CN110537944B - Aortic wall perforating device - Google Patents
Aortic wall perforating device Download PDFInfo
- Publication number
- CN110537944B CN110537944B CN201910860121.6A CN201910860121A CN110537944B CN 110537944 B CN110537944 B CN 110537944B CN 201910860121 A CN201910860121 A CN 201910860121A CN 110537944 B CN110537944 B CN 110537944B
- Authority
- CN
- China
- Prior art keywords
- push rod
- sleeve
- bin
- puncher
- filling bin
- 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.)
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Links
- 238000004080 punching Methods 0.000 claims abstract description 8
- 230000007246 mechanism Effects 0.000 claims description 9
- 239000000463 material Substances 0.000 abstract description 4
- 239000002184 metal Substances 0.000 abstract description 3
- 230000004048 modification Effects 0.000 description 5
- 238000012986 modification Methods 0.000 description 5
- 238000010586 diagram Methods 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 230000000007 visual effect Effects 0.000 description 2
- 208000032843 Hemorrhage Diseases 0.000 description 1
- 230000009471 action Effects 0.000 description 1
- 230000001154 acute effect Effects 0.000 description 1
- 230000003872 anastomosis Effects 0.000 description 1
- 210000000709 aorta Anatomy 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 208000034158 bleeding Diseases 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 239000011229 interlayer Substances 0.000 description 1
- 230000001788 irregular Effects 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 210000003752 saphenous vein Anatomy 0.000 description 1
- 210000001562 sternum Anatomy 0.000 description 1
- 210000000779 thoracic wall Anatomy 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00238—Type of minimally invasive operation
- A61B2017/00243—Type of minimally invasive operation cardiac
- A61B2017/00247—Making holes in the wall of the heart, e.g. laser Myocardial revascularization
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
Abstract
The embodiment of the invention discloses an aortic wall punching device, and relates to the technical field of medical appliances. Including dress filling bin, puncher, push rod sleeve pipe and push rod axle, push rod sleeve pipe is the arc, and the one end in dress filling bin is connected to push rod sleeve pipe's one end, and push rod axle's one end passes push rod sleeve pipe and stretches into in the dress filling bin by push rod sleeve pipe's the other end, and the puncher setting is in the dress filling bin and stretches out from the other end in dress filling bin, dress filling bin is split type structure. According to the embodiment of the invention, the puncher is filled in the filling bin, and then the bent push rod sleeve and the push rod shaft are used for operation, so that the operation angle is improved, the puncher is suitable for remote operation, the operation is more convenient, and the success rate is higher. The filling bin of the embodiment of the invention is of a split structure, so that the use cost can be reduced, the puncher is designed to be in a filling mode, the puncher is a disposable consumable, and the holding rod is made of medical metal and other materials and can be repeatedly used.
Description
Technical Field
The embodiment of the invention relates to the technical field of medical instruments, in particular to an aortic wall punching device.
Background
In the coronary bypass operation, the great saphenous vein is anastomosed with the side wall of the ascending aorta. A hole of a corresponding size is punched in the aortic wall by a punch for anastomosis. The existing puncher adopts a straight rod type design, and is convenient to use when carrying out conventional bypass operation through the median incision of the sternum. Minimally invasive coronary bypass surgery through small incisions in the chest wall is a newly developed surgical procedure in recent years, and is beneficial to patient recovery due to small trauma. However, the minimally invasive bypass is different from the conventional CABG in technical difficulty, operation flow and the like due to the small incision, limited visual field, long operation distance and the like and the change of the visual angle and the operation angle of an operator.
The existing straight rod type puncher has two defects when in minimally invasive bypass use: firstly, the operation angle is not proper, so that the puncher cannot vertically cut the aortic wall, the risk of bleeding at the anastomotic stoma and even acute interlayer of the aortic wall are increased due to irregular cutting, the difficulty and the risk of inserting the puncher head into the incision of the aortic wall are increased, and the operation is inconvenient; secondly, whole puncher is disposable consumptive material, use cost is high.
