CN111317543B - Multi-functional strutting clearing device of neural intervention - Google Patents

Multi-functional strutting clearing device of neural intervention Download PDF

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CN111317543B
CN111317543B CN202010208224.7A CN202010208224A CN111317543B CN 111317543 B CN111317543 B CN 111317543B CN 202010208224 A CN202010208224 A CN 202010208224A CN 111317543 B CN111317543 B CN 111317543B
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李祥欣
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Nanyang City Center Hospital
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    • A61B2017/320716Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions comprising means for preventing embolism by dislodged material
    • AHUMAN NECESSITIES
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    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/32Surgical cutting instruments
    • A61B17/3205Excision instruments
    • A61B17/3207Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions
    • A61B2017/320741Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions for stripping the intima or the internal plaque from a blood vessel, e.g. for endarterectomy

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Abstract

本发明涉及一种神经介入多功能支护清除装置,导管端头内设置有连通口,连通口与导管内腔相连通,在连通口内壁设置有内螺纹层,内螺纹层与外螺纹管螺纹连接,外螺纹管的外端与旋转支架管相连接,外螺纹管的内端与套管相连接,在旋转支架管的外侧连接有低压吸附管,低压吸附管上安装有电磁阀,套管的内端与清挖装置相连接;将两个定影管采用螺旋移动的方式错位位移,并将肿瘤或者栓塞位置夹持在两个定影管之间,实现了对病变位置的准确定位,有利于后面作业施工的操作。

Figure 202010208224

The invention relates to a multifunctional support and removal device for nerve intervention. The end of a catheter is provided with a communication port, the communication port is communicated with the inner cavity of the catheter, an inner thread layer is arranged on the inner wall of the communication port, and the inner thread layer is connected with the outer thread pipe thread. Connection, the outer end of the externally threaded pipe is connected with the rotating support pipe, the inner end of the externally threaded pipe is connected with the sleeve, a low-pressure adsorption pipe is connected to the outside of the rotating support pipe, and a solenoid valve is installed on the low-pressure adsorption pipe. The inner end of the tube is connected with the excavation device; the two fixing tubes are dislocated and displaced by spiral movement, and the tumor or embolism position is clamped between the two fixing tubes, so as to realize the accurate positioning of the lesion position, which is beneficial to Operation behind the construction work.

Figure 202010208224

Description

一种神经介入多功能支护清除装置A kind of nerve intervention multifunctional support and clearing device

技术领域technical field

本发明涉及医学领域,具体涉及一种神经介入多功能支护清除装置。The invention relates to the field of medicine, in particular to a multifunctional support and removal device for nerve intervention.

背景技术Background technique

介入技术和内科技术、外科技术一起并称为三大医学技术;相对于后两者,它是一门年轻的技术,既独立于内外科技术之外,又和它们交叉并存,协同发展。介入技术以其所涉及的专业领域不同而分为心脏介入、外周介入和神经介入三大类。神经介入技术顾名思义是治疗神经系统疾病的。它是在数字减影血管造影DSA系统的支持下,采用血管内导管操作技术,通过选择性造影、栓塞、扩张成形、机械清除、药物递送等具体方法,对累及人体神经血管系统的病变进行诊断和治疗。它是一种新兴的微创临床技术,为许多脑与脊髓血管疾病开辟了新的思路和治疗途径。既可以独立解决许多脑血管疾病,又可以和传统的开放手术、放射治疗等巧妙结合,使原来无法或难以治疗的疾病得到满意疗效。随着对许多疾病认识的深入和理念的更新,神经介入技术在脑血管病治疗中的地位越来越高,目前已经成为热门学科,并且得到了快速的发展和普及。Interventional technology, internal medicine technology and surgical technology are collectively known as the three major medical technologies; compared with the latter two, it is a young technology that is independent of medical and surgical technologies, and coexists with them and develops collaboratively. Interventional techniques are divided into three categories: cardiac intervention, peripheral intervention and neurointervention according to the different professional fields involved. Neurointerventional techniques, as the name suggests, are used to treat neurological diseases. Under the support of digital subtraction angiography DSA system, it adopts intravascular catheter operation technology, through selective angiography, embolization, dilatation, mechanical removal, drug delivery and other specific methods to diagnose lesions involving the human neurovascular system. and treatment. It is an emerging minimally invasive clinical technology that opens up new ideas and therapeutic approaches for many cerebral and spinal vascular diseases. It can not only solve many cerebrovascular diseases independently, but also can be skillfully combined with traditional open surgery and radiation therapy, so that the previously intractable or difficult diseases can be treated with satisfactory results. With the deepening of understanding of many diseases and the renewal of concepts, neurointerventional technology has become more and more important in the treatment of cerebrovascular diseases. It has become a popular subject, and has been rapidly developed and popularized.

目前脉瘤栓塞术需要使用导管在颅内血管内到达动脉瘤的位置对瘤体进行栓塞去除作业,现有的神经介入微导管在使用时,存在以下缺陷:首先是导管位置定位不准确,达到栓塞位置之后,采取的定影作业为单行定影,粗略找到去除位置,在实际操作中,不能精确控制去除段落的位置,需要依靠操作人员人为判断;其次,传统导管摘除肿瘤栓塞时,采取的装置和步骤方法效率较低,不能对摘除位置实现封闭式摘除作业,导致栓块溢流,造成不必要的麻烦;再次,传统的摘除装饰结构复杂,在微小的管径内部实现机械传动的方式,成本较高,并且,结构单一,实现精确的机械传统方式控制极为不便,影响摘除的效果。At present, aneurysm embolization requires the use of a catheter to reach the location of the aneurysm in the intracranial blood vessels for embolization and removal of the aneurysm. The existing neurointerventional microcatheter has the following defects: first, the catheter location is inaccurate, reaching the position of the aneurysm. After the embolization position, the fixing operation adopted is single-line fixing, and the removal position is roughly found. In actual operation, the position of the removal section cannot be precisely controlled, and the operator needs to rely on human judgment. The efficiency of the step method is low, and the closed removal operation cannot be realized for the removal position, which leads to the overflow of the plug block and causes unnecessary trouble; thirdly, the traditional removal and decoration structure is complicated, and the mechanical transmission method is realized in the tiny pipe diameter, and the cost It is relatively high and has a single structure, which makes it extremely inconvenient to achieve precise mechanical control in a traditional way, which affects the removal effect.

