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CN106618685A - Sheath for atrial septal puncture - Google Patents

Sheath for atrial septal puncture Download PDF

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Publication number
CN106618685A
CN106618685A CN201510731875.3A CN201510731875A CN106618685A CN 106618685 A CN106618685 A CN 106618685A CN 201510731875 A CN201510731875 A CN 201510731875A CN 106618685 A CN106618685 A CN 106618685A
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CN
China
Prior art keywords
sheath
electric conductor
working end
puncture
distal section
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
Application number
CN201510731875.3A
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Chinese (zh)
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CN106618685B (en
Inventor
段虎
邹波
李楚武
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Sichuan Jinjiang Electronic Medical Device Technology Co ltd
Original Assignee
Sichuan Jinjiang Electronic Science and Technology Co Ltd
Priority date (The priority date 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 date listed.)
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Priority to CN201510731875.3A priority Critical patent/CN106618685B/en
Publication of CN106618685A publication Critical patent/CN106618685A/en
Application granted granted Critical
Publication of CN106618685B publication Critical patent/CN106618685B/en
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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3403Needle locating or guiding means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421Cannulas
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3476Powered trocars, e.g. electrosurgical cutting, lasers, powered knives
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421Cannulas
    • A61B17/3423Access ports, e.g. toroid shape introducers for instruments or hands
    • A61B2017/3425Access ports, e.g. toroid shape introducers for instruments or hands for internal organs, e.g. heart ports

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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)
  • Pathology (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 invention relates to the technical field of medical guiding puncture, in particular to a sheath for atrial septal puncture. The part stretching into human body tissue is provided with a working end, the working end is provided with electric conductors, wires are connected to the electric conductors, the other ends of the wires extend to the exterior of the human body tissue along the sheath and are connected with a signal receiving device, and the sheath is arranged in an electric field. Accordingly, the sheath can be accurately positioned, the puncture success rate is increased, and the patient pain is reduced.

