CN1593681A - Double-balloon intravascular catheter - Google Patents
Double-balloon intravascular catheter Download PDFInfo
- Publication number
- CN1593681A CN1593681A CNA2004100400759A CN200410040075A CN1593681A CN 1593681 A CN1593681 A CN 1593681A CN A2004100400759 A CNA2004100400759 A CN A2004100400759A CN 200410040075 A CN200410040075 A CN 200410040075A CN 1593681 A CN1593681 A CN 1593681A
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- Prior art keywords
- sacculus
- blood
- catheter
- tube
- catheter body
- 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
- 239000008280 blood Substances 0.000 claims abstract description 50
- 210000004369 blood Anatomy 0.000 claims abstract description 48
- 210000004204 blood vessel Anatomy 0.000 claims description 30
- 210000005077 saccule Anatomy 0.000 claims description 22
- 238000003780 insertion Methods 0.000 claims description 6
- 230000037431 insertion Effects 0.000 claims description 6
- 210000001367 artery Anatomy 0.000 abstract description 5
- 230000000740 bleeding effect Effects 0.000 abstract description 4
- 230000017531 blood circulation Effects 0.000 abstract description 4
- 230000004083 survival effect Effects 0.000 abstract description 3
- 230000010503 organ complication Effects 0.000 abstract description 2
- 230000002980 postoperative effect Effects 0.000 abstract description 2
- 230000000694 effects Effects 0.000 abstract 1
- 210000001835 viscera Anatomy 0.000 abstract 1
- 230000036772 blood pressure Effects 0.000 description 6
- 210000000709 aorta Anatomy 0.000 description 5
- 230000010412 perfusion Effects 0.000 description 5
- 206010028980 Neoplasm Diseases 0.000 description 4
- 239000003814 drug Substances 0.000 description 4
- 239000007788 liquid Substances 0.000 description 4
- 238000000034 method Methods 0.000 description 4
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- 229940079593 drug Drugs 0.000 description 3
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- 239000000463 material Substances 0.000 description 3
- 208000027418 Wounds and injury Diseases 0.000 description 2
- 239000002473 artificial blood Substances 0.000 description 2
- 230000036770 blood supply Effects 0.000 description 2
- 238000001816 cooling Methods 0.000 description 2
- 208000028867 ischemia Diseases 0.000 description 2
- 210000000056 organ Anatomy 0.000 description 2
- 208000009304 Acute Kidney Injury Diseases 0.000 description 1
- 206010002091 Anaesthesia Diseases 0.000 description 1
- 206010002329 Aneurysm Diseases 0.000 description 1
- HTTJABKRGRZYRN-UHFFFAOYSA-N Heparin Chemical compound OC1C(NC(=O)C)C(O)OC(COS(O)(=O)=O)C1OC1C(OS(O)(=O)=O)C(O)C(OC2C(C(OS(O)(=O)=O)C(OC3C(C(O)C(O)C(O3)C(O)=O)OS(O)(=O)=O)C(CO)O2)NS(O)(=O)=O)C(C(O)=O)O1 HTTJABKRGRZYRN-UHFFFAOYSA-N 0.000 description 1
- 206010033892 Paraplegia Diseases 0.000 description 1
- 208000033626 Renal failure acute Diseases 0.000 description 1
- 201000011040 acute kidney failure Diseases 0.000 description 1
- 208000012998 acute renal failure Diseases 0.000 description 1
- 230000037005 anaesthesia Effects 0.000 description 1
- 239000003146 anticoagulant agent Substances 0.000 description 1
- 229940127219 anticoagulant drug Drugs 0.000 description 1
- 208000007474 aortic aneurysm Diseases 0.000 description 1
- 206010002906 aortic stenosis Diseases 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
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- 230000002792 vascular Effects 0.000 description 1
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- Media Introduction/Drainage Providing Device (AREA)
Abstract
A double-balloon intravascular catheter is characterized in that one end of a catheter body is open, the other end of the catheter body is provided with a fixed sleeve, a first balloon and a second balloon which are separated by a certain distance are coated and fixed on the outer wall of the catheter body close to the open end of the catheter body, a balloon connecting pipe is inserted into an inner cavity of the catheter body through the fixed sleeve and is communicated with inner cavities of the two balloons, a bleeding hole is formed in the catheter body and is positioned between the second balloon and the fixed sleeve and close to the second balloon, and a blood transfusion tube is arranged in the bleeding hole and is inserted into the inner cavity of the catheter body from the open end of. The inner catheter can block arterial blood from flowing through an operation part during operation, and meanwhile, the arterial blood can flow out of an artery at the downstream of the operation part through a bleeding hole through an inner channel of the catheter body and be perfused into the artery, so that the normal flow of the blood flow is not blocked during the operation, and the inner catheter has important effects on reducing the incidence rate of important visceral organ complications and improving the survival rate and the survival quality of postoperative patients.
