CN110038209B - Balloon dilation device for neurosurgery trigeminal nerve percutaneous treatment - Google Patents

Balloon dilation device for neurosurgery trigeminal nerve percutaneous treatment Download PDF

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Publication number
CN110038209B
CN110038209B CN201910285276.1A CN201910285276A CN110038209B CN 110038209 B CN110038209 B CN 110038209B CN 201910285276 A CN201910285276 A CN 201910285276A CN 110038209 B CN110038209 B CN 110038209B
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balloon
catheter
liquid inlet
central liquid
valve
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CN110038209A (en
Inventor
宋翔
袁成龙
单启鹏
王恩光
席永强
何雪
韩昕玘
宋丽霞
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Lanzhou Seemine Shape Memory Alloy Co ltd
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Lanzhou Seemine Shape Memory Alloy Co ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M25/1002Balloon catheters characterised by balloon shape
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M25/1018Balloon inflating or inflation-control devices
    • A61M25/10181Means for forcing inflation fluid into the balloon
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M25/1018Balloon inflating or inflation-control devices
    • A61M25/10184Means for controlling or monitoring inflation or deflation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M29/00Dilators with or without means for introducing media, e.g. remedies
    • A61M29/02Dilators made of swellable material

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Hematology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Biophysics (AREA)
  • Pulmonology (AREA)
  • Child & Adolescent Psychology (AREA)
  • Vascular Medicine (AREA)
  • Media Introduction/Drainage Providing Device (AREA)

Abstract

The invention provides a balloon dilation device for neurosurgery trigeminal percutaneous treatment, which comprises a catheter assembly and a Y-shaped distribution head assembly; the catheter assembly consists of a central liquid inlet catheter and an external exhaust catheter, the front part of the central liquid inlet catheter is provided with a liquid guide hole, the balloon is sleeved on the section of catheter body with the liquid guide holes, the rest of catheter body is sleeved in the external exhaust catheter, and the central liquid inlet catheter, the balloon on the central liquid inlet catheter and the external exhaust catheter form a coaxial loop catheter; the rear end of the Y-shaped distributing head main body is connected with a luer locking joint, the side end of the Y-shaped distributing head main body is connected with a switchable valve, the joint is connected with a central liquid inlet conduit, and the valve is connected with an external exhaust conduit; the front end of the central liquid inlet catheter is communicated with the balloon through the liquid guide hole, so that the balloon is expanded, and the air remained in the balloon is completely discharged through arranging the external exhaust catheter without repeated suction, so that the operation time of a patient is shortened, and the use simplicity of doctors is improved.

