CN105326531A - Channel system for minimally invasive therapy of cerebral hemorrhage - Google Patents

Channel system for minimally invasive therapy of cerebral hemorrhage Download PDF

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Publication number
CN105326531A
CN105326531A CN201510834600.2A CN201510834600A CN105326531A CN 105326531 A CN105326531 A CN 105326531A CN 201510834600 A CN201510834600 A CN 201510834600A CN 105326531 A CN105326531 A CN 105326531A
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air bag
sleeve
needle
needle guard
channel system
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CN201510834600.2A
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Chinese (zh)
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CN105326531B (en
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孙德科
李宪锋
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238Type of minimally invasive operation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00292Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/0034Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means adapted to be inserted through a working channel of an endoscope

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a channel system for minimally invasive therapy of cerebral hemorrhage. The channel system comprises a metal needle, a needle sleeve, an air bag, a sleeve and a detachable handle, wherein the needle sleeve sleeves the outer surface of the metal needle and is used for penetrating brain tissues; the head part of the needle sleeve is round to reduce damages to the brain tissues; the metal needle and the needle sleeve work together to detect whether the channel system reaches a bleeding part; the air bag begins to be in a compressed state, is located on the outer surface of the needle sleeve and is inserted into encephalocoele along with the needle sleeve, and then the brain tissues are distracted by an air inflation device; the sleeve is inserted into the encephalocoele along the outer surface of a cylindrical air bag to form a support channel after the air bag is opened; and a ball bag is deflated and then the metal needle, the needle sleeve and the air bag are taken out from the sleeve, so as to form a treatment channel for cerebral hemorrhage.

