D3 电生理导管解读课件.ppt

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1、11/30/2022,Slide 1,Biosense Webster EP Training 2003 The EP Catheter,电生理培训(三),The anatomy of the heart 心脏解剖结构The electrical conduction system 电传导途径The EP procedure 电生理手术过程The EP catheter 电生理导管简介The Biosense Webster product portfolio BW产品综述,11/30/2022,Slide 2,Biosense Webster EP Training 2003 The EP

2、Catheter,目录,电生理导管的整体特性Biosense Webster 导管的独特性如何去读懂货号,11/30/2022,Slide 3,Biosense Webster EP Training 2003 The EP Catheter,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（RT Redel-10),11/30/2022,Slide 4,Biosense Webster EP Training 2003 The EP Catheter,固定弯形状,H curve,Josephs

3、onA,CournandF,Levine,Multipurpose,P curve,DamatoD,G curve,Coronary sinus,11/30/2022,Slide 5,Biosense Webster EP Training 2003 The EP Catheter,竞争者所用的弯度,Daig,Boston,11/30/2022,Slide 6,Biosense Webster EP Training 2003 The EP Catheter,电极间距,2 mm,5 mm,10 mm,Spacing,2-5-2,2-8-2,2-10-2,2-13-2,2-14-2,分辨率高,标

4、准型,冠状窦,起搏,高分辨率,11/30/2022,Slide 7,Biosense Webster EP Training 2003 The EP Catheter,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。,11/30/2022,Slide 8,Biosense Webster EP Training 2003 The EP Catheter,电极数目,必须2bipolar标准4quadrapolar冠状窦10decapolar可选:希氏/冠状窦6hexapolar希氏/冠状窦8octapolar,11/30/2

5、022,Slide 9,Biosense Webster EP Training 2003 The EP Catheter,顶端电极的形状,3mm 电极 5 F 可调and CRISTA CATH 界嵴导管4mm 标准电极 6, 7 and 8 F 可调大头导管 4 mm 花生头 6, 7 and 8 F可调大头导管1 mm 电极 固定和可调弯标测导管,11/30/2022,Slide 10,Biosense Webster EP Training 2003 The EP Catheter,管身(Shaft)直径,以 French (F)为测量单位3 French equals 1 mm (1

6、F = 0,33 mm),standardavailableFixed6(4),5MM6-NFD6-Deflectable Diagn.76, (5)Ablation76, (5)Navistar7-,11/30/2022,Slide 11,Biosense Webster EP Training 2003 The EP Catheter,影响操作的性能指标,扭力 创伤力直径 管身长度-电极数目 -电极间距-,11/30/2022,Slide 12,Biosense Webster EP Training 2003 The EP Catheter,连接头,导管接头,连线接头,2,4,6,Tip

7、 Pins,Plug,Redel,(9) 15Pin-Molded,Tip Pin Box,11/30/2022,Slide 13,Biosense Webster EP Training 2003 The EP Catheter,Section II,电生理导管的整体特性Biosense Webster 导管的独特性如何去读懂货号,11/30/2022,Slide 14,Biosense Webster EP Training 2003 The EP Catheter,The Biosense Webster 导管,Shaft Design管身设计Tip Design 顶端设计Braided

8、 Tip 加硬管Special Design Features 特殊设计特点Temperature Sensor 温度传感器,11/30/2022,Slide 15,Biosense Webster EP Training 2003 The EP Catheter,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,11/30/2022,Slide 16

9、,Biosense Webster EP Training 2003 The EP Catheter,管身设计(Reality),单腔,shaft,32 stainless steal wire braiding,铜缆线,尼龙管,11/30/2022,Slide 17,Biosense Webster EP Training 2003 The EP Catheter,头端设计,Fixed catheters 固定弯导管No difference to shaftDeflectable catheters 可调弯导管Dual Lumen 双腔,11/30/2022,Slide 18,Biosen

10、se Webster EP Training 2003 The EP Catheter,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,11/30/2022,Slide 19,Biosense Webster EP Training 2003 The EP Catheter,可调弯导管的头端设计,lumen A:pulling wire,lumen B:copper wires,Non-braided tip,11/30/2022,Slide 20,Biosense Webster EP Training 2003 The EP Catheter,管身与头端的内部接合,shaf

11、t,tip,Coned tip section glued with polyurethane into shaft,11/30/2022,Slide 21,Biosense Webster EP Training 2003 The EP Catheter,管身与头端的内部接合,tip,shaft,polyurethaneglue,11/30/2022,Slide 22,Biosense Webster EP Training 2003 The EP Catheter,特 性,内腔 2F (0,58 mm)传导电缆: 铜线牵引钢丝: 镍钛合金镍钛合金: 可以记忆形状， 可塑性强由Teflon制

12、成的鞘包裹使其移动光滑Compression Coil,11/30/2022,Slide 23,Biosense Webster EP Training 2003 The EP Catheter,电极设计,Platinium-iridiumring electrode,Polyurethaneglue,1,3 mm,Platinium: Superior electrical conductivityIridium: highly radiopaque,11/30/2022,Slide 24,Biosense Webster EP Training 2003 The EP Catheter,聚

13、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,11/30/2022,Slide 25,Biosense Webster EP Training 2003 The EP Catheter,压缩线圈,11/30/2022,Slide 26,Biosense Webster EP Training 2003 The EP Catheter,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,Results in ease-of-use and lets th

14、e electrophysiologist concentrate on the EP procedure,11/30/2022,Slide 27,Biosense Webster EP Training 2003 The EP Catheter,Braided Tip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,11/30/2022,Slide 28,Biosense Webster EP Training 2003 The EP Catheter,可调弯导管的操作手柄,Integrated Redel Connector for ALL deflectable catheters since mid 1999,11/30/2022,Slide 29,Biosense Webster EP Training 2003 The EP Catheter,Section III,电生理导管的整体特性Biosense Webster 导管的独特性如何去读懂货号,11/30/2022,Slide 30,Biosense Webster EP Training 2003 The EP Catheter,固定弯,11/30/2022,Slide 31,Biosense Webster EP Training 2003 The EP Catheter,可调弯导管,