CN216221607U - Get foreign matter supplementary gasbag - Google Patents

Get foreign matter supplementary gasbag Download PDF

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Publication number
CN216221607U
CN216221607U CN202122628516.9U CN202122628516U CN216221607U CN 216221607 U CN216221607 U CN 216221607U CN 202122628516 U CN202122628516 U CN 202122628516U CN 216221607 U CN216221607 U CN 216221607U
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China
Prior art keywords
expansion
air bag
protection
endoscope
foreign matter
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CN202122628516.9U
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Chinese (zh)
Inventor
黄尚卿
李玲
杜科睿
庞勇
张勇
汤善宏
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Western Theater General Hospital of PLA
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Western Theater General Hospital of PLA
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Abstract

The utility model belongs to the field of medical instruments, and discloses a foreign body taking auxiliary air bag which is used for expanding and wrapping when a clamp on an endoscope clamps a foreign body. The utility model forms an expansion area and a protection area in the area of the end part of the endoscope by arranging the air bags which expand in two different directions, the expansion air bags can expand the alimentary canal on the dragging advancing route of the endoscope, and the contact between foreign matters clamped by the forceps holder and the inner wall of the alimentary canal is avoided; meanwhile, the protective air bag can cover the outside of the foreign body, and further prevents the foreign body from directly contacting with the digestive tract.