Description
Technical field
The invention belongs to medical apparatus and instruments, the catheter in blood vessel of the dribbling capsule that particularly a kind of vascular operation is used.
Background technology
Aortic aneurysm, aortic stenosis are frequently-occurring disease, the commonly encountered diseases of vascular surgery, and aneurysm or narrow positions excision back artificial blood vessel orthotopic transplantation or direct coincideing are main treatment meanss.Carrying out for the ease of operation, need temporary blocking-up aorta in the operation, the medical apparatus and instruments that uses at present is sacculus catheter for arterial blood vessel, its structure is by the catheter tube opening one or two sacculus to be set, insert appendix, blood transfusion tube (also claiming tube chamber) from the other end of catheter tube, they are connected with the opening of each balloon lumen and catheter tube respectively, by filling sacculus interruption artery blood flow by phased manner.Chinese patent ZL 02113689.0 disclosed sacculus catheter for arterial blood vessel has only increased side opening of opening on the catheter tube and the carrier pipe that communicates with it (also claiming tube chamber) on the basis of said structure; so that be increased in blocking-up position far-end or/and near-end perfusion anticoagulant liquid; at the dirty position of important device perfusion protection liquid, measuring blood pressure, blood-sample withdrawal, local cooling, blood pressure lowering, to functions such as specific drugs.The problem that existing various sacculus catheter for arterial blood vessel exist is that the downstream at blocking-up position fully can not blood supply, thereby cause the blocking-up downstream the organ ischemia, if the ischemia of organ surpasses safe time limit, promptly may cause acute renal failure, spinal cord necrosis (paraplegia) and multiple organ dysfunction, therefore present operative mortality still higher (2%~6.8%).Surgeon is because the scruple aorta clamping time can not be finished aorta calmly and be rebuild, and open too early aorta causes amount of bleeding obviously to increase.High-order aortal blocking-up has simultaneously increased cardiac afterload, and upper part of the body blood pressure is increased, and also can cause the depletion of cardiac function, has increased the danger of anesthesia and operation greatly.
Summary of the invention
The objective of the invention is to overcome the deficiencies in the prior art, provide a kind of can interruption artery blood flow underwent operative position, can in operation process, make two saccule catheter in blood vessel of the normal blood supply in downstream of operative site again.
Technical scheme of the present invention: existing two sacculus sacculus catheter for arterial blood vessel are improved, blood outlet hole is set on catheter tube, this blood outlet hole is positioned at from the outside of catheter tube opening sacculus far away, and the blood transfusion tube that communicates with blood outlet hole inserts the catheter tube inner chamber from the catheter tube opening.
Body one end opening of of the present invention pair of saccule catheter in blood vessel, the other end is equipped with fixed cover, at tube body opening, coat and be fixed with phase first sacculus across a certain distance on the outer wall of body, second sacculus, the sacculus connection tube that conducting or blocking-up gas (liquid) enter sacculus communicates by fixed cover insertion tube intracoelomic cavity and with the inner chamber of two sacculus, so that the full or contraction of control sacculus, body is provided with blood outlet hole, this blood outlet hole is between second sacculus and fixed cover and near second sacculus, blood outlet hole is equipped with blood transfusion tube, this blood transfusion tube is communicated with from body opening insertion tube intracoelomic cavity and with blood outlet hole, form the conduit internal channel, during operation, arterial blood enters blood transfusion tube from the arterial blood inlet of blood transfusion tube end, flows out perfusion operative site downstream through blood outlet hole.
Need when in operation process, artificial blood vessel being installed for the convenience of operating, can make the naked section that sacculus connection tube and blood transfusion tube are arranged between first sacculus and second sacculus from the disconnected and two saccule catheter in blood vessel of connection.
In order to make two saccule catheter in blood vessel have perfusion protection liquid, measuring blood pressure, blood-sample withdrawal; local cooling, blood pressure lowering, to functions such as specific drugs; at least be provided with a side opening that is useful on injectable drug or measures blood pressure on the body, this side opening communicates with side opening connection tube from fixed cover insertion tube intracoelomic cavity.
For improving biocompatibility, catheter tube can use heparin paint-on technique or other biotechnology.Be convenient location, the material of catheter tube can add the baric material.
Catheter tube, fixed cover, sacculus, sacculus connection tube, blood transfusion tube, side opening connection tube are made by medical macromolecular materials.
