WO2025077341A1 - Pulse type lesion fragmentation device - Google Patents
Pulse type lesion fragmentation device Download PDFInfo
- Publication number
- WO2025077341A1 WO2025077341A1 PCT/CN2024/106468 CN2024106468W WO2025077341A1 WO 2025077341 A1 WO2025077341 A1 WO 2025077341A1 CN 2024106468 W CN2024106468 W CN 2024106468W WO 2025077341 A1 WO2025077341 A1 WO 2025077341A1
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- WO
- WIPO (PCT)
- Prior art keywords
- elastic diaphragm
- pressure
- gas
- lesion
- solenoid valve
- 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.)
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
- A61B17/22004—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
- A61B17/22004—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves
- A61B17/22012—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22082—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for after introduction of a substance
- A61B2017/22084—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for after introduction of a substance stone- or thrombus-dissolving
Definitions
- the invention relates to the field of medical devices, and in particular to a pulsed lesion crushing device.
- Intravascular calcified plaques are blockages caused by the deposition of calcium ions and fat in the blood vessels on the inner walls of the blood vessels.
- the blockages can reduce or even block blood flow, thereby triggering a series of ischemic diseases.
- drugs that are commonly used in clinical practice to stabilize plaques and soften blood vessels mainly include lipid-regulating drugs, drugs that inhibit platelet aggregation, and Chinese patent medicines that improve microcirculation and promote blood circulation and remove blood stasis.
- drugs that are commonly used in clinical practice to stabilize plaques and soften blood vessels mainly include lipid-regulating drugs, drugs that inhibit platelet aggregation, and Chinese patent medicines that improve microcirculation and promote blood circulation and remove blood stasis.
- most of these drugs can only inhibit the further generation of calcified plaques, and it is difficult to fundamentally solve the problem.
- some new solutions have been proposed in the industry: using a crushing device to extend into the lesion to knock on the calcified plaque, so that the calcified plaque breaks, and then the calcified plaque blockage is cleared.
- an ultrasonic electrode is transported to the treatment position, and a high-voltage electrode is used to emit ultrasonic waves to impact the calcified plaque and shatter it.
- a high-voltage electrode is used to emit ultrasonic waves to impact the calcified plaque and shatter it.
- this method is used, if the voltage is too high, electrical breakdown is likely to occur, causing personal safety; if the voltage is low, the impact efficiency is too low.
- the main purpose of the present invention is to provide a pulsed lesion crushing device which is safe to use and has high working efficiency.
- a pulsed lesion crushing device the pulsed lesion crushing device comprises a main body part and an operating part, the main body part and the operating part are detachably connected;
- the operating part includes an elastic diaphragm, a coupling part, a liquid tube and a balloon, one end of the coupling part is connected to the elastic diaphragm, and the other end is connected to the balloon through the liquid tube; the coupling part, the liquid tube and the inside of the balloon are connected to form a liquid containing space containing liquid, and the liquid containing space is closed by the elastic diaphragm;
- the main body part includes a solenoid valve having an air inlet and an air outlet, a linear air flow channel is formed between the air outlet of the solenoid valve and the elastic diaphragm, and the air flow channel can be exhausted through the exhaust port; when high-pressure gas enters the air inlet, the solenoid valve and the exhaust port cooperate to control the generation of periodic high-pressure pulse gas;
- a single generation cycle of the high-pressure pulse gas includes a first period and a second period.
- the solenoid valve is turned on, the exhaust port is closed, the high-pressure gas advances along the air flow channel, and impacts the elastic diaphragm to deform the elastic diaphragm; in the second period, the solenoid valve is turned off, and the exhaust port is opened to exhaust, and the elastic diaphragm is reset.
- the maximum gas pressure in the gas flow channel is P, 6atm ⁇ P ⁇ 30atm;
- the maximum volume change of the liquid containing space is 0.01 ml
- the frequency of the high-pressure pulse gas generation is 5-20 Hz.
- the radial dimension of the airflow channel is 8-15 mm;
- the coupling portion is a substantially conical structure, and the conical structure comprises a first end and a second end opposite to each other and located on the extension line of the airflow channel, the first end is larger than the second end, the radial dimension of the first end is larger than 15 mm, and the inclination angle of the inner wall thereof is 20-50°;
- the radial dimension of the liquid pipe is 0.6-1.2 mm.
- the flow velocity of the high-pressure pulse gas in the gas flow channel is greater than 5 m/s;
- the elastic diaphragm is a silicone film, a PTFE film, a TPU film, a PET film or a PU film, and the thickness of the elastic diaphragm is 0.7-3 mm.
- the opening and closing of the exhaust port is controlled according to the duration of the preset first time period and the second time period; or the opening and closing of the exhaust port is controlled according to the air pressure of the air flow channel.
- the main body portion includes a first docking portion arranged on the periphery of the airflow channel;
- the operating portion includes a second docking portion matching the first docking portion; when the main body portion and the operating portion are connected, the first docking portion and the second docking portion are tightly matched in a concave and convex manner to achieve a detachable connection;
- the second docking portion is provided with a through hole for the airflow channel to pass through and a first threaded structure, and viewed in the axial direction of the through hole, the through hole is located in the area surrounded by the first threaded structure;
- a second thread structure matching the first thread structure is provided on the outer surface of the coupling portion.
- an end of the coupling portion away from the liquid pipe is provided with a concave structure, and the elastic diaphragm is adhered to the concave structure;
- the second docking portion is provided with a protruding portion protruding toward the coupling portion, the first threaded structure is arranged on the periphery of the protruding portion, and when the first threaded structure and the second threaded structure are threadedly connected, the protruding portion abuts the elastic diaphragm against the coupling portion.
- the operating part includes a shell fixedly arranged on the periphery of the coupling part; at least one annular surface is arranged on the periphery of the first threaded structure of the second docking part; and the side wall of the shell contacts the at least one annular surface to form at least one sealing structure.
- the first and second electrical connection parts that match each other are arranged on the docking surfaces of the first and second docking parts; when the first and second docking parts are docked, the first and second electrical connection parts are in contact to achieve electrical connection;
- the main body portion includes a control circuit board electrically connected to the first electrical connection portion, and the operating portion is provided with an operating handle and a wire fixedly connected to the liquid pipe, one end of the wire is connected to the operating handle, and the other end passes through the space between the housing and the coupling portion, and passes through the second docking portion and is connected to the second electrical connection portion;
- the liquid pipe and the wire located between the operating handle and the coupling portion are covered together by an insulating layer;
- the length of the liquid pipe between the operating handle and the coupling portion is 0.8-1.4 m.
- the pulsed lesion crushing device further includes a control circuit board, an electric proportional valve, a pressure sensor, a manual ball valve and a ball valve state detector, wherein the electric proportional valve, the pressure sensor and the solenoid valve are all connected to the control circuit board, the manual ball valve is arranged on the air flow channel, and is connected to the control circuit board through the ball valve state detector; the electric proportional valve is connected to the solenoid valve, and the electric proportional valve can provide the high-pressure gas of the set air pressure; the pressure sensor can detect the air pressure on the air flow channel between the solenoid valve and the manual ball valve; the ball valve state detector is used to detect the working state of the manual ball valve and generate working state information to feed back to the control circuit board Manufacturing circuit boards;
- the pulsed lesion crushing device includes a first working mode and a second working mode
- the ball valve state detector feeds back the working state information to the control circuit board, and the control circuit board at least controls the electric proportional valve and the solenoid valve to enter the self-test working mode, and determines whether one or more of the electric proportional valve, the solenoid valve, the manual ball valve and the gas path channel is abnormal through the air pressure detected by the pressure sensor;
- the manual ball valve is turned on, and the ball valve state detector feeds back the working state information to the control circuit board, and the control circuit board at least controls the electric proportional valve and the solenoid valve to generate the periodic high-pressure pulse gas.
- the pulsed lesion crushing device provided by the present invention generates periodic high-pressure pulse gas, and the high-pressure pulse gas impacts the elastic diaphragm through a linear airflow channel, and the energy loss is small, which can provide a large force to the elastic diaphragm, so that the elastic diaphragm is suddenly deformed, and the liquid in the liquid holding space is compressed, that is, the high-pressure pulse gas is coupled with the liquid in the liquid holding space, and the pulse energy of the high-pressure pulse gas is transmitted to the balloon through the liquid, and the pulse energy is directly transmitted to the calcified plaque in contact with it through the balloon, giving the calcified plaque a certain impact force.
- the pulsed lesion crushing device includes a main body and an operating part that are detachably connected, which is convenient for medical staff to operate.
- the main body can be used reciprocatingly, and the operating part including the elastic diaphragm is a disposable device, which ensures the stability of the high-pressure pulse gas generation and the working efficiency of the device.
- FIG1 is a schematic diagram of the three-dimensional structure of a pulsed lesion crushing device according to the present invention.
- FIG. 2 and FIG. 3 are schematic diagrams of the three-dimensional structure of a main body portion of a pulsed lesion crushing device according to the present invention at different angles.
- FIG4 is a schematic diagram of a partial three-dimensional structure of a pulse lesion crushing device of the present invention after the outer shell is removed.
- FIG5 is a schematic diagram of a partial cross-sectional structure of a pulsed lesion crushing device according to the present invention.
- FIG. 6 is a schematic diagram of a circuit module of a pulsed lesion crushing device according to the present invention.
- FIG. 7 and FIG. 8 are schematic diagrams of the three-dimensional structure of the operating part of the pulse lesion crushing device of the present invention at different angles.
- FIG9 is a schematic diagram of a partial cross-sectional structure of an operating portion of a pulsed lesion crushing device according to the present invention.
- FIG. 10 is a schematic diagram of the planar structure of an elastic diaphragm of an operating part included in a pulsed lesion crushing device of the present invention.
- proximal end refers to the end close to the operator
- distal end refers to the end far away from the operator. That is, for the same component, if it only partially extends into the patient's body, the end extending into the patient's body is the distal end. The end outside the body close to the operator is the proximal end.
- the present invention provides a pulsed lesion crushing device suitable for various lesions that need to be crushed, including but not limited to calcified plaques in blood vessels.
- the present invention takes calcified plaques in blood vessels as an example for explanation, and it can be understood that this does not limit the application scenario of the pulsed lesion crushing device.
- the invention provides a pulsed lesion crushing device, which comprises a main body part and an operating part, wherein the main body part and the operating part are detachably connected.
- the operating part includes an elastic diaphragm, a coupling part, a liquid tube and a balloon.
- One end of the coupling part is connected to the elastic diaphragm, and the other end is connected to the balloon through the liquid tube.
- the coupling part, the liquid tube and the inside of the balloon are connected to form a liquid containing space containing liquid, and the liquid containing space is closed by the elastic diaphragm.
- the main body portion includes a solenoid valve having an air inlet and an air outlet, a linear airflow channel is formed between the air outlet of the solenoid valve and the elastic diaphragm, and the airflow channel can be exhausted through the exhaust port; when high-pressure gas enters the air inlet, the solenoid valve and the exhaust port cooperate to control the generation of periodic high-pressure pulse gas.
- a single generation cycle of the high-pressure pulse gas includes a first period and a second period.
- the solenoid valve is turned on, the exhaust port is closed, the high-pressure gas advances along the air flow channel, and impacts the elastic diaphragm to deform the elastic diaphragm; in the second period, the solenoid valve is turned off, and the exhaust port is opened to exhaust, and the elastic diaphragm is reset.
- the pulsed lesion crushing device provided by the present invention generates periodic high-pressure pulse gas, and the high-pressure pulse gas impacts the elastic diaphragm through a linear airflow channel, and the energy loss is small, which can provide a large force to the elastic diaphragm, so that the elastic diaphragm is suddenly deformed, and the liquid in the liquid holding space is compressed, that is, the high-pressure pulse gas is coupled with the liquid in the liquid holding space, and the pulse energy of the high-pressure pulse gas is transmitted to the balloon through the liquid, and the pulse energy is directly transmitted to the calcified plaque in contact with it through the balloon, giving the calcified plaque a certain impact force.
- the pulse lesion crushing device includes a main body and an operating part that are detachably connected, making it convenient for medical care. Personnel operation.
- the main body can be used reciprocatingly, including the operating part of the elastic diaphragm as a disposable device, which ensures the stability of the high-pressure pulse gas generation and the working efficiency of the device.
- an embodiment of the present invention provides a pulsed lesion crushing device 1, which includes a main body 10 and an operating part 20, and the main body 10 and the operating part 20 are detachably connected.
- the main body operating part 20 can be used repeatedly, and the operating part 20 is a disposable device. Before use, the operating part 20 is sterilized, such as by ethylene oxide.
- the main body part 10 includes a shell 18, an electric proportional valve 11, a solenoid valve 12, an exhaust port (unnumbered), an air pipe, a manual ball valve 14 and a pressure sensor 16.
- the electric proportional valve 11, the solenoid valve 12, the exhaust port, the air pipe, the manual ball valve 14 and the pressure sensor 16 are completely or partially contained in the shell 18, that is, each component is at least partially contained in the shell 18.
- the air circuit pipe includes a first air circuit pipe 171, a second air circuit pipe 172 and a third air circuit pipe 173.
- the electric proportional valve 11, the solenoid valve 12 and the manual ball valve 14 all include an air inlet and an air outlet (it can be understood that in the orientation of Figure 4, the air inlet is located on the left side of the air outlet).
- the air outlet of the electric proportional valve 11 is connected to the air inlet of the solenoid valve 12 through the first air circuit pipe 171, and the air outlet of the solenoid valve 12 is connected to the air inlet of the manual ball valve 14 through the second air circuit pipe 172.
- the air outlet of the manual ball valve 14 is connected to the third air circuit pipe 173.
- the pressure sensor 16 can sense the air pressure in the second air line pipe 172 (including the space connected to the second air line pipe 172).
- a fourth air line pipe 174 is provided, one end of the fourth air line pipe 174 is connected to the second air line pipe 172, and the other end is connected to the pressure sensor 16.
- the fourth air line pipe 174 is connected to the second air line pipe 172, so that the pressure sensor 16 can sense the air pressure in the second air line pipe 172.
- the exhaust port is connected to the air flow channel from the air outlet of the solenoid valve 12 to the operating part 20, and the gas in the air flow channel can be discharged to reduce the internal air pressure.
- the high-pressure gas source is input from the air inlet of the electric proportional valve 11.
- the electric proportional valve 11 processes the high-pressure gas source and outputs high-pressure gas of the set air pressure, and transmits the high-pressure gas to the solenoid valve 12 through the first air circuit pipe 171.
- the solenoid valve 12 and the manual ball valve 14 both have two states: on and off. When the manual ball valve 14 is off, the solenoid valve 12 is open and the exhaust port is closed. The transmission of the high-pressure gas is terminated at the manual ball valve 14.