Description

A kind of sheath for atrial septal puncture
Technical field
The present invention relates to medical science guiding puncture technique field, and in particular to a kind of sheath for atrial septal puncture.
Background technology
By Ross etc. in nineteen fifty-nine reported first, hereafter Brockenbrough and Mullins etc. is improved on this basis atrial septal puncture art to puncture needle and sheath and puncture technique.The left heart catheterization of valve pathology was mainly used at that time, and now with the continuous popularization of catheter ablation for atrial fibrillation, ablation atrial septal puncture art has become clinical common technology.
Atrial septal puncture can be used for the approach ablation of left shunt Jing atrial septums, auricular fibrillation ablation, atrium sinistrum atrial tachycardia ablation and left room atrial flutter ablation in catheter ablation operation, meanwhile, atrial septal puncture is also the alternative route and necessary complement of the relevant arrhythmia cordis ablation of left ventricle.
The conduit of cutaneous routes can not direct motion reach atrium sinistrum, need by aorta petal and bicuspid valve, this is respectively provided with certain camber at two, and conduit is difficult to reach, that is, allow to reach, and catheter manipulation is also very loaded down with trivial details.
Atrial septum is located between left atrium, and fossa ovalis is position most thin on atrial septum, therefore fossa ovalis is the ideal position that atrial septal puncture enters atrium sinistrum.In atrial septal puncture, it is necessary first to determine the position of fossa ovalis.It is main to be punctured by radiating Anatomical orientation method in traditional operation.By shape and position that lancing system is shown under X-ray two-dimentional system, the head end of arrangement for guiding is moved on atrial septum, because the anatomical structure of fossa ovalis is a recessed nest shape, in moving process, there can be certain dynamics to feed back to operator, so that it is determined that the position of fossa ovalis.Behind the position for determining fossa ovalis, in addition it is also necessary to the X-ray irradiation development under certain angle, judge lancing system whether perpendicular to atrial septum face.If vertical, just can be inserted into puncture needle carries out atrial septal puncture, and the puncture direction of mistake is likely to result in danger.
In traditional atrial septal puncture art, the positioning of fossa ovalis and the determination of puncture direction need doctor to have good experience, even so, still need to that X-ray is used for multiple times to show heart shape and judge that the position of arrangement for guiding and determination puncture direction.This causes substantial amounts of radiation to patient and doctor.
Sichuan Jinjiang Electronic Science and Technology Co., Ltd. proposes a kind of technology, the technology can construct the three-dimensional stereo model of the atrial septum wall surface of fossa ovalis, and intuitively can show on the display of computer, more convenient more reliable information can be provided for the position of locating fossa ovalis, can reduce due to caused by individual difference to the impact of the positioning of fossa ovalis position, but, prior art is difficult to accurately position particular location of the sheath in heart, and be difficult to accurately judge whether sheath front end vertical with atrial septum face, these are all very easy to cause site of puncture mistake, great pain and sufferer risk are brought to patient.
In sum, the sheath that current medical science puncture field uses is difficult to position, and easily causes site of puncture mistake, and to patient huge pain and sufferer risk is brought.
Therefore, need a kind of technology badly, accurately the sheath in heart can be positioned.
The content of the invention
It is an object of the invention to:The sheath used for current openheart surgery is difficult to the problem being accurately positioned, there is provided a kind of sheath for atrial septal puncture that can be accurately positioned.
To achieve these goals, the technical solution used in the present invention is:
A kind of sheath for atrial septal puncture, the part for stretching into tissue has working end, electric conductor is set on the working end, wire is connected with the electric conductor, the other end of the wire extends to tissue outside and is connected with signal receiving device along the sheath, and the sheath is arranged in the electric field.
In this programme, the sheath with electric conductor is arranged in the electric field, and the electric conductor being placed in electric field can occur electrostatic induction and charged particles occurs, so that electric conductor has potential, mobile sheath, electric conductor follower sheath movement, the potential of electric conductor changes, thus, electric conductor potential in the electric field changes with the change of position, and the potential that so, it is possible to be had according to electric conductor determines the position of electric conductor, thus, just can determine sheath position in the electric field.
The generation of electric field is according to prior art, one electrode slice can be respectively set in the shirtfront of human body, back, the both sides of chest, sole and collare, six electrode slices are set i.e. on human body, this six electrode slices are arranged in hexahedron, it is powered to electrode slice and just can form a 3 D stereo electric field in the heart area of human body, with reference to the 3 D stereo modeling technique of existing atrial septum wall, it becomes possible to determine particular location of the sheath in heart, thus, being achieved that positioning of the sheath in heart.That is, when the sheath applies to sting device and carries out puncturing operation, can accurately find puncture position, therefore increased the success rate of puncture and reduce sufferer pain.
Preferably, at least provided with two electric conductors on the working end, the electric conductor is also connected by the wire with mapping equipment.
In this programme, sheath has at least two electric conductors, so, the multiple electric conductors being connected with mapping equipment can allow sheath to have mapping function, so, it is possible more accurately to position sheath, during puncture, puncture position can be more accurately found, therefore be increased the success rate of puncture and reduced sufferer pain.
As preferred, the bendable portion of the working end is divided into bending section, the part of the end face of the working end to bending section is distal section, and the working end is proximal segment except the other parts of the bending section and the distal section, and the bending section, the distal section and the proximal segment are provided with the electric conductor.
In this programme, the distal section of working end includes the end face of working end, the bending section of sheath, distal section and proximal segment are provided with electric conductor, so, the bending section of sheath can in real time be determined, the particular location of distal section and proximal segment in heart, that is, the curved shape of sheath can be shown on screen in real time, so, just can determine whether whether the distal section of sheath vertical with the atrial septum face of fossa ovalis, that is, puncture needle can puncture atrial septum face with the direction vertical with atrial septum face, so, need not determine whether the distal section of sheath is vertical with atrial septum face using traditional X-ray development when puncturing, radiation injury of the X-ray to patient and medical personnel can be reduced while puncture success rate is improved.
As preferred, the bendable portion of the working end is divided into bending section, the part of the end face of the working end to bending section is distal section, the working end is proximal segment except the other parts of the bending section and the distal section, the proximal segment is at least provided with two electric conductors, also at least provided with an electric conductor, particularly, the distal section is provided with the electric conductor for the working end.
In this programme, the free segment of working end includes the end face of working end, and sheath working end is provided with least three electric conductors, and have electric conductor to be arranged on distal section, there are at least two electric conductors to be arranged on proximal segment, so, it is possible to show the conductive body position in sheath, the curved shape of sheath can be shown, also, with reference to atrial septum 3 D stereo modeling technique, can determine that sheath present position in heart, and can determine that whether the distal section of sheath is vertical with atrial septum face, if reach puncture and require.
