CN215778365U - Artery puncture point plugging device - Google Patents

Artery puncture point plugging device Download PDF

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Publication number
CN215778365U
CN215778365U CN202122029570.1U CN202122029570U CN215778365U CN 215778365 U CN215778365 U CN 215778365U CN 202122029570 U CN202122029570 U CN 202122029570U CN 215778365 U CN215778365 U CN 215778365U
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CN
China
Prior art keywords
sheath tube
plugging
outer sheath
puncture point
guide wire
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Expired - Fee Related
Application number
CN202122029570.1U
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Chinese (zh)
Inventor
张小曦
马宏宇
花伟龙
常晓赞
张亚婷
张永鑫
张磊
李子付
杨鹏飞
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First Affiliated Hospital of Naval Military Medical University of PLA
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First Affiliated Hospital of Naval Military Medical University of PLA
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Priority to CN202122029570.1U priority Critical patent/CN215778365U/en
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Abstract

The utility model relates to an artery puncture point plugging device, which comprises an outer sheath tube, an inner sheath tube, a plugging guide wire and a hemostatic sleeve coil; the inner sheath tube is movably sleeved in the outer sheath tube, the plugging guide wire is movably sleeved in the inner sheath tube, and the hemostatic sleeve is sleeved on the plugging guide wire and positioned at one end of the inner sheath tube; one end of the plugging guide wire is provided with a plugging umbrella which can be contracted and expanded; the hemostatic sleeve roll is of a sleeve structure; a bleeding channel is arranged on the side wall of the outer sheath tube, a blood inlet of the bleeding channel is positioned at the end part of the outer sheath tube, and a bleeding hole of the bleeding channel is positioned on the grab handle at the other end of the outer sheath tube; the outer sheath tube can be movably sleeved in the puncture sheath, and the advantages of the outer sheath tube are as follows: the shutoff umbrella with hemostasis cover is rolled up and is mutually supported inside and outside the blood vessel, realizes the two-way shutoff of artery puncture point, the shutoff seal wire still is equipped with the barb structure on it and can carries out effectual fixing to piercing depth, prevents that plugging depth from dropping into in the blood vessel.