Description

Balloon dilation device for neurosurgery trigeminal nerve percutaneous treatment
Technical Field
The invention belongs to the field of medical instruments, and relates to a flexible trigeminal nerve expansion device, in particular to a balloon expansion device for percutaneous treatment of neurosurgery trigeminal nerve.
Background
Trigeminal neuralgia is a short, intense pain that repeatedly occurs in the distributed areas of the facial trigeminal nerve, and is also known as painful tic. According to domestic statistics, the prevalence rate of trigeminal neuralgia is 182 people/10 ten thousand, the incidence rate of the trigeminal neuralgia is 3-5 people/10 ten thousand, the prevalence rate of the trigeminal neuralgia is more than that of adults and old people, the incidence age is 28-89 years, 70-80% of cases are over 40 years, the peak age is 48-59 years, the average age is 55 years, and the prevalence rate of men and women is 1:1.5. Most of the affected parts are on one side, the pain on the right side accounts for 61%, and the pain on the left side accounts for 38% and 1% on both sides. 5% of pain in the first branch, 41% of pain in the second branch, 37% of pain in the third branch, 3% of pain in the i+ii branch, 13% of pain in the II+III branch, and 1% of pain in the I+II+III branch. Although the pathogenesis of primary trigeminal neuralgia is not known, a plurality of theories exist, but no theory can fully explain the clinical characteristics, and the theory of demyelination and epileptiform neuralgia caused by trigeminal microvascular compression is supported at present.
The treatment modes of the primary trigeminal neuralgia mainly comprise the following steps: 1. drug treatment; 2. external physical therapy (e.g., massage); 3. and (5) performing surgical treatment. Wherein, when adopting the operation treatment mode, the percutaneous puncture microsphere pressing operation is the first choice method for treating the primary trigeminal neuralgia by an interventional method. However, there is no better therapeutic device at present, and most of therapeutic devices are treated by adopting vascular interventional balloons, which has the defects that the front balloon cannot be fully filled with liquid (namely, the air in a catheter and the balloon cannot be completely discharged) during use, and the expansion shape is inconsistent, so that the surgical operation needs to be filled for many times, the infection rate during the surgical operation is increased, and the postoperative effect is not ideal.
Disclosure of Invention
The invention aims to provide a balloon dilation device which is convenient for a doctor to operate and ensures that the percutaneous aspiration of the microsphere can be smoothly carried out for the trigeminal percutaneous treatment.
The invention is realized by the following technical scheme: a balloon dilation device for neurosurgical trigeminal percutaneous treatment comprising a catheter assembly and a Y-shaped dispensing head assembly;
The catheter assembly consists of a central liquid inlet catheter and an external exhaust catheter, the front part of the central liquid inlet catheter is provided with a liquid guide hole, the balloon is sleeved on the section of catheter body with the liquid guide holes, the rest of the central liquid inlet catheter body is sleeved in the external exhaust catheter, the front end of the external exhaust catheter is fixedly connected with the rear end ring of the balloon in a ring shape, the front end of the balloon is fixedly connected with the front end ring of the central liquid inlet catheter in a ring shape, the nozzle of the end is blocked, and the central liquid inlet catheter, the balloon on the central liquid inlet catheter and the external exhaust catheter form a coaxial loop catheter;
The Y-shaped dispensing head assembly comprises a Y-shaped dispensing head, the rear end of a Y-shaped dispensing head main body is connected with a luer locking joint, the side end of the main body is connected with a switchable valve, the luer locking joint is connected with a central liquid inlet conduit, and the switchable valve is connected with an external exhaust conduit; liquid is injected into the central liquid inlet conduit through the luer locking joint, enters the balloon through the liquid guide hole to expand the balloon, and the balloon is emptied through a control valve or is extracted through the luer joint.
Further, the switchable valve is a push type valve or a screw type valve.
Preferably, the push type valve comprises a valve plug, a valve core and a push cap; the valve core is tubular, a valve plug matched with the valve core is arranged in the valve core, the lower end of the valve core is in threaded connection with the side end of the Y-shaped distribution head main body, the valve plug is arranged in the valve core, and the valve plug is controlled to be conducted or closed by pressing the central conduction pipe of the cap.
Further, the front end of the balloon is fixedly connected with the front end ring of the central liquid inlet catheter in a ring shape in a way of matching or bonding or welding parts.
Preferably, the tube wall at the front end of the balloon is arranged in the tip tube, and is fixedly connected with the tube wall at the front end of the central liquid inlet tube through the tip tube, and the tube opening at the front end of the central liquid inlet tube is plugged through the front end plug.
