CN101919737B - Medical appliance for interventional treatment of gallbladder diseases - Google Patents
Medical appliance for interventional treatment of gallbladder diseases Download PDFInfo
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- CN101919737B CN101919737B CN201010243839XA CN201010243839A CN101919737B CN 101919737 B CN101919737 B CN 101919737B CN 201010243839X A CN201010243839X A CN 201010243839XA CN 201010243839 A CN201010243839 A CN 201010243839A CN 101919737 B CN101919737 B CN 101919737B
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Abstract
The invention discloses a medical appliance comprising a conduit, a first balloon and a second balloon, wherein the conduit is provided with at least two main cavity channels which perforates through the conduit from a near end to a far end, the near end of the conduit is provided with a plurality of insert ports which are correspondingly communicated with the cavity channels; the first balloon is capable of expanding after being inflated and contracting after being deflated, and is arranged at a far end of a balloon sleeve pipe, the balloon sleeve pipe is sleeved outside the conduit in a movable mode, and a ventilation pipeline which can be used for communicating the first balloon and an external balloon control device is arranged on the balloon sleeve pipe; and the second balloon is capable of expanding after being inflated and contracting after being deflated, and is arranged at the far end of the conduit, and a ventilation pipeline which can be used for communicating the second balloon and the external balloon control device is arranged on the conduit. The medical appliance can enter a gall bladder by using a double-balloon structure per se, can be provided with an imaging system to observe the gall bladder, and the jaw channel of the medical appliance per se can enter in other auxiliary appliances.
Description
Technical field
The present invention relates to the Digestive System Department technical field of medical instruments, specifically a kind of medical apparatus and instruments that is used to intervention property diagnosis and treatment gallbladder disease.
Background technology
The gallbladder common disease has cholelithiasis, cholecystitis and cystic polyp; Because gallbladder physiological structure position is comparatively special; Cystic duct and the variation of cystic duct opening are more; And have spiral mucosal fold to need protection in the cystic duct, so generally adopt gallbladder directly excision and guarantor's gallbladder treatment dual mode for the treatment of gallbladder disease.
Conventional surgical is treated general direct excision gallbladder, but postcholecystectomy will bring multiple serious side effect at a specified future date, and it directly has influence on patient's quality of life; Even jeopardize patient's life, so along with progress of science and technology and development in recent years, to gallbladder disease; Begin to develop to the direction of protecting the gallbladder treatment, Combined application peritoneoscope and fiber endoscopy are treated usually, and general elder generation inserts peritoneoscope with the pneumoperitoneum pin through the abdominal part puncture and seeks and visits position of gallbladder, outward appearance and whether adhesion is arranged; After confirming that the gallbladder outside is normal, go into abdomen at the descending little otch of costal margin, the traction gallbladder; Insert choledochoscope in the gallbladder ground cuts,, put into normal saline simultaneously towards Xian's gallbladder blister cavities with the vacuum extractor intracapsular bile of gallbladder that exhausts; Make surgical field of view clear, under the fiber endoscopy direct-view, get calculus in the clean gallbladder, with absorbable thread suture operation otch.
Clinical demonstration, this Combined application peritoneoscope and fiber endoscopy are protected the mode of gallbladder treatment, because otch and wound are arranged; The generation of the complication such as postoperative infection, gallbladder leakage, anastomotic stricture and peritonitis that often occur together, and because associating peritoneoscope and choledochoscope treatment need several doctors to operate simultaneously; On resource, formed a kind of waste; So can be further again, only by doctor's operation, and operation have cicatrix and pain?
Summary of the invention
In order to solve above-mentioned technical problem; The purpose of this invention is to provide a kind of medical apparatus and instruments; Through the working clamp road of common duodenoscope, get in the gallbladders by self two balloon structure, this apparatus can be with the imaging system can be to observing in the gallbladder; This apparatus carries the working clamp road can get into other assistive devices, carries out rubble or living tissue sampling like electrohydraulic lithotrite, laser lithotripsy device, biopsy forceps etc.
