CN105476681A - Endangium outward turning device - Google Patents
Endangium outward turning device Download PDFInfo
- Publication number
- CN105476681A CN105476681A CN201610078504.4A CN201610078504A CN105476681A CN 105476681 A CN105476681 A CN 105476681A CN 201610078504 A CN201610078504 A CN 201610078504A CN 105476681 A CN105476681 A CN 105476681A
- Authority
- CN
- China
- Prior art keywords
- mushroom head
- cone
- connecting rod
- mushroom
- angle
- 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.)
- Pending
Links
- 235000001674 Agaricus brunnescens Nutrition 0.000 claims abstract description 61
- 210000004026 tunica intima Anatomy 0.000 claims abstract description 28
- 239000000203 mixture Substances 0.000 claims description 4
- 210000004204 blood vessel Anatomy 0.000 abstract description 27
- 210000003752 saphenous vein Anatomy 0.000 abstract description 4
- 230000002792 vascular Effects 0.000 abstract description 4
- 238000013172 carotid endarterectomy Methods 0.000 abstract description 2
- 238000000034 method Methods 0.000 description 6
- 210000003462 vein Anatomy 0.000 description 5
- 230000001771 impaired effect Effects 0.000 description 4
- 210000001715 carotid artery Anatomy 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 238000013171 endarterectomy Methods 0.000 description 2
- 210000004379 membrane Anatomy 0.000 description 2
- 239000012528 membrane Substances 0.000 description 2
- 208000037803 restenosis Diseases 0.000 description 2
- 241000283690 Bos taurus Species 0.000 description 1
- 206010008190 Cerebrovascular accident Diseases 0.000 description 1
- 208000006011 Stroke Diseases 0.000 description 1
- 206010053648 Vascular occlusion Diseases 0.000 description 1
- 230000002429 anti-coagulating effect Effects 0.000 description 1
- 239000012237 artificial material Substances 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 230000007774 longterm Effects 0.000 description 1
- 210000003516 pericardium Anatomy 0.000 description 1
- 208000021331 vascular occlusion disease Diseases 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
- A61F2/06—Blood vessels
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00778—Operations on blood vessels
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00969—Surgical instruments, devices or methods used for transplantation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
- A61B2017/1103—Approximator
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
- A61B2017/1107—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis for blood vessels
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
- A61B2017/1121—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis adapted for performing tissue or graft eversion
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- Transplantation (AREA)
- Vascular Medicine (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Cardiology (AREA)
- Pulmonology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Gastroenterology & Hepatology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Surgical Instruments (AREA)
Abstract
本发明公开了一种血管内膜外翻器，由操作手柄，连接杆和蘑菇状头部组成，其中连接杆分别连接操作手柄和蘑菇状头，所述的蘑菇状头有光滑的弧度；其中所述的蘑菇状头为圆锥台形，二边与锥顶的夹角为60-70度；连接杆连接蘑菇状头后部的中心，蘑菇状头的后部也为光滑弧形，内凹部分与锥顶的夹角为50-90度；操作手柄上有防滑花纹。本发明的血管内膜外翻器适用于颈动脉内膜切除术中用于自体血管补片血管的内膜外翻，大隐静脉，操作方便。并且蘑菇头部分与连接杆部分无缝连接，弧度光滑，不仅蘑菇头部分可以顺利穿过补片用的血管，还不会对内膜造成损伤，蘑菇头后部与连接杆之间有夹角，可以有效防治血管固定端缝合线滑脱。
The invention discloses a vascular intima eversion device, which is composed of an operating handle, a connecting rod and a mushroom-shaped head, wherein the connecting rod is respectively connected to the operating handle and the mushroom-shaped head, and the mushroom-shaped head has a smooth arc; wherein The mushroom-shaped head is in the shape of a truncated cone, and the angle between the two sides and the top of the cone is 60-70 degrees; The included angle with the cone top is 50-90 degrees; there is a non-slip pattern on the operating handle. The vascular endarteral eversion device of the present invention is suitable for intimal eversion of autologous blood vessel patches in carotid endarterectomy, great saphenous vein, and is easy to operate. In addition, the mushroom head part is seamlessly connected with the connecting rod part, and the arc is smooth. Not only the mushroom head part can pass through the blood vessel used for the patch smoothly, but also it will not cause damage to the intima. There is an angle between the rear part of the mushroom head and the connecting rod , can effectively prevent the suture slippage at the fixed end of the blood vessel.