因此,生产一种结构简单,操作方便,工作和运行效率高,定位准确,功能多样,封闭式操作作业,采取段落区间清除方式,清除彻底无残留,操作实现方式简单,整体控制精确,安全系数高的神经介入多功能支护清除装置,具有广泛的市场前景。Therefore, the production of a kind of simple structure, convenient operation, high work and operation efficiency, accurate positioning, diverse functions, closed operation operation, adopting the method of paragraph interval clearing, complete clearing without residue, simple operation method, accurate overall control, and safety factor High-level neuro-interventional multi-functional support and removal device has broad market prospects.

发明内容SUMMARY OF THE INVENTION

针对现有技术的不足,本发明提供一种结构简单,操作方便,工作和运行效率高,定位准确,功能多样,封闭式操作作业,采取段落区间清除方式,清除彻底无残留,操作实现方式简单,整体控制精确,安全系数高的神经介入多功能支护清除装置,用于克服现有技术中的缺陷。Aiming at the deficiencies of the prior art, the present invention provides a simple structure, convenient operation, high work and running efficiency, accurate positioning, diverse functions, closed operation operation, adopting a paragraph interval clearing method, complete clearing without residue, and simple operation implementation. , the overall control is accurate and the safety factor is high, the multifunctional support and removal device for nerve intervention is used to overcome the defects in the prior art.

本发明的技术方案是这样实现的:一种神经介入多功能支护清除装置,包括导管,安装在导管一端的第一定影管,安装在导管另一端的导管端头,所述的导管端头内设置有连通口,连通口与导管内腔相连通,在连通口内壁设置有内螺纹层,内螺纹层与外螺纹管螺纹连接,外螺纹管的外端与旋转支架管相连接,外螺纹管的内端与套管相连接,在旋转支架管的外侧连接有低压吸附管,低压吸附管上安装有电磁阀,套管的内端与清挖装置相连接。The technical scheme of the present invention is achieved as follows: a multifunctional support and removal device for nerve intervention, comprising a catheter, a first fixation tube installed at one end of the catheter, a catheter end installed at the other end of the catheter, and the catheter end A communication port is arranged in the head, the communication port is communicated with the inner cavity of the catheter, an inner thread layer is arranged on the inner wall of the communication port, the inner thread layer is threadedly connected with the outer thread pipe, the outer end of the outer thread pipe is connected with the rotating bracket pipe, and the outer thread is connected with the rotating support pipe. The inner end of the threaded pipe is connected with the casing, the outer side of the rotating support pipe is connected with a low-pressure adsorption pipe, a solenoid valve is installed on the low-pressure adsorption pipe, and the inner end of the casing is connected with the excavation device.

所述的清挖装置包括与套管内端连接为一体结构的端头管,在端头管的端部通过螺纹连接的方式安装有第二定影管,第二定影管的外侧端部固定安装有堵头,在第二定影管与套管之间的端头管上外壁套装有至少两个低压气囊,相邻的两个低压气囊之间的端头管的圆周方向均等分布有挖勺,每个挖勺的底部均设置有与端头管内部相连通的漏料孔,每个低压气囊的内部均通过开设在端头管上的充气孔与充气管道相连通,充气管道的一端设置在端头管内腔,充气管道的另一端设置在旋转支架管的外部。The excavation device includes an end pipe which is connected with the inner end of the casing as an integral structure, and a second fixing pipe is installed on the end of the end pipe by means of threaded connection, and the outer end of the second fixing pipe is fixedly installed. Plug, at least two low-pressure airbags are sleeved on the outer wall of the end tube between the second fixing tube and the sleeve, and scoops are evenly distributed in the circumferential direction of the end tube between the two adjacent low-pressure airbags. The bottom of each scoop is provided with a leakage hole that communicates with the inside of the end pipe, the inside of each low-pressure air bag is connected with the inflatable pipe through the inflatable hole opened on the end pipe, and one end of the inflatable pipe is set at the end of the pipe. In the inner cavity of the head tube, the other end of the inflation pipe is arranged outside the rotating support tube.

所述的导管为圆柱形空心管状结构,第一定影管的内端与导管的一端固定连接为一体结构,第一定影管的内壁与导管的内壁相连通,第一定影管的外径与导管的外径相等,导管端头为圆柱形管状结构,导管端头的外径不小于导管的外径,连通口的内径与导管的内径相配合,外螺纹管为圆柱形管状结构,旋转支架管为圆柱形管状结构,旋转支架管的外径不小于外螺纹管的外径,并且,旋转支架管的外径不大于导管端头的外径,套管与低压吸附管均为圆柱形管状结构,套管与低压吸附管的内径相等,套管的外径不大于外螺纹管的外径,外螺纹管的外径与低压吸附管的外径相等。The conduit is a cylindrical hollow tubular structure, the inner end of the first fixation tube is fixedly connected to one end of the conduit as an integral structure, the inner wall of the first fixation tube is communicated with the inner wall of the conduit, and the outer wall of the first fixation tube is connected. The diameter is equal to the outer diameter of the catheter, the end of the catheter is a cylindrical tubular structure, the outer diameter of the catheter end is not less than the outer diameter of the catheter, the inner diameter of the communication port matches the inner diameter of the catheter, and the external threaded pipe is a cylindrical tubular structure. The rotating support tube is a cylindrical tubular structure, the outer diameter of the rotating support tube is not less than the outer diameter of the external thread tube, and the outer diameter of the rotating support tube is not greater than the outer diameter of the catheter end, and the sleeve and the low-pressure adsorption tube are both cylindrical It has a tubular structure, the inner diameter of the casing and the low pressure adsorption tube are equal, the outer diameter of the casing is not greater than the outer diameter of the external thread pipe, and the outer diameter of the external thread pipe is equal to the outer diameter of the low pressure adsorption tube.

