CN207136838U - Left room pulmonary artery central vein combines pressure catheter - Google Patents
Left room pulmonary artery central vein combines pressure catheter Download PDFInfo
- Publication number
- CN207136838U CN207136838U CN201720246622.1U CN201720246622U CN207136838U CN 207136838 U CN207136838 U CN 207136838U CN 201720246622 U CN201720246622 U CN 201720246622U CN 207136838 U CN207136838 U CN 207136838U
- Authority
- CN
- China
- Prior art keywords
- catheter
- centre pipe
- epidural
- epidural catheter
- conduit
- 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.)
- Expired - Fee Related
Links
- 210000001147 pulmonary artery Anatomy 0.000 title claims abstract description 12
- 210000003462 vein Anatomy 0.000 title claims abstract description 7
- 239000010409 thin film Substances 0.000 claims abstract description 5
- 230000000747 cardiac effect Effects 0.000 claims description 3
- 238000000034 method Methods 0.000 abstract description 7
- 230000004872 arterial blood pressure Effects 0.000 description 11
- 230000001746 atrial effect Effects 0.000 description 11
- 230000002685 pulmonary effect Effects 0.000 description 8
- 238000012544 monitoring process Methods 0.000 description 7
- 210000002837 heart atrium Anatomy 0.000 description 5
- 239000012528 membrane Substances 0.000 description 5
- 208000002815 pulmonary hypertension Diseases 0.000 description 5
- 206010003119 arrhythmia Diseases 0.000 description 3
- 230000006793 arrhythmia Effects 0.000 description 3
- 238000001802 infusion Methods 0.000 description 3
- 239000007788 liquid Substances 0.000 description 3
- 208000006017 Cardiac Tamponade Diseases 0.000 description 2
- 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 2
- 230000000740 bleeding effect Effects 0.000 description 2
- 239000003814 drug Substances 0.000 description 2
- 238000007667 floating Methods 0.000 description 2
- 210000004491 foramen ovale Anatomy 0.000 description 2
- 230000004217 heart function Effects 0.000 description 2
- 229960002897 heparin Drugs 0.000 description 2
- 229920000669 heparin Polymers 0.000 description 2
- 210000004731 jugular vein Anatomy 0.000 description 2
- 230000002980 postoperative effect Effects 0.000 description 2
- 230000035485 pulse pressure Effects 0.000 description 2
- 238000007789 sealing Methods 0.000 description 2
- 208000002330 Congenital Heart Defects Diseases 0.000 description 1
- 239000004809 Teflon Substances 0.000 description 1
- 229920006362 Teflon® Polymers 0.000 description 1
- 230000001194 anti-hemostatic effect Effects 0.000 description 1
- 210000003157 atrial septum Anatomy 0.000 description 1
- 230000000903 blocking effect Effects 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 230000003130 cardiopathic effect Effects 0.000 description 1
- 208000028831 congenital heart disease Diseases 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 238000001514 detection method Methods 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 239000012530 fluid Substances 0.000 description 1
- 210000004072 lung Anatomy 0.000 description 1
- 230000036244 malformation Effects 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 210000000591 tricuspid valve Anatomy 0.000 description 1
- 230000002792 vascular Effects 0.000 description 1
- 210000002620 vena cava superior Anatomy 0.000 description 1
Landscapes
- Media Introduction/Drainage Providing Device (AREA)
Abstract
The utility model discloses a kind of left room pulmonary artery central vein to combine pressure catheter.The utility model includes double channel catheter and epidural catheter, the double channel catheter includes centre pipe and collateral conduit, the outer end of the centre pipe is connected with breeches joint, side port of the breeches joint formed with straight mouth and with straight mouth at an angle, the epidural catheter is integrated into centre pipe via the straight mouth, epidural catheter is longer than centre pipe, epidural catheter end joint can connect syringe or pressure converter, epidural catheter exposes centre pipe part and sealed by transparent folding thin-film, epidural catheter can move along in centre pipe, opening is left between centre pipe and collateral conduit.The utility model can reduce operation technique difficulty, reduce complication.
Description
Technical field
The utility model is related to a kind of two-chamber ductus venosus, concretely relate to a kind of PLA left atrial pressure, pulmonary arterial pressure and in
Calm pulse pressure combines pressure catheter.
Background technology
In cardiopathic surgical procedure, left atrial pressure is to judge left heart function and the weight of effective circulating blood volume
Index is wanted, also provides reliable foundation for postoperative fluid treatment and the judgement of left heart function.About 10% children with congenital heart disease
Can be occurred together pulmonary hypertension, and pulmonary hypertension is that ill one big reason of machine, art are removed in recovering beat of heart and extracorporal circulatory system after turn of tidal stream
It is preceding detection pulmonary artery pressure mainly by echocardiogram and right catheterization, but for infant, according to pulmonary arterial pressure/
Body arterial pressure (Pp/Ps）The degree of ratio in judgement pulmonary hypertension has more scientific meaning.