Description

A kind of channel system of Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment
Technical field
The present invention is applicable to hypertension cerebral hemorrhage patients surgical technic field, particularly relates to a kind of channel system of Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment.
Background technology
Hypertensive cerebral hemorrhage sickness rate, mortality rate, rate of curing the disease, disability rate are all higher, and traditional medical treatment is difficult to remove the occupation time process of hemorrhage rear hematoma to the compressing of surrouding brain tissue, the secondary lesion of surrouding brain tissue anoxia in early days, and the reaction of blood coagulation connection.
Operation of opening cranium evacuation of hematoma, preparation, hypertensive patient's contraindication of operation are more, prolonged operations operation, bring certain limitation to the damage of normal cerebral tissue, the recovery etc. of postoperative important organ to the selection of opening cranium art in art.
Summary of the invention
For solving the problem, the invention provides a kind of channel system of Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment, this system comprises metal needle 1, needle guard 2, air bag 3, sleeve 5, detachable handle 4, it is characterized in that: metal needle 1 is positioned at needle guard 2, air bag 3 is positioned at outside needle guard 2, and the air bag 3 after sleeve 5 is arranged on and has inflated is outside; Detachable handle 4 is matched with the circumferential end place of sleeve 5 by draw-in groove; During use, air bag 3 is inflated, and struts cerebral tissue, and then sleeve 5 inserts along the outer wall of air bag 3, and air bag 3 is exitted, and after the outer wall of air bag 3 is separated with sleeve 5, takes the air bag 3 after metal needle 1, needle guard 2 and venting away, forms stable operation duct.
Described needle guard 2 is that head is rounded, and has through hole at 5mm place, and through hole is connected with inner chamber, and afterbody external diameter is less than head outer diameter 1-2mm.
Described metal needle 1 is positioned at the inside of needle guard 2, and the aperture of metal needle 1 is identical with the internal diameter of needle guard 2, the length 20-30mm longer than needle guard 2 of metal needle 1.
Described air bag 3 is flat structure under unaerated state, and middle part is provided with through channel, and sidepiece is provided with can for the circular passage of inflation, aerofluxus; Under inflated condition, cylindrical.
Described sleeve 5 be thin-wall metal or can be antibacterial plastic material, it is provided with different barrel dliameter series, the end of described sleeve 5 is circumferentially with elliptical gradient draw-in groove, and detachable handle 4 and elliptical gradient draw-in groove form one-way locking mechanism, and guarantee detachable handle 4 closely cooperates with sleeve 5; Described elliptical gradient draw-in groove is elastic material, facilitates the dismounting of detachable handle 4 and sleeve 5, installation; The end face of described sleeve 5 is arc structure.
Described detachable handle 4 is less than 2-4mm than the elliptical gradient draw-in groove diameter of sleeve 5, the irregular structure arc surfaced of detachable handle 4 cooperation place with the cooperation place diameter of sleeve 5, and its arc length is 0.6-0.7 circumferential length doubly.
Air bag 3 comprises penetrating via 6, periphery air bag 7, gas access way 8; Penetrating via 6 is arranged on the centre of air bag 3, and penetrating via 6 is connected with needle guard 2; Periphery air bag 7 is arranged on the surrounding of air bag 3, and forms closed cycle structure; Gas access way 8 is arranged on the end eccentric part of air bag 3; Described gas access way 8 can also play the effect of buffering, steady air flow.
The present invention is a kind of channel system of Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment; the air bag 3 of unaerated is wrapped on needle guard 2 by it; under its protective effect, bring bleeding part into, air bag 3 is inflated by inflation inlet; the outer of homogeneous soft squeezes and supports surrounding brain tissues; decrease the damage of other modes to cerebral tissue, after meeting the requirements of aperture, sleeve 5 is inserted in cerebral tissue along airbag wall; regain after air bag 3 is exitted, form stable operating walk way.
Compared with prior art, the present invention has following beneficial effect.
1, native system is that cerebral hemorrhage minimum traumatic treatment opens enough passages, damages gently and periphery uniform force, to cerebral tissue without shear property model, can form working place easily and efficiently to surrouding brain tissue.
2, by arranging each fluid space in air bag circumference, vertical and end, to realize air bag steady, expand uniformly, for the cerebral tissue implementing operation provides good operating environment, to protection operator, reduce operation risk.
3, detachable handle and sleeve are that irregular cambered surface coordinates, and realize the stable cooperation to sleeve, realize the stability contorting to this system by elastic one-way locking.
4, sleeve select thin-wall metal or can be antibacterial plastic material and arc structure can effectively to the insertion of cerebral tissue evenly, blind-mate, whole engagement process is softer, smooth-going, ensures the safety of operation process.
Accompanying drawing explanation
Accompanying drawing is used to provide a further understanding of the present invention, and forms a part for description, and together with embodiments of the present invention, for explaining the present invention, is not construed as limiting the invention.In the accompanying drawings:
Fig. 1 .1 is according to probe structure schematic diagram under unaerated state of the present invention.
Fig. 1 .2 is according to probe structure schematic diagram of the present invention.
Fig. 2 is according to probe structure head I enlarged diagram under unaerated state of the present invention.
Fig. 3 is for according to schematic three dimensional views when being inserted in sleeve under inflated condition of the present invention.
Fig. 4 is for according to generalized section when being inserted in sleeve under inflated condition of the present invention.
Fig. 5 is according to different series sleeve schematic diagram of the present invention.
Fig. 6 is the structural map according to air bag of the present invention.
In figure: 1, metal needle, 2, needle guard, 3, air bag, 4, detachable handle, 5, sleeve pipe, 6, penetrating via, 7, periphery air bag, 8, gas access way
Detailed description of the invention
Below in conjunction with accompanying drawing, the preferred embodiments of the present invention are described, should be appreciated that preferred embodiment described herein is only for instruction and explanation of the present invention, is not intended to limit the present invention.
Fig. 1 .1 is according to probe structure schematic diagram under unaerated state of the present invention, Fig. 1 .2 is according to probe structure schematic diagram of the present invention, Fig. 2 for according to probe structure head enlarged diagram under unaerated state of the present invention 3 for according to schematic three dimensional views when being inserted in sleeve under inflated condition of the present invention, Fig. 4 is for according to generalized section when being inserted in sleeve under inflated condition of the present invention, Fig. 5 is that Fig. 6 is the structural map according to air bag of the present invention according to different series sleeve schematic diagram of the present invention.
As shown in Figure 4, the present invention includes metal needle 1, needle guard 2, air bag 3, sleeve 5 and detachable handle 4, wherein,
Metal needle 1, it is arranged in the inner chamber of needle guard 2, and needle guard intracavity bottom is inserted in its one end, and one end 20-30mm longer than needle guard inner chamber, is convenient to metal needle and extracts out from needle guard, insert.
Needle guard 2, divide head rounded, decrease the damage to cerebral tissue in the process probeed at needle guard, and have through hole at 5mm place, be connected with inner chamber, coordinate with interior metal pin, can judge whether to arrive bleeding part, afterbody external diameter 1-2mm less of head outer diameter, makes the external diameter of the air bag depended on it less than head, does not cause drag effects to the process of probeing into.
Air bag 3, described air bag is flat structure under unaerated state, and there is through channel at middle part, places needle guard and uses.Having at its sidepiece can for the passage of inflation, aerofluxus; Under inflated condition, cylindrical.
Sleeve 5, sleeve be metal that barrel is very thin or can be antibacterial plastic material, have different barrel dliameter series to be directed to different amounts of bleeding, be provided with groove in one section, coordinate with detachable handle, play positioning action, the slippage of placement detachable handle.
Detachable handle 4, itself and sleeve pipe cooperation place are the arc structure that diameter is less than groove footpath, and its arc length is 0.6-0.7 times of circumference, utilize the elasticity of material open clamping and remove and install.
The present invention is a kind of channel system of Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment, the through channel of the air bag 3 of unaerated is placed needle guard 2, and by cell wraps on needle guard, metal needle 1 is inserted in needle guard, its overall composition probe structure, probe into, utilize the metal needle 1 in leather sheath to judge whether to reach bleed site.When behind arrival bleeding part, air bag 3 is inflated by inflation inlet, and the outer of homogeneous soft squeezes and support surrounding brain tissues, decreases the damage of other modes to cerebral tissue, after meeting the requirements of aperture, insert in cerebral tissue by sleeve 5 along airbag wall, after being exitted by air bag 3, probe is regained, now only remaining sleeve 5 in passage, thus form stable operating walk way, and then detachable handle 4 laid by sleeve 5, be convenient to the operation in later stage.
Wherein the structure of air bag as shown in Figure 4, and be penetrating via 6 in the middle of air bag, periphery air bag 7 is shut, and has supplied gas access way 8 in its side.
One of ordinary skill in the art will appreciate that: the foregoing is only the preferred embodiments of the present invention, be not limited to the present invention, although with reference to previous embodiment to invention has been detailed description, for a person skilled in the art, it still can be modified to the technical scheme that foregoing embodiments is recorded, or carries out equivalent replacement to wherein portion of techniques feature.Within the spirit and principles in the present invention all, any amendment done, equivalent replacement, improvement etc., all should be included within protection scope of the present invention.