所述的套管的外径不大于导管的内径,套管的长度不大于导管的长度,外螺纹管的长度与导管端头的长度相等。The outer diameter of the sleeve is not larger than the inner diameter of the catheter, the length of the sleeve is not larger than the length of the catheter, and the length of the external threaded pipe is equal to the length of the end of the catheter.

所述的端头管与套管的长度之和与导管的长度相等,端头管为圆柱形管状结构,端头管的外径不大于套管的外径,挖勺外端至端头管轴线位置的垂线长度与套管外壁至套管轴线位置垂线的长度相等,第二定影管的外径与导管的外径相等,堵头为半球状结构,第二定影管的内侧通过堵头管连接螺纹管与端头管螺纹连接。The sum of the lengths of the end pipe and the casing is equal to the length of the conduit, the end pipe is a cylindrical tubular structure, the outer diameter of the end pipe is not greater than the outer diameter of the casing, and the outer end of the scoop reaches the end pipe. The length of the vertical line at the axis position is equal to the length of the vertical line from the outer wall of the casing to the axis position of the casing, the outer diameter of the second fixing tube is equal to the outer diameter of the conduit, the plug is a hemispherical structure, and the inner side of the second fixing tube is blocked. The head pipe connection threaded pipe is threadedly connected with the end pipe.

所述的所述的低压气囊通过粘贴连接紧固层粘贴在端头管的外壁,粘贴连接紧固层与低压气囊为一体结构,低压气囊为环状囊体结构,低压气囊充气后的外径与导管的外径相等。The said low-pressure airbag is pasted on the outer wall of the end pipe by the adhesive connection and fastening layer, and the adhesive connection and fastening layer is integrated with the low-pressure airbag. The low-pressure airbag is a ring-shaped airbag structure. Equal to the outer diameter of the catheter.

所述的挖勺为勺体结构,挖勺的底部与端头管的外壁为一体结构,漏料孔开设在挖勺与端头管连接位置一侧的端头管上,漏料孔的外侧与挖勺的根部相连通,漏料孔的内侧与端头管的官腔相连通。The scoop has a spoon body structure, the bottom of the scoop is integrated with the outer wall of the end pipe, the leakage hole is opened on the end pipe on the side where the scoop and the end pipe are connected, and the outside of the leakage hole is It is communicated with the root of the scoop, and the inner side of the leakage hole communicates with the official cavity of the end pipe.

所述的挖勺在同一端头管切面上分布的数量为六个,六个挖勺均等分布在该切面外侧的端头管圆周方向上,六个挖勺的排列朝向一致,每个挖勺外端至端头管轴线位置的垂线长度均不大于导管外壁至导管轴线位置垂线的长度,漏料孔的数量与挖勺的数量相一致,并且每个漏料孔与挖勺的设置位置均相同。The number of said scoops distributed on the cut surface of the same end tube is six, and the six scoops are evenly distributed in the circumferential direction of the end tube outside the cut surface. The length of the vertical line from the outer end to the axis position of the end pipe is not greater than the length of the vertical line from the outer wall of the duct to the axis position of the duct, the number of leakage holes is consistent with the number of scoops, and the setting of each leakage hole and scoop The locations are all the same.

所述的充气孔开设在低压气囊内侧的端头管上,充气孔的一侧与低压气囊相连通,充气孔的另一侧与端头管内腔相连通。The inflatable hole is opened on the end tube inside the low-pressure airbag, one side of the inflatable hole is communicated with the low-pressure airbag, and the other side of the inflation hole is communicated with the inner cavity of the end tube.

所述的挖勺的顶端部位设置有挖取刃头,挖取刃头的端部朝向挖勺的勺心部位。The top part of the scoop is provided with a scooping blade head, and the end of the scooping blade head faces the center part of the scoop.