Preferably, the bendable portion of the working end is divided into bending section, the part of the end face to bending section of the working end is distal section, the bending section is provided with electric conductor described at least two, also at least provided with an electric conductor, particularly, the distal section is provided with the electric conductor for the working end.
In this programme, the distal section of working end includes the end face of working end, and sheath working end is provided with least three electric conductors, and has electric conductor to be arranged on distal section, there are at least two electric conductors to be arranged on bending section, the curved shape that sheath is can determine while the conductive body position in sheath is shown is so, it is possible, and, with reference to atrial septum 3 D stereo modeling technique, sheath present position in heart is can determine that, and can determine that whether the distal section of sheath is vertical with atrial septum face, if reached puncture and require.
Distal section is additionally provided with electric conductor while bending section is provided with least two electric conductors, and whether the distal section of determination sheath that so, it is possible to be more prone to is vertical with atrial septum face, if reaches puncture and requires.
As preferred, the bendable portion of the working end is divided into bending section, the part of the end face of the working end to bending section is distal section, the working end is proximal segment except the other parts of the bending section and the distal section, the distal section is at least provided with two electric conductors, particularly, other positions of the working end are additionally provided with electric conductor described at least one.
In this programme, the distal section of working end includes the end face of working end, distal section is at least provided with two electric conductors, so, the position of sheath can be determined in the position of heart by the electric conductor in the distal section of working end, can also judge whether the distal section of sheath is vertical with atrial septum face simultaneously, thus, just can interpolate that whether the current position of sheath reaches puncture and require.
Preferably, the electric conductor is arranged on the end face of the distal section and/or side.
In this programme, electric conductor can be arranged on the end face of working end distal section, thus, the position that electric conductor is located is the position that puncture needle will be passed through, can further improve the application biopsy needle guide carries out determining the accuracy rate and efficiency of puncture position during puncture working;Electric conductor can also be arranged on the side of working end distal section, when electric conductor to be arranged on the end face of distal section, electric conductor easily comes off, cause malpractice, electric conductor is arranged on into the side of working end distal section, can ensure that electric conductor is not allowed easy to fall off, makes the security performance of device higher while positioning function is reached;Or two positions are both provided with electric conductor simultaneously, ensure that the safe and reliable work of sheath, while further improve the application biopsy needle guide to carry out determining the accuracy rate and efficiency of puncture position during puncture working.
Preferably, the electric conductor is block electric conductor.
Using block electric conductor in this programme, block electric conductor is easy to process, with low cost, can reduce the manufacturing cost of sheath.
Preferably, the electric conductor is ring shaped conductive body.
Ring shaped conductive body is adopted in this programme, sheath can be made symmetrical, the partial intensities for arranging electric conductor are uniform, sheath can be made more attractive in appearance and easy operation.
In sum, as a result of above-mentioned technical proposal, the beneficial effect of the application is:
1st, sheath is accurately positioned:Sheath is positioned using the electrostatic induction principle of electric conductor, sheath can be accurately positioned in the position of heart;
2nd, puncture success rate is improved:Accurately sheath can be positioned, therefore whether the position that can determine that puncture needle and will puncture is set puncture position such that it is able to improve puncture success rate;
3rd, patient suffering is reduced, reduces X-ray exposure amount.
The beneficial effect of the application other embodiment is:
Improve the accurate positioning performance of sheath, further increase sheath for guiding puncture success rate, further increase the reliability and security of sheath.
Description of the drawings
Fig. 1 is the structural representation of the application;
Fig. 2 is the front view of Fig. 1;
Fig. 3 is the structural representation of the application;
Mark in figure:1- sheaths, 11- working ends, 111- distal sections, 112- bending sections, 113- proximal segments, 21- ring shaped conductive bodies, 22- bulk electric conductors, 3- wires.
Specific embodiment
Below in conjunction with the accompanying drawings, the present invention is described in detail.
In order that the objects, technical solutions and advantages of the present invention become more apparent, below in conjunction with drawings and Examples, the present invention will be described in further detail.It should be appreciated that specific embodiment described herein is not intended to limit the present invention only to explain the present invention.
Embodiment 1:
Such as Fig. 1, shown in 2, a kind of sheath 1 for atrial septal puncture, it is working end 11 that sheath 1 stretches into the end of tissue, electric conductor is set on working end 11, wire 3 is connected with electric conductor, the other end of wire 3 extends to tissue outside and is connected with signal receiving device along sheath 1, electric conductor is also connected by wire 3 with mapping equipment, sheath 1 is arranged in the electric field, bending section 112, distal section 111 and proximal segment 113 are provided with electric conductor, electric conductor is arranged on the end face of distal section 111 and side, the electric conductor for being arranged on proximal segment 113 is block electric conductor 22, remaining electric conductor is ring shaped conductive body 21, and, each described electric conductor is connected by a wire 3 with the signal receiving device, that is, each described electric conductor is individually equipped with one with the wire 3.
In the such scheme of the present embodiment, the multiple electric conductors being arranged in sheath 1 are placed in electric field, with reference to prior art, can be in the shirtfront of human body, back, the both sides of chest, sole and collare respectively arrange an electrode slice, six electrode slices are set i.e. on human body, this six electrode slices are arranged in hexahedron, it is powered to electrode slice and just can form a 3 D stereo electric field in the heart area of human body, with reference to the 3 D stereo modeling technique of existing atrial septum wall, just can determine particular location of the sheath 1 in heart, and can in real time determine the bending section 112 of sheath 1, the particular location of distal section 111 and proximal segment 113 in heart, that is, the curved shape of sheath 1 can be shown on screen in real time, so, just can determine whether whether the distal section 111 of sheath 1 vertical with the atrial septum face of fossa ovalis, radiation injury of the X-ray to patient and medical personnel can be reduced while puncture success rate is improved.
In addition, electric conductor is also connected by wire 3 with mapping equipment, so, the multiple electric conductors being connected with mapping equipment can allow sheath 1 to have mapping function, so, it is possible more accurately to position sheath 1, during puncture, puncture position can be more accurately found, therefore be increased the success rate of puncture and reduced sufferer pain.
Embodiment 2:
As shown in Figure 3, a kind of sheath 1 for atrial septal puncture, it is working end 11 that sheath 1 stretches into the end of tissue, ring shaped conductive body is set on working end 11, wire 3 is connected with ring shaped conductive body, the other end of wire 3 extends to tissue outside and is connected with signal receiving device along sheath 1, sheath 1 is arranged in the electric field, the distal section 111, bending section 112 and proximal segment 113 are provided with two ring shaped conductive bodies, so, the position of sheath 1 can be determined in the position of heart by the ring shaped conductive body 21 on working end 11, can also judge whether the distal section 111 of sheath 1 is vertical with atrial septum face simultaneously, so, just can interpolate that whether the current position of sheath 1 reaches puncture and require.
All any modification, equivalent and improvement made within the spirit and principles in the present invention etc., should be included within the scope of the present invention.