In order to reach above-mentioned purpose, the technical scheme below the present invention has adopted:
A kind of medical apparatus and instruments comprises:
Conduit, this conduit are provided with at least two main tracts, and these main tracts all connect to far-end from the near-end of conduit; The near-end of said conduit is provided with corresponding several insertion ports that are communicated with said tract;
First sacculus; This sacculus can inflation and deflation; Be arranged on the telescopic far-end of sacculus, the sacculus sleeve pipe is set in the outside of said conduit in a movable manner, and the sacculus sleeve pipe is provided with the breather line that can be communicated with first sacculus and outer balloon control device;
Second sacculus, this sacculus can inflation and deflation, are arranged on the far-end of conduit, and conduit is provided with the breather line that can be communicated with second sacculus and outer balloon control device.
Above-mentioned conduit comprises two main tracts at least, and promptly a visual tract that can be used for inserting fibrescope or other imaging systems is convenient to immediate observation situation adjustment operation technique; A tract that can be used for inserting seal wire or other assistive devices.Certainly conditions permit generally can be provided with four main tracts, and promptly a guidewire lumen is used to insert this apparatus of seal wire guiding and arrives destination; A work cavity is used to insert related equipment, and like stone extraction basket, sample pickup tongs etc. are treated; An auxiliary tract is used for back works such as water filling or gas injection; A visual tract is used to insert fibrescope or other imaging systems.Adopt sacculus sleeve pipe and two balloon structure; The little gap of sacculus sleeve pipe and conduit is slidingly matched; Like this can be through replacing two sacculus of inflation; Thereby sacculus sleeve pipe and conduit positioned alternate in cystic duct, are promoted transportable sacculus sleeve pipe or conduit again and in cystic duct, advance, and the cystic duct that finally reaches through bending gets into the purpose in the gallbladder.
As preferably; The far-end of above-mentioned conduit is connected with terminal sheath pipe, and (external diameter of terminal sheath pipe is less than the external diameter of conduit; Thereby be suitable for bending more and turn to); Terminal sheath pipe is provided with and the supravasal tract tract of corresponding one by one connection mutually, and the tract on the said terminal sheath pipe all connects to far-end from its near-end; Be inserted with some traction fibers in the said conduit; Traction fiber is inserted into far-end from the near-end of conduit and stretches out; Traction fiber and conduit matched in clearance, the far-end of traction fiber is fixedly connected with terminal sheath pipe, and the near-end of traction fiber is connected with the draw operations parts of the near-end that is arranged on conduit.Said traction fiber is generally traction steel wire, for the ease of the adjustment direction, the pair of traction steel wire is set at least generally, promptly about or each one up and down, preferred four, can carry out the direction of the terminal sheath pipe of comprehensive adjustment like this.The external diameter of terminal sheath pipe is less than the external diameter of conduit, and comparatively softness is suitable for bending more and turns to, and can adjust extreme direction before the terminal sheath pipe through the pulling traction fiber like this, thereby makes things convenient for this apparatus in cystic duct, to advance and all angles in the gallbladder are observed.
As preferably, be inserted with on the above-mentioned conduit and can control four traction fibers that terminal sheath pipe turns on the four direction of upper and lower, left and right.Above-mentioned conduit comprises at least one secondary tract, is generally four, is used to insert traction steel wire; Control the direction of terminal sheath pipe, insert a traction steel wire in each secondary tract, direction of a steel wire control; When being two pairs of structure of steel wire, two faces that these two pairs of steel wires are formed should be orthogonal, then can control terminal sheath pipe at two faces; Be that the upper and lower, left and right four direction rotates, thereby can carry out comprehensive observation all angles in the gallbladder.
As preferably, be provided with secondary tract A in the above-mentioned conduit, plug traction fiber and both matched in clearance in this pair tract A, for terminal sheath pipe, secondary tract B can be set also, traction fiber inserts in the secondary tract B that is located on the terminal sheath pipe and at far-end and is fixedly connected like this; Perhaps terminal sheath pipe can not have secondary tract yet, and traction fiber is fixedly connected with the quoit that fixed cover is located at the far-end of terminal sheath pipe like this, and said quoit is a steel ring.