本发明具有如下的积极效果:本产品操作方便,工作和运行效率高,克服了传统导管位置定位不准确的缺陷,本专利采用了两个定影管,利用可以相对位置移动的两个定影管实现了对肿瘤位置的定位,将两个定影管采用螺旋移动的方式错位位移,并将肿瘤或者栓塞位置夹持在两个定影管之间,实现了对病变位置的准确定位,有利于后面作业施工的操作;其次,本专利采用螺旋位移的方式,利用双层套管结构的相对位置的移动,将两个气囊分布在肿瘤位置的两端,使气囊与血管内壁之间形成一个相对独立的工作段,并利用分布在两个气囊之间的挖勺实现对病变位置的清除作业,该作业利用螺旋推进旋转,在旋转的过程中,采用挖取刃头对病变组织实现挖取作业,并利用挖勺的自然弧度将挖取的组织通过漏料孔推送至端头管内,并在开启外部的电磁阀后,利用低压将多余的组织抽取出去,在整个清除期间,两个气囊之间的血管段落为独立工作区域,保证了清洁的彻底性,并且气囊的数量为多个,可以根据病变位置利用螺栓推进的原理实现两个气囊之间的长度,对应利用外部低压充气的方式实现开启对应的低压气囊,实现两个低压气囊之间的长度不小于病变位置的长度,有利于将病变位置做独立隔离处理,减少了不必要的麻烦;再次,本产品采用了气囊结构嵌入到套管外部,并且对气囊的外径实施严格的控制,采用低压供气的方式,不会对血管管壁造成伤害,只要是堵头直径位置能到达和通过的地方,当气囊鼓起之后,是不会对血管管壁造成伤害的,同时挖勺的纵向外环面的外径不会超过导管外壁的外径,导管外壁的外径与堵头的最大直径相等,保证了在挖取作业实施是对血管管壁的持续保护作业,在保证安全的前提下实施了高效的清除作业,摈弃了传统内部机械式结构的复杂设计,减小了设备的危险系数,同时清除挖取作业采用螺旋旋转推进的方式实施,稳定系数高,安全系数高。The invention has the following positive effects: the product is easy to operate, has high work and running efficiency, and overcomes the defect of inaccurate positioning of the traditional conduit. The patent adopts two fixing tubes, which are realized by two fixing tubes that can move relative positions. In order to locate the tumor position, the two fixing tubes are dislocated and displaced by spiral movement, and the tumor or embolism position is clamped between the two fixing tubes, so as to realize the accurate positioning of the lesion position, which is beneficial to the subsequent operation and construction. Secondly, this patent adopts the method of helical displacement, using the relative position movement of the double-layer casing structure, to distribute the two balloons at both ends of the tumor position, so that a relatively independent work is formed between the balloon and the inner wall of the blood vessel. and use the scoops distributed between the two airbags to remove the lesions. This operation uses screw propulsion and rotation. During the rotation, the digging blade is used to dig out the diseased tissue. The natural curvature of the scoop pushes the excavated tissue into the end tube through the leakage hole, and after opening the external solenoid valve, the excess tissue is extracted by low pressure. During the entire removal period, the blood vessels between the two balloons The paragraph is an independent working area, which ensures the thoroughness of cleaning, and the number of airbags is multiple. The length between the two airbags can be realized according to the principle of bolt advancement according to the lesion position, and the corresponding external low-pressure inflation method can be used to open the corresponding airbags. The low-pressure air bag can realize that the length between the two low-pressure air bags is not less than the length of the lesion location, which is conducive to the independent isolation of the lesion location and reduces unnecessary troubles; again, this product adopts the air bag structure embedded outside the casing, In addition, the outer diameter of the balloon is strictly controlled, and the low-pressure air supply method will not cause damage to the vessel wall. The outer diameter of the longitudinal outer ring surface of the scoop will not exceed the outer diameter of the outer wall of the catheter, and the outer diameter of the outer wall of the catheter is equal to the maximum diameter of the plug, which ensures that the digging operation is performed on the blood vessels. The continuous protection of the pipe wall has carried out efficient removal operations on the premise of ensuring safety. The complex design of the traditional internal mechanical structure has been abandoned, and the risk factor of the equipment has been reduced. Implementation, high stability factor, high safety factor.

附图说明Description of drawings

图1为本发明的主视结构示意图。FIG. 1 is a schematic view of the front structure of the present invention.

图2为本发明的导管端头立体结构示意图。FIG. 2 is a schematic three-dimensional structure diagram of a catheter tip of the present invention.

图3为本发明的旋转支架管立体结构示意图。FIG. 3 is a schematic diagram of the three-dimensional structure of the rotating stent tube of the present invention.

图4为本发明的套管伸出结构示意图。FIG. 4 is a schematic diagram of the extension structure of the casing according to the present invention.

图5为本发明图4的内部结构示意图。FIG. 5 is a schematic diagram of the internal structure of FIG. 4 of the present invention.

图6为本发明图4沿A-A剖面结构示意图。FIG. 6 is a schematic view of the cross-sectional structure of FIG. 4 along A-A of the present invention.

图7为本发明的堵头结构示意图。FIG. 7 is a schematic diagram of the structure of the plug of the present invention.

具体实施方式Detailed ways

如图1、2、3、4、5、6、7所示,一种神经介入多功能支护清除装置,包括导管1,安装在导管1一端的第一定影管5,安装在导管1另一端的导管端头2,所述的导管端头2内设置有连通口13,连通口13与导管1内腔相连通,在连通口13内壁设置有内螺纹层14,内螺纹层14与外螺纹管7螺纹连接,外螺纹管7的整体部位可以实现在导管端头内壁的螺纹移动,实现外螺纹管7带动套管15在导管内部的旋转推进移动,利用螺纹的推进方式,稳定的实现套管的移动,进一步带动端头管16带动低压气囊和挖勺的移动,并利用旋转的方式实现挖勺的清除多余组织的作业,同时,采用螺旋推进的方式,并利用第一定影管5与第二定影管4实现定位,当套管端带有第二定影管4的位置与导管1带有第一定影管5产生相对位移时,可以根据病变位置开启不同的低压气囊,保证开启的两个低压气囊能够将病变位置实现全段隔离。外螺纹管7的外端与旋转支架管6相连接,外螺纹管7的内端与套管15相连接,在旋转支架管6的外侧连接有低压吸附管8,低压吸附管8上安装有电磁阀9,套管15的内端与清挖装置相连接。As shown in Figures 1, 2, 3, 4, 5, 6, and 7, a multifunctional nerve intervention support and removal device includes a catheter 1, a first fixation tube 5 installed at one end of the catheter 1, and a first fixation tube 5 installed on the catheter 1. The other end of the catheter end 2, the catheter end 2 is provided with a communication port 13, the communication port 13 is communicated with the inner cavity of the catheter 1, and an inner thread layer 14 is arranged on the inner wall of the communication port 13, and the inner thread layer 14 and the inner thread layer 14. The externally threaded pipe 7 is threadedly connected, and the entire part of the externally threaded pipe 7 can realize the threaded movement on the inner wall of the catheter end, so that the externally threaded pipe 7 can drive the sleeve 15 to rotate and move inside the catheter. The movement of the casing is realized, and the end tube 16 is further driven to drive the movement of the low-pressure air bag and the scoop, and the scoop is used to remove excess tissue by means of rotation. The positioning of the tube 5 and the second fixing tube 4 is realized. When the position of the sleeve end with the second fixing tube 4 and the catheter 1 with the first fixing tube 5 are displaced relative to each other, different low-pressure airbags can be opened according to the lesion position, The two low-pressure balloons that are guaranteed to be opened can isolate the lesion site in its entirety. The outer end of the externally threaded pipe 7 is connected with the rotating support pipe 6, the inner end of the externally threaded pipe 7 is connected with the sleeve 15, and a low-pressure adsorption pipe 8 is connected to the outside of the rotating support pipe 6, and a low-pressure adsorption pipe 8 is installed on the low-pressure adsorption pipe 8. The solenoid valve 9 and the inner end of the casing 15 are connected with the excavation device.

