CN102727271B - Proximal anastomosis device - Google Patents
Proximal anastomosis device Download PDFInfo
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- CN102727271B CN102727271B CN201210226271.XA CN201210226271A CN102727271B CN 102727271 B CN102727271 B CN 102727271B CN 201210226271 A CN201210226271 A CN 201210226271A CN 102727271 B CN102727271 B CN 102727271B
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- hemispherical
- silk material
- proximal anastomosis
- thin film
- diameter
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- 230000003872 anastomosis Effects 0.000 title claims abstract description 22
- 239000000463 material Substances 0.000 claims abstract description 21
- 230000006386 memory function Effects 0.000 claims abstract description 4
- 239000010409 thin film Substances 0.000 claims description 15
- 210000004204 blood vessel Anatomy 0.000 claims description 6
- 239000010408 film Substances 0.000 claims description 5
- 239000007788 liquid Substances 0.000 claims description 4
- HLXZNVUGXRDIFK-UHFFFAOYSA-N nickel titanium Chemical compound [Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni] HLXZNVUGXRDIFK-UHFFFAOYSA-N 0.000 claims description 4
- 238000009954 braiding Methods 0.000 claims description 3
- 238000000034 method Methods 0.000 claims description 3
- 229910001000 nickel titanium Inorganic materials 0.000 claims description 3
- 238000003856 thermoforming Methods 0.000 claims description 3
- 229910003460 diamond Inorganic materials 0.000 claims description 2
- 239000010432 diamond Substances 0.000 claims description 2
- 239000013013 elastic material Substances 0.000 claims description 2
- 239000000203 mixture Substances 0.000 claims description 2
- 229950000845 politef Drugs 0.000 claims description 2
- 229920002635 polyurethane Polymers 0.000 claims description 2
- 239000004814 polyurethane Substances 0.000 claims description 2
- 238000009958 sewing Methods 0.000 claims description 2
- 210000000709 aorta Anatomy 0.000 abstract description 14
- 230000017531 blood circulation Effects 0.000 abstract description 3
- 210000001367 artery Anatomy 0.000 description 3
- 210000004351 coronary vessel Anatomy 0.000 description 3
- 230000002308 calcification Effects 0.000 description 2
- 206010008118 cerebral infarction Diseases 0.000 description 2
- 208000026106 cerebrovascular disease Diseases 0.000 description 2
- 208000037260 Atherosclerotic Plaque Diseases 0.000 description 1
- 208000005189 Embolism Diseases 0.000 description 1
- 208000031481 Pathologic Constriction Diseases 0.000 description 1
- 208000007536 Thrombosis Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 229910045601 alloy Inorganic materials 0.000 description 1
- 239000000956 alloy Substances 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 230000036770 blood supply Effects 0.000 description 1
- 230000007211 cardiovascular event Effects 0.000 description 1
- 208000029078 coronary artery disease Diseases 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 230000010102 embolization Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 230000001771 impaired effect Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 238000007789 sealing Methods 0.000 description 1
- 230000036262 stenosis Effects 0.000 description 1
- 208000037804 stenosis Diseases 0.000 description 1
- 210000003462 vein Anatomy 0.000 description 1
Landscapes
- Surgical Instruments (AREA)
Abstract
近端吻合装置，属于外科医疗用品技术领域。半球形本体的下部具有底边、中间具有连接轴，底边呈圆形，圆形的直径R为16mm；半球形本体为半球形，直径A为16mm；半球形本体为网格状的本体丝材组成，本体丝材在半球形本体的顶端汇拢固定于一点，并连接于连接轴。本发明优点是：术中起到阻挡升主动脉血流自吻合口渗漏的情况，方便缝合桥血管近端，防止因侧壁钳使用造成的升主动脉内壁剥落。具有记忆功能，这样，术中缝合近端桥血管后可将该装置通过直径为3.5mm、3.8mm、4.0mm、4.3mm、4.5mm的导管取出，并恢复原状，用于下一个近端吻合口缝合。对于同一个病人同一台手术，本装置可以重复使用。
A near-end anastomotic device belongs to the technical field of surgical medical supplies. The lower part of the hemispherical body has a bottom edge and a connecting shaft in the middle, the bottom edge is circular, and the diameter R of the circle is 16mm; the hemispherical body is hemispherical, and the diameter A is 16mm; Composed of materials, the body wires are gathered and fixed at one point on the top of the hemispherical body, and connected to the connecting shaft. The invention has the advantages of preventing the blood flow of the ascending aorta from leaking from the anastomosis during the operation, facilitating the suture of the proximal end of the bridge vessel, and preventing the peeling of the inner wall of the ascending aorta caused by the use of side wall clamps. It has a memory function, so that the device can be taken out through catheters with diameters of 3.5mm, 3.8mm, 4.0mm, 4.3mm, and 4.5mm after the proximal graft is sutured during the operation, and restored to its original shape for the next proximal anastomosis The mouth is sutured. For the same operation on the same patient, the device can be used repeatedly.
Description
Technical field
The present invention relates to a kind of proximal anastomosis device, belong to surgical articles for use technical field.