Disclosure of Invention
Therefore, the embodiment of the invention provides an aortic wall punching device, which aims to solve the problems of unsuitable operation angle, inconvenient operation and high use cost of a puncher in the prior art.
In order to achieve the above object, the embodiment of the present invention provides the following technical solutions:
According to the first aspect of the embodiment of the invention, the aortic wall punching device comprises a filling bin, a puncher, a push rod sleeve and a push rod shaft, wherein the push rod sleeve is arc-shaped, one end of the push rod sleeve is connected with one end of the filling bin, one end of the push rod shaft penetrates through the push rod sleeve from the other end of the push rod sleeve and stretches into the filling bin, the puncher is arranged in the filling bin and stretches out from the other end of the filling bin, and the filling bin is of a split structure.
Further, the filling bin comprises a first bin body and a second bin body, one end of the second bin body is connected and communicated with one end of the push rod sleeve, one end of the first bin body is detachably connected with the other end of the second bin body, and a through hole for the puncher to pass through is formed in the other end of the first bin body.
Further, one end of the first bin body is in threaded connection with the other end of the second bin body.
Further, the two sides of the push rod sleeve are symmetrically provided with fixed wings.
Further, the hole puncher include outer tube, interior sleeve pipe, center pole and push away the handle, interior sleeve pipe slides and sets up in the outer tube inboard, pushes away the one end of handle and stretches into the outer tube and be connected with interior sleeve pipe's one end, interior sleeve pipe and push away to the spring that keeps away from outer tube one side and remove that is equipped with the promotion push away the handle between the handle, the one end of center pole is equipped with the tool bit that stretches out the dress and fills the storehouse, the other end of center pole is connected with pushing away the handle.
Further, the other end of the central rod is connected with the pushing handle through a connecting pin, a guide groove arranged along the axis of the pushing handle is formed in the pushing handle, a positioning hole is formed in the outer sleeve, and the connecting pin sequentially penetrates through the positioning hole of the outer sleeve and the guide groove of the pushing handle and then is fixedly connected with the central rod.
Further, a rotary guide mechanism is arranged between the outer sleeve and the inner sleeve, and the rotary guide mechanism pushes the inner sleeve to rotate while axially sliding along the outer sleeve.
Further, the rotary guiding mechanism comprises a first protruding edge and a second protruding edge, the first protruding edge is arranged on the inner wall of the outer sleeve, the second protruding edge is arranged on the outer wall of the inner sleeve, and the second protruding edge is provided with an inclined plane matched with the first protruding edge.
The embodiment of the invention has the following advantages:
According to the embodiment of the invention, the puncher is filled in the filling bin, and then the bent push rod sleeve and the push rod shaft are used for operation, so that the operation angle is improved, the puncher is suitable for remote operation, the operation is more convenient, and the success rate is higher. The filling bin of the embodiment of the invention is of a split structure, so that the use cost can be reduced, the puncher is designed to be in a filling mode, the puncher is a disposable consumable, and the holding rod is made of medical metal and other materials and can be repeatedly used.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below. It will be apparent to those skilled in the art from this disclosure that the drawings described below are merely exemplary and that other embodiments may be derived from the drawings provided without undue effort.
The structures, proportions, sizes, etc. shown in the present specification are shown only for the purposes of illustration and description, and are not intended to limit the scope of the invention, which is defined by the claims, so that any structural modifications, changes in proportions, or adjustments of sizes, which do not affect the efficacy or the achievement of the present invention, should fall within the scope of the invention.
Fig. 1 is a schematic view of an aortic wall punching device according to embodiment 1 of the present invention;
FIG. 2 is a schematic view showing the structure of a loading bin according to embodiment 1 of the present invention;
FIG. 3 is a schematic structural diagram of a hole punch according to embodiment 1 of the present invention;
FIG. 4 is a schematic diagram of an exploded structure of the hole punch according to embodiment 1 of the present invention;
In the figure: 1-filling bin 2-push rod sleeve 3-push rod shaft 4-fixed wing 5-puncher 101-first bin body 102-second bin body 501-outer sleeve 502-inner sleeve 503-center rod 504-push rod 505-cutter head 506-spring 507-connecting pin 508-first protruding edge 509-second protruding edge 510-locating hole 511-guiding groove.