Description

Artery puncture point plugging device
Technical Field
The utility model relates to the technical field, in particular to an artery puncture point plugging device.
Background
With the advancement of interventional materials, neural intervention has progressed and will continue to be the primary method of treating cerebrovascular disease. The Seldingers method is used for intravascular intervention treatment of vascular related diseases by being placed in a femoral artery sheath, is widely applied to nerve intervention, cardiac intervention or other vascular interventions, and traditionally adopts local compression hemostasis of puncture points after sheath removal. The interventional therapy of cerebrovascular diseases is usually associated with the medication of anticoagulation, fiber reduction, platelet aggregation resistance and the like, so that the actual hemostasis of the arterial puncture point is particularly important. In the prior art, hemostasis is performed by using a nail-shaped embolism colloid, wherein the nail-shaped embolism colloid is divided into a nail head and a nail rod; when the nail head part is pushed by the controllable push rod to be exposed to blood in a blood vessel, after the nail head part expands to be larger than the diameter of the artery sheath, the blood vessel plugging device and the artery sheath can be pulled out together, the expanded nail head colloid is blocked in the blood vessel by the narrow blood vessel puncture point, meanwhile, the side pressure caused by blood flow presses the inner wall of the blood vessel, the expanded nail head part is filled outside the puncture point and the blood vessel, and the blood vessel puncture point is riveted by the embolism colloid to prevent bleeding and embolism from moving alternately. However, the application of the nail-shaped embolic gel inevitably enlarges the blood vessel puncture point, and the fixation of the nail-shaped embolic gel depends on the narrow blood vessel puncture point and the compression of lateral pressure formed by blood flow velocity, and the nail-shaped embolic gel also risks loosening and forming thrombus.
The Chinese patent application: CN109009300A discloses a femoral artery puncture point plugging hemostat, which comprises a propeller and an absorbable plug; the absorbable plug is arranged in a pushing pipe of the propeller; also comprises a memory alloy net; the memory alloy net is sleeved outside the absorbable plug, and the far end of the memory alloy net is flush with the far end of the absorbable plug. The femoral artery puncture point plugging hemostat comprises a propeller and an absorbable plug; the absorbable plug is arranged in a pushing pipe of the propeller; the method is characterized in that: also comprises a memory alloy net; the memory alloy net is sleeved outside the absorbable plug, and the far end of the memory alloy net is flush with the far end of the absorbable plug; this patent technical scheme can absorb the plug and send to blood vessel thorn mouthful outer wall along the sheath pipe, absorb water inflation oppression blood vessel and promote the clot formation through can absorbing the plug, reach hemostatic effect, but it still realizes stanching through oppression blood vessel, and its hemostatic effect is relatively less.
The Chinese patent application: CN101601595A discloses a medical surgical artery puncture point plugging device and a preparation method of plugging materials, wherein the device consists of a controllable push rod, a conveying sheath, a positioning nut and a nail-shaped embolism colloid for plugging a blood vessel puncture point; the related device part has the advantages of fine adjustment and controllability, convenient operation and actual operation, safe and nontoxic nail-shaped embolism colloid, excellent biocompatibility, in-vivo degradation and effectively improved plugging effect due to the structure. The patent obviously improves the speed of wound plugging and hemostasis in an animal model, and has wide application prospect as an ideal artery puncture point plugging device. This patent has still adopted nail shape embolism colloid to carry out the shutoff of puncture point, and through the material of improving nail shape embolism colloid to improve its cell compatibility, and then do benefit to its endothelial cell's attached growth, realize the healing of puncture point wound, but it does not solve the structural defect problem of nail shape embolism colloid.
In addition, the existing plugging scheme also has certain effectiveness on the effect of a smaller puncture channel such as 6F, but for plugging of a larger puncture channel, multiple plugging modes are often needed to be matched with each other, and the method of each plugging plate is difficult to play a role in making an instant effect, so that a plugging mode capable of realizing bidirectional compression of puncture points is urgently needed, and the effectiveness of plugging is improved; the plugging device can also achieve good and efficient plugging effect on the puncture point of the large-diameter puncture sheath, and has high operation safety; can effectively fix the puncture device and prevent the plugging device from falling into the artery puncture point plugging device in the blood vessel.
Disclosure of Invention
The utility model aims to provide a plugging mode capable of realizing bidirectional compression of puncture points and improving the effectiveness of plugging; the plugging device can also achieve good and efficient plugging effect on the puncture point of the large-diameter puncture sheath, and has high operation safety; can effectively fix the puncture device and prevent the plugging device from falling into the artery puncture point plugging device in the blood vessel.
In order to achieve the purpose, the utility model adopts the technical scheme that:
an artery puncture point plugging device comprises an outer sheath tube, an inner sheath tube, a plugging guide wire and a hemostatic sleeve coil; the inner sheath tube is movably sleeved in the outer sheath tube, the plugging guide wire is movably sleeved in the inner sheath tube, and the hemostatic sleeve is sleeved on the plugging guide wire and positioned at one end of the inner sheath tube; one end of the plugging guide wire is provided with a plugging umbrella which can be contracted and expanded; the hemostatic sleeve roll is of a sleeve structure; a bleeding channel is arranged on the side wall of the outer sheath tube, a blood inlet of the bleeding channel is positioned at the end part of the outer sheath tube, and a bleeding hole of the bleeding channel is positioned on the grab handle at the other end of the outer sheath tube; the outer sheath tube can be movably sleeved in the puncture sheath.