- the pressure sensor 16 can detect the air pressure to determine whether the device is leaking. When the manual ball valve 14 is on, the solenoid valve 12 switches between the on and off states to generate high-pressure pulse gas.
- the exhaust port is closed, and the high-pressure gas passes through the second air circuit pipe 172 and the manual ball valve 14, and is discharged from the third air circuit pipe 173; ....
- the exhaust port is opened, and the high-pressure gas in the second gas line pipe 172 is discharged.
- the air inlet and air outlet of the solenoid valve 12, the second air line pipe 172, the air inlet and air outlet of the manual ball valve 14, and the third air line pipe 173 are located on the same straight line, so that the path of the gas is linear, avoiding energy loss during the transmission of the gas. More preferably, the air inlet and air outlet of the electric proportional valve 11, the first air line pipe 171, the air inlet and air outlet of the solenoid valve 12, the second air line pipe 172, the air inlet and air outlet of the manual ball valve 14, and the third air line pipe 173 are all located on the same straight line, and there is basically no energy loss during the transmission of high-pressure gas.
- the electric proportional valve 11 includes a pressure regulating knob 111, which passes through the housing 18 and is located outside the housing 18. The user can adjust the pressure of the high-pressure gas output from the outlet of the electric proportional valve 11 through the pressure regulating knob 111, thereby meeting the device's requirements for different air pressures.
- the housing 18 is provided with a first through hole 181 at a position corresponding to the air inlet of the electric proportional valve 11. The air inlet of the electric proportional valve 11 is exposed to the external space at the position of the first through hole 181, so as to facilitate access to a high-pressure gas source.
- the pressure of the high-pressure gas output by the electric proportional valve 11 is P, 6atm ⁇ P ⁇ 30atm (standard atmospheric pressure). Further, while reducing the air pressure and ensuring the acquisition of high-pressure pulse gas, preferably, 12atm ⁇ P ⁇ 20atm; further, 12atm ⁇ P ⁇ 15atm, or 16atm ⁇ P ⁇ 18atm. Further, the pressure of the high-pressure gas can specifically be 12atm, 13atm, 14atm, 16atm, 17atm, 18atm or 19atm.
- the electric proportional valve 11 outputs high-pressure gas at multiple pressure levels, and the user can select a suitable pressure level.
- the electric proportional valve 11 outputs high-pressure gas at two pressure levels, one level being 13.8 atm and the other being 17.8 atm.
- the specific pressure values corresponding to the levels can be adjusted.
- the pressure difference between different levels is greater than 2.5 atm, and more preferably, the pressure difference between different levels is greater than 3.5 atm.
- the solenoid valve 12 is specifically a high-frequency solenoid valve. It can be understood that the type of the solenoid valve 12 is not limited as long as the gas can be turned on and off under the control of an electrical signal.
- the exhaust port is integrated on the solenoid valve 12, and the exhaust port can discharge the gas at the exhaust port of the solenoid valve 12.
- the exhaust port is not integrated with the solenoid valve 12, and the exhaust port can be a structure independent of the solenoid valve 12.
- the opening and closing of the exhaust port is controlled according to the preset duration of the first period and the second period.
- the exhaust port is opened, and when the duration of the second period is reached, the exhaust port is closed.
- the opening and closing of the exhaust port is controlled according to the air pressure of the air flow channel.
- the pressure sensor 16 detects the air pressure in the air flow channel.
- the solenoid valve 12 When the detected air pressure value is less than the preset air pressure value, the solenoid valve 12 is turned on and the exhaust port is closed, that is, the first period of the generation cycle of a single high-pressure pulse gas is completed; when the detected air pressure value is greater than the preset air pressure value, the solenoid valve 12 is turned off and the exhaust port is opened, that is, the second period of the generation cycle of a single high-pressure pulse gas is completed; the preset air pressure value is the aforementioned P. In this way, the device can still ensure its impact effect on calcified plaques under different usage environments.
- the manual ball valve 14 includes a ball valve body 141 and a manual part 142, and the manual part 142 is connected to the ball valve body 141.
- the user can adjust the manual ball valve 14 to be turned on or off by operating the manual part 142.
- the manual part 142 penetrates the housing 18 and is exposed outside the housing 18 to facilitate user operation.
- the manual ball valve 14 is also connected to a ball valve state detector 15 (see FIG. 7 for the number), and the ball valve state detector 15 can detect the conduction state of the manual ball valve 14 and generate working state information, and the working state information is used to indicate whether the manual ball valve 14 is opened or closed.
- the conduction of the ball valve or the solenoid valve has the same meaning as opening, and the cutoff has the same meaning as closing.
- the manual ball valve 14 is a mechanical ball valve, and the user can perform self-inspection on the device at any time according to the needs to ensure that there is no abnormality in each part of the device and it is safe and reliable.
- the manual ball valve 14 can also be replaced with other non-mechanical ball valves, for example, by setting a program control device to perform self-inspection.
- the first gas circuit pipe 171 can be formed by a single section of pipe or by splicing multiple sections of pipe.
- the second gas circuit pipe 172 can be formed by a single section of pipe or by splicing multiple sections of pipe.
- the third gas circuit pipe 173 can be formed by a single section of pipe or by splicing multiple sections of pipe.
- the diameters of the first gas line pipe 171, the second gas line pipe 172, and the third gas line pipe 173 may be the same or different.
- the diameters of the first gas line pipe 171, the second gas line pipe 172, and the third gas line pipe 173 may be constant or variable.
- the diameters of the first gas line tube 171, the second gas line tube 172, and the third gas line tube 173 are constant and consistent with each other, the diameters can be 8-15 mm, specifically 8 mm, 9 mm, 10 mm, 11 mm, 12 mm, 13 mm, 14 mm, or 15 mm. Furthermore, the diameter is 8-12 mm. Under the diameter parameters, the high-pressure gas is transmitted smoothly, the energy is concentrated, and the pulse energy can be better provided.
- the diameter size of the first gas line pipe 171, the second gas line pipe 172, and the third gas line pipe 173 include at least two diameter sizes
- the diameter size can be 8-15mm.
- the third gas line pipe 173 includes at least two parts with different diameters: a first pipeline section 1731 and a second pipeline section 1732.
- the radial dimension difference between the first pipeline section 1731 and the second pipeline section 1732 is 1-3mm, and further 1.2-2mm.
- the radial dimension of the first pipeline section 1731 is 10-15mm, or 10-12mm, or 12-14mm.
- the radial dimension of the first pipeline section 1731 is 10mm, 10mm, 11mm, 12mm, 13mm, 14mm, or 15mm.
- the radial dimension of the second pipeline section 1732 is 8-12 mm, or 8-10 mm, or 10-12 mm.
- the radial dimension of the second pipeline section 1732 is 8 mm, 9 mm, 10 mm, 11 mm, or 12 mm.
- the first pipeline section 1731 and the second pipeline section 1732 cooperate with each other to provide high-pressure pulse gas with concentrated energy.
- a display screen 19 for users to observe the operating parameters of the device is fixed on the housing 18.
- the display screen may be a touch screen, and the user can operate the device to execute the set function through the touch control.
- buttons 101 for user operation are fixed on the housing 18.
- the button 101 may be a power switch button 101 or the like.
- a support structure 184 is further disposed inside the housing 18 , and the support structure 184 is used to support one or more of the first gas line pipe 171 , the second gas line pipe 172 , and the third gas line pipe 173 .
- a control circuit board 100 is arranged inside the housing 18, the electric proportional valve 11, the solenoid valve 12, the pressure sensor 16, and the button 101 are all connected to the control circuit board 100, and the manual ball valve 14 is connected to the control circuit board 100 through the ball valve state detector 15.
- the electric proportional valve 11 has a gas pressure detection function, and can return the gas pressure value of the processed high-pressure gas to the control circuit board 100.
- the pulsed lesion fragmentation device 1 includes a first working mode and a second working mode.
- the pulsed lesion fragmentation device 1 enters the second working mode after executing the first working mode.
- the second working mode may be directly entered.
- the first working mode may not be executed, or may be executed at a set time, such as executing the first working mode once a week.
- the user may also determine whether to execute the first working mode according to the usage.
- the external power supply provides power to the device, and the high-pressure gas source is connected to the air inlet of the electric proportional valve 11. After the external power supply is turned on by the power switch button 101, the pulsed lesion crushing device 1 can enter the first working mode or second working mode.
- the user operates the manual part 142 of the manual ball valve 14 to close the manual ball valve 14, and the ball valve state detector 15 sends the working state information generated by the detection to the control circuit board 100.
- the control circuit board 100 determines that the manual ball valve 14 is closed according to the working state information, and then the control body part 10 enters the self-test working mode.
- the self-test working mode mainly detects whether there are abnormalities in the electric proportional valve 11, the solenoid valve 12, the exhaust port and the air flow channel, such as whether there is leakage, exhaust failure, etc.
- the electric proportional valve 11 provides high-pressure gas with a set air pressure
- the solenoid valve 12 is turned on
- the exhaust port is closed
- the pressure sensor 16 detects the air pressure and returns the air pressure parameters to the control circuit board 100.
- the control circuit board 100 can determine whether there are abnormalities in one or more of the solenoid valve 12, the exhaust port, the electric proportional valve 11, the manual ball valve 14, and the air flow channel according to the air pressure parameters returned by the pressure sensor 16.
- control circuit board 100 can determine whether one or more of the solenoid valve 12, the exhaust port, the electric proportional valve 11, the manual ball valve 14, and the air flow channel are abnormal based on the air pressure parameters of the high-pressure gas provided by the electric proportional valve 11 and the air pressure parameters returned by the pressure sensor 16. On the basis of executing the above steps, the exhaust port is further opened, and the control circuit board 100 can determine whether the exhaust port is exhausted normally based on the air pressure parameters returned by the pressure sensor 16.
- the user operates the manual part 142 of the manual ball valve 14 to open the manual ball valve 14, and the ball valve state detector 15 sends the working state information generated by the detection to the control circuit board 100.
- the control circuit board 100 determines that the manual ball valve 14 is opened according to the working state information, and then at least controls the electric proportional valve 11, the solenoid valve 12 and the exhaust port to cooperate with each other to generate periodic high-pressure pulse gas.
- the generation cycle of a single high-pressure pulse gas includes a first period and a second period. In the first period, the solenoid valve 12 is turned on and the exhaust port is closed; in the second period, the solenoid valve 12 is turned off, and the exhaust port is opened to exhaust.
- the electric proportional valve 11 can be omitted.
- the manual ball valve 14 and the ball valve state detector 15 may be omitted.
- the second gas line pipe 172 and the third gas line pipe 173 are connected.
- the main body portion 10 includes a first docking portion 182 disposed on the periphery of the airflow channel.
- the first docking portion 182 is used to dock with the operating portion 20 to achieve connection between the two portions.
- the operating part 20 includes an elastic membrane 21, a coupling part 22, a fluid line 23 and a balloon 24.
- One end of the coupling part 22 is connected to the elastic membrane 21, and the other end is connected to the balloon 24 through the fluid line 23.
- the coupling part 22, the liquid line tube 23 and the balloon 24 are all hollow structures.
- the coupling part 22, the liquid line tube 23 and the balloon 24 are connected to form a liquid containing space a for containing liquid.
- the liquid containing space a is closed by the elastic diaphragm 21 at the end of the coupling part 22 away from the liquid line tube 23.
- the liquid containing space a at the end of the coupling part 22 away from the liquid line tube 23 can be connected to the external space.
- the elastic diaphragm 21 is arranged at the end of the third gas line tube 173 away from the manual ball valve 14, and a linear air flow channel is formed between the elastic diaphragm 21 and the gas outlet of the solenoid valve 12, and then the solenoid valve 12 cooperates with the exhaust port to control the generation of periodic high-pressure pulse gas to impact on the elastic diaphragm 21.
- the high-pressure gas advances along the air flow channel and impacts the elastic diaphragm 21 to deform the elastic diaphragm 21.
- the exhaust port is exhausted and the elastic diaphragm 21 is reset.
- the liquid in the liquid containing space a is compressed, and the high-pressure pulse gas is coupled with the liquid in the liquid containing space a.
- the pulse energy of the high-pressure pulse gas is transmitted to the balloon 24 through the liquid, and the pulse energy is directly transmitted to the calcified plaque in contact with it through the balloon 24, giving the calcified plaque a certain impact force.
- the periodic high-pressure pulse gas provides periodic impact force to gradually break up the calcified plaque.
- the maximum volume change of the liquid containing space a is 0.01 ml, that is, the volume change in the liquid containing space is less than or equal to 0.01 ml. It can be understood that when the elastic diaphragm 21 moves to the maximum position, the volume change of the liquid containing space a is the largest, and the maximum volume change can further be 0.008-0.01 ml, or 0.008-0.009 ml.
- the frequency of the high-pressure pulse gas generation is 5-20 Hz. Taking into account the crushing effect, equipment requirements and safety, the preferred frequency is 10-20 Hz, and further can be 12-20 Hz, 16-19 Hz, 16-18 Hz.
- the liquid contained in the liquid containing space a is physiological saline and/or developer.
- the elastic membrane 21 can undergo elastic deformation when subjected to force, and when the force is removed, the deformation disappears and the elastic membrane is restored.
- the elastic membrane 21 can be specifically a silicone membrane, a PTFE membrane (polytetrafluoroethylene), a TPU membrane (thermoplastic polyurethane), a PET membrane (polyethylene terephthalate) or a PU membrane (polyurethane).
- the thickness of the elastic membrane 21 is 0.7-3 mm.
- the maximum deformation amplitude of the elastic diaphragm 21 in the axial direction of the air flow channel is 0.1-0.2 mm, and the time duration from deformation to reset of the elastic diaphragm 21 is less than 0.1 s.
- the coupling portion 22 is basically a conical structure, and the conical structure includes a first end and a second end that are opposite and located on the extension line of the airflow channel, and the size of the first end is larger than the size of the second end.
- the design of the conical structure is conducive to gathering pulse energy and reducing the loss of pulse energy during propagation.
- the radial dimension of the first end of the coupling part 22 is greater than 15 mm, and the radial dimension of the second end of the coupling part 22 is substantially consistent with the radial dimension of the liquid circuit tube 23, which is 0.6-1.2 mm.
- the inclination angle of the inner wall of the coupling part 22 is 20-50°. It can be understood that the radial dimension of the first end of the coupling part 22 is also the end dimension of the liquid containing space; the inclination angle of the inner wall refers to the angle between the inner wall of the coupling part 22 in contact with the liquid and the axis of the coupling part 22. Under the said parameters, the propagation loss of the pulse energy is small, and the generation of echoes is avoided.
