CN110368155A - A kind of broken ends of fractured bone vascular anastomosis support device - Google Patents
A kind of broken ends of fractured bone vascular anastomosis support device Download PDFInfo
- Publication number
- CN110368155A CN110368155A CN201910811772.6A CN201910811772A CN110368155A CN 110368155 A CN110368155 A CN 110368155A CN 201910811772 A CN201910811772 A CN 201910811772A CN 110368155 A CN110368155 A CN 110368155A
- Authority
- CN
- China
- Prior art keywords
- rod
- connecting rod
- cavity
- hinged
- arc pressuring
- 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.)
- Granted
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/10—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
- A61B90/14—Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
Abstract
The present invention relates to a kind of broken ends of fractured bone vascular anastomosis support device, when effective solution vascular suture aligns and suture difficulty is larger problem；The technical solution of solution includes inner support part and outer support part, integral support portion point includes a hollow l-shaped rod, one end of l-shaped rod is hinged with the first connecting rod of multiple circumference uniform distributions, the outer end of each first connecting rod is hinged with a second connecting rod, the outer end of each second connecting rod is hinged with a third connecting rod, the outer end of multiple third connecting rods is hinged on the same disk, one piston rod is installed between disk and l-shaped rod, one end of piston rod is fixed on disk, the other end is protruded into the cavity of l-shaped rod and is bonded with cavity inner wall, the other end of l-shaped rod cavity is connected with a hose, the check valve that can be evacuated from inside to outside from cavity is installed on hose, outer support part includes two arc pressuring plates that can be fastened；The present invention significantly reduces operation difficulty when vascular suture, reduces the probability of thrombosis.
Description
Technical field
The present invention relates to vascular anastomosis field, specifically a kind of broken ends of fractured bone vascular anastomosis support device.
Background technique
The operation of blood vessel end to end anastomosis is to rebuild the conventional means of fracture vascular access, and when blood vessel end to end anastomosis makes every effort to the broken ends of fractured bone pair
Level is really smooth, and narrow contracting and torsiversion malposition does not occur after vascular suture, otherwise will greatly increase the probability of thrombosis；Blood at present
Pipe coincide after blood vessel clip stops blooding with by the way of suture suture, blood vessel is in flat form when contraposition and suture, causes pair
Position difficulty is larger, and blood vessel is easy torsiversion malposition, and inserting needle goes out needle and needs very when causing the narrow contracting of blood vessel or torsion after suture, and suturing
Carefully to prevent piercing opposite side endangium, it is therefore desirable to be lifted vascular wall slightly with tweezers, operation difficulty is larger；It is asked for this
There are some internal supports, such as shape memory alloy stent in topic, is sent into after blood vessel and then sutures vascular opening,
Suture after-poppet indwelling in the blood vessels, bracket itself be easy to cause local thrombus to be formed, and needs to take for a long time anticoagulant, and prop up
Frame belongs to foreign matter, and there are rejections for body, therefore, even if also only hemadostewnosis is more than 70% when treating blood vessel embolism
It could be implanted into bracket, obviously there is between implantation larger drawback in vascular anastomosis.
Summary of the invention
For above situation, for the defect for overcoming the prior art, the present invention provides a kind of supports of broken ends of fractured bone vascular anastomosis to fill
It sets, the problem that when effective solution vascular suture aligns and suture difficulty is larger.
Its technical solution solved is a kind of broken ends of fractured bone vascular anastomosis support device, including two groups of support devices, every group of support
Device includes inner support part and outer support part, and integral support portion point includes a hollow l-shaped rod, and one end of l-shaped rod is hinged
There is the first connecting rod of multiple circumference uniform distributions, the outer end of each first connecting rod is hinged with a second connecting rod, each second connecting rod
Outer end be hinged with a third connecting rod, the outer end of multiple third connecting rods is hinged on the same disk, three connected companies
Bar forms an articulated link chain, and multiple groups hingedly connect one cage structure that can be strutted and fold of composition；Pacify at the axis of cage structure
Equipped with a piston rod, one end of piston rod is fixed on disk, and the other end is protruded into the cavity of l-shaped rod and pasted with cavity inner wall
It closes, the other end of l-shaped rod cavity is connected with a hose, the check valve that can be evacuated from inside to outside from cavity is equipped on hose, soft
First branch pipe and the second branch pipe are installed on pipe, pressure valve is installed on the first branch pipe, switch valve is installed on the second branch pipe；Outside
Support section includes two arc pressuring plates, and the both ends of each arc pressuring plate are equipped with a first through hole, two arc pressuring plate buttons
When conjunction, the first through hole on two arc pressuring plates is coaxially opposite, and the of an axial direction is equipped on the outer wall of each arc pressuring plate
Two through-holes；It further include more counter braces, the both ends of counter brace can penetrate in first through hole or the second through-hole thus by two arcs
Pressing plate or two groups of support devices tense.
