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CN205019161U - Ripple type radio frequency melts pipe and equipment with silk is adjusted to adherence - Google Patents

Ripple type radio frequency melts pipe and equipment with silk is adjusted to adherence Download PDF

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Publication number
CN205019161U
CN205019161U CN201520605029.2U CN201520605029U CN205019161U CN 205019161 U CN205019161 U CN 205019161U CN 201520605029 U CN201520605029 U CN 201520605029U CN 205019161 U CN205019161 U CN 205019161U
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China
Prior art keywords
ripple
radio frequency
wire
electrode suppor
fixed
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CN201520605029.2U
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Chinese (zh)
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董永华
沈美君
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SHANGHAI GOLDEN LEAF MEDTECH Co Ltd
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SHANGHAI GOLDEN LEAF MEDTECH Co Ltd
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Priority to CN201520605029.2U priority Critical patent/CN205019161U/en
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Publication of CN205019161U publication Critical patent/CN205019161U/en
Priority to JP2017558658A priority patent/JP6852898B2/en
Priority to EP16792177.4A priority patent/EP3295885B1/en
Priority to ES16792177T priority patent/ES2935607T3/en
Priority to PCT/CN2016/081621 priority patent/WO2016180327A1/en
Priority to US15/573,462 priority patent/US20180116712A1/en
Priority to US18/089,753 priority patent/US20230129393A1/en
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Expired - Lifetime legal-status Critical Current

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Abstract

The utility model provides a have the adherence and adjust the ripple type radio frequency of silk and melt the pipe, have the connecting catheters of rectangular shape, be equipped with electrode support at connecting catheters's front end, be provided with brake valve lever in connecting catheters's rear end, electrode support is the ripple type electrode support who comprises the one or more ripple, and the one or more electrode distributes respectively on the ripple, the adherence adjust the silk the back end slidable set up in one of them lumen of connecting catheters to its rear end perhaps is connected to the setting on the outside control of brake valve lever on being connected to the control of setting on brake valve lever, the adherence is adjusted the anterior segment of silk and is worn out the electrode support outside, and the process sets up the one or more hole on the ripple or walks around a plurality of ripples, then its front end is got back to, and electrode support is inside to be fixed. The silk is adjusted through stimulateeing the adherence backward, the corrugated diameter of electrode support can be changed by a wide margin.

Description

具有贴壁调节丝的波纹型射频消融导管及其设备Corrugated radiofrequency ablation catheter with wall-attachment adjustment wire and its equipment

技术领域technical field

本实用新型涉及一种具有贴壁调节丝的波纹型射频消融导管,同时涉及包括上述射频消融导管的射频消融设备,属于介入医疗器械技术领域。The utility model relates to a corrugated radio frequency ablation catheter with a wall-attaching adjustment wire, and also relates to radio frequency ablation equipment including the radio frequency ablation catheter, which belongs to the technical field of interventional medical devices.

背景技术Background technique

在射频消融系统中,射频消融导管是用于介入人体血管并进行射频能量释放的关键器件。其中,射频电极安装在射频消融导管前端的支架上,支架用于承载射频电极,并在射频开始之前扩张贴壁,射频结束后收缩后撤。由于射频消融手术是直接介入人体血管中进行的,所以支架的伸缩尺寸要与人体血管的直径相适应。In the radiofrequency ablation system, the radiofrequency ablation catheter is a key device used to intervene in human blood vessels and release radiofrequency energy. Wherein, the radiofrequency electrode is installed on the stent at the front end of the radiofrequency ablation catheter, and the stent is used to carry the radiofrequency electrode, expand and adhere to the wall before the radiofrequency starts, and retract after the radiofrequency ends. Since the radiofrequency ablation operation is directly intervening in human blood vessels, the expansion and contraction size of the stent should be adapted to the diameter of human blood vessels.

人体内的血管直径因为消融部位的不同而不同。同时,人体血管的直径还因人而异,例如,不同人体的肾动脉的直径大约在2~12mm之间,差别较大。在现有技术中,射频消融导管的电极端的伸缩尺寸普遍是固定的,无法适应不同人体血管的直径尺寸要求,对不同直径的人体血管的覆盖面较窄。因此,在对不同的病人进行射频消融手术时,通常需要更换不同规格、型号的射频消融导管进行消融。即便如此,在有些情况下还会出现手术时,射频电极无法同时贴壁的问题,影响手术效果。The diameter of blood vessels in the human body varies depending on the site of ablation. At the same time, the diameter of human blood vessels also varies from person to person. For example, the diameter of the renal artery in different human bodies is about 2-12 mm, which is quite different. In the prior art, the telescopic size of the electrode end of the radiofrequency ablation catheter is generally fixed, which cannot meet the diameter and size requirements of different human blood vessels, and the coverage of human blood vessels with different diameters is relatively narrow. Therefore, when performing radiofrequency ablation operations on different patients, it is usually necessary to replace radiofrequency ablation catheters of different specifications and models for ablation. Even so, in some cases, there will be a problem that the radio frequency electrodes cannot be attached to the wall at the same time during the operation, which will affect the effect of the operation.

射频消融导管的结构根据电极和电极支架的形状不同分为多种,例如:球囊型、穿刺针型、螺旋型和瓣状结构等。现有各种射频消融导管对不同直径血管的适应性均具有局限性。The structure of radiofrequency ablation catheters can be divided into various types according to the shapes of electrodes and electrode holders, such as: balloon type, puncture needle type, spiral type, and valve-shaped structure. Various existing radiofrequency ablation catheters have limitations in their adaptability to blood vessels of different diameters.

发明内容Contents of the invention

本实用新型所要解决的首要技术问题在于提供一种具有贴壁调节丝的波纹型射频消融导管。The primary technical problem to be solved by the utility model is to provide a corrugated radio frequency ablation catheter with wall-adhering adjustment wires.

本实用新型所要解决的另一技术问题在于提供一种包括上述射频消融导管的射频消融设备。Another technical problem to be solved by the utility model is to provide a radio frequency ablation device including the above radio frequency ablation catheter.

为了实现上述技术目的,本实用新型采用下述的技术方案:In order to realize above-mentioned technical purpose, the utility model adopts following technical scheme:

一种具有贴壁调节丝的波纹型射频消融导管,具有长条形的连接导管,在所述连接导管的前端设有电极支架,在所述连接导管的后端设置有控制手柄;A corrugated radiofrequency ablation catheter with a wall-attachment adjustment wire, which has a long connecting catheter, an electrode holder is arranged at the front end of the connecting catheter, and a control handle is arranged at the rear end of the connecting catheter;

其中,所述电极支架是由一个或多个波纹组成的波纹型电极支架,一个或多个电极分布在波纹上;Wherein, the electrode support is a corrugated electrode support composed of one or more corrugations, and one or more electrodes are distributed on the corrugations;

所述贴壁调节丝的后段可滑动地设置于所述连接导管的其中一个管腔内,并且其后端连接至设置在所述控制手柄上的控制件上,或者其后端连接至外设的控制件上;所述贴壁调节丝的前段穿出所述电极支架外部后,经过设置在所述波纹上的一个或多个孔或者绕过多个波纹,然后其前端回到电极支架内部被固定。The rear section of the adherence adjustment wire is slidably arranged in one of the lumens of the connecting catheter, and its rear end is connected to the control member provided on the control handle, or its rear end is connected to the outer tube. The front section of the wall-adhering adjustment wire passes through the outside of the electrode bracket, passes through one or more holes arranged on the corrugation or bypasses multiple corrugations, and then returns to the electrode bracket at its front end The interior is fixed.

其中较优地,所述贴壁调节丝的前端回到电极支架内部后,经过所述电极支架和所述连接导管内部的管腔回到连接导管后端,并被固定在所述控制手柄或者被固定在所述控制件上。Wherein preferably, after the front end of the adherence adjustment wire returns to the inside of the electrode bracket, it passes through the lumen inside the electrode bracket and the connecting catheter and returns to the rear end of the connecting catheter, and is fixed on the control handle or fixed on the control.

或者,其中较优地,所述贴壁调节丝的前端回到电极支架内部后,被固定在所述电极支架前端。Or, preferably, the front end of the adherence adjustment wire is fixed on the front end of the electrode bracket after returning to the inside of the electrode bracket.

或者,其中较优地,所述贴壁调节丝的前端穿出所述电极支架前端后,被固定在所述电极支架的前端或被限制在所述电极支架的前端的外部。Or, where preferably, the front end of the adherence adjustment wire passes through the front end of the electrode bracket, and then is fixed on the front end of the electrode bracket or restricted outside the front end of the electrode bracket.

或者,其中较优地,还包括设置在所述连接导管和所述电极支架的某个管腔中的支撑丝,并且,所述贴壁调节丝的前端被固定在支撑丝上;或者,所述贴壁调节丝是所述支撑丝向外分出的细丝。Or, preferably, it also includes a support wire arranged in a certain lumen of the connecting catheter and the electrode bracket, and the front end of the adherence adjustment wire is fixed on the support wire; or, the The adherence adjustment wire is a thin wire that the support wire branches out.

其中较优地,所述支撑丝在所述电极支架内部的部分被定型为波纹型,构成波纹定型段。Wherein preferably, the part of the support wire inside the electrode holder is corrugated to form a corrugated shaped section.

或者,其中较优地,还包括设置在所述电极支架的某个管腔中的定型丝,并且,所述贴壁调节丝的前端被固定在定型丝上;或者,所述贴壁调节丝是所述定型丝向外分出的细丝。Or, preferably, it also includes a shaped wire arranged in a certain lumen of the electrode bracket, and the front end of the adherence adjustment wire is fixed on the shaped wire; or, the adherence adjustment wire It is the thin filament that the sizing filament is branched out.

或者,其中较优地,所述贴壁调节丝由两根或两根以上的多根丝组成,多根丝分别用于调节所述电极支架上的一个或者一段波纹,其中一段波纹中包括两个及两个以上的多个波纹,每根丝的前端分别固定在对应波纹/波纹段的一端,另一端绕过对应波纹/波纹段,并经由电极支架内部和连接导管内部的管腔,然后被固定在设置在所述控制手柄上的对应控制件或者外设的控制件上。Or, preferably, the adherence adjustment wire is composed of two or more than two wires, and the multiple wires are respectively used to adjust one or a section of corrugation on the electrode bracket, wherein a section of corrugation includes two One or more than two corrugations, the front end of each wire is respectively fixed on one end of the corresponding corrugation/corrugation section, the other end bypasses the corresponding corrugation/corrugation section, and passes through the inside of the electrode holder and the lumen inside the connecting catheter, and then It is fixed on the corresponding control part arranged on the control handle or the control part of the peripheral device.

其中较优地,所述多根丝分别控制的多段波纹之间有重叠。Wherein preferably, the multi-segment corrugations respectively controlled by the plurality of wires overlap.

其中较优地,所述贴壁调节丝在所述电极支架上偏心设置。Wherein preferably, the adherence adjustment wire is arranged eccentrically on the electrode holder.

其中较优地,所述电极设置在所述波纹段的波峰/波谷位置。Wherein preferably, the electrode is arranged at the peak/valley position of the corrugated section.