- the radial dimension of the first end of the coupling portion 22 is preferably 15-20 mm, or 15-18 mm, or 16-18 mm, or 18-20 mm, and specifically 15 mm, 16 mm, 17 mm, or 18 mm.
- the radial dimension of the second end may also be 1.2-1.6 mm, 1-1.5 mm, or 1.4-1.8 mm, and specifically 1.2 mm, 1.3 mm, 1.4 mm, 1.5 mm, 1.6 mm, 1.7 mm, or 1.8 mm.
- the inclination angle of the inner wall of the coupling portion 22 may be 20°-45°, or 30°-45°, specifically 20°, 25°, 30°, 35°, 40° or 45°.
- the ratio of the diameter of the second pipeline section 1732 to the radial dimension of the first end of the coupling portion 22 is 1:(2-6), and can further be 1:(4-6). Under this ratio, the coupling effect between the high-pressure pulse gas and the liquid is better.
- the coupling effect between the high-pressure pulse gas and the liquid is better, and the propagation loss of the pulse energy is extremely small, and almost no echo is generated.
- the flow velocity of the high-pressure pulse gas in the gas flow channel is greater than 5 m/s, so that when the high-pressure pulse gas impacts the elastic diaphragm 21, the elastic diaphragm 21 can be deformed suddenly.
- the radial dimension of the liquid pipe 23 is constant, which is 0.6-1.2 mm.
- the radial dimension can also be 0.6-1 mm, or 0.6-0.8 mm, specifically 0.6 mm, 0.7 mm, 0.8 mm, 0.9 mm, 1 mm, 1 mm, 1.2 mm, 1.3 mm, 1.4 mm, 1.5 mm.
- the balloon 24 is non-elastic, so that after the high-pressure pulse gas at a relatively low pressure is coupled at the elastic diaphragm 21, the force exerted on the calcified plaque through the balloon 24 is pulsed, which can effectively impact the calcified plaque. It is understood that the balloon 24 can have different specifications and sizes. As an option, the balloon 24 is larger than the size of the calcified plaque.
- the operating portion 20 includes a second docking portion 25 that matches the first docking portion 182.
- the first docking portion 182 and the second docking portion 25 are tightly matched to achieve a detachable connection.
- the first docking portion 182 and the second docking portion 25 are annular structures with different radial dimensions.
- the outer diameter of the first docking portion 182 is equal to the inner diameter of the second docking portion 25.
- the first docking portion 182 can be inserted into the second docking portion 25 to achieve a tight fit.
- the structures of the first docking portion 182 and the second docking portion 25 can be replaced with each other.
- first docking portion 182 and the second docking portion 25 are not limited, as long as they cooperate with each other to achieve a detachable connection.
- the second docking portion 25 is provided with a second through hole 252 for the airflow channel (third air path tube 173) to pass through. It can be considered that the third air path tube 173 and the second through hole 252 are respectively part of the first docking portion 182 and the second docking portion 25.
- a second threaded structure 222 is provided at one end of the second docking portion 25 away from the first docking portion 182. When viewed in the axial direction of the second through hole 252, the second through hole 252 is located in the area surrounded by the second threaded structure 222.
- a second threaded structure 222 matching the first threaded structure 251 is provided on the outer surface of the coupling portion 22.
- the coupling portion 22 and the second docking portion 25 are fixedly connected by the first threaded structure 251 and the second threaded structure 222.
- first threaded structure 251 and the second threaded structure 222 are threadedly screwed, the edge of the elastic diaphragm 21 is clamped between the coupling portion 22 and the second docking portion 25.
- the second docking portion 25 and the coupling portion 22 may be integrally formed.
- the end of the coupling part 22 away from the liquid pipe 23 is provided with a concave structure 221
- the elastic diaphragm 21 is pasted in the concave structure 221
- the second docking part 25 is provided with a protrusion 253 protruding toward the coupling part 22
- the second threaded structure 222 is arranged on the periphery of the protrusion 253.
- the protrusion 253 abuts the elastic diaphragm 21 against the coupling part 22.
- the abutment of the protrusion 253 and the elastic diaphragm 21 forms a sealing structure.
- the screwing of the first threaded structure 251 and the second threaded structure 222 forms another sealing structure to prevent leakage of high-pressure pulse gas.
- the elastic membrane 21 includes a fixed portion 211 and a deformable portion 212.
- 211 is located at the periphery of the deformation part 212, and the distance between the elastic membrane 21 and the part of the deformation part 212 facing away from the liquid pipe 23 is 2-3 mm.
- the size of the space corresponding to this distance in the radial direction is equal to the size of the first end of the coupling part 22.
- the third gas circuit tube 173 passes through the second through hole 252 and is protruded relative to the end of the second through hole 252 close to the coupling portion 22.
- the distance between the end of the third gas circuit tube 173 away from the solenoid valve 12 and the elastic diaphragm 21 is 2-3 mm.
- the elastic diaphragm 21 will hit the end of the third gas circuit tube 173 when it is reset, which is easy to cause damage to the elastic diaphragm 21.
- the setting of the distance between the third gas circuit tube 173 and the elastic diaphragm 21 can prevent the elastic diaphragm 21 from hitting the third gas circuit tube 173, protect the elastic diaphragm 21, and facilitate the setting of the protrusion 253.
- the setting of the micro-pitch under the above parameters is also conducive to the coupling of high-pressure pulse gas with liquid at the elastic diaphragm 21.
- the exhaust speed of the exhaust port in the second time period is variable, which includes a first exhaust speed and a second exhaust speed, the first exhaust speed is greater than the second exhaust speed, the exhaust port first exhausts at the first exhaust speed, and then exhausts at the second exhaust speed, which can avoid the diaphragm 21 from hitting the third air circuit tube 173.
- the part of the deformation portion 212 facing away from the liquid line tube 23 is the surface S of the second docking portion 25.
- the setting of the distance can prevent the diaphragm 21 from hitting the surface S of the second docking portion 25.
- the third gas line tube 173 is connected to the second through hole 252, such as the third gas line tube 173 only extends to the end of the second through hole 252 close to the manual ball valve 14, and a part of the air flow channel is formed by the second through hole 252.
- the third gas line tube 173 can also extend into a part of the second through hole 252, or pass through the second through hole 252 and be flush with the end of the second through hole 252 close to the coupling portion 22.
- the end of the third gas line tube 173 can also contact the elastic diaphragm 21.
- the operating part 20 further includes a shell 26 fixedly arranged on the periphery of the coupling part 22, and the end of the shell 26 away from the main body part 10 is sealed and connected to the liquid circuit tube.
- At least one annular surface 254 is arranged on the periphery of the second threaded structure 222 of the second docking part 25; the side wall of the shell 26 contacts the at least one annular surface 254 to form at least one sealing structure.
- the annular surface 254 can be formed on the outer surface of the second docking part 25, or it can be an annular groove arranged on the second docking part 25, and the annular groove includes two opposite annular surfaces 254 with different radial diameters, and the outer shell 18 is inserted into the annular groove.
- first docking portion 182 and the second docking portion 25 are provided with matching first electrical connection portions 183 and second electrical connection portions 255 on their docking surfaces; when the first docking portion 182 and the second docking portion 25 complete docking, the first electrical connection portion 183 and the second electrical connection portion 255 are in contact to achieve electrical connection.
- first electrical connection portion 183 and the second electrical connection portion 255 can be plug-in and/or magnetically adsorbed.
- the operating portion 20 is provided with an operating handle 27 and a wire (not shown) fixedly connected to the fluid tube 23, one end of the wire is connected to the operating handle 27, and the other end passes through the space P between the housing 26 and the coupling portion 22, and penetrates the second docking portion 25 to be connected to the second electrical connection portion 255. Since the handle portion is provided on the fluid tube 23, it is very convenient for medical staff to operate.
- liquid pipe 23 and the wire located between the operating handle 27 and the coupling portion 22 are covered together by an insulating layer 231, so that the product appearance is simpler.
- the length of the liquid line tube 23 between the operating handle 27 and the coupling part 22 is 0.8-1.4m, which is convenient for medical staff to operate. Further, the length of the liquid line tube 23 between the operating handle 27 and the coupling part 22 is 0.8-1.2mm
- a liquid injection port 28 for injecting the liquid is provided on the liquid pipe 23 near the operating handle 27.
- the liquid injection port 28 is arranged at the operating handle 27 to avoid concentrated arrangement of components and increased manufacturing difficulty.
- the operating portion 20 is further provided with a hydraulic pressure detector, which can be provided on the liquid line tube 23 and communicated with the internal space of the liquid line tube 23 .
- the pulsed lesion crushing device 1 provided by the present invention has, when in operation, pressure parameters of the hydraulic detector and the pressure detector 16 that are substantially consistent, with a difference of less than 5%.
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Abstract
Description
本发明涉及医疗器械领域,尤其涉及一种脉冲式病灶击碎装置。The invention relates to the field of medical devices, and in particular to a pulsed lesion crushing device.
血管内钙化斑块是由血管中的钙离子和脂肪沉积在血管内壁产生的堵塞物,该堵塞物会减小甚至阻断血液的流动,进而引发一系列的缺血性疾病。Intravascular calcified plaques are blockages caused by the deposition of calcium ions and fat in the blood vessels on the inner walls of the blood vessels. The blockages can reduce or even block blood flow, thereby triggering a series of ischemic diseases.
现有技术中,为解决血管内钙化斑块引起的一系列疾病,通常采用药物治疗,如临床上常用稳定斑块和软化血管的药物,主要有调脂药、抑制血小板聚集药和具有改善微循环活血化瘀的中成药,但这些药物大都只能抑制钙化斑块进一步生成,难以从根本上解决问题。为此,近年来,行业内提出了一些新的解决方案:采用击碎装置伸入病灶处对钙化斑块进行敲击,使钙化斑块断裂,进而实现钙化斑块堵塞部位的疏通。如将超声电极输送至治疗位置,采用高压电极发射超声波冲击钙化斑块并使其震碎,但采用这种方式,若电压太高易发生电击穿,造成人身安全;若电压较低,冲击效率又太低。In the prior art, in order to solve a series of diseases caused by calcified plaques in blood vessels, drug treatment is usually used. For example, drugs that are commonly used in clinical practice to stabilize plaques and soften blood vessels mainly include lipid-regulating drugs, drugs that inhibit platelet aggregation, and Chinese patent medicines that improve microcirculation and promote blood circulation and remove blood stasis. However, most of these drugs can only inhibit the further generation of calcified plaques, and it is difficult to fundamentally solve the problem. To this end, in recent years, some new solutions have been proposed in the industry: using a crushing device to extend into the lesion to knock on the calcified plaque, so that the calcified plaque breaks, and then the calcified plaque blockage is cleared. For example, an ultrasonic electrode is transported to the treatment position, and a high-voltage electrode is used to emit ultrasonic waves to impact the calcified plaque and shatter it. However, if this method is used, if the voltage is too high, electrical breakdown is likely to occur, causing personal safety; if the voltage is low, the impact efficiency is too low.
发明内容Summary of the invention
基于上述现状,本发明的主要目的在于一种使用安全、工作效率高的脉冲式病灶击碎装置。Based on the above situation, the main purpose of the present invention is to provide a pulsed lesion crushing device which is safe to use and has high working efficiency.
为实现上述目的,本发明采用的技术方案如下:一种脉冲式病灶击碎装置,所述脉冲式病灶击碎装置包括本体部分和操作部分,所述本体部分与所述操作部分可拆卸连接;To achieve the above-mentioned purpose, the technical solution adopted by the present invention is as follows: a pulsed lesion crushing device, the pulsed lesion crushing device comprises a main body part and an operating part, the main body part and the operating part are detachably connected;
所述操作部分包括弹性隔膜、耦合部、液路管及球囊,所述耦合部一端连接所述弹性隔膜,另一端通过所述液路管与所述球囊连接;所述耦合部、所述液路管及所述球囊内部连通形成容纳有液体的液体容纳空间,且所述液体容纳空间被所述弹性隔膜封闭; The operating part includes an elastic diaphragm, a coupling part, a liquid tube and a balloon, one end of the coupling part is connected to the elastic diaphragm, and the other end is connected to the balloon through the liquid tube; the coupling part, the liquid tube and the inside of the balloon are connected to form a liquid containing space containing liquid, and the liquid containing space is closed by the elastic diaphragm;
所述本体部分包括具有进气口和出气口的电磁阀,所述电磁阀的所述出气口与所述弹性隔膜之间形成有直线型的气流通道,所述气流通道可通过排气口排气;高压气体进入所述进气口时,所述电磁阀和所述排气口配合,控制产生周期性的高压脉冲气体;The main body part includes a solenoid valve having an air inlet and an air outlet, a linear air flow channel is formed between the air outlet of the solenoid valve and the elastic diaphragm, and the air flow channel can be exhausted through the exhaust port; when high-pressure gas enters the air inlet, the solenoid valve and the exhaust port cooperate to control the generation of periodic high-pressure pulse gas;
单个所述高压脉冲气体的产生周期包括第一时段和第二时段,在所述第一时段,所述电磁阀导通,所述排气口关闭,所述高压气体沿着所述气流通道前进,并冲击所述弹性隔膜以使得所述弹性隔膜变形;在所述第二时段,所述电磁阀截止,且所述排气口打开排气,所述弹性隔膜复位。A single generation cycle of the high-pressure pulse gas includes a first period and a second period. In the first period, the solenoid valve is turned on, the exhaust port is closed, the high-pressure gas advances along the air flow channel, and impacts the elastic diaphragm to deform the elastic diaphragm; in the second period, the solenoid valve is turned off, and the exhaust port is opened to exhaust, and the elastic diaphragm is reset.
优选地,在所述高压脉冲气体冲击所述弹性隔膜时,所述气流通道内的最大气压为P,6atm≤P≤30atm;Preferably, when the high-pressure pulse gas impacts the elastic diaphragm, the maximum gas pressure in the gas flow channel is P, 6atm≤P≤30atm;
单个所述高压脉冲气体的产生周期中,所述液体容纳空间的体积变化最大值为0.01ml;In a single generation cycle of the high-pressure pulse gas, the maximum volume change of the liquid containing space is 0.01 ml;
所述高压脉冲气体产生的频率为5-20Hz。The frequency of the high-pressure pulse gas generation is 5-20 Hz.
优选地,所述气流通道的径向尺寸为8-15mm;Preferably, the radial dimension of the airflow channel is 8-15 mm;
所述耦合部为基本呈锥形结构,所述锥形结构包括相对的、且位于所述气流通道延长线上的第一端和第二端,所述第一端尺寸大于所述第二端尺寸,所述第一端的径向尺寸大于15mm,其内壁的倾斜角度为20-50°;The coupling portion is a substantially conical structure, and the conical structure comprises a first end and a second end opposite to each other and located on the extension line of the airflow channel, the first end is larger than the second end, the radial dimension of the first end is larger than 15 mm, and the inclination angle of the inner wall thereof is 20-50°;
所述液路管径向尺寸为0.6-1.2mm。The radial dimension of the liquid pipe is 0.6-1.2 mm.