The present invention is made blood vessel carry out suture under distracted normal morphology and is significantly reduced by the way of interior outer support
Operation difficulty when vascular suture ensure that the accuracy and flatness of blood vessel pairing, and inner support part can after suture
It takes out completely, intravascular no implantation material reduces the probability of thrombosis.
Detailed description of the invention
Fig. 1 is front sectional view when inner support part folds.
Fig. 2 is the left view cross-sectional view at more second connecting rods.
Front sectional view when Fig. 3 is suture.
Left view when Fig. 4 is suture.
Top view when Fig. 5 is suture.
Fig. 6 is the enlarged drawing of part A in Fig. 1.
Specific embodiment
Further description is made to a specific embodiment of the invention below in conjunction with attached drawing.
It is provided by Fig. 1 to Fig. 6, the present invention includes two groups of support devices, and every group of support device includes inner support part and outer
Support section, integral support portion point include a hollow l-shaped rod 1, and one end of l-shaped rod 1 is hinged with the first of multiple circumference uniform distributions
Connecting rod 2, the outer end of each first connecting rod 2 are hinged with a second connecting rod 3, and the outer end of each second connecting rod 3 is hinged with one
A third connecting rod 4, the outer end of multiple third connecting rods 4 are hinged on the same disk 5, and three connected connecting rods form one hingedly
Chain, multiple groups hingedly connect one cage structure that can be strutted and fold of composition；A piece piston rod is installed at the axis of cage structure
6, one end of piston rod 6 is fixed on disk 5, and the other end is protruded into the cavity of l-shaped rod 1 and is bonded with cavity inner wall, l-shaped rod 1
The other end of cavity is connected with a hose 7, is equipped with the check valve 8 that can be evacuated from inside to outside from cavity on hose 7, on hose 7
First branch pipe 9 and the second branch pipe 10 are installed, pressure valve 11 is installed on first branch pipe 9, switch is installed on the second branch pipe 10
Valve 12；Outer support part includes two arc pressuring plates 13, and the both ends of each arc pressuring plate 13 are equipped with a first through hole 14, and two
When a arc pressuring plate 13 fastens, the first through hole 14 on two arc pressuring plates 13 is coaxial opposite, the outer wall of each arc pressuring plate 13
On be equipped with second through-hole 15 an of axial direction；It further include more counter braces 16, the both ends of counter brace 16 can penetrate first through hole
14 or second in through-hole 15 to which two arc pressuring plates 13 or two groups of support devices be tensed.
An elastic rubber sleeve 17, each arc pressure are cased with outside multiple second connecting rods 3 of the inner support part
The inside of plate 13 is pasted with a rubber pad 18, and rubber sleeve 17 and rubber pad 18 can protect intravascular outer membrane not to be damaged, rubber
Multiple groups articulated link chain automatic retracting when the elasticity of gum cover 17 can also make pressure release in the cavity of l-shaped rod 1.
The tapered protrusion at end to end tapered protrusion 19 and both ends is equipped on the both ends outer wall of the counter brace 16
19 towards on the contrary, to make every end of counter brace 16 unidirectionally can only pass through first through hole 14 or the second through-hole 15.
The outer end of the hose 7 is equipped with a connector 20, and connector 2 can be connect with injector for medical purpose injection port.
The multiple groups hinge can even be replaced by more elastic rods, taken out in l-shaped rod 1 piston rod 6 after negative pressure drive disk 5 to
Interior movement, arching struts outward at multiple elastic rods middle parts, and the diameter of the present apparatus can be further reduced using elastic rod.