所述的清挖装置包括与套管15内端连接为一体结构的端头管16,在端头管16的端部通过螺纹连接的方式安装有第二定影管4,第二定影管4的外侧端部固定安装有堵头3,在第二定影管4与套管15之间的端头管16上外壁套装有至少两个低压气囊17,相邻的两个低压气囊17之间的端头管16的圆周方向均等分布有挖勺18,每个挖勺18的底部均设置有与端头管16内部相连通的漏料孔19,每个低压气囊17的内部均通过开设在端头管16上的充气孔22与充气管道10相连通,充气管道10的一端设置在端头管16内腔,充气管道10的另一端设置在旋转支架管6的外部。采用将清挖装置隐藏在导管1内部的方式,在到达病患位置支后再采取外螺纹管7与导管端头2螺纹推进的方式实现套管15带动端头管16从导管1内伸出实现位移,位移的目的有两个,第一是实现将内部隐藏的低压气囊17移出,并根据病患的长度确定开启相对应的气囊,利用对应开启的两个气囊将病患位置全段实施隔离,气囊设置多个,可以根据病患长度对应开启,保证开启后的两个气囊之间即为病变位置,在螺旋推进的过程中,利用两个定影管道的位移位置确定病患位置的长度,使用起来方便快捷,定位极为准确。第二个目的是实现螺旋旋转过程中,利用导管端头2为外螺纹管7的行进提供一个稳定的支撑体,保证外螺纹管7能稳定的位移。The excavation device includes an end pipe 16 which is connected with the inner end of the sleeve 15 as an integral structure, and the end of the end pipe 16 is installed with a second fixing pipe 4 by means of screw connection. A plug 3 is fixedly installed at the outer end, and at least two low-pressure airbags 17 are sleeved on the outer wall of the end tube 16 between the second fixing tube 4 and the sleeve 15. The end between the adjacent two low-pressure airbags 17 Digging scoops 18 are equally distributed in the circumferential direction of the head tube 16, the bottom of each scooping scoop 18 is provided with a leakage hole 19 that communicates with the inside of the end head tube 16, and the interior of each low-pressure air bag 17 is opened at the end of the head tube 17. The inflation hole 22 on the tube 16 communicates with the inflation pipe 10 . The excavation device is hidden inside the catheter 1, and after reaching the patient's position, the outer threaded pipe 7 and the catheter end 2 are threaded to push the casing 15 to drive the end pipe 16 to protrude from the catheter 1. There are two purposes of displacement. The first is to remove the hidden low-pressure airbag 17, and determine the opening of the corresponding airbag according to the length of the patient, and use the two correspondingly opened airbags to implement the entire section of the patient's position. Isolation, there are multiple airbags, which can be opened according to the length of the patient, to ensure that the lesion position is between the two airbags after opening. In the process of spiral advancement, the displacement position of the two fixing pipes is used to determine the length of the patient's position. , it is convenient and quick to use, and the positioning is extremely accurate. The second purpose is to use the catheter end 2 to provide a stable support body for the traveling of the externally threaded pipe 7 during the spiral rotation process, so as to ensure the stable displacement of the externally threaded pipe 7 .

