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Interventricular septum puncture apparatus assembly and intervention method thereof

A technology of interventricular septum and instruments, applied in the direction of puncture needles and trocars, etc., can solve problems such as difficult to repair chordae, high risk, and large surgical trauma, and achieve the effects of preventing puncture, accurate puncture position, and avoiding damage

Active Publication Date: 2018-07-27
潘湘斌
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

[0002] Mitral valve insufficiency is a common heart disease, and conventional surgical operations are traumatic and risky
At present, transcatheter repair of mitral valve is performed by transapical puncture or transseptal puncture. The former needs to enter the chest cavity through a surgical incision, but repair operations such as double holes and artificial chordae can be performed. Although the latter has no incision, Puncture through the femoral vein can implement double-hole treatment, but it is difficult to repair the chordae, and a new type of puncture component is urgently needed to overcome the above problems
[0003] None of the puncture instruments used in the prior art can prevent the back wall of the heart from being punctured during puncture. In the previous patent application document named puncture needle assembly with application number 201410417903.X, the delivery steel cable used The outer connection has a directional locator, through which the space position of the puncture target can be selected and the direction of the puncture needle tip can be limited, but it still cannot solve the problem of preventing the back wall of the heart from being pierced during puncture. Therefore, a set of interventricular septal puncture is urgently needed The device components can not only ensure the accurate puncture position, but also ensure that the puncture needle will not damage the posterior wall of the heart during ventricular septal puncture.

Method used

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  • Interventricular septum puncture apparatus assembly and intervention method thereof
  • Interventricular septum puncture apparatus assembly and intervention method thereof
  • Interventricular septum puncture apparatus assembly and intervention method thereof

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Experimental program
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Effect test

Embodiment 1

[0034] Such as Figure 1-2 As shown, the present invention provides a puncture instrument assembly for interventricular septum, including a positioning sheath 1, a puncture sheath 2, and a puncture guide wire. The sheath tube is folded, and the inner tube wall of the positioning end is provided with a threaded spring, which can cause the bending deformation of the positioning end sheath tube. The connecting rod of the spring is connected to the bending knob 11 provided on the hand-held end, and the bending knob is rotated to control the bending deformation of the positioning end.

[0035] The length of the positioning sheath AC is 40-80cm, the diameter is 10-28F, the middle bending angle of the sheath is 30-60°, preferably 45°, and the distance from the apex of the bending part to the apex of the positioning end is 3-15cm. After entering the right atrium from the jugular vein, the sheath can enter the right ventricle through the tricuspid valve very smoothly without causing st...

Embodiment 2

[0041] Such as image 3 As shown, the interventricular septum puncture instrument assembly can also include a ventricle protector 3, which is formed by connecting the ventricle protector with a cone-shaped head 31 and a push rod 32, and the cone-shaped head is braided by nickel-titanium alloy The mesh cone structure is formed, and the inside of the cone is filled with insulators; the ventricle protector can be put into the loading sheath and sent into the catheter, and the cone-shaped head can be stretched inside and outside the catheter by pushing and pulling the push rod. After the head is pushed out of the catheter, it returns to the shape of the vertebral body.

[0042] The cone-shaped head 31 is braided by nickel-titanium alloy wire, and there are many grid-shaped gaps on the surface. After the puncture guide wire passes through the interventricular septum, it can enter the interior of the vertebral body through these gaps, and the interior of the vertebral body is filled...

Embodiment 3

[0045] Figure 4 It is the intervention flowchart of the interventricular septal puncture instrument assembly of the present invention, such as Figure 4 Shown, the intervening method of interventricular septum puncture instrument assembly, comprises the following steps:

[0046] Step 1 Insert the interatrial septal puncture sheath through the femoral vein, puncture the interatrial septum and enter the left atrium to place a guide wire, send the delivery catheter along the guide wire into the left ventricle to reach the apex of the heart, put the ventricular protector into the loading sheath, and place the loading sheath and delivery catheter The tails are connected, inserted into the ventricular protector, and the pushing rod is pushed forward, so that the cone-shaped head extends out of the delivery catheter, and the head of the cone expands in the apex of the left ventricle;

[0047] Step 2: Send the pigtail catheter through the right jugular vein into the right ventricle ...

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Abstract

The invention discloses an interventricular septum puncture apparatus assembly and an intervention method thereof. The interventricular septum puncture apparatus assembly comprises a positioning sheathing canal, a puncture sheathing canal, a puncture guide wire and a ventricular protector. The head of the positioning sheathing canal can bend and eject at a target puncture part on an interventricular septum after the positioning sheathing canal enters a ventriculus dexter, meanwhile the ventricular protector is placed at the tip part of the ventriculus dexter through an atrial septum puncture approach for use, the puncture guide wire reaches the puncture part along the positioning sheathing canal and penetrates through the interventricular septum to enter a ventriculus sinister, the ventricular protector further punctures a ventricle rear wall after stopping the puncture guide wire from puncturing the interventricular septum, and the head of the positioning sheathing canal can further bend after the puncture sheathing canal penetrates through the interventricular septum along the puncture guide wire through the positioning sheathing canal and enters the ventriculus sinister. By means of the interventricular septum puncture apparatus assembly, the accuracy of the puncture position can be ensured, and meanwhile it is avoided that the ventricle is punctured through during puncturing and the ventricle rear wall is injured.

Description

technical field [0001] The invention belongs to the field of biomedical instruments, and in particular relates to an interventricular septum puncture instrument assembly and an intervention method thereof. Background technique [0002] Mitral valve insufficiency is a common heart disease, and conventional surgical operations are traumatic and risky. Transcatheter interventional technique for mitral valve repair is minimally invasive and safe, and is an ideal alternative therapy. At present, transcatheter repair of mitral valve is performed by transapical puncture or transseptal puncture. The former needs to enter the chest cavity through a surgical incision, but repair operations such as double holes and artificial chordae can be performed. Although the latter has no incision, Puncture through the femoral vein can implement double-hole treatment, but it is difficult to repair the chordae. A new type of puncture component is urgently needed to overcome the above problems. ...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): A61B17/34
CPCA61B17/3403A61B17/3478A61B2017/3405
Inventor 潘湘斌
Owner 潘湘斌
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