Transseptal puncture (TSP) siv los ua ib qho kev pheej hmoo siab - cov txheej txheem uas yuav tsum tau muaj kev paub dhau los thiab cov kev txawj ntse los ntawm cov kws kho plawv. Kev siv dav dav ntawm cov koob tshuaj radiofrequency septal puncture tau ua rau cov kauj ruam tseem ceeb no muaj kev nyab xeeb dua, tsim qauv zoo dua, thiab qhia tau ntau dua, yog li txhawb kev loj hlob sai ntawm sab laug atrial interventional kho. Nws tau hloov zuj zus los ntawm qhov yooj yim atrial fibrillation ablation cuab yeej mus rau "universal key" uas qhib qhov rooj rau sab laug kev kho mob plawv.

Daim Ntawv Thov Txheej Txheem: Los ntawm Electrophysiology mus rau Cov Kab Mob Hauv Lub Plawv

1. Catheter ablation rau atrial fibrillation:Qhov no yog qhov ntxov tshaj plaws thiab tseem ceeb tshaj daim ntawv thov ntawm radiofrequency atrial septal puncture koob. Los ntawm kev tsim txoj kev sab laug atrial, nws yog thawj kauj ruam hauv kev ua cov txheej txheem ablation xws li pulmonary leeg cais. Nws qhov kev ua tau zoo siab thiab kev nyab xeeb ua rau ntau lub chaw ua haujlwm rau kev phais mob atrial fibrillation ablation.
2. Sab laug atrial appendage kaw (LAAC):Txhawm rau tiv thaiv mob stroke hauv cov neeg mob atrial fibrillation. Cov cuab yeej kaw yuav tsum tau muab tso rau hauv sab laug atrial appendage los ntawm atrial septum. Kev nyab xeeb thiab meej puncture yog qhov yuav tsum tau ua ua ntej rau kev ua tiav ntawm kev phais. Radiofrequency puncture koob muaj qhov zoo tshaj plaws hauv kev tuav cov tuab tuab lossis txawv txav zoo li atrial septa.
3. Interventional kho ntawm mitral valve:Xws li percutaneous mitral balloon valvuloplasty los yog ntug - rau - kho ntug (xws li MitraClip), yuav tsum muaj txoj hauv kev ruaj khov rau sab laug atrial. Radiofrequency puncture koob muab qhov kev lees paub nkag tau zoo rau cov kev cuam tshuam valve nyuaj.
4. Sab laug ventricular assist device (LVAD) implantation xyuas thiab kev ntsuam xyuas hemodynamic:Qee qhov xwm txheej uas yuav tsum tau saib xyuas lub plawv sab laug hauv kev tswj cov neeg mob plawv tsis ua hauj lwm, yuav tsum tau tsim txoj hauv kev sab laug.
5. Pediatric Cardiology:Rau cov menyuam yaus uas muaj kab mob hauv lub plawv, lawv lub siab me me thiab tsis yooj yim dua. Cov yam ntxwv meej thiab tswj tau ntawm cov xov tooj cua puncture koob muab kev nyab xeeb dua.

Qhov tseem ceeb ntawm qhov zoo ntawm kev tsav tsheb txoj kev loj hlob ntawm kev lag luam

