CN207838033U - A kind of no conducting wire pacemaker fixing device and without conducting wire pacemaker system - Google Patents

A kind of no conducting wire pacemaker fixing device and without conducting wire pacemaker system Download PDF

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Publication number
CN207838033U
CN207838033U CN201621347536.1U CN201621347536U CN207838033U CN 207838033 U CN207838033 U CN 207838033U CN 201621347536 U CN201621347536 U CN 201621347536U CN 207838033 U CN207838033 U CN 207838033U
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China
Prior art keywords
conducting wire
wire pacemaker
umbrella
fixing device
fixed
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CN201621347536.1U
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Chinese (zh)
Inventor
秦胜梅
宿燕岗
刘恩涛
潘文志
巩雪
葛均波
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Zhongshan Hospital Fudan University
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Zhongshan Hospital Fudan University
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Abstract

The utility model is related to a kind of no conducting wire pacemaker fixing device and without conducting wire pacemaker system.Described is tubular structure made of roentgenopaque elastic memory woven wire without conducting wire pacemaker fixing device, umbrella leaf, the fixed umbrella leaf of umbrella handle and distal end are fixed including proximal end, the umbrella handle is cylinder, and it is umbrella, cylinder or important actor shape that the fixed umbrella leaf of umbrella leaf and distal end is fixed in the proximal end under without outer force effect.It is described without conducting wire pacemaker system include no conducting wire pacemaker fixing device, without conducting wire pacemaker, be fixedly connected with component, push rod and transmission sheath.The utility model will be placed in left atrium/room in combination with atrial septum or interventricular septum centesis without conducting wire pacemaker fixing device without conducting wire pacemaker, it realizes auricular pacemaking or Electrophysiological mapping is combined to realize His' bundle pacing, it reduces without postoperative dislocation rate in conducting wire pacemaker art, change the present situation for being only capable of Single Cardiac Ventricle pace-making and right ventricular apex pacing without conducting wire pacemaker in the prior art, reduces the excessively high occurrence probability for leading to heart failure of ventricular pacemaking ratio.

