D3-電生理導(dǎo)管課件

電生理培訓(xùn)(三)Theanatomyoftheheart

心臟解剖結(jié)構(gòu)Theelectricalconductionsystem

電傳導(dǎo)途徑TheEPprocedure電生理手術(shù)過(guò)程TheEPcatheter

電生理導(dǎo)管簡(jiǎn)介T(mén)heBiosenseWebsterproductportfolio

BW產(chǎn)品綜述12/12/20221BiosenseWebsterEPTraining2003TheEPCatheter目錄電生理導(dǎo)管的整體特性BiosenseWebster導(dǎo)管的獨(dú)特性如何去讀懂貨號(hào)12/12/20222BiosenseWebsterEPTraining2003TheEPCatheter電生理導(dǎo)管的組成:導(dǎo)管頭端特殊的形狀,提供心內(nèi)信號(hào)或是放電消融的電極管身包含著傳導(dǎo)電信號(hào)的電纜提供對(duì)導(dǎo)管的機(jī)械操縱性能接頭端提供同連線的接口方式（RTRedel-10)12/12/20223BiosenseWebsterEPTraining2003TheEPCatheter競(jìng)爭(zhēng)者所用的彎度DaigBoston12/12/20225BiosenseWebsterEPTraining2003TheEPCatheter電極間距2mm5mm10mmSpacing2-5-22-8-22-10-22-13-22-14-2分辨率高標(biāo)準(zhǔn)型冠狀竇起搏高分辨率12/12/20226BiosenseWebsterEPTraining2003TheEPCatheter電極間距BW導(dǎo)管的電極間距是從兩個(gè)相鄰電極中心開(kāi)始測(cè)量計(jì)算的。而我們的競(jìng)爭(zhēng)對(duì)手所才用的方式是用電極的邊緣開(kāi)始測(cè)量的。12/12/20227BiosenseWebsterEPTraining2003TheEPCatheter電極數(shù)目必須 2 bipolar標(biāo)準(zhǔn) 4 quadrapolar冠狀竇 10 decapolar可選:希氏/冠狀竇 6 hexapolar希氏/冠狀竇 8 octapolar12/12/20228BiosenseWebsterEPTraining2003TheEPCatheter管身(Shaft)直徑以French(F)為測(cè)量單位3Frenchequals1mm(1F=0,33mm) standard availableFixed 6 (4),5MM 6 -NFD 6 -DeflectableDiagn. 7 6,(5)Ablation 7 6,(5)Navistar 7 -12/12/202210BiosenseWebsterEPTraining2003TheEPCatheter連接頭導(dǎo)管接頭連線接頭246TipPinsPlugRedel(9)15Pin-MoldedTipPinBox12/12/202212BiosenseWebsterEPTraining2003TheEPCatheterTheBiosenseWebster導(dǎo)管ShaftDesign管身設(shè)計(jì)TipDesign

頂端設(shè)計(jì)BraidedTip

加硬管SpecialDesignFeatures

特殊設(shè)計(jì)特點(diǎn)TemperatureSensor溫度傳感器12/12/202214BiosenseWebsterEPTraining2003TheEPCatheter管身設(shè)計(jì)(Schematic)*Pellethane是一種特殊合成的高分子聚脂材料。具備很好的生物兼容性，柔軟而彈性好，是Webster的專利技術(shù)。生產(chǎn)流程：第一層Pellethane成型內(nèi)芯鋼絲編制32股鋼絲(16x2不銹鋼絲)第二層Pellethane覆蓋鋼絲層表面成型12/12/202215BiosenseWebsterEPTraining2003TheEPCatheter管身設(shè)計(jì)(Reality)單腔shaft32stainlessstealwirebraiding銅纜線尼龍管12/12/202216BiosenseWebsterEPTraining2003TheEPCatheter頭端設(shè)計(jì)Fixedcatheters

固定彎導(dǎo)管NodifferencetoshaftDeflectablecatheters可調(diào)彎導(dǎo)管DualLumen雙腔12/12/202217BiosenseWebsterEPTraining2003TheEPCatheter頭端設(shè)計(jì)(機(jī)理)雙腔牽引鋼絲傳導(dǎo)電纜頭端編織16根鋼絲編織12/12/202218BiosenseWebsterEPTraining2003TheEPCatheter管身與頭端的內(nèi)部接合shafttipConedtipsectiongluedwithpolyurethaneintoshaft12/12/202220BiosenseWebsterEPTraining2003TheEPCatheter管身與頭端的內(nèi)部接合tipshaftpolyurethaneglue12/12/202221BiosenseWebsterEPTraining2003TheEPCatheter電極設(shè)計(jì)Platinium-iridiumringelectrodePolyurethaneglue1,3mmPlatinium:SuperiorelectricalconductivityIridium:highlyradiopaque12/12/202223BiosenseWebsterEPTraining2003TheEPCatheter聚亞胺酯封口封閉電極之間的接合防止內(nèi)腔里的空氣進(jìn)入血液防止血液進(jìn)入內(nèi)腔（會(huì)使電路短路）使得頭端比較穩(wěn)固提供導(dǎo)管貼靠穩(wěn)定12/12/202224BiosenseWebsterEPTraining2003TheEPCatheter使用意義減少管身波動(dòng)增強(qiáng)彎度調(diào)節(jié)的靈活性1:1彎度調(diào)節(jié)反應(yīng)極好的頭端操控直接將推送力傳輸?shù)綄?dǎo)管頭端提高導(dǎo)管的跟蹤性Resultsinease-of-useandletstheelectrophysiologistconcentrateontheEPprocedure12/12/202226BiosenseWebsterEPTraining2003TheEPCatheter16x2wires16wiresshafttipBraidedTip加硬管

(大頭導(dǎo)管獨(dú)有)雙鋼絲編織一直延伸至頭端

提高頭端與心壁貼靠穩(wěn)定性12/12/202227BiosenseWebsterEPTraining2003TheEPCatheter可調(diào)彎導(dǎo)管的操作手柄IntegratedRedelConnectorforALLdeflectablecatheterssincemid199912/12/202228BiosenseWebs