WO2022078505A1 - 一种带加热功能的冷冻球囊导管 - Google Patents
一种带加热功能的冷冻球囊导管 Download PDFInfo
- Publication number
- WO2022078505A1 WO2022078505A1 PCT/CN2021/124146 CN2021124146W WO2022078505A1 WO 2022078505 A1 WO2022078505 A1 WO 2022078505A1 CN 2021124146 W CN2021124146 W CN 2021124146W WO 2022078505 A1 WO2022078505 A1 WO 2022078505A1
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- WO
- WIPO (PCT)
- Prior art keywords
- catheter
- heating function
- braided mesh
- metal
- power supply
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Ceased
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00005—Cooling or heating of the probe or tissue immediately surrounding the probe
- A61B2018/00041—Heating, e.g. defrosting
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00053—Mechanical features of the instrument of device
- A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
- A61B2018/0022—Balloons
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00696—Controlled or regulated parameters
- A61B2018/00714—Temperature
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00773—Sensed parameters
- A61B2018/00791—Temperature
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
- A61B2018/0212—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques using an instrument inserted into a body lumen, e.g. catheter
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
- A61B2018/0231—Characteristics of handpieces or probes
- A61B2018/0237—Characteristics of handpieces or probes with a thermoelectric element in the probe for cooling purposes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
- A61B2018/0231—Characteristics of handpieces or probes
- A61B2018/0262—Characteristics of handpieces or probes using a circulating cryogenic fluid
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
- A61B2018/0293—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques using an instrument interstitially inserted into the body, e.g. needle
Definitions
- the present application relates to the technical field of cryoablation instruments, in particular to a cryoballoon catheter with a heating function.
- cryoballoon catheters for interventional surgery currently have the following problems:
- the catheter enters the human body through the blood vessels of the human body, and the outer diameter is generally 3-4 mm.
- the tube wall will be very thin.
- the temperature of the fluid entering the catheter is low enough (eg ⁇ -80°C), it will affect the blood flowing on the outer surface of the catheter, and even freeze the blood vessels and damage the human tissue. This will endanger the lives of surgical patients.
- the purpose of this application is to provide a cryo-balloon catheter with a heating function, so as to solve the problem that when low-temperature fluid is introduced into the cryo-balloon catheter in the prior art, it will affect the blood flowing on the outer surface of the catheter, and even There is a problem of freezing blood vessels and freezing human tissue.
- a freezing balloon catheter with heating function comprising a catheter and an external power source
- the outer wall of the catheter comprises an inner layer, a middle layer and an outer layer sequentially arranged from the inside to the outside;
- the middle layer comprises a metal braided mesh, and the The metal braided net is connected to the power supply circuit of the external power supply.
- the metal braided mesh is a mesh-shaped metal wire braided mesh formed by interweaving a plurality of metal wires.
- a temperature controller is also provided on the power supply circuit formed by the external power supply and the metal braided mesh.
- the outer layer is made of block polyetheramide resin material.
- the inner layer is made of block polyetheramide resin material.
- thermostat is electrically connected with a thermocouple embedded in the outer wall of the conduit.
- thermocouple is embedded in the conduit.
- the metal wire braided mesh has a proximal end and a distal end, and the positive and negative electrodes of each metal wire in the metal wire braided mesh are drawn out from the proximal end.
- the distal end of the wire braided mesh is provided with a conductive ring, and the positive and negative electrodes of each wire in the wire braided mesh are connected to the conductive ring at the distal end.
- a deflection guide wire is provided on the outer side of the outer wall of the catheter, and the deflection guide wire, the metal braided mesh and the external power source constitute a power supply circuit.
- the cryo-balloon catheter with heating function provided by this application is provided with a metal braided mesh with heat conduction function in the middle layer of the outer wall of the cryo-balloon catheter, and the metal braided mesh is connected to an external power supply. After the metal braided mesh is energized, It can generate heat to ensure that the temperature of the outer surface of the catheter is kept within the set temperature, which can not only ensure the effect of cryoablation, but also prevent the cryogenic fluid in the cryoballoon catheter from transferring cold energy to the outside of the catheter and causing human tissue to be frozen. bad question.
