Flow turning device for proximal end of femoral artery compound surgery

By designing a transflux device for the proximal end of femoral artery composite surgery, the problem of lower limb ischemia during interventional surgery after femoral artery opening surgery was solved, and blood flow from the iliac artery to the deep femoral artery was established, reducing the risk of limb necrosis and ischemia-reperfusion injury.

CN222566584UActive Publication Date: 2025-03-07BEIJING SHIJITAN HOSPITAL CAPITAL MEDICAL UNIVERSITY
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Patent Information

Application Number
CN202421105765.7
Authority / Receiving Office
CN · China
Patent Type
Utility models(China)
Current Assignee / Owner
Filing Date
2024-05-21
Publication Date
2025-03-07
Estimated Expiration
2034-05-21

AI Technical Summary

Technical Problem

After the femoral artery opening surgery is completed, the common femoral artery, deep femoral artery and superficial femoral artery need to be blocked during the interventional surgery, resulting in the lower limbs being in a state of continuous ischemia, increasing the risk of limb necrosis and ischemia-reperfusion injury.

Method used

A transfluidic device for proximal end of femoral artery composite surgery is designed, including a sheath tube and a sheath core. The balloon blocking and the deep femoral artery blocking balloon connecting the balloon is filled with the balloon. Then the valve is closed, and the deep femoral artery transfer tube is inserted into the deep femoral artery to establish blood flow from the iliac artery to the deep femoral artery, and the proximal end artery intervention operation is performed through the connecting tube.

Benefits of technology

It effectively avoids the persistent ischemia state of the lower limbs, reduces the risk of limb necrosis and ischemia-reperfusion injury, and realizes the safety and effectiveness of femoral interventional surgery.

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Abstract

The utility model relates to the field of medical instruments, in particular to a flow turning device for a proximal end of a femoral artery compound surgery, which comprises a sheathing canal, a connecting tube, an iliac artery blocking balloon connecting tube, a deep femoral artery blocking balloon connecting tube and a deep femoral artery flow turning tube are arranged on the surface of the sheathing canal, an iliac artery blocking balloon is arranged on the surface of the sheathing canal, and the iliac artery blocking balloon connecting tube and the deep femoral artery flow turning tube are arranged on the surface of the sheathing canal. A deep femoral artery blocking balloon is arranged on the surface of the deep femoral artery bypass tube, and one end of the iliac artery blocking balloon connecting tube is communicated with an inner cavity of the iliac artery blocking balloon; a sheath core; the deep femoral artery bypass tube is inserted into the deep femoral artery, the deep femoral artery blocking balloon is filled with the deep femoral artery blocking balloon connecting tube to a proper size, and then the valve on the deep femoral artery blocking balloon connecting tube is closed; after the sheath core is pulled out, blood is transferred from the iliac artery end to the deep artery bypass tube, namely blood flow from the iliac artery to the deep femoral artery is established, and after heparin water is injected through the connecting tube, proximal end artery intervention operation can be carried out through the sheath tube.
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Description

Technical Field

[0001] The present application relates to the technical field of medical devices, and in particular to a flow bypass device for the proximal end of a femoral artery combined surgery. Background Art

[0002] Peripheral atherosclerotic disease is a disease that can seriously affect the patient's quality of life and can lead to limb ischemia, movement disorders, and even gangrene. With the development of interventional technology and endovascular devices, endovascular treatment has become the main treatment for peripheral atherosclerotic disease. However, if the lesions accumulate in the common femoral artery, especially if the common femoral artery is severely calcified, stenotic, or occluded, simple endovascular treatment is often ineffective. Therefore, vascular surgeons generally choose a combined surgery to treat the lower limb arteries, that is, open surgery and interventional surgery combined with femoral artery incision and endarterectomy.

[0003] After the femoral artery opening surgery is completed and during the interventional surgery, the common femoral artery, deep femoral artery and superficial femoral artery still need to be blocked, which will cause the lower limbs to be in a state of continuous ischemia and increase the risk of limb necrosis, ischemia-reperfusion injury, etc. Utility Model Content

[0004] The present application provides a shunt device for the proximal end of a femoral artery complex surgery to solve the technical problem that the inventors realized that after the femoral artery opening surgery is completed and during the interventional surgery, the common femoral artery, the deep femoral artery and the superficial femoral artery still need to be blocked, which will cause the lower limbs to be in a state of continuous ischemia and increase the risks of limb necrosis, ischemia-reperfusion injury, etc.