Detailed Description
Other advantages and advantages of the present invention will become apparent to those skilled in the art from the following detailed description, which, by way of illustration, is to be read in connection with certain specific embodiments, but not all embodiments. All other embodiments, which can be made by those skilled in the art based on the embodiments of the invention without making any inventive effort, are intended to be within the scope of the invention. The terms such as "upper", "lower", "left", "right", "middle" and the like are also used in the present specification for convenience of description, but are not intended to limit the scope of the present invention, and the changes or modifications of the relative relationship thereof are considered to be within the scope of the present invention without substantial modification of the technical content.
Referring to fig. 1-2, the aortic wall punching device comprises a filling bin 1, a puncher 5, a push rod sleeve 2 and a push rod shaft 3, wherein the push rod sleeve 2 is arc-shaped, one end of the push rod sleeve 2 is connected with one end of the filling bin 1, one end of the push rod shaft 3 penetrates through the push rod sleeve 2 from the other end of the push rod sleeve 2 and stretches into the filling bin 1, the puncher 5 is arranged in the filling bin 1 and stretches out from the other end of the filling bin 1, the filling bin 1 is of a split structure, and fixing wings 4 are symmetrically arranged on two sides of the push rod sleeve 2 so as to facilitate holding the push rod sleeve 2 when pushing the push rod shaft 3.
The filling bin 1 comprises a first bin body 101 and a second bin body 102, one end of the second bin body 102 is connected and communicated with one end of the push rod sleeve 2, one end of the first bin body 101 is in threaded connection with the other end of the second bin body 102, and a through hole for the puncher 5 to pass through is formed in the other end of the first bin body 101.
Referring to fig. 3 to 4, the hole punch 5 includes an outer sleeve 501, an inner sleeve 502, a central rod 503 and a push handle 504, the inner sleeve 502 is slidably disposed inside the outer sleeve 501, one end of the push handle 504 extends into the outer sleeve and is connected with one end of the inner sleeve 502, a spring 506 for pushing the push handle 504 to move away from the outer sleeve 501 is disposed between the inner sleeve 502 and the push handle 504, one end of the central rod 503 is provided with a cutter head 505 extending out of the filling bin 1, and the other end of the central rod 503 is connected with the push handle 504.
The other end of the central rod 503 is connected with the pushing handle 504 through a connecting pin 507, the pushing handle 504 is provided with a guide groove 511 arranged along the axis of the pushing handle, the outer sleeve 501 is provided with a positioning hole 510, and the connecting pin 507 sequentially passes through the positioning hole 510 of the outer sleeve 501 and the guide groove 511 of the pushing handle 504 and then is fixedly connected with the central rod 503.
A rotary guide mechanism is arranged between the outer sleeve 501 and the inner sleeve 502, and the rotary guide mechanism pushes the inner sleeve 502 to rotate while axially sliding along the outer sleeve 501. Specifically, the rotary guiding mechanism includes a first protruding edge 508 and a second protruding edge 509, the first protruding edge 508 is disposed on the inner wall of the outer sleeve 501, the second protruding edge 509 is disposed on the outer wall of the inner sleeve 502, and the second protruding edge 509 has an inclined surface matched with the first protruding edge 508.
When punching, firstly, a sharp tool is used for opening a small opening at a position to be punched, then, the push rod sleeve 2 and the filling bin 1 are used for enabling the puncher 5 to be positioned at the position to be punched, the cutter head 505 penetrates through the small opening, the push rod shaft 3 is used for pushing the push handle 504 of the puncher 5, the push handle 504 further pushes the inner sleeve 502 to move towards the cutter head 505, and the inner sleeve 502 rotates under the action of the first protruding edge 508 and the second protruding edge 509 while axially moving, so that relative rotation can occur in the process that the inner sleeve 502 is contacted with the cutter head 505, and further, the work of making round holes on the aortic wall can be completed better.
