CN101606857B - Changeful type intervention disposer - Google Patents

Changeful type intervention disposer Download PDF

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Publication number
CN101606857B
CN101606857B CN2009101042284A CN200910104228A CN101606857B CN 101606857 B CN101606857 B CN 101606857B CN 2009101042284 A CN2009101042284 A CN 2009101042284A CN 200910104228 A CN200910104228 A CN 200910104228A CN 101606857 B CN101606857 B CN 101606857B
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China
Prior art keywords
puncture
puncture tube
tube
disposer
halves
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Expired - Fee Related
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CN2009101042284A
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Chinese (zh)
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CN101606857A (en
Inventor
袁侨英
朱正伟
司良毅
李瑾怡
李学军
宋彩萍
胡俊
徐宝艳
陈磊
黄河清
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Third Military Medical University TMMU
First Affiliated Hospital of TMMU
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First Affiliated Hospital of TMMU
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Priority to CN2009101042284A priority Critical patent/CN101606857B/en
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Publication of CN101606857B publication Critical patent/CN101606857B/en
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Abstract

The invention relates to a changeful type intervention disposer comprising a puncture pipe provided with a puncture tip end, wherein the puncture tube and the puncture tip end on the puncture tube are formed by encircling two halves in an axial direction, one encircled face of the two half puncture tubes realizes that the two half puncture tubes can be connected in an open way in the axial direction by a pin shaft, an encircled opening which is formed on the other encircled face of the two half puncture tubes and has size changes is provided with a closing mechanism, and the two half puncture tubes are respectively provided with an operating handle outside the tube. A plurality of axial holes are arranged in the tube wall of the puncture tube, and a support bar used for supporting the strength of the puncture tube is inserted in the axial holes. The size of an operation passage of the disposer can be optionally regulated, the operation passage can also be closed at any moment, and the disposer is easy to carry out safe operation and has a plurality of advantages of small wounds, fast recovery, complication reduction and the like; the disposer reduces the treating time and the discomfort caused by posture transformation to a patient. The disposer can effectively relieve the pain of the patient, improve the operational safety of medical treatment and simplify the operation.