In order to protect the body cavities inwall, said conduit and terminal sheath pipe are arranged with trocar sheath respectively.For the ease of advancing the preferred most advanced and sophisticated molding of the front end of sheath pipe (far-end) endways in the cystic duct especially crooked in body cavities.
About the preferred following two kinds of schemes of the concrete syndeton of second sacculus and conduit:
One of preferred, the breather line of said second sacculus is a foley's tube, and said foley's tube passes tract and the far-end of protrude end sheath pipe on said conduit and the terminal sheath pipe, affixed second sacculus of the far-end of foley's tube.Wherein, foley's tube can get into through the work cavity or the seal wire tract of said conduit, and foley's tube can be that little gap cunning is joined with the conduit tract, also can directly be fixed on distal end of catheter.
Preferred two, said second sacculus is fixed on the terminal sheath pipe, and the breather line of said second sacculus is by being located at supravasal sacculus tract A and being located at sacculus tract B on the terminal sheath pipe and being connected and forming.
In order to realize directly seal wire being peeled off from the radial direction of said conduit in the art, i.e. quick exchange function, the mid portion of above-mentioned conduit is provided with opening, and this opening is communicated with one of them main tract (being guidewire lumen).
Above-mentioned conduit is the combination of single multi-lumen tube or many single lumen catheters, and above-mentioned end sheath pipe is the combination of single multi-lumen tube or many single lumen catheters.
The surface of above-mentioned traction steel wire can adopt coating process or plastic technology or coating plastic pipe to reduce the frictional force of the secondary tract of steel wire and said conduit.
When terminal sheath pipe comprised secondary tract, the terminal and terminal sheath pipe of steel wire adopted traditional handicraft to be fixedly connected, like bonding, heat bonding, crimping, laser weld etc.; When terminal sheath pipe does not comprise secondary tract, be with a steel ring on the cylindrical of terminal sheath pipe, traction steel wire directly is fixedly connected with steel ring.
Terminal sheath pipe and conduit can integrative-structure also can be the branch body structures; Can adopt traditional handicraft to be fixedly connected, like bonding, heat bonding, crimping, laser weld etc., also can only be that corresponding tract pipe connects.
Conduit can adopt following any materials processing, like thermoplastic elastic materials such as Pebax, nylon, PTFE, PU, FEP.Terminal sheath pipe can adopt following any materials processing: like thermoplastic elastic materials such as Pebax, nylon, PTFE, PU, FEP, silicone rubber.Sacculus can adopt following any materials processing: like thermoplastic elastic materials such as nylon, natural emulsion, rubber.Trocar sheath can adopt traditional handicraft to be connected with conduit or terminal sheath pipe, like pyrocondensation, and technologies such as viscose glue, heat bonding.
The present invention is owing to adopted above technical scheme; Working clamp road through common duodenoscope; Two balloon structure by self get in the gallbladder; This apparatus carries visual tract can be to observing in the gallbladder through imaging system, and this apparatus carries the working clamp road can get into other assistive devices, carries out rubble or living tissue sampling like electrohydraulic lithotrite, laser lithotripsy device, biopsy forceps etc.Like this, solved existing medical apparatus and instruments and can't directly get into the problem of gallbladder, and realized visual diagnosis and treatment in the gallbladder simultaneously through human body natural's tract.
Description of drawings
Fig. 1 is the structural representation of the embodiment of the invention 1;
Fig. 2 is the A-A cutaway view of Fig. 1;
Fig. 3 is the B-B cutaway view of Fig. 1;
Fig. 4 is two balloon structure sketch maps of embodiment 1;
Fig. 5 is the structural representation of embodiment 2;
Fig. 6 is the structural representation of embodiment 3;
Fig. 7 is the D-D cutaway view of Fig. 6;
Fig. 8 is the E-E cutaway view of Fig. 6;
Fig. 9 is the F-F cutaway view of Fig. 6;
Figure 10 is two balloon structure sketch maps of embodiment 3.
The specific embodiment
Do a detailed explanation below in conjunction with the accompanying drawing specific embodiments of the invention.
