Steerable sheath tube and method for occluding atrial septal defect
A steerable sheath tube has a tubular body having a distal end, a traction wire; and a handle connected to the tubular body. The handle has a lateral branch tube that is coupled to the tubular body at an angle thereof, a slider positioned inside the lateral branch tube for translating movement therein, and a positioning member provided within the lateral branch tube and positioned further from the tubular body than from the slider. One end of the traction wire is fixed on the slider while the other end thereof is fixed at the distal end of the tubular body, and when the slider is moved to come into contact with the positioning member, the distal end of the tubular body is bent to a predetermined angle. A method for occluding an atrial septal defect includes the steps of delivering an occluder from a right internal jugular vein to an atrial septal defect by using the steerable sheath tube, and releasing the occluder to occlude the atrial septal defect.
1. A steerable medical sheath tube, comprising:
a tubular body having a distal end;
a traction wire; and
a handle connected to the tubular body, the handle comprising a lateral branch tube that has a proximal end, and a distal end that is coupled to the tubular body at an angle thereof, a slider positioned inside the lateral branch tube for translating movement therein, and a positioning member provided within the lateral branch tube and positioned further from the tubular body than from the slider, wherein the positioning member is a pin, the pin having a longitudinal axis with a proximal end and a distal end along the longitudinal axis, with the proximal end fixed at the proximal end of the lateral branch tube, and the distal end abutting the slider;
wherein one end of the traction wire is fixed on the slider while the other end thereof is fixed at the distal end of the tubular body, so that movement of the slider adjusts the angle of the distal end of the tubular body, and wherein the positioning member limits an endpoint of a movable distance of the slider so that the movable distance of the slider corresponds to the angle of bending of the distal end of the tubular body.
2. The steerable sheath tube according to claim 1 , wherein teeth are provided on both sides of the slider, and the handle further comprises:
a rotary drum which is sheathed on the lateral branch tube for rotation thereabout;
guide grooves extending along an axis of the lateral branch tube; and
wherein the slider translates its movement along the guide grooves, and a spiral tooth groove is provided on an inner wall of the rotary drum, and is aligned with the teeth of the slider.
3. The steerable sheath tube according to claim 2 , wherein a limiting disk is provided at a base of the lateral branch tube adjacent to the tubular body, with the rotary drum having an inner diameter that is less than an outer diameter of the limiting disk.
4. The steerable sheath tube according to claim 2 , wherein an end cover is provided at an end of the lateral branch tube away from the tubular body, and the end cover has an outer diameter that is larger than the inner diameter of the rotary drum.
5. The steerable sheath tube according to claim 2 , wherein the length of the guide groove is 30% to 90% of the length of the lateral branch tube.
6. The steerable sheath tube according to claim 1 , wherein the predetermined angle is any angle less than 180 degrees.
7. The steerable sheath tube according to claim 1 , wherein the length of the lateral branch tube ranges from 5 cm to 10 cm, and the outer diameter of the lateral branch tube ranges from 0.5 cm to 1 cm.
8. The steerable sheath tube according to claim 1 , wherein the handle further comprises a main branch tube communicating with a proximal end of the tubular body, and an included angle between an axis of a lumen of the main branch tube and an axis of a lumen of the lateral branch tube ranges from 10 degrees to 70 degrees.