Description

Changeful type intervention disposer
Technical field
The present invention relates to a kind of Changeful type intervention disposer, be used for importing medium in the human body or be passed to apparatus on the human body, perhaps transfering human medium or in human body, take out medium.This disposer uses flexibly, greatly facilitates carrying out of interventional procedure and subsequent medical project, belongs to technical field of medical instruments.
Background technology
Percutaneous deep Vein Tube art, thoracentesis, abdominal paracentesis, paracentesis pericardii or tracheal intubation etc. all are clinical interventional procedure technology commonly used, it is by boring a hole in organ or tissue, to realize functions such as drain, tissues observed organ internal state, placement therapeutic equipment.Existing perforating apparatus is generally puncture needle, and the puncture needle caliber size is fixed, and forms different specifications according to size.Can not accomplish individuation according to patient's difference, certainly will cause unnecessary penetration damage.When need bore a hole greatly owing to the state of an illness time, two kinds of processing modes are arranged usually: 1, one step of puncture needle of the big specification of employing punctures and puts in place; 2, the puncture needle of different size progressively punctures from small to large and puts in place.But all there is deficiency in above-mentioned two kinds of schemes; the former can cause obvious impairment, failure; factor complication such as hemorrhage, infection, damaged tissue organ even death take place; though latter's damage is relatively little; easily bore a hole successfully; but puncture repeatedly, numerous and diverse operating procedure can influence operation efficient; even because matter of time causes operative failure; no matter be medical personnel to operation; still the patient who bears interventional procedure all impacts; therefore, tradition gets involved to puncture and usually can face technical challenge.
In addition, needing under the situation of drain, common operational approach is to utilize lancet puncture to portal earlier, inserts drainage tube by the hole of puncturing out again.There are two steps at least in this, puncture and intubate, under the situation that sb.'s sickness becomes critical, time is life, delaying any time all may influence final rescue result, if puncturing hole is bigger, may need repeated localised puncture, elapsed time is more, therefore how to realize that drain faster is the problem of medically always thinking deeply.
In a word, import and export technology in existing percutaneous puncture or the body cavity, existing puncture needle to enter behind the histoorgan needle point can not bounce back and may cause meaningless injury, hardness can not change, can not regulate with the external shape of puncture and adapt to, more can not change the internal diameter size as required, this is for thicker perforation especially difficulty, need the dilator expansion successively from small to large of different model, make complicated operation, process is long, and big wound needs to sew up more, this not only increases cost and patient's misery, but also increases hemorrhage, damage, infect, even the probability of dead complication appearance.
Summary of the invention
At the prior art above shortcomings, the object of the present invention is to provide a kind of Changeful type intervention disposer, its size, soft or hard can change as required, so avoided repeated localised puncture, are beneficial to the carrying out of quick puncture success and subsequent medical project.
The object of the present invention is achieved like this: Changeful type intervention disposer, comprise puncture tube with puncture tip, it is characterized in that: described puncture tube and on puncture tip surround by two halves in the axial direction and constitute, the face that surrounds of this two halves puncture tube realizes that by bearing pin the two halves puncture tube connects in the axial direction opening or closing, the opening part that surrounds of the size variation that another face that surrounds forms at the two halves puncture tube is provided with close mechanism, make the puncture tube inwall closed all the time by close mechanism, the two halves puncture tube is respectively at the outside operating grip that is provided with control two halves puncture tube folding size of pipe.
Described close mechanism is to be arranged at two halves puncture tube this another to surround telescopic elastomeric material between the face; Close mechanism also can be flexible closure plate, and an end of flexible closure plate is connected with half puncture tube this another face of surrounding wherein, and the other end of flexible closure plate is positioned at second half puncture tube correspondence and surrounds the chute that face is provided with.
Be provided with some axial hole in the described puncture tube tube wall, be inserted with the support bar that supports puncture tube intensity in the axial hole, the number by changing support bar can whole section or segmental conversion diameter, shape, soft or hard etc.
Described puncture tube is provided with outside observable scale, is provided with flow control valve in the puncture tube inner chamber.
Described puncture tube wherein half pipe shaft is provided with the unimpeded arm that communicates with the puncture tube inner chamber, and unimpeded arm end is provided with plugging mechanism.
Puncture tip of wearing separately on the two halves puncture tube and pipe shaft flexibly connect, and are provided with to handle the expansion gathering mechanism that the back gathering was launched or launched to puncture tip laterally on puncture tube.
Described puncture tube tail end is provided with the application of force that can take off with pushing away handle.
Described puncture tube inwall or outer wall are provided with heat production, produce the magnetic lead, and lead is connected with external power supply; On the puncture tube outer wall, be provided with groove, be provided with optical fiber or grating in the groove.
Described puncture tube front end is provided with real-time understanding the puncture tube whether aperture or the pick off at target approach position.
Diameter was little when this disposer entered skin, was beneficial to transdermal and each layer tissue, and arriving smoothly needs the position of disposing, and was beneficial to enter and reduce damage.Diameter, shape, soft or hard can change according to practical situation with entering afterwards in the process that enters, and realize the individuation operation.Needle point can be launched (setting level) after entering, enlarge internal diameter again, the misery of avoiding traditional operation repeatedly to utilize the dilator expanding channel to bring to patient.Carry out drain, injection again or place various flexible pipes after expansion puts in place, the convenient importing or the derivation material, and itself also can change soft durometer, directly as indwelling tube, complicated operations is simplified.Expanded inner diameter when disposing or treating dwindles being beneficial to patient activity, rest (putting pipe as the internal jugular vein of dialysis patient) at ordinary times.