[0005] The present application provides a bypass device for the proximal end of a femoral artery combined surgery, comprising:

[0006] A sheath tube, wherein a connecting tube, an iliac artery blocking balloon connecting tube, a deep femoral artery blocking balloon connecting tube and a deep femoral artery shunt tube are arranged on the surface of the sheath tube, the inner lumens of the connecting tube and the deep femoral artery shunt tube are communicated with the inner lumen of the sheath tube, an iliac artery blocking balloon is arranged on the surface of the sheath tube, a deep femoral artery blocking balloon is arranged on the surface of the deep femoral artery shunt tube, one end of the iliac artery blocking balloon connecting tube is communicated with the inner lumen of the iliac artery blocking balloon, and one end of the deep femoral artery blocking balloon connecting tube is communicated with the inner lumen of the deep femoral artery blocking balloon;

[0007] A sheath core can be inserted into the inner cavity of the sheath tube.

[0008] In any of the above technical solutions, further, the sheath core includes a core tube, which can be inserted into the inner cavity of the sheath tube, one end of the core tube is connected to a connecting rod, a chuck is provided on the surface of the connecting rod, the top of the chuck abuts against the bottom of the sheath tube, and an inflation tube is provided on the surface of the connecting rod, one end of the inflation tube can be connected to the inner cavity of the core tube.

[0009] In any of the above technical solutions, further, a hemostatic pad is provided at one end of the sheath tube, and the hemostatic pad can block the one end of the sheath tube, and the surface of the hemostatic pad can abut against the surface of the core tube.

[0010] In any of the above technical solutions, further, the other end of the sheath is the iliac artery end.

[0011] In any of the above technical solutions, further, the sheath tube, the connecting tube, the iliac artery blocking balloon, the iliac artery blocking balloon connecting tube, the deep femoral artery blocking balloon, the deep femoral artery blocking balloon connecting tube and the deep femoral artery shunt tube are all made of elastic transparent material.

[0012] In any of the above technical solutions, further, the other ends of the iliac artery blocking balloon connecting tube, the deep femoral artery blocking balloon connecting tube, the deep femoral artery shunt tube and the inflation tube are all provided with valves.

[0013] In any of the above technical solutions, further, a marking coating is provided on the surface of the valve.

[0014] In any of the above technical solutions, further, the size of the core tube is smaller than the size of the sheath tube.

[0015] In any of the above technical solutions, further, the material of the hemostatic pad is any one of latex, silicone and rubber.

[0016] In any of the above technical solutions, further, the sheath tube, the connecting tube, the iliac artery blocking balloon, the iliac artery blocking balloon connecting tube, the deep femoral artery blocking balloon, the deep femoral artery blocking balloon connecting tube and the deep femoral artery shunt tube are made of any one of polyvinyl chloride, thermoplastic polyurethane tube and silicone.

[0017] The beneficial effects of this application are mainly:

[0018] After assembling the sheath core and sheath tube, insert the sheath tube and sheath core into the iliac artery, and fill the iliac artery blocking balloon to an appropriate size through the iliac artery blocking balloon connecting tube, then close the valve on the iliac artery blocking balloon connecting tube, insert the deep femoral artery shunt tube into the deep femoral artery, and fill the deep femoral artery blocking balloon to an appropriate size through the deep femoral artery blocking balloon connecting tube, then close the valve on the deep femoral artery blocking balloon connecting tube; after pulling out the sheath core, realize the blood shunt tube from the iliac artery end to the deep artery, that is, establish blood flow from the iliac artery to the deep femoral artery, and after injecting heparin water through the connecting tube, proximal artery intervention operation can be performed through the sheath tube.

[0019] It should be understood that both the foregoing general description and the following specific embodiments are for the purpose of example and illustration and do not necessarily limit the present application. The accompanying drawings, which are incorporated into and constitute a part of the specification, illustrate the subject matter of the present application. At the same time, the specification and the drawings are used to explain the principles of the present application. BRIEF DESCRIPTION OF THE DRAWINGS

[0020] In order to more clearly illustrate the specific implementation methods of the present application or the technical solutions in the prior art, the drawings required for use in the specific implementation methods or the description of the prior art will be briefly introduced below. Obviously, the drawings described below are some implementation methods of the present application. For ordinary technicians in this field, other drawings can be obtained based on these drawings without paying any creative work.