Description

A kind of no conducting wire pacemaker fixing device and without conducting wire pacemaker system
Technical field
The utility model is related to the field of medical instrument technology, specifically, be a kind of no conducting wire pacemaker fixing device and Without conducting wire pacemaker system.
Background technology
The fixing device without conducting wire pacemaker clinically used at present is roentgenopaque memorial alloy hook, is located at nothing The distal end of conducting wire pacemaker, deposited in before release transmission it is intrathecal, be pushed out transmission sheath after hook discharge, be fixed in trabecular muscles. The design is only capable of no conducting wire pacemaker being fixed on left ventricle or the right ventricular apical internal membrane of heart, may not apply to auricular pacemaking and Ventricle Physiological Pacing, and have certain displacement rate and penetrance, cause hydropericardium, clinical application to have certain limitation, Such as Chinese patent literature CN200680047244.9, publication date 2009.11.11, a kind of disclosed no lead biology excitation Device comprising:Shell;It is formed integral on the shell or is couple to 2 centimetres of maximum distance more on the shell A electrode;Hermetically it is included in the impulse generator in the shell and being conductively coupled on the multiple electrode, the pulse Generator is configured to generate and transmits electric pulse via the multiple electrode;Hermetically be included in the shell in and communicatedly The processor being couple on the impulse generator and the multiple electrode, the processor are configured to the instruction control according to programming Electric pulse transmission processed;And hermetically it is included in the shell and is couple to the power supply of the impulse generator, the electricity Source is configured to the inside sources of the shell to provide the energy for operating and electric pulse generates, and the power supply further includes having The primary battery of at least 3 watt-hours/cubic centimetre energy density.
In conclusion there is an urgent need for one kind capable of making no conducting wire Pacemaker implantation atrium and interventricular septum, realize that physiological ventricle rises It fights and is not easy the fixing device dislocated, however had not been reported at present about such fixing device.
Invention content
The purpose of this utility model, which is to provide one kind, can make no conducting wire Pacemaker implantation enter atrium and interventricular septum, realize Physiological ventricular pacemaking and it is not easy the fixing device dislocated.
Another purpose of the utility model is to provide a kind of no conducting wire pacemaker system.
To realize above-mentioned first purpose, the technical scheme adopted by the utility model is that:
A kind of no conducting wire pacemaker fixing device is tubulose knot made of roentgenopaque elastic memory woven wire Umbrella leaf, the fixed umbrella leaf of umbrella handle and distal end are fixed in structure, including proximal end, and the umbrella handle is cylinder, described under without outer force effect Proximal end fix the fixed umbrella leaf of umbrella leaf and distal end be umbrella, cylindric or important actor shape.
Under the external force restriction effect of circular tube shaped object, the no conducting wire pacemaker fixing device length is elongated, institute The proximal end stated is fixed the fixed umbrella leaf of umbrella leaf and distal end and is compressed into than without the small ring-type to external bulging of diameter under outer force effect.
The umbrella handle length is 2-15mm.
The distance that edge of the edge of the fixed umbrella leaf of umbrella leaf and distal end to homonymy umbrella handle is fixed in the proximal end is 2- 10mm。
To realize above-mentioned second purpose, the technical scheme adopted by the utility model is that:
A kind of no conducting wire pacemaker system is fixed equipped with no conducting wire pacemaker and as above any described without conducting wire pacemaker Device;The described distal end without conducting wire pacemaker is fixed umbrella leaf with proximal end and is connected and fixed, proximally by being fixedly connected with component and push away The distal end of bar is sent to be connected and fixed;Under position state to be released, the no conducting wire pacemaker fixing device, without conducting wire pacemaker, solid The distal end for determining connection component and push rod is in the cavity of transmission sheath.
Under full release position state, umbrella handle outer diameter and the no conducting wire pacemaker outer diameter of the no conducting wire pacemaker fixing device It is identical.
The utility model advantage is:
1, new art formula has been started, the fixing device of no conducting wire pacemaker is provided, has been punctured in combination with atrial septum or interventricular septum Art will be placed in left atrium/room without conducting wire pacemaker, realize auricular pacemaking or Electrophysiological mapping is combined to realize His' bundle pacing, drop Postoperative dislocation rate in low no conducting wire pacemaker art changes and is only capable of Single Cardiac Ventricle pace-making and right ventricle's heart without conducting wire pacemaker in the prior art The present situation of tip pace-making, reduces the excessively high occurrence probability for leading to heart failure of ventricular pacemaking ratio.
2, the no conducting wire pacemaker fixing device shape and structure reasonable design can be stablized and fix without conducting wire pacemaker, Significantly reduce displacement rate.
3, the no conducting wire pacemaker fixing device is made of roentgenopaque material, can in entire surgical procedure Observe its specific location, guided operation operation.
Description of the drawings
Attached drawing 1 be the utility model without conducting wire pacemaker fixing device without the structural schematic diagram under outer force effect.
Attached drawing 2 is structural schematic diagram of the utility model without conducting wire pacemaker fixing device under external force restriction effect.
Attached drawing 3 is to be released position schematic diagram of the utility model without conducting wire pacemaker system.
Attached drawing 4 is half release position schematic diagram of the utility model without conducting wire pacemaker system.
Attached drawing 5 is full release position schematic diagram of the utility model without conducting wire pacemaker system.
Specific implementation mode
Present inventor has abundant research experience in cardiac pacing field, based on being only capable of at present without conducting wire pacemaker Single Cardiac Ventricle paces and the present situation of right ventricular apex pacing, has started the new art formula of achievable auricular pacemaking and His' bundle pacing, and Corresponding pace-making fixing device and system are had developed, completes the invention on this basis.
It is further described with reference to embodiment and with reference to attached drawing to the utility model.
Reference numeral and component part involved in attached drawing is as follows:
1. 2. umbrella handle of umbrella leaf is fixed in proximal end
3. the fixed umbrella leaf 100. in distal end is without conducting wire pacemaker fixing device
200. are fixedly connected with component without conducting wire pacemaker 300.
400. push rod 500. transmit sheath
The fixing device without conducting wire pacemaker of 1 the utility model of embodiment
Refer to Fig. 1, Fig. 1 be the utility model without conducting wire pacemaker fixing device without the structural representation under outer force effect Figure.Described is tubular structure made of roentgenopaque elastic memory woven wire without conducting wire pacemaker fixing device, in nothing Under outer force effect, the no conducting wire pacemaker fixing device includes that umbrella leaf 1, the fixed umbrella leaf 3 of umbrella handle 2 and distal end are fixed in proximal end, The umbrella handle is cylinder, length 2-15mm, and the edge of the fixed umbrella leaf of umbrella leaf 1 and distal end 3 is fixed to same in the proximal end The distance at the edge of side umbrella handle 2 is 2-10mm, proximal end fix the fixed umbrella leaf of umbrella leaf 1 and distal end 3 be umbrella, cylindric or platform Column.
Fig. 2 is referred to, Fig. 2 is that the utility model shows without structure of the conducting wire pacemaker fixing device under external force restriction effect It is intended to.Under the external force restriction effect of circular tube shaped object, the no conducting wire pacemaker fixing device entire length is elongated, institute Umbrella leaf 1 is fixed in the proximal end stated and distal end is fixed umbrella leaf 3 and is compressed into than without the small ring to external bulging of diameter under outer force effect Shape.
2 the utility model of embodiment without conducting wire pacemaker system
Fig. 3-5 is referred to, Fig. 3 is to be released position schematic diagram of the utility model without conducting wire pacemaker system, and Fig. 4 is this reality With half release position schematic diagram of novel no conducting wire pacemaker system, Fig. 5 is the utility model releasing entirely without conducting wire pacemaker system Put a schematic diagram.It is described without conducting wire pacemaker system equipped with no conducting wire pacemaker fixing device 100, without conducting wire pacemaker 200, It is fixedly connected with component 300, push rod 400 and transmission sheath 500.It is described without such as 1 institute of embodiment of conducting wire pacemaker fixing device 100 It states.The distal end without conducting wire pacemaker 200 is fixed umbrella leaf 1 with the proximal end of no conducting wire pacemaker fixing device 100 and is connect admittedly It is fixed, no conducting wire pacemaker 200 proximally by being fixedly connected with component 300 and the distal end of push rod 400 is connected and fixed.Full release position Under state, 2 outer diameter of umbrella handle of the no conducting wire pacemaker fixing device 100 is identical as no 200 outer diameter of conducting wire pacemaker.It waits releasing Put under a state, the no conducting wire pacemaker fixing device 100, without conducting wire pacemaker 200, be fixedly connected component 300 and The distal end of push rod 400 is in the cavity of transmission sheath 500.
The application method without conducting wire pacemaker system of the utility model is:In art, the sense of puncture site is tested first To know and pacing threshold, the laggard having sexual intercourse of Parameters satisfactory/interventricular septum punctures, and after success, epitheca is sent into the left heart by guide wire, Then transmission sheath 500 of the utility model without conducting wire pacemaker system is sent along epitheca to distal end, operation push rod 400 will be remote The fixed umbrella leaf 3 in end and umbrella handle 2 are pushed out to the outside of transmission sheath 500, then pull back epitheca and transmission sheath 500 to the right heart, keep distal end solid Determine umbrella leaf 3 to be close to continue nearly to hold fixed umbrella leaf 1 after on the left of room/interventricular septum and be pushed out to transmission sheath 500 without conducting wire pacemaker 200 Outside, measure discharge pacemaker after threshold of perception current satisfaction again, postoperative can will fix in art or without conducting wire pacemaker in short term Device 100 and without conducting wire pacemaker 200 retract transmission sheath 500 withdraw resetting.
For above example, it should be noted that " distal end " be instrumentation state under apart from patient farther out One end, " proximal end " is then one end closer apart from patient under instrumentation state.The utility model rises without conducting wire Device fixing device 100 of fighting is made of elastic memory wire, and global shape can be limited in push rod 400, can also become The state of both ends umbrella Intermediate Gray umbrella handle is turned to, therefore left atrium/room is placed into combination with atrial septum or interventricular septum centesis, It will stablize without conducting wire pacemaker 200 and fix, and realize auricular pacemaking or Electrophysiological mapping is combined to realize His' bundle pacing, reduce nothing Postoperative dislocation rate in conducting wire pacemaker art changes and is only capable of Single Cardiac Ventricle pace-making and apex of right ventricle without conducting wire pacemaker in the prior art The present situation of pace-making reduces the excessively high occurrence probability for leading to heart failure of ventricular pacemaking ratio.Under full release position state, the proximal end is solid Determine the fixed umbrella leaf of umbrella leaf 1 and distal end 3 be umbrella, cylindric or important actor shape, fixed effect it is more reliable.The umbrella handle 2 Outer diameter is designed to consistent with no 200 outer diameter of conducting wire pacemaker under full release position state, can farthest reduce dislocation machine Meeting.The push rod 400 and transmission sheath 500 is for realizing no conducting wire pacemaker fixing device 100 and without conducting wire pacemaker 200 implantation, release is fixed and withdraws resetting, is realized particular by the push or pull back of push rod 400.The nothing is led Line pacemaker fixing device 100 is made of impermeable X-ray material, therefore its specific location of observable in entire surgical procedure, Guided operation operates.The length of the umbrella handle 2 fixes the fixed umbrella leaf 3 of umbrella leaf 1 and distal end and umbrella handle without proximal end under outer force effect 2 distance is best with specification provided by the invention, and under the specification, the fixed effect of the no conducting wire pacemaker 200 is more Significantly, pace-making effect is more excellent, therefore is not construed as this field conventional technical means.
The above is only the preferred embodiment of the utility model, it is noted that for the common skill of the art Art personnel can also make several improvement and supplement without departing from the principle of this utility model, these are improved and supplement Also it should be regarded as the scope of protection of the utility model.