When carrying out blood vessel end to end anastomosis using the present apparatus, closed first with blood vessel clip away from ends of vessels 2-3 centimeters folder, so
After strip externa: clamped after ends of vessels outer membrane pulls outward and cut off with vascular clamp, in order to avoid bring outer membrane into suture
Lumen and cause thrombosis, then the ends of vessels of two sides is built neat and with 0.1% heparin-saline or 0.5% general Shandong
Cacaine or 3.8% sodium citrate liquid rinse the lumen of two broken ends of fractured bone, and sludged blood is gone out, to prevent thrombosis after coincideing；Trimming punching
After the completion of washing, the intravascular of both ends is inserted into the inner support part of two groups of support devices respectively, l-shaped rod 1 is connected with the one of hose 7
End stays in outside blood vessel, is then connected to injector for medical purpose on the connector 20 of 7 outer end of hose, and pull out syringe piston,
By the air extraction in 1 cavity of l-shaped rod, making to form negative pressure in the cavity of l-shaped rod 1, then piston rod 6 can be moved into l-shaped rod 1,
To drive disk 5 to move inward, strut multiple groups articulated link chain, when the rubber sleeve 17 outside second connecting rod 3 contacts blood vessel,
The negative pressure that the resistance for continuing to be evacuated becomes larger in the i.e. cavity of l-shaped rod 1 significantly increases, and the pressure difference inside and outside l-shaped rod 1 is greater than pressure at this time
The unlatching threshold values of valve 11, pressure valve 11 are opened, and outside air enters in the cavity of l-shaped rod 1, until negative in the cavity of l-shaped rod 1
Pressure drop stops pumping at this time and removes injection as low as in limit value, avoiding second connecting rod 3 from crossing macrolesion inner membrance to the pressure of blood vessel
Device.
After two groups of inner support parts strut, two arc pressuring plates 13 of every group of outer support part are fastened on vessel outer wall
Upper position corresponding with more distracted second connecting rods 3, then first through hole opposite on same group of two arc pressuring plates 13
Put on a counter brace 16 in 14 and tense, make with organize two arc pressuring plates 13 be fastened on outside blood vessel, inner support part and
Outer support part is formed and is clamped by vascular opening；When fastening arc pressuring plate 13, the arc pressure for making two groups of outer support parts is paid attention to
The second through-hole 15 on plate 13 is to just.
After two broken ends of fractured bone of blood vessel stretch to clamp, one is penetrated in the second opposite through-hole 15 of two groups of arc pressuring plates 13
Root counter brace 16 simultaneously tenses, and draws close two groups of support devices, thus make ends of vessels pairing, it then can be disconnected to the blood vessel after pairing
End is sutured, and is strutted and since blood vessel is in positive state, when suture can convenient inserting needle go out needle, and blood vessel is not easy to send out
The case where raw torsion pairing, guarantee the smooth of involutory surface to the greatest extent, reduces the possibility of later period thrombosis.
After ends of vessels circumferential slots and about 3/4ths, open the second branch pipe 10 on switch valve 12, outside air into
Enter in l-shaped rod 1, negative pressure disappear, rubber sleeve 17 elastic force effect under, inner support part gradually fold into it is rod-shaped, after folding
Inner support part never suture indentation, there extraction, then notch is sutured completely again, finally by every counter brace 16 from
Centre is cut, and four arc pressuring plates 13 are removed.
After the completion of suture, distal vessels folder is first unclamped, if previous anastomotic has a little leakage blood, generally gently presses a few minutes i.e. with gauze
It can stop blooding, can squeegee 1~2 needle in leakage blood compared with many places when necessary, such as without leakage blood, open proximal end blood vessel clip immediately, recovery blood flow.
The present invention sutures blood vessel under distracted normal morphology by the way of interior outer support, both facilitated into
Needle goes out needle, not easy damaged opposite side endangium, while blood vessel is not susceptible to torsiversion malposition, and does not have to manual pairing blood when suture
Pipe, significantly reduces operation difficulty when vascular suture, ensure that the accuracy and flatness of blood vessel pairing, and after suture
Inner support part can take out completely, and intravascular no implantation material reduces the probability of thrombosis.