优选地,在所述第一时段中,所述高压脉冲气体于所述气流通道中的流速大于5m/s;Preferably, in the first period, the flow velocity of the high-pressure pulse gas in the gas flow channel is greater than 5 m/s;
所述弹性隔膜在所述气流通道的轴向方向上的最大变形幅度为0.1-0.2mm,所述弹性隔膜从变形至复位的时长小于0.1s。The maximum deformation amplitude of the elastic diaphragm in the axial direction of the airflow channel is 0.1-0.2 mm, and the time duration from deformation to reset of the elastic diaphragm is less than 0.1 s.
优选地,所述弹性隔膜为硅胶膜、PTFE膜、TPU膜、PET膜或PU膜,所述弹性隔膜的厚度为0.7-3mm。Preferably, the elastic diaphragm is a silicone film, a PTFE film, a TPU film, a PET film or a PU film, and the thickness of the elastic diaphragm is 0.7-3 mm.
优选地,按照预设的第一时段和第二时段的时长控制所述排气口的打开与关闭;或根据所述气流通道的气压控制所述排气口的打开与关闭。Preferably, the opening and closing of the exhaust port is controlled according to the duration of the preset first time period and the second time period; or the opening and closing of the exhaust port is controlled according to the air pressure of the air flow channel.
优选地,所述本体部分包括设置于所述气流通道外周的第一对接部;所述操作部分包括与所述第一对接部匹配的第二对接部;所述本体部分和所述操作部分连接时,所述第一对接部和所述第二对接部凹凸紧配合以实现可拆卸连接; Preferably, the main body portion includes a first docking portion arranged on the periphery of the airflow channel; the operating portion includes a second docking portion matching the first docking portion; when the main body portion and the operating portion are connected, the first docking portion and the second docking portion are tightly matched in a concave and convex manner to achieve a detachable connection;
所述第二对接部设置供所述气流通道通过的通孔及第一螺纹结构,在所述通孔的轴向方向上看,所述通孔位于所述第一螺纹结构围成的区域中;The second docking portion is provided with a through hole for the airflow channel to pass through and a first threaded structure, and viewed in the axial direction of the through hole, the through hole is located in the area surrounded by the first threaded structure;
所述耦合部外表面上设置有与所述第一螺纹结构相匹配的第二螺纹结构,所述第一螺纹结构和所述第二螺纹结构完成螺纹拧接时,所述弹性隔膜的边部被夹持在所述耦合部与所述第二对接部之间。A second thread structure matching the first thread structure is provided on the outer surface of the coupling portion. When the first thread structure and the second thread structure are threadedly connected, the edge of the elastic diaphragm is clamped between the coupling portion and the second docking portion.
优选地,所述耦合部远离所述液路管的一端设置有内凹结构,所述弹性隔膜粘贴于所述内凹结构中;Preferably, an end of the coupling portion away from the liquid pipe is provided with a concave structure, and the elastic diaphragm is adhered to the concave structure;
所述第二对接部设置有朝所述耦合部凸起的凸起部,所述第一螺纹结构设置在所述凸起部外围,所述第一螺纹结构和所述第二螺纹结构完成螺纹拧接时,所述凸起部将所述弹性隔膜抵接于所述耦合部上。The second docking portion is provided with a protruding portion protruding toward the coupling portion, the first threaded structure is arranged on the periphery of the protruding portion, and when the first threaded structure and the second threaded structure are threadedly connected, the protruding portion abuts the elastic diaphragm against the coupling portion.
优选地,所述操作部分包括固定设置在所述耦合部外围的壳体;所述第二对接部的所述第一螺纹结构外围设置有至少一环形面;所述壳体的侧壁与所述至少一环形面接触以形成至少一密封结构。Preferably, the operating part includes a shell fixedly arranged on the periphery of the coupling part; at least one annular surface is arranged on the periphery of the first threaded structure of the second docking part; and the side wall of the shell contacts the at least one annular surface to form at least one sealing structure.
优选地,所述第一对接部和所述第二对接部的对接面上设置有相互匹配的第一电连接部和第二电连接部;所述第一对接部和所述第二对接部完成对接时,所述第一电连接部和所述第二电连接部接触以实现电连接;Preferably, the first and second electrical connection parts that match each other are arranged on the docking surfaces of the first and second docking parts; when the first and second docking parts are docked, the first and second electrical connection parts are in contact to achieve electrical connection;
所述本体部分包括与所述第一电连接部电连接的控制电路板,所述操作部分设置有与所述液路管固定连接的操作手柄和导线,所述导线一端与所述操作手柄连接,另一端穿过所述壳体与所述耦合部之间的空间,并贯穿所述第二对接部与所述第二电连接部连接;The main body portion includes a control circuit board electrically connected to the first electrical connection portion, and the operating portion is provided with an operating handle and a wire fixedly connected to the liquid pipe, one end of the wire is connected to the operating handle, and the other end passes through the space between the housing and the coupling portion, and passes through the second docking portion and is connected to the second electrical connection portion;
位于所述操作手柄与所述耦合部之间的所述液路管与所述导线通过绝缘层包覆在一起;The liquid pipe and the wire located between the operating handle and the coupling portion are covered together by an insulating layer;
位于所述操作手柄与所述耦合部之间的所述液路管长度为0.8-1.4m。The length of the liquid pipe between the operating handle and the coupling portion is 0.8-1.4 m.
优选地,所述脉冲式病灶击碎装置进一步包括控制电路板、电比例阀、压力传感器、手动球阀及球阀状态检测器,所述电比例阀、所述压力传感器及所述电磁阀均与所述控制电路板连接,所述手动球阀设置在所述气流通道上,并通过所述球阀状态检测器与所述控制电路板连接;所述电比例阀与所述电磁阀连接,所述电比例阀可提供设定气压的所述高压气体;所述压力传感器可检测位于所述电磁阀和所述手动球阀之间的所述气流通道上的气压;所述球阀状态检测器用于检测所述手动球阀的工作状态并生成工作状态信息反馈给所述控 制电路板;Preferably, the pulsed lesion crushing device further includes a control circuit board, an electric proportional valve, a pressure sensor, a manual ball valve and a ball valve state detector, wherein the electric proportional valve, the pressure sensor and the solenoid valve are all connected to the control circuit board, the manual ball valve is arranged on the air flow channel, and is connected to the control circuit board through the ball valve state detector; the electric proportional valve is connected to the solenoid valve, and the electric proportional valve can provide the high-pressure gas of the set air pressure; the pressure sensor can detect the air pressure on the air flow channel between the solenoid valve and the manual ball valve; the ball valve state detector is used to detect the working state of the manual ball valve and generate working state information to feed back to the control circuit board Manufacturing circuit boards;
所述脉冲式病灶击碎装置包括第一工作模式和第二工作模式;The pulsed lesion crushing device includes a first working mode and a second working mode;
在所述第一工作模式下,所述手动球阀关闭,所述球阀状态检测器将所述工作状态信息反馈给所述控制电路板,所述控制电路板至少控制所述电比例阀及所述电磁阀进入自检工作模式,通过所述压力传感器检测到的气压判断所述电比例阀、所述电磁阀、所述手动球阀和所述气路通道中的一者或多者是否异常;In the first working mode, the manual ball valve is closed, the ball valve state detector feeds back the working state information to the control circuit board, and the control circuit board at least controls the electric proportional valve and the solenoid valve to enter the self-test working mode, and determines whether one or more of the electric proportional valve, the solenoid valve, the manual ball valve and the gas path channel is abnormal through the air pressure detected by the pressure sensor;
在所述第二工作模式下,所述手动球阀导通,所述球阀状态检测器将所述工作状态信息反馈给所述控制电路板,所述控制电路板至少控制所述电比例阀及所述电磁阀产生所述周期性的高压脉冲气体。In the second working mode, the manual ball valve is turned on, and the ball valve state detector feeds back the working state information to the control circuit board, and the control circuit board at least controls the electric proportional valve and the solenoid valve to generate the periodic high-pressure pulse gas.
本发明所提供的脉冲式病灶击碎装置产生周期性高压脉冲气体,高压脉冲气体经过直线型的气流通道冲击弹性隔膜,能量损失微小,可以给弹性隔膜提供了一个较大的作用力,使得弹性隔膜骤然变形,压缩位于液体容纳空间中的液体,即高压脉冲气体与液体容纳空间中的液体耦合,高压脉冲气体的脉冲能量通过液体传递至球囊,并通过球囊将脉冲能量直接传递给与之接触的钙化斑块,给钙化斑块一定的冲击力。由于钙化斑块内部存在的大量的气孔和脂肪组织,导致其力学性能存在严重的不一致,在脉冲能量的作用下出现严重的应力集中,应力集中会导致钙化斑块内部的缺陷处出现微裂纹,随着冲击次数的增加,微裂纹逐渐扩展和联通,最终出现钙化斑块的疲劳断裂,被球囊撑开,实现钙化斑块堵塞部位的疏通。整个过程安全可靠,不会对外周组织造成损伤,可提高后续球囊扩张或支架植入手术的成功率和质量。The pulsed lesion crushing device provided by the present invention generates periodic high-pressure pulse gas, and the high-pressure pulse gas impacts the elastic diaphragm through a linear airflow channel, and the energy loss is small, which can provide a large force to the elastic diaphragm, so that the elastic diaphragm is suddenly deformed, and the liquid in the liquid holding space is compressed, that is, the high-pressure pulse gas is coupled with the liquid in the liquid holding space, and the pulse energy of the high-pressure pulse gas is transmitted to the balloon through the liquid, and the pulse energy is directly transmitted to the calcified plaque in contact with it through the balloon, giving the calcified plaque a certain impact force. Due to the large number of pores and adipose tissues inside the calcified plaque, there are serious inconsistencies in its mechanical properties, and severe stress concentration occurs under the action of pulse energy. Stress concentration can cause microcracks to appear in the defects inside the calcified plaque. With the increase in the number of impacts, the microcracks gradually expand and connect, and finally fatigue fracture of the calcified plaque occurs, which is propped open by the balloon to achieve the dredging of the blocked part of the calcified plaque. The whole process is safe and reliable, will not cause damage to peripheral tissues, and can improve the success rate and quality of subsequent balloon dilatation or stent implantation surgery.
脉冲式病灶击碎装置包括的本体部分和操作部分可拆卸式连接,方便医护人员操作。本体部分可以往复使用,包括弹性隔膜的操作部分作为一次性使用器材,保障了高压脉冲气体产生的稳定性,也保障了装置的工作效率。The pulsed lesion crushing device includes a main body and an operating part that are detachably connected, which is convenient for medical staff to operate. The main body can be used reciprocatingly, and the operating part including the elastic diaphragm is a disposable device, which ensures the stability of the high-pressure pulse gas generation and the working efficiency of the device.
本发明的其他有益效果,将在具体实施方式中通过具体技术特征和技术方案的介绍来阐述,本领域技术人员通过这些技术特征和技术方案的介绍,应能理解所述技术特征和技术方案带来的有益技术效果。Other beneficial effects of the present invention will be explained in the specific implementation manner through the introduction of specific technical features and technical solutions. Through the introduction of these technical features and technical solutions, those skilled in the art should be able to understand the beneficial technical effects brought about by the technical features and technical solutions.
以下将参照附图对根据本发明一种脉冲式病灶击碎装置的优选实施方式 进行描述。图中:The following is a preferred embodiment of a pulsed lesion crushing device according to the present invention with reference to the accompanying drawings. Describe it. In the figure:
图1为本发明一种脉冲式病灶击碎装置的立体结构示意图。FIG1 is a schematic diagram of the three-dimensional structure of a pulsed lesion crushing device according to the present invention.
图2和图3为本发明一种脉冲式病灶击碎装置所包括的本体部分在不同角度下的立体结构示意图。FIG. 2 and FIG. 3 are schematic diagrams of the three-dimensional structure of a main body portion of a pulsed lesion crushing device according to the present invention at different angles.
图4为本发明一种脉冲式病灶击碎装置移除外壳后的局部立体结构示意图。FIG4 is a schematic diagram of a partial three-dimensional structure of a pulse lesion crushing device of the present invention after the outer shell is removed.
图5为本发明一种脉冲式病灶击碎装置的局部剖面结构示意图。FIG5 is a schematic diagram of a partial cross-sectional structure of a pulsed lesion crushing device according to the present invention.
图6为本发明一种脉冲式病灶击碎装置的电路模块示意图。FIG. 6 is a schematic diagram of a circuit module of a pulsed lesion crushing device according to the present invention.
图7和图8为本发明一种脉冲式病灶击碎装置所包括的操作部分在不同角度下的立体结构示意图。FIG. 7 and FIG. 8 are schematic diagrams of the three-dimensional structure of the operating part of the pulse lesion crushing device of the present invention at different angles.
图9为本发明一种脉冲式病灶击碎装置所包括的操作部分的局部剖面结构示意图。FIG9 is a schematic diagram of a partial cross-sectional structure of an operating portion of a pulsed lesion crushing device according to the present invention.
图10为本发明一种脉冲式病灶击碎装置所包括的操作部分的弹性隔膜的平面结构示意图。FIG. 10 is a schematic diagram of the planar structure of an elastic diaphragm of an operating part included in a pulsed lesion crushing device of the present invention.
以下基于实施例对本发明进行描述,但是本发明并不仅仅限于这些实施例。在下文对本发明的细节描述中,详尽描述了一些特定的细节部分,为了避免混淆本发明的实质,公知的方法、过程、流程、元件并没有详细叙述。The present invention is described below based on embodiments, but the present invention is not limited to these embodiments. In the following detailed description of the present invention, some specific details are described in detail. In order to avoid confusing the essence of the present invention, known methods, processes, procedures, and components are not described in detail.
此外,本领域普通技术人员应当理解,在此提供的附图都是为了说明的目的,并且附图不一定是按比例绘制的。In addition, persons of ordinary skill in the art will appreciate that the drawings provided herein are for illustration purposes and are not necessarily drawn to scale.
除非上下文明确要求,否则整个说明书和权利要求书中的“包括”、“包含”等类似词语应当解释为包含的含义而不是排他或穷举的含义;也就是说,是“包括但不限于”的含义。Unless the context clearly requires otherwise, throughout the specification and claims, the words "include", "comprising" and similar words should be interpreted in an inclusive sense rather than an exclusive or exhaustive sense; that is, in the sense of "including but not limited to".