This disposer can directly be expanded to the diameter of needs according to the hose diameter of putting into, and itself also can be directly as placing thing, play effects such as drain, support, injection mass, if need place a period of time at human body, then can be in that the time spent close at ordinary times, soft or hard and volume are also corresponding to be dwindled, and helps the activity of human body and comfortable, also can reduce infection, damage, local excitation pain because of indwelling occurs.Because the big I regulated at will of operating walk way, also can close at any time, be easy to safety operation, it have wound little, recover fast and reduce plurality of advantages such as complication; Saved the discomfort that treatment time and postural change bring the patient.Can effectively alleviate patient's misery, improve medical care precess safely, simplify the operation.
Compared to existing technology, the present invention has following beneficial effect:
(1) safe and efficient, damage is little: the tip that described disposer front end thrusts skin can be launched entering the back, soft or hard is also variable, for the internal organs that may contact, most advanced and sophisticated as lungs, kidney, liver etc. because of its front end deliquescing, nothing, can effectively avoid damage, and playing operations such as support or perforation if desired, the hardening that then resets again can better complete operation.This device can improve medical care precess safely, alleviate patient's misery, reduce complication etc., have wound little, recover plurality of advantages such as fast.
(2), simplify the operation, raise the efficiency: described disposer front end thrusts the tip of skin, can disposer size, shape regulated at will conveniently need be imported or derive material by treatment, the also convenient flexible pipe etc. of placing, avoid the step of dilator expanding channel, simplify the operation, raise the efficiency.
(3), polytropy: size, shape, soft or hard can change according to disposing needs, adapt to human body normal physiological state, dispose the gap phase can close, dwindle, deliquescing or hardening, reduce influence to physical activity and rest.
(4), multi-functional, multipurpose: this disposer also can be expanded at any time to be beneficial to and lay new drainage tube, also injectable substance except pus, hydrops etc. in any tissue of drain, in the body cavity, in the articular cavity.Except being beneficial to implements such as laying other conduits, itself also can reduce damage, avoid infection directly as placing thing.
(5), disposal function, treatment function integrally combine: in the tube wall physical parameter can be set as required, have effects such as heat production, product infrared ray, product magnetic energy, product light, can produce the Biotherapeutics effect in the part, even motion such as tube wall take place to be relaxed contract, avoid depositions such as calculus, reach specific therapeutical effect.
(6), cheap: the price of the base material of used composite own is very low, and the recycling of can sterilizing cuts the waste, resource conservation, in case and the base material volume production, price will be lower, reduce medical treatment cost, improve the market competitiveness.
Description of drawings
A kind of connected mode structure chart of Fig. 1-two halves puncture tube;
The two halves puncture tube opens the reaming design sketch among Fig. 2-Fig. 1;
The another kind of connected mode structure chart of Fig. 3-two halves puncture tube;
The two halves puncture tube opens the reaming design sketch among Fig. 4-Fig. 3;
Fig. 5-this Changeful type intervention disposer outline drawing.
The specific embodiment
The invention will be further described below in conjunction with accompanying drawing.
Referring to Fig. 5, as can be seen, Changeful type intervention disposer of the present invention comprises that front end has the puncture tube 2 of puncture tip 1 from the figure, and puncture tube 2 tail ends are provided with the removable application of force with pushing away handle 3, when puncture hands act on push away on the handle more convenient firmly.Described puncture tube 2 and on puncture tip 1 and push away handle 3 and surround by symmetric two halves in the axial direction and constitute, see Fig. 1, have half puncture tip on per half puncture tube and push away handle, one of this two halves puncture tube is surrounded face (joint face) and realizes that by bearing pin 4 the two halves puncture tube connects in the axial direction opening or closing, another opening part that surrounds that surrounds the size variation of face (folding face or active face) formation is provided with close mechanism at the two halves puncture tube, make the puncture tube inwall closed all the time by close mechanism, otherwise another surrounds the two halves puncture tube face (non-bearing pin connect surround face) and can open the breach that and inner chamber are communicated with, and is unfavorable for reaming.The two halves puncture tube at the outside operating grip 5 that is provided with control two halves puncture tube folding size of pipe, is provided with the return torsion spring respectively on operating grip 5, the return torsion spring makes the two halves puncture tube be in closed trend all the time.That half puncture tube of operating grip and correspondence is one-body molded.When the two halves puncture tube was the decussation connection, this similar was in the shears operation principle, and when operating grip closed up, two halves puncture tube closure was seen Fig. 1, otherwise, then open, see Fig. 2.Certainly, two parts can not be interconnections also, but are each positioned at a side, and this moment, syndeton was seen Fig. 3, and when operating grip closed up, the two halves puncture tube opened, and open configuration is seen Fig. 4; Otherwise, then closed, see Fig. 3.
Described close mechanism mainly contains two kinds of versions: one surrounds telescopic elastomeric material 6 between the face for being arranged at two halves puncture tube this another, sees Fig. 1 and Fig. 2.In the time of reaming, elastomeric material 6 is pullled elongation thereupon to both sides, withdraw again in the time of not reaming; Another kind of structure is flexible closure plate 7, sees Fig. 4, and an end of flexible closure plate 7 is connected (perhaps one-body molded) with half puncture tube this another face of surrounding wherein, and the other end of flexible closure plate 7 is positioned at the chute 8 that second half puncture tube correspondence is surrounded the face setting.When reaming, flexible closure plate 7 is driven side shifting outward, and it is more shallow to enter chute 8; Otherwise it is dark then to enter chute 8.Because in the process of turnover chute, the contact angle of closure plate and chute can change, promptly closure plate has the sensation that card is sprained, and the meaning of flexible closure plate is exactly that closure plate has certain plasticity, deflection to adapt to the angle of chute with the shape that changes oneself.First kind of version of aforementioned close mechanism also can develop into be attached with one whole layer of telescopic elastomeric material of tubular structure on the puncture tube inwall.Closed or when opening, this layer material is corresponding flexible, forms service aisle when the two halves puncture tube.