一种射频消融设备,包括上述的射频消融导管,以及与所述射频消融导管连接的射频消融主机。A radiofrequency ablation device includes the radiofrequency ablation catheter described above, and a radiofrequency ablation host connected to the radiofrequency ablation catheter.

本实用新型所提供的具有贴壁调节丝的波纹型射频消融导管,结构新颖,对不同直径的目标管腔的适应性较好。在不同直径的目标管腔中,通过拉动贴壁调节丝,可以使设置在波纹上的电极的贴壁状态良好。较优地,通过对波纹型射频消融导管中不同波纹的分布方位进行设计,可以使位于波纹上的多个电极在贴壁时绕目标管腔呈近似圆周分布。并且,上述贴壁调节丝还可以采用多根丝的结构,通过对单丝进行单独控制,可以实现对射频消融导管不同波纹段的分别控制,简化波纹型射频消融导管的直径调整难度。The utility model provides a corrugated radiofrequency ablation catheter with wall-adhering adjustment wires, which has a novel structure and better adaptability to target lumens with different diameters. In target lumens with different diameters, the electrodes arranged on the corrugations can be in a good adherence state by pulling the adherence adjustment wire. Preferably, by designing the distribution orientations of different corrugations in the corrugated radiofrequency ablation catheter, multiple electrodes located on the corrugations can be distributed approximately in a circle around the target lumen when adhering to the wall. In addition, the above-mentioned adherence adjustment wire can also adopt a multi-wire structure. By controlling a single wire separately, it is possible to control different corrugated sections of the radiofrequency ablation catheter separately, and simplify the difficulty of adjusting the diameter of the corrugated radiofrequency ablation catheter.

附图说明Description of drawings

图1A和图1B分别是第一实施例中,波纹型射频消融导管的立体结构示意图和侧视示意图;Fig. 1A and Fig. 1B are respectively the three-dimensional structure schematic diagram and the side view schematic diagram of the corrugated radio frequency ablation catheter in the first embodiment;

图2是图1A所示波纹型射频消融导管,电极支架的横截面示意图;Fig. 2 is a schematic cross-sectional view of the corrugated radiofrequency ablation catheter and the electrode holder shown in Fig. 1A;

图3是图2所示电极支架的E-E剖视示意图;Fig. 3 is the E-E sectional schematic diagram of electrode holder shown in Fig. 2;

图3F是图3中的F部放大示意图;Fig. 3F is an enlarged schematic diagram of part F in Fig. 3;

图4是第一实施例中,贴壁调节丝的另一种设置方式的示意图;Fig. 4 is a schematic diagram of another arrangement of the adherence adjustment wire in the first embodiment;

图5是第一实施例中,对应于图1A所示波纹型射频消融导管的控制手柄的结构示意图;Fig. 5 is a structural schematic diagram corresponding to the control handle of the corrugated radiofrequency ablation catheter shown in Fig. 1A in the first embodiment;

图6A是第一实施例中,波纹型射频消融导管在进入较细直径的目标管腔中的使用状态示意图;Fig. 6A is a schematic diagram of the use state of the corrugated radiofrequency ablation catheter entering a target lumen with a smaller diameter in the first embodiment;

图6B是对应于图6A的侧视示意图;Figure 6B is a schematic side view corresponding to Figure 6A;

图7A是第一实施例中,波纹型射频消融导管在进入较粗直径的目标管腔中的使用状态示意图;Fig. 7A is a schematic diagram of the use state of the corrugated radiofrequency ablation catheter entering a target lumen with a relatively large diameter in the first embodiment;

图7B是对应于图7A的侧视示意图;Figure 7B is a schematic side view corresponding to Figure 7A;

图8A和图8B分别是第二实施例中,波纹型射频消融导管的正视示意图和侧视示意图;Fig. 8A and Fig. 8B are respectively the front view schematic diagram and the side view schematic diagram of the corrugated radio frequency ablation catheter in the second embodiment;

图9A和图9B分别是第三实施例中,波纹型射频消融导管的立体结构示意图和侧视示意图;Fig. 9A and Fig. 9B are respectively a three-dimensional structure schematic diagram and a side view schematic diagram of the corrugated radiofrequency ablation catheter in the third embodiment;

图10A和图10B分别是第四实施例中,波纹型射频消融导管的立体结构示意图和侧视示意图;Fig. 10A and Fig. 10B are respectively the three-dimensional structure schematic diagram and the side view schematic diagram of the corrugated radio frequency ablation catheter in the fourth embodiment;

图11是第五实施例中,波纹型射频消融导管的立体结构示意图;Fig. 11 is a schematic diagram of the three-dimensional structure of the corrugated radiofrequency ablation catheter in the fifth embodiment;

图12是图11所示波纹型射频消融导管中,贴壁调节丝的结构示例一;Fig. 12 is a structural example 1 of the wall-attachment adjustment wire in the corrugated radiofrequency ablation catheter shown in Fig. 11;

图13是图11所示波纹型射频消融导管中,贴壁调节丝的结构示例二;Fig. 13 is a structural example 2 of the wall-attachment regulating wire in the corrugated radiofrequency ablation catheter shown in Fig. 11;

图14是图11所示波纹型射频消融导管中,贴壁调节丝的结构示例三;Fig. 14 is a structural example three of the wall-attachment adjustment wire in the corrugated radiofrequency ablation catheter shown in Fig. 11;

图15A是第五实施例中,对应于波纹型射频消融导管的控制手柄的使用状态示意图一;Fig. 15A is a first schematic diagram of the use state of the control handle corresponding to the corrugated radio frequency ablation catheter in the fifth embodiment;

图15B是第五实施例中,对应于波纹型射频消融导管的控制手柄的使用状态示意图二;Fig. 15B is the second schematic diagram of the use state of the control handle corresponding to the corrugated radiofrequency ablation catheter in the fifth embodiment;

图16是第六实施例中,波纹型射频消融导管的立体结构示意图;Fig. 16 is a schematic diagram of the three-dimensional structure of the corrugated radiofrequency ablation catheter in the sixth embodiment;

图17是第六实施例中,第二种波纹型射频消融导管的立体结构示意图;Fig. 17 is a schematic diagram of the stereoscopic structure of the second corrugated radiofrequency ablation catheter in the sixth embodiment;

图18是第七实施例中,波纹型射频消融导管的立体结构示意图;Fig. 18 is a schematic diagram of the three-dimensional structure of the corrugated radiofrequency ablation catheter in the seventh embodiment;

图19是图18所示波纹型射频消融导管中,贴壁调节丝的结构示例一;Fig. 19 is a structural example 1 of the wall-attachment regulating wire in the corrugated radiofrequency ablation catheter shown in Fig. 18;

图20是图18所示波纹型射频消融导管中,贴壁调节丝的结构示例二;Fig. 20 is a structural example 2 of the wall-attachment regulating wire in the corrugated radiofrequency ablation catheter shown in Fig. 18;

图21是图18所示波纹型射频消融导管中,贴壁调节丝的结构示例三;Fig. 21 is a third structural example of the wall-attachment adjustment wire in the corrugated radiofrequency ablation catheter shown in Fig. 18;

图22是第八实施例中,波纹型射频消融导管的立体结构示意图;Fig. 22 is a schematic diagram of the three-dimensional structure of the corrugated radiofrequency ablation catheter in the eighth embodiment;

图23是图22所示波纹型射频消融导管中,贴壁调节丝的结构示意图;Fig. 23 is a schematic structural view of the wall-attachment adjustment wire in the corrugated radiofrequency ablation catheter shown in Fig. 22;

图24是第九实施例中,波纹型射频消融导管的立体结构示意图。Fig. 24 is a schematic perspective view of the corrugated radiofrequency ablation catheter in the ninth embodiment.

具体实施方式detailed description

下面结合附图和具体实施例对本实用新型的技术内容进行进一步地详细描述。The technical content of the utility model is further described in detail below in conjunction with the accompanying drawings and specific embodiments.

第一实施例first embodiment

结合图1A至图7B可知,本实用新型所提供的波纹型射频消融导管,包括长条形的连接导管,在连接导管前端设有波纹形的电极支架(参见图1A),在连接导管的后端设置有控制手柄20(参见图5)。实际制作中,电极支架可以和连接导管一体制作,电极支架是连接导管前端被定型为波纹形的部分;电极支架也可以独立制作,然后与连接导管连接为一体。From Figure 1A to Figure 7B, it can be seen that the corrugated radiofrequency ablation catheter provided by the utility model includes a long connecting catheter, and a corrugated electrode bracket is provided at the front end of the connecting catheter (see Figure 1A). The end is provided with a control handle 20 (see FIG. 5). In actual production, the electrode holder can be made integrally with the connecting catheter, and the electrode holder is the corrugated part of the front end of the connecting catheter; the electrode holder can also be manufactured independently, and then connected with the connecting catheter as a whole.

如图1A和图1B所示,波纹形的电极支架包括外管1和设置在外管1上的一个或多个电极2。外管1被定型为由一个或多个波纹组成的波纹形,波纹的形状可以是由多段直线组成的折线,例如三角波;波纹的形状也可以是由多段曲线组成,例如正弦波、圆弧波;波纹的形状还可以由曲线和直线组成,例如具有弯角的梯形波。此外,波纹的形状还可以是其他的具有起伏结构的形状。并且,同一电极支架中,多个波纹的形状和尺寸可以相同,也可以不同。下文中将结合具体实施例进行详细阐述。多个波纹中,部分波纹位于不同的平面内,部分波纹位于同一平面内。在该实施例中,每两个波纹位于一个平面中,从而使得多个波纹在其侧面投影中呈现如图1B所示的发散状。多个电极2可以分别分布在各个波纹上,其中,以将电极2设置在波纹的波峰或者波谷位置为优。电极2可以是嵌设在外管1的外圆周上的块状电极或环状电极,电极2的外表面可以与外管1的外表面平齐或略高于外管1的外表面,电极2的外表面也可以低于外管1的外表面。As shown in FIGS. 1A and 1B , the corrugated electrode holder includes an outer tube 1 and one or more electrodes 2 disposed on the outer tube 1 . The outer tube 1 is shaped into a corrugated shape consisting of one or more corrugations. The shape of the corrugation can be a broken line composed of multiple straight lines, such as a triangular wave; the shape of the corrugation can also be composed of multiple curves, such as a sine wave and an arc wave. ; The shape of the corrugation can also be composed of curves and straight lines, such as trapezoidal waves with curved corners. In addition, the shape of the corrugation can also be other shapes with undulating structures. Moreover, in the same electrode holder, the shapes and sizes of the multiple corrugations may be the same or different. The following will describe in detail in combination with specific embodiments. Among the plurality of corrugations, some of the corrugations are located in different planes, and some of the corrugations are located in the same plane. In this embodiment, every two corrugations are located in one plane, so that the plurality of corrugations exhibit a divergent shape as shown in FIG. 1B in their side projections. A plurality of electrodes 2 may be respectively distributed on each corrugation, wherein it is preferable to arrange the electrodes 2 at the crests or valleys of the corrugations. The electrode 2 can be a block electrode or a ring electrode embedded in the outer circumference of the outer tube 1, and the outer surface of the electrode 2 can be flush with the outer surface of the outer tube 1 or slightly higher than the outer surface of the outer tube 1. The electrode 2 The outer surface of the outer tube can also be lower than the outer surface of the outer tube 1.