Claims (4)

1. a kind of no conducting wire pacemaker fixing device, which is characterized in that it is made of roentgenopaque elastic memory woven wire Tubular structure, including proximal end fixes umbrella leaf, the fixed umbrella leaf of umbrella handle and distal end, and the umbrella handle is cylinder, without outer masterpiece With the lower proximal end fix the fixed umbrella leaf of umbrella leaf and distal end be umbrella, cylindric or important actor shape.
2. no conducting wire pacemaker fixing device according to claim 1, which is characterized in that limited in the external force of circular tube shaped object It is set under using, the no conducting wire pacemaker fixing device length is elongated, and the fixed umbrella of umbrella leaf and distal end is fixed in the proximal end Leaf is compressed into than without the small ring-type to external bulging of diameter under outer force effect.
3. no conducting wire pacemaker fixing device according to claim 1, which is characterized in that the umbrella handle length is 2- 15mm。
4. no conducting wire pacemaker fixing device according to claim 1, which is characterized in that the proximal end fix umbrella leaf and The distance at edge to the edge of homonymy umbrella handle of the fixed umbrella leaf in distal end is 2-10mm.
CN201621347536.1U 2016-12-09 2016-12-09 A kind of no conducting wire pacemaker fixing device and without conducting wire pacemaker system Active CN207838033U (en)

Priority Applications (1)

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CN201621347536.1U CN207838033U (en) 2016-12-09 2016-12-09 A kind of no conducting wire pacemaker fixing device and without conducting wire pacemaker system

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201621347536.1U CN207838033U (en) 2016-12-09 2016-12-09 A kind of no conducting wire pacemaker fixing device and without conducting wire pacemaker system

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Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109498983A (en) * 2018-12-29 2019-03-22 创领心律管理医疗器械(上海)有限公司 Without conducting wire pacemaker
CN109621202A (en) * 2019-01-30 2019-04-16 祝金明 It is a kind of to be implanted into automatic fixed plate-like head end ventricular defibrillation pacing electrode wire through vein
CN109621190A (en) * 2019-01-30 2019-04-16 祝金明 It is a kind of to be implanted into automatic fixed head end biventricular synchronous pacing electrode cable through vein
CN109621189A (en) * 2019-01-30 2019-04-16 祝金明 It is a kind of to be implanted into automatic fixed head end diplocardia room synchronous pacing electrode cable through vein
CN110393854A (en) * 2019-07-20 2019-11-01 霍勇 A kind of pacing electrode wire component being fixed in left ventricle automatically
CN111001086A (en) * 2019-12-20 2020-04-14 创领心律管理医疗器械(上海)有限公司 Leadless pacemaker and tail end part and head end part thereof
CN113164737A (en) * 2018-11-23 2021-07-23 Tau-Pnu医疗有限公司 Lead fixing device for valvular regurgitation operation and cardiac pacemaker
WO2022253060A1 (en) * 2021-06-02 2022-12-08 创领心律管理医疗器械(上海)有限公司 Leadless pacemaker, delivery device, and system

Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113164737A (en) * 2018-11-23 2021-07-23 Tau-Pnu医疗有限公司 Lead fixing device for valvular regurgitation operation and cardiac pacemaker
CN109498983A (en) * 2018-12-29 2019-03-22 创领心律管理医疗器械(上海)有限公司 Without conducting wire pacemaker
CN109498983B (en) * 2018-12-29 2024-01-23 创领心律管理医疗器械(上海)有限公司 Leadless pacemaker
CN109621202A (en) * 2019-01-30 2019-04-16 祝金明 It is a kind of to be implanted into automatic fixed plate-like head end ventricular defibrillation pacing electrode wire through vein
CN109621190A (en) * 2019-01-30 2019-04-16 祝金明 It is a kind of to be implanted into automatic fixed head end biventricular synchronous pacing electrode cable through vein
CN109621189A (en) * 2019-01-30 2019-04-16 祝金明 It is a kind of to be implanted into automatic fixed head end diplocardia room synchronous pacing electrode cable through vein
CN110393854A (en) * 2019-07-20 2019-11-01 霍勇 A kind of pacing electrode wire component being fixed in left ventricle automatically
CN111001086A (en) * 2019-12-20 2020-04-14 创领心律管理医疗器械(上海)有限公司 Leadless pacemaker and tail end part and head end part thereof
WO2021121412A1 (en) * 2019-12-20 2021-06-24 创领心律管理医疗器械(上海)有限公司 Leadless pacemaker and tail end component and head end component thereof
WO2022253060A1 (en) * 2021-06-02 2022-12-08 创领心律管理医疗器械(上海)有限公司 Leadless pacemaker, delivery device, and system

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