Claims (9)

1. a kind of sheath for atrial septal puncture, the part for stretching into tissue has working end, the bendable portion of the working end is divided into bending section, the part of the end face of the working end to bending section is distal section, the working end is proximal segment except the other parts of the bending section and the distal section, it is characterised in that:Electric conductor is set on the working end, wire is connected with the electric conductor, the other end of the wire extends to tissue outside and is connected with signal receiving device along the sheath, and the sheath is arranged in the electric field.
2. sheath according to claim 1, it is characterised in that:At least provided with two electric conductors on the working end, the electric conductor is also connected by the wire with mapping equipment.
3. sheath according to claim 1, it is characterised in that:The bending section, the distal section and the proximal segment are provided with the electric conductor.
4. sheath according to claim 1, it is characterised in that:, at least provided with two electric conductors, the working end is also at least provided with an electric conductor for the proximal segment.
5. sheath according to claim 1, it is characterised in that:The bending section is provided with electric conductor described at least two, and the working end is also at least provided with an electric conductor.
6. sheath according to claim 1, it is characterised in that:The distal section is at least provided with two electric conductors.
7. sheath according to claim 1, it is characterised in that:The electric conductor is arranged on the end face of the distal section and/or side.
8. sheath according to claim 1, it is characterised in that:The electric conductor is ring shaped conductive body.
9. sheath according to claim 1, it is characterised in that:The electric conductor is block electric conductor.
CN201510731875.3A 2015-10-30 2015-10-30 A kind of sheath for atrial septal puncture Active CN106618685B (en)