Description

Get foreign matter supplementary gasbag
Technical Field
The utility model belongs to the technical field of medical instruments, and particularly relates to an auxiliary air bag for taking foreign matters.
Background
With the development of modern medical technology, the condition of disease, which originally cannot be directly acquired from the disease cause and the disease focus condition, can be inspected on a patient with low or no influence through the existing medical equipment, and the actual condition of the corresponding part in the body of the patient can be accurately acquired. The endoscopic retrograde cholangiopancreatography is a modern medical intervention treatment means, and particularly relates to a technology for inserting a duodenoscope to a descending part of duodenum, finding a duodenal papilla, inserting a contrast catheter into a biopsy pipeline to an opening part of the papilla, and performing x-ray radiography after injecting a contrast agent so as to display a cholangiopancreatography. Because ERCP does not need to be operated, the trauma is small, the operation time is short, the complication is less than that of the surgical operation, the hospitalization time is greatly shortened, and the ERCP is popular with patients. ERCP has achieved great clinical results in a few decades, and has become an important treatment means for pancreatic and biliary diseases today.
Among them, the common one in ERCP is an endoscopic device, which integrates conventional optical, ergonomic, precision mechanical, modern electronics, mathematics, and software into one detecting instrument. A tubular structure with image sensor, optical lens, light source illumination, mechanical device, etc., which can enter the stomach through the mouth or enter the body through other natural orifices. The endoscope tip also has an externally operable jaw that can be extended and rotated within a range and held by the control tip to perform biopsy sampling or foreign body removal. When some foreign matters with larger volume are blocked and treated, the foreign matters are directly clamped and dragged through the existing endoscope forceps, so that the inner wall of the digestive tract is scratched by the sharp part of the endoscope forceps easily, and the more serious problem is caused.
SUMMERY OF THE UTILITY MODEL
In order to solve the problems in the prior art, the utility model provides a protective air bag structure, which expands the digestive tract by different air bag structures arranged outside an endoscope and wraps foreign matters so that the foreign matters are not contacted with the inner wall of the digestive tract as far as possible in the dragging process, thereby achieving the protective effect.
The technical scheme adopted by the utility model is as follows:
in a first aspect, the utility model provides a foreign body taking auxiliary air bag, which is used for expanding and wrapping when a clamp on an endoscope clamps a foreign body, and comprises an expanding air bag and a protecting air bag which are sleeved on the outer wall of the endoscope, wherein the expanding air bag and the protecting air bag supply (or exhaust) air from the outside through pipelines.
It is worth noting that endoscopes are known which have a gel jacket on the outside. The air bag is of an independent structure, can be directly sleeved at the end part of the endoscope and is communicated with external equipment through an independent pipeline. Meanwhile, the existing endoscope can be improved, a colloid sleeve layer outside the endoscope is directly optimized, an expandable air bag layer is integrated in the sleeve layer, and a pipeline for air supply/exhaust is built in the pipeline of the endoscope, so that the endoscope has improved integrity.
The expansion air bag and the protection air bag have different functions, the existing foreign body can be taken out of the operation and can meet the condition that the cross section size of the foreign body is larger than that of the digestive tract, and the foreign body can have a relatively sharp convex part, so that the inner wall of the digestive tract is inevitably injured if the foreign body is forcibly clamped and dragged. The expanding air bag is arranged at the end part of the endoscope, and can expand the digestive tract while approaching the clamped and fixed foreign body as much as possible. The width of the cross section of the opened digestive tract is larger than or far larger than the maximum size of the foreign body, the foreign body is directly clamped and dragged at the moment, and the expansion air bag can always keep in front to expand the digestive tract. Meanwhile, for further protection and isolation, the protective air bag can diffuse towards the foreign body and forms a structure for wrapping the foreign body, and the protective air bag is matched with the expansion air bag to protect the digestive tract.
In combination with the first aspect, the present invention provides the first embodiment of the first aspect, wherein the expanding balloon and the protecting balloon each have a fixing portion and an expanding portion, and the expanding portion of the protecting balloon has an expanding direction that is the same toward the extending direction of the jaws and forms an expanded end having a size larger than the maximum width of the jaws after expansion.
In combination with the first embodiment of the first aspect, the present invention provides a second embodiment of the first aspect, wherein the inflatable airbag and the protective airbag have the same fixing portion and an inflatable portion extending in different directions, and the inflatable airbag and the protective airbag are communicated with each other.
In combination with the second embodiment of the first aspect, the present invention provides a third embodiment of the first aspect, wherein a pneumatic valve is arranged at the position where the expanding airbag is communicated with the inside of the protecting airbag, and a pipeline communicated with the outside is arranged on the expanding airbag.
In combination with the first embodiment of the first aspect, the present invention provides a fourth embodiment of the first aspect, wherein the dilatation balloon and the protection balloon are respectively of independent air supply/exhaust structure, are fixed on the same sleeve, and are sleeved on the outer surface of the endoscope through the sleeve.
With reference to the first to fourth embodiments of the first aspect, the present invention provides a fifth embodiment of the first aspect, wherein the expansion balloon is of a cylindrical expansion structure, and the protection balloon is of a multi-petal conical expansion structure.
In combination with the fifth embodiment of the first aspect, the present invention provides the sixth embodiment of the first aspect, wherein the maximum expanded diameter of the expanding balloon is larger than the maximum dimension of the expanded end of the protecting balloon.
The utility model has the beneficial effects that:
the utility model forms an expansion area and a protection area in the area of the end part of the endoscope by arranging the air bags which expand in two different directions, the expansion air bags can expand the alimentary canal on the dragging advancing route of the endoscope, and the contact between foreign matters clamped by the forceps holder and the inner wall of the alimentary canal is avoided; meanwhile, the protective air bag can cover the outside of the foreign body, and further prevents the foreign body from directly contacting with the digestive tract.
Drawings
FIG. 1 is a side view of a portion of an endoscope according to example 1 of the present invention, showing all balloons in an unexpanded state;
FIG. 2 is an isometric view of a portion of an endoscope according to example 1 of the present invention with all of the balloons in an unexpanded configuration;
FIG. 3 is a side view of all balloons of a partial endoscope in example 1 of the present invention in an expanded state;
FIG. 4 is a plan view of all balloons of a partial endoscope in example 1 of the present invention in an expanded state;
FIG. 5 is a front view of a portion of an endoscope in accordance with example 1 of the present invention, showing all balloons in an expanded state;
FIG. 6 is an isometric view of a portion of an endoscope with all balloons in an expanded state according to example 1 of the present invention.
In the figure: 1-endoscope, 2-expanding air bag, 3-protecting air bag and 4-clamp.
Detailed Description
The utility model is further explained below with reference to the drawings and the specific embodiments.
In order to make the objects, technical solutions and advantages of the embodiments of the present application clearer, the technical solutions in the embodiments of the present application will be clearly and completely described below with reference to the drawings in the embodiments of the present application, and it is obvious that the described embodiments are some embodiments of the present application, but not all embodiments. The components of the embodiments of the present application, generally described and illustrated in the figures herein, can be arranged and designed in a wide variety of different configurations.
Thus, the following detailed description of the embodiments of the present application, presented in the accompanying drawings, is not intended to limit the scope of the claimed application, but is merely representative of selected embodiments of the application. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present application.
It should be noted that: like reference numbers and letters refer to like items in the following figures, and thus, once an item is defined in one figure, it need not be further defined and explained in subsequent figures.