- the cryoballoon catheter with heating function provided by this application is a mesh-shaped metal wire braided mesh formed by a plurality of metal wires intertwined with each other. , which can better ensure that the temperature of the outer surface of the catheter is kept within the required temperature range, and avoid the influence of uneven heating throughout the catheter on the human tissue outside the catheter.
- the cryoballoon catheter with heating function provided by this application is provided with a thermostat on the power supply circuit composed of an external power source and a metal braided mesh. The temperature is controlled within the desired temperature range.
- thermocouple connected to the thermostat is embedded in the middle layer of the catheter, which can measure the heating temperature of the metal braided mesh more closely and accurately, and measure the heating temperature of the metal braided mesh.
- the measured temperature signal is fed back to the thermostat, and the thermostat can control the heating power of the metal braided mesh more timely and accurately, which is beneficial to keep the temperature of the outer wall of the catheter stably within the required temperature range for a long time.
- the positive and negative electrodes of each metal wire in the wire braided mesh are drawn from the proximal end, and connected to the conductive ring at the distal end of the wire braided mesh, so that a plurality of metal wires are The wire forms a parallel circuit, which can increase the heat generation of the wire mesh.
- a deflection guide wire is arranged on the outer wall of the catheter, and the deflection guide wire, the metal braided mesh and the external power supply can form a power supply loop, so that the heating capacity of the metal braided mesh can be fully utilized. , thereby reducing the heating voltage of the external power supply.
- FIG. 1 is a schematic diagram of the connection structure of the cryoballoon catheter and an external power source in the first embodiment of the application;
- FIG. 2 is a schematic structural diagram of a metal wire woven mesh in an embodiment of the application
- FIG. 3 is a schematic diagram of the connection structure of the cryoballoon catheter and the external power source in the second embodiment of the application.
- the terms “installed”, “connected” and “connected” should be understood in a broad sense, for example, it may be a fixed connection or a detachable connection Connection, or integral connection; can be mechanical connection, can also be electrical connection; can be directly connected, can also be indirectly connected through an intermediate medium, can be internal communication between two elements.
- installed should be understood in a broad sense, for example, it may be a fixed connection or a detachable connection Connection, or integral connection; can be mechanical connection, can also be electrical connection; can be directly connected, can also be indirectly connected through an intermediate medium, can be internal communication between two elements.
- a cryoballoon catheter with heating function is used in the field of cryogenic medical devices, and the temperature of the cryogenic fluid introduced into the cryoballoon catheter is usually below -80°C.
- the cryoballoon catheter includes a catheter and an external power source 2.
- the outer wall of the catheter includes an inner layer 101, a middle layer and an outer layer 103 arranged in sequence from the inside to the outside.
- the inner layer 101 and the outer layer 103 are made of PEBAX (block polyetheramide resin). ) material; the middle layer is a metal woven mesh 102, and the metal woven mesh 102 is connected to the power supply loop of the external power supply 2.
- a metal braided mesh 102 with heat conduction function is arranged on the middle layer of the outer wall of the cryoballoon catheter, and the metal braided mesh 102 is connected to the external power supply 2.
- the metal braided mesh 102 is energized It can generate heat and ensure that the temperature of the outer surface of the catheter is kept within the set temperature (for example: 10 ⁇ 2°C), which can not only ensure the effect of cryoablation, but also solve the problem of low temperature when the cryoballoon catheter is introduced into the cryogenic fluid.
- the fluid transfers cold energy to the outer surface of the cryo-balloon catheter, which causes a series of problems such as freezing of blood vessels outside the cryo-balloon catheter and freezing of human tissue.
