专利摘要:

公开号:SU1812999A3
申请号:SU894614511
申请日:1989-06-26
公开日:1993-04-30
发明作者:Kharmyants Ditrikh
申请人:Shnajder Orop;
IPC主号:
专利说明:

The invention relates to medicine, in particular to guiding catheters used in the expansion of the coronary arteries of the heart.
The basis of the invention is the task of creating a guiding catheter that provides continuous blood supply to the coronary arteries and prevents the flow of contrast medium from it into the aorta while the catheter performs the guiding function.
'Nafig. 1 shows a guide catheter, general view; figure 2 - the end of the guiding catheter in the area of the aorta and coronary artery; in Fig.3 - the outer end of the guiding catheter with a bell-shaped notch, top view, Fig.4 is the same side view, in Fig.5 is the outer end of the catheter with a notch of the same width, Fig.6 is the same view on the side.
A guide catheter 1, equipped with a cannula 2 at the posterior end, is curved at the front end with a larger arc 3 in one direction and a smaller arc 4 in the other direction and has a bell-shaped cutout 5 connected with the open end 6 made of a material less elastic compared with material 3 of the rest of the guide catheter. ~ The guiding catheter 1 is located in the aorta 7 and partially inserted by the outer end 6 into the inlet 8 of the coronary 14 artery 9. In this position, the notch 5 has a large cross section for blood to enter from the aorta 7, so blood can flow into the tube-shaped guiding catheter and then into the inlet hole 8 and coronary artery 9. In the position shown in figure 2, you can enter the guide wire, as well as a catheter with a balloon.
If it is necessary to inject contrast medium, then the end 6 of the guiding catheter 1 must be moved into the inlet 8 of the coronary artery 9 by appropriate manipulation so that the cutout 5 is completely in the zone of the inlet 8. Such an insertion of the end of the guiding catheter 1 is carried out only for a short time during injection contrast medium. Then end
SU ..... 1812999 AZ again return to the position shown in figure 2. and blood continues to flow as normal blood flow is restored.
In FIGS. 5 and 6, the cutout 10 is mainly made with parallel edges 12, so a straight slit with the same width is formed. open towards the front edge of the end of the guide catheter 1.
Due to this embodiment of the end of the guiding catheter, the possibility of completely locking the guiding catheter at the entrance of the coronary artery is excluded. If such a locking occurs, then it can be determined using a 15 gauge showing the pressure drop. By pulling the catheter back, blood flow can be restored immediately, and the guide catheter does not lose its position. 20
The risk of blood clots when using a guiding catheter in accordance with the invention is reduced compared with known guiding catheters with lateral openings. because the guide catheter has only this large opening that is flushed. In addition, there is no loss when injecting a contrast fluid, since by moving the catheter it is possible to adjust the area of the hole as opposed to the side holes, which are not amenable to regulation in known catheters. The guiding catheter according to the invention guarantees reliable operation with a reduced risk of ischemia and optimization of the X-ray 10 image of the coronary arteries with injected contrast fluid.
权利要求:
Claims (4)
[1]
1. Guide catheter made in the form of a hollow tube with an open end. characterized in that, by the gorge of preventing interruption of the blood supply to the coronary artery, an incision with its open end is made on the side wall of the catheter.
[2]
2. The catheter according to claim 1, characterized in that the cutout is made with the same width in the longitudinal direction.
[3]
3. The catheter according to claim 1, characterized in that the cutout is bell-shaped, increasing towards the open end of the catheter.
[4]
4. The catheter according to paragraphs. 1-3, ex. that the catheter in the cutout area is flexible.
Fig. /
FIG. 2
FIG. 4
t / - / 12 IIIHI111 BUT: at * ♦ * *. ♦ * · ♦ · * ♦ ‘V J. / t. . . " 1) wed 5............. 1. - - -4.. ·· ·.*·. · '· · Τι ............. FIG. b
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同族专利:
公开号 | 公开日
DE3736226A1|1989-05-11|
JPH02501893A|1990-06-28|
UA19336A|1997-12-25|
JP2587102B2|1997-03-05|
AT75958T|1992-05-15|
EP0340251B1|1992-05-13|
WO1989003701A1|1989-05-05|
DE8714255U1|1989-02-23|
DE3871139D1|1992-06-17|
EP0340251A1|1989-11-08|
引用文献:
公开号 | 申请日 | 公开日 | 申请人 | 专利标题
RU2693209C2|2013-05-19|2019-07-01|Кардинал Хелт Свитзерлэнд 515 ГмбХ|Large lumen guide catheter|
RU197542U1|2020-01-28|2020-05-13|Частное учреждение образовательная организация высшего образования "Медицинский университет "Реавиз"|FOGARTY CATHETER INTRAVASCULAR INTRODUCTION|FR521757A|1916-09-16|1921-07-19|Jean Eynard|Ureter probe|
GB1547328A|1978-01-19|1979-06-13|Celestin L R|Apparatus for insertion into a body cavity|
US4411055A|1980-05-19|1983-10-25|Advanced Cardiovascular Systems, Inc.|Vascular guiding catheter assembly and vascular dilating catheter assembly and a combination thereof and methods for making the same|
DE3018608C1|1980-05-13|1981-10-01|Irene Dr. 1000 Berlin Warnecke|Balloon catheter|
DE3339179A1|1983-10-28|1985-05-09|Felix 4370 Marl Beiring|Separating device for ureteral stents|
DE8435750U1|1984-12-06|1985-03-21|pfm Plastik für die Medizin GmbH, 5000 Köln|CATHETER|
GB2186192B|1985-12-17|1990-01-17|Mccormick Lab Inc|Catheter and method of making same|US5122125A|1990-04-25|1992-06-16|Ashridge A.G.|Catheter for angioplasty with soft centering tip|
US5640955A|1995-02-14|1997-06-24|Daig Corporation|Guiding introducers for use in the treatment of accessory pathways around the mitral valve using a retrograde approach|
JPH10137341A|1996-11-12|1998-05-26|Junichi Tanaka|Catheter|
JPH11114069A|1997-10-14|1999-04-27|Junichi Tanaka|Catheter|
JP4566368B2|2000-09-04|2010-10-20|Hoya株式会社|Endoscopic contrast tube|
CA2645373C|2006-03-31|2013-07-16|C.R. Bard, Inc.|Catheter including arcuate transition region|
CN102671277B|2011-03-15|2014-09-03|上海微创医疗器械(集团)有限公司|Micro catheter|
US10252023B2|2013-01-11|2019-04-09|C. R. Bard, Inc.|Curved catheter and methods for making same|
法律状态:
优先权:
申请号 | 申请日 | 专利标题
DE19873736226|DE3736226A1|1987-10-27|1987-10-27|HOSE OR TUBULAR GUIDE CATHETER|
PCT/EP1988/000769|WO1989003701A1|1987-10-27|1988-08-27|Guide catheter in the form of a flexible or rigid tube|
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