从图1B所示的侧视示意图可知,在该实施例中,波纹形电极支架中的各个波纹在其侧面投影上彼此交叉分布,多个电极2分别设置在各个波峰位置。当各个波纹以相同角度相互交叉时,可以使多个电极2在电极支架的侧投影上绕圆周方向均布,即在目标管腔的外圆周上近似圆周分布。当然,当各个波纹的相互交叉角度不一致时,多个电极2在电极支架的侧投影上也可以绕圆周方向不均布。而且,当电极支架较长时,在电极支架的长度方向上多个波纹还可以以一定规律或者随机进行重复,从而使得多个电极2可以在电极支架的侧投影上具有重叠。It can be seen from the schematic side view shown in FIG. 1B that, in this embodiment, each corrugation in the corrugated electrode holder is distributed across each other on its side projection, and a plurality of electrodes 2 are respectively arranged at respective crest positions. When the corrugations intersect with each other at the same angle, the plurality of electrodes 2 can be evenly distributed around the circumference on the side projection of the electrode holder, that is, approximately circumferentially distributed on the outer circumference of the target lumen. Certainly, when the intersecting angles of the respective corrugations are inconsistent, the plurality of electrodes 2 may also be unevenly distributed around the circumferential direction on the side projection of the electrode holder. Moreover, when the electrode holder is long, multiple corrugations can be repeated regularly or randomly in the length direction of the electrode holder, so that multiple electrodes 2 can overlap on the side projection of the electrode holder.

结合图2、图3和图3F所示的内部剖视图可知,电极支架的外管1可以为单腔管或多腔管,外管1可采用高分子材料或者金属材料制成,例如不锈钢或者记忆合金等材料。外管1可采用直管材、棒材加工而成,亦可使用A段制作成波纹形的特殊形状管。如图2所示,当外管1使用多腔管时,在电极支架的外管1的内部除去中心管腔外,还设置有多个管腔,在其中部分管腔中分别设置有一组射频线3和热电偶丝4,每组射频线3和热电偶丝4的头端设置在单个电极2的内部,其中,射频线3的头端与电极2紧密固定,如使用焊接、导电胶粘接等工艺实现连接;两根热电偶丝4的头端焊接并被热电偶丝头端绝缘层5包覆,然后与射频线3和电极2绝缘设置。Combining the internal sectional views shown in Figure 2, Figure 3 and Figure 3F, it can be seen that the outer tube 1 of the electrode holder can be a single-lumen tube or a multi-lumen tube, and the outer tube 1 can be made of polymer materials or metal materials, such as stainless steel or memory Alloy and other materials. The outer pipe 1 can be processed from straight pipes and rods, and can also be made into corrugated special-shaped pipes using section A. As shown in Figure 2, when the outer tube 1 uses a multi-lumen tube, in addition to the central lumen inside the outer tube 1 of the electrode holder, there are also multiple lumens, and a group of radio frequency tubes are respectively set in some of the lumens. Wire 3 and thermocouple wire 4, the head end of each group of radio frequency wire 3 and thermocouple wire 4 is arranged inside a single electrode 2, wherein, the head end of radio frequency wire 3 and electrode 2 are tightly fixed, such as using welding, conductive adhesive The connection is realized through welding and other processes; the head ends of the two thermocouple wires 4 are welded and covered by the insulating layer 5 at the head ends of the thermocouple wires, and then insulated from the radio frequency wire 3 and the electrode 2 .

如图2所示,在外管1的其中一个管腔中还设置有定型丝8,定型丝8固定在电极支架的变形区域段内,用于支撑电极支架的波纹形。当然,也可以直接将电极支架定型成波纹形,从而省去定型丝8,例如使用记忆合金或者高分子材料制作外管时,可以直接对外管定型,从而省去设置定型丝8。As shown in FIG. 2 , a shaped wire 8 is also arranged in one of the lumens of the outer tube 1 , and the shaped wire 8 is fixed in the deformed region of the electrode bracket for supporting the corrugated shape of the electrode bracket. Of course, the electrode support can also be directly shaped into a corrugated shape, thereby eliminating the setting wire 8. For example, when using memory alloy or polymer material to make the outer tube, the outer tube can be shaped directly, thereby eliminating the setting of the setting wire 8.

如图3所示,在连接导管和电极支架的内部的中心管腔中设置有支撑丝7,支撑丝7可以活动地设置在中心管腔中,也可以固定设置在中心管腔中,或者支撑丝7也可以活动设置或固定设置在连接导管和电极支架的其他管腔中。支撑丝7的头端可以设置显影头75,用于对目标管腔内部进行即时成像。同时,在支撑丝7的前端还可以设置软导丝9,软导丝9可以是直头软导丝,也可以是图示的弯头软导丝,从而,使得该射频消融导管可以省去导引导管/鞘管,直接进入血管,简化了手术操作。As shown in Figure 3, a support wire 7 is provided in the inner central lumen connecting the catheter and the electrode holder, and the support wire 7 can be movably arranged in the central lumen, and can also be fixedly arranged in the central lumen, or support The wire 7 can also be set movably or fixedly in other lumens connecting the catheter and the electrode holder. The head end of the support wire 7 can be provided with a developing head 75 for real-time imaging of the inside of the target lumen. At the same time, a soft guide wire 9 can also be set at the front end of the support wire 7, and the soft guide wire 9 can be a straight soft guide wire or an elbow soft guide wire as shown in the figure, so that the radiofrequency ablation catheter can be omitted. Guiding catheter/sheath, directly into the blood vessel, simplifying the operation.

结合图2至图5可知,外管1和连接导管的内部还设置有用于容纳贴壁调节丝6的管腔,贴壁调节丝6的后段可滑动地设置于连接导管的其中一个管腔内,并且其后端60连接至设置在控制手柄20上的控制件22上(参见图5)。贴壁调节丝6可以在连接导管的管腔内前后滑动。用于容纳贴壁调节丝6的管腔可以是中心管腔,也可以是分布在中心管腔外围的多个偏心管腔中的一个。如图1A所示,贴壁调节丝6的前段从靠近电极支架后端的孔12中经过,并经过多个设置在不同波纹上的孔,最后其前端从靠近电极支架前端的孔11回到电极支架内部并被固定。贴壁调节丝6可以在设置在不同波纹上的孔中滑动。2 to 5, it can be seen that the outer tube 1 and the connecting catheter are also provided with a lumen for accommodating the adhering adjustment wire 6, and the rear section of the adhering adjusting wire 6 is slidably arranged in one of the lumens of the connecting catheter. and its rear end 60 is connected to the control member 22 provided on the control handle 20 (see FIG. 5 ). The sticking adjustment wire 6 can slide back and forth in the lumen of the connecting catheter. The lumen for accommodating the adherence adjustment wire 6 may be a central lumen, or one of a plurality of eccentric lumens distributed around the central lumen. As shown in Figure 1A, the front section of the adherence adjustment wire 6 passes through the hole 12 near the rear end of the electrode holder, and passes through a plurality of holes arranged on different corrugations, and finally its front end returns to the electrode from the hole 11 near the front end of the electrode holder. The stand is inside and secured. The sticking adjustment wire 6 can slide in holes arranged on different corrugations.

贴壁调节丝6的前端的固定位置可以不同,可以被固定在电极支架的前端,也可以被固定在支撑丝7的前端,还可以被固定在定型丝8上,或者,还可以经过电极支架2和连接导管内部的对应管腔与贴壁调节丝6的后端60一起固定在控制件22上或者固定在控制手柄20的壳体上。The fixed position of the front end of the wall-attachment adjustment wire 6 can be different, it can be fixed on the front end of the electrode support, it can also be fixed on the front end of the support wire 7, it can also be fixed on the shaping wire 8, or it can also pass through the electrode support. 2 and the corresponding lumen connected to the inside of the catheter are fixed on the control member 22 or on the housing of the control handle 20 together with the rear end 60 of the wall-adherence adjustment wire 6 .

具体来说,在如图3所示的结构中,贴壁调节丝6的前端从靠近电极支架前端的孔11回到电极支架2内部后,经过电极支架和连接导管内部的管腔,与贴壁调节丝6的后端一起回到连接导管的后端,并被固定在控制手柄20的壳体或者控制件22上。也就是说,贴壁调节丝6的前端和后端可以被固定在如图5所示的同一控制件22上,或者也可以,贴壁调节丝6的前端和后端,其中一端被固定于控制手柄20的壳体上,另一端被固定在控制件22上。通过拉动控制件22,带动贴壁调节丝6后移,可以改变电极支架的直径。Specifically, in the structure shown in Figure 3, after the front end of the adherence adjustment wire 6 returns to the inside of the electrode bracket 2 from the hole 11 near the front end of the electrode bracket, it passes through the electrode bracket and the inner lumen of the connecting catheter, and is in contact with the sticking wire. The rear end of the wall adjustment wire 6 returns to the rear end of the connecting conduit together, and is fixed on the housing of the control handle 20 or the control member 22 . That is to say, the front end and the rear end of the sticking adjustment wire 6 can be fixed on the same control member 22 as shown in FIG. On the shell of the control handle 20 , the other end is fixed on the control member 22 . The diameter of the electrode support can be changed by pulling the control member 22 to drive the adjustment wire 6 to move backward.

当然,贴壁调节丝6的前端也可以简单地固定在电极支架的前端,或者固定在支撑丝7的前端或支撑丝7位于电极支架内部的某一部位,或者固定在定型丝8上的某一部位,或者贴壁调节丝6的前端固定在电极支架的管腔中,只要对其前端起到固定作用即可,从而当向后拉动贴壁调节丝6时,在贴壁调节丝6的作用下,电极支架会发生收缩变形,其波纹直径增大,多个波纹的轴向间距收缩。当贴壁调节丝6的前端被固定在支撑丝7或者定型丝8上时,贴壁调节丝6和支撑丝7/定型丝8可以采用同一材质制作,此时可以理解为,贴壁调节丝6是支撑丝7/定型丝8向后分出的细丝。Of course, the front end of the wall-adhering adjustment wire 6 can also be simply fixed on the front end of the electrode holder, or on the front end of the support wire 7 or on a certain position inside the electrode holder, or on a certain position on the sizing wire 8. One part, or the front end of the adherence adjustment wire 6 is fixed in the lumen of the electrode holder, as long as the front end is fixed. Under the action, the electrode holder will shrink and deform, the diameter of its corrugations will increase, and the axial spacing of multiple corrugations will shrink. When the front end of the adherence adjustment wire 6 is fixed on the support wire 7 or the setting wire 8, the adherence adjustment wire 6 and the support wire 7/setting wire 8 can be made of the same material. 6 is the thin wire that supporting wire 7/setting wire 8 separates backward.