Background technology
Coronary artery bypass grafting is the conventional operation for the treatment of coronary artery disease.This operation uses the vein or arteries that take off in chest, leg or arm, proximal anastomosis is at ascending aorta, far-end strides across the coronary artery of stenosis or occlusion, to improve the blood supply of heart and to reduce the generation of cardiovascular event, thus improves patients ' life quality and life-saving.Because Coronary Artery Bypass Grafting blood vessel proximal anastomosis mouth is directly sutured on ascending aorta, when conventional bypass graft sews up proximal anastomosis mouth, need to use sidewall clamp closing part to divide ascending aorta, block anastomotic stoma blood flow, and sew up near-end bridge blood vessel, but when sidewall clamp closes or decontrols ascending aorta, ascending aorta inner membrance and atheromatous plaque can be caused to come off, blood vessel wall is impaired, easily cause Thrombosis, and then cause cerebral infarction, and distal artery blood vessel embolism, the particularly patient of ascending aorta calcification, more easily cause above-mentioned complication, proximal anastomosis mouth is even caused to sew up.Not yet find good solution clinically at present.
Summary of the invention
For the deficiency that above-mentioned prior art exists, the object of this invention is to provide a kind of proximal anastomosis device, it has can avoid using sidewall clamp to close ascending aorta, reduces the situation that calcification ascending aorta inwall peels off, thus reduces the feature of operation risk.
To achieve these goals, the technical solution adopted in the present invention is:
A kind of proximal anastomosis device, the bottom of hemispherical body has base, centre and has connecting axle, and base is rounded, and circular diameter R is 16mm; Hemispherical body is hemispherical, and diameter A is 16mm; Hemispherical body is latticed body silk material composition, and body silk material comes together on the top of hemispherical body and is fixed on a bit, and is connected to connecting axle.
The present invention is advantageously:
1, the situation stopping ascending aorta blood flow self-fitting mouth seepage is played in art, convenient stitching bridge blood vessel near-end, close without sidewall clamp and just can complete coincideing of ascending aorta near-end stapling mouth, significantly decrease because ascending aorta folder closes the such as cerebral infarction caused, the complication such as limb artery embolization.
2, this proximal anastomosis device is formed by the silk material braiding with memory function, like this, this device can be taken out by the conduit that diameter is 3.5mm, 3.8mm, 4.0mm, 4.3mm, 4.5mm after sewing up near-end bridge blood vessel in art, and restore to the original state, sew up for next proximal anastomosis mouth.
3, base loop buffer pad, is conducive to protecting the sealing around the injury-free and anastomotic stoma of ascending aorta wall, prevents seepage.
4, for same patient, this device can be reused, i.e. same of same patient operation, uses a set of device can complete the stitching of all anastomotic stoma, reduce expense.
Device of the present invention takes the silk material of the nitinol with good shape memory function to weave.This alloy is after thermoforming process process, and shape memory strengthens further.Namely this bracing or strutting arrangement not only has certain intensity, can overcome aortic pressure, thus avoids the obturation of anastomotic stoma;
Accompanying drawing explanation
Below in conjunction with drawings and Examples, the present invention is further described:
Fig. 1 is the perspective view of the embodiment of the present invention;
The schematic top plan view of Fig. 2 embodiment of the present invention.
Detailed description of the invention
The following stated is only preferred embodiment of the present invention, does not therefore limit protection scope of the present invention.
Embodiment, as Figure 1-Figure 2, described proximal anastomosis device comprises hemispherical body 1, the bottom of hemispherical body 1 has base 4, centre has connecting axle 2, and base 4 is rounded, and circular diameter R is R=16mm, hemispherical body 1 is hemispherical, and diameter A is A=16mm.
Body silk material 3 braiding that described hemispherical body 1 is prepared by nitinol forms, the external diameter of body silk material 3 is 0.15mm, and is in unidirectional body silk material 3 and is parallel to each other, and assumes diamond in shape between the body silk material 3 of different directions, meanwhile, radially scatter from body top to base.
By the high resiliency thin film coated of liquid state in hemispherical body 1 surface, liquid high resiliency thin film can use medical polyurethane, politef etc.
The thin film 5 that described hemispherical body 1 external application highly elastic material is made, in the middle of body silk material sandwiches by thin film 5, thin film 5 is airtight film, and blood can not penetrate, thin film 5 thickness 0.2mm, and base thin film 5 is annular, thin film ring diameter 0.3mm.
Described body silk material comes together on top and is fixed on a bit, and is connected to connecting axle 2, and connecting axle 2 is one cylindrical, and body diameter 1mm, there is screw thread connecting axle 2 inside.
The thermoforming process process of nitinol belongs to prior art, repeats no more.