As a preferred technical scheme, the hemostasis sleeve roll has elasticity.
As a preferable technical scheme, one end of the hemostatic sleeve roll can be turned over and overlapped towards the other end.
As a preferable technical scheme, the end part of the hemostatic sleeve coil is provided with an apical groove, one end of the inner sheath tube is provided with an apical ring, and the apical groove is matched with the apical ring.
As a preferable technical scheme, a memory material framework is arranged in the hemostasis sleeve roll, and the memory shape of the hemostasis sleeve roll is an overlapped state with two ends being matched.
As a preferable technical scheme, the blocking umbrella is a water-proof biological membrane which is attached to a memory material framework, and the memory shape of the memory material framework is a periphery divergence shape.
As a preferable technical scheme, the plugging umbrella is embolism colloid, and the embolism colloid expands when meeting liquid.
As a preferable technical scheme, the inner sheath tube and/or the plugging guide wire are provided with scale marks.
As a preferable technical scheme, a section of the plugging guide wire adjacent to the hemostatic sleeve roll is provided with a plurality of barb structures.
The utility model has the advantages that:
1. the artery puncture point plugging device comprises an outer sheath tube, an inner sheath tube, a plugging guide wire and a hemostatic sleeve coil; one end of the plugging guide wire is provided with a plugging umbrella, the plugging umbrella plugs the puncture point from the inside of the blood vessel, and the hemostatic sleeve is wound outside the blood vessel to plug the puncture channel, so that efficient cooperation is formed, and bidirectional compression plugging of the artery puncture point is realized.
2. The hemostatic sleeve coil has elasticity, can extrude the puncture channel, ensures the plugging effect and plays a certain fastening role; the blocking umbrella is a water-tight biological membrane, can be contracted and expanded, and is beneficial to blocking a puncture point from the inside.
3. It is adjacent to the shutoff seal wire one section of stopping bleeding cover book is equipped with a plurality of barb structures, can effectively prevent that shutoff umbrella whereabouts from forming the thrombus, provides very big shutoff stability.
Drawings
FIG. 1 is a perspective view of an arterial puncture point occluder of the present invention.
FIG. 2 is a sectional schematic view of an arterial puncture point occluder of the present invention.
Figure 3 is a schematic view of another such barb configuration.
Fig. 4 is a schematic diagram of the artery puncture point occluder in the utility model after use.
FIG. 5 is a schematic diagram of another artery puncture point occluder of the present invention with a hemostatic sleeve in a curled state.
FIG. 6 is a cross-sectional view of the hemostatic sleeve coil and the inner sheath tube of another arterial puncture site occluder of the present invention.
Figure 7 is a schematic diagram of another artery puncture point occluder of the present invention after use.
Detailed Description
The utility model will be further illustrated with reference to specific embodiments. It should be understood that these examples are for illustrative purposes only and are not intended to limit the scope of the present invention. Furthermore, it should be understood that various changes and modifications can be made by those skilled in the art after reading the disclosure of the present invention, and equivalents fall within the scope of the appended claims.
The reference numerals and components referred to in the drawings are as follows:
1. outer sheath 2, inner sheath 3, shutoff seal wire
4. Hemostatic sleeve coil 11, blood inlet hole 12 and blood outlet hole
13. Handle 21, top ring 31, plugging umbrella
32. Barb structure 41, top groove
Example 1
Referring to fig. 1 and 2, fig. 1 is a schematic perspective view of an arterial puncture point occluder of the present invention; FIG. 2 is a sectional schematic view of an arterial puncture point occluder of the present invention. An artery puncture point plugging device comprises an outer sheath tube 1, an inner sheath tube 2, a plugging guide wire 3 and a hemostatic sleeve coil 4, wherein the outer sheath tube 1 is matched with a puncture sheath 5, and the puncture sheath 5 is a conventional surgical instrument for providing a puncture channel in an operation; the inner sheath tube 2 is movably connected with the outer sheath tube 1, the diameter of the outer wall of the inner sheath tube 2 is equal to that of the inner wall of the outer sheath tube 1, and one ends of the outer sheath tube 1 and the inner sheath tube 2 are provided with handles 13, so that the handheld operation is convenient; the blocking guide wire 3 is movably sleeved with the inner sheath tube 2, one end of the blocking guide wire 3 is provided with a blocking umbrella 31, the blocking umbrella 31 is a water-proof biological membrane and is attached to a memory material framework, the memory shape of the memory material framework is a periphery-divergent shape, and the blocking umbrella 31 is gathered and stored in the outer sheath tube 1 or the inner sheath tube 2 in a conventional state; a hemostatic lap 4 is arranged between the inner sheath tube 2 and the plugging umbrella 31, the hemostatic lap 4 has elasticity, is sleeved on the plugging guide wire 3, can expand after being separated from the limit of the tube wall of the outer sheath tube 1, and is covered with hemostatic and anti-inflammatory medicinal components on the surface; the shutoff seal wire 3 is close to one section that 4 was rolled up to hemostasis cover is equipped with a plurality of barb structures 32 like the barb line, and its barb structure 32 can be perpendicular the shutoff seal wire 3 is arranged, also can be certain angle with shutoff seal wire 3 and arranges, as shown in figure 3, figure 3 is another kind barb structure sketch map.