Embodiment 1:
, comprising to a kind of medical apparatus and instruments shown in Figure 4 like Fig. 1:
In the present embodiment; The far-end of said conduit 2 is connected with terminal sheath pipe 3, and the external diameter of terminal sheath pipe is less than the external diameter of conduit, thereby is suitable for bending more and turns to; Terminal sheath pipe is connected with conduit 2 through gradual change footpath portion 21; Like Fig. 2, shown in Figure 3, terminal sheath pipe 3 be provided with conduit 2 on main tract 23,24,25,26 tract 33,34,35,36 of corresponding one by one connection mutually, the tract 33,34,35,36 on the said terminal sheath pipe 3 all independently connects to far-end from its near-end; Said main tract 23, tract 33 are work cavity, can be used for inserting assistive device, like stone extraction basket, and sample pickup tongs etc., the corresponding port 13 that inserts; Said main tract 24, tract 34 are the seal wire tract, can be used for inserting seal wire, the corresponding port 14 that inserts; Said main tract 25, tract 35 are visual tract, can be used for inserting fibrescope or other optical instruments, the corresponding port 15 that inserts; Said main tract 26, tract 36 can be used for water filling or gas injection for auxiliary tract, the corresponding port 16 that inserts.
Like Fig. 2, shown in Figure 3; Be inserted with four in the above-mentioned conduit 2 and can control the traction fiber 6 that terminal sheath pipe 3 turns on the four direction of upper and lower, left and right; Traction fiber 6 is inserted into far-end from the near-end of conduit 2 and stretches out; Traction fiber 6 and conduit 2 matched in clearance, the far-end of traction fiber 6 is fixedly connected with terminal sheath pipe 3, and the near-end of traction fiber 6 is connected with the draw operations parts of the near-end that is arranged on conduit.Said traction fiber 6 is a traction steel wire.The draw operations parts comprise handle 1; Handle is provided with two manual knobs (every pair of relative both sides that make progress in rotating shaft week that traction steel wire is fixed in a manual knob respectively); The terminal sheath pipe 3 of manual knob 11 controls rotates on left and right directions, and manually the terminal sheath pipe 3 of rotary switch 12 controls rotates on above-below direction.Be provided with secondary tract A27 in the said conduit 2, plug traction fiber 6 and both matched in clearance in this pair tract A27, said traction fiber 6 inserts in the secondary tract B37 that is located on the terminal sheath pipe 3 and the far-end fixed connection of sheath pipe 3 endways.Said conduit 2 is arranged with trocar sheath 22,32 respectively with terminal sheath pipe 3 outer surfaces.
As shown in Figure 4, the breather line of said second sacculus 5 is a foley's tube 52, and said foley's tube 52 passes tract 23,33 and the far-end of protrude end sheath pipe 3 on said conduit 2 and the terminal sheath pipe 3, affixed second sacculus 5 of the far-end of foley's tube 52.In the present embodiment; Foley's tube 52 passes work cavity; Its joint that is connected with the outer balloon control device is a port 51, and sacculus sleeve pipe 42 is through port 41 and outer balloon control device, and said outer balloon control device comprises air pump and the control corresponding valve of realizing charging-discharging function.Seal wire tract on the said conduit 2 is provided with in the centre position and can carries out the opening that apparatus switches fast.Said conduit 2 is a multi-lumen tube with terminal sheath pipe 3.The far-end of said terminal sheath pipe 3 has a most advanced and sophisticated molding, and convenient terminal sheath pipe 3 gets into body cavities.