例如,在图4所示的结构中,贴壁调节丝6的前端与定型丝8的前端固定在一起,此时,定型丝8和贴壁调节丝6可以由同种细丝制作,而贴壁调节丝6和定型丝8分别是其前端向后分出的两根细丝分支,其中对应于定型丝8的分支固定在电极支架的某一管腔中,对应于贴壁调节丝6的分支的后段可以在电极支架和/或导管管身的管腔中滑动。当贴壁调节丝6和定型丝8采用不同材质制作时(例如定型丝8使用管材,贴壁调节丝6使用细丝),可以将贴壁调节丝6的前端/前段与定型丝8通过焊接、铆接、粘接等方式组装在一起。For example, in the structure shown in Figure 4, the front end of the sticking adjustment wire 6 and the front end of the setting wire 8 are fixed together. The wall adjusting wire 6 and the shaping wire 8 are two thin wire branches branched out from the front end respectively, wherein the branch corresponding to the shaping wire 8 is fixed in a certain lumen of the electrode holder, and the branch corresponding to the wall-attaching adjusting wire 6 The posterior segment of the branch can slide in the lumen of the electrode holder and/or catheter barrel. When the wall-adhering adjusting wire 6 and the setting wire 8 are made of different materials (for example, the setting wire 8 uses a pipe, and the wall-adhering adjusting wire 6 uses a thin wire), the front end/front section of the wall-attaching adjusting wire 6 and the setting wire 8 can be welded , riveting, bonding and other ways to assemble together.

此外,从图5中还可看出,在上述结构中,在控制手柄20外部还设置有控制件23,支撑丝7的末端70穿出连接导管后也进入控制手柄20,并穿过控制手柄20后被固定在外设的控制件23上。当然,与贴壁调节丝6连接的控制件22也可以以外设的方式设置在控制手柄20的外部,贴壁调节丝6的前端和/或后端穿过控制手柄20后连接至外设的控制件22上。同理,控制件23也可以设置在控制手柄20上,支撑丝7穿入控制手柄20后直接与之连接。当支撑丝7固定设置在连接导管和电极支架内部时,可以省去设置用于控制支撑丝7的控制件23。In addition, it can also be seen from FIG. 5 that in the above-mentioned structure, a control member 23 is also provided outside the control handle 20, and the end 70 of the support wire 7 also enters the control handle 20 after passing through the connecting conduit, and passes through the control handle. After 20, be fixed on the control part 23 of peripheral equipment. Certainly, the control part 22 connected with the wall-adherence adjustment wire 6 can also be arranged on the outside of the control handle 20 in the form of an external device, and the front end and/or rear end of the wall-adherence adjustment wire 6 pass through the control handle 20 and are connected to the external device. on the control 22. Similarly, the control member 23 can also be arranged on the control handle 20 , and the support wire 7 is directly connected to the control handle 20 after passing through it. When the support wire 7 is fixedly arranged inside the connecting catheter and the electrode holder, the control member 23 for controlling the support wire 7 can be omitted.

图6A至图7B显示了波纹型射频消融导管在进入不同直径的目标管腔中的使用状态示意图。如图1A所示的波纹形电极支架假设其具有ΦB的初始直径,波纹段长度为A。通过松开贴壁调节丝6,使得贴壁调节丝6松弛,此时借助鞘管可以使导管前端波纹段长度延长,接近直线状,可进入目标管腔。如图6A所示,当波纹形电极支架从鞘管进入较细的血管内时(假设目标管腔的直径ΦC小于波纹形的初始直径ΦB),电极支架的波纹自动扩张至接近目标管腔的直径ΦC(参见图6B),多个电极2在电极支架的自然扩张作用下,与管壁接触,此时,电极支架的波纹段的长度延长至(A-1),通过拉紧贴壁调节丝6,可以改善电极2的贴壁状态。如图7A所示,当波纹形电极支架从鞘管内进入较粗的血管内时,假设目标管腔的直径大于或等于波纹形的初始直径ΦB,当电极支架自然扩张后,电极2无法良好贴壁,此时,通过向后拉动贴壁调节丝6,电极支架的波纹形的直径可以增加至等于或略大于目标管腔的直径ΦD(参见图7B),多个电极2在贴壁调节丝6的作用下,与管壁紧密接触。此时,电极支架的波纹段的长度缩短至(A-2),分布在电极支架上的多个电极之间的轴向间距减小。射频结束后,通过松开贴壁调节丝6,使得电极支架松弛,然后前送鞘管或向后移动导管使电极支架进入鞘管内,从而可以在目标管腔中旋转或移动射频消融导管,或者,将射频消融导管从目标管腔内移出。6A to 7B are schematic diagrams showing the use state of the corrugated radiofrequency ablation catheter entering target lumens with different diameters. Assuming that the corrugated electrode holder shown in FIG. 1A has an initial diameter of ΦB, the length of the corrugated section is A. By loosening the adherence adjustment wire 6, the adhesion adjustment wire 6 is loosened, and at this time, the length of the corrugated section at the front end of the catheter can be extended with the help of the sheath, which is close to a straight line and can enter the target lumen. As shown in Figure 6A, when the corrugated electrode stent enters a thinner blood vessel from the sheath (assuming that the diameter ΦC of the target lumen is smaller than the initial diameter ΦB of the corrugated shape), the corrugations of the electrode stent automatically expand to approach the diameter of the target lumen. Diameter ΦC (see Figure 6B), multiple electrodes 2 are in contact with the tube wall under the action of the natural expansion of the electrode bracket. The wire 6 can improve the adherence state of the electrode 2 . As shown in Figure 7A, when the corrugated electrode stent enters a thicker blood vessel from the sheath, assuming that the diameter of the target lumen is greater than or equal to the initial diameter ΦB of the corrugated shape, when the electrode stent expands naturally, electrode 2 cannot be well attached. At this time, by pulling the adherence adjustment wire 6 backward, the corrugated diameter of the electrode holder can be increased to be equal to or slightly larger than the diameter ΦD of the target lumen (see FIG. 7B ). Under the action of 6, it is in close contact with the pipe wall. At this time, the length of the corrugated section of the electrode holder is shortened to (A-2), and the axial spacing between the electrodes distributed on the electrode holder is reduced. After the radio frequency is over, the electrode support is loosened by loosening the apposition adjustment wire 6, and then the sheath is advanced or the catheter is moved backward to allow the electrode support to enter the sheath, so that the radiofrequency ablation catheter can be rotated or moved in the target lumen, or , and remove the radiofrequency ablation catheter from the target lumen.

第二实施例至第五实施例Second Embodiment to Fifth Embodiment

在图8A和图8B所示的第二实施例中,波纹形的电极支架由多个三角波组成,并且多个波纹位于同一平面内。其中,多个电极分别位于单个三角波的波峰和波谷位置,由于多个三角波的侧投影重叠,多个电极的侧投影也具有重叠。当完成一次消融后,可通过将导管转动一定角度后对目标管腔的同一位置再次进行消融。In the second embodiment shown in FIGS. 8A and 8B , the corrugated electrode holder is composed of a plurality of triangular waves, and the plurality of corrugations are located in the same plane. Wherein, the plurality of electrodes are respectively located at the peak and trough positions of a single triangular wave, and since the side projections of the plurality of triangular waves overlap, the side projections of the plurality of electrodes also overlap. After one ablation is completed, the same position of the target lumen can be ablated again by rotating the catheter at a certain angle.

在图9A和图9B所示的第三实施例中,波纹形的电极支架由多个圆弧波组成,但多个波纹全部位于不同的平面内。多个电极分别位于单个圆弧波的波峰(或称为波谷)位置,从而使得多个电极的侧投影可以在目标管腔的圆周方向分布。此时,在完成一次消融后,可直接移动导管对目标管腔的其他部位进行消融,而省去在目标管腔的同一位置旋转导管。In a third embodiment shown in FIGS. 9A and 9B , the corrugated electrode holder consists of a plurality of circular arc waves, but the plurality of corrugations are all located in different planes. The plurality of electrodes are located at the crest (or trough) of a single arc wave, so that the side projections of the plurality of electrodes can be distributed in the circumferential direction of the target lumen. At this time, after one ablation is completed, the catheter can be directly moved to ablate other parts of the target lumen, without rotating the catheter at the same position of the target lumen.

在第二实施例和第三实施例中,贴壁调节丝6的前段从靠近电极支架后端的孔中经过后,均经过设置在不同波纹上的孔,最后其前端从靠近电极支架前端的孔回到电极支架内部并被固定。In the second embodiment and the third embodiment, after the front section of the adherence adjustment wire 6 passes through the hole near the rear end of the electrode holder, it passes through holes arranged on different corrugations, and finally its front end passes through the hole near the front end of the electrode holder. Go back inside the electrode holder and be secured.

由于第三实施例中多个圆弧波分别位于不同的平面内,多个电极的侧投影在目标管腔的圆周方向上分布,相对于第二实施例,射频消融手术对第三实施例中的电极支架在目标管腔中的设置方向要求较低,因此操作简便。但第二实施例的结构在进入目标管腔时,难度要低于第三实施例的结构。Since the multiple arc waves in the third embodiment are respectively located in different planes, and the side projections of multiple electrodes are distributed in the circumferential direction of the target lumen, compared with the second embodiment, the radiofrequency ablation operation in the third embodiment The setting direction of the electrode holder in the target lumen is relatively low, so it is easy to operate. However, when the structure of the second embodiment enters the target lumen, the difficulty is lower than that of the structure of the third embodiment.

在图10A和图10B所示的第四实施例中,波纹形电极支架的多个波纹全部位于不同的平面内,并且,多个波纹呈近似螺旋型的分布,多个电极分别位于单个波纹的波峰(或称为波谷)位置,从而也使得多个电极可以在目标管腔的圆周方向分布。在该实施例中,多个波纹可以呈现一圈或多圈的螺旋型分布,并且,贴壁调节丝6也可以穿过设置在不同波纹上的孔。In the fourth embodiment shown in FIG. 10A and FIG. 10B , the multiple corrugations of the corrugated electrode holder are all located in different planes, and the multiple corrugations are approximately spirally distributed, and the multiple electrodes are respectively located on the sides of a single corrugation. The positions of the peaks (or valleys) also allow multiple electrodes to be distributed in the circumferential direction of the target lumen. In this embodiment, the plurality of corrugations can be distributed in a helical form of one or more turns, and the adherence adjustment wire 6 can also pass through holes provided on different corrugations.

在图11所示的第五实施例中,波纹形的电极支架由多个正弦波组成。与第二实施例相同,第五实施例中的多个波纹位于同一平面内,并且,多个电极分别位于各个正弦波的波峰和波谷位置。但与第二实施例不同,贴壁调节丝6的前段并不经过多个波纹,而是绕过多个波纹后其前端被固定。In a fifth embodiment shown in FIG. 11, the corrugated electrode holder consists of a plurality of sinusoidal waves. Same as the second embodiment, the multiple corrugations in the fifth embodiment are located in the same plane, and the multiple electrodes are respectively located at the peaks and troughs of each sine wave. However, unlike the second embodiment, the front end of the adherence adjustment wire 6 does not pass through multiple corrugations, but its front end is fixed after bypassing multiple corrugations.