Referring to fig. 4, fig. 5 is a schematic view of the artery puncture point occluder of the present invention after use. The use mode of the utility model is as follows: the blocking guide wire 3 is sleeved in the inner sheath tube 2, the inner sheath tube 2 is sleeved in the outer sheath tube 1, the hemostatic sleeve coil 4 is sleeved on the blocking guide wire 3, one end of the hemostatic sleeve coil is contacted with the blocking umbrella 31, the other end of the hemostatic sleeve coil is contacted with one end of the inner sheath tube 2, the outer wall of the hemostatic sleeve coil 4 is limited by the outer sheath tube 1, the blocking umbrella 31 is gathered and contracted in the outer sheath tube 1, and the end part of the blocking umbrella is flush with the end part of the outer sheath tube 1; when in use, the outer sheath tube 1, the inner sheath tube 2 and the plugging guide wire 3 are inserted along the puncture sheath 5; when blood flows out from the bleeding hole 12 of the grab handle 13 of the outer sheath tube 1, marking the outer sheath tube 1 to enter the blood vessel, withdrawing the puncture sheath 5, and slowly withdrawing the outer sheath tube 1 and the inner sheath tube 2 inside the outer sheath tube 1 and the like until the bleeding hole 12 does not bleed any more; at this time, the outer sheath tube 1 and the inner sheath tube 2 are controlled to extend out of the blocking guide wire 3 in front of each other, and the extending distance of the blocking guide wire 3 is consistent with the length of the blocking umbrella 31 when the blocking umbrella is gathered, and it should be understood that scale marks such as scale marks and fixed length marks matched with a target can be arranged on the blocking guide wire 3 and the inner sheath tube 2, so that the moving distance can be conveniently controlled; when the shutoff umbrella 31 stretched into the blood vessel, shutoff umbrella 31 opened automatically, simultaneously, withstood interior sheath pipe 2 withdraws outer sheath pipe 1, makes hemostasis cover roll up 4 and exposes in the puncture passageway of percutaneous muscle, the hemostasis cover is rolled up 4 inflation and is hugged closely shutoff puncture passageway in order to stanch, measures interior sheath pipe 2 and outer sheath pipe 1 in proper order, cuts shutoff seal wire 3, barb structure 32 on the shutoff seal wire 3 opens and fixes mutually with tissue on every side, prevents 3 slippage backs of shutoff seal wire, shutoff umbrella 31 carries out the shutoff from the intravascular degree to the puncture point.
It should be noted that: the artery puncture point plugging device comprises an outer sheath tube 1, an inner sheath tube 2, a plugging guide wire 3 and a hemostatic sleeve coil 4; one end of the plugging guide wire 3 is provided with a plugging umbrella 31, the plugging umbrella 31 plugs the puncture point from the inside of the blood vessel, and the hemostatic sleeve coil 4 plugs the puncture channel outside the blood vessel to form efficient cooperation, so that the plugging of the artery puncture point is realized; the hemostatic sleeve roll 4 has elasticity, can extrude the puncture channel, and is more beneficial to plugging the puncture channel; the blocking umbrella 31 is a water-proof biological membrane, is attached to a memory material framework, and the memory shape of the memory material framework is a periphery divergence shape, so that the blocking of a puncture point from the inside is facilitated; it should be noted that the blocking umbrella 31 is a plug colloid which expands when meeting liquid and can also play a role of being extruded and fixed from the inside; a section of the plugging guide wire 3 adjacent to the hemostatic sleeve coil 4 is provided with a plurality of barb structures 32, so that the plugging umbrella 31 can be prevented from falling to form thrombus; the inner sheath tube 2 can assist the hemostasis sleeve roll 4 in positioning, the plugging of a blood vessel puncture point is realized through the combined action of the plugging umbrella 31 and the hemostasis sleeve, the plugging mode can be used for plugging from two sides of the blood vessel without causing the expansion problem of the blood vessel puncture point, the inner sheath tube 2 can realize external compression, the plugging guide wire 3 can realize internal compression, and the plugging efficiency is further improved.
Example 2
Referring to fig. 5, fig. 6 and fig. 7, fig. 5 is a schematic view showing another artery puncture point occluder of the present invention with a curled hemostatic sleeve; FIG. 6 is a schematic cross-sectional view of another artery puncture point occluder of the present invention with a hemostatic sleeve coil matching with an inner sheath; figure 7 is a schematic diagram of another artery puncture point occluder of the present invention after use. This embodiment is substantially the same as embodiment 1, except that the hemostatic sleeve 4 has an outwardly turned structure; the details are as follows; in this embodiment, one end of the hemostatic sleeve roll 4 may be rolled and overlapped towards the other end, and the rolling and overlapping processes may be implemented in the outer sheath 1, preferably, a memory material skeleton is disposed in the hemostatic sleeve roll 4, the memory shape of the hemostatic sleeve roll is an overlapped state with two ends being matched, correspondingly, a top groove 41 is disposed at the end of the hemostatic sleeve roll 4, a top ring 21 is disposed at one end of the inner sheath 2, the top groove 41 is matched with the top ring 21, and the top ring 21 pushes the hemostatic sleeve roll 4 to turn over through the top groove 41; when the hemostatic sheath is used, the top groove 41 is in contact with the top ring 21, the shape of the hemostatic sheath roll 4 is approximately in a round table shape with a thick upper part and a thin lower part, the top ring 21 is in a circular ring structure which is tightly attached to the outer wall of the outer sheath tube 1 and is connected with the inner sheath tube 2, the top groove 41 is a circular ring groove at the end part of the hemostatic sheath roll 4, when the inner sheath tube 2 is pushed downwards, the hemostatic sheath roll 4 is turned downwards along with the trend under the action of the top ring 21, the memory material in the hemostatic sheath roll also plays a role in shaping, the outer sheath tube 1 and the inner sheath tube 2 are respectively withdrawn, and the plugging guide wire 3 is cut off; it should be noted that the outward-turning type hemostatic sleeve 4 gives higher pressure to the puncture channel, and the hemostatic sleeve 4 with the memory material framework further improves the plugging efficiency, and can effectively prevent the hemostatic sleeve 4 from displacing to affect the hemostasis of the puncture point.
The foregoing is only a preferred embodiment of the present invention, and it should be noted that, for those skilled in the art, various modifications and additions can be made without departing from the principle of the present invention, and these should also be considered as the protection scope of the present invention.

