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CN104490452B - A kind of congenital heart disease stopper reclaims pincers - Google Patents

A kind of congenital heart disease stopper reclaims pincers Download PDF

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Publication number
CN104490452B
CN104490452B CN201410792398.7A CN201410792398A CN104490452B CN 104490452 B CN104490452 B CN 104490452B CN 201410792398 A CN201410792398 A CN 201410792398A CN 104490452 B CN104490452 B CN 104490452B
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CN
China
Prior art keywords
steel wire
stopper
moving casing
panel
pincers
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
Application number
CN201410792398.7A
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Chinese (zh)
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CN104490452A (en
Inventor
苏津自
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Individual
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Individual
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Publication date
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Priority to CN201410792398.7A priority Critical patent/CN104490452B/en
Publication of CN104490452A publication Critical patent/CN104490452A/en
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Publication of CN104490452B publication Critical patent/CN104490452B/en
Expired - Fee Related legal-status Critical Current
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/0057Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/00234Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00238Type of minimally invasive operation
    • A61B2017/00243Type of minimally invasive operation cardiac
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/0057Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00575Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
    • A61B2017/00623Introducing or retrieving devices therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00743Type of operation; Specification of treatment sites
    • A61B2017/00778Operations on blood vessels

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Cardiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

The present invention provides a kind of congenital heart disease stopper to reclaim pincers, including a control steel wire and be sheathed on the moving casing controlled outside steel wire, described moving casing end is provided with the flap-type chuck for gripping stopper protuberance, described flap-type chuck is made up of folder lobes more than three lobes or three lobes, described folder lobe lower end outside is articulated with moving casing end, described control steel wire upper end is stretched out moving casing front end and is connected with folder lobe through multiple connecting rods controlling steel wire upper end that are articulated with, and described connecting rod one end is articulated with the control steel wire other end and is articulated with folder lobe inwall.Present configuration simply utilizes multi-clove type chuck and head end controllable bending technology can realize the judgement to stopper position in the flat image of Minimally Invasive Surgery more easily, directly the stopper of blood vessel can be reclaimed simultaneously, in addition the present invention also uses the articulated manner realization of moving casing and the fixed sleeving adjustment to multi-clove type chuck angle, is beneficial to when operation the stopper realized more easily being in recovery pincers perimembranous and grips.