Further, the rear end of the balloon is fixedly connected with the front end ring of the external exhaust duct in a ring shape through part matching or bonding or welding mode.
Preferably, an inner sleeve is fixed in a tube at the rear end of the balloon, then an outer sleeve is sleeved outside the tube wall at the rear end of the balloon, the tube wall at the rear end of the balloon is fixedly connected with the front end of an external exhaust duct through the outer sleeve, and the inner sleeve is sleeved on a central liquid inlet duct with a gap between the inner sleeve and the central liquid inlet duct.
The balloon is made of elastic material and is a compliant balloon, a non-compliant balloon or a semi-compliant balloon; the balloon forms a circular, football-shaped or cylindrical shape after inflation.
Further, the Y-shaped dispensing head is provided with a dispensing opening along the radial outer edge, the dispensing opening is used for bonding the front end of the Y-shaped dispensing head main body with the rear end of the central liquid inlet guide pipe and the rear end of the external exhaust guide pipe, and the opening of the Y-shaped dispensing head is provided with a guide pipe protecting sleeve.
Preferably, the catheter sheath is made of a high-molecular transparent material and has excellent bending property.
The beneficial effects of the invention are as follows:
1. The front end of the central liquid inlet catheter is communicated with the balloon through the liquid guide hole, so that the balloon is expanded, and the air remained in the balloon is completely discharged through arranging the external exhaust catheter without repeated suction, so that the operation time of a patient is shortened, and the use simplicity of doctors is improved.
2. After the balloon is inserted into a human body, the balloon can keep the shape of the balloon equal in pressure due to the fact that the balloon is internally provided with a single liquid-phase medium (without gas), and further keep equal fit along with the internal structural space of the human body, so that the operation quality is improved.
3. The Y-shaped distributing head is provided with the valve, so that the gas in the guide pipe can be conveniently discharged, and the liquid can be effectively prevented from being discharged after the valve is closed, thereby improving the usability of the product.
Drawings
FIG. 1 is a schematic view of the structure of the present balloon dilation device;
FIG. 2 is a cross-sectional view of the front end balloon assembly;
FIG. 3 is a schematic view of the rear Y-type dispensing head assembly;
FIG. 4 is a schematic diagram of the explosive relationship of a rear Y-type dispensing head assembly;
FIG. 5 is a schematic diagram of an assembly of a switchable valve;
FIG. 6 shows glue dispensing ports with rear Y-shaped dispensing heads bonded to the central inlet duct and the outer exhaust duct, respectively;
FIG. 7 is a schematic illustration of the central fluid intake conduit communicating with a luer fitting;
FIG. 8 is a schematic illustration of the communication between an external exhaust conduit and a switchable valve
Fig. 9 is a partially enlarged view of fig. 8.
Reference numerals: 1. a balloon assembly; 2. a catheter assembly; 3. y-shaped connecting distribution head components; 11. an outer sleeve; 12. an inner sleeve; 13. a balloon; 14. a liquid guiding hole; 15. a tip tube; 16. a front end plug; 21. a central liquid inlet conduit; 22. an external exhaust duct; 31. a catheter sheath; 32. a Y-type dispensing head; 321. dispensing opening; 33. a push valve; 331. a valve plug; 332. a valve core; 333. pressing the cap; 4. a luer fitting.
Detailed Description
The construction and operation of the present invention will be described in further detail with reference to the accompanying drawings.
As shown in fig. 1-9, a balloon dilation device for neurosurgical trigeminal percutaneous treatment comprises a catheter assembly 2 and a Y-shaped dispensing head assembly 3; the duct assembly 2 comprises a central liquid inlet duct 21 and an outer exhaust duct 22; the front part of the central liquid inlet guide pipe 21 is provided with liquid guide holes, the balloon is sleeved on the section of the pipe provided with the liquid guide holes, the rest of the pipe of the central liquid inlet guide pipe 21 is sleeved in the external exhaust guide pipe 22, and the rear end of the balloon is connected with the front end of the external exhaust guide pipe 22 in a part matching or bonding or welding mode; the front end of the balloon is connected with the front end of the central liquid inlet conduit in a way of part matching or bonding or welding, and a pipe orifice at the front end of the central liquid inlet conduit is bonded by a metal or nonmetal part or plugged in a fusion way; the central inlet conduit 21 forms a coaxial loop conduit with the balloon thereon and the outer exhaust conduit 22.