Claims (9)

1. An artery puncture point occluder is characterized by comprising an outer sheath tube, an inner sheath tube, an occlusion guide wire and a hemostatic sleeve coil; the inner sheath tube is movably sleeved in the outer sheath tube, the plugging guide wire is movably sleeved in the inner sheath tube, and the hemostatic sleeve is sleeved on the plugging guide wire and positioned at one end of the inner sheath tube; one end of the plugging guide wire is provided with a plugging umbrella which can be contracted and expanded; the hemostatic sleeve roll is of a sleeve structure; a bleeding channel is arranged on the side wall of the outer sheath tube, a blood inlet of the bleeding channel is positioned at the end part of the outer sheath tube, and a bleeding hole of the bleeding channel is positioned on the grab handle at the other end of the outer sheath tube; the outer sheath tube can be movably sleeved in the puncture sheath.
2. The arterial puncture site occluding device of claim 1, wherein the hemostatic wrap is elastic.
3. The arterial puncture site occluding device of claim 1, wherein the hemostatic sleeve roll may be rolled over and overlapped at one end toward the other end.
4. The arterial puncture point occluder of claim 3 wherein said hemostatic sleeve coil has an end slot, said inner sheath tube has an end ring, and said end slot is fitted with said end ring.
5. The arterial puncture point occluding device of claim 4, wherein the hemostatic sleeve roll is provided with a memory material framework therein, and the memory shape is an overlapped state with two ends being matched.
6. The arterial puncture point occluder of claim 1 wherein said occluding umbrella is a water impermeable biofilm attached to a memory material matrix having a memory shape with a circumferential divergence.
7. The arterial puncture point occluder of claim 1 wherein said occluding umbrella is an embolic gel which swells in the presence of a liquid.
8. The arterial puncture point occluder of claim 1 wherein said inner sheath and or said occluding guidewire have graduated markings thereon.
9. The arterial puncture point occluding device of claim 1, wherein a section of the occluding guide wire adjacent to the hemostatic sleeve is provided with a plurality of barb structures.
CN202122029570.1U 2021-08-26 2021-08-26 Artery puncture point plugging device Expired - Fee Related CN215778365U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202122029570.1U CN215778365U (en) 2021-08-26 2021-08-26 Artery puncture point plugging device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202122029570.1U CN215778365U (en) 2021-08-26 2021-08-26 Artery puncture point plugging device

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CN215778365U true CN215778365U (en) 2022-02-11

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN115089758A (en) * 2022-06-09 2022-09-23 苏州茵络医疗器械有限公司 Preparation method of percutaneous puncture plugging material
CN116236237A (en) * 2022-12-21 2023-06-09 南京思脉德医疗科技有限公司 Foramen ovale plugging device and plugging method

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN115089758A (en) * 2022-06-09 2022-09-23 苏州茵络医疗器械有限公司 Preparation method of percutaneous puncture plugging material
CN116236237A (en) * 2022-12-21 2023-06-09 南京思脉德医疗科技有限公司 Foramen ovale plugging device and plugging method
CN116236237B (en) * 2022-12-21 2024-01-26 南京思脉德医疗科技有限公司 Foramen ovale plugging device and plugging method

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Granted publication date: 20220211