[0021] Figure 1 This is a schematic diagram of the structure of the flow diversion device according to an embodiment of the present application (front view);

[0022] Figure 2 This is a schematic diagram of the sheath tube and its connection structure according to an embodiment of the present application (front cross-sectional view);

[0023] Figure 3 It is a schematic diagram of the sheath-core structure in an embodiment of the present application (front view).

[0024] icon:

[0025] 100-sheath; 101-connecting tube; 102-iliac artery blocking balloon connecting tube; 103-profunda femoris artery blocking balloon connecting tube; 104-profunda femoris artery shunt tube; 105-iliac artery blocking balloon; 106-profunda femoris artery blocking balloon; 107-hemostatic pad; 200-core tube; 201-connecting rod; 202-chuck; 203-inflation tube; 300-valve. DETAILED DESCRIPTION

[0026] The technical solution of the present application will be clearly and completely described below in conjunction with the accompanying drawings. Obviously, the described embodiments are only part of the embodiments of the present application, rather than all of the embodiments.

[0027] Based on the embodiments in this application, all other embodiments obtained by ordinary technicians in this field without making any creative work shall fall within the scope of protection of this application.

[0028] In the description of the present application, it should be noted that the terms "center", "upper", "lower", "left", "right", "vertical", "horizontal", "inner", "outer", etc., indicating the orientation or positional relationship, are based on the orientation or positional relationship shown in the drawings, and are only for the convenience of describing the present application and simplifying the description, rather than indicating or implying that the device or element referred to must have a specific orientation, be constructed and operated in a specific orientation, and therefore cannot be understood as limiting the present application. In addition, the terms "first", "second", and "third" are used for descriptive purposes only, and cannot be understood as indicating or implying relative importance.

[0029] In the description of this application, it should be noted that, unless otherwise clearly specified and limited, the terms "installed", "connected", and "connected" should be understood in a broad sense, for example, it can be a fixed connection, a detachable connection, or an integral connection; it can be a mechanical connection or an electrical connection; it can be a direct connection, or it can be indirectly connected through an intermediate medium, or it can be the internal communication of two components. For ordinary technicians in this field, the specific meanings of the above terms in this application can be understood according to specific circumstances.

[0030] See also Figure 1 , Figure 2 and Figure 3 In one or more embodiments, a proximal end bypass device for femoral artery composite surgery is provided, including: a sheath tube 100, a connecting tube 101, an iliac artery blocking balloon connecting tube 102, a deep femoral artery blocking balloon connecting tube 103 and a deep femoral artery bypass tube 104 are arranged on the surface of the sheath tube 100, the inner lumens of the connecting tube 101 and the deep femoral artery bypass tube 104 are connected to the inner lumen of the sheath tube 100, an iliac artery blocking balloon 105 is arranged on the surface of the sheath tube 100, a deep femoral artery blocking balloon 106 is arranged on the surface of the deep femoral artery bypass tube 104, and the iliac artery blocking balloon connecting tube 101 is arranged on the surface of the deep femoral artery bypass tube 104. One end of 02 is connected with the inner cavity of the iliac artery blocking balloon 105, and one end of the deep femoral artery blocking balloon connecting tube 103 is connected with the inner cavity of the deep femoral artery blocking balloon 106; the sheath core, the sheath core can be inserted into the inner cavity of the sheath tube 100, one end of the sheath tube 100 is provided with a hemostatic pad 107, and the hemostatic pad 107 can block one end of the sheath tube 100, and the other end of the sheath tube 100 is the iliac artery end, and the other ends of the iliac artery blocking balloon connecting tube 102, the deep femoral artery blocking balloon connecting tube 103, the deep femoral artery shunt tube 104 and the inflation tube 203 are all provided with valves 300.