Claims (8)

1. the channel system of a Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment, it is characterized in that: this system comprises metal needle (1), needle guard (2), air bag (3), sleeve (5), detachable handle (4), it is characterized in that: metal needle (1) is positioned at needle guard (2), air bag (3) is positioned at needle guard (2) outward, and it is outside that sleeve (5) is arranged on the air bag after having inflated (3); Detachable handle (4) is matched by the circumferential end place of draw-in groove with sleeve (5); During use, air bag (3) is inflated, strut cerebral tissue, then sleeve (5) inserts along the outer wall of air bag (3), air bag (3) is exitted, after the outer wall of air bag (3) is separated with sleeve (5), takes the air bag (3) after metal needle (1), needle guard (2) and venting away, form stable operation duct.
2. the channel system of a kind of Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment according to claim 1, is characterized in that: described needle guard (2) for head rounded, and have through hole at 5mm place, through hole is connected with inner chamber, and afterbody external diameter is less than head outer diameter 1-2mm.
3. the channel system of a kind of Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment according to claim 1, it is characterized in that: described metal needle (1) is positioned at the inside of needle guard (2), the aperture of metal needle (1) is identical with the internal diameter of needle guard (2), the length 20-30mm longer than needle guard (2) of metal needle (1).
4. the channel system of a kind of Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment according to claim 1, is characterized in that: described air bag (3) is flat structure under unaerated state, and middle part is provided with through channel, and sidepiece is provided with can for the circular passage of inflation, aerofluxus; Under inflated condition, cylindrical.
5. the channel system of a kind of Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment according to claim 1, it is characterized in that: described sleeve (5) for thin-wall metal or can be antibacterial plastic material, it is provided with different barrel dliameter series, the end of described sleeve (5) is circumferentially with elliptical gradient draw-in groove, detachable handle (4) and elliptical gradient draw-in groove form one-way locking mechanism, and guarantee detachable handle (4) closely cooperates with sleeve (5); Described elliptical gradient draw-in groove is elastic material, facilitates the dismounting of detachable handle (4) and sleeve (5), installation; The end face of described sleeve (5) is arc structure.
6. the channel system of a kind of Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment according to claim 1, it is characterized in that: described detachable handle (4) is less than 2-4mm with the cooperation place diameter of sleeve (5) than the elliptical gradient draw-in groove diameter of sleeve (5), the irregular structure arc surfaced of detachable handle (4) cooperation place, its arc length is 0.6-0.7 circumferential length doubly.
7. the channel system of a kind of Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment according to claim 1, is characterized in that: air bag (3) comprises penetrating via (6), periphery air bag (7), gas access way (8); Penetrating via (6) is arranged on the centre of air bag (3), and penetrating via (6) is connected with needle guard (2); Periphery air bag (7) is arranged on the surrounding of air bag (3), and forms closed cycle structure; Gas access way (8) is arranged on the end eccentric part of air bag (3); Described gas access way (8) can also play the effect of buffering, steady air flow.
8. the channel system of a kind of Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment according to claim 1; it is characterized in that: its air bag by unaerated of native system (3) is wrapped on needle guard (2); under its protective effect; bring bleeding part into; air bag (3) is inflated by inflation inlet; the outer of homogeneous soft squeezes and supports surrounding brain tissues; decrease the damage of other modes to cerebral tissue; after meeting the requirements of aperture; sleeve (5) is inserted in cerebral tissue along airbag wall; regain after air bag (3) venting, form stable operating walk way.
CN201510834600.2A 2015-11-25 2015-11-25 A kind of channel system of Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment Active CN105326531B (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105943096A (en) * 2016-06-02 2016-09-21 南方医科大学南方医院 Surgical tool used for neuroendoscopy and provided with conformal pleuripotent simulation fingers
CN113038862A (en) * 2018-07-16 2021-06-25 卢门迪公司 Methods and apparatus for manipulating a sidewall of a body lumen or cavity to provide increased visualization of and/or access to the body lumen or cavity and/or for stabilizing an instrument relative to the body lumen or cavity
CN113974723A (en) * 2021-11-24 2022-01-28 河南印何阗生物科技有限公司 Visual deep brain operation puncture drainage retraction guide catheter