The rear end of the preferred balloon is connected to the front end of the external exhaust conduit 22 by means of a part fit, as follows: the inner sleeve 12 is fixed in the tube at the rear end of the balloon 13, then the outer sleeve 11 is sleeved outside the tube wall at the rear end of the balloon 13, the tube wall at the rear end of the balloon 13 is fixedly connected with the front end of the external exhaust duct 22 through the outer sleeve 11, wherein the inner sleeve 12 is sleeved on the central liquid inlet duct 21, and a gap is reserved between the inner sleeve 12 and the outer sleeve.
The front end of the preferable saccule is connected with the front end of the central liquid inlet conduit in a part matching mode, and a pipe orifice at the front end of the preferable central liquid inlet conduit is plugged by a metal or nonmetal part; the following are provided: the front end pipe wall of the balloon 13 is arranged in a tip pipe 15, and is fixedly connected with the front end pipe wall of the central liquid inlet pipe through the tip pipe 15, and the end pipe opening of the central liquid inlet pipe 21 is plugged through a front end plug 16.
The Y-shaped dispensing head assembly 3 comprises a Y-shaped dispensing head 32 and a valve 33, the Y-shaped dispensing head 32 is made of a high polymer transparent material, the rear end of the main body of the Y-shaped dispensing head assembly is connected with a luer locking joint, the side end of the main body is connected with the valve 33, the luer joint is communicated with a central liquid inlet conduit, as shown in fig. 6, and the switchable valve is communicated with an external exhaust conduit, as shown in fig. 8 and 9; the radial outer edge of the Y-shaped dispensing head 32 is provided with a dispensing opening for bonding the rear end of the central liquid inlet conduit and the rear end of the external exhaust conduit with the front end of the Y-shaped dispensing head main body. The Y-shaped dispensing head assembly 3 further comprises a catheter sheath tube 31 mounted at the junction of the two catheters and the Y-shaped dispensing head, protected by the catheter sheath tube 31.
The balloon 13 is made of an elastic material, and can be a compliant balloon, a non-compliant balloon and a semi-compliant balloon; the balloon may be circular, football-shaped, or cylindrical in shape after inflation.
The valve can be classified as a push type or a screw type; the push valve 33 is composed of a valve plug 331, a valve core 332 and a push cap 333; the valve plug 331 is arranged in the valve core 332 tube and matched with the valve core 332 tube, the lower end of the valve core 332 is in threaded connection with the side end of the Y-shaped dispensing head 32 main body, the valve plug 331 is arranged at the upper end of the valve core 332, the pressing cap 333 can press or lift at a certain distance, the valve plug is conducted by pressing the pressing cap 333, and the valve plug is closed by lifting the pressing cap 333, as shown in fig. 5.
In use, fluid is injected through the luer fitting into the central fluid intake conduit 21, through the catheter 14 into the balloon 13, expanding the balloon 13, and the gas within the balloon 13 through the control valve into the passage formed by the outer exhaust conduit 22 and the central fluid intake conduit 21.
Examples
The central liquid inlet conduit 21 at the balloon 13 is provided with 3 liquid guide holes 14, the rear end of the main body of the Y-shaped distribution head is connected with a luer connector, and the lateral direction is provided with a push type valve 33; the central liquid inlet conduit 21 is communicated with the luer connector, and the external air outlet conduit 22 is communicated with the push type valve 33; in the trigeminal percutaneous treatment operation, the preparation work is performed in advance, the pressing cap 333 is pressed or pressed down, the syringe filled with the injection is connected with the luer connector at the rear end of the Y-shaped dispensing head main body, the injection is slowly pushed and injected, the pressing cap 333 is pulled or lifted up when the injection is visible in the Y-shaped dispensing head, and the preparation work is completed.
Taking a supine position after full anesthesia intubation of a patient, adopting a trigeminal semilunar joint puncture front approach method, selecting a puncture needle insertion point 2-3 cm outside an affected side oral angle, respectively taking other 2 reference points which are 1 cm below a pupil on the same side and 3 cm front of a zygomatic arch horizontal external auditory meatus, puncturing by referring to bone structures such as temporomandibular joints, temporoosseous parts and slopes under the perspective of a head of a C-shaped arm side, introducing the balloon 13 into a Meckel cavity through the puncture needle after reaching an oval foramen, slowly injecting a syringe with a developing solution on the connected luer joint into the balloon 13 to fill the balloon, checking the shape and the position of the balloon while referencing surrounding bone marks, immediately evacuating the balloon 13 by lifting the syringe once the defect is overcome, adjusting the position of the balloon assembly 1 until the balloon 13 is in an ideal inverted pear shape with nipple protruding towards the posterior fossa near the posterior bed process and the butterfly saddle, and pressing the balloon 13 to fill capacity of 0.2-0. 0.9 mL, evacuating the balloon 3-7 min after pressing the semilunar joint, and withdrawing the puncture needle simultaneously.