Description
Technical field
The present invention relates to a kind of medical surgical instrument, particularly a kind of tunica intima for Endarterectomy and stripping of great saphenous vein is turned up device.
Background technology
Current carotid modus operandi has CEA directly to sew up, CEA sticking patch is repaired and carotid artery turns up strips off.Any type of apoplexy, vascular occlusion, restenosis rate are starkly lower than direct stitching group in sticking patch repairing group.The kind of carotid artery sticking patch comprises artificial material sticking patch, bovine pericardium sticking patch, autogenous vein and autologous aortic patch.Desirable sticking patch performance need meets condition: long-term biological stability; Restenosis rate is low; Be easy to obtain; Possesses anticoagulating activity; Avoid infection and follow-up expansion.Autogenous vein and autologous aortic patch are being applied in CEA sticking patch mending course, and autogenous vein inner membrance turns up does not have special equipment instrument, has following difficult point when autologous vein inner membrance turns up: one be inner membrance turn up do not have specific purpose tool be difficult to accurately complete rapidly; Two is be difficult to avoid the damage to inner membrance.
Goal of the invention
The object of this invention is to provide a kind of tunica intima for Endarterectomy and stripping of great saphenous vein to turn up device.
Of the present invention this will be further reflected and elaborated by following detailed description and description with other object.
Tunica intima of the present invention is turned up device, and by operating grip, connecting rod and mushroomed head composition, wherein connecting rod attended operation handle and mushroom head respectively, described mushroom head has smooth radian.
Turn up in device in tunica intima of the present invention, described mushroom head is truncated cone, and the angle of two limits and the vertex of a cone is 40-120 degree.
It is an option that turn up in device in tunica intima of the present invention, described mushroom head is truncated cone, and the angle of two limits and the vertex of a cone is 50-90 degree.Be preferably, described mushroom head is truncated cone, and the angle of two limits and the vertex of a cone is 60-70 degree.
Turn up in device in tunica intima of the present invention, the rear portion of described mushroom head is also smooth arc, and the angle of female parts and the vertex of a cone is 40-120 degree.
It is an option that turn up in device in tunica intima of the present invention, the rear portion of described mushroom head is also smooth arc, and the angle of female parts and the vertex of a cone is 50-90 degree.Be preferably, the rear portion of described mushroom head is also smooth arc, and the angle of female parts and the vertex of a cone is 60-70 degree.
Turn up in device in tunica intima of the present invention, connecting rod connects the center of mushroom back of head, and operating grip has anti-skid design.
Tunica intima of the present invention is turned up device, by operating grip, and connecting rod and mushroomed head composition, wherein connecting rod attended operation handle and mushroom head respectively, described mushroom head has smooth radian; Wherein said mushroom head is truncated cone, and the angle of two limits and the vertex of a cone is 60-70 degree; Connecting rod connects the center of mushroom back of head, and the rear portion of mushroom head is also smooth arc, and the angle of female parts and the vertex of a cone is 50-90 degree; Operating grip there is anti-skid design.
As a kind of embodiment; in the present invention; described mushroom head part maximum diameter is 3mm; connecting rod section diameter 1.5mm; the radian design of mushroom head can be good at protecting inner membrance not impaired; 3mm diameter can pass through the blood vessel for sticking patch smoothly and can not damage inner membrance, and by sutures, one end of free blood vessel is fixed on mushroom head position, blood vessel can not slippage.
The tunica intima of the present invention device that turns up can operate in the following manner: need in operation process to prevent slippage, in order to increase the operability in operation process, handle is anti-skidding design.During use, grasp operating grip, the blood vessel that strips down in operation for sticking patch is soft by mushroom head under the help of tweezers, by vascular cuffing at connecting rod position; Blood vessel end sutures near mushroom head is fixed, mention the other end blood vessel near handle part with tweezers simultaneously, tunica intima is turned up to mushroom head direction by the direction along connecting rod major axis, not by tweezers clamping other parts except blood vessel two ends in operating process, control causes blood vessel internal membrane damage.
The tunica intima of the present invention device that turns up is applicable to turn up for the inner membrance of autologous vein sticking patch blood vessel in carotid endarterectomy, and great saphenous vein is easy to operate.And mushroom head part and the seamless link of connecting rod part, radian is smooth, and not only mushroom head part can pass through the blood vessel of sticking patch, also can not cause damage to inner membrance, angle is had between mushroom head rear portion and connecting rod, can effectively treatment of vascular stiff end stitching thread slippage.