The puncture tip that respectively carries on the two halves puncture tube and pipe shaft flexibly connect (be connected as hinge etc.), are provided with to handle puncture tip and launch or launch the expansion gathering mechanism that draw in the back laterally on puncture tube.After puncture puts in place; can puncture tip be launched laterally by launching gathering mechanism; the potential safety hazard of both having avoided puncture tip may bring forward; because puncture tip may be stung some positions that hurt organ forward; and puncture tip abuts in the histoorgan inwall after launching laterally; can also play positioning action, prevent that this device from coming off from tissue.As a simple example; launching gathering mechanism can be a stick that is connected with puncture tip; when being pulled outwardly stick; puncture tip is launched thus laterally; this moment is the pulling puncture tube outwards; puncture tip can be attached to body inwall or organ inwall and stretchy not, and when pushing inward stick, puncture tip is drawn in and puncture tube can be withdrawed from.Also can be designed to push inward the stick puncture tip and outwards launch, be pulled outwardly the mode of operation that the stick puncture tip is drawn in more thus, utilizing these two kinds of mode of operations of common Machine Design all is to realize very easily.
Be provided with some axial hole in the described puncture tube tube wall, be inserted with the support bar 9 that supports puncture tube intensity (as steel wire etc.) in the axial hole, see Fig. 1 and Fig. 2.The benefit of this structure is: can adopt softish material (as silica gel, flexible plastic etc.) to make the puncture tube tube wall, in puncture, because the effect of support bar, puncture tube bulk strength, hardness all are beneficial to perforation; In case puncture, after reaming puts in place, support bar is extracted out, the deliquescing at once of puncture tube tube wall this moment can be used as drainage tube and uses again, and the number by changing support bar can whole section or segmental conversion diameter, shape, soft or hard etc.Be that this improvement can combine perforation and drainage device together, both simplified operation, alleviated patient's misery,, saved equipment again for patient has won the time.
Described puncture tube front end is provided with aperture or pick off, but whether target approach position of puncture tube is understood in the pumpback while advancing in real time.When having entered body fluid or hydrops in the aperture, show puncture target approach position.When puncture target approach position moment, have tangible pressure and change, this pressure can pass through sensor senses, also can show the target approach position of puncturing.
Described puncture tube front end is provided with endoscope, can be by the situation of endoscopic observation target site.
Have the effect of drainage tube based on this puncture tube, handled easily in the time of can carrying out following improvement and be beneficial to drain puncture tube:
One, described puncture tube is provided with outside observable scale 10, sees Fig. 5, grasps puncture tube thus and enters the intravital degree of depth.Be provided with flow control valve 11 in the puncture tube inner chamber with convenient control flow.
Two, described puncture tube wherein half pipe shaft be provided with the unimpeded arm 12 that communicates with the puncture tube inner chamber, see Fig. 5, unimpeded arm end is provided with plugging mechanism, such as plug.When puncture tube takes place to stop up (as the liquid thickness), can the tamper recoil be opened by the mode of in the unimpeded arm, blowing.
Described puncture tube pipe shaft outer wall is provided with annular groove 13, sees Fig. 5, and an adhesive plaster 14 is placed in the skin adhesive that is used in the annular groove with the site of puncture, fixes thereby make puncture tube enter the interior degree of depth of body.
When entering skin arrival target site, can be equipped with corresponding inner core or seal wire, play effects such as guiding or puncture power-assisted.Described puncture tube inwall or outer wall are provided with heat production, produce the magnetic lead, and lead is connected with external power supply; If lead is located at the pipe outer wall, can be located in the groove of pipe outer wall.On the puncture tube outer wall, be provided with groove, be provided with optical fiber or grating in the groove.The present invention is placed in intravital part, can produce new function by combining with auxiliary device, as allow the tube wall heat production, produce magnetic, thereby have physical therapeutic function.The heat production of tube wall, product magnetic can produce with corresponding power connection by staying external part, or accept remote control adjustment.And devices such as tube wall installation optical fiber can be monitored the situations such as temperature of pathological changes in real time, the early discovery change of illness state is produced evidence, or in the surface coated chemical substance, the energising back produce useful chemical effect, reach treatment or bactericidal action.At useful metals such as surface coated silver, reach sterilization, bacteriostatic effect, the systolic and diastolic function of tube wall is avoided adhesion, calculus accumulation etc.After the energising, produce silver ion, to still permeable sterilization in organizing.Can be aided with power assisting device for thickness, the big drain (as a large amount of pneumothoraxs, liquid breast) of amount, guarantee uniform automatic jet, metering, and as required at a certain section or the special material of total length coating, can under ultrasonic or other iconographys, be easy to observe, or have special therapeutical effect, infect as anticoagulant, control etc.
According to patient's physique, dispose shape that the depth, organ characteristic etc. adjust puncture outfit at any time, internal diameter, tip, length, tube wall soft or hard etc. alleviate beyond doubt patient's misery, improve medical care precess safely, simplify the operation, the most effective approach of complication. Have the plurality of advantages such as wound is little, recovery is fast. And if the intervention disposer in being placed on has the treatment function simultaneously, perhaps with function antibiotic, that Pathological Information is provided, then realize multi-functional.

