D3-电生理导管课件

电生理培训(三)Theanatomyoftheheart

心脏解剖结构Theelectricalconductionsystem

电传导途径TheEPprocedure电生理手术过程TheEPcatheter

电生理导管简介TheBiosenseWebsterproductportfolio

BW产品综述12/12/20221BiosenseWebsterEPTraining2003TheEPCatheter目录电生理导管的整体特性BiosenseWebster导管的独特性如何去读懂货号12/12/20222BiosenseWebsterEPTraining2003TheEPCatheter电生理导管的组成:导管头端特殊的形状,提供心内信号或是放电消融的电极管身包含着传导电信号的电缆提供对导管的机械操纵性能接头端提供同连线的接口方式（RTRedel-10)12/12/20223BiosenseWebsterEPTraining2003TheEPCatheter竞争者所用的弯度DaigBoston12/12/20225BiosenseWebsterEPTraining2003TheEPCatheter电极间距2mm5mm10mmSpacing2-5-22-8-22-10-22-13-22-14-2分辨率高标准型冠状窦起搏高分辨率12/12/20226BiosenseWebsterEPTraining2003TheEPCatheter电极间距BW导管的电极间距是从两个相邻电极中心开始测量计算的。而我们的竞争对手所才用的方式是用电极的边缘开始测量的。12/12/20227BiosenseWebsterEPTraining2003TheEPCatheter电极数目必须 2 bipolar标准 4 quadrapolar冠状窦 10 decapolar可选:希氏/冠状窦 6 hexapolar希氏/冠状窦 8 octapolar12/12/20228BiosenseWebsterEPTraining2003TheEPCatheter管身(Shaft)直径以French(F)为测量单位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连接头导管接头连线接头246TipPinsPlugRedel(9)15Pin-MoldedTipPinBox12/12/202212BiosenseWebsterEPTraining2003TheEPCatheterTheBiosenseWebster导管ShaftDesign管身设计TipDesign

顶端设计BraidedTip

加硬管SpecialDesignFeatures

特殊设计特点TemperatureSensor温度传感器12/12/202214BiosenseWebsterEPTraining2003TheEPCatheter管身设计(Schematic)*Pellethane是一种特殊合成的高分子聚脂材料。具备很好的生物兼容性，柔软而弹性好，是Webster的专利技术。生产流程：第一层Pellethane成型内芯钢丝编制32股钢丝(16x2不锈钢丝)第二层Pellethane覆盖钢丝层表面成型12/12/202215BiosenseWebsterEPTraining2003TheEPCatheter管身设计(Reality)单腔shaft32stainlessstealwirebraiding铜缆线尼龙管12/12/202216BiosenseWebsterEPTraining2003TheEPCatheter头端设计Fixedcatheters

固定弯导管NodifferencetoshaftDeflectablecatheters可调弯导管DualLumen双腔12/12/202217BiosenseWebsterEPTraining2003TheEPCatheter头端设计(机理)双腔牵引钢丝传导电缆头端编织16根钢丝编织12/12/202218BiosenseWebsterEPTraining2003TheEPCatheter管身与头端的内部接合shafttipConedtipsectiongluedwithpolyurethaneintoshaft12/12/202220BiosenseWebsterEPTraining2003TheEPCatheter管身与头端的内部接合tipshaftpolyurethaneglue12/12/202221BiosenseWebsterEPTraining2003TheEPCatheter电极设计Platinium-iridiumringelectrodePolyurethaneglue1,3mmPlatinium:SuperiorelectricalconductivityIridium:highlyradiopaque12/12/202223BiosenseWebsterEPTraining2003TheEPCatheter聚亚胺酯封口封闭电极之间的接合防止内腔里的空气进入血液防止血液进入内腔（会使电路短路）使得头端比较稳固提供导管贴靠稳定12/12/202224BiosenseWebsterEPTraining2003TheEPCatheter使用意义减少管身波动增强弯度调节的灵活性1:1弯度调节反应极好的头端操控直接将推送力传输到导管头端提高导管的跟踪性Resultsinease-of-useandletstheelectrophysiologistconcentrateontheEPprocedure12/12/202226BiosenseWebsterEPTraining2003TheEPCatheter16x2wires16wiresshafttipBraidedTip加硬管

(大头导管独有)双钢丝编织一直延伸至头端

提高头端与心壁贴靠稳定性12/12/202227BiosenseWebsterEPTraining2003TheEPCatheter可调弯导管的操作手柄IntegratedRedelConnectorforALLdeflectablecatheterssincemid199912/12/202228BiosenseWebs