在本发明的描述中,需要理解的是,术语“第一”、“第二”等仅用于描述目的,而不能理解为指示或暗示相对重要性。此外,在本发明的描述中,除非另有说明,“多个”的含义是两个或两个以上。In the description of the present invention, it should be understood that the terms "first", "second", etc. are only used for descriptive purposes and cannot be understood as indicating or implying relative importance. In addition, in the description of the present invention, unless otherwise specified, "plurality" means two or more.
需要说明的是,本发明的描述中,“远”和“近”是相对于设备/装置/器件的操作者而言的,近端指靠近操作者近处的一端,远端指远离操作者的一端,即对同一部件来说,若其仅部分伸入患者体内,则伸入患者体内的一端为远端, 位于体外靠近操作者的一端为近端。It should be noted that in the description of the present invention, "far" and "near" are relative to the operator of the equipment/device/device. The proximal end refers to the end close to the operator, and the distal end refers to the end far away from the operator. That is, for the same component, if it only partially extends into the patient's body, the end extending into the patient's body is the distal end. The end outside the body close to the operator is the proximal end.
本发明提供一种脉冲式病灶击碎装置适用于各种需要击碎操作的病灶,所述病灶包括但不限于血管内钙化斑块。本发明中以血管内的钙化斑块为例来进行说明,可以理解,这并不是限定脉冲式病灶击碎装置的应用场景。The present invention provides a pulsed lesion crushing device suitable for various lesions that need to be crushed, including but not limited to calcified plaques in blood vessels. The present invention takes calcified plaques in blood vessels as an example for explanation, and it can be understood that this does not limit the application scenario of the pulsed lesion crushing device.
本发明提供一种脉冲式病灶击碎装置,所述脉冲式病灶击碎装置包括本体部分和操作部分,所述本体部分与所述操作部分可拆卸连接。The invention provides a pulsed lesion crushing device, which comprises a main body part and an operating part, wherein the main body part and the operating part are detachably connected.
所述操作部分包括弹性隔膜、耦合部、液路管及球囊,所述耦合部一端连接所述弹性隔膜,另一端通过所述液路管与所述球囊连接;所述耦合部、所述液路管及所述球囊内部连通形成容纳有液体的液体容纳空间,且所述液体容纳空间被所述弹性隔膜封闭。The operating part includes an elastic diaphragm, a coupling part, a liquid tube and a balloon. One end of the coupling part is connected to the elastic diaphragm, and the other end is connected to the balloon through the liquid tube. The coupling part, the liquid tube and the inside of the balloon are connected to form a liquid containing space containing liquid, and the liquid containing space is closed by the elastic diaphragm.
所述本体部分包括具有进气口和出气口的电磁阀,所述电磁阀的所述出气口与所述弹性隔膜之间形成有直线型的气流通道,所述气流通道可通过排气口排气;高压气体进入所述进气口时,所述电磁阀和所述排气口配合,控制产生周期性的高压脉冲气体。The main body portion includes a solenoid valve having an air inlet and an air outlet, a linear airflow channel is formed between the air outlet of the solenoid valve and the elastic diaphragm, and the airflow channel can be exhausted through the exhaust port; when high-pressure gas enters the air inlet, the solenoid valve and the exhaust port cooperate to control the generation of periodic high-pressure pulse gas.
单个所述高压脉冲气体的产生周期包括第一时段和第二时段,在所述第一时段,所述电磁阀导通,所述排气口关闭,所述高压气体沿着所述气流通道前进,并冲击所述弹性隔膜以使得所述弹性隔膜变形;在所述第二时段,所述电磁阀截止,且所述排气口打开排气,所述弹性隔膜复位。A single generation cycle of the high-pressure pulse gas includes a first period and a second period. In the first period, the solenoid valve is turned on, the exhaust port is closed, the high-pressure gas advances along the air flow channel, and impacts the elastic diaphragm to deform the elastic diaphragm; in the second period, the solenoid valve is turned off, and the exhaust port is opened to exhaust, and the elastic diaphragm is reset.
本发明所提供的脉冲式病灶击碎装置产生周期性高压脉冲气体,高压脉冲气体经过直线型的气流通道冲击弹性隔膜,能量损失微小,可以给弹性隔膜提供了一个较大的作用力,使得弹性隔膜骤然变形,压缩位于液体容纳空间中的液体,即高压脉冲气体与液体容纳空间中的液体耦合,高压脉冲气体的脉冲能量通过液体传递至球囊,并通过球囊将脉冲能量直接传递给与之接触的钙化斑块,给钙化斑块一定的冲击力。由于钙化斑块内部存在的大量的气孔和脂肪组织,导致其力学性能存在严重的不一致,在脉冲能量的作用下出现严重的应力集中,应力集中会导致钙化斑块内部的缺陷处出现微裂纹,随着冲击次数的增加,微裂纹逐渐扩展和联通,最终出现钙化斑块的疲劳断裂,被球囊撑开,实现钙化斑块堵塞部位的疏通。整个过程安全可靠,不会对外周组织造成损伤,可提高后续球囊扩张或支架植入手术的成功率和质量。The pulsed lesion crushing device provided by the present invention generates periodic high-pressure pulse gas, and the high-pressure pulse gas impacts the elastic diaphragm through a linear airflow channel, and the energy loss is small, which can provide a large force to the elastic diaphragm, so that the elastic diaphragm is suddenly deformed, and the liquid in the liquid holding space is compressed, that is, the high-pressure pulse gas is coupled with the liquid in the liquid holding space, and the pulse energy of the high-pressure pulse gas is transmitted to the balloon through the liquid, and the pulse energy is directly transmitted to the calcified plaque in contact with it through the balloon, giving the calcified plaque a certain impact force. Due to the large number of pores and adipose tissues inside the calcified plaque, there are serious inconsistencies in its mechanical properties, and severe stress concentration occurs under the action of pulse energy. Stress concentration can cause microcracks to appear in the defects inside the calcified plaque. With the increase in the number of impacts, the microcracks gradually expand and connect, and finally fatigue fracture of the calcified plaque occurs, which is propped open by the balloon to achieve the dredging of the blocked part of the calcified plaque. The whole process is safe and reliable, will not cause damage to peripheral tissues, and can improve the success rate and quality of subsequent balloon dilatation or stent implantation surgery.
脉冲式病灶击碎装置包括的本体部分和操作部分可拆卸式连接,方便医护 人员操作。本体部分可以往复使用,包括弹性隔膜的操作部分作为一次性使用器材,保障了高压脉冲气体产生的稳定性,也保障了装置的工作效率。The pulse lesion crushing device includes a main body and an operating part that are detachably connected, making it convenient for medical care. Personnel operation. The main body can be used reciprocatingly, including the operating part of the elastic diaphragm as a disposable device, which ensures the stability of the high-pressure pulse gas generation and the working efficiency of the device.
请参阅图1,本发明实施例提供一种脉冲式病灶击碎装置1,脉冲式病灶击碎装置1包括本体部分10和操作部分20,本体部分10和操作部分20可拆卸式连接。在一些应用场景中,本体操作部分20可以往复多次使用,操作部分20属于一次性使用器材。在使用前,操作部分20进行了灭菌操作,如经环氧乙烷灭菌。Referring to FIG. 1 , an embodiment of the present invention provides a pulsed lesion crushing device 1, which includes a main body 10 and an operating part 20, and the main body 10 and the operating part 20 are detachably connected. In some application scenarios, the main body operating part 20 can be used repeatedly, and the operating part 20 is a disposable device. Before use, the operating part 20 is sterilized, such as by ethylene oxide.
请参阅图2至图4,作为一种实施例,本体部分10包括外壳18、电比例阀11、电磁阀12、排气口(未标号)、气路管、手动球阀14及压力传感器16,所述电比例阀11、电磁阀12、排气口、气路管、手动球阀14及压力传感器16完全容纳或部分容纳在所述外壳18中,即每一部件至少有部分容纳于外壳18中。Please refer to Figures 2 to 4. As an embodiment, the main body part 10 includes a shell 18, an electric proportional valve 11, a solenoid valve 12, an exhaust port (unnumbered), an air pipe, a manual ball valve 14 and a pressure sensor 16. The electric proportional valve 11, the solenoid valve 12, the exhaust port, the air pipe, the manual ball valve 14 and the pressure sensor 16 are completely or partially contained in the shell 18, that is, each component is at least partially contained in the shell 18.
气路管包括第一气路管171、第二气路管172和第三气路管173,电比例阀11、电磁阀12和手动球阀14均包括进气口和出口气(可以理解,在图4方位中,进气口位于出气口的左边),电比例阀11的出气口通过第一气路管171与电磁阀12的进气口连接,电磁阀12的出气口通过第二气路管172与手动球阀14的进气口连接,手动球阀14的出气口连接有第三气路管173。压力传感器16可感测第二气路管172内(包括与第二气路管172连通的空间)的气压,作为一种实施例,设置第四气路管174,第四气路管174一端连接第二气路管172,另一端连接压力传感器16,第四气路管174与第二气路管172连通,以使得压力传感器16可以感测第二气路管172内的气压。排气口与电磁阀12出气口至操作部分20的气流通道连通,可以将气流通道内的气体排出以降低其内部气压。高压气体源从电比例阀11的进气口输入,电比例阀11对高压气体源进行处理后输出设定气压的高压气体,并通过第一气路管171将高压气体输送给电磁阀12,电磁阀12和手动球阀14均具有导通和截止两种状态,在手动球阀14截止的状态下,电磁阀12打开,排气口关闭,高压气体的传输截止于手动球阀14处,压力传感器16可以检测气压以确定装置是否漏气。在手动球阀14导通的状态下,电磁阀12在导通和截止两种状态下切换,以产生高压脉冲气体。其中,在电磁阀12导通状态下,排气口关闭,高压气体经过第二气路管172及手动球阀14后,从第三气路管173排出;在电磁阀12 截止状态下,排气口打开,第二气路管172内的高压气体被排放。The air circuit pipe includes a first air circuit pipe 171, a second air circuit pipe 172 and a third air circuit pipe 173. The electric proportional valve 11, the solenoid valve 12 and the manual ball valve 14 all include an air inlet and an air outlet (it can be understood that in the orientation of Figure 4, the air inlet is located on the left side of the air outlet). The air outlet of the electric proportional valve 11 is connected to the air inlet of the solenoid valve 12 through the first air circuit pipe 171, and the air outlet of the solenoid valve 12 is connected to the air inlet of the manual ball valve 14 through the second air circuit pipe 172. The air outlet of the manual ball valve 14 is connected to the third air circuit pipe 173. The pressure sensor 16 can sense the air pressure in the second air line pipe 172 (including the space connected to the second air line pipe 172). As an embodiment, a fourth air line pipe 174 is provided, one end of the fourth air line pipe 174 is connected to the second air line pipe 172, and the other end is connected to the pressure sensor 16. The fourth air line pipe 174 is connected to the second air line pipe 172, so that the pressure sensor 16 can sense the air pressure in the second air line pipe 172. The exhaust port is connected to the air flow channel from the air outlet of the solenoid valve 12 to the operating part 20, and the gas in the air flow channel can be discharged to reduce the internal air pressure. The high-pressure gas source is input from the air inlet of the electric proportional valve 11. The electric proportional valve 11 processes the high-pressure gas source and outputs high-pressure gas of the set air pressure, and transmits the high-pressure gas to the solenoid valve 12 through the first air circuit pipe 171. The solenoid valve 12 and the manual ball valve 14 both have two states: on and off. When the manual ball valve 14 is off, the solenoid valve 12 is open and the exhaust port is closed. The transmission of the high-pressure gas is terminated at the manual ball valve 14. The pressure sensor 16 can detect the air pressure to determine whether the device is leaking. When the manual ball valve 14 is on, the solenoid valve 12 switches between the on and off states to generate high-pressure pulse gas. Among them, when the solenoid valve 12 is on, the exhaust port is closed, and the high-pressure gas passes through the second air circuit pipe 172 and the manual ball valve 14, and is discharged from the third air circuit pipe 173; .... In the cut-off state, the exhaust port is opened, and the high-pressure gas in the second gas line pipe 172 is discharged.
在本发明中,电磁阀12的进气口与出气口、第二气路管172、手动球阀14的进气口与出气口以及第三气路管173位于同一直线上,使得气体的路径是直线型,避免在气体的传输过程中能量损失。更优的,所述电比例阀11的进气口与出气口、第一气路管171、电磁阀12的进气口与出气口、第二气路管172、手动球阀14的进气口与出气口以及第三气路管173均位于同一直线上,高压气压在传输过程中基本上没有能量损失。In the present invention, the air inlet and air outlet of the solenoid valve 12, the second air line pipe 172, the air inlet and air outlet of the manual ball valve 14, and the third air line pipe 173 are located on the same straight line, so that the path of the gas is linear, avoiding energy loss during the transmission of the gas. More preferably, the air inlet and air outlet of the electric proportional valve 11, the first air line pipe 171, the air inlet and air outlet of the solenoid valve 12, the second air line pipe 172, the air inlet and air outlet of the manual ball valve 14, and the third air line pipe 173 are all located on the same straight line, and there is basically no energy loss during the transmission of high-pressure gas.
请继续参阅图2至图5,作为一种实施例,电比例阀11包括气压调节旋钮111,气压调节旋钮111贯穿外壳18位于外壳18外部,用户可以通过该气压调节旋钮111调节电比例阀11出气口所输出的高压气体的气压,进而满足装置对于不同气压的需求。外壳18对应电比例阀11进气口的位置设置有第一通孔181,电比例阀11的进气口于第一通孔181位置处暴露于外部空间,以便于接入高压气体源。Please continue to refer to Figures 2 to 5. As an embodiment, the electric proportional valve 11 includes a pressure regulating knob 111, which passes through the housing 18 and is located outside the housing 18. The user can adjust the pressure of the high-pressure gas output from the outlet of the electric proportional valve 11 through the pressure regulating knob 111, thereby meeting the device's requirements for different air pressures. The housing 18 is provided with a first through hole 181 at a position corresponding to the air inlet of the electric proportional valve 11. The air inlet of the electric proportional valve 11 is exposed to the external space at the position of the first through hole 181, so as to facilitate access to a high-pressure gas source.
作为一种实施例,电比例阀11输出高压气体的气压为P,6atm≤P≤30atm(标准大气压),进一步,在降低气压和保障高压脉冲气体的获得的情况下,优选地,12atm≤P<20atm;进一步地,12atm≤P<15atm,或16atm≤P<18atm,更进一步地,高压气体的气压具体可以为12atm、13atm、14atm、16atm、17atm、18atm或19atm。As an embodiment, the pressure of the high-pressure gas output by the electric proportional valve 11 is P, 6atm≤P≤30atm (standard atmospheric pressure). Further, while reducing the air pressure and ensuring the acquisition of high-pressure pulse gas, preferably, 12atm≤P<20atm; further, 12atm≤P<15atm, or 16atm≤P<18atm. Further, the pressure of the high-pressure gas can specifically be 12atm, 13atm, 14atm, 16atm, 17atm, 18atm or 19atm.
