Balloon expansion patch electrode system
Technical Field
The invention relates to the technical field of medical instruments, in particular to a balloon expansion patch electrode system.
Background
The implantation of the cardiac pacemaker electrode needs to implant and fix a pacing electrode (such as an atrial electrode and a ventricular electrode) at a specified pacing target point under the guidance of medical imaging equipment. At present, the implantation operation of the pacing electrode is carried out under the irradiation of X-rays, the pacing electrode is implanted according to the anatomical part displayed by X-rays, most of the pacing electrodes are implanted into the apex and the outflow tract of the heart, the traditional part pacing has many defects including long-term heart failure and raised atrial fibrillation incidence rate, and the left bundle branch pacing and the HIS pacing are used as the optimal pacing sites at present. Most seek HIS and left bundle branch based on anatomical location. Therefore, left bundle branch pacing and HIS pacing currently also requires operation under fluoroscopy, with longer exposure times than conventional surgery. The three-dimensional electroanatomical mapping can accurately judge the anatomical position of the HIS, but the pacing electrode cannot be visualized in the three-dimensional electroanatomical mapping system.
Disclosure of Invention
In order to overcome the defects in the prior art, the invention aims to provide a balloon expansion patch electrode system, which can enable a pacing electrode to be developed in a three-dimensional electroanatomical mapping system, completely avoid X-ray irradiation and complete the implantation of the pacing electrode under the condition of zero rays.
The task of the invention is realized by the following technical scheme:
a balloon-expandable patch electrode system comprising: the expansion sleeve is made of elastic materials, and a clamping groove which penetrates through the whole expansion sleeve along the axial direction is formed in the side wall of the expansion sleeve; the number of the positioning electrodes is at least two, and the positioning electrodes are attached to the outer wall of the expansion sleeve at intervals along the axial direction of the expansion sleeve, are insulated from each other and are respectively connected with the signal conversion joints through electrode connecting wires; the balloon is arranged at the front end of the catheter, the balloon is inserted into the expansion sleeve, and the tail end of the catheter is connected with the catheter connector.
According to the preferable technical scheme, the positioning electrode is an arc-shaped electrode, is sleeved on the outer wall of the expansion sleeve and is reserved with the clamping groove.
As a preferred technical scheme, each positioning electrode site is distributed at intervals at the front part of the expansion sleeve, and the corresponding electrode connecting wires are insulated from each other, attached to the outer wall of the expansion sleeve and axially extend to the tail end of the expansion sleeve.
As a preferable technical scheme, the balloon is attached to the inner wall of the expansion sleeve and is arranged opposite to the position of the clamping groove.
Preferably, the length of the balloon is substantially equal to the length of the dilation sleeve.
As a preferred technical solution, the number of the positioning electrodes is three.
Preferably, the distance between the positioning electrodes is 2 mm.
Preferably, the length of the expansion sleeve is 55mm, the inner diameter is 2mm, and the wall thickness is 0.1-0.3 mm.
Compared with the prior art, the balloon expansion patch electrode system can be implanted into a body along with the pacing electrode, the position of the pacing electrode is displayed through a three-dimensional developing technology, and the pacing electrode can be easily separated from the pacing electrode and exits the body when reaching a specified pacing target point, so that X-ray development can be replaced, X-ray irradiation is completely avoided, implantation of the pacing electrode is completed under the condition of zero ray, and the success rate and the safety are improved.
The conception, specific structure and effects of the present invention will be further described in conjunction with the accompanying drawings to fully understand the objects, features and effects of the present invention.
Drawings
Fig. 1 is a schematic structural diagram of a balloon-inflated patch electrode system of the present invention.
The device comprises an expansion sleeve 1, a clamping groove 11, a positioning electrode 2, a signal conversion joint 3, a balloon 4, a catheter 5, an electrode connecting wire 6 and a catheter joint 7.