Description

A kind of congenital heart disease stopper reclaims pincers
Technical field
The present invention relates to a kind of congenital heart disease stopper and reclaim pincers.
Background technology
Congenital heart disease such as atrioventricular septal defect, patent ductus arteriosus are carried out transcatheter is a routine techniques, It is illustrated in figure 1 stopper structural representation, mainly includes body 100 and the projection 101 with stopper end is set, protruding The middle part of 101 is provided with female thread.One of complication that this technology is common is that stopper comes off, and this is a dangerous complication, Typically requiring surgical operation and take out the stopper come off, interventional method, currently without special equipment, takes out the stopper come off non- Often difficulty.
Summary of the invention
The problems referred to above are improved by the present invention, i.e. the technical problem to be solved in the present invention is that the taking-up of existing stopper needs Surgical operation taking-up to be carried out, interventional method, currently without special equipment, takes out the stopper come off extremely difficult.
Specific embodiments of the present invention are: a kind of congenital heart disease stopper reclaims pincers, including a control steel wire and Being sheathed on the moving casing controlled outside steel wire, described moving casing end is provided with the flap-type folder for gripping stopper protuberance Head, described flap-type chuck is made up of folder lobes more than three lobes or three lobes, and described folder lobe lower end outside is articulated with moving casing end, Described control steel wire upper end is stretched out moving casing front end and is connected with folder lobe through multiple connecting rods controlling steel wire upper end that are articulated with, institute State connecting rod one end be articulated with control the steel wire other end be articulated with folder lobe inwall.
Further, both sides, described moving casing lower end are articulated with a fixed sleeving, and described control steel wire passes movable sleeve In the middle part of pipe, described moving casing bottom side is hinged with a wire drawing, and when wire drawing pulls, moving casing is around hinged with fixed sleeving Point rotates.
Further, described folder lobe top is provided with arc notch, and described folder lobe inwall is provided with the tooth for increasing friction force Face.
Further, described control steel wire is hollow, is provided with an extended control steel wire upper end in described control steel wire Rotatable wire, described rotatable wire upper end is provided with stopper end female thread to the external screw thread coordinated.
Further, described fixed sleeving end peripheral part is provided with a sliding button, and sliding button is fixed in described wire drawing Bottom surface.
Further, being provided with more piece push rod on rear side of described fixed sleeving, described more piece push rod includes the first panel and second Panel, described control steel wire and the first panel are fixing to be connected, and described rotatable wire is fixing even through the first panel and the second panel Connecing, described first panel is provided with the first push rod that can be inserted into fixed sleeving towards fixed sleeving side, described second panel towards First panel side is provided with the second push rod that can be inserted in the first push rod.
Further, described first push rod is provided with and runs through control steel wire and the latch of rotatable wire.
Further, described first panel both sides and the second panel afterbody are provided with the collar.
Compared with prior art, the method have the advantages that present configuration is simple, utilize multi-clove type chuck and Head end controllable bending technology can realize the judgement to stopper position in the flat image of Minimally Invasive Surgery more easily, simultaneously can be straight Connect the stopper to blood vessel to reclaim, in addition the present invention also use the articulated manner of moving casing and fixed sleeving realize right The adjustment of multi-clove type chuck angle, is beneficial to when operation the stopper realized more easily being in recovery pincers perimembranous and presss from both sides Take.
Accompanying drawing explanation
Fig. 1 is existing blood vessel blocking device structural representation.
Fig. 2 is working tips schematic diagram of the present invention.
Fig. 3 is collet segment structural representation of the present invention.
Fig. 4 is that the present invention presss from both sides lobe vertical view status architecture schematic diagram (using three valve structures in the present embodiment).
Fig. 5 is moving casing of the present invention and fixed sleeving attachment structure schematic diagram.
Fig. 6 is that the present invention controls apparatus structure schematic diagram.
Detailed description of the invention
The present invention will be further described in detail with detailed description of the invention below in conjunction with the accompanying drawings.
As shown in figs. 1 to 6, a kind of congenital heart disease stopper reclaims pincers, including a control steel wire 10 and be sheathed on control Moving casing 20 outside steel wire processed, described moving casing 20 end is provided with the flap-type chuck 30 for gripping stopper protuberance, Described flap-type chuck 30 is made up of folder lobes 310 more than three lobes or three lobes, and described folder lobe 310 lower end outside is articulated with moving casing 20 leading sections, described control steel wire upper end stretch out sleeve pipe 20 front end through multiple be articulated with the connecting rods 110 controlling steel wire 10 upper end with Folder lobe 310 is connected, and described connecting rod 110 one end is articulated with control steel wire 10 other end and is articulated with folder lobe 310 inwall.
In the present embodiment, described folder lobe 310 top is provided with arc notch 311, and described folder lobe inwall is provided with and rubs for increase The flank of tooth 312 of wiping power.
During Minimally Invasive Surgery, can realize pressing from both sides the opening and closing of lobe 310 when control steel wire stretches, folder lobe 310 uses more than three lobes Structure is owing to using Minimally Invasive Surgery image to be only able to display the flat image of two dimensional surface, and in order to ensure the most more Therefore the realization touching of big probability and gripping use the structure of more than three lobes to design.
Preventing from getting loose in order to the stability of gripping is better achieved, the inside controlling steel wire 10 is additionally provided with a rotatable wire 120, rotatable wire upper end is provided with and leads to after the external screw thread 121 coordinated, gripping to stopper 100 with stopper end female thread Overwinding turns rotatable wire 120 makes the external screw thread 121 of rotatable wire upper end be fixed on steel wire end with the projection 101 making stopper Portion.Certainly, female thread can also be provided separately within independent part, and part is fixing with control steel wire upper end to be connected.
In order to grip the stopper under different angles state the most in the blood vessel, both sides, moving casing 20 lower end are articulated with One fixed sleeving 40, described control steel wire 10 passes in the middle part of moving casing 20 and fixed sleeving 40, bottom described moving casing 20 Side is hinged with a wire drawing 50, and when wire drawing 50 pulls, moving casing 20 rotates around with fixed sleeving 40 pin joint.
Described fixed sleeving 40 end peripheral part is provided with a sliding button 410, and sliding button 410 is fixed in described wire drawing 50 Bottom surface.Control stirring up and down of sliding button 410 during use to realize controlling the flexible of wire drawing 50 thus realize moving casing The change of 20 angles.
In order to operation is better achieved, being provided with more piece push rod on rear side of described fixed sleeving, described more piece push rod includes first Panel 610 and the second panel 620, described control steel wire 10 is fixing with the first panel 610 to be connected, and described rotatable wire 120 passes First panel 610 is fixing with the second panel 620 to be connected, and described first panel 610 is provided with towards fixed sleeving 40 side and can be inserted into First push rod 611 of fixed sleeving, described second panel 620 is provided with can be inserted in the first push rod towards the first panel side Two push rods 621.In the present embodiment, described first push rod 611 is provided with and runs through control steel wire and the latch 630 of rotatable wire.
During use, under latch 630 insert state, rotatable wire 120 runs, by first with controlling steel wire 10 simultaneously up and down Before and after push rod 611, motion realizes the opening and closing of folder lobe 310, after folder lobe 310 grips stopper end, unplugs latch 630 and rotates Second panel 620 and flexible second push rod 621, can realize the threaded engagement of rotatable wire head end and stopper protuberance.
In order to preferably operate, the first panel both sides and the second panel afterbody are provided with the collar for being inserted in finger.Real During the application of border, moving casing 20 and fixed sleeving 40 be outside can be enclosed with crust that one layer of biomaterial make to facilitate use.
The foregoing is only presently preferred embodiments of the present invention, all impartial changes done according to scope of the present invention patent with Modify, all should belong to the covering scope of the present invention.