According to the embodiment of the invention, the puncher 5 is filled in the filling bin 1, and then the bent push rod sleeve 2 and the push rod shaft 3 are used for operation, so that the operation angle is improved, the puncher is suitable for long-distance operation, the operation is more convenient, and the success rate is higher. In addition, the filling bin 1 of the embodiment of the invention is of a split structure, so that the use cost can be reduced, the puncher 5 is designed to be in a filling mode, the puncher 5 is a disposable consumable, and the holding rod is made of medical metal and other materials and can be repeatedly used.
While the invention has been described in detail in the foregoing general description and specific examples, it will be apparent to those skilled in the art that modifications and improvements can be made thereto. Accordingly, such modifications or improvements may be made without departing from the spirit of the invention and are intended to be within the scope of the invention as claimed.
Claims (4)
1. An aortic wall perforating device, characterized in that: the aortic wall punching device comprises a filling bin (1), a puncher (5), a push rod sleeve (2) and a push rod shaft (3), wherein the push rod sleeve (2) is arc-shaped, one end of the push rod sleeve (2) is connected with one end of the filling bin (1), one end of the push rod shaft (3) penetrates through the push rod sleeve (2) from the other end of the push rod sleeve (2) and stretches into the filling bin (1), the puncher (5) is arranged in the filling bin (1) and stretches out from the other end of the filling bin (1), and the filling bin (1) is of a split structure;
The puncher (5) comprises an outer sleeve (501), an inner sleeve (502), a central rod (503) and a pushing handle (504), wherein the inner sleeve (502) is arranged on the inner side of the outer sleeve (501) in a sliding mode, one end of the pushing handle (504) extends into the outer sleeve (501) and is connected with one end of the inner sleeve (502), a spring (506) for pushing the pushing handle (504) to move towards the side far away from the outer sleeve (501) is arranged between the inner sleeve (502) and the pushing handle (504), a cutter head (505) extending out of a filling bin (1) is arranged at one end of the central rod (503), and the other end of the central rod (503) is connected with the pushing handle (504);
The other end of the central rod (503) is connected with the pushing handle (504) through a connecting pin (507), a guide groove (511) arranged along the axis of the pushing handle (504) is formed in the pushing handle (504), a positioning hole (510) is formed in the outer sleeve (501), and the connecting pin (507) sequentially penetrates through the positioning hole (510) of the outer sleeve (501) and the guide groove (511) of the pushing handle (504) and then is fixedly connected with the central rod (503);
A rotary guide mechanism is arranged between the outer sleeve (501) and the inner sleeve (502), and the rotary guide mechanism pushes the inner sleeve (502) to rotate while axially sliding along the outer sleeve (501);
The rotary guide mechanism comprises a first protruding edge (508) and a second protruding edge (509), wherein the first protruding edge (508) is arranged on the inner wall of the outer sleeve (501), the second protruding edge (509) is arranged on the outer wall of the inner sleeve (502), and the second protruding edge (509) is provided with an inclined plane matched with the first protruding edge (508).
2. The aortic wall punch apparatus as set forth in claim 1, wherein: the filling bin (1) comprises a first bin body (101) and a second bin body (102), one end of the second bin body (102) is connected and communicated with one end of the push rod sleeve (2), one end of the first bin body (101) is detachably connected with the other end of the second bin body (102), and a through hole for the puncher (5) to pass through is formed in the other end of the first bin body (101).
3. The aortic wall punch apparatus as set forth in claim 2, wherein: one end of the first bin body (101) is in threaded connection with the other end of the second bin body (102).