作为一种实施例,电比例阀11输出高压气体的气压包括多档,用户可选择合适的气压档位,如电比例阀11输出高压气体包括两档,一档为13.8atm,另一档为17.8atm,可以理解,所述档位对应的具体气压值可以调整,较优的,不同档位之间的气压差大于2.5atm,更优地,不同档位之间的气压差大于3.5atm。As an embodiment, the electric proportional valve 11 outputs high-pressure gas at multiple pressure levels, and the user can select a suitable pressure level. For example, the electric proportional valve 11 outputs high-pressure gas at two pressure levels, one level being 13.8 atm and the other being 17.8 atm. It can be understood that the specific pressure values corresponding to the levels can be adjusted. Preferably, the pressure difference between different levels is greater than 2.5 atm, and more preferably, the pressure difference between different levels is greater than 3.5 atm.
作为一种实施例,电磁阀12具体为高频电磁阀,可以理解,电磁阀12的种类不做限定,只要在电信号的控制下可以实现气体的导通和截止即可。As an embodiment, the solenoid valve 12 is specifically a high-frequency solenoid valve. It can be understood that the type of the solenoid valve 12 is not limited as long as the gas can be turned on and off under the control of an electrical signal.
作为一种实施例,排气口集成于电磁阀12上,排气口可以对电磁阀12排气口处的气体进行排放。作为另一种实施例,排气口与电磁阀12未集成在一起,排气口可以是与电磁阀12相互独立的结构。As an embodiment, the exhaust port is integrated on the solenoid valve 12, and the exhaust port can discharge the gas at the exhaust port of the solenoid valve 12. As another embodiment, the exhaust port is not integrated with the solenoid valve 12, and the exhaust port can be a structure independent of the solenoid valve 12.
作为一种实施例,按照预设的第一时段和第二时段的时长控制所述排气口的打开与关闭。如设定第一时段的时长和第二时段的时长,在单个周期中,在 达到第一时段的时长时,则打开排气口,在达到第二时段的时长时,则关闭排气口。As an embodiment, the opening and closing of the exhaust port is controlled according to the preset duration of the first period and the second period. When the duration of the first period is reached, the exhaust port is opened, and when the duration of the second period is reached, the exhaust port is closed.
作为一种实施例,根据所述气流通道的气压控制所述排气口的打开与关闭。例如,压力传感器16检测气流通道内的气压,在检测到的气压值小于预设气压值时,电磁阀12导通,排气口关闭,即完成单个高压脉冲气体的产生周期的第一时段;在检测到的气压值大于预设气压值时,电磁阀12截止,排气口打开,即完成单个高压脉冲气体的产生周期的第二时段;所述预设气压值为前述的P。如此,装置在不同的使用环境下,依然能够保障其对钙化斑块的冲击效果。As an embodiment, the opening and closing of the exhaust port is controlled according to the air pressure of the air flow channel. For example, the pressure sensor 16 detects the air pressure in the air flow channel. When the detected air pressure value is less than the preset air pressure value, the solenoid valve 12 is turned on and the exhaust port is closed, that is, the first period of the generation cycle of a single high-pressure pulse gas is completed; when the detected air pressure value is greater than the preset air pressure value, the solenoid valve 12 is turned off and the exhaust port is opened, that is, the second period of the generation cycle of a single high-pressure pulse gas is completed; the preset air pressure value is the aforementioned P. In this way, the device can still ensure its impact effect on calcified plaques under different usage environments.
作为一种实施例,手动球阀14包括球阀主体141和手动部142,手动部142和球阀主体141连接,用户操作手动部142可以将手动球阀14调整至导通或截止。手动部142贯穿外壳18暴露于外壳18外,以方便用户操作。手动球阀14还连接有球阀状态检测器15(标号见图7),球阀状态检测器15可以检测手动球阀14的导通状态,并生成工作状态信息,所述工作状态信息用于指示手动球阀14打开或关闭,可以理解,本发明中,球阀或电磁阀的导通与打开含义一致,截止和关闭含义一致。As an embodiment, the manual ball valve 14 includes a ball valve body 141 and a manual part 142, and the manual part 142 is connected to the ball valve body 141. The user can adjust the manual ball valve 14 to be turned on or off by operating the manual part 142. The manual part 142 penetrates the housing 18 and is exposed outside the housing 18 to facilitate user operation. The manual ball valve 14 is also connected to a ball valve state detector 15 (see FIG. 7 for the number), and the ball valve state detector 15 can detect the conduction state of the manual ball valve 14 and generate working state information, and the working state information is used to indicate whether the manual ball valve 14 is opened or closed. It can be understood that in the present invention, the conduction of the ball valve or the solenoid valve has the same meaning as opening, and the cutoff has the same meaning as closing.
可以理解,手动球阀14为机械球阀,用户可以根据需求随时对装置进行自检,确保装置各部分未出现异常,安全可靠。作为一种变形,所述手动球阀14也可以替换成其他非机械式的球阀,例如,通过设定程序控制装置进行自检。It can be understood that the manual ball valve 14 is a mechanical ball valve, and the user can perform self-inspection on the device at any time according to the needs to ensure that there is no abnormality in each part of the device and it is safe and reliable. As a variation, the manual ball valve 14 can also be replaced with other non-mechanical ball valves, for example, by setting a program control device to perform self-inspection.
作为一种实施例,第一气路管171可以单段管道形成,也可以由多段管道拼接而成。第二气路管172可以单段管道形成,也可以由多段管道拼接而成。第三气路管173可以单段管道形成,也可以由多段管道拼接而成。As an embodiment, the first gas circuit pipe 171 can be formed by a single section of pipe or by splicing multiple sections of pipe. The second gas circuit pipe 172 can be formed by a single section of pipe or by splicing multiple sections of pipe. The third gas circuit pipe 173 can be formed by a single section of pipe or by splicing multiple sections of pipe.
作为一种实施例,第一气路管171、第二气路管172、第三气路管173的管径可以相同,也可以不同。第一气路管171、第二气路管172、第三气路管173各自的管径可以是恒定或者变化的。As an embodiment, the diameters of the first gas line pipe 171, the second gas line pipe 172, and the third gas line pipe 173 may be the same or different. The diameters of the first gas line pipe 171, the second gas line pipe 172, and the third gas line pipe 173 may be constant or variable.
在第一气路管171、第二气路管172、第三气路管173各自管径恒定且相互之间管径大小一致的实施例中,管径大小可以为8-15mm,具体可以是8mm、9mm、10mm、11mm、12mm、13mm、14mm或15mm。更进一步,管径为8-12mm。在所述管径参数下,高压气体传输顺畅,能量集中,更够更好地提供脉冲能量。 In the embodiment where the diameters of the first gas line tube 171, the second gas line tube 172, and the third gas line tube 173 are constant and consistent with each other, the diameters can be 8-15 mm, specifically 8 mm, 9 mm, 10 mm, 11 mm, 12 mm, 13 mm, 14 mm, or 15 mm. Furthermore, the diameter is 8-12 mm. Under the diameter parameters, the high-pressure gas is transmitted smoothly, the energy is concentrated, and the pulse energy can be better provided.
在所述第一气路管171、第二气路管172、第三气路管173各自管径变化的实施例中,也就是第一气路管171、第二气路管172、第三气路管173至少包括两种管径尺寸的实施例中,管径大小可以为8-15mm。作为一种实施例,第三气路管173包括管径不同的至少两部分:第一管路段1731及第二管路段1732,优选地,第一管路段1731部与第二管路段1732之间的径向尺寸差为1-3mm,进一步为1.2-2mm。作为具体实施例,第一管路段1731的径向尺寸为10-15mm,或10-12mm,或12-14mm,具体地,第一管路段1731的径向尺寸为10mm、10mm、11mm、12mm、13mm、14mm或15mm。第二管路段1732的径向尺寸为8-12mm,或8-10mm,或10-12mm。具体地,第二管路段1732的径向尺寸为8mm、9mm、10mm、11mm或12mm。第一管路段1731部与第二管路段1732相互配合有利于提供能量集中的高压脉冲气体。In the embodiment where the diameters of the first gas line pipe 171, the second gas line pipe 172, and the third gas line pipe 173 are changed, that is, the first gas line pipe 171, the second gas line pipe 172, and the third gas line pipe 173 include at least two diameter sizes, the diameter size can be 8-15mm. As an embodiment, the third gas line pipe 173 includes at least two parts with different diameters: a first pipeline section 1731 and a second pipeline section 1732. Preferably, the radial dimension difference between the first pipeline section 1731 and the second pipeline section 1732 is 1-3mm, and further 1.2-2mm. As a specific embodiment, the radial dimension of the first pipeline section 1731 is 10-15mm, or 10-12mm, or 12-14mm. Specifically, the radial dimension of the first pipeline section 1731 is 10mm, 10mm, 11mm, 12mm, 13mm, 14mm, or 15mm. The radial dimension of the second pipeline section 1732 is 8-12 mm, or 8-10 mm, or 10-12 mm. Specifically, the radial dimension of the second pipeline section 1732 is 8 mm, 9 mm, 10 mm, 11 mm, or 12 mm. The first pipeline section 1731 and the second pipeline section 1732 cooperate with each other to provide high-pressure pulse gas with concentrated energy.
作为一种实施例,外壳18上固定有供用户观察装置运行参数的显示屏19。所述显示屏可以是触控显示屏,用户可以通过触控操指示装置执行设定的功能。As an embodiment, a display screen 19 for users to observe the operating parameters of the device is fixed on the housing 18. The display screen may be a touch screen, and the user can operate the device to execute the set function through the touch control.
作为一种实施例,外壳18上固定有供用户操作的一个或多个按钮101。所述按钮101可以电源开关按钮101等。As an embodiment, one or more buttons 101 for user operation are fixed on the housing 18. The button 101 may be a power switch button 101 or the like.
作为一种实施例,外壳18内部还设置有支撑结构184,所述支撑结构184用于支撑第一气路管171、第二气路管172、第三气路管173中的一者或者多者。As an embodiment, a support structure 184 is further disposed inside the housing 18 , and the support structure 184 is used to support one or more of the first gas line pipe 171 , the second gas line pipe 172 , and the third gas line pipe 173 .
请参阅图6,外壳18内部设置有控制电路板100,电比例阀11、电磁阀12、压力传感器16、按钮101均与控制电路板100连接,手动球阀14通过球阀状态检测器15与控制电路板100连接。电比例阀11自带气压检测功能,可以向控制电路板100返回其处理后的高压气体的气压值。Please refer to Fig. 6, a control circuit board 100 is arranged inside the housing 18, the electric proportional valve 11, the solenoid valve 12, the pressure sensor 16, and the button 101 are all connected to the control circuit board 100, and the manual ball valve 14 is connected to the control circuit board 100 through the ball valve state detector 15. The electric proportional valve 11 has a gas pressure detection function, and can return the gas pressure value of the processed high-pressure gas to the control circuit board 100.
作为一种实施例,所述脉冲式病灶击碎装置1包括第一工作模式和第二工作模式。所述脉冲式病灶击碎装置1在执行第一工作模式后再进入第二工作模式,作为一种变形,在一些情况下也可以直接进入第二工作模式,第一工作模式可以不执行,或者按设定时间执行,如每周执行一次第一工作模式,用户还可以根据使用情况确定是否执行第一工作模式。As an embodiment, the pulsed lesion fragmentation device 1 includes a first working mode and a second working mode. The pulsed lesion fragmentation device 1 enters the second working mode after executing the first working mode. As a variation, in some cases, the second working mode may be directly entered. The first working mode may not be executed, or may be executed at a set time, such as executing the first working mode once a week. The user may also determine whether to execute the first working mode according to the usage.
外部电源为装置提供电能,高压气体源接入电比例阀11的进气口,通过电源开关按钮101接通外部电源后,所述脉冲式病灶击碎装置1即可进入第一 工作模式或第二工作模式。The external power supply provides power to the device, and the high-pressure gas source is connected to the air inlet of the electric proportional valve 11. After the external power supply is turned on by the power switch button 101, the pulsed lesion crushing device 1 can enter the first working mode or second working mode.
在第一工作模式下,用户操作手动球阀14的手动部142以将手动球阀14关闭,球阀状态检测器15将检测生成的工作状态信息发送给控制电路板100,控制电路板100根据工作状态信息确定手动球阀14关闭,则控制本体部分10进入自检工作模式,自检工作模式主要检测电比例阀11、电磁阀12、排气口及气流通道等是否存在异常,如是否存在漏气、不能排气等情况。作为一种实施例,自检工作模式下,在预设时长内,电比例阀11提供设定气压的高压气体,电磁阀12导通,排气口关闭,压力传感器16检测气压并将气压参数返回控制电路板100,控制电路板100根据压力传感器16返回的气压参数可确定电磁阀12、排气口、电比例阀11、手动球阀14、气流通道中的一者或者多者是否存在异常。作为另一种实施例,控制电路板100根据电比例阀11提供的高压气体的气压参数与压力传感器16返回的气压参数可确定电磁阀12、排气口、电比例阀11、手动球阀14、气流通道中的一者或者多者是否存在异常。在执行完前述步骤的基础上,再进一步打开排气口,控制电路板100根据压力传感器16返回的气压参数可确定排气口是否排气正常。In the first working mode, the user operates the manual part 142 of the manual ball valve 14 to close the manual ball valve 14, and the ball valve state detector 15 sends the working state information generated by the detection to the control circuit board 100. The control circuit board 100 determines that the manual ball valve 14 is closed according to the working state information, and then the control body part 10 enters the self-test working mode. The self-test working mode mainly detects whether there are abnormalities in the electric proportional valve 11, the solenoid valve 12, the exhaust port and the air flow channel, such as whether there is leakage, exhaust failure, etc. As an embodiment, in the self-test working mode, within a preset time, the electric proportional valve 11 provides high-pressure gas with a set air pressure, the solenoid valve 12 is turned on, the exhaust port is closed, the pressure sensor 16 detects the air pressure and returns the air pressure parameters to the control circuit board 100. The control circuit board 100 can determine whether there are abnormalities in one or more of the solenoid valve 12, the exhaust port, the electric proportional valve 11, the manual ball valve 14, and the air flow channel according to the air pressure parameters returned by the pressure sensor 16. As another embodiment, the control circuit board 100 can determine whether one or more of the solenoid valve 12, the exhaust port, the electric proportional valve 11, the manual ball valve 14, and the air flow channel are abnormal based on the air pressure parameters of the high-pressure gas provided by the electric proportional valve 11 and the air pressure parameters returned by the pressure sensor 16. On the basis of executing the above steps, the exhaust port is further opened, and the control circuit board 100 can determine whether the exhaust port is exhausted normally based on the air pressure parameters returned by the pressure sensor 16.