Claims (8)

1. Changeful type intervention disposer, comprise the have puncture tip puncture tube (2) of (1), it is characterized in that: described puncture tube (2) and on puncture tip (1) surround by two halves in the axial direction and constitute, the face that surrounds of this two halves puncture tube realizes that by bearing pin (4) the two halves puncture tube connects in the axial direction opening or closing, the opening part that surrounds of the size variation that another face that surrounds forms at the two halves puncture tube is provided with close mechanism, make the puncture tube inwall closed all the time by close mechanism, the two halves puncture tube is respectively at the outside operating grip (5) that is provided with control two halves puncture tube folding size of pipe; Described close mechanism is flexible closure plate (7), and an end of flexible closure plate (7) is connected with half puncture tube this another face of surrounding wherein, and the other end of flexible closure plate (7) is positioned at second half puncture tube correspondence and surrounds the chute (8) that face is provided with.
2. Changeful type intervention disposer according to claim 1 is characterized in that: be provided with some axial hole in described puncture tube (2) tube wall, be inserted with the support bar (9) that supports puncture tube intensity in the axial hole.
3. Changeful type intervention disposer according to claim 2 is characterized in that: described puncture tube (2) is provided with outside observable scale (10), is provided with flow control valve (11) in puncture tube (2) inner chamber.
4. Changeful type intervention disposer according to claim 3 is characterized in that: described puncture tube (2) wherein half pipe shaft is provided with the unimpeded arm (12) that communicates with the puncture tube inner chamber, and unimpeded arm end is provided with plugging mechanism.
5. Changeful type intervention disposer according to claim 4 is characterized in that: puncture tip of wearing separately on the two halves puncture tube and pipe shaft flexibly connect, and are provided with to handle the expansion gathering mechanism that the back gathering was launched or launched to puncture tip laterally on puncture tube.
6. Changeful type intervention disposer according to claim 5 is characterized in that: described puncture tube (2) tail end is provided with the application of force that can take off with pushing away handle (3).
7. Changeful type intervention disposer according to claim 6 is characterized in that: described puncture tube inwall or outer wall are provided with heat production, produce the magnetic lead, and lead is connected with external power supply; On the puncture tube outer wall, be provided with groove, be provided with optical fiber or grating in the groove.
8. Changeful type intervention disposer according to claim 7 is characterized in that: described puncture tube front end is provided with real-time understanding the puncture tube whether aperture or the pick off at target approach position.
CN2009101042284A 2009-07-01 2009-07-01 Changeful type intervention disposer Expired - Fee Related CN101606857B (en)

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Application Number Priority Date Filing Date Title
CN2009101042284A CN101606857B (en) 2009-07-01 2009-07-01 Changeful type intervention disposer

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CN101606857B true CN101606857B (en) 2011-01-05

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Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109316227A (en) * 2018-10-15 2019-02-12 洛阳市中心医院(郑州大学附属洛阳中心医院) Puncture outfit for dilation fetching object for endoscope

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2107896U (en) * 1991-11-29 1992-06-24 冯安乾 Pliers type pleural cavity puncture outfit
US6425901B1 (en) * 1995-12-07 2002-07-30 Loma Linda University Medical Center Vascular wound closure system
CN1669531A (en) * 2004-03-15 2005-09-21 陈虎 Surgical calculus removing instrument
CN2768685Y (en) * 2005-03-03 2006-04-05 王文林 Diposable closed thoraco-drainage puncturing device

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2107896U (en) * 1991-11-29 1992-06-24 冯安乾 Pliers type pleural cavity puncture outfit
US6425901B1 (en) * 1995-12-07 2002-07-30 Loma Linda University Medical Center Vascular wound closure system
CN1669531A (en) * 2004-03-15 2005-09-21 陈虎 Surgical calculus removing instrument
CN2768685Y (en) * 2005-03-03 2006-04-05 王文林 Diposable closed thoraco-drainage puncturing device

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