Claims (5)
1. proximal anastomosis device, is characterized in that: the bottom of hemispherical body has base, centre and has connecting axle, and base is rounded, and circular diameter R is 16mm, hemispherical body is hemispherical, and diameter A is 16mm, hemispherical body is latticed body silk material composition, body silk material comes together on the top of hemispherical body and is fixed on a bit, and be connected to connecting axle, described hemispherical body forms by having the braiding of memory function body silk material, described body silk material is prepared from by the nitinol through thermoforming process process, the external diameter of described body silk material is 0.15mm, sewing up the described body silk after near-end bridge blood vessel in art is 3.5mm by diameter, 3.8mm, 4.0mm, described proximal anastomosis device takes out and restores to the original state by the conduit of 4.3mm or 4.5mm, restorable described proximal anastomosis device is used for the stitching of next proximal anastomosis mouth, described hemispherical body surface is provided with for body silk material is sandwiched middle thin film, described thin film is medical polyurethane or politef, and described thin film is airtight film, and the thickness of described airtight film is 0.2mm, and the thin film on described base is loop buffer pad, and the diameter of described loop buffer pad is 0.3mm.
2. proximal anastomosis device according to claim 1, is characterized in that: described thin film is the high resiliency thin film that highly elastic material is made.
3. proximal anastomosis device according to claim 2, is characterized in that: described high resiliency thin film is liquid film, and described liquid film is coated on described hemispherical body surface.
4. proximal anastomosis device according to claim 1, it is characterized in that: be in unidirectional body silk material and be parallel to each other, assume diamond in shape between the body silk material of different directions, meanwhile, described body silk material radially scatters from the top of hemispherical body to base.
5. proximal anastomosis device according to claim 1, it is characterized in that: the one end being placed in the described connecting axle of hemispherical body interior is fixed on body silk material and is come together a little on top, described connecting axle is a cylinder, and body diameter is 1mm, and there is screw thread connecting axle inside.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201210226271.XA CN102727271B (en) | 2012-06-29 | 2012-06-29 | Proximal anastomosis device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201210226271.XA CN102727271B (en) | 2012-06-29 | 2012-06-29 | Proximal anastomosis device |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN102727271A CN102727271A (en) | 2012-10-17 |
| CN102727271B true CN102727271B (en) | 2014-12-24 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201210226271.XA Active CN102727271B (en) | 2012-06-29 | 2012-06-29 | Proximal anastomosis device |
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| Country | Link |
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| CN (1) | CN102727271B (en) |
Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN1216929A (en) * | 1996-02-02 | 1999-05-19 | 血管转换公司 | Method and apparatus for blocking flow through blood vessels |
| US5944730A (en) * | 1997-05-19 | 1999-08-31 | Cardio Medical Solutions, Inc. | Device and method for assisting end-to-side anastomosis |
| US6007544A (en) * | 1996-06-14 | 1999-12-28 | Beth Israel Deaconess Medical Center | Catheter apparatus having an improved shape-memory alloy cuff and inflatable on-demand balloon for creating a bypass graft in-vivo |
| CN2904980Y (en) * | 2006-05-11 | 2007-05-30 | 中国人民解放军第二军医大学 | A left atrial appendage occluder |
| CN201958942U (en) * | 2010-12-16 | 2011-09-07 | 陕西福泰医疗科技有限公司 | Titanium-nickel memory alloy blood vessel anastomat |
| CN202477769U (en) * | 2012-06-29 | 2012-10-10 | 北京米道斯医疗器械有限公司 | Near end anastomosis device |
-
2012
- 2012-06-29 CN CN201210226271.XA patent/CN102727271B/en active Active
Patent Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN1216929A (en) * | 1996-02-02 | 1999-05-19 | 血管转换公司 | Method and apparatus for blocking flow through blood vessels |
| US6007544A (en) * | 1996-06-14 | 1999-12-28 | Beth Israel Deaconess Medical Center | Catheter apparatus having an improved shape-memory alloy cuff and inflatable on-demand balloon for creating a bypass graft in-vivo |
| US5944730A (en) * | 1997-05-19 | 1999-08-31 | Cardio Medical Solutions, Inc. | Device and method for assisting end-to-side anastomosis |
| CN2904980Y (en) * | 2006-05-11 | 2007-05-30 | 中国人民解放军第二军医大学 | A left atrial appendage occluder |
| CN201958942U (en) * | 2010-12-16 | 2011-09-07 | 陕西福泰医疗科技有限公司 | Titanium-nickel memory alloy blood vessel anastomat |
| CN202477769U (en) * | 2012-06-29 | 2012-10-10 | 北京米道斯医疗器械有限公司 | Near end anastomosis device |
Also Published As
| Publication number | Publication date |
|---|---|
| CN102727271A (en) | 2012-10-17 |
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Address after: 101407 Beijing Huairou Yanqi Industrial Development Zone Patentee after: Beijing meadows Medical Equipment Co.,Ltd. Address before: 101407 Beijing Huairou Yanqi Industrial Development Zone Patentee before: BEIJING MEDOS AT BIOTECHNOLOGY Co.,Ltd. |
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Address after: 101407 Beijing Huairou Yanqi Industrial Development Zone Patentee after: BEIJING MEDOS AT BIOTECHNOLOGY Co.,Ltd. Country or region after: China Address before: 101407 Beijing Huairou Yanqi Industrial Development Zone Patentee before: Beijing meadows Medical Equipment Co.,Ltd. Country or region before: China |