4. The aortic wall punch apparatus as set forth in claim 1, wherein: the two sides of the push rod sleeve (2) are symmetrically provided with fixed wings (4).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910860121.6A CN110537944B (en) | 2019-09-11 | 2019-09-11 | Aortic wall perforating device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910860121.6A CN110537944B (en) | 2019-09-11 | 2019-09-11 | Aortic wall perforating device |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN110537944A CN110537944A (en) | 2019-12-06 |
| CN110537944B true CN110537944B (en) | 2024-05-07 |
Family
ID=68713313
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201910860121.6A Active CN110537944B (en) | 2019-09-11 | 2019-09-11 | Aortic wall perforating device |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN110537944B (en) |
Citations (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6176867B1 (en) * | 1999-05-03 | 2001-01-23 | John T. M. Wright | Multi-size reusable aortic punch |
| CN1599579A (en) * | 2001-10-05 | 2005-03-23 | 金齐姆公司 | Surgical punch device |
| CN204600595U (en) * | 2015-05-07 | 2015-09-02 | 唐朝阳 | The vertebral body card punch improved |
| CN106821452A (en) * | 2017-02-22 | 2017-06-13 | 四川大学华西医院 | A kind of bone arcuate socket card punch |
| CN108514441A (en) * | 2018-04-28 | 2018-09-11 | 美茵（北京）医疗器械研发有限公司 | A kind of blood vessel punching component and card punch |
| CN208677514U (en) * | 2017-09-27 | 2019-04-02 | 常州市海达医疗器械有限公司 | Disposable blood vessel punch |
| CN208709998U (en) * | 2018-04-23 | 2019-04-09 | 美茵（北京）医疗器械研发有限公司 | A kind of punch extended control device and blood vessel punch |
| CN208709995U (en) * | 2018-02-08 | 2019-04-09 | 南昌元合泽众科技有限公司 | A kind of reusable ultrasonic surgical blade |
| CN210843213U (en) * | 2019-09-11 | 2020-06-26 | 梁林 | Aorta wall perforating device |
Family Cites Families (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US10188420B2 (en) * | 2016-10-14 | 2019-01-29 | Medline Industries, Inc. | Aortic punch |
-
2019
- 2019-09-11 CN CN201910860121.6A patent/CN110537944B/en active Active
Patent Citations (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6176867B1 (en) * | 1999-05-03 | 2001-01-23 | John T. M. Wright | Multi-size reusable aortic punch |
| CN1599579A (en) * | 2001-10-05 | 2005-03-23 | 金齐姆公司 | Surgical punch device |
| CN204600595U (en) * | 2015-05-07 | 2015-09-02 | 唐朝阳 | The vertebral body card punch improved |
| CN106821452A (en) * | 2017-02-22 | 2017-06-13 | 四川大学华西医院 | A kind of bone arcuate socket card punch |
| CN208677514U (en) * | 2017-09-27 | 2019-04-02 | 常州市海达医疗器械有限公司 | Disposable blood vessel punch |
| CN208709995U (en) * | 2018-02-08 | 2019-04-09 | 南昌元合泽众科技有限公司 | A kind of reusable ultrasonic surgical blade |
| CN208709998U (en) * | 2018-04-23 | 2019-04-09 | 美茵（北京）医疗器械研发有限公司 | A kind of punch extended control device and blood vessel punch |
| CN108514441A (en) * | 2018-04-28 | 2018-09-11 | 美茵（北京）医疗器械研发有限公司 | A kind of blood vessel punching component and card punch |
| CN210843213U (en) * | 2019-09-11 | 2020-06-26 | 梁林 | Aorta wall perforating device |
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| Publication number | Publication date |
|---|---|
| CN110537944A (en) | 2019-12-06 |
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Effective date of registration: 20210430 Address after: 2 anzhen Road, Chaoyang District, Beijing Applicant after: BEIJING ANZHEN HOSPITAL AFFILIATED TO CAPITAL MEDICAL University Address before: 100029 area a, Department of Cardiology, Beijing Anzhen Hospital, Chaoyang District, Beijing Applicant before: Liang Lin |
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