综合上述五个实施例可知,波纹形电极支架中的多个波纹的形状可以是由多段直线组成的三角波(参见图8A)、也可以是由多段圆弧组成的圆弧波(参见图10A)、正弦波(参见图11)或者是由直线和曲线组成的梯形波或其他未图示的波纹中的任一种。多个波纹可以在同一平面内分布,也可以在不同的平面内分布,甚至,多个波纹还可以呈近似螺旋型环绕,从而使得电极呈圆周方向分布。相对于多个波纹在同一平面内分布,当多个波纹在不同的平面内分布时,在实际消融手术中,波纹形电极支架在目标管腔中可以在任意方向进行贴壁。在上述图示的实施例中,在同一电极支架上,组成波纹形的多个波纹的形状相同。当然,组成波纹形的多个波纹的形状和尺寸也可以不同,各个波纹的形态、间距、波峰位置、波谷位置等均可以不同。当使用不同尺寸的波纹组成波纹型电极支架时,在调节贴壁状态时,可以通过调整局部区域的波纹尺寸调整局部电极的贴壁状态,与此同时,其他区域的形态可以不作调整。这种由不同波纹组成的波纹型电极支架的贴壁调节方式可以通过拉动由多根丝组成的拉动贴壁调节丝6中的不同分丝实现,详细可以参见下述第九实施例所提供的由多根丝组成的贴壁调节丝6的结构和贴壁调节方式介绍。Based on the above five embodiments, it can be seen that the shape of the multiple corrugations in the corrugated electrode holder can be a triangular wave composed of multiple straight lines (see Figure 8A), or an arc wave composed of multiple circular arcs (see Figure 10A) , a sine wave (see Figure 11) or any one of a trapezoidal wave composed of straight lines and curves or other unillustrated ripples. The multiple corrugations can be distributed in the same plane or in different planes, and even the multiple corrugations can surround in an approximate spiral shape, so that the electrodes are distributed in the circumferential direction. Compared with multiple corrugations being distributed in the same plane, when multiple corrugations are distributed in different planes, in actual ablation operations, the corrugated electrode holder can adhere to the wall in any direction in the target lumen. In the above illustrated embodiment, on the same electrode holder, the shapes of the corrugations forming the corrugation are the same. Of course, the shapes and sizes of the multiple corrugations constituting the corrugated shape may also be different, and the shape, pitch, peak position, and trough position of each corrugation may be different. When corrugations of different sizes are used to form the corrugated electrode holder, when adjusting the adherence state, the adherence state of the local electrode can be adjusted by adjusting the corrugation size of the local area, and at the same time, the shape of other areas can not be adjusted. The adhering adjustment method of the corrugated electrode bracket composed of different corrugations can be realized by pulling different sub-filaments in the adhering adjustment wire 6 composed of multiple wires. For details, please refer to the following ninth embodiment. The structure of the adherence adjustment wire 6 composed of multiple wires and the adjustment method of the adherence are introduced.

此外,在该射频消融导管中,贴壁调节丝6的设置方式也可以多样,贴壁调节丝6的前段可以如第一实施例、第二实施例和第三实施例所示经过设置在多个波纹的外管上的孔,也可以如第五实施例所示,不经过各个波纹的外管,而是直接绕过各个波纹后进入电极支架内部并被固定。而相对于贴壁调节丝6的前段整体外露于电极支架外部的设置方式,贴壁调节丝6经过设置在不同波纹外管上的孔的结构,对电极支架的形状改变更具有可控性,贴壁效果更佳。In addition, in this radio frequency ablation catheter, the arrangement mode of the adherence adjustment wire 6 can also be varied, and the front section of the adherence adjustment wire 6 can be set in multiple positions as shown in the first embodiment, the second embodiment and the third embodiment. The holes on the outer tubes of each corrugation, as shown in the fifth embodiment, do not pass through the outer tubes of each corrugation, but directly bypass each corrugation and enter the inside of the electrode holder and be fixed. Compared with the setting method in which the front section of the sticking adjusting wire 6 is exposed outside the electrode bracket as a whole, the sticking adjusting wire 6 passes through the structure of holes arranged on different corrugated outer tubes, so that the shape change of the electrode bracket is more controllable. The effect of sticking to the wall is better.

第五实施例fifth embodiment

上面仅对第五实施例中电极支架的形态以及贴壁调节丝6的前段的设置方式进行了简单介绍,下面结合图11至图15B以第五实施例为例,对射频消融导管中贴壁调节丝6的具体结构及对应的控制手柄20的结构进行详细介绍。The above only briefly introduces the shape of the electrode holder in the fifth embodiment and the setting method of the front section of the adherence adjustment wire 6. The fifth embodiment is taken as an example in conjunction with FIG. 11 to FIG. The specific structure of the adjustment wire 6 and the structure of the corresponding control handle 20 will be described in detail.

如图11所示的射频消融导管,其内部的贴壁调节丝6可以与第一实施例中的结构类似,贴壁调节丝6是独立于支撑丝7和定型丝8的单丝;贴壁调节丝6也可以同时具有支撑丝的功能,或者,贴壁调节丝6的前端还可以与支撑丝7固定,使贴壁调节丝6作为支撑丝7的分支。支撑丝7和贴壁调节丝6均可采用细丝或细管制成。In the radiofrequency ablation catheter as shown in Figure 11, the adherence adjustment wire 6 inside it can be similar to the structure in the first embodiment, and the adherence adjustment wire 6 is a monofilament independent of the support wire 7 and the shaping wire 8; The adjustment wire 6 can also have the function of a support wire at the same time, or the front end of the adhesion adjustment wire 6 can also be fixed with the support wire 7, so that the adhesion adjustment wire 6 can be used as a branch of the support wire 7. Both the support wire 7 and the wall-adhesion adjustment wire 6 can be made of thin wire or thin tube.

如图12和图13所示,当贴壁调节丝6同时具有支撑丝的功能时,贴壁调节丝6的后段可滑动地设置于连接导管的某一管腔内,并且其后端连接至控制手柄20;贴壁调节丝6的前段绕过多个波纹或者经过设置在不同波纹上的孔后,其前端从靠近电极支架前端的孔11回到电极支架内部后,穿出电极支架前端并被固定在电极支架的前端或被限制在电极支架的前端的外部。在贴壁调节丝6的前端可以设置显影头和/或软导丝9。软导丝9的结构可以是如图12所示的直头软导丝,也可以是如图13所示的弯头软导丝。弯头软导丝可由多个圆弧、直线或曲线组成,可有1个或多个弯头。当贴壁调节丝6的前端设置软导丝时,射频消融导管可在无鞘管引导下进入血管内所需位置。As shown in Figure 12 and Figure 13, when the adherence adjustment wire 6 has the function of a support wire at the same time, the rear section of the adhesion adjustment wire 6 is slidably arranged in a certain lumen of the connecting catheter, and its rear end is connected to To the control handle 20; after the front section of the wall-adhering adjustment wire 6 bypasses multiple corrugations or passes through holes arranged on different corrugations, its front end returns to the inside of the electrode bracket from the hole 11 near the front end of the electrode bracket, and passes through the front end of the electrode bracket And be fixed on the front end of the electrode support or be limited to the outside of the front end of the electrode support. A developing head and/or a soft guide wire 9 may be arranged at the front end of the adherence adjustment wire 6 . The structure of the soft guide wire 9 can be a straight soft guide wire as shown in FIG. 12 , or an elbow soft guide wire as shown in FIG. 13 . Elbow flexible guide wire can be composed of multiple arcs, straight lines or curves, and can have one or more elbows. When the front end of the adherence adjustment wire 6 is provided with a soft guide wire, the radiofrequency ablation catheter can enter the desired position in the blood vessel without the guidance of a sheath.

如图14所示,当贴壁调节丝6的前端固定在支撑丝7上时,可以理解,贴壁调节丝6是支撑丝7向后的分支76。此时,在连接导管和电极支架内部存在一个或两个管腔,用于容纳支撑丝7的两个分支。当电极支架内部未独立设置定型丝8时,还可以通过预先定型,将支撑丝7的前部对应于电极支架的部分定型为波纹定型段78,并将支撑丝7对应于波纹定型段78的分支固定在管腔内部,其后端可直接固定在连接导管内,也可固定在控制手柄内部,从而保证电极支架在不受外力时可保持波纹形;而支撑丝7对应于贴壁调节丝的分支76可以在管腔内部滑动设置,其末端可固定在设置在控制手柄20上的控制件上或者也可固定在外设的控制件上。而当支撑丝7并不兼具定型丝8的功能时,支撑丝7和贴壁调节丝6可以一起滑动设置于同一或者分别设置在两个管腔中,两者的后端穿出连接导管后分别固定在设置在控制手柄20上的对应控制件或者外设的对应控制件上。As shown in FIG. 14 , when the front end of the adherence adjustment wire 6 is fixed on the support wire 7 , it can be understood that the adherence adjustment wire 6 is a backward branch 76 of the support wire 7 . At this time, there are one or two lumens inside the connecting catheter and the electrode holder for accommodating the two branches of the support wire 7 . When the sizing wire 8 is not independently set inside the electrode bracket, it is also possible to shape the front part of the support wire 7 corresponding to the electrode stent into a corrugated sizing section 78 by pre-sizing, and the support wire 7 corresponds to the corrugated sizing section 78. The branch is fixed inside the lumen, and its rear end can be directly fixed in the connecting catheter or inside the control handle, so as to ensure that the electrode bracket can maintain the corrugated shape when it is not subjected to external force; and the support wire 7 corresponds to the wall-adhering adjustment wire The branch 76 can be slidably arranged inside the lumen, and its end can be fixed on the control part provided on the control handle 20 or can also be fixed on the control part of the external device. And when the support wire 7 does not have the function of the shaping wire 8, the support wire 7 and the adherence adjustment wire 6 can be slid together and arranged in the same or respectively in two lumens, and the rear ends of the two pass through the connecting catheter. Finally, they are respectively fixed on the corresponding control parts arranged on the control handle 20 or the corresponding control parts of the peripheral equipment.

当贴壁调节丝6与支撑丝7合并,或者支撑丝7兼具定型丝8的功能时,控制手柄20上可以仅设置一个与贴壁调节丝6连接的控制件22即可,此时,控制手柄20的结构可以参见图15A和图15B。通过将控制件22从图15A所示的位置后推至图15B所示的位置,可以向后拉动贴壁调节丝6,使电极支架的直径增大。When the adherence adjustment wire 6 is combined with the support wire 7, or when the support wire 7 has the function of the setting wire 8 concurrently, only one control member 22 connected with the adherence adjustment wire 6 can be set on the control handle 20. At this time, The structure of the control handle 20 can be referred to Fig. 15A and Fig. 15B. By pushing back the control member 22 from the position shown in FIG. 15A to the position shown in FIG. 15B , the apposition adjustment wire 6 can be pulled backward to increase the diameter of the electrode holder.

第六实施例Sixth embodiment

图16和图17是第六实施例中的射频消融导管的两种结构示意图。Fig. 16 and Fig. 17 are schematic diagrams of two structures of the radiofrequency ablation catheter in the sixth embodiment.

在第一实施例到第五实施例中,不论多个波纹在同一平面内或者不同平面内分布,也不论贴壁调节丝6是否经过设置在波纹上的孔,贴壁调节丝6均设置在电极支架的中心位置附近。而在第六实施例中,与上述五个实施例均不相同,在该实施例中,贴壁调节丝6偏心设置在波纹型电极支架上,其设置位置可以为电极支架的最高点,也可以为电极支架的中心位置和顶点位置之间的任意位置。In the first embodiment to the fifth embodiment, regardless of whether a plurality of corrugations are distributed in the same plane or in different planes, and regardless of whether the adherence adjustment wire 6 passes through the holes provided on the corrugations, the adherence adjustment wire 6 is all set in the near the center of the electrode holder. However, in the sixth embodiment, which is different from the above five embodiments, in this embodiment, the wall-attachment adjustment wire 6 is eccentrically arranged on the corrugated electrode holder, and its setting position can be the highest point of the electrode holder or the highest point of the electrode holder. It can be any position between the center position and the apex position of the electrode holder.