Accompanying drawing explanation
Fig. 1 is that tunica intima of the present invention is turned up the schematic diagram of device.
Fig. 2 is that tunica intima of the present invention is turned up the angle schematic diagram of device.
In fig. 1 and 2, symbol 1 represents mushroom head, and symbol 2 represents connecting rod, and symbol 3 represents operating grip, and symbol 4 represents the angle of mushroom head two limit and the vertex of a cone, and symbol 5 represents the rear portion female parts of mushroom head and the angle of the vertex of a cone.
Detailed description of the invention
Embodiment 1
Mushroom head part maximum diameter is 3mm; connecting rod section diameter 1.5mm; the radian design of mushroom head can be good at protecting inner membrance not impaired; 3mm diameter can pass through the blood vessel for sticking patch smoothly and can not damage inner membrance; by sutures, one end of free blood vessel is fixed on mushroom head position, blood vessel can not slippage.The angle of mushroom head two limit and the vertex of a cone is 70 degree, and the rear portion female parts of mushroom head and the angle of the vertex of a cone are 70 degree.
The tunica intima of the present invention device that turns up can operate in the following manner: need in operation process to prevent slippage, in order to increase the operability in operation process, handle is anti-skidding design.During use, grasp operating grip, the blood vessel that strips down in operation for sticking patch is soft by mushroom head under the help of tweezers, by vascular cuffing at connecting rod position; Blood vessel end sutures near mushroom head is fixed, mention the other end blood vessel near handle part with tweezers simultaneously, tunica intima is turned up to mushroom head direction by the direction along connecting rod major axis, not by tweezers clamping other parts except blood vessel two ends in operating process, control causes blood vessel internal membrane damage.
Embodiment 2
Mushroom head part maximum diameter is 2.5mm; connecting rod section diameter 1.25mm; the radian design of mushroom head can be good at protecting inner membrance not impaired; 2.5mm diameter can pass through the blood vessel for sticking patch smoothly and can not damage inner membrance; by sutures, one end of free blood vessel is fixed on mushroom head position, blood vessel can not slippage.The angle of mushroom head two limit and the vertex of a cone is 90 degree, and the rear portion female parts of mushroom head and the angle of the vertex of a cone are 90 degree.
Embodiment 3
Mushroom head part maximum diameter is 2.0mm; connecting rod section diameter 1.00mm; the radian design of mushroom head can be good at protecting inner membrance not impaired; 2.0mm diameter can pass through the blood vessel for sticking patch smoothly and can not damage inner membrance; by sutures, one end of free blood vessel is fixed on mushroom head position, blood vessel can not slippage.The angle of mushroom head two limit and the vertex of a cone is 60 degree, and the rear portion female parts of mushroom head and the angle of the vertex of a cone are 60 degree.
Claims (10)
1. tunica intima is turned up a device, it is characterized in that by operating grip, connecting rod and mushroomed head composition, wherein connecting rod attended operation handle and mushroom head respectively, and described mushroom head has smooth radian.
2. tunica intima according to claim 1 is turned up device, and it is characterized in that described mushroom head is truncated cone, the angle of two limits and the vertex of a cone is 40-120 degree.
3. tunica intima according to claim 1 is turned up device, and it is characterized in that described mushroom head is truncated cone, the angle of two limits and the vertex of a cone is 50-90 degree.
4. tunica intima according to claim 1 is turned up device, and it is characterized in that described mushroom head is truncated cone, the angle of two limits and the vertex of a cone is 60-70 degree.
5. to turn up device according to the tunica intima one of claim 1-4 Suo Shu, it is characterized in that the rear portion of described mushroom head is also smooth arc, the angle of female parts and the vertex of a cone is 40-120 degree.
6. tunica intima according to claim 5 is turned up device, and it is characterized in that the rear portion of described mushroom head is also smooth arc, the angle of female parts and the vertex of a cone is 50-90 degree.
7. tunica intima according to claim 5 is turned up device, and it is characterized in that the rear portion of described mushroom head is also smooth arc, the angle of female parts and the vertex of a cone is 60-70 degree.
8. the tunica intima according to any one of one of claim 1-4 is turned up device, it is characterized in that connecting rod connects the center of mushroom back of head.
9. tunica intima according to claim 1 is turned up device, it is characterized in that operating grip has anti-skid design.