Claims (10)

1. A balloon dilation device for use in the percutaneous treatment of neurosurgical trigeminal nerve, comprising: comprises a conduit assembly and a Y-shaped dispensing head assembly (3);
The catheter assembly (2) consists of a central liquid inlet catheter (21) and an external exhaust catheter (22), wherein the front part of the central liquid inlet catheter (21) is provided with a liquid guide hole, a balloon is sleeved on the section of catheter body distributed with the liquid guide hole, the rest of catheter body of the central liquid inlet catheter (21) is sleeved in the external exhaust catheter (22), the front end of the external exhaust catheter is fixedly connected with the rear end ring of the balloon in a ring shape, the front end of the balloon is fixedly connected with the front end ring of the central liquid inlet catheter (21), the front end pipe orifice of the central liquid inlet catheter (21) is plugged, and the central liquid inlet catheter (21), the balloon (13) on the central liquid inlet catheter and the external exhaust catheter (22) form a coaxial loop catheter;
The Y-shaped dispensing head assembly (3) comprises a Y-shaped dispensing head (32), the rear end of the Y-shaped dispensing head (32) body is connected with a luer locking joint, the side end of the body is connected with a switchable valve, the luer locking joint is connected with a central liquid inlet conduit, and the switchable valve is connected with an external exhaust conduit (22); liquid is injected into the central liquid inlet conduit (21) through the luer locking joint, enters the balloon (13) through the liquid guide hole to expand the balloon, and the balloon is emptied through the control valve.
2. A balloon dilation device for use in the percutaneous treatment of neurosurgical trigeminal nerve according to claim 1 wherein: the switchable valve (33) is a push type valve or a screw type valve.
3. A balloon dilation device for use in neurosurgical trigeminal percutaneous treatment according to claim 1 or claim 2 wherein: the push type valve (33) comprises a valve plug (331), a valve core (332) and a push cap (333); the valve core (332) is tubular, a valve plug (331) matched with the valve core is arranged in the valve core (332), the lower end of the valve core (332) is in threaded connection with the side end of the Y-shaped distribution head (32) main body, the valve plug (331) is arranged at the upper end of the valve core (332), and the valve plug is controlled to be turned on or off by pressing the cap (333).
4. A balloon dilation device for use in the percutaneous treatment of neurosurgical trigeminal nerve according to claim 3 wherein: the front end of the saccule (13) is fixedly connected with the front end ring of the central liquid inlet catheter in a ring shape in a way of part matching or bonding or welding.
5. A balloon dilation device for use in the percutaneous treatment of neurosurgical trigeminal nerve according to claim 4 wherein: the front end pipe wall of the balloon (13) is arranged in the tip pipe (15), the tip pipe (15) is fixedly connected with the front end pipe wall of the central liquid inlet pipe, and the end pipe opening of the central liquid inlet pipe (21) is plugged by a front end plug (16).
6. A balloon dilation device for use in the percutaneous treatment of neurosurgical trigeminal nerve according to claim 1, 4 or 5 wherein: the rear end of the balloon (13) is fixedly connected with the front end ring of the external exhaust duct in a ring shape through part matching or bonding or welding mode.
7. A balloon dilation device for use in the percutaneous treatment of neurosurgical trigeminal nerve according to claim 6 wherein: an inner sleeve (12) is fixed in a tube at the rear end of the balloon (13), then an outer sleeve (11) is sleeved outside the tube wall at the rear end of the balloon (13), the tube wall at the rear end of the balloon (13) is fixedly connected with the front end of an external exhaust duct (22) through the outer sleeve (11), and the inner sleeve (12) is sleeved on a central liquid inlet duct (21) with a gap.
8. A balloon dilation device for use in the percutaneous treatment of neurosurgical trigeminal nerve according to claim 1, 4,5 or 7 wherein: the balloon (13) is made of elastic material and is a compliant balloon, a non-compliant balloon or a semi-compliant balloon; the balloon forms a circular, football-shaped or cylindrical shape after inflation.
9. A balloon dilation device for use in the percutaneous treatment of neurosurgical trigeminal nerve according to claim 8 wherein: the Y-shaped dispensing head (32) is provided with a dispensing opening along the radial outer edge, and is used for bonding the front end of the Y-shaped dispensing head main body with the rear end of the central liquid inlet duct and the rear end of the external exhaust duct, and a duct protecting sleeve (31) is arranged at the bonding position.
10. A balloon dilation device for use in the percutaneous treatment of neurosurgical trigeminal nerve according to claim 9 wherein: the catheter sheath sleeve (31) is made of a high polymer transparent material.
CN201910285276.1A 2019-04-10 2019-04-10 Balloon dilation device for neurosurgery trigeminal nerve percutaneous treatment Active CN110038209B (en)

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CN110038209B true CN110038209B (en) 2024-04-26

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112156335A (en) * 2020-10-16 2021-01-01 法志强 Instrument for performing trigeminal semilunar ganglion sacculus compression
CN114796809A (en) * 2022-03-30 2022-07-29 深圳市顺美医疗股份有限公司 Balloon guide catheter

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