• Txo qhov kev kawm txuj ci thiab nthuav dav kev nkag mus rau kev phais:Cov tsoos mechanical puncture yog nyob ntawm tus kws phais qhov kev paub dhau los. Qhov "nias-khawm thiab puncture" hom ntawm cov xov tooj cua zaus tau txo qhov kev kawm nkhaus, ua rau ntau lub tsev kho mob thiab cov kws kho mob hluas ua kom muaj kev nyab xeeb rau kev phais plawv sab laug, thiab tso cai rau kev siv thev naus laus zis kom tau txais txiaj ntsig ntau ntawm cov neeg mob.
• Hais txog cov teeb meem nyuaj thiab nthuav cov ciam teb kho mob:Nrog rau cov neeg laus, muaj ntau cov neeg mob uas thickened, fibrotic atria thiab cov neeg uas tau ua ntau yam kev phais yav dhau los. Radiofrequency puncture needles yog cov cuab yeej siv tau zoo los daws cov "thaj chaw atria," muab txoj hauv kev kho mob rau cov neeg mob uas yav dhau los suav tias txwv tsis pub lossis siab - pheej hmoo.
• Txo lub sijhawm ua haujlwm thiab ua kom zoo dua cov peev txheej kho mob:Kev sib tsoo nrawm dua txhais tau tias lub sijhawm ua haujlwm luv dua thiab tsawg dua X-ray raug, txhim kho kev ua haujlwm ntawm chav catheterization thiab txo nqi kho mob.
• Koom tes nrog cov duab fusion technology:Radiofrequency puncture koob feem ntau yog siv ua ke nrog intracardiac ultrasound (ICE) thiab peb -dimensional electroanatomical mapping systems. Cov tsis yog - irradiating cov cim ntawm qhov kawg ntawm rab koob ua kom pom tseeb qhov chaw ntawm daim duab, ua kom muaj tseeb "visualized" puncture thiab nce qhov raug phais mus rau theem tshiab.

Lub luag haujlwm ntawm Kev Coj Tus Cwj Pwm Technology: Txhim Kho Ntiaj Teb Kev Tsim Kho Tshiab

Raws li kev tsim khoom lag luam rau cov khoom lag luam thoob ntiaj teb xws li Baylis Kev Kho Mob (Boston Scientific), Cov Qauv Txuj Ci ua lub luag haujlwm tseem ceeb. Nws tsis yog tsuas yog cov chaw tsim khoom cog lus nkaus xwb tab sis kuj yog tus muab kev pabcuam kev tsim khoom lag luam. Nws lub peev xwm tseem ceeb nyob hauv:

Loj -scale precision manufacturing:Siv cov khoom siv xws li Citizen R04, peb tuaj yeem ua tiav qhov loj - nplai, ruaj khov ntau lawm nrog micrometer- theem precision, ua tau raws li qhov kev thov tsis tu ncua rau siab - zoo RF puncture koob nyob rau hauv lub ntiaj teb no kev ua lag luam.

Kev sib koom tes thev naus laus zis thiab teb sai:Peb tuaj yeem koom tes nrog cov pab pawg R & D ntawm cov hom lag luam kom sai sai ua cov qauv tsim thiab cov qauv sim raws li cov kev xav tau tshiab hauv kev kho mob (xws li cov kab uas hla zoo dua, lub taub hau sib txawv- qauv tsim, thiab sib haum nrog cov ntaub tshiab).

Kev ua tau zoo thiab kev ua raws li lav:Nws zoo -tsim ISO 13485 system ua kom ntseeg tau tias cov khoom ua raws li cov kev cai tswj hwm hauv lub ntiaj teb kev lag luam loj (xws li US FDA, EU CE, thiab lwm yam), muab lub hauv paus ruaj khov rau cov hom lag luam los tsim lawv cov khoom tshiab rau lub ntiaj teb.

Yav tom ntej Outlook

Nrog rau kev hloov tshiab tas mus li hauv kev kho mob rau cov kab mob hauv lub plawv (xws li kev txhim kho ntawm cov txheej txheem kev cuam tshuam rau mitral thiab tricuspid li qub), qhov kev thov kom muaj kev nyab xeeb thiab txhim khu kev qha atrial septal tsuas yog nce. Radiofrequency atrial septal puncture koob tshuab nws tus kheej kuj yog hloov zuj zus mus, piv txwv li, kev sib koom ua ke zoo dua nrog kev hloov kho tau yooj yim sheaths, thiab ntxiv kev txawj ntse hauv lub zog tso tawm qauv. Cov tuam txhab xws li Manners Technology, uas tsom mus rau kev tsim khoom ntawm cov cuab yeej kho mob siab heev, yuav txuas ntxiv muab cov kws kho mob nrog cov cuab yeej zoo dua los ntawm lawv cov kev tsim vaj tsev zoo thiab kev tsim muaj peev xwm, sib koom ua ke tsav kev cuam tshuam tsawg kawg nkaus ntawm kev kho mob plawv mus rau kev nyab xeeb thiab meej dua yav tom ntej.