CN102805886A - Buckle for catherization for peritoneal dialysis - Google Patents

Buckle for catherization for peritoneal dialysis Download PDF

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Publication number
CN102805886A
CN102805886A CN2012102474785A CN201210247478A CN102805886A CN 102805886 A CN102805886 A CN 102805886A CN 2012102474785 A CN2012102474785 A CN 2012102474785A CN 201210247478 A CN201210247478 A CN 201210247478A CN 102805886 A CN102805886 A CN 102805886A
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CN
China
Prior art keywords
blade
peritoneal dialysis
latch closure
hole
dialysis tube
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Granted
Application number
CN2012102474785A
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Chinese (zh)
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CN102805886B (en
Inventor
解立怡
杨世峰
尹爱萍
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Xian Jiaotong University
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Xian Jiaotong University
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Priority to CN201210247478.5A priority Critical patent/CN102805886B/en
Publication of CN102805886A publication Critical patent/CN102805886A/en
Application granted granted Critical
Publication of CN102805886B publication Critical patent/CN102805886B/en
Expired - Fee Related legal-status Critical Current
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Abstract

The invention discloses a buckle for catherization for peritoneal dialysis. The buckle comprises a middle shaft; a central through hole through which a peritoneal dialysis tube can pass is formed in the middle shaft; upper and lower ends of the middle shaft are provided with upper and lower blades respectively; the upper and lower blades are provided with through holes; small holes are spirally distributed in the shaft wall of the middle shaft in an annular shape, and a sliding line sequentially passes through the small holes; and connection lines pass through the corresponding through holes of the upper and lower blades through the central through hole sequentially. In the catherization for peritoneal dialysis, a large incision is not needed to enter an abdominal wall, a peritoneum is not needed to be incised, and operation is finished by a mode that the peritoneum is punctured so as to form a notch, and the buckle is placed in the notch, so that the operation incision can be reduced by 2 cm, the peritoneum can be prevented from torn during operation, and the occurrence rate of postoperative peritoneal dialysis liquid leakage can be reduced.

Description

A kind of peritoneal dialysis tube placing operation is used latch closure
Technical field
The invention belongs to the peritoneal dialysis tube placing operation and use the device technique field, relate to a kind of peritoneal dialysis tube placing operation and use latch closure.
Background technology
Peritoneal dialysis is a kind of kidney replacement therapy method to the chronic renal failure patient, need carry out the path that the peritoneal dialysis tube placing operation is set up peritoneal dialysis liquid turnover abdominal cavity before doing peritoneal dialysis treatment.
Traditional peritoneal dialysis tube placing operation is to adopt open operation; Its method is on stomach wall, to do the long otch of 5cm, successively cuts to peritoneum, on peritoneum, does the long otch of 0.8cm; Around otch, do a circle purse string suture with silk thread; Abdomen is passed through pipe insert the abdominal cavity, tighten up pocket suture and ligation then, abdomen is passed through pipe be fixed on the peritoneum from otch.
The shortcoming of this kind modus operandi is that operative incision is bigger than normal, causes peritoneum to tear damage easily when on peritoneum, sewing up, and the incidence rate of postoperative peritoneal dialysis liquid seepage is high.
Summary of the invention
The problem that the present invention solves is to provide a kind of peritoneal dialysis tube placing operation to use latch closure; This latch closure can be inserted peritoneum through the mode of puncture; Reduce operation wound, can make abdomen pass through around the pipe and peritoneum is combined closely the incidence rate that can prevent to tear peritoneum in the art and reduce postoperative peritoneal dialysis liquid seepage.
The present invention realizes through following technical scheme:
A kind of peritoneal dialysis tube placing operation is used latch closure, comprises axis, and axis is provided with and supplies abdomen to pass through the center through hole that pipe passes through, and axis is respectively equipped with blade and lower blade in two ends up and down, is equipped with perforation on blade and the lower blade; The axial wall of axis is provided with shape in the shape of a spiral around the aperture that distributes, and slip passes aperture successively; Connecting line passes blade and the corresponding perforation of lower blade successively through center through hole.
Described axis, blade and lower blade are processed by the expanded PTFE surgical patch.
Center through hole is all stretched out at the two ends of described slip, is exposed to outside the blade.
Described blade and lower blade are equipped with a plurality of equally distributed perforation, and connecting line passes the corresponding perforation of blade and lower blade homonymy, in center through hole up and down.
Described blade and lower blade are equipped with a plurality of equally distributed perforation, and connecting line passes center through hole sideling, pass the perforation of blade and lower blade opposite side.
Center through hole is all stretched out at the two ends of described connecting line, is exposed to outside the blade.
Described slip, connecting line are that nylon is processed.
Described axis is cylindric, and its internal diameter is at least 8mm, and its