When beginning operation, fibrescope is inserted from said port one 5, stretch out from the far-end of said terminal sheath pipe 3; Fibrescope and imaging device and light source are connected, seal wire is got into said conduit 2 along the far-end of terminal sheath pipe 3, guide tip sheath pipe 3 inserts in the scopes (like duodenoscope); In scope, advance to cystic duct jag place, when in the cystic duct of bending, moving ahead then, earlier foley's tube 52 is inserted in the work cavity 23 of conduit 2 along seal wire; Until about the about 1～2cm of far-end of protrude end sheath pipe, inflate through the proximal port 51 of foley's tube 52 sacculus 5 inflations are fixed in the cystic duct of distal end portion, said conduit 2 and sacculus sleeve pipe 42 are proceeded to along foley's tube 52 withstand sacculus 5; Inflate through the proximal port 41 of sacculus sleeve pipe 4 sacculus 4 inflatable opens are fixedly supported in the proximal cystic duct this moment; Then with sacculus 5 venting, foley's tube 52 moves on behind the segment distance, sacculus 5 inflatable opens is fixed in the cystic duct again; And then with after sacculus 4 venting; Conduit 2 and sacculus sleeve pipe 42 advanced to along foley's tube 52 withstand sacculus 5, so repeatedly, until conduit 2 and terminal sheath pipe 3 are got into gallbladder through cystic duct.In whole process, the cephalad direction of rotatable manual knob 11 or the said terminal sheath pipe 3 of 12 adjustment is so that advance and the multi-angle observation.After getting into gallbladder, can under the support of imaging system, gallbladder inside be observed; Then foley's tube 52 is withdrawn from, perform the operation required apparatus such as stone extraction basket, sample pickup tongs or other apparatuses insert from inserting port 13; Stretch out from the end of said terminal sheath pipe 3, diseased region is handled.In the art, can be from said port one 6 injection waters or gas, diseased region is washed away or full.
Embodiment 2:
Like the described a kind of medical apparatus and instruments of Fig. 5, only be that with the different of embodiment 1 connected mode of traction fiber and terminal sheath pipe is different: present embodiment, said traction fiber 6 is fixedly connected with the quoit 7 that fixed cover is located at the far-end of terminal sheath pipe 3.Said quoit 7 is a steel ring.Other are identical with embodiment 1.
Embodiment 3:
Like the described a kind of medical apparatus and instruments of Fig. 6 to Figure 10; Only be that with the different of embodiment 1 the breather line set-up mode of second sacculus is different: present embodiment; Said second sacculus 5 directly is fixed on the terminal sheath pipe 3; The breather line of said second sacculus 5 by be located on the conduit 2 sacculus tract A29 be located at sacculus tract B39 on the terminal sheath pipe 3 and be connected and form corresponding sacculus 5 inflation port 19.Other are with embodiment 1.
When beginning operation, fibrescope is inserted from said port one 5, stretch out from the end of said terminal sheath pipe 3; Fibrescope and imaging device and light source are connected, seal wire is got into said conduit 2 along the far-end of terminal sheath pipe 3, guide said terminal sheath pipe 3 to insert in the scopes (like duodenoscope); In scope, advance to cystic duct jag place, in the cystic duct of bending, move ahead then, inflate through the near-end 41 of sacculus sleeve pipe 42 sacculus 4 inflatable opens are fixedly supported on proximal cystic duct along seal wire; Promote conduit 2 and travel forward behind the segment distance, inflate the cystic duct that sacculus 5 inflatable opens is fixed on distal end portion, 4 decompressions of sacculus cover are shunk through port one 9; Sacculus sleeve pipe 42 is advanced into sacculus 5 places, with sacculus 4 inflations after advancing, sacculus 5 decompressions is shunk; With sacculus sleeve pipe 42 fixed cystic duct proximad is retracted relatively; Then conduit 2 is pushed ahead, so repeatable operation to Choledochal end gets into gallbladder.In whole process, the cephalad direction of rotatable manual knob 11 or the said terminal sheath pipe 3 of 12 adjustment is so that advance or the multi-angle observation, after getting into gallbladder; Can be under the support of imaging system; Gallbladder inside is observed, and will perform the operation then required apparatus such as stone extraction basket, sample pickup tongs or other apparatuses insert from said port one 3; Stretch out from the end of said terminal sheath pipe 3, diseased region is handled.In the art, can be from said port one 6 injection waters or gas, diseased region is washed away or full.
