Vein valve resection instrument

A venous valve and device technology, applied in the field of venous valve excision devices, can solve the problems of high retraction speed, adhesion of the valve knife, difficult access to the valve excision device, etc., to achieve the effect of ensuring effectiveness, avoiding damage, and rapid excision

Active Publication Date: 2021-07-23
PEKING UNION MEDICAL COLLEGE HOSPITAL CHINESE ACAD OF MEDICAL SCI
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

[0003] However, because arterial blood has no valves, the great saphenous vein that does not turn over needs to be anastomosed after resection of the venous valves. Usually, venous valvulotomy is used for valve resection. At present, the common valvular knife usually enters the blood vessel along the direction of the valve, and then Reuse the back-end valvulotomy to destroy the valve to achieve the effect of ensuring smooth blood flow. The existing technical solutions include CN90207022-in situ venous valve cutter; CN201220694589-a kind of venous valve cutter; the existing technical solutions are all through The method of withdrawing the valvular knife is achieved by destroying the venous valve; the amount of venous valve resection cannot be guaranteed during the process, and the speed of withdrawal is high, which is prone to damage to the venous vessel; in addition, t

Method used

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  • Vein valve resection instrument
  • Vein valve resection instrument
  • Vein valve resection instrument

Examples

Experimental program
Comparison scheme
Effect test

Example Embodiment

[0035] Example 1

[0036] A venous valve excision device, which includes a blood vessel support tube 3; a resection structure 1, a docking structure 2; the blood vessel support structure is a structure arranged at the initial end of the blood vessel; A circular cutter 13 is formed at the end of the dome concave 12; the front end of the butt structure 2 includes a dome protruding structure 1 21 that matches the dome concave 12; the rear end of the butt structure 2 is provided with a dome protruding structure 2 22 that ensures smooth exit; In addition, a setting channel 41 for the pulling guide wire is arranged in the longitudinal middle of the cutting structure 1 and the docking structure 2, wherein the setting channel 41 of the cutting structure 1 is bonded with the pulling guide wire, and the pulling guide wire does not pass through the setting on the cutting structure 1. Channel 41; the setting channel 41 of the abutment structure 2 for pulling the guide wire; and the relati...

Example Embodiment

[0041] Example 2

[0042] On the basis of Example 1, a guide entry structure 31 for guiding the entry of the vascular support tube 3 is added; such as Figure 7 As shown, the specific arrangement is as follows: a guide entry structure 31 with a spherical top structure 2 311 and close to the vascular support tube 3 is arranged in the vascular support tube 3; the guide entry structure 31 is longer than the vascular support structure, and the guide entry structure 31 can be The vascular support tube is withdrawn from the vascular support tube 3; when used, the two are combined, and the vascular support tube 3 is sent to the initial section of the blood vessel under the guidance of the guide entry structure 31, and then withdrawn and guided into the structure 31; this setting is convenient and fast. 3 It is placed into the blood vessel to facilitate subsequent surgical operations.

Example Embodiment

[0043] Example 3

[0044] On the basis of Example 2, the heparin injection channel 32 that reduces the entry resistance of the vascular support tube 3; such as Figure 7 As shown, the specific arrangement is as follows: the guide entry structure 31 is provided with a heparin injection channel 32 penetrating the guide entry structure 31 , and heparin is injected through the heparin injection channel 32 , which can lubricate the guide entry structure 31 . The rear end of the heparin injection channel 32 is connected to an extension pipe, and the extension pipe is provided with a connector 33 of a syringe or a syringe pump 6, or, the rear end of the guide entry structure 31 is provided with a syringe connected to the heparin injection channel 32 or a connector 33 of the syringe pump 6; Connected with a syringe or syringe pump 6 with heparin, the heparin is guided and guided into the front end of the spherical top structure 2 311 of the structure 31 and flows and infiltrates the e...

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PUM

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Abstract

Disclosed is a vein valve resection instrument. The vein valve resection instrument comprises a blood vessel supporting tube, a resection structure and a butt-joint structure; a blood vessel supporting structure is arranged at the initial end of a blood vessel; the front end of the resection structure is a first globe-roof-shaped structure, the rear end of the resection structure comprises a globe-roof-shaped recess, and the tail end of the globe-roof-shaped recess forms a circular cutter; the front end of the butt-joint structure comprises a first globe-roof-shaped protruding structure matched with the globe-roof-shaped recess; the rear end of the butt-joint structure is provided with a second globe-roof-shaped protruding structure for ensuring smooth withdrawal; in addition, a setting channel of a traction guide wire is arranged between the resection structure and the butt-joint structure in the longitudinal direction; the setting channel of the resection structure and the traction guide wire are bonded together, and the traction guide wire does not penetrate out of the setting channel in the resection structure; the traction guide wire passes through the setting channel of the butt-joint structure; the butt-joint structure performs relative sliding motion on the traction guide wire; and a front push tube which pushes the butt-joint structure to move along the traction guide wire and is arranged on the outer side of the traction guide wire is additionally arranged. The vein valve resection instrument can effectively resect and bring out the valve, and is reasonable in structure and easy to use.

Description

technical field [0001] The invention belongs to the technical field of medical devices, and in particular relates to a venous valve resection device. Background technique [0002] Orthotopic saphenous vein bypass grafting is a surgical method for the treatment of lower extremity ischemia. It obtains the great saphenous vein, and then transplants it to the arterial vessel at the original position to anastomose with it; the orthotopic saphenous vein reported in the literature The 5-year patency rate of bypass grafting is similar to the 5-year patency rate of inverted great saphenous vein bypass grafting, and in situ great saphenous vein bypass grafting matches the corresponding arterial anastomotic caliber higher, which can be anastomosed to the pretibial , posterior tibial or even dorsalis pedis artery, etc., this kind of operation will not damage the vascular bed. [0003] However, because arterial blood has no valves, the great saphenous vein that does not turn over needs ...

Claims

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Application Information

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IPC IPC(8): A61B17/3205
CPCA61B17/3205
Inventor 陈跃鑫郑月宏
Owner PEKING UNION MEDICAL COLLEGE HOSPITAL CHINESE ACAD OF MEDICAL SCI
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