In the description of the present application, it should be noted that if the terms "center", "upper", "lower", "left", "right", "vertical", "horizontal", "inner", "outer", etc. are used for indicating the orientation or positional relationship based on the orientation or positional relationship shown in the drawings or the orientation or positional relationship which is usually placed when the product of the application is used, the description is only for convenience and simplicity, and the indication or suggestion that the referred device or element must have a specific orientation, be constructed in a specific orientation and be operated, and thus, should not be construed as limiting the present application. Furthermore, the appearances of the terms "first," "second," and the like in the description herein are only used for distinguishing between similar elements and are not intended to be construed as indicating or implying relative importance.
Furthermore, the terms "horizontal", "vertical" and the like when used in the description of the present application do not require that the components be absolutely horizontal or overhanging, but may be slightly inclined. For example, "horizontal" merely means that the direction is more horizontal than "vertical" and does not mean that the structure must be perfectly horizontal, but may be slightly inclined.
In the description of the present application, it should also be noted that, unless otherwise explicitly stated or limited, the terms "disposed," "mounted," "connected," and "connected" should be interpreted broadly, e.g., as being fixedly connected, detachably connected, or integrally connected; can be mechanically or electrically connected; they may be connected directly or indirectly through intervening media, or they may be interconnected between two elements. The specific meaning of the above terms in the present application can be understood in a specific case by those of ordinary skill in the art.
Example 1:
the present embodiment discloses a foreign body removal assisting balloon which is used in endoscopic 1 examination and operation of the digestive tract to protect the digestive tract by expanding at a specific position. The foreign body object in the embodiment is mainly stones staying in the digestive tract or in the digestive gland, and can also be used for objects that are accidentally swallowed and choked by bones. Such objects typically have relatively sharp protrusions, which are stuck in a location and cannot be moved further because they are deposited by material or a narrow channel, and the location and other information are determined by external fluoroscopy or direct viewing of the endoscope 1 and then treated by the endoscope 1.
The inner diameter related in the embodiment is mainly a tubular structure, the end part of the inner diameter is at least provided with a camera, a jaw 4 extending opening and a lamp cap, a real-time picture is obtained through the lamp cap and the camera, the jaw 4 is in a wire pulling control mode, the end part of the jaw is always kept in an open state after extending, and the jaw can be clamped after an external operation end acts, so that the effect of dragging foreign matters can be achieved.
The air-bag in this embodiment is a separate structure, as shown in fig. 1-5, which is a one-piece structure having two separate air-bags: an expanding balloon 2 and a protecting balloon 3. Both balloons have a fastening portion which is not malleable and is fastened to a sleeve by means of glue. The sleeve is made of soft extensible material, a plurality of elastic ring bodies are arranged in the sleeve, and the inner diameter of the sleeve is smaller than the outer size of the endoscope 1 under the condition of not being subjected to external force. And the inner wall of the sleeve can be provided with viscose, although the structure is a disposable air bag structure, the inner wall of the sleeve needs to be stably connected with the end part of the endoscope 1, and the stability can be improved by coating the viscose inside the sleeve when the sleeve is sleeved.
Further, the dilatation balloon 2 and the protection balloon 3 have separate chambers, but supply air through the same trachea. The tube is independently arranged outside the endoscope 1 and can be fixed in a winding or gluing way. The air pump is connected with the outside of the trachea, and when the endoscope 1 reaches the corresponding position, the air pump is controlled to expand.
It is worth to say that the trachea itself connects the two balloons, and the maximum outer diameter of the dilatation balloon 2 is larger than the maximum outer diameter of the protection balloon 3 under the same air pressure by setting conditions of different balloon positions, orientations of the dilatation material, and thicknesses of the dilatation material.
The protective balloon 3 in this embodiment has a conical configuration, and it can be seen that the balloon is divided into two parts, which fit completely against the surface of the endoscope 1 when not expanded, and which, in addition to having an inextensible anchoring portion at its base and a ring-shaped portion at its top, has a low extensibility. Two larger sectors are arranged between the annular part and the fixed part, wherein the ductility of materials of the inner and outer sectors are the same, and the fabric amount of the inner sector is less than that of the outer sector, so that the protective airbag 3 can expand obliquely after gas injection.
The soft material originally attached to the surface of the endoscope 1 has a good storage effect, and can move towards the designated direction after being expanded, so that the phenomenon that the soft material firstly contacts the inner wall of the alimentary canal during expansion to block and influence the expansion towards the predetermined direction is avoided. But in actual operation, the adjustment is carried out according to actual conditions. If the inserted digestive tract itself is narrow, even if the dilatation balloon 2 is already in contact with the digestive tract before the protection balloon 3, there may be a case where the surface of the digestive tract is in contact with the surface of the digestive tract as the protection balloon 3 is continuously stretched. At this time, if the protection airbag 3 is folded, the endoscope 1 can be dragged to reciprocate properly to pull out the folded part, and then air supply is continued, so that the corresponding problems can be solved.
It should be noted that the two balloons shown in the figures are attached to the surface of the endoscope 1 in the non-inflated state, and it is defined in the above that the two balloons have the same fixing portions, and the fixing portions are oriented in the same direction, so that the expansion of the protective balloon 3 is oriented in a direction in which the oblique jaws 4 can extend, and the difference in the inner and outer expansion is achieved by the difference in the material extension length.
In addition, the figures do not show the foreign matter and the actual digestive tract, and the forceps 4 in the figures is in an over-extended state, so that the foreign matter can enter the protective air bag 3 when the foreign matter is clamped again.
Example 2:
the present embodiment also discloses a foreign matter fetching auxiliary airbag, which is different from embodiment 1 in that the two-part airbag structure included in the present embodiment has different arrangement modes, specifically as follows:
this embodiment includes two separate bladder configurations: an expanding balloon 2 and a protecting balloon 3. Each air bag is provided with an independent fixing part and an expansion part, wherein the fixing parts of the two air bags are of annular hard plate structures, and included angles are formed between the fixing parts and the expansion parts, and the included angles range from 30 degrees to 60 degrees. The two fixing parts are fixed on the same fixing ring and form an integrated structure with the fixing ring.
The inner part of the fixing ring is provided with a soft anti-slip material, and the inner diameter of the structure is smaller than the outer diameter of the end part of the endoscope 1, so that the fixing ring can have certain surface pressure when being sleeved on the end part of the endoscope 1 and can realize a stable fixing effect by matching with the soft anti-slip material.
Different from the embodiment 1, the two air cushions in the embodiment do not need to be provided with special materials and structures, because the orientations of the fixing parts are different, the expansion directions are different when the endoscope 1 is inflated, the expansion air bag 2 directly expands outwards in the direction perpendicular to the axis of the endoscope 1, and the protection air bag 3 can expand towards one side of the clamp 4 and wrap corresponding foreign matters.
Further, the two air bags are provided with independent chambers which are communicated by two pipelines for air supply. Different from embodiment 1, the effect that inflation control can be better respectively is through control the inflation volume for expansion gasbag 2 can expand the alimentary canal in corresponding region to certain width completely, then makes protection gasbag 3 expand again, and the inflation volume only need satisfy with the partial parcel of foreign matter direction of advance can.
The present invention is not limited to the above-described alternative embodiments, and various other forms of products can be obtained by anyone in light of the present invention. The above detailed description should not be taken as limiting the scope of the utility model, which is defined in the claims, and which the description is intended to be interpreted accordingly.