The present invention has following beneficial effect:
When 1, performing the operation, energy interruption artery blood flow underwent operative position, arterial blood can flow out the tremulous pulse in perfusion operative site downstream by conduit internal channel (blood transfusion tube) through blood outlet hole simultaneously, make in the operation the not proper flow of occlude blood, thereby to reducing the incidence rate of important organ complication, the survival rate and the life quality that improve postoperative patient have important function.
2, can alleviate the surgeon mental pressure of scruple aorta clamping time, guarantee to perform the operation and finish smoothly, improve the success rate of operation.
3, there is side opening to communicate on the catheter tube, can be used for treatment of diseases such as tumor with the external world.Conduit is inserted intra-arterial, and the blood vessel of supply tumor is in the middle of two sacculus, and after the inflated, the medicine that will treat tumor by the side opening connection tube injects the intermediary side opening of two sacculus, can reach the purpose of treatment.The method is simple to operate, and operation wound alleviates the injury of lonizing radiation to doctor, trouble both sides simultaneously much smaller than the interventional therapy of present tumor.
Description of drawings
Fig. 1 is first kind of structure chart of of the present invention pair of saccule catheter in blood vessel, and sacculus is in full state;
Fig. 2 is second kind of structure chart of of the present invention pair of saccule catheter in blood vessel, and sacculus is in full state;
Fig. 3 is the third structure chart of of the present invention pair of saccule catheter in blood vessel, and the naked section of sacculus connection tube and blood transfusion tube is arranged between first sacculus and second sacculus, and sacculus is in full state;
Fig. 4 is the perspective view of the two saccule catheter in blood vessel among Fig. 3;
Fig. 5 is the sketch map of of the present invention pair of saccule catheter in blood vessel when disconnected;
Fig. 6 is the sketch map of of the present invention pair of saccule catheter in blood vessel when logical again;
Fig. 7 is the 4th structure chart of of the present invention pair of saccule catheter in blood vessel, and sacculus is in full state;
Fig. 8 is the 5th a kind of structure chart of of the present invention pair of saccule catheter in blood vessel, and sacculus is in full state.
Among the figure, 1-body, 2-the first sacculus, 3-the second sacculus, 4-blood outlet hole, 5-fixed cover, 6-sacculus connection tube, 7-blood transfusion tube, 8-side opening, 9-side opening connection tube, 10-clip, 11-medical proof fabric.
The specific embodiment
Embodiment 1
The structure of the two saccule catheter in blood vessel in the present embodiment as shown in Figure 1, body 1 one end openings, the other end is equipped with fixed cover 5, at tube body opening, coat and be fixed with phase first sacculus 2 across a certain distance on the outer wall of body, second sacculus 3, sacculus connection tube 6 is two, inserting body 1 inner chamber by fixed cover also communicates with each self-corresponding balloon lumen respectively, body 1 is provided with blood outlet hole 4, this blood outlet hole is between second sacculus 3 and fixed cover 5 and near second sacculus, blood outlet hole 4 is equipped with blood transfusion tube 7, and this blood transfusion tube is communicated with from body 1 opening insertion tube intracoelomic cavity and with blood outlet hole 4.
The structure of the two saccule catheter in blood vessel in the present embodiment as shown in Figure 2.Difference from Example 1 is also to be provided with a side opening 8 on the body 1, and this side opening is positioned at the right side of blood outlet hole 4 and with blood outlet hole spacing is arranged, and the side opening connection tube 9 that inserts body 1 inner chamber from fixed cover communicates with side opening 8.
The structure of the two saccule catheter in blood vessel in the present embodiment as shown in Figure 3, Figure 4.Difference from Example 1 is the naked section that sacculus connection tube 6 and blood transfusion tube 7 are arranged between first sacculus 2 and second sacculus 3; Also be provided with a side opening 8 on the body 1, this side opening is positioned at the right side of blood outlet hole 4 and with blood outlet hole spacing is arranged, and the side opening connection tube 9 that inserts body 1 inner chamber from fixed cover communicates with side opening 8.Fig. 5 and Fig. 6 are that two saccule catheter in blood vessel of this kind structure are in operation from breaking and the sketch map that leads to state again.
The structure of the two saccule catheter in blood vessel in the present embodiment as shown in Figure 7.Difference from Example 1 is: sacculus connection tube 6 is one, communicates by fixed cover insertion body 1 inner chamber and with two balloon lumen; Also be provided with a side opening 8 on the body 1, this side opening is positioned at the right side of blood outlet hole 4 and with blood outlet hole spacing is arranged, and the side opening connection tube 9 that inserts body 1 inner chamber from fixed cover communicates with side opening 8.