所述的导管1为圆柱形空心管状结构,第一定影管5的内端与导管1的一端固定连接为一体结构,第一定影管5的内壁与导管1的内壁相连通,第一定影管5的外径与导管1的外径相等,导管端头2为圆柱形管状结构,导管端头2的外径不小于导管1的外径,连通口13的内径与导管1的内径相配合,外螺纹管7为圆柱形管状结构,旋转支架管6为圆柱形管状结构,旋转支架管6的外径不小于外螺纹管7的外径,并且,旋转支架管6的外径不大于导管端头2的外径,套管15与低压吸附管8均为圆柱形管状结构,套管15与低压吸附管8的内径相等,套管15的外径不大于外螺纹管7的外径,外螺纹管7的外径与低压吸附管8的外径相等。所述的套管15的外径不大于导管1的内径,套管15的长度不大于导管1的长度,外螺纹管7的长度与导管端头2的长度相等。所述的端头管16与套管15的长度之和与导管1的长度相等,端头管16为圆柱形管状结构,端头管16的外径不大于套管15的外径,挖勺18外端至端头管16轴线位置的垂线长度与套管15外壁至套管15轴线位置垂线的长度相等,第二定影管4的外径与导管1的外径相等,堵头3为半球状结构,第二定影管4的内侧通过堵头管连接螺纹管20与端头管16螺纹连接。The conduit 1 is a cylindrical hollow tubular structure, the inner end of the first fixing tube 5 is fixedly connected to one end of the conduit 1 as an integral structure, the inner wall of the first fixing tube 5 is communicated with the inner wall of the conduit 1, and the first fixing tube 5 is in communication with the inner wall of the conduit 1. The outer diameter of the fixing tube 5 is equal to the outer diameter of the conduit 1, the conduit end 2 is a cylindrical tubular structure, the outer diameter of the conduit end 2 is not less than the outer diameter of the conduit 1, and the inner diameter of the communication port 13 is the same as the conduit 1. Matching, the external thread pipe 7 is a cylindrical tubular structure, the rotating support pipe 6 is a cylindrical tubular structure, the outer diameter of the rotating support pipe 6 is not less than the outer diameter of the external thread pipe 7, and the outer diameter of the rotating support pipe 6 is not less than Larger than the outer diameter of the catheter end 2, the sleeve 15 and the low-pressure adsorption tube 8 are both cylindrical tubular structures, the inner diameter of the sleeve 15 and the low-pressure adsorption tube 8 are equal, and the outer diameter of the sleeve 15 is not larger than the outer diameter of the externally threaded pipe 7. The outer diameter of the externally threaded pipe 7 is equal to the outer diameter of the low-pressure adsorption pipe 8 . The outer diameter of the sleeve 15 is not larger than the inner diameter of the catheter 1 , the length of the sleeve 15 is not larger than the length of the catheter 1 , and the length of the externally threaded pipe 7 is equal to the length of the catheter end 2 . The sum of the lengths of the end pipe 16 and the sleeve 15 is equal to the length of the catheter 1, the end pipe 16 is a cylindrical tubular structure, and the outer diameter of the end pipe 16 is not greater than the outer diameter of the sleeve 15. 18 The length of the vertical line from the outer end to the axis position of the end tube 16 is equal to the length of the vertical line from the outer wall of the sleeve 15 to the axis position of the sleeve 15. The outer diameter of the second fixing tube 4 is equal to the outer diameter of the conduit 1, and the plug 3 It is a hemispherical structure, and the inner side of the second fixing tube 4 is threadedly connected to the end tube 16 through the plug tube connection threaded tube 20 .

产品规定了各个零部件的管径和长度,具体是为了保证在整个操作过程中的安全性,在血管壁内壁之间实施操作作业,利用外部的透视设备和定影设备实现操作完成,必须保证整个操作过程的安全性,也就是管径的设置必须合理安全,产品的挖勺和低压气囊的展开必须符合固定的标准,保证导管位置能通过的地方才能实施操作作业。The product specifies the diameter and length of each component. Specifically, in order to ensure the safety during the entire operation, the operation is performed between the inner wall of the blood vessel wall, and the operation is completed by using external fluoroscopy equipment and fixing equipment. The entire operation must be guaranteed. The safety of the operation process, that is, the setting of the pipe diameter must be reasonable and safe, the scoop of the product and the deployment of the low-pressure airbag must meet the fixed standards, and the operation can only be carried out in the place where the catheter can pass through.

所述的所述的低压气囊17通过粘贴连接紧固层21粘贴在端头管16的外壁,粘贴连接紧固层21与低压气囊17为一体结构,低压气囊17为环状囊体结构,低压气囊17充气后的外径与导管1的外径相等。所述的挖勺18为勺体结构,挖勺18的底部与端头管16的外壁为一体结构,漏料孔19开设在挖勺18与端头管16连接位置一侧的端头管16上,漏料孔19的外侧与挖勺18的根部相连通,漏料孔19的内侧与端头管16的官腔相连通。所述的挖勺18在同一端头管16切面上分布的数量为六个,六个挖勺18均等分布在该切面外侧的端头管16圆周方向上,六个挖勺18的排列朝向一致,每个挖勺18外端至端头管16轴线位置的垂线长度均不大于导管1外壁至导管1轴线位置垂线的长度,漏料孔19的数量与挖勺18的数量相一致,并且每个漏料孔19与挖勺18的设置位置均相同。所述的充气孔22开设在低压气囊17内侧的端头管16上,充气孔22的一侧与低压气囊17相连通,充气孔22的另一侧与端头管16内腔相连通。所述的挖勺18的顶端部位设置有挖取刃头25,挖取刃头25的端部朝向挖勺18的勺心部位。The said low-pressure airbag 17 is pasted on the outer wall of the end pipe 16 by sticking and connecting the fastening layer 21, and the pasting and connecting-fastening layer 21 and the low-pressure airbag 17 are integral structure. The inflated outer diameter of the balloon 17 is equal to the outer diameter of the catheter 1 . The scoop 18 is a scoop body structure, the bottom of the scoop 18 is integrated with the outer wall of the end pipe 16, and the leakage hole 19 is opened on the end pipe 16 on the side where the scoop 18 and the end pipe 16 are connected. Above, the outer side of the leakage hole 19 is communicated with the root of the scoop 18 , and the inner side of the leakage hole 19 is communicated with the official cavity of the end pipe 16 . The number of the scoops 18 distributed on the section of the same end tube 16 is six, the six scoops 18 are evenly distributed in the circumferential direction of the end tube 16 outside the section, and the six scoops 18 are arranged in the same direction. , the length of the vertical line from the outer end of each scoop 18 to the axis position of the end pipe 16 is not greater than the length of the vertical line from the outer wall of the conduit 1 to the axis position of the conduit 1, and the number of leakage holes 19 is consistent with the number of scoops 18, And the setting positions of each leakage hole 19 and the scoop 18 are the same. The inflatable hole 22 is opened on the end tube 16 inside the low-pressure airbag 17 , one side of the inflatable hole 22 is communicated with the low-pressure airbag 17 , and the other side of the inflation hole 22 is communicated with the inner cavity of the end tube 16 . The top part of the scoop 18 is provided with a scooping blade 25 , and the end of the scooping blade 25 faces the center of the scoop 18 .