- the power supply circuit formed by the external power source 2 and the metal braided mesh 102 is further provided with a temperature controller 3, and the temperature controller 3 is electrically connected with a thermocouple 4 embedded in the middle layer of the conduit.
- the thermocouple 4 connected to the thermostat 3 is embedded in the middle layer of the conduit, so that the heating temperature of the metal braided mesh 102 can be measured more closely and accurately, and the measured temperature signal can be fed back to the thermostat 3.
- the temperature controller 3 can control the heating power of the metal braided mesh 102 more timely and accurately, which is beneficial to keep the temperature of the outer wall of the catheter stably within the required temperature range for a long time.
- the metal woven mesh 102 is a mesh-shaped metal wire woven mesh formed by interweaving a plurality of metal wires, and is woven through a special weaving process.
- the metal wire braided mesh has a proximal end and a distal end, the positive and negative electrodes of each metal wire in the metal wire braided mesh are drawn out from the proximal end, the distal end of the metal wire braided mesh is provided with a conductive ring 104, and each metal wire in the metal wire braided mesh is provided with a conductive ring 104.
- the positive and negative ends of the wire are connected to the conductive ring 104 at the distal end.
- This kind of mesh-shaped metal wire braided mesh consists of multiple metal wires forming a parallel circuit, which generates a large amount of heat after being energized, and can evenly generate heat on the outer wall of the catheter, which can better ensure that the temperature of the outer surface of the catheter is maintained at Within the required temperature range, the influence of uneven heating throughout the catheter on the human tissue outside the catheter can be avoided.
- a cryoballoon catheter with heating function is different from the first embodiment in that a deflection guide wire 5 is arranged on the outer wall of the catheter, the deflection guide wire 5, the metal braided mesh 102, the temperature
- the controller 3 and the external power supply 2 together form a power supply loop, the metal braided mesh 102 is connected to the positive pole of the external power supply 2, and the deflection guide wire 5 is connected to the negative pole of the external power supply 2.
- the heating capacity of the metal woven mesh 102 can be fully utilized, thereby reducing the heating voltage of the external power supply 2 .
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Otolaryngology (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Media Introduction/Drainage Providing Device (AREA)
- Surgical Instruments (AREA)
- Thermotherapy And Cooling Therapy Devices (AREA)
Abstract
Description
Claims (10)
- 一种带加热功能的冷冻球囊导管,其特征在于,包括导管和外部电源(2),所述导管的外壁包括自内而外依次设置的内层(101)、中间层和外层(103);所述中间层包括金属编织网(102),所述金属编织网(102)连接在外部电源(2)的供电回路上。
- 根据权利要求1所述的带加热功能的冷冻球囊导管,其特征在于,所述金属编织网(102)为由多根金属丝相互交织而成的网格状的金属丝编织网。
- 根据权利要求1所述的带加热功能的冷冻球囊导管,其特征在于,所述外部电源(2)和所述金属编织网(102)构成的供电回路上还设有温控器(3)。
- 根据权利要求1所述的带加热功能的冷冻球囊导管,其特征在于,所述外层(103)采用嵌段聚醚酰胺树脂材料制成。
- 根据权利要求1所述的带加热功能的冷冻球囊导管,其特征在于,所述内层(101)采用嵌段聚醚酰胺树脂材料制成。
- 根据权利要求3所述的带加热功能的冷冻球囊导管,其特征在于,所述温控器(3)电连接有嵌入所述导管外壁内的热电偶(4)。
- 根据权利要求6所述的带加热功能的冷冻球囊导管,其特征在于,所述热电偶(4)嵌入所述导管的位置在所述导管的中间层。