The present invention is not limited to the above specific embodiment, and every conduit adopts a plurality of luminal structures, and wherein a chamber is furnished with the system of fibre system or the visual imaging of other any supports; No matter which kind of material conduit adopts; No matter whether catheter tip has the function of scalable direction, catheter tip to be folk prescription make progress scalable or multi-direction scalable no matter, and no matter whether conduit has reducing or the most advanced and sophisticated molding of head; No matter conduit and terminal sheath pipe are one or divide body structure; No matter which kind of connected mode conduit and terminal sheath pipe adopt, and no matter whether conduit and terminal sheath pipe are with one deck epitheca pipe, all will fall within protection scope of the present invention.No matter every catheter tip Combined application balloon structure is single or a plurality of sacculus, and no matter which kind of material sacculus adopts, and no matter how sacculus is connected with conduit, all will fall within protection scope of the present invention.
In sum, the present invention has breakthrough meaning in the following aspects:
1) to the treatment of gallbladder: be upgraded to per os scope minimally-invasive treatment fully from existing laparoscopic surgery, have no pain, wound little, avoided the otch complications, the anesthesia wound is little, cosmetic result good, reduced patient's medical treatment burden;
2) make that the X-ray radiography has been upgraded to direct observation under euthyscope in the traditional E RCP art, make diagnoses and treatment more convenient directly perceived, have higher success rate;
3) make medical personnel and patient avoid the X-ray injury as far as possible.
Claims (7)
1. a medical apparatus and instruments that is used to intervention property diagnosis and treatment gallbladder disease is characterized in that, comprising:
Conduit (2); This conduit (2) is provided with at least two main tracts (23,24,25,26); Said main tract all connects to far-end from the near-end of conduit, and the near-end of said conduit (2) is provided with corresponding several insertion ports (13,14,15,16) that are communicated with said main tract;
First sacculus (4); Said first sacculus can inflation and deflation; Be arranged on the far-end of sacculus sleeve pipe (42); Sacculus sleeve pipe (42) is set in the outside of said conduit (2) in a movable manner, and sacculus sleeve pipe (42) is provided with first breather line (43) that can be communicated with first sacculus (4) and outer balloon control device;
Second sacculus (5), said second sacculus can inflation and deflation, are arranged on the far-end of conduit (2), and conduit (2) is provided with second breather line (52,29,39) that can be communicated with second sacculus (5) and outer balloon control device;
The far-end of said conduit (2) is connected with terminal sheath pipe (3); Terminal sheath pipe (3) be provided with conduit (2) on the tract (33,34,35,36) of main tract (23,24,25,26) corresponding one by one connection mutually, the tract on the said terminal sheath pipe (3) (33,34,35,36) all connects to far-end from its near-end; Be inserted with some traction fibers (6) in the said conduit (2); Traction fiber (6) is inserted into far-end from the near-end of conduit (2) and stretches out; Traction fiber (6) and conduit (2) matched in clearance; The far-end of traction fiber (6) is fixedly connected with terminal sheath pipe (3), and the near-end of traction fiber (6) is connected with the draw operations parts of the near-end that is arranged on conduit;
Be provided with secondary tract A (27) in the said conduit (2), plug traction fiber (6) and both matched in clearance in this pair tract A (27), said traction fiber (6) inserts in the secondary tract B (37) that is located on the terminal sheath pipe (3) and at far-end and is fixedly connected;
Said conduit (2) and terminal sheath pipe (3) are single multi-lumen tube.