The structure of the two saccule catheter in blood vessel in the present embodiment as shown in Figure 8.Difference from Example 1 is: body 1 is provided with two side openings 8, a side opening is between first sacculus 2 and second sacculus 3, a side opening is positioned at the right side of blood outlet hole 4 and with blood outlet hole spacing is arranged, side opening connection tube 9 is two, inserts body 1 inner chamber by fixed cover 5 and also is communicated with each self-corresponding side opening respectively.
Claims (3)
1, a kind of pair of saccule catheter in blood vessel, its body (1) one end opening, the other end is equipped with fixed cover (5), at tube body opening, coat and be fixed with phase first sacculus (2) across a certain distance on the outer wall of body, second sacculus (3), sacculus connection tube (6) inserts body (1) inner chamber by fixed cover and communicates with the inner chamber of two sacculus, it is characterized in that body (1) is provided with blood outlet hole (4), this blood outlet hole is positioned between second sacculus (3) and the fixed cover (5) and close second sacculus, blood outlet hole (4) is equipped with blood transfusion tube (7), and this blood transfusion tube is communicated with from body (1) opening insertion tube intracoelomic cavity and with blood outlet hole (4).
2, according to claim 1 pair of saccule catheter in blood vessel is characterized in that having between first sacculus (2) and second sacculus (3) naked section of sacculus connection tube (6) and blood transfusion tube (7).
3, according to claim 1 and 2 pair of saccule catheter in blood vessel is characterized in that being provided with at least on the body (1) side opening (8), and this side opening communicates with the side opening connection tube (9) that inserts body (1) inner chamber from fixed cover.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CNB2004100400759A CN100344338C (en) | 2004-06-25 | 2004-06-25 | Double-balloon intravascular catheter |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CNB2004100400759A CN100344338C (en) | 2004-06-25 | 2004-06-25 | Double-balloon intravascular catheter |
Publications (2)
Publication Number | Publication Date |
---|---|
CN1593681A true CN1593681A (en) | 2005-03-16 |
CN100344338C CN100344338C (en) | 2007-10-24 |
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Application Number | Title | Priority Date | Filing Date |
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CNB2004100400759A Expired - Fee Related CN100344338C (en) | 2004-06-25 | 2004-06-25 | Double-balloon intravascular catheter |
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CN (1) | CN100344338C (en) |
Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN103394154A (en) * | 2013-07-23 | 2013-11-20 | 中国人民解放军第二军医大学 | Three-cavity double-balloon venous catheter in assistance to completing total hepatic vascular exclusion |
CN108114361A (en) * | 2018-02-01 | 2018-06-05 | 上海康德莱医疗器械股份有限公司 | A kind of double saccule thrombolysis tracheas |
CN111265762A (en) * | 2020-04-02 | 2020-06-12 | 池亦涵 | Double-balloon current-carrying catheter |
Family Cites Families (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5135474A (en) * | 1990-08-03 | 1992-08-04 | University Of Medicine And Dentistry Of New Jersey | Hepatic bypass catheter |
CN2449748Y (en) * | 2000-12-04 | 2001-09-26 | 张银合 | Blood saccule bridge |
CN1454677A (en) * | 2002-04-30 | 2003-11-12 | 张兰 | Sacculus catheter for arterial blood vessel |
CN2710671Y (en) * | 2004-06-25 | 2005-07-20 | 四川大学华西医院 | Double-balloon intravascular catheter |
-
2004
- 2004-06-25 CN CNB2004100400759A patent/CN100344338C/en not_active Expired - Fee Related
Cited By (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN103394154A (en) * | 2013-07-23 | 2013-11-20 | 中国人民解放军第二军医大学 | Three-cavity double-balloon venous catheter in assistance to completing total hepatic vascular exclusion |
CN103394154B (en) * | 2013-07-23 | 2015-12-09 | 中国人民解放军第二军医大学 | A kind of for having assisted the two sacculus venous duct in three chambeies of total hepatic vascular exclusion |
CN108114361A (en) * | 2018-02-01 | 2018-06-05 | 上海康德莱医疗器械股份有限公司 | A kind of double saccule thrombolysis tracheas |
CN108114361B (en) * | 2018-02-01 | 2024-05-31 | 上海瑛泰医疗器械股份有限公司 | Double-balloon thrombolysis catheter |
CN111265762A (en) * | 2020-04-02 | 2020-06-12 | 池亦涵 | Double-balloon current-carrying catheter |
Also Published As
Publication number | Publication date |
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CN100344338C (en) | 2007-10-24 |
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Granted publication date: 20071024 Termination date: 20100625 |