- 根据权利要求3或6所述的带加热功能的冷冻球囊导管,其特征在于,所述金属丝编织网具有近端和远端,所述金属丝编织网中每根金属丝的正极和负极从所述近端引出。
- 根据权利要求8所述的带加热功能的冷冻球囊导管,其特征在于,所述金属丝编织网的远端设有导电环(104),所述金属丝编织网中每根金属丝的正极和负极在所述远端连接到所述导电环(104)。
- 根据权利要求1所述的带加热功能的冷冻球囊导管,其特征在于,所述导管外壁的外侧设有偏转导丝(5),所述偏转导丝(5)、所述金属编织网(102) 和所述外部电源(2)构成供电回路。
Priority Applications (4)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP2023523140A JP2023545317A (ja) | 2020-10-15 | 2021-10-15 | 加熱機能を備えたクライオバルーンカテーテル |
| US18/249,017 US12558140B2 (en) | 2020-10-15 | 2021-10-15 | Cryogenic balloon catheter having heating function |
| EP21879546.6A EP4230161A4 (en) | 2020-10-15 | 2021-10-15 | CRYOGENIC BALLOON CATHETER WITH HEATING FUNCTION |
| JP2025061366A JP2025098272A (ja) | 2020-10-15 | 2025-04-02 | 加熱機能を備えたクライオバルーンカテーテル |
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202011106551.8A CN112137712A (zh) | 2020-10-15 | 2020-10-15 | 一种带加热功能的冷冻球囊导管 |
| CN202011106551.8 | 2020-10-15 |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| WO2022078505A1 true WO2022078505A1 (zh) | 2022-04-21 |
Family
ID=73952126
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| PCT/CN2021/124146 Ceased WO2022078505A1 (zh) | 2020-10-15 | 2021-10-15 | 一种带加热功能的冷冻球囊导管 |
Country Status (5)
| Country | Link |
|---|---|
| US (1) | US12558140B2 (zh) |
| EP (1) | EP4230161A4 (zh) |
| JP (2) | JP2023545317A (zh) |
| CN (1) | CN112137712A (zh) |
| WO (1) | WO2022078505A1 (zh) |
Families Citing this family (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN112137712A (zh) * | 2020-10-15 | 2020-12-29 | 山前(珠海)医疗科技有限公司 | 一种带加热功能的冷冻球囊导管 |
| CN114305650A (zh) * | 2022-01-29 | 2022-04-12 | 山前(珠海)医疗科技有限公司 | 一种多夹层导管鞘 |
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| US5906612A (en) * | 1997-09-19 | 1999-05-25 | Chinn; Douglas O. | Cryosurgical probe having insulating and heated sheaths |
| US20020156469A1 (en) * | 1998-03-31 | 2002-10-24 | Yon Steven A. | Method and device for performing colling- or cryo-therapies for, e.g., angioplasty with reduced restenosis or pulmonary vein cell necrosis to inhibit atrial fibrillation employing tissue protection |
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- 2020-10-15 CN CN202011106551.8A patent/CN112137712A/zh active Pending
-
2021
- 2021-10-15 WO PCT/CN2021/124146 patent/WO2022078505A1/zh not_active Ceased
- 2021-10-15 JP JP2023523140A patent/JP2023545317A/ja active Pending
- 2021-10-15 EP EP21879546.6A patent/EP4230161A4/en active Pending
- 2021-10-15 US US18/249,017 patent/US12558140B2/en active Active
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2025
- 2025-04-02 JP JP2025061366A patent/JP2025098272A/ja active Pending
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| US5906612A (en) * | 1997-09-19 | 1999-05-25 | Chinn; Douglas O. | Cryosurgical probe having insulating and heated sheaths |
| US20020156469A1 (en) * | 1998-03-31 | 2002-10-24 | Yon Steven A. | Method and device for performing colling- or cryo-therapies for, e.g., angioplasty with reduced restenosis or pulmonary vein cell necrosis to inhibit atrial fibrillation employing tissue protection |
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| JP2025098272A (ja) | 2025-07-01 |
| EP4230161A4 (en) | 2024-04-10 |
| CN112137712A (zh) | 2020-12-29 |
| EP4230161A1 (en) | 2023-08-23 |
| US12558140B2 (en) | 2026-02-24 |
| JP2023545317A (ja) | 2023-10-27 |
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