本产品在使用时:利用导管技术,将导管1置于病变血管内部,堵头3在初始状态下实施安装,利用堵头管连接螺纹管螺纹连接方式安装在端头管的外侧端部。设备初始状态下,导管1连通连接堵头之后的端头管16以及套管15全部进如血管,初始位置时,外螺纹管7位于导管端头2外侧未进入连通口内。这样保证了端头管16以及套管15在外螺纹管7进入导管端头2之后可以在螺旋推进的作用下实现从导管内移出,并将端头管16整个暴露在外侧,实现挖取作业。当导管1和堵头3到达病患位置后,第一定影管5和第二定影管4实现位置的标注,在外部显影设备的观测下,可以判断病变位置的长度,并将外螺纹管7螺旋进入到导管端头2内,在螺旋过程中,旋转支架管带动外螺纹管7进入的过程长度即为端头管16漏出导管1的长度,在移动的同时,第一定影管5和第二定影管4位置错开,利用外部的显影设备配合确定出病变位置的长度,当病变位置长度确定后,将低压气囊的位置也实施确定,随着螺旋推进,低压气囊漏出到导管外部,所有气囊均位于一定影管5和第二定影管4之前的位置,这就可以利用这个长度确定的可以将病患位置设置在对应开启的两个低压气囊之间,保证已经开启的两个低压气囊之间的距离要超过病患位置的长度,将病患位置之间的段落隔离在两个低压气囊之间,然后第气囊实施充气作业,并将外螺纹管7在导管端头2内实施拧紧和松动的循环作业,反复实施该作业的过程中,挖勺18和挖取刃头25对病患组织实施挖取和清楚作业,并将多余的组织通过漏料孔19进入到端头管16内腔,当实施一端时间后,开启电磁阀,并利用外部的低压负压抽取装置将坏死的组织抽取到外部,实现对病患部位的清除作业。When this product is in use: use catheter technology to place catheter 1 inside the diseased blood vessel, and install the plug 3 in the initial state, and install it on the outer end of the end tube by connecting the plug pipe to the threaded pipe. In the initial state of the device, the end tube 16 and the sleeve 15 after the catheter 1 is connected to the plug are all inserted into the blood vessel. In the initial position, the externally threaded tube 7 is located outside the catheter end 2 and does not enter the communication port. This ensures that the end pipe 16 and the sleeve 15 can be removed from the catheter under the action of screw propulsion after the male threaded pipe 7 enters the catheter end 2, and the end pipe 16 is completely exposed to the outside to realize the excavation operation. When the catheter 1 and the plug 3 reach the patient's position, the first fixing tube 5 and the second fixing tube 4 realize the marking of the position. Under the observation of the external developing device, the length of the diseased position can be judged, and the externally threaded tube 7 is screwed into the catheter end 2. During the helical process, the length of the process that the rotating bracket tube drives the external threaded tube 7 to enter is the length of the end tube 16 leaking out of the catheter 1. While moving, the first fixing tube 5 The position of the second fixing tube 4 is staggered, and the length of the lesion location is determined by using the external developing device. When the length of the lesion location is determined, the position of the low-pressure air bag is also determined. All airbags are located in front of the fixing tube 5 and the second fixing tube 4, so the patient position can be set between the two correspondingly opened low-pressure airbags by using this length to ensure the opened two low-pressure airbags. The distance between the balloons should exceed the length of the patient's position, isolate the section between the patient's positions between the two low-pressure balloons, and then the first balloon is inflated, and the external threaded tube 7 is implemented in the catheter end 2 The cyclic operation of tightening and loosening. During the repeated operation, the scoop 18 and the scooping blade 25 perform digging and clearing operations on the patient's tissue, and the excess tissue enters the end tube through the leakage hole 19. 16. In the inner cavity, when one end of the time is completed, the solenoid valve is opened, and the external low-pressure negative pressure extraction device is used to extract the necrotic tissue to the outside, so as to realize the removal of the patient site.

以上所述,仅是本发明的较佳实施例而已,并非是对本发明作其它形式的限制,任何熟悉本专业的技术人员可能利用上述揭示的技术内容加以变更或改型为等同变化的等效实施例。但是凡是未脱离本发明技术方案内容,依据本发明的技术实质对以上实施例所作的任何简单修改、等同变化与改型,仍属于本发明技术方案的保护范围。The above are only preferred embodiments of the present invention, and are not intended to limit the present invention in other forms. Any person skilled in the art may use the technical content disclosed above to make changes or modifications to equivalent changes. Example. However, any simple modifications, equivalent changes and modifications made to the above embodiments according to the technical essence of the present invention without departing from the content of the technical solutions of the present invention still belong to the protection scope of the technical solutions of the present invention.