在图16所示的结构中,贴壁调节丝6偏心设置在波纹型电极支架上,并且贴壁调节丝6的前段从靠近电极支架后端的孔中穿出后,经过设置在波纹上的孔,然后从靠近电极支架前端的孔进入电极支架前端后被固定。In the structure shown in Figure 16, the adherence adjustment wire 6 is eccentrically arranged on the corrugated electrode support, and the front section of the adherence adjustment wire 6 passes through the hole arranged on the corrugation after passing through the hole near the rear end of the electrode support. , and then enter the front end of the electrode support from the hole close to the front end of the electrode support and be fixed.

在图17所示的结构中,贴壁调节丝6偏心设置在波纹型电极支架上,贴壁调节丝6的前段从靠近电极支架后端的孔中穿出后,绕过多个波纹,然后从靠近电极支架前端的孔进入电极支架前端后被固定。In the structure shown in Figure 17, the wall-adherence adjustment wire 6 is eccentrically arranged on the corrugated electrode bracket. After the front section of the wall-adherence adjustment wire 6 passes through the hole near the rear end of the electrode bracket, it bypasses multiple corrugations, and then passes through the The hole close to the front end of the electrode support is fixed after entering the front end of the electrode support.

当贴壁调节丝6的前端绕过多个波纹设置时,拉动贴壁调节丝6可以极大地增大收缩后的波纹形的直径,理想情况下,电极支架可以适用于直径大于电极支架波纹段直径的血管。由于人体血管直径范围固定,从而可以将射频消融导管中电极支架的波纹型的初始直径大幅减小,方便射频消融导管进入血管和在血管内部移动。When the front end of the wall-adhering adjustment wire 6 is set around multiple corrugations, pulling the wall-adherence adjustment wire 6 can greatly increase the diameter of the corrugated shape after contraction. diameter blood vessels. Since the diameter range of the human blood vessel is fixed, the initial diameter of the corrugated electrode holder in the radiofrequency ablation catheter can be greatly reduced, which facilitates the radiofrequency ablation catheter to enter the blood vessel and move inside the blood vessel.

第七实施例Seventh embodiment

在如图18所示的射频消融导管中,电极支架具有两个波纹,并且贴壁调节丝6偏心设置,其中,贴壁调节丝6可以采用一根丝,也可以采用两根丝。In the radiofrequency ablation catheter as shown in FIG. 18 , the electrode holder has two corrugations, and the adherence adjustment wire 6 is eccentrically arranged, wherein one or two adherence adjustment wires 6 can be used.

在如图19所示的结构中,贴壁调节丝6是一根丝,其后段通过连接导管内部的管腔回到控制手柄中,并且其后端被固定在设置在控制手柄上的控制件或者外设的控制件上;其中间段从靠近电极支架后端的孔12穿出后,有两点分别固定在设置在两个波纹中间位置的波峰处的孔13和孔14中;然后其前端从靠近电极支架前端的孔11进入电极支架内部,并经过电极支架和连接导管内部的管腔回到连接导管后端,与其后端一起固定在同一控制件上或者与后端分别固定在各自的控制件上。在这种结构中,贴壁调节丝6的前段和后段均经过连接导管内部的管腔,并且其前端和后端分别被固定在各自对应的控制件上(简称,对应控制件),两个对应控制件均可以设置在控制手柄20上,或者设置在控制手柄20的外部,或者两个对应控制件还可以一个设置在控制手柄20上,另一个设置在控制手柄20外部。通过两个对应控制件分别对贴壁调节丝6的前段和后段进行控制,可以分开调节两个波纹的收缩程度。而且,贴壁调节丝6的前端和后端还可以一起固定在同一控制件上。In the structure shown in Figure 19, the wall-adherence adjustment wire 6 is a wire, and its rear section returns to the control handle through the lumen inside the connecting catheter, and its rear end is fixed on the control handle provided on the control handle. Components or peripheral control parts; after the middle section passes through the hole 12 near the rear end of the electrode holder, two points are respectively fixed in the holes 13 and 14 at the peaks of the two corrugations; then the other The front end enters the inside of the electrode bracket from the hole 11 close to the front end of the electrode bracket, and returns to the rear end of the connecting catheter through the lumen inside the electrode bracket and the connecting catheter, and is fixed on the same control piece together with the rear end or on a separate on the controls. In this structure, both the front section and the back section of the adherence adjustment wire 6 pass through the inner lumen of the connecting catheter, and the front and back ends are respectively fixed on corresponding control pieces (referred to as corresponding control pieces). Each of the corresponding control parts can be arranged on the control handle 20, or arranged outside the control handle 20, or two corresponding control parts can also be arranged on the control handle 20, and the other is arranged outside the control handle 20. The front section and the back section of the sticking adjustment wire 6 are respectively controlled by two corresponding control members, so that the contraction degrees of the two corrugations can be separately adjusted. Moreover, the front end and the rear end of the sticking adjustment wire 6 can also be fixed together on the same control member.

如图20和图21所示,在图18所示的结构中,贴壁调节丝6还可以由分别用于调节两个波纹的两根丝6A和6B组成,每根丝的前端分别固定在对应波纹的一端,另一端绕过波纹,从波纹的另一端回到电极支架内部,并经由电极支架内部和连接导管内部的管腔回到控制手柄,然后被固定在设置在控制手柄上的或者外设的对应控制件上。As shown in Fig. 20 and Fig. 21, in the structure shown in Fig. 18, the sticking adjustment wire 6 can also be composed of two wires 6A and 6B respectively used to adjust the two corrugations, and the front ends of each wire are respectively fixed on Corresponding to one end of the corrugation, the other end bypasses the corrugation, returns to the inside of the electrode holder from the other end of the corrugation, and returns to the control handle through the lumen inside the electrode holder and the connecting catheter, and then is fixed on the control handle or on the corresponding controls of the peripherals.

在图20中,细丝6A的前端被固定在设置在两个波纹之间的孔13中,后端经由靠近电极支架前端的孔11回到电极支架内部,并经由电极支架内部和连接导管内部的管腔回到控制手柄,然后被固定在对应控制件上;细丝6B的前端被固定在设置在两个波纹之间的另一孔14中,后端经由靠近电极支架后端的孔12回到电极支架内部,并经由电极支架内部和连接导管内部的管腔回到控制手柄,然后被固定在对应控制件上。在图21中,细丝6B的设置与图20中的设置相同,细丝6A的前端被固定在靠近电极支架前端的孔11中,后端经由设置在两个波纹之间的孔13回到电极支架内部,并经由电极支架内部和连接导管内部的管腔,然后被固定在对应控制件上。分别与细丝6A和6B固定的两个对应控制件均可以设置在控制手柄20上,或者设置在控制手柄20的外部。贴壁调节丝6A和6B分别用于对两个波纹的收缩程度进行控制。通过两个对应控制件对贴壁调节丝6A和6B分别进行控制,可以分开调节两个波纹的收缩程度。此外,细丝6A和细丝6B的对应控制件还可以是同一控制件。In Fig. 20, the front end of the filament 6A is fixed in the hole 13 provided between the two corrugations, the rear end returns to the inside of the electrode holder through the hole 11 close to the front end of the electrode holder, and passes through the inside of the electrode holder and the inside of the connecting catheter. The lumen returns to the control handle, and is then fixed on the corresponding control piece; the front end of the filament 6B is fixed in another hole 14 arranged between the two corrugations, and the rear end passes through the hole 12 near the rear end of the electrode holder. to the inside of the electrode bracket, and return to the control handle via the inside of the electrode bracket and the lumen inside the connecting catheter, and then be fixed on the corresponding control piece. In Fig. 21, the setting of the filament 6B is the same as that in Fig. 20, the front end of the filament 6A is fixed in the hole 11 close to the front end of the electrode holder, and the rear end returns to the hole 13 through the hole 13 arranged between the two corrugations. The inside of the electrode bracket is fixed on the corresponding control part via the inside of the electrode bracket and the lumen inside the connecting catheter. Two corresponding control members respectively fixed to the filaments 6A and 6B can be arranged on the control handle 20 or outside the control handle 20 . Adhesion adjustment wires 6A and 6B are respectively used to control the shrinkage of the two corrugations. The sticking adjustment wires 6A and 6B are respectively controlled by two corresponding control members, so that the contraction degrees of the two corrugations can be separately adjusted. In addition, the corresponding control elements of the filament 6A and the filament 6B can also be the same control element.

第八实施例Eighth embodiment

在如图22和图23所示的第八实施例中,贴壁调节丝6是分别用于调节一个波纹和一段波纹(即一个波纹段)的两根丝6A’和6B’,每根丝的前端分别固定在对应波纹/波纹段的一端,另一端绕过对应波纹/波纹段,从波纹/波纹段的另一端回到电极支架内部,并经由电极支架内部和连接导管内部的管腔回到控制手柄后,被固定在对应控制件上。如图23所示,细丝6A’和6B’的前端均被固定在靠近电极支架前端的孔11中,两根细丝的后端60分别经由设置在两个波纹之间的孔13和靠近电极支架后端的孔12回到电极支架内部,并最终被固定在对应控制件上。细丝6A’用于对靠近电极支架前端的单个波纹的收缩程度进行控制,细丝6B’用于对整个波纹段进行控制,在图示的实施例中,整个波纹段包括两个波纹,即细丝6B’用于对两个波纹的收缩程度进行控制。细丝6B’对应调节的波纹段包括细丝6A’对应调节的单个波纹。在该实施例中,分别与两根丝的后端连接的对应控制件还可以是同一控制件。In the eighth embodiment shown in Figure 22 and Figure 23, the sticking adjustment wire 6 is two wires 6A' and 6B' respectively used to adjust one corrugation and one section of corrugation (ie one corrugation segment), each wire The front ends of the corrugated/corrugated sections are respectively fixed at one end of the corresponding corrugated/corrugated section, and the other end bypasses the corresponding corrugated/corrugated section, returns to the inside of the electrode holder from the other end of the corrugated/corrugated section, and returns to the electrode holder via the inside of the electrode holder and the lumen inside the connecting catheter. After reaching the control handle, it is fixed on the corresponding control piece. As shown in Figure 23, the front ends of the thin wires 6A' and 6B' are all fixed in the holes 11 near the front end of the electrode holder, and the rear ends 60 of the two thin wires pass through the holes 13 arranged between the two corrugations and close to the holes 11 respectively. The hole 12 at the rear end of the electrode bracket returns to the inside of the electrode bracket, and is finally fixed on the corresponding control piece. The thin wire 6A' is used to control the shrinkage of a single corrugation near the front end of the electrode holder, and the thin wire 6B' is used to control the entire corrugated section. In the illustrated embodiment, the entire corrugated section includes two corrugations, namely The filament 6B' is used to control the degree of shrinkage of the two corrugations. The correspondingly adjusted corrugated section of filament 6B' comprises the correspondingly adjusted single corrugation of filament 6A'. In this embodiment, the corresponding control elements respectively connected to the rear ends of the two wires may also be the same control element.