Claims (8)

1. a congenital heart disease stopper reclaims pincers, it is characterised in that includes a control steel wire and is sheathed on control steel wire Outside moving casing, described moving casing end is provided with the flap-type chuck for gripping stopper protuberance, described flap-type chuck Being made up of folder lobes more than three lobes, described folder lobe lower end outside is articulated with moving casing end, and described control steel wire upper end is stretched out Moving casing front end is connected with folder lobe through multiple connecting rods controlling steel wire upper end that are articulated with, and described connecting rod one end is articulated with control The steel wire other end is articulated with folder lobe inwall.
A kind of congenital heart disease stopper the most according to claim 1 reclaims pincers, and both sides, described moving casing lower end are cut with scissors Being connected to a fixed sleeving, described control steel wire passes in the middle part of moving casing, and described moving casing bottom side is hinged with a wire drawing, When wire drawing pulls, moving casing rotates around with fixed sleeving pin joint.
A kind of congenital heart disease stopper the most according to claim 2 reclaims pincers, and described folder lobe top is provided with arc and lacks Mouthful, described folder lobe inwall is provided with the flank of tooth for increasing friction force.
A kind of congenital heart disease stopper the most according to claim 2 reclaims pincers, and described control steel wire is hollow, described Being provided with the rotatable wire of an extended control steel wire upper end in controlling steel wire, described rotatable wire upper end is provided with and stopper end The external screw thread that portion's female thread matches.
A kind of congenital heart disease stopper the most according to claim 2 reclaims pincers, described fixed sleeving end peripheral part Being provided with a sliding button, sliding button bottom surface is fixed in described wire drawing.
A kind of congenital heart disease stopper the most according to claim 4 reclaims pincers, is provided with many on rear side of described fixed sleeving Joint push rod, described more piece push rod includes that the first panel and the second panel, described control steel wire and the first panel are fixing and connects, described Rotatable wire connects through the first panel and the second panel are fixing, and described first panel is provided with towards fixed sleeving side and can be inserted into First push rod of fixed sleeving, described second panel is provided with, towards the first panel side, second can be inserted in the first push rod and pushes away Bar.
A kind of congenital heart disease stopper the most according to claim 6 reclaims pincers, and described first push rod is provided with and runs through Control steel wire and the latch of rotatable wire.
A kind of congenital heart disease stopper the most according to claim 6 reclaims pincers, described first panel both sides and second Panel afterbody is provided with the collar.
CN201410792398.7A 2014-12-19 2014-12-19 A kind of congenital heart disease stopper reclaims pincers Expired - Fee Related CN104490452B (en)

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CN201410792398.7A CN104490452B (en) 2014-12-19 2014-12-19 A kind of congenital heart disease stopper reclaims pincers

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201410792398.7A CN104490452B (en) 2014-12-19 2014-12-19 A kind of congenital heart disease stopper reclaims pincers

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CN104490452B true CN104490452B (en) 2016-09-14

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109998610B (en) * 2019-05-09 2021-01-22 青岛市妇女儿童医院(青岛市妇幼保健院、青岛市残疾儿童医疗康复中心、青岛市新生儿疾病筛查中心) Conveying device for surgical intervention treatment of congenital heart disease
CN111419364B (en) * 2020-03-30 2023-06-09 山东省千佛山医院 Multi-flap separately-controlled wrapped type lumen foreign body clamping and taking-out device

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* Cited by examiner, † Cited by third party
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DE102006038516A1 (en) * 2006-08-17 2008-02-21 Karl Storz Gmbh & Co. Kg Medical tubular shaft instrument
US8034061B2 (en) * 2007-07-12 2011-10-11 Aga Medical Corporation Percutaneous catheter directed intravascular occlusion devices
CN201441427U (en) * 2009-03-16 2010-04-28 曹智 Undertissue forceps of inner lens
CN202458498U (en) * 2012-03-06 2012-10-03 张湘鲁 Heart septal defect drug-coated plugging device

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Granted publication date: 20160914

Termination date: 20171219

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