Claims (7)

1. The utility model provides a get supplementary gasbag of foreign matter, expands when pressing from both sides pincers (4) on scope (1) and get the foreign matter and wraps up, its characterized in that: the endoscope protection device comprises an expansion airbag (2) and a protection airbag (3) which are sleeved on the outer wall of an endoscope (1), wherein the expansion airbag (2) and the protection airbag (3) are supplied with air from the outside through pipelines.
2. The air bag for assisting in removing foreign matter according to claim 1, wherein: the expansion air bag (2) and the protection air bag (3) are both provided with a fixing part and an expansion part, the expansion part of the protection air bag (3) is provided with an expansion direction which is the same as the extending direction of the clamp (4), and an expansion end with the size larger than the maximum width of the clamp (4) is formed after expansion.
3. The air bag for assisting in removing foreign matter according to claim 2, wherein: the expansion airbag (2) and the protection airbag (3) are provided with the same fixing part and expansion parts in different extension directions, and the expansion airbag (2) is communicated with the interior of the protection airbag (3).
4. The air bag for assisting in removing foreign matter according to claim 3, wherein: and a pneumatic valve is arranged at the inner communication part of the expansion air bag (2) and the protection air bag (3), wherein a pipeline communicated with the outside is arranged on the expansion air bag (2).
5. The air bag for assisting in removing foreign matter according to claim 2, wherein: the expansion air bag (2) and the protection air bag (3) are respectively of an independent air supply/exhaust structure, are fixed on the same sleeve and are sleeved on the outer surface of the endoscope (1) through the sleeve.
6. An air bag for assisting in removing foreign matter according to any one of claims 2 to 5, wherein: the expansion air bag (2) is of a columnar expansion structure, and the protection air bag (3) is of a multi-section type conical expansion structure.
7. The air bag for assisting in removing foreign matter according to claim 6, wherein: the maximum expansion diameter of the expansion air bag (2) is larger than the maximum size of the expansion end of the protection air bag.
CN202122628516.9U 2021-10-29 2021-10-29 Get foreign matter supplementary gasbag Active CN216221607U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202122628516.9U CN216221607U (en) 2021-10-29 2021-10-29 Get foreign matter supplementary gasbag

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202122628516.9U CN216221607U (en) 2021-10-29 2021-10-29 Get foreign matter supplementary gasbag

Publications (1)

Publication Number Publication Date
CN216221607U true CN216221607U (en) 2022-04-08

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Family Applications (1)

Application Number Title Priority Date Filing Date
CN202122628516.9U Active CN216221607U (en) 2021-10-29 2021-10-29 Get foreign matter supplementary gasbag

Country Status (1)

Country Link
CN (1) CN216221607U (en)

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