[0031] In this embodiment, the sheath core is rinsed with heparin water, the sheath tube 100 is rinsed through the connecting tube 101, the iliac artery blocking balloon 105 and the deep femoral artery blocking balloon 106 are filled with saline through the iliac artery blocking balloon connecting tube 102 and the deep femoral artery blocking balloon connecting tube 103, and the air tightness of the iliac artery blocking balloon 105 and the deep femoral artery blocking balloon 106 is checked. After the inspection is completed, the iliac artery blocking balloon 105 and the deep femoral artery blocking balloon 106 are squeezed to make the saline therein flow out through the corresponding pipelines. After the sheath core and the sheath tube 100 are assembled, the sheath tube 100 and the sheath core are inserted into the iliac artery, and the iliac artery blocking balloon 105 is filled to a suitable size through the iliac artery blocking balloon connecting tube 102, and then the valve 300 on the iliac artery blocking balloon connecting tube 102 is closed to turn the deep femoral artery into the iliac artery. The flow tube 104 is inserted into the deep femoral artery, and the deep femoral artery blocking balloon 106 is filled to an appropriate size through the deep femoral artery blocking balloon connecting tube 103, and then the valve 300 on the deep femoral artery blocking balloon connecting tube 103 is closed; after the sheath core is pulled out, the blood is diverted from the iliac artery end to the deep artery, that is, the blood flow from the iliac artery to the deep femoral artery is established, and after heparin water is injected through the connecting tube 101, the proximal artery intervention operation can be performed through the sheath tube 100; it should be noted that the hemostatic pad 107 is made of elastic material, and there are two states, the first is the hemostatic state, at this time, it is squeezed toward the center of the sheath tube 100 by the elastic action, thereby achieving the blockage of one end of the sheath tube 100, and the second state is that the sheath core is inserted into the sheath tube 100 and is fixed under the elastic action of the hemostatic pad 107.

[0032] See also Figure 1 and Figure 3 In some embodiments, the sheath core includes a core tube 200, which can be inserted into the inner cavity of the sheath tube 100, one end of the core tube 200 is connected to a connecting rod 201, and a chuck 202 is provided on the surface of the connecting rod 201, and the top of the chuck 202 is abutted against the bottom of the sheath tube 100, and an inflation tube 203 is provided on the surface of the connecting rod 201, and one end of the inflation tube 203 can be connected to the inner cavity of the core tube 200, and a hemostatic pad 107 is provided at one end of the sheath tube 100, and the surface of the hemostatic pad 107 can abut against the surface of the core tube 200, and the other ends of the iliac artery blocking balloon connecting tube 102, the deep femoral artery blocking balloon connecting tube 103, the deep femoral artery shunt tube 104 and the inflation tube 203 are all provided with valves 300, and the size of the core tube 200 is smaller than that of the sheath tube 100.

[0033] In this embodiment, the core tube 200 can be inserted into the inner cavity of the sheath tube 100 until the chuck 202 abuts against one end of the sheath tube 100 , and the sheath tube 100 can be inflated through the inflation tube 203 and the core tube 200 according to actual needs.

[0034] See also Figure 1 , Figure 2 and Figure 3In some embodiments, the hemostatic pad 107 is made of any one of latex, silicone and rubber, the surface of the valve 300 is provided with a marking coating, the sheath 100, the connecting tube 101, the iliac artery blocking balloon 105, the iliac artery blocking balloon connecting tube 102, the deep femoral artery blocking balloon 106, the deep femoral artery blocking balloon connecting tube 103 and the deep femoral artery shunt tube 104 are all made of elastic transparent material, and the sheath 100, the connecting tube 101, the iliac artery blocking balloon 105, the iliac artery blocking balloon connecting tube 102, the deep femoral artery blocking balloon 106, the deep femoral artery blocking balloon connecting tube 103 and the deep femoral artery shunt tube 104 are made of any one of polyvinyl chloride, thermoplastic polyurethane tube and silicone.

[0035] In this embodiment, the materials of the hemostatic pad 107, the sheath 100, the connecting tube 101, the iliac artery occluding balloon 105, the iliac artery occluding balloon connecting tube 102, the deep femoral artery occluding balloon 106, the deep femoral artery occluding balloon connecting tube 103 and the deep femoral artery shunt tube 104 include but are not limited to the materials mentioned above; the provision of the marking coating is helpful for medical staff to distinguish the connecting tube 101, the iliac artery occluding balloon 105, the iliac artery occluding balloon connecting tube 102 and the inflation tube 203.

[0036] Specifically, the working principle of the proximal end bypass device for femoral artery combined surgery provided by the present application is:

[0037] The sheath core is flushed with heparin water, and the sheath tube 100 is flushed through the connecting tube 101. The iliac artery blocking balloon 105 and the deep femoral artery blocking balloon 106 are filled with saline through the iliac artery blocking balloon connecting tube 102 and the deep femoral artery blocking balloon connecting tube 103, and the air tightness of the iliac artery blocking balloon 105 and the deep femoral artery blocking balloon 106 is checked. After the inspection is completed, the saline in the iliac artery blocking balloon 105 and the deep femoral artery blocking balloon 106 is squeezed to flow out through the corresponding pipelines. After assembling the sheath core and the sheath tube 100, the sheath tube 100 and the sheath core are inserted into the iliac artery, and connected through the iliac artery blocking balloon. The tube 102 is filled with the iliac artery blocking balloon 105 to a suitable size, and then the valve 300 on the iliac artery blocking balloon connecting tube 102 is closed, and the deep femoral artery shunt tube 104 is inserted into the deep femoral artery, and the deep femoral artery blocking balloon 106 is filled to a suitable size through the deep femoral artery blocking balloon connecting tube 103, and then the valve 300 on the deep femoral artery blocking balloon connecting tube 103 is closed; after the sheath core is pulled out, the blood is shunt from the iliac artery end to the deep artery, that is, the blood flow from the iliac artery to the deep femoral artery is established, and after the heparin water is injected through the connecting tube 101, the proximal artery intervention operation can be performed through the sheath tube 100. |

[0038] Finally, it should be noted that the above embodiments are only used to illustrate the technical solutions of the present application, rather than to limit it. Although the present application has been described in detail with reference to the aforementioned embodiments, those skilled in the art should understand that they can still modify the technical solutions described in the aforementioned embodiments, or replace some or all of the technical features therein with equivalents. However, these modifications or replacements do not cause the essence of the corresponding technical solutions to deviate from the scope of the technical solutions of the embodiments of the present application.

Claims

1. A bypass device for the proximal end of femoral artery combined surgery, characterized in that: include: A sheath tube, wherein a connecting tube, an iliac artery blocking balloon connecting tube, a deep femoral artery blocking balloon connecting tube and a deep femoral artery shunt tube are arranged on the surface of the sheath tube, the inner lumens of the connecting tube and the deep femoral artery shunt tube are communicated with the inner lumen of the sheath tube, an iliac artery blocking balloon is arranged on the surface of the sheath tube, a deep femoral artery blocking balloon is arranged on the surface of the deep femoral artery shunt tube, one end of the iliac artery blocking balloon connecting tube is communicated with the inner lumen of the iliac artery blocking balloon, and one end of the deep femoral artery blocking balloon connecting tube is communicated with the inner lumen of the deep femoral artery blocking balloon; A sheath core can be inserted into the inner cavity of the sheath tube.

2. A bypass device for the proximal end of femoral artery combined surgery according to claim 1, characterized in that: The sheath core includes a core tube, which can be inserted into the inner cavity of the sheath tube. One end of the core tube is connected to a connecting rod, and a chuck is provided on the surface of the connecting rod. The top of the chuck abuts against the bottom of the sheath tube. An inflation tube is provided on the surface of the connecting rod, and one end of the inflation tube can be connected to the inner cavity of the core tube.

3. A bypass device for the proximal end of femoral artery combined surgery according to claim 2, characterized in that: A hemostatic pad is provided at one end of the sheath tube, and the hemostatic pad can block one end of the sheath tube, and the surface of the hemostatic pad can abut against the surface of the core tube.

4. The proximal end bypass device for femoral artery combined surgery according to claim 1, characterized in that: The other end of the sheath is the iliac artery end.

5. The proximal end bypass device for femoral artery combined surgery according to claim 2, characterized in that: The sheath tube, the connecting tube, the iliac artery blocking balloon, the iliac artery blocking balloon connecting tube, the deep femoral artery blocking balloon, the deep femoral artery blocking balloon connecting tube and the deep femoral artery shunt tube are all made of elastic transparent material.

6. A bypass device for the proximal end of femoral artery combined surgery according to claim 2, characterized in that: The other ends of the iliac artery blocking balloon connecting tube, the deep femoral artery blocking balloon connecting tube, the deep femoral artery shunt tube and the inflation tube are all provided with valves.

7. A proximal end bypass device for femoral artery combined surgery according to claim 6, characterized in that: The surface of the valve is provided with a marking coating.

8. The proximal end bypass device for femoral artery combined surgery according to claim 2, characterized in that: The size of the core tube is smaller than that of the sheath tube.

9. The proximal end bypass device for femoral artery combined surgery according to claim 3, characterized in that: The material of the hemostatic pad is any one of latex, silica gel and rubber.

10. The proximal end bypass device for femoral artery combined surgery according to claim 5, characterized in that: The sheath tube, the connecting tube, the iliac artery blocking balloon, the iliac artery blocking balloon connecting tube, the deep femoral artery blocking balloon, the deep femoral artery blocking balloon connecting tube and the deep femoral artery shunt tube are made of any one of polyvinyl chloride, thermoplastic polyurethane tube and silicone.