Detailed Description
In order to make the objects, technical solutions and advantages of the present invention more clearly understood, the present invention will be further described in detail below by taking an intelligent medical instrument using the balloon-extended patch electrode system of the present invention as an example, with reference to the accompanying drawings. It should be understood that the description of the specific embodiments is intended to be illustrative of the invention and is not intended to limit the invention.
It should be noted that when an element is referred to as being "connected" to another element, it may be directly connected to the three-dimensional electroanatomical mapping system.
As shown in figure 1, the balloon expansion patch electrode system comprises an expansion sleeve 1, a positioning electrode 2, a signal conversion joint 3, a balloon 4 and a catheter 5. The expansion sleeve 1 is made of elastic materials, the length of the expansion sleeve 1 is 55mm, the inner diameter of the expansion sleeve 1 is 2mm, the wall thickness of the expansion sleeve is 0.3-0.5mm, and a clamping groove 11 which axially penetrates through the whole expansion sleeve 1 is formed in the side wall of the expansion sleeve 1; the number of the positioning electrodes 2 is three, each positioning electrode 2 is attached to the outer wall of the expansion sleeve 1 at intervals along the axial direction of the expansion sleeve 1, is insulated from each other, and is connected with the signal conversion connector 3 through an electrode connecting wire 6, the distance between each positioning electrode 2 is 2mm, the positioning electrodes 2 are arc-shaped electrodes, and the positioning electrodes 2 are sleeved on the outer wall of the expansion sleeve 1 and reserve clamping grooves 11; the sacculus 4 sets up in the front end of pipe 5, and pipe joint 7 is connected to the tail end of pipe 5, and sacculus 4 is inserted and is arranged in expansion sleeve 1, and the length of sacculus 4 is roughly equal to expansion sleeve 1's length, and attached in expansion sleeve 1's inner wall and the relative setting in position with draw-in groove 11 of sacculus 4.
The 2-bit positioning electrodes are distributed at the front part of the expansion sleeve 1 at intervals, and the corresponding electrode connecting wires 6 are insulated from each other, attached to the outer wall of the expansion sleeve 1 and axially extend to the tail end of the expansion sleeve 1.
The balloon 4 expanded patch electrode system is used as a three-dimensional developing device when a cardiac pacing electrode is implanted in an operation, a pacing electrode (not shown in the drawing) is inserted into an expansion sleeve 1 during the operation, the expansion sleeve 1 and a catheter 5 are implanted into a body along with the pacing electrode, a signal conversion joint 3 positioned outside the body is connected into a three-dimensional electroanatomical mapping system, the three-dimensional electroanatomical mapping system can be used for acquiring the three-dimensional position of a positioning electrode 2 on the outer wall of the expansion sleeve 1 in a blood vessel in the body in real time under the condition of no X-ray irradiation, and then acquiring the three-dimensional position of the pacing electrode in real time, so that X-ray development can be replaced, X-ray irradiation is completely avoided, implantation of the pacing electrode is completed under the condition of zero ray, the success rate and the safety are improved, and when the pacing electrode reaches a designated pacing target point, the catheter 5, the catheter connector 7 outside the body is used for imaging the catheter 5, The sacculus 4 fills into gas or liquid and makes sacculus 4 expansion, orders about expansion sleeve pipe 1 through sacculus 4 expansion and expands for 11 apertures of draw-in groove on the expansion sleeve pipe 1 grow, and in the expansion process of expansion sleeve pipe 1, attached three positioning electrode 2 also follow the deformation on it, when draw-in groove 11 apertures is greater than the pacing electrode diameter, sacculus 4 alright extrude expansion sleeve pipe 1 with the pacing electrode, thereby realized the separation of expansion sleeve pipe 1 and pacing electrode, then just can withdraw from outside this sacculus 4 expansion paster electrode system.
The above description is only a preferred embodiment of the application and is illustrative of the principles of the technology employed. It will be appreciated by those skilled in the art that the scope of the invention herein disclosed is not limited to the particular combination of features described above, but also encompasses other arrangements formed by any combination of the above features or their equivalents without departing from the inventive concept. For example, the above features may be replaced with (but not limited to) features having similar functions disclosed in the present application.