结合第七实施例和第八实施例可知,当电极支架具有两个以上的波纹时,贴壁调节丝6还可以由两根或两根以上的多根丝组成,多根丝分别用于调节电极支架上的一个或者一段波纹,其中一段波纹中包括两个及两个以上的多个波纹,每根丝的前端分别固定在对应波纹/波纹段的一端,另一端绕过波纹/波纹段,从波纹/波纹段的另一端回到电极支架内部,并经由电极支架内部和连接导管内部的管腔被固定在对应控制件上。当一根丝用于调节单个波纹时,其前端固定在该波纹的一端,后端从设置在该波纹另一端的孔中穿入电极支架内部;当一根丝用于调节某一段波纹时,其前端固定在该段波纹的一端,后端从设置在该段波纹另一端的孔中穿入电极支架内部。上述多根丝分别控制的多段波纹之间可以有重叠。如图20和图21中所示的结构是贴壁调节丝具有两根丝,并且两根丝分别用于调节电极支架上两个波纹的结构示例;而如图22和图23所示的第八实施例的结构是贴壁调节丝6具有两根丝,两根丝分别用于控制电极支架上一个波纹和一段波纹的结构示例。Combining the seventh embodiment and the eighth embodiment, it can be seen that when the electrode holder has more than two corrugations, the wall-attachment adjustment wire 6 can also be composed of two or more than two wires, and the multiple wires are respectively used for adjusting One or a section of corrugations on the electrode support, one of which includes two or more corrugations, the front end of each wire is respectively fixed at one end of the corresponding corrugation/corrugation section, and the other end bypasses the corrugation/corrugation section, Return to the inside of the electrode holder from the other end of the corrugated/corrugated section, and be fixed on the corresponding control member via the lumen inside the electrode holder and the inside of the connecting catheter. When a wire is used to adjust a single corrugation, its front end is fixed at one end of the corrugation, and the rear end passes through the hole at the other end of the corrugation into the inside of the electrode holder; when a wire is used to adjust a certain section of corrugation, Its front end is fixed on one end of the segment of corrugation, and its rear end penetrates into the inside of the electrode holder through a hole provided at the other end of the segment of corrugation. There may be overlapping between the multiple segments of corrugations controlled by the multiple wires. The structure shown in Figure 20 and Figure 21 is a structure example in which the sticking adjustment wire has two wires, and the two wires are respectively used to adjust the two corrugations on the electrode holder; while the first wire shown in Figure 22 and Figure 23 The structure of the eighth embodiment is a structure example in which the adherence adjustment wire 6 has two wires, and the two wires are respectively used to control one corrugation and one section of corrugation on the electrode bracket.

当使用多个控制件对电极支架不同波纹段进行分别控制时,在该射频消融导管进入目标位置后,可以根据需要对电极支架的对应波纹段进行分段扩张,即仅改变需要射频的波纹段的直径,从而增大了电极支架不同波纹段直径调整的灵活性,并降低了射频消融导管贴壁调整的难度。When multiple control parts are used to separately control different corrugated sections of the electrode support, after the radiofrequency ablation catheter enters the target position, the corresponding corrugated sections of the electrode support can be expanded in sections according to needs, that is, only the corrugated sections that require radio frequency can be changed Therefore, the flexibility of adjusting the diameters of different corrugated sections of the electrode support is increased, and the difficulty of adjusting the radiofrequency ablation catheter to the wall is reduced.

此外,上述多根丝的后端还可以固定在同一控制件上,通过同一控制件对上述多根丝进行一并控制。In addition, the rear ends of the above-mentioned multiple wires can also be fixed on the same control member, and the above-mentioned multiple wires are controlled together by the same control member.

第九实施例Ninth embodiment

如图24所示,本实施例中所提供的射频消融导管的电极支架由多个具有不同尺寸的波纹组成。其中,所有波纹的尺寸均可以不同,也可以部分波纹采用同一尺寸,而其余波纹采用另外的尺寸。此外,多个波纹还可以采用从电极支架的前端向后端依次递增的尺寸进行设置,或者采用从电极支架的前端向后端依次递减的尺寸进行设置。此时,该射频消融导管中设置有由多根丝组成的贴壁调节丝6,不同的丝分别用于对电极支架的不同部分进行控制,通过拉动不同的丝可以改变波纹段对应区域的波纹尺寸,实现电极支架的局部贴壁。由多根丝组成的贴壁调节丝6的具体设置方式可以参见第六实施例和第七实施例,在此不再重复。As shown in FIG. 24 , the electrode holder of the radiofrequency ablation catheter provided in this embodiment is composed of multiple corrugations with different sizes. The sizes of all the corrugations may be different, or some of the corrugations may be of the same size, while the rest of the corrugations may be of another size. In addition, the multiple corrugations can also be set with increasing sizes from the front end to the rear end of the electrode support, or with decreasing sizes from the front end to the rear end of the electrode support. At this time, the radiofrequency ablation catheter is provided with an adherent adjustment wire 6 composed of multiple wires, and different wires are used to control different parts of the electrode holder, and the corrugation in the corresponding area of the corrugated section can be changed by pulling different wires. size, to achieve partial wall-attachment of the electrode holder. The specific arrangement of the adherence adjustment wire 6 composed of multiple wires can refer to the sixth embodiment and the seventh embodiment, and will not be repeated here.

当多个波纹从电极支架的前端向后端以依次递增的尺寸设置时,使用该电极支架的射频消融导管适用于目标管腔的直径由大逐步变小的情形。例如,可使用该射频消融导管从直径较大的血管中进入直径较小的分支小血管中进行消融。此时可通过控制对应于小直径波纹段的多根丝使小直径波纹段贴壁良好,从而使用小直径波纹段对分支小血管进行消融;或者,也可以通过控制多根丝使大直径波纹段和小直径波纹段同时贴壁,从而对大血管和小血管同时进行消融或先后进行消融。When a plurality of corrugations are arranged in successively increasing sizes from the front end to the rear end of the electrode support, the radiofrequency ablation catheter using the electrode support is suitable for the situation where the diameter of the target lumen gradually decreases from large to large. For example, the radiofrequency ablation catheter can be used to ablate from a blood vessel with a large diameter into a small branch blood vessel with a small diameter. At this time, the small-diameter corrugated section can be well adhered to the wall by controlling the multiple wires corresponding to the small-diameter corrugated section, so that the small-diameter corrugated section can be used to ablate the branched small blood vessels; The corrugated segment and the small-diameter corrugated segment adhere to the wall at the same time, so that the ablation of large vessels and small vessels is performed simultaneously or sequentially.

当多个波纹从电极支架的前端向后端以依次递减的尺寸设置时,使用该电极支架的射频消融导管可以适用于目标管腔的直径由小逐步变大的情形。例如适用于“经尿道系统进行肾盂区域的去交感神经消融术”,导管经尿道进入膀胱,再进入输卵管,到达肾盂区域,此时通过调节贴壁调节丝,可以使大直径波纹段和肾盂区域贴壁良好,小直径波纹段和输卵管贴壁良好,从而可同时对输卵管和肾盂区域附近的交感神经进行消融。When a plurality of corrugations are arranged in successively decreasing sizes from the front end to the rear end of the electrode support, the radiofrequency ablation catheter using the electrode support can be suitable for situations where the diameter of the target lumen gradually increases from small to large. For example, it is suitable for "transurethral system for sympathetic nerve ablation in the renal pelvis area". The catheter enters the bladder through the urethra, and then enters the fallopian tube to reach the renal pelvis area. Well-apposed, small-diameter corrugated segments and fallopian tubes are well-attached, allowing simultaneous ablation of sympathetic nerves near the fallopian tube and renal pelvis region.

综上所述,在波纹型射频消融导管中设置有贴壁调节丝,通过向后拉动贴壁调节丝,可以改变电极支架的波纹形直径,从而改善电极的贴壁状态,使得该射频消融导管适用于不同直径的血管。并且,上述贴壁调节丝还可以采用多根丝的结构,从而实现对射频消融导管不同波纹段的分别控制,简化直径调整的难度。In summary, the corrugated radio frequency ablation catheter is provided with an adherence adjustment wire, and by pulling the adhesion adjustment wire backward, the corrugated diameter of the electrode holder can be changed, thereby improving the adherence state of the electrode, so that the radio frequency ablation catheter Suitable for blood vessels of different diameters. Moreover, the above-mentioned adherence adjustment wire can also adopt a multi-wire structure, so as to realize separate control of different corrugated sections of the radiofrequency ablation catheter, and simplify the difficulty of diameter adjustment.

在实际临床治疗中,本实用新型所提供的射频消融导管及射频消融设备可以应用于不同部位、多种不同直径血管或气管的神经消融。例如,应用于肾动脉内神经消融治疗顽固性高血压患者,应用于腹腔动脉内神经消融治疗糖尿病患者,又如,应用于气管/支气管迷走神经分支消融治疗哮喘患者,以及应用于十二指肠迷走神经分支消融治疗十二指肠溃疡患者;此外,还可以用于肾盂内、肺动脉内等其他血管或气管内的神经消融。需要说明的是,本实用新型所提供的射频消融导管在临床治疗中并不限于上述列举的应用,还可用于其他部位的神经消融。In actual clinical treatment, the radiofrequency ablation catheter and the radiofrequency ablation device provided by the utility model can be applied to nerve ablation of different parts, blood vessels or trachea with different diameters. For example, nerve ablation in the renal artery is used to treat patients with refractory hypertension, nerve ablation in the celiac artery is used to treat patients with diabetes, and for example, nerve ablation in the trachea/bronchus is used to treat asthmatic patients, and vagus nerve in the duodenum Branch ablation is used to treat patients with duodenal ulcer; in addition, it can also be used for ablation of nerves in other blood vessels such as the renal pelvis, pulmonary artery, or the trachea. It should be noted that the radiofrequency ablation catheter provided by the present invention is not limited to the applications listed above in clinical treatment, and can also be used for nerve ablation in other parts.

上面对本实用新型所提供的射频消融导管进行了介绍,本实用新型同时提供了包括上述射频消融导管的射频消融设备。该射频消融设备除去包括上述射频消融导管外,还包括与上述射频消融导管连接的射频消融主机。其中,电极支架内部的贴壁调节丝经过连接导管后对应连接到控制手柄上,通过控制手柄拉动贴壁调节丝可以改变电极支架的形状,使得电极支架在不同直径的目标管腔内贴壁良好。并且,电极支架中的射频线、热电偶丝分别通过连接导管连接到射频消融主机中的对应电路中,从而实现射频消融主机对多个电极的射频控制和温度监测。由于控制手柄的设置和射频消融主机的设置可以参见本申请人已公开的在先专利申请,在此不再对其具体结构进行详细描述。The radio frequency ablation catheter provided by the utility model is introduced above, and the utility model also provides a radio frequency ablation device including the above radio frequency ablation catheter. In addition to the radio frequency ablation catheter, the radio frequency ablation device also includes a radio frequency ablation host connected to the radio frequency ablation catheter. Among them, the wall-adherence adjustment wire inside the electrode bracket is connected to the control handle after passing through the connecting catheter, and the shape of the electrode bracket can be changed by pulling the wall-attachment adjustment wire through the control handle, so that the electrode bracket can adhere well to the wall of the target lumen with different diameters . In addition, the radio frequency wires and thermocouple wires in the electrode holder are respectively connected to the corresponding circuits in the radio frequency ablation host through connecting catheters, so as to realize radio frequency control and temperature monitoring of multiple electrodes by the radio frequency ablation host. Since the setting of the control handle and the setting of the radiofrequency ablation host can refer to the applicant's published prior patent application, the specific structure thereof will not be described in detail here.