Priority Applications (1)

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CN201510731875.3A CN106618685B (en) 2015-10-30 2015-10-30 A kind of sheath for atrial septal puncture

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
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CN106618685A true CN106618685A (en) 2017-05-10
CN106618685B CN106618685B (en) 2019-10-11

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2021228003A1 (en) * 2020-05-12 2021-11-18 上海微创电生理医疗科技股份有限公司 Puncture needle assembly and puncture system
CN114795428A (en) * 2022-06-30 2022-07-29 北京微刀医疗科技有限公司 Capacitive force feedback puncture needle and capacitive force feedback puncture device

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5983126A (en) * 1995-11-22 1999-11-09 Medtronic, Inc. Catheter location system and method
US20030028187A1 (en) * 1996-10-22 2003-02-06 Epicor, Inc. Device and method for forming a lesion
WO2004026134A1 (en) * 2002-08-24 2004-04-01 Krishnan Subramaniam C Method and apparatus for locating the fossa ovalis and performing transseptal puncture
US20060253116A1 (en) * 2005-05-05 2006-11-09 Boaz Avitall Preshaped localization catheter, system, and method for graphically reconstructing pulmonary vein ostia
CN204169908U (en) * 2014-08-20 2015-02-25 祝金明 Puncture needle component
CN204562318U (en) * 2015-02-17 2015-08-19 复旦大学附属华山医院 A kind of puncture instrument for operation on heart
CN205107834U (en) * 2015-10-30 2016-03-30 四川锦江电子科技有限公司 A sheath pipe for room separates puncture

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5983126A (en) * 1995-11-22 1999-11-09 Medtronic, Inc. Catheter location system and method
US20030028187A1 (en) * 1996-10-22 2003-02-06 Epicor, Inc. Device and method for forming a lesion
WO2004026134A1 (en) * 2002-08-24 2004-04-01 Krishnan Subramaniam C Method and apparatus for locating the fossa ovalis and performing transseptal puncture
US20060253116A1 (en) * 2005-05-05 2006-11-09 Boaz Avitall Preshaped localization catheter, system, and method for graphically reconstructing pulmonary vein ostia
CN204169908U (en) * 2014-08-20 2015-02-25 祝金明 Puncture needle component
CN204562318U (en) * 2015-02-17 2015-08-19 复旦大学附属华山医院 A kind of puncture instrument for operation on heart
CN205107834U (en) * 2015-10-30 2016-03-30 四川锦江电子科技有限公司 A sheath pipe for room separates puncture

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2021228003A1 (en) * 2020-05-12 2021-11-18 上海微创电生理医疗科技股份有限公司 Puncture needle assembly and puncture system
CN114795428A (en) * 2022-06-30 2022-07-29 北京微刀医疗科技有限公司 Capacitive force feedback puncture needle and capacitive force feedback puncture device
CN114795428B (en) * 2022-06-30 2022-09-02 北京微刀医疗科技有限公司 Capacitive force feedback puncture needle and capacitive force feedback puncture device

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Address after: No. 5, Wuke East 3rd Road, Wuhou District, Chengdu, Sichuan 610000

Patentee after: Sichuan Jinjiang Electronic Medical Device Technology Co.,Ltd.

Address before: No. 5, Wuke East 3rd Road, Wuhou District, Chengdu, Sichuan 610000

Patentee before: SICHUAN JINJIANG ELECTRONIC SCIENCE AND TECHNOLOGY Co.,Ltd.

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