Claims (9)

1. The utility model provides a multi-functional clearing device that struts of neural intervention, includes pipe (1), installs first definite image pipe (5) at pipe (1) one end, installs pipe end (2) at the pipe (1) other end, its characterized in that: a communicating port (13) is arranged in the conduit end (2), the communicating port (13) is communicated with the inner cavity of the conduit (1), an internal thread layer (14) is arranged on the inner wall of the communicating port (13), the internal thread layer (14) is in threaded connection with an external thread pipe (7), the outer end of the external thread pipe (7) is connected with a rotating bracket pipe (6), the inner end of the external thread pipe (7) is connected with a sleeve (15), the outer side of the rotating bracket pipe (6) is connected with a low-pressure adsorption pipe (8), an electromagnetic valve (9) is arranged on the low-pressure adsorption pipe (8), and the inner end of the sleeve (15) is connected with a dredging device; the cleaning and digging device comprises a head pipe (16) which is connected with the inner end of a sleeve (15) into a whole, a second fixing pipe (4) is installed at the end part of the head pipe (16) in a threaded connection mode, a plug (3) is fixedly installed at the outer side end part of the second fixing pipe (4), at least two low-pressure air bags (17) are sleeved on the outer wall of the head pipe (16) between the second fixing pipe (4) and the sleeve (15), digging scoops (18) are evenly distributed in the circumferential direction of the head pipe (16) between every two adjacent low-pressure air bags (17), a material leakage hole (19) communicated with the inside of the head pipe (16) is formed in the bottom of each digging scoop (18), the inside of each low-pressure air bag (17) is communicated with an inflation pipeline (10) through an inflation hole (22) formed in the head pipe (16), one end of the inflation pipeline (10) is arranged in the inner cavity of the head pipe (16), and the other end of the inflation pipeline (10) is arranged outside the rotary support pipe (6).
2. The multifunctional supporting and clearing device for nerve intervention according to claim 1, wherein: the pipe (1) is a cylindrical hollow tubular structure, the inner end of the first fixing shadow pipe (5) is fixedly connected with one end of the pipe (1) to form an integral structure, the inner wall of the first fixing shadow pipe (5) is communicated with the inner wall of the pipe (1), the outer diameter of the first fixing shadow pipe (5) is equal to that of the pipe (1), the pipe end (2) is a cylindrical tubular structure, the outer diameter of the pipe end (2) is not smaller than that of the pipe (1), the inner diameter of the communication port (13) is matched with that of the pipe (1), the outer threaded pipe (7) is a cylindrical tubular structure, the rotating support pipe (6) is a cylindrical tubular structure, the outer diameter of the rotating support pipe (6) is not smaller than that of the outer threaded pipe (7), the outer diameter of the rotating support pipe (6) is not larger than that of the pipe end (2), the sleeve (15) and the low-pressure adsorption pipe (8) are both cylindrical tubular structures, the sleeve (15) is equal to that of the low-pressure pipe (8), the outer diameter of the sleeve (15) is not larger than that of the adsorption pipe (7), and the outer diameter of the adsorption pipe (8).
3. The multifunctional supporting and clearing device for nerve intervention according to claim 1 or 2, wherein: the outer diameter of the sleeve (15) is not more than the inner diameter of the catheter (1), the length of the sleeve (15) is not more than the length of the catheter (1), and the length of the external thread pipe (7) is equal to the length of the catheter tip (2).
4. The multifunctional neuro-intervention support clearing device according to claim 1, wherein: the length sum of the end pipe (16) and the sleeve (15) is equal to the length of the guide pipe (1), the end pipe (16) is of a cylindrical tubular structure, the outer diameter of the end pipe (16) is not larger than the outer diameter of the sleeve (15), the length of a perpendicular line from the outer end of the scoop (18) to the axis position of the end pipe (16) is equal to the length of a perpendicular line from the outer wall of the sleeve (15) to the axis position of the sleeve (15), the outer diameter of the second fixing pipe (4) is equal to the outer diameter of the guide pipe (1), the plug (3) is of a hemispherical structure, and the inner side of the second fixing pipe (4) is in threaded connection with the end pipe (16) through a plug pipe connecting threaded pipe (20).
5. The multifunctional neuro-intervention support clearing device according to claim 1, wherein: the low-pressure air bag (17) is adhered to the outer wall of the end pipe (16) through an adhering connection fastening layer (21), the adhering connection fastening layer (21) and the low-pressure air bag (17) are of an integral structure, the low-pressure air bag (17) is of an annular bag body structure, and the outer diameter of the inflated low-pressure air bag (17) is equal to that of the catheter (1).
6. The multifunctional supporting and clearing device for nerve intervention according to claim 1, wherein: the material-leaking type excavator is characterized in that the excavator spoon (18) is of a spoon body structure, the bottom of the excavator spoon (18) and the outer wall of the end head pipe (16) are of an integral structure, the material-leaking hole (19) is formed in the end head pipe (16) on one side of the connecting position of the excavator spoon (18) and the end head pipe (16), the outer side of the material-leaking hole (19) is communicated with the root of the excavator spoon (18), and the inner side of the material-leaking hole (19) is communicated with an official cavity of the end head pipe (16).
7. The multifunctional supporting and clearing device for nerve intervention according to claim 1, 4 or 6, wherein: the quantity that the spoon (18) distribute on same end pipe (16) tangent plane be six, six spoon (18) equal distribution are on end pipe (16) circumferencial direction in this tangent plane outside, six arrange orientation of spoon (18) are unanimous, perpendicular length that every spoon (18) outer end to end pipe (16) axis position is all no longer than the length of pipe (1) outer wall to pipe (1) axis position perpendicular, the quantity of small opening (19) is unanimous with the quantity of spoon (18), and every small opening (19) is the same with the equal position that sets up of spoon (18).
8. The multifunctional supporting and clearing device for nerve intervention according to claim 1, wherein: the inflation hole (22) is arranged on the end head pipe (16) at the inner side of the low-pressure air bag (17), one side of the inflation hole (22) is communicated with the low-pressure air bag (17), and the other side of the inflation hole (22) is communicated with the inner cavity of the end head pipe (16).
9. The multifunctional neuro-intervention timbering removal device of claim 7, wherein: the top end part of the digging spoon (18) is provided with a digging blade head (25), and the end part of the digging blade head (25) faces to the spoon core part of the digging spoon (18).
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