在第二工作模式下,用户操作手动球阀14的手动部142以将手动球阀14打开,球阀状态检测器15将检测生成的工作状态信息发送给控制电路板100,控制电路板100根据工作状态信息确定手动球阀14打开,则至少控制电比例阀11、电磁阀12及排气口相互配合以产生周期性的高压脉冲气体。具体地,单个高压脉冲气体的产生周期包括第一时段和第二时段,在第一时段,电磁阀12导通,排气口关闭;在第二时段,电磁阀12截止,且排气口打开排气。In the second working mode, the user operates the manual part 142 of the manual ball valve 14 to open the manual ball valve 14, and the ball valve state detector 15 sends the working state information generated by the detection to the control circuit board 100. The control circuit board 100 determines that the manual ball valve 14 is opened according to the working state information, and then at least controls the electric proportional valve 11, the solenoid valve 12 and the exhaust port to cooperate with each other to generate periodic high-pressure pulse gas. Specifically, the generation cycle of a single high-pressure pulse gas includes a first period and a second period. In the first period, the solenoid valve 12 is turned on and the exhaust port is closed; in the second period, the solenoid valve 12 is turned off, and the exhaust port is opened to exhaust.
作为一种实施例,在外部可提供设定气压的高压气体的情况下,所述电比例阀11可省略。As an embodiment, in the case where high-pressure gas with a set pressure can be provided externally, the electric proportional valve 11 can be omitted.
作为一种实施例,手动球阀14及球阀状态检测器15可省略,在该实施例下,第二气路管172和第三气路管173连通。As an embodiment, the manual ball valve 14 and the ball valve state detector 15 may be omitted. In this embodiment, the second gas line pipe 172 and the third gas line pipe 173 are connected.
请继续参阅图2,作为一种实施例,本体部分10包括设置于气流通道外周的第一对接部182,第一对接部182用于与操作部分20对接以实现两部分之间的连接。Please continue to refer to FIG. 2 . As an embodiment, the main body portion 10 includes a first docking portion 182 disposed on the periphery of the airflow channel. The first docking portion 182 is used to dock with the operating portion 20 to achieve connection between the two portions.
请参阅图7至图9,操作部分20包括弹性隔膜21、耦合部22、液路管23和球囊24,耦合部22一端连接弹性隔膜21,另一端通过液路管23与球囊24 连接,耦合部22、液路管23和球囊24均为中空结构,耦合部22、液路管23和球囊24的内部连通形成容纳液体的液体容纳空间a,液体容纳空间a在耦合部22远离液路管23的一端被弹性隔膜21封闭,可以理解,在弹性隔膜21未固定在耦合部22上时,所述液体容纳空间a在耦合部22远离液路管23的一端可以与外部空间连通。在操作部分20与本体部分10连接时,弹性隔膜21设置在第三气路管173远离手动球阀14的一端,在弹性隔膜21与电磁阀12的出气口之间形成有直线型的气流通道,进而电磁阀12和排气口配合,控制产生周期性的高压脉冲气体可以冲击在所述弹性隔膜21上,具体地,在单个高压脉冲气体的产生周期的第一时段内,高压气体沿着气流通道前进,并冲击弹性隔膜21以使得弹性隔膜21变形。在单个高压脉冲气体的产生周期的第二时段内,排气口排气,弹性隔膜21复位。弹性隔膜21变形和复位过程中,压缩了位于液体容纳空间a中的液体,高压脉冲气体与液体容纳空间a中的液体耦合,高压脉冲气体的脉冲能量通过液体传递至球囊24,并通过球囊24将脉冲能量直接传递给与之接触的钙化斑块,给钙化斑块一定的冲击力。周期性高压脉冲气体提供周期性的冲击力,以逐步将钙化斑块击碎。7 to 9, the operating part 20 includes an elastic membrane 21, a coupling part 22, a fluid line 23 and a balloon 24. One end of the coupling part 22 is connected to the elastic membrane 21, and the other end is connected to the balloon 24 through the fluid line 23. The coupling part 22, the liquid line tube 23 and the balloon 24 are all hollow structures. The coupling part 22, the liquid line tube 23 and the balloon 24 are connected to form a liquid containing space a for containing liquid. The liquid containing space a is closed by the elastic diaphragm 21 at the end of the coupling part 22 away from the liquid line tube 23. It can be understood that when the elastic diaphragm 21 is not fixed on the coupling part 22, the liquid containing space a at the end of the coupling part 22 away from the liquid line tube 23 can be connected to the external space. When the operating part 20 is connected to the main body part 10, the elastic diaphragm 21 is arranged at the end of the third gas line tube 173 away from the manual ball valve 14, and a linear air flow channel is formed between the elastic diaphragm 21 and the gas outlet of the solenoid valve 12, and then the solenoid valve 12 cooperates with the exhaust port to control the generation of periodic high-pressure pulse gas to impact on the elastic diaphragm 21. Specifically, in the first period of the generation cycle of a single high-pressure pulse gas, the high-pressure gas advances along the air flow channel and impacts the elastic diaphragm 21 to deform the elastic diaphragm 21. In the second period of the generation cycle of a single high-pressure pulse gas, the exhaust port is exhausted and the elastic diaphragm 21 is reset. During the deformation and reset process of the elastic diaphragm 21, the liquid in the liquid containing space a is compressed, and the high-pressure pulse gas is coupled with the liquid in the liquid containing space a. The pulse energy of the high-pressure pulse gas is transmitted to the balloon 24 through the liquid, and the pulse energy is directly transmitted to the calcified plaque in contact with it through the balloon 24, giving the calcified plaque a certain impact force. The periodic high-pressure pulse gas provides periodic impact force to gradually break up the calcified plaque.
作为一种实施例,单个所述高压脉冲气体的产生周期中,所述液体容纳空间a的体积变化最大值为0.01ml,即液体容纳空间中的体积变化小于等于0.01ml。可以理解,在弹性隔膜21移动到最大位置处时,液体容纳空间a的体积变化最大,该体积变化最大值进一步可以为0.008-0.01ml,还可以是0.008-0.009ml。As an embodiment, in a single generation cycle of the high-pressure pulse gas, the maximum volume change of the liquid containing space a is 0.01 ml, that is, the volume change in the liquid containing space is less than or equal to 0.01 ml. It can be understood that when the elastic diaphragm 21 moves to the maximum position, the volume change of the liquid containing space a is the largest, and the maximum volume change can further be 0.008-0.01 ml, or 0.008-0.009 ml.
作为一种实施例,所述高压脉冲气体产生的频率为5-20Hz。兼顾击碎效果、设备要求及安全性的情况下,优选频率为10-20Hz,进一步可以为12-20Hz、16-19Hz、16-18Hz。As an embodiment, the frequency of the high-pressure pulse gas generation is 5-20 Hz. Taking into account the crushing effect, equipment requirements and safety, the preferred frequency is 10-20 Hz, and further can be 12-20 Hz, 16-19 Hz, 16-18 Hz.
作为一种实施例,容纳在液体容纳空间a中的液体为生理盐水和/或显影剂。As an embodiment, the liquid contained in the liquid containing space a is physiological saline and/or developer.
作为一种实施例,弹性隔膜21在受力的情况下,可以发生弹性形变,在力撤销时,形变消失,弹性隔膜复位。弹性隔膜21具体可以是硅胶膜、PTFE膜(聚四氟乙烯)、TPU膜(热塑性聚氨酯)、PET膜(聚对苯二甲酸乙二醇酯)或PU膜(聚氨酯)。As an embodiment, the elastic membrane 21 can undergo elastic deformation when subjected to force, and when the force is removed, the deformation disappears and the elastic membrane is restored. The elastic membrane 21 can be specifically a silicone membrane, a PTFE membrane (polytetrafluoroethylene), a TPU membrane (thermoplastic polyurethane), a PET membrane (polyethylene terephthalate) or a PU membrane (polyurethane).
作为一种实施例,弹性隔膜21的厚度为0.7-3mm。 As an embodiment, the thickness of the elastic membrane 21 is 0.7-3 mm.
作为一种实施例,弹性隔膜21在气流通道的轴向方向上的最大变形幅度为0.1-0.2mm,弹性隔膜21从变形至复位的时长小于0.1s。As an embodiment, the maximum deformation amplitude of the elastic diaphragm 21 in the axial direction of the air flow channel is 0.1-0.2 mm, and the time duration from deformation to reset of the elastic diaphragm 21 is less than 0.1 s.
作为一种实施例,耦合部22基本呈锥形结构,锥形结构包括相对的、且位于气流通道延长线上的第一端和第二端,第一端尺寸大于第二端尺寸。锥形结构的设计,有利于聚集脉冲能量,降低脉冲能量在传播过程中的损耗。As an embodiment, the coupling portion 22 is basically a conical structure, and the conical structure includes a first end and a second end that are opposite and located on the extension line of the airflow channel, and the size of the first end is larger than the size of the second end. The design of the conical structure is conducive to gathering pulse energy and reducing the loss of pulse energy during propagation.
作为一种实施例,耦合部22的第一端的径向尺寸大于15mm,耦合部22第二端的径向尺寸与液路管23的径向尺寸基本一致,为0.6-1.2mm。耦合部22的内壁的倾斜角度为20-50°,可以理解,耦合部22的第一端的径向尺寸也即液体容纳空间的端部尺寸;内壁的倾斜角度指的是耦合部22与液体接触的内壁与耦合部22轴线之间的夹角。在所述参数下,脉冲能量的传播损耗小,又避免了回波的产生。As an embodiment, the radial dimension of the first end of the coupling part 22 is greater than 15 mm, and the radial dimension of the second end of the coupling part 22 is substantially consistent with the radial dimension of the liquid circuit tube 23, which is 0.6-1.2 mm. The inclination angle of the inner wall of the coupling part 22 is 20-50°. It can be understood that the radial dimension of the first end of the coupling part 22 is also the end dimension of the liquid containing space; the inclination angle of the inner wall refers to the angle between the inner wall of the coupling part 22 in contact with the liquid and the axis of the coupling part 22. Under the said parameters, the propagation loss of the pulse energy is small, and the generation of echoes is avoided.
作为一种实施例,耦合部22的第一端的径向尺寸优选为15-20mm,还可以是15-18mm,或16-18mm,或18-20mm,具体可以是15mm、16mm、17mm或18mm。第二端的径向尺寸还可以是1.2-1.6mm,1-1.5mm,或1.4-1.8mm,具体可以是1.2mm、1.3mm、1.4mm、1.5mm、1.6mm、1.7mm、1.8mm。As an embodiment, the radial dimension of the first end of the coupling portion 22 is preferably 15-20 mm, or 15-18 mm, or 16-18 mm, or 18-20 mm, and specifically 15 mm, 16 mm, 17 mm, or 18 mm. The radial dimension of the second end may also be 1.2-1.6 mm, 1-1.5 mm, or 1.4-1.8 mm, and specifically 1.2 mm, 1.3 mm, 1.4 mm, 1.5 mm, 1.6 mm, 1.7 mm, or 1.8 mm.
作为一种实施例,耦合部22的内壁的倾斜角度可以为20°-45°,或30°-45°,具体可以是20°、25°、30°、35°、40°或45°。As an embodiment, the inclination angle of the inner wall of the coupling portion 22 may be 20°-45°, or 30°-45°, specifically 20°, 25°, 30°, 35°, 40° or 45°.
作为一种实施例,第二管路段1732的管径与耦合部22的第一端的径向尺寸比为1:(2-6),进一步可以是1:(4-6)。在该比值下,高压脉冲气体与液体之间的耦合效果较好。As an embodiment, the ratio of the diameter of the second pipeline section 1732 to the radial dimension of the first end of the coupling portion 22 is 1:(2-6), and can further be 1:(4-6). Under this ratio, the coupling effect between the high-pressure pulse gas and the liquid is better.
作为一种实施例,第二管路段1732的管径为8-10mm,耦合部22第一端的径向尺寸为15-18mm,耦合部22之内壁的倾斜角度为30°-45°时,高压脉冲气体与液体之间的耦合效果较好,且脉冲能量的传播损耗极小,几乎无回波产生。As an embodiment, when the diameter of the second pipeline section 1732 is 8-10 mm, the radial dimension of the first end of the coupling part 22 is 15-18 mm, and the inclination angle of the inner wall of the coupling part 22 is 30°-45°, the coupling effect between the high-pressure pulse gas and the liquid is better, and the propagation loss of the pulse energy is extremely small, and almost no echo is generated.
作为一种实施例,在所述第一时段中,所述高压脉冲气体于所述气流通道中的流速大于5m/s,使得高压脉冲气体冲击在弹性隔膜21上时,弹性隔膜21能骤然发生变形。As an embodiment, in the first period, the flow velocity of the high-pressure pulse gas in the gas flow channel is greater than 5 m/s, so that when the high-pressure pulse gas impacts the elastic diaphragm 21, the elastic diaphragm 21 can be deformed suddenly.
作为一种实施例,液路管23的径向尺寸恒定,为0.6-1.2mm。进一步,其径向尺寸还可以是0.6-1mm,或0.6-0.8mm,具体可以是0.6mm、0.7mm、0.8mm、0.9mm、1mm、1mm、1.2mm、1.3mm、1.4mm、1.5mm。 As an embodiment, the radial dimension of the liquid pipe 23 is constant, which is 0.6-1.2 mm. Further, the radial dimension can also be 0.6-1 mm, or 0.6-0.8 mm, specifically 0.6 mm, 0.7 mm, 0.8 mm, 0.9 mm, 1 mm, 1 mm, 1.2 mm, 1.3 mm, 1.4 mm, 1.5 mm.
作为一种实施例,球囊24无伸缩性,以使较低气压的高压脉冲气体在弹性隔膜21处耦合后,经球囊24作用于钙化斑块的作用力为脉冲式的,可以对钙化斑块形成有效冲击。可以理解,球囊24可以具有不同规格尺寸,作为一种选择,球囊24比钙化斑块的尺寸大。As an embodiment, the balloon 24 is non-elastic, so that after the high-pressure pulse gas at a relatively low pressure is coupled at the elastic diaphragm 21, the force exerted on the calcified plaque through the balloon 24 is pulsed, which can effectively impact the calcified plaque. It is understood that the balloon 24 can have different specifications and sizes. As an option, the balloon 24 is larger than the size of the calcified plaque.
