be straightened, and visceral pericardium can be directly extracted out when taking out from pericardium.As the present invention need not be sutured in heart surface, Operating time is not only effectively reduced, and has been greatly reduced the bleeding risk that places and take out process.
The preferred technical scheme that takes for realizing the above-mentioned purpose of the present invention is, a kind of spring contact cardiac pacing Wire, between heart, skin and pacemaker, the wire includes:Spring wires portion, wire portion, puncture wire portion and the One connecting portion;Wherein, spring wires portion is connected with wire portion by first connecting portion, the other end of wire portion and puncture wire portion Connection.Wherein, spring wires portion is itself metal spring coil springy, and spring coil is helicon, using spring wire The elastic force of circle itself and tension force, it is ensured that effectively contact heart surface.
Spring coil has certain elasticity and tension force in itself, when using as negative pole, it is ensured which can effectively contact heart table Face, is close to heart surface by own tension, in addition the whole no rubber parcel of spring metal coil, it is ensured that its effective electric conductivity. As spring coil is flexible metal, straighten can spring coil along Pacing lead longitudinal stretching, after facilitating Heart Rate to recover Which is extracted out from pericardium.When using as positive pole, first angular pin end can be passed skin, and spring coil end is pulled to, stretch bullet Spring coil, and the fixation that knots.Safety simple to operate.
4th, illustrate
Fig. 1 is the front view of the embodiment of the present invention;
Fig. 2 is the schematic diagram of spring wire portion 1 in Fig. 1;
Fig. 3 is the viewgraph of cross-section of wire portion 2;
Fig. 4 is the schematic diagram for puncturing wire portion 3.
5th, specific embodiment
Currently preferred one embodiment is located at the heart referring to Fig. 1, the spring contact cardiac pacing leads of the present embodiment Between dirty, skin and pacemaker, the wire is divided into four parts:Spring wires portion 1;Wire portion 2, total length is 500 millimeters, directly Footpath is 0.5 millimeter;Puncture wire portion 3 and first connecting portion 4.Wherein, spring wires portion 1 is by first connecting portion 4 and wire portion 2 Connection, the other end of wire portion 2 is connected with wire portion 3 is punctured.
As shown in Fig. 2 it is helicon that spring wires portion 1 is itself metal spring coil springy, spring coil.Closely End surrounds a diameter of 5mm, and distal end surrounds a diameter of 10mm, and spring coil no stress is highly 5mm, metal spring coil itself A diameter of 0.4mm.The present invention adopts the metal spring coil of soft texture as the contact jaw of Pacing lead, spring coil itself There are certain elasticity and tension force, when using as negative pole, it is ensured which can effectively contact heart surface, be close to the heart by own tension Dirty surface, the other whole no rubber parcel of spring metal coil, it is ensured that its effective electric conductivity.As spring coil is flexible gold Category, straightens can spring coil along Pacing lead longitudinal stretching, facilitate Heart Rate after recovering to extract which from pericardium out.As When positive pole is used, first angular pin end can be passed skin, spring coil end is pulled to, stretch spring coil, and the fixation that knots.Operation letter Single safety.
Fig. 3 is the viewgraph of cross-section of wire portion 2, and it is 7 strands of conductive wires that wire portion 2 is internal, and diameter is 0.13mm, 7 Stock conductive wire coiled coil pools the plain conductor of one 0.4mm, the wire insulation glue of outsourcing 0.1mm thickness, this rubber For medical insulant, nonhazardouss, non-degradable.Tinsel can be conductive wire.
Fig. 4 is the schematic diagram for puncturing wire portion 3, as shown in figure 4, it is 90mm to puncture 3 total length of wire portion, including:Wear cornu cutaneum Pin 5, second connecting portion 6 and connecting wire portion 7, the needle point head for wherein wearing cornu cutaneum pin 5 has 7mm, is triangular pyramidal shape;From 7mm Start as triangle cylindricality, section is the constant equilateral triangle of area;Wear the shape from after 22mm of cornu cutaneum pin 5 and be changed into cylindrical, Sectional dimension is constant.Connecting wire portion 7 is attached with wire portion 2 for wearing cornu cutaneum pin 5, the long 2mm in connecting wire portion 7.The Two connecting portions, 6 long 1mm, is arranged on wearing on cornu cutaneum pin 5 apart from 7 end 23mm of connecting wire portion, and the second connecting portion 6 is crisp Property metal material, different from 5 other parts material of cornu cutaneum pin is worn, there is a recess centre, after the completion of wearing skin use, directly herein Cornu cutaneum pin will be worn fracture, remove needle point.The shape of cross section of the second connecting portion 6 and size and the horizontal stroke for wearing 5 rear portion of cornu cutaneum pin Section shape and size is identical.
The accompanying drawing of the present invention illustrate only a preferred embodiment of the present invention, those skilled in the art it is anticipated that Deformation each fall within the protection domain of the claims in the present invention.