To be performed the operation with the first heart of pulmonary hypertension, pulmonary hypertension crisis and Low output are the main reason for Postoperative determination are bad,
Therefore it is necessary that monitoring pulmonary artery pressure, which and guides the application of post-surgical vascular active medicine, in real time in art.It is at present to use more
Teflon catheter or epidural catheter insert main pulmonary artery annulus distal end and carry out pulmonary artery monitoring, and its shortcoming is Lumen catheter
Process may occur bleeding even pericardial tamponade.Adult or larger children can be determined by floating catheter pulmonary artery incarceration pressure and
Reflection left atrial pressure indirectly.But the infant Intracardiac Malformations of the particularly complicated first heart of the first heart are complicated, conduit is not easy in place, and is floated
Floating conduit expensive price.Therefore, more using direct left room inlying catheter manometric method.
The method of left room inlying catheter is broadly divided into 2 kinds at present：1. single lumen catheter is placed to the left heart through wall of the chest RSPV
Room, shortcoming are that bleeding even pericardial tamponade may occur for the process of Lumen catheter；2. through superior vena cava atrium sinistrum catheter retaining method,
It is divided into three chamber CVCs of single lumen catheter, double channel catheter and improvement（The indwelling microtubular in the center cavity of conduit）, through room
Interval or oval foramen, which insert monitoring PLA left atrial pressure, this method in atrium sinistrum, may increase patient's catheter retaining and central venous puncture
Risk.Improveing three chamber CVCs reduces internal jugular vein puncture number and catheter retaining number, but microtubular easily slides out
To atrium dextrum, and the position of microtubular can not be adjusted at any time, therefore do not reach and monitor PLA left atrial pressure and the mesh of pulmonary arterial pressure at any time
's.
The content of the invention
The problem of in order to overcome existing left room pressure-measuring pipe to exist, the utility model are led in reservation three chamber central veins of improvement
Innovated on the basis of pipe advantage, infusion administration, measure central venous pressure, PLA left atrial pressure and pulmonary arterial pressure is entered simultaneously
OK.
Technical scheme is used by the utility model solves its technical problem：
The utility model includes double channel catheter and epidural catheter, and the double channel catheter includes centre pipe and collateral
Conduit, the outer end of the centre pipe are connected with breeches joint, and the breeches joint is in certain angle formed with straight mouth and with straight mouth
The side port of degree, it is characterized in that：The epidural catheter is integrated into centre pipe via the straight mouth, and epidural catheter compares center
Conduit is grown, and epidural catheter end joint can connect syringe or pressure converter, and epidural catheter exposes centre pipe part
Sealed by transparent folding thin-film, epidural catheter can move along in centre pipe, between centre pipe and collateral conduit
Leave opening.
Compared to prior art, the utility model gives a transparent folding thin-film sealing, Epidural cavity outside epidural catheter
Conduit can as needed move epidural catheter and be inserted through atrial septum or oval foramen along main in-pipe, art Chinese and foreign department doctor
PLA left atrial pressure is monitored in atrium sinistrum, also can monitor pulmonary arterial pressure through tricuspid valve to pulmonary artery, anesthetist can be in the case of sterile
The position of epidural catheter is adjusted at any time, when not needing continuous monitoring left atrial pressure or pulmonary arterial pressure, can extract Epidural cavity out
Conduit, without the whole ductus venosus of movement, operation difficulty is reduced, reduces complication.Epidural catheter position is controllable, avoids
The landing of epidural catheter, can also solve the arrhythmia cordis caused by epidural catheter stimulates, it is simple in construction, easy to operate.
Brief description of the drawings
Fig. 1 is left room pulmonary artery central vein joint pressure catheter (before epidural catheter is extracted out)；
Fig. 2 is left room pulmonary artery central vein joint pressure catheter (after epidural catheter is extracted out)；
Fig. 3 is cross-sectional view of the present utility model；
In figure：1st, collateral catheter tip opening, 2, centre pipe side opening, 3, epidural catheter, 4, double channel catheter, 5, in
It is open between cardiac catheter and collateral conduit, 6, breeches joint, 7, centre pipe extension section, 8, collateral conduit extension section, 9, foldable
Transparent membrane, 10, threaded pipe joint, 11, liquid stopping clamp, 12, rubber piston.