2. medical apparatus and instruments that is used to intervention property diagnosis and treatment gallbladder disease; It is characterized in that; Comprise: conduit (2); This conduit (2) is provided with at least two main tracts (23,24,25,26), and said main tract all connects to far-end from the near-end of conduit, and the near-end of said conduit (2) is provided with corresponding several insertion ports (13,14,15,16) that are communicated with said main tract;
First sacculus (4); Said first sacculus can inflation and deflation; Be arranged on the far-end of sacculus sleeve pipe (42); Sacculus sleeve pipe (42) is set in the outside of said conduit (2) in a movable manner, and sacculus sleeve pipe (42) is provided with first breather line (43) that can be communicated with first sacculus (4) and outer balloon control device;
Second sacculus (5), said second sacculus can inflation and deflation, are arranged on the far-end of conduit (2), and conduit (2) is provided with second breather line (52,29,39) that can be communicated with second sacculus (5) and outer balloon control device;
The far-end of said conduit (2) is connected with terminal sheath pipe (3); Terminal sheath pipe (3) be provided with conduit (2) on the tract (33,34,35,36) of main tract (23,24,25,26) corresponding one by one connection mutually, the tract on the said terminal sheath pipe (3) (33,34,35,36) all connects to far-end from its near-end; Be inserted with some traction fibers (6) in the said conduit (2); Traction fiber (6) is inserted into far-end from the near-end of conduit (2) and stretches out; Traction fiber (6) and conduit (2) matched in clearance; The far-end of traction fiber (6) is fixedly connected with terminal sheath pipe (3), and the near-end of traction fiber (6) is connected with the draw operations parts of the near-end that is arranged on conduit; Be provided with secondary tract A (27) in the said conduit (2), plug traction fiber (6) and both matched in clearance in this pair tract A (27), said traction fiber (6) inserts in the secondary tract B (37) that is located on the terminal sheath pipe (3) and at far-end and is fixedly connected;
Be provided with secondary tract A (27) in the said conduit (2), plug traction fiber (6) and both matched in clearance in this pair tract A (27), said traction fiber (6) is fixedly connected with the quoit (7) that fixed cover is located at the far-end of terminal sheath pipe (3);
Said conduit (2) and terminal sheath pipe (3) are single multi-lumen tube.
3. a kind of medical apparatus and instruments that is used to intervention property diagnosis and treatment gallbladder disease according to claim 1 and 2 is characterized in that, is inserted with on the said conduit (2) to control four traction fibers (6) that terminal sheath pipe (3) turns on the four direction of upper and lower, left and right.
4. a kind of medical apparatus and instruments that is used to intervention property diagnosis and treatment gallbladder disease according to claim 1 and 2; It is characterized in that; The breather line of said second sacculus (5) is foley's tube (52); Said foley's tube (52) passes main tract (23) and the far-end of tract (33) on the terminal sheath pipe (3) and protrude end sheath pipe (3) on the conduit (2), affixed second sacculus of the far-end of foley's tube (52) (5).
5. a kind of medical apparatus and instruments that is used to intervention property diagnosis and treatment gallbladder disease according to claim 1 and 2; It is characterized in that; Said second sacculus (5) is fixed on the terminal sheath pipe (3), and the breather line of said second sacculus (5) is connected and forms by being located at the sacculus tract A (29) on the conduit (2) and being located at sacculus tract B (39) on the terminal sheath pipe (3).
6. a kind of medical apparatus and instruments that is used to intervention property diagnosis and treatment gallbladder disease according to claim 1 and 2 is characterized in that the mid portion of said conduit (2) is provided with opening, and this opening is communicated with one of them main tract.
7. a kind of medical apparatus and instruments that is used to intervention property diagnosis and treatment gallbladder disease according to claim 1 and 2 is characterized in that, said conduit (2) and terminal sheath pipe (3) outside are arranged with trocar sheath (22,32) respectively.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201010243839XA CN101919737B (en) | 2010-08-03 | 2010-08-03 | Medical appliance for interventional treatment of gallbladder diseases |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201010243839XA CN101919737B (en) | 2010-08-03 | 2010-08-03 | Medical appliance for interventional treatment of gallbladder diseases |
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| Publication Number | Publication Date |
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| CN101919737A CN101919737A (en) | 2010-12-22 |
| CN101919737B true CN101919737B (en) | 2012-07-11 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN201010243839XA Active CN101919737B (en) | 2010-08-03 | 2010-08-03 | Medical appliance for interventional treatment of gallbladder diseases |
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| EP0402467A1 (en) * | 1988-02-15 | 1990-12-19 | Terumo Kabushiki Kaisha | Catheter tube and endoscope |
| CN1669521A (en) * | 2004-03-16 | 2005-09-21 | 富士能株式会社 | Endoscope |
| CN101068497A (en) * | 2005-09-22 | 2007-11-07 | 奥林巴斯株式会社 | Endoscope insertion part |
Also Published As
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|---|---|
| CN101919737A (en) | 2010-12-22 |
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