作为一种实施例,操作部分20包括与第一对接部182匹配的第二对接部25,本体部分10和操作部分20连接时,第一对接部182和第二对接部25凹凸紧配合以实现可拆卸连接。具体地,第一对接部182和第二对接部25为径向尺寸不同的环形结构,第一对接部182的外径尺寸等于第二对接部25的内径尺寸,第一对接部182插入第二对接部25可以实现紧配合。第一对接部182和第二对接部25的结构可相互置换。As an embodiment, the operating portion 20 includes a second docking portion 25 that matches the first docking portion 182. When the main body portion 10 and the operating portion 20 are connected, the first docking portion 182 and the second docking portion 25 are tightly matched to achieve a detachable connection. Specifically, the first docking portion 182 and the second docking portion 25 are annular structures with different radial dimensions. The outer diameter of the first docking portion 182 is equal to the inner diameter of the second docking portion 25. The first docking portion 182 can be inserted into the second docking portion 25 to achieve a tight fit. The structures of the first docking portion 182 and the second docking portion 25 can be replaced with each other.
可以理解,第一对接部182、第二对接部25的具体结构不做限定,只要相互配合可实现可拆卸连接即可。It can be understood that the specific structures of the first docking portion 182 and the second docking portion 25 are not limited, as long as they cooperate with each other to achieve a detachable connection.
作为一种实施例,第二对接部25设置供气流通道(第三气路管173)通过的第二通孔252,可以认为,第三气路管173和第二通孔252分别属于第一对接部182和第二对接部25的一部分。第二对接部25远离第一对接部182的一端设置有第二螺纹结构222,在第二通孔252的轴向方向上看,第二通孔252位于所述第二螺纹结构222围成的区域中。耦合部22外表面上设置有与第一螺纹结构251相匹配的第二螺纹结构222,耦合部22和第二对接部25之间通过第一螺纹结构251和第二螺纹结构222实现固定连接。当第一螺纹结构251和第二螺纹结构222完成螺纹拧接时,弹性隔膜21的边部被夹持在耦合部22与第二对接部25之间。As an embodiment, the second docking portion 25 is provided with a second through hole 252 for the airflow channel (third air path tube 173) to pass through. It can be considered that the third air path tube 173 and the second through hole 252 are respectively part of the first docking portion 182 and the second docking portion 25. A second threaded structure 222 is provided at one end of the second docking portion 25 away from the first docking portion 182. When viewed in the axial direction of the second through hole 252, the second through hole 252 is located in the area surrounded by the second threaded structure 222. A second threaded structure 222 matching the first threaded structure 251 is provided on the outer surface of the coupling portion 22. The coupling portion 22 and the second docking portion 25 are fixedly connected by the first threaded structure 251 and the second threaded structure 222. When the first threaded structure 251 and the second threaded structure 222 are threadedly screwed, the edge of the elastic diaphragm 21 is clamped between the coupling portion 22 and the second docking portion 25.
作为一种实施例,第二对接部25和耦合部22可以一体成型制成。As an embodiment, the second docking portion 25 and the coupling portion 22 may be integrally formed.
作为一种实施例,耦合部22远离液路管23的一端设置有内凹结构221,弹性隔膜21粘贴于内凹结构221中,第二对接部25设置有朝耦合部22凸起的凸起部253,第二螺纹结构222设置在凸起部253外围,第一螺纹结构251和第二螺纹结构222完成螺纹拧接时,凸起部253将弹性隔膜21抵接于耦合部22上。可以理解,凸起部253与弹性隔膜21的抵接形成了密封结构。第一螺纹结构251和第二螺纹结构222的拧接形成了另一密封结构,防止高压脉冲气体泄漏。As an embodiment, the end of the coupling part 22 away from the liquid pipe 23 is provided with a concave structure 221, the elastic diaphragm 21 is pasted in the concave structure 221, the second docking part 25 is provided with a protrusion 253 protruding toward the coupling part 22, and the second threaded structure 222 is arranged on the periphery of the protrusion 253. When the first threaded structure 251 and the second threaded structure 222 are screwed together, the protrusion 253 abuts the elastic diaphragm 21 against the coupling part 22. It can be understood that the abutment of the protrusion 253 and the elastic diaphragm 21 forms a sealing structure. The screwing of the first threaded structure 251 and the second threaded structure 222 forms another sealing structure to prevent leakage of high-pressure pulse gas.
请参阅图10,弹性隔膜21包括固定部分211和形变部分212,固定部分 211位于形变部分212的外围,弹性隔膜21与形变部分212背向液路管23一侧的部件之间距离为2-3mm。作为一种实施例,该距离对应的空间在径向方向上的尺寸等于耦合部22第一端的尺寸。Please refer to FIG. 10 , the elastic membrane 21 includes a fixed portion 211 and a deformable portion 212. 211 is located at the periphery of the deformation part 212, and the distance between the elastic membrane 21 and the part of the deformation part 212 facing away from the liquid pipe 23 is 2-3 mm. As an embodiment, the size of the space corresponding to this distance in the radial direction is equal to the size of the first end of the coupling part 22.
作为一种实施例,第三气路管173贯穿第二通孔252并相对于第二通孔252靠近耦合部22的端部凸起,第三气路管173远离电磁阀12的一端与弹性隔膜21之间的距离为2-3mm。当弹性隔膜21复位时,由于被释放压缩的液体会给弹性隔膜21一个力,进而使得弹性隔膜21朝第三气路管173移动,若在自然状态下,第三气路管173与弹性隔膜21接触,则弹性隔膜21复位时会撞击第三气路管173的端部,容易造成弹性隔膜21的损伤。第三气路管173与弹性隔膜21之间距离的设置,可以避免弹性隔膜21撞击第三气路管173,对弹性隔膜21形成保护的同时,方便设置凸起部253,此外,前述参数下的微间距的设置还有利于高压脉冲气体在弹性隔膜处21与液体耦合。As an embodiment, the third gas circuit tube 173 passes through the second through hole 252 and is protruded relative to the end of the second through hole 252 close to the coupling portion 22. The distance between the end of the third gas circuit tube 173 away from the solenoid valve 12 and the elastic diaphragm 21 is 2-3 mm. When the elastic diaphragm 21 is reset, the released compressed liquid will give a force to the elastic diaphragm 21, thereby causing the elastic diaphragm 21 to move toward the third gas circuit tube 173. If the third gas circuit tube 173 is in contact with the elastic diaphragm 21 in a natural state, the elastic diaphragm 21 will hit the end of the third gas circuit tube 173 when it is reset, which is easy to cause damage to the elastic diaphragm 21. The setting of the distance between the third gas circuit tube 173 and the elastic diaphragm 21 can prevent the elastic diaphragm 21 from hitting the third gas circuit tube 173, protect the elastic diaphragm 21, and facilitate the setting of the protrusion 253. In addition, the setting of the micro-pitch under the above parameters is also conducive to the coupling of high-pressure pulse gas with liquid at the elastic diaphragm 21.
作为一种实施例,排气口在第二时段中的排气速度是变化的,其包括第一排气速度和第二排气速度,第一排气速度大于第二排气速度,排气口先以第一排气速度排气,然后以第二排气速度排气,可以避免隔膜21撞击第三气路管173。As an embodiment, the exhaust speed of the exhaust port in the second time period is variable, which includes a first exhaust speed and a second exhaust speed, the first exhaust speed is greater than the second exhaust speed, the exhaust port first exhausts at the first exhaust speed, and then exhausts at the second exhaust speed, which can avoid the diaphragm 21 from hitting the third air circuit tube 173.
可以理解,在第三气路管173并未完全贯穿第二通孔252时,形变部分212背向液路管23一侧的部件为第二对接部25表面S,所述距离的设置,可以避免隔膜21撞击第二对接部25表面S。It can be understood that when the third gas line tube 173 does not completely penetrate the second through hole 252, the part of the deformation portion 212 facing away from the liquid line tube 23 is the surface S of the second docking portion 25. The setting of the distance can prevent the diaphragm 21 from hitting the surface S of the second docking portion 25.
作为一种实施例,第三气路管173与第二通孔252连通即可,如第三气路管173仅延伸至第二通孔252靠近手动球阀14的一端,气流通道的一部分由所述第二通孔252形成。所述第三气路管173也可以延伸进第二通孔252的一部分,或者贯穿第二通孔252并与第二通孔252靠近耦合部22的端部齐平。作为一种实施例,第三气路管173的端部也可以与弹性隔膜21接触。As an embodiment, the third gas line tube 173 is connected to the second through hole 252, such as the third gas line tube 173 only extends to the end of the second through hole 252 close to the manual ball valve 14, and a part of the air flow channel is formed by the second through hole 252. The third gas line tube 173 can also extend into a part of the second through hole 252, or pass through the second through hole 252 and be flush with the end of the second through hole 252 close to the coupling portion 22. As an embodiment, the end of the third gas line tube 173 can also contact the elastic diaphragm 21.
作为一种实施例,操作部分20进一步包括固定设置在耦合部22外围的壳体26,壳体26远离本体部分10的一端与液路管密封连接。第二对接部25的第二螺纹结构222外围设置有至少一环形面254;壳体26的侧壁与所述至少一环形面254接触以形成至少一密封结构。可以理解,所述环形面254可以为第二对接部25的外表面形成,还可以是在第二对接部25上设置以环形凹槽,环形凹槽包括相对的、径向直径尺寸不同的两个环形面254,外壳18插入环 形凹槽中时,外壳18的内壁和外壁分别与两个环形面254形成双重密封结构。As an embodiment, the operating part 20 further includes a shell 26 fixedly arranged on the periphery of the coupling part 22, and the end of the shell 26 away from the main body part 10 is sealed and connected to the liquid circuit tube. At least one annular surface 254 is arranged on the periphery of the second threaded structure 222 of the second docking part 25; the side wall of the shell 26 contacts the at least one annular surface 254 to form at least one sealing structure. It can be understood that the annular surface 254 can be formed on the outer surface of the second docking part 25, or it can be an annular groove arranged on the second docking part 25, and the annular groove includes two opposite annular surfaces 254 with different radial diameters, and the outer shell 18 is inserted into the annular groove. When the housing 18 is in the shaped groove, the inner wall and the outer wall of the housing 18 form a double sealing structure with the two annular surfaces 254 respectively.
作为一种实施例,第一对接部182和第二对接部25的对接面上设置有相互匹配的第一电连接部183和第二电连接部255;第一对接部182和第二对接部25完成对接时,第一电连接部183和第二电连接部255接触以实现电连接。As an embodiment, the first docking portion 182 and the second docking portion 25 are provided with matching first electrical connection portions 183 and second electrical connection portions 255 on their docking surfaces; when the first docking portion 182 and the second docking portion 25 complete docking, the first electrical connection portion 183 and the second electrical connection portion 255 are in contact to achieve electrical connection.
可以理解,第一电连接部183和第二电连接部255可以是插接和/或者磁性吸附连接。It can be understood that the first electrical connection portion 183 and the second electrical connection portion 255 can be plug-in and/or magnetically adsorbed.
作为一种实施例,操作部分20设置有与液路管23固定连接的操作手柄27和导线(图未示),导线一端与操作手柄27连接,另一端穿过壳体26与耦合部22之间的空间P,并贯穿第二对接部25与第二电连接部255连接。由于手柄部设置在液路管23上,十分方便医护人员操作。As an embodiment, the operating portion 20 is provided with an operating handle 27 and a wire (not shown) fixedly connected to the fluid tube 23, one end of the wire is connected to the operating handle 27, and the other end passes through the space P between the housing 26 and the coupling portion 22, and penetrates the second docking portion 25 to be connected to the second electrical connection portion 255. Since the handle portion is provided on the fluid tube 23, it is very convenient for medical staff to operate.
作为一种实施例,位于所述操作手柄27与所述耦合部22之间的所述液路管23与所述导线通过绝缘层231包覆在一起,使得产品外观更为简洁。As an embodiment, the liquid pipe 23 and the wire located between the operating handle 27 and the coupling portion 22 are covered together by an insulating layer 231, so that the product appearance is simpler.
作为一种实施例,位于操作手柄27与耦合部22之间的液路管23长度为0.8-1.4m,方便医护人员操作。进一步,位于操作手柄27与耦合部22之间的液路管23长度为0.8-1.2mmAs an embodiment, the length of the liquid line tube 23 between the operating handle 27 and the coupling part 22 is 0.8-1.4m, which is convenient for medical staff to operate. Further, the length of the liquid line tube 23 between the operating handle 27 and the coupling part 22 is 0.8-1.2mm
作为一种实施例,靠近所述操作手柄27的液路管23上开设有用于注入所述液体的注液口28,将注液口28设置在操作手柄27处,避免部件设置集中,制造难度加大。As an embodiment, a liquid injection port 28 for injecting the liquid is provided on the liquid pipe 23 near the operating handle 27. The liquid injection port 28 is arranged at the operating handle 27 to avoid concentrated arrangement of components and increased manufacturing difficulty.
作为一种实施例,操作部分20还设置有液压检测器,所述液压检测器可以设置在液路管23上并与液路管23内部空间连通。As an embodiment, the operating portion 20 is further provided with a hydraulic pressure detector, which can be provided on the liquid line tube 23 and communicated with the internal space of the liquid line tube 23 .
作为一种实施例,本发明所提供的脉冲式病灶击碎装置1,在工作时,液压检测器与压力检测器16压力参数基本一致,差值小于5%。As an embodiment, the pulsed lesion crushing device 1 provided by the present invention has, when in operation, pressure parameters of the hydraulic detector and the pressure detector 16 that are substantially consistent, with a difference of less than 5%.
本领域的技术人员能够理解的是,在不冲突的前提下,上述各优选方案可以自由地组合、叠加。Those skilled in the art will appreciate that, without conflict, the above-mentioned preferred solutions can be freely combined and superimposed.
应当理解,上述的实施方式仅是示例性的,而非限制性的,在不偏离本发明的基本原理的情况下,本领域的技术人员可以针对上述细节做出的各种明显的或等同的修改或替换,都将包含于本发明的权利要求范围内。 It should be understood that the above-mentioned embodiments are merely illustrative and not restrictive. Without departing from the basic principles of the present invention, various obvious or equivalent modifications or substitutions that can be made by those skilled in the art to the above-mentioned details will all be included in the scope of the claims of the present invention.
Claims (10)
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| CN202311310514.2A CN117442295B (en) | 2023-10-08 | 2023-10-08 | Pulse focus crushing device |
| CN202311310514.2 | 2023-10-08 |
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| WO2025077341A1 true WO2025077341A1 (en) | 2025-04-17 |
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| PCT/CN2024/106468 Pending WO2025077341A1 (en) | 2023-10-08 | 2024-07-19 | Pulse type lesion fragmentation device |
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| WO (1) | WO2025077341A1 (en) |
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