Claims (5)
1. a kind of broken ends of fractured bone vascular anastomosis support device, which is characterized in that including two groups of support devices, every group of support device includes interior
Support section and outer support part, integral support portion point include a hollow l-shaped rod (1), and one end of l-shaped rod (1) is hinged with more
The first connecting rod (2) of a circumference uniform distribution, the outer end of each first connecting rod (2) are hinged with a second connecting rod (3), and each second
The outer end of connecting rod (3) is hinged with a third connecting rod (4), and the outer end of multiple third connecting rods (4) is hinged on the same disk (5)
On, three connected connecting rods form an articulated link chain, and multiple groups hingedly connect one cage structure that can be strutted and fold of composition；Caged
A piece piston rod (6) is installed, one end of piston rod (6) is fixed on disk (5), and the other end protrudes into L-type at the axis of structure
It is bonded in the cavity of bar (1) and with cavity inner wall, the other end of l-shaped rod (1) cavity is connected with a hose (7), on hose (7)
The check valve (8) that can be evacuated from inside to outside from cavity is installed, the first branch pipe (9) and the second branch pipe (10) are installed on hose (7),
It is equipped on first branch pipe (9) pressure valve (11), switch valve (12) is installed on the second branch pipe (10)；Outer support part includes two
A arc pressuring plate (13), the both ends of each arc pressuring plate (13) are equipped with a first through hole (14), two arc pressuring plates (13)
When fastening, the first through hole (14) on two arc pressuring plates (13) is coaxial opposite, is all provided on the outer wall of each arc pressuring plate (13)
There is second through-hole (15) an of axial direction；It further include more counter braces (16), the both ends of counter brace (16) can penetrate first through hole
(14) or the second through-hole (15) is interior to tense two arc pressuring plates (13) or two groups of support devices.
2. a kind of broken ends of fractured bone vascular anastomosis support device according to claim 1, which is characterized in that the inner support part
Multiple second connecting rods (3) be cased with an elastic rubber sleeve (17) outside, the inside of each arc pressuring plate (13) is pasted with
One rubber pad (18).
3. a kind of broken ends of fractured bone vascular anastomosis support device according to claim 1, which is characterized in that the counter brace (16)
Both ends outer wall on be equipped with the tapered protrusion (19) at end to end tapered protrusion (19) and both ends towards opposite.
4. a kind of broken ends of fractured bone vascular anastomosis support device according to claim 1, which is characterized in that the hose (7)
Outer end is equipped with a connector (20), and connector (2) can be connect with injector for medical purpose injection port.
5. a kind of broken ends of fractured bone vascular anastomosis support device according to claim 1, which is characterized in that the multiple groups hinge connects
It can be replaced by more elastic rods, piston rod (6) drives disk (5) to move inward after negative pressure is taken out in l-shaped rod (1), multiple elastic rods
The outside arching in middle part struts.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910811772.6A CN110368155B (en) | 2019-08-30 | 2019-08-30 | Broken end blood vessel anastomosis supporting device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910811772.6A CN110368155B (en) | 2019-08-30 | 2019-08-30 | Broken end blood vessel anastomosis supporting device |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN110368155A true CN110368155A (en) | 2019-10-25 |
| CN110368155B CN110368155B (en) | 2021-03-09 |
Family
ID=68261204
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201910811772.6A Active CN110368155B (en) | 2019-08-30 | 2019-08-30 | Broken end blood vessel anastomosis supporting device |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN110368155B (en) |
Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6569173B1 (en) * | 1999-12-14 | 2003-05-27 | Integrated Vascular Interventional Technologies, L.C. | Compression plate anastomosis apparatus |