Claims (6)

1. a kind of spring contact cardiac pacing leads, between heart, skin and pacemaker, the wire includes:Spring Wire portion (1), wire portion (2), puncture wire portion (3) and first connecting portion (4);Wherein, spring wires portion (1) connects by first Socket part (4) is connected with wire portion (2), and the other end of wire portion (2) is connected with wire portion (3) is punctured.Wherein, spring wires portion (1) be itself metal spring coil springy, spring coil be helicon, using spring coil itself elastic force and Power, it is ensured that effectively contact heart surface.
2. spring contact cardiac pacing leads as claimed in claim 1, are wherein 7 strands of conducting metals inside wire portion (2) Silk, coiled coil pools one plain conductor, outsourcing wire insulation glue.
3. spring contact cardiac pacing leads as claimed in claim 1, wherein described spring wires portion (1) near-end are around straight Footpath is 5mm, and distal end surrounds a diameter of 10mm, and metal spring coil no stress is highly 5mm, the metal spring coil diameter of itself For 0.4mm, whole no rubber parcel.
4. spring contact cardiac pacing leads as claimed in claim 1, wherein puncture wire portion (3) including wearing cornu cutaneum pin (5), second connecting portion (6) and connecting wire portion (7), second connecting portion (6) long 1mm, it is arranged on apart from connecting wire portion (7) the wearing on cornu cutaneum pin (5) of end 23mm, the rear portion for wearing cornu cutaneum pin (5) is connected with wire portion (2) by connecting wire portion (7).
5. spring contact cardiac pacing leads as claimed in claim 4, wherein puncture wire portion (3) total length are 90mm, the long 1mm of second connecting portion (6), connecting wire portion (7) long 2mm.
6. spring contact cardiac pacing leads as claimed in claim 4, wherein cornu cutaneum pin (5) needle portion of wearing is for three Pyramid, overall length 7mm;The shape of cross section of second connecting portion (6) is cylinder, and wears cornu cutaneum pin (5) rear shape phase With, and the size of the second connecting portion (6) is also identical with the size of wearing cornu cutaneum pin (5) rear cross-sectional.
CN201610867434.0A 2016-09-30 2016-09-30 Spring-contact type cardiac pacemaker lead wire Pending CN106422064A (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
CN201610867434.0A CN106422064A (en) 2016-09-30 2016-09-30 Spring-contact type cardiac pacemaker lead wire
PCT/CN2017/103612 WO2018059426A1 (en) 2016-09-30 2017-09-27 Spring contact-type cardiac pacing lead

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201610867434.0A CN106422064A (en) 2016-09-30 2016-09-30 Spring-contact type cardiac pacemaker lead wire

Publications (1)

Publication Number Publication Date
CN106422064A true CN106422064A (en) 2017-02-22

Family

ID=58171421

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201610867434.0A Pending CN106422064A (en) 2016-09-30 2016-09-30 Spring-contact type cardiac pacemaker lead wire

Country Status (2)

Country Link
CN (1) CN106422064A (en)
WO (1) WO2018059426A1 (en)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2018059426A1 (en) * 2016-09-30 2018-04-05 胡秋明 Spring contact-type cardiac pacing lead
CN108721707A (en) * 2017-04-25 2018-11-02 北京纳米能源与***研究所 Degradable conducting wire and preparation method thereof

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101954147A (en) * 2010-08-30 2011-01-26 王晓舟 Electrode with intrakardial pace-making device
CN201783089U (en) * 2010-08-30 2011-04-06 王晓舟 Electrode for heart impulse starter
CN103083808A (en) * 2011-10-28 2013-05-08 清华大学 Pacemaker electrode wire and pacemaker
CN203556058U (en) * 2013-09-16 2014-04-23 王强 A multi-core heart surface pacemaker connection wire
US20140303470A1 (en) * 2011-11-17 2014-10-09 Nippon Telegraph And Telegraph And Telephone Corporation Conductive polymer fibers, method and device for producing conductive polymer fibers, biological electrode, device for measuring biological signals, implantable electrode, and device for measuring biological signals
CN104394802A (en) * 2012-06-01 2015-03-04 杜伊斯堡-埃森大学 Implantable device for improving or rectifying heart valve insufficiency

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106422064A (en) * 2016-09-30 2017-02-22 胡秋明 Spring-contact type cardiac pacemaker lead wire

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101954147A (en) * 2010-08-30 2011-01-26 王晓舟 Electrode with intrakardial pace-making device
CN201783089U (en) * 2010-08-30 2011-04-06 王晓舟 Electrode for heart impulse starter
CN103083808A (en) * 2011-10-28 2013-05-08 清华大学 Pacemaker electrode wire and pacemaker
US20140303470A1 (en) * 2011-11-17 2014-10-09 Nippon Telegraph And Telegraph And Telephone Corporation Conductive polymer fibers, method and device for producing conductive polymer fibers, biological electrode, device for measuring biological signals, implantable electrode, and device for measuring biological signals
CN104394802A (en) * 2012-06-01 2015-03-04 杜伊斯堡-埃森大学 Implantable device for improving or rectifying heart valve insufficiency
CN203556058U (en) * 2013-09-16 2014-04-23 王强 A multi-core heart surface pacemaker connection wire

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2018059426A1 (en) * 2016-09-30 2018-04-05 胡秋明 Spring contact-type cardiac pacing lead
CN108721707A (en) * 2017-04-25 2018-11-02 北京纳米能源与***研究所 Degradable conducting wire and preparation method thereof
CN108721707B (en) * 2017-04-25 2021-04-09 北京纳米能源与***研究所 Degradable lead and preparation method thereof

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