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11986150B2 (en) 2009-12-15 2024-05-21 Lumendi Ltd. Method and apparatus for manipulating the side wall of a body lumen or body cavity so as to provide increased visualization of the same and/or increased access to the same, and/or for stabilizing instruments relative to the same

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Publication number Priority date Publication date Assignee Title
US20010023332A1 (en) * 1998-08-07 2001-09-20 Kevin Hahnen Inflatable cannula and method of using same
US20100145358A1 (en) * 2008-12-08 2010-06-10 Michael Maschke Device and workflow for minimally-invasive therapy, in particular needle guidance
CN203074666U (en) * 2013-03-18 2013-07-24 刘进 Assist device for nerve endoscopic intubation
CN203195717U (en) * 2012-12-07 2013-09-18 李经辉 Disposable space forming device for minimally-invasive brain surgery
CN103654887A (en) * 2013-12-18 2014-03-26 上海市东方医院 Hollow enterocoelia minimally invasive surgery endoscope channel

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20010023332A1 (en) * 1998-08-07 2001-09-20 Kevin Hahnen Inflatable cannula and method of using same
US20100145358A1 (en) * 2008-12-08 2010-06-10 Michael Maschke Device and workflow for minimally-invasive therapy, in particular needle guidance
CN203195717U (en) * 2012-12-07 2013-09-18 李经辉 Disposable space forming device for minimally-invasive brain surgery
CN203074666U (en) * 2013-03-18 2013-07-24 刘进 Assist device for nerve endoscopic intubation
CN103654887A (en) * 2013-12-18 2014-03-26 上海市东方医院 Hollow enterocoelia minimally invasive surgery endoscope channel

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105943096A (en) * 2016-06-02 2016-09-21 南方医科大学南方医院 Surgical tool used for neuroendoscopy and provided with conformal pleuripotent simulation fingers
CN113038862A (en) * 2018-07-16 2021-06-25 卢门迪公司 Methods and apparatus for manipulating a sidewall of a body lumen or cavity to provide increased visualization of and/or access to the body lumen or cavity and/or for stabilizing an instrument relative to the body lumen or cavity
CN113974723A (en) * 2021-11-24 2022-01-28 河南印何阗生物科技有限公司 Visual deep brain operation puncture drainage retraction guide catheter

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