| CN2744308Y (en) * | 2004-08-17 | 2005-12-07 | 刘鲁祁 | Blood vessel anastomat and blood vessel nail |
| KR20100044457A (en) * | 2008-10-22 | 2010-04-30 | 이홍기 | Blood vessel anastomosing apparatus |
| US20100130993A1 (en) * | 2005-07-25 | 2010-05-27 | Adrian Paz | Anastomosis device and system |
| CN107088079A (en) * | 2017-05-27 | 2017-08-25 | 上海长海医院 | Biodegradable vascular anastomosis ring/wheel and its Special surgical instrument |
| CN207785217U (en) * | 2017-08-27 | 2018-08-31 | 华融科创生物科技（天津）有限公司 | A kind of artificial blood vessel stapling apparatus |
| CN207996220U (en) * | 2017-08-30 | 2018-10-23 | 华融科创生物科技（天津）有限公司 | A kind of blood vessel anastomosing auxiliary tool |
| CN108771556A (en) * | 2018-04-11 | 2018-11-09 | 北京大学第三医院 | A kind of automatic stapling apparatus of minimally-invasive vascular |
-
2019
- 2019-08-30 CN CN201910811772.6A patent/CN110368155B/en active Active
Patent Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6569173B1 (en) * | 1999-12-14 | 2003-05-27 | Integrated Vascular Interventional Technologies, L.C. | Compression plate anastomosis apparatus |
| CN2744308Y (en) * | 2004-08-17 | 2005-12-07 | 刘鲁祁 | Blood vessel anastomat and blood vessel nail |
| US20100130993A1 (en) * | 2005-07-25 | 2010-05-27 | Adrian Paz | Anastomosis device and system |
| KR20100044457A (en) * | 2008-10-22 | 2010-04-30 | 이홍기 | Blood vessel anastomosing apparatus |
| CN107088079A (en) * | 2017-05-27 | 2017-08-25 | 上海长海医院 | Biodegradable vascular anastomosis ring/wheel and its Special surgical instrument |
| CN207785217U (en) * | 2017-08-27 | 2018-08-31 | 华融科创生物科技（天津）有限公司 | A kind of artificial blood vessel stapling apparatus |
| CN207996220U (en) * | 2017-08-30 | 2018-10-23 | 华融科创生物科技（天津）有限公司 | A kind of blood vessel anastomosing auxiliary tool |
| CN108771556A (en) * | 2018-04-11 | 2018-11-09 | 北京大学第三医院 | A kind of automatic stapling apparatus of minimally-invasive vascular |
Also Published As
| Publication number | Publication date |
|---|---|
| CN110368155B (en) | 2021-03-09 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| CN110368047A (en) | A kind of blood vessel end to end anastomosis device | |
| US8292907B2 (en) | Balloon assisted occlusion device | |
| CN100486541C (en) | Invivo-lithotriptor electrode or fiberoptic positioner | |
| WO2020073972A1 (en) | Suture-free integrated branched film-covered stent blood vessel | |
| WO2021089063A1 (en) | Thrombus extraction device used for arterial and venous thrombosis | |
| CN104586457A (en) | Blood vessel plugging device for coronary perforation and application | |
| CN209678769U (en) | Support system in stent conveying device and art in art | |
| CN110368155A (en) | A kind of broken ends of fractured bone vascular anastomosis support device | |
| US20070185566A1 (en) | Intravascular medical device | |
| JPH04673B2 (en) | ||
| CN111714261A (en) | Lumen anastomosis supporting dilator | |
| CN209574837U (en) | A kind of suction device | |
| CN109893193A (en) | The trunk bracket of blood can be hindered | |
| CN209172672U (en) | Iris dilator | |
| CN113855133A (en) | Saccule blood flow isolator for vascular anastomosis | |
| CN108056795A (en) | A kind of cardiovascular injuries operation hemostatic support | |
| CN203376916U (en) | Simulation training apparatus for Budd-chiari syndrome interventional treatment | |
| Boudjemline et al. | Transcatheter reconstruction of the right heart | |
| CN107693081B (en) | Blood flow blocking support for operation | |
| CN209499823U (en) | A kind of blood vessel temporary occlusion clip of adjustable cramping | |
| CN200987710Y (en) | Artificial blood vessed sinus for hemodialysis | |
| CN209237129U (en) | A kind of urethral catheterization device | |
| CN215228528U (en) | Auxiliary device for forming blood vessel of autoarteriovenous internal fistula | |
| WO2021018367A1 (en) | Medical implant for constricting a vein | |
| RU218103U1 (en) | VASCULAR OCCLUSION DEVICE |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| PB01 | Publication | ||
| PB01 | Publication | ||
| SE01 | Entry into force of request for substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| GR01 | Patent grant | ||
| GR01 | Patent grant |