Embodiment
As shown in Figure 1, Figure 3, double channel catheter 4 is by centre pipe（Size is 13G）With collateral conduit（Size is 19G）Group
Into, length 13cm, collateral catheter tip opening 1, centre pipe side opening 2, centre pipe and collateral conduit are also respectively provided with
Between be open 5；The outer end of the centre pipe is connected with breeches joint 6, and the breeches joint is in formed with straight mouth and with straight mouth
The side port of certain angle, centre pipe extension section 7 is connect respectively, collateral conduit extension section 8, can carry liquid stopping clamp 11；Epidural cavity is led
Pipe 3（Internal diameter 0.7mm）It is incorporated into centre pipe 2, the threaded pipe joint 10 of end joint can connect syringe or pressure
Converter, tip 8cm epidural catheters give a transparent folding thin-film sealing outside, can be by holding in foldable transparent membrane 9
Epidural catheter the position of conduit is adjusted, position is too deep or cardiac stimulus causes to adjust in time during arrhythmia cordis.
Leave opening between centre pipe and collateral conduit, the light heparin of continuous infusion in collateral conduit, to avoid blocking in main tube cavity, together
When epidural catheter in good light heparin continuous infusion so as not to block.Epidural catheter can be worn along centre pipe from side opening
Go out, longest distance is up to 8cm, as shown in Figure 2.It is not communicated between centre pipe extension section 7 and foldable transparent membrane inner chamber, profit
With 12 anti-Hemostatic Oral Liquid of rubber piston or drug leakage to the intracavitary of transparent membrane 9.Moved when not needing continuous monitoring left atrial pressure or lung
During pulse pressure, epidural catheter 3 can be extracted out, without the whole ductus venosus of movement, as shown in Figure 1.
To sum up, epidural catheter is integrated into centre pipe by the present embodiment, can be by holding in foldable transparent membrane
Epidural catheter carry out catheter position regulation, by adjusting the position monitoring PLA left atrial pressure and pulmonary arterial pressure of epidural catheter,
Reduce internal jugular vein puncture number and catheter retaining number simultaneously, overcome three chamber CVC microtubulars of improvement and easily slide out
The shortcomings that microtubular position can not being adjusted to atrium dextrum and at any time, and when without continuous monitoring left atrial pressure or pulmonary arterial pressure
When, epidural catheter can be extracted out, without the whole ductus venosus of movement, operation difficulty is reduced, reduce complication.Epidural catheter
Position is controllable, avoids the landing of epidural catheter, can also solve the arrhythmia cordis caused by epidural catheter stimulates, structure
Simply, it is easy to operate.
Claims (1)
1. left room pulmonary artery central vein combines pressure catheter, including double channel catheter and epidural catheter, the double channel catheter
Including centre pipe and collateral conduit, the outer end of the centre pipe is connected with breeches joint, and the breeches joint is formed with straight
Mouth and the side port with straight mouth at an angle, it is characterized in that：The epidural catheter is integrated into center via the straight mouth and led
In pipe, epidural catheter is longer than centre pipe, and epidural catheter end joint can connect syringe or pressure converter, Epidural cavity
Conduit exposes centre pipe part and sealed by transparent folding thin-film, and epidural catheter can move along in centre pipe, in
Opening is left between cardiac catheter and collateral conduit.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201720246622.1U CN207136838U (en) | 2017-03-14 | 2017-03-14 | Left room pulmonary artery central vein combines pressure catheter |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201720246622.1U CN207136838U (en) | 2017-03-14 | 2017-03-14 | Left room pulmonary artery central vein combines pressure catheter |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN207136838U true CN207136838U (en) | 2018-03-27 |
Family
ID=61658698
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201720246622.1U Expired - Fee Related CN207136838U (en) | 2017-03-14 | 2017-03-14 | Left room pulmonary artery central vein combines pressure catheter |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN207136838U (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109330565A (en) * | 2018-10-29 | 2019-02-15 | 山东大学 | A kind of optical fiber sensing probe measuring alveolar air pressure |
-
2017
- 2017-03-14 CN CN201720246622.1U patent/CN207136838U/en not_active Expired - Fee Related
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109330565A (en) * | 2018-10-29 | 2019-02-15 | 山东大学 | A kind of optical fiber sensing probe measuring alveolar air pressure |
| CN109330565B (en) * | 2018-10-29 | 2020-04-24 | 山东大学 | Optical fiber sensing probe for measuring alveolar air pressure |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| GR01 | Patent grant | ||
| GR01 | Patent grant | ||
| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20180327 |
|
| CF01 | Termination of patent right due to non-payment of annual fee |