以上对本实用新型所提供的具有贴壁调节丝的波纹型射频消融导管及其设备进行了详细的说明。对本领域的一般技术人员而言,在不背离本实用新型实质精神的前提下对它所做的任何显而易见的改动,均应属于本实用新型保护的范围。The corrugated radiofrequency ablation catheter and its equipment provided by the present invention have been described in detail above. For those skilled in the art, any obvious changes made to it without departing from the essential spirit of the utility model shall belong to the protection scope of the utility model.

Claims (25)

1. there is a ripple type radio frequency ablation catheter for adherent adjustment silk, there is the connecting duct of strip, be provided with electrode suppor in the front end of described connecting duct, the rear end of described connecting duct is provided with joystick; It is characterized in that:
The ripple type electrode suppor that described electrode suppor is made up of one or more ripple, one or more distribution of electrodes is on ripple;
The back segment of described adherent adjustment silk is slidably disposed in one of them tube chamber of described connecting duct, and its rear end is connected on the control piece that is arranged on described joystick or is connected on the control piece of peripheral hardware; After the leading portion of described adherent adjustment silk passes described electrode suppor outside, through one or more hole of being arranged on described ripple or walk around multiple ripple, then its front end is got back to electrode suppor inside and is fixed.
2. ripple type radio frequency ablation catheter as claimed in claim 1, is characterized in that:
After electrode suppor inside is got back in the front end of described adherent adjustment silk, the tube chamber through described electrode suppor and described connecting duct inside gets back to connecting duct rear end, and is fixed on described joystick or is fixed on described control piece.
3. ripple type radio frequency ablation catheter as claimed in claim 1, is characterized in that:
The front end of described adherent adjustment silk is fixed on described electrode suppor front end.
4. ripple type radio frequency ablation catheter as claimed in claim 2 or claim 3, is characterized in that:
Also comprise the supporting wire in a certain tube chamber being arranged on described connecting duct and described electrode suppor.
5. ripple type radio frequency ablation catheter as claimed in claim 4, is characterized in that:
Also comprise the fixed wire being arranged on described electrode suppor inside.
6. ripple type radio frequency ablation catheter as claimed in claim 4, is characterized in that:
The front end of described supporting wire is provided with developing head and/or soft seal wire.
7. ripple type radio frequency ablation catheter as claimed in claim 4, is characterized in that:
On described joystick or described joystick outside is also provided with for end fixed second control piece with described supporting wire.
8. ripple type radio frequency ablation catheter as claimed in claim 2 or claim 3, is characterized in that:
Also comprise the supporting wire in a certain tube chamber being fixedly installed on described connecting duct and described electrode suppor, described supporting wire is fixed to ripple type in the part of described electrode suppor inside, forms ripple sizing section.
9. ripple type radio frequency ablation catheter as claimed in claim 1, is characterized in that:
After electrode suppor inside is got back in the front end of described adherent adjustment silk, pass described electrode suppor front end, and be fixed on the front end of described electrode suppor or be limited in the outside of front end of described electrode suppor.
10. ripple type radio frequency ablation catheter as claimed in claim 9, is characterized in that:
The front end of described adherent adjustment silk is provided with developing head and/or soft seal wire.
11. ripple type radio frequency ablation catheters as claimed in claim 10, is characterized in that:
Also comprise the fixed wire being arranged on described electrode suppor inside.
12. ripple type radio frequency ablation catheters as claimed in claim 1, is characterized in that:
Also comprise the supporting wire be arranged in certain tube chamber of described connecting duct and described electrode suppor, and the front end of described adherent adjustment silk is fixed on supporting wire; Or described adherent adjustment silk is the filament that described supporting wire outwards separates.
13. ripple type radio frequency ablation catheters as claimed in claim 12, is characterized in that:
Described supporting wire is fixed to ripple type in the part of described electrode suppor inside, forms ripple sizing section.
14. ripple type radio frequency ablation catheters as claimed in claim 1, is characterized in that:
Also comprise the fixed wire be arranged in certain tube chamber of described electrode suppor, and the front end of described adherent adjustment silk is fixed on described fixed wire; Or described adherent adjustment silk is the filament that described fixed wire outwards separates.
15. ripple type radio frequency ablation catheters as claimed in claim 1, is characterized in that:
Described adherent adjustment silk is made up of the multi-filament of more than two or two, multi-filament is respectively used to regulate on described electrode suppor or one section of ripple, wherein one section of ripple comprises two and plural multiple ripple, the front end of every rhizoid is separately fixed at one end of corresponding ripple/bellows segment, after the other end walks around corresponding ripple/bellows segment, and tube chamber that is inner via electrode suppor and connecting duct inside, be then fixed on be arranged on corresponding control piece on described joystick or peripheral hardware control piece on.
16. ripple type radio frequency ablation catheters as claimed in claim 15, is characterized in that:
The corresponding control piece of described multi-filament is same control piece.
17. ripple type radio frequency ablation catheters as claimed in claim 15, is characterized in that:
Overlap is had between the multistage ripple that described multi-filament controls respectively.
18. ripple type radio frequency ablation catheters as claimed in claim 1, is characterized in that:
Described electrode suppor comprises outer tube, and the excircle of described outer tube is embedded with electrode, and the inside of described outer tube is provided with one or more tube chamber, is wherein respectively arranged with one group of thermocouple wire and radio frequency line in part tube chamber; The inside of each described electrode is provided with one group of radio frequency line and thermocouple wire, described radio frequency line and described Electrode connection, and described thermocouple wire and described electrode insulation are arranged.
19. ripple type radio frequency ablation catheters as claimed in claim 1, is characterized in that:
The shape of described ripple is by the broken line of multistage rectilinear(-al), or is made up of multistage curve, or by curve and rectilinear(-al).
20. ripple type radio frequency ablation catheters as claimed in claim 1, is characterized in that:
Described adherent adjustment silk eccentric setting on described electrode suppor.
21. ripple type radio frequency ablation catheters as claimed in claim 1, is characterized in that:
Described electrode is arranged on the crest/wave trough position of described ripple.
22. ripple type radio frequency ablation catheters as claimed in claim 1, is characterized in that:
The shape and size forming multiple ripples of described electrode suppor are different.
23. ripple type radio frequency ablation catheters as claimed in claim 22, is characterized in that:
The multiple ripples forming described electrode suppor are arranged with the size increased progressively successively to the back-end from the front end of electrode suppor, or the multiple ripples forming described electrode suppor are arranged with the size of successively decreasing successively to the back-end from the front end of electrode suppor.
24. 1 kinds of ripple type radio frequency ablation catheters with adherent adjustment silk, have the connecting duct of strip, are provided with electrode suppor in the front end of described connecting duct, the rear end of described connecting duct is provided with joystick; It is characterized in that:
The ripple type electrode suppor that described electrode suppor is made up of multiple ripple, one or more distribution of electrodes is on ripple;
Described adherent adjustment silk is made up of the multi-filament of more than two or two, multi-filament is respectively used to regulate on described electrode suppor or one section of ripple, wherein one section of ripple comprises two and plural multiple ripple, the front end of every rhizoid is separately fixed at one end of corresponding ripple/bellows segment, after the other end walks around corresponding ripple/bellows segment, the tube chamber of and connecting duct inside inner via electrode suppor, be then fixed on be arranged on corresponding control piece on described joystick or peripheral hardware control piece on.
25. 1 kinds of radio-frequency (RF) ablation equipment, is characterized in that the radio frequency ablation catheter comprised in claim 1 ~ 24 described in any one, and the radio-frequency (RF) ablation main frame be connected with described radio frequency ablation catheter.
CN201520605029.2U 2015-05-13 2015-08-12 Ripple type radio frequency melts pipe and equipment with silk is adjusted to adherence Expired - Lifetime CN205019161U (en)

Priority Applications (7)

Application Number Priority Date Filing Date Title
CN201520605029.2U CN205019161U (en) 2015-08-12 2015-08-12 Ripple type radio frequency melts pipe and equipment with silk is adjusted to adherence
JP2017558658A JP6852898B2 (en) 2015-05-13 2016-05-10 Ripples high frequency ablation catheter with close contact adjustment wire
EP16792177.4A EP3295885B1 (en) 2015-05-13 2016-05-10 Corrugated radiofrequency ablation catheter having wall-attaching adjustment wires and apparatus thereof
ES16792177T ES2935607T3 (en) 2015-05-13 2016-05-10 Corrugated radiofrequency ablation catheter having wall attachment fixing wires and apparatus thereof
PCT/CN2016/081621 WO2016180327A1 (en) 2015-05-13 2016-05-10 Corrugated radiofrequency ablation catheter having wall-attaching adjustment wires and apparatus thereof
US15/573,462 US20180116712A1 (en) 2015-05-13 2016-05-10 Corrugated radiofrequency ablation catheter having wall-attaching adjustment wires and apparatus thereof
US18/089,753 US20230129393A1 (en) 2015-05-13 2022-12-28 Corrugated radiofrequency ablation catheter having wall-attaching adjustment wire and apparatus thereof

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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105078571A (en) * 2015-05-13 2015-11-25 上海魅丽纬叶医疗科技有限公司 Corrugated type radiofrequency ablation guide tube with wall-adherent adjusting wire and equipment thereof
WO2016180327A1 (en) * 2015-05-13 2016-11-17 上海魅丽纬叶医疗科技有限公司 Corrugated radiofrequency ablation catheter having wall-attaching adjustment wires and apparatus thereof
CN108236500A (en) * 2016-12-23 2018-07-03 上海微创电生理医疗科技股份有限公司 Electrophysiologicalcatheter catheter
CN110353795A (en) * 2018-04-09 2019-10-22 乐普(北京)医疗器械股份有限公司 A multipolar radiofrequency ablation catheter for the treatment of resistant hypertension
WO2023125416A1 (en) * 2021-12-31 2023-07-06 深圳市先健呼吸科技有限公司 Ablation apparatus

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105078571A (en) * 2015-05-13 2015-11-25 上海魅丽纬叶医疗科技有限公司 Corrugated type radiofrequency ablation guide tube with wall-adherent adjusting wire and equipment thereof
WO2016180327A1 (en) * 2015-05-13 2016-11-17 上海魅丽纬叶医疗科技有限公司 Corrugated radiofrequency ablation catheter having wall-attaching adjustment wires and apparatus thereof
CN108236500A (en) * 2016-12-23 2018-07-03 上海微创电生理医疗科技股份有限公司 Electrophysiologicalcatheter catheter
CN110353795A (en) * 2018-04-09 2019-10-22 乐普(北京)医疗器械股份有限公司 A multipolar radiofrequency ablation catheter for the treatment of resistant hypertension
WO2023125416A1 (en) * 2021-12-31 2023-07-06 深圳市先健呼吸科技有限公司 Ablation apparatus

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