10. tunica intima is turned up a device, it is characterized in that by operating grip, connecting rod and mushroomed head composition, wherein connecting rod attended operation handle and mushroom head respectively, and described mushroom head has smooth radian; Wherein said mushroom head is truncated cone, and the angle of two limits and the vertex of a cone is 60-70 degree; Connecting rod connects the center of mushroom back of head, and the rear portion of mushroom head is also smooth arc, and the angle of female parts and the vertex of a cone is 50-90 degree; Operating grip there is anti-skid design.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610078504.4A CN105476681A (en) | 2016-02-04 | 2016-02-04 | Endangium outward turning device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610078504.4A CN105476681A (en) | 2016-02-04 | 2016-02-04 | Endangium outward turning device |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN105476681A true CN105476681A (en) | 2016-04-13 |
Family
ID=55664207
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201610078504.4A Pending CN105476681A (en) | 2016-02-04 | 2016-02-04 | Endangium outward turning device |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN105476681A (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN116617460A (en) * | 2023-05-29 | 2023-08-22 | 中国人民解放军陆军军医大学 | In-vitro endothelialized vascular implant, and preparation method and application thereof |
| CN117731351A (en) * | 2023-12-21 | 2024-03-22 | 上海市第六人民医院 | Vascular anastomosis system |
Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2036817U (en) * | 1988-10-22 | 1989-05-03 | 河南医科大学第一附属医院 | Semi-soft type vein decollement apparatus |
| CN2661107Y (en) * | 2003-12-15 | 2004-12-08 | 陆建忠 | Detacher of fascia lata |
| CN1843300A (en) * | 2005-04-08 | 2006-10-11 | 张学民 | Great saphenous vein inversion denudation device |
| CN202960629U (en) * | 2012-12-26 | 2013-06-05 | 西安交通大学医学院第一附属医院 | Vascular anastomosis lumen internal support device |
| CN203988245U (en) * | 2014-06-26 | 2014-12-10 | 缪荣明 | A kind of blood vessel exfoliation device |
| US20150164632A1 (en) * | 1998-08-12 | 2015-06-18 | Maquet Cardiovascular Llc | Vessel harvester |
| CN205514740U (en) * | 2016-02-04 | 2016-08-31 | 中日友好医院 | Blood vessel inner membrance ware that turns up |
-
2016
- 2016-02-04 CN CN201610078504.4A patent/CN105476681A/en active Pending
Patent Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2036817U (en) * | 1988-10-22 | 1989-05-03 | 河南医科大学第一附属医院 | Semi-soft type vein decollement apparatus |
| US20150164632A1 (en) * | 1998-08-12 | 2015-06-18 | Maquet Cardiovascular Llc | Vessel harvester |
| CN2661107Y (en) * | 2003-12-15 | 2004-12-08 | 陆建忠 | Detacher of fascia lata |
| CN1843300A (en) * | 2005-04-08 | 2006-10-11 | 张学民 | Great saphenous vein inversion denudation device |
| CN202960629U (en) * | 2012-12-26 | 2013-06-05 | 西安交通大学医学院第一附属医院 | Vascular anastomosis lumen internal support device |
| CN203988245U (en) * | 2014-06-26 | 2014-12-10 | 缪荣明 | A kind of blood vessel exfoliation device |
| CN205514740U (en) * | 2016-02-04 | 2016-08-31 | 中日友好医院 | Blood vessel inner membrance ware that turns up |
Non-Patent Citations (1)
| Title |
|---|
| 吕新生、张寿熙: "《血管淋巴外科》", 30 June 1998, 湖南科学技术出版社 * |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN116617460A (en) * | 2023-05-29 | 2023-08-22 | 中国人民解放军陆军军医大学 | In-vitro endothelialized vascular implant, and preparation method and application thereof |
| CN116617460B (en) * | 2023-05-29 | 2024-06-11 | 中国人民解放军陆军军医大学 | In-vitro endothelialized vascular implant, and preparation method and application thereof |
| CN117731351A (en) * | 2023-12-21 | 2024-03-22 | 上海市第六人民医院 | Vascular anastomosis system |
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| C06 | Publication | ||
| PB01 | Publication | ||
| C10 | Entry into substantive examination | ||
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| RJ01 | Rejection of invention patent application after publication |
Application publication date: 20160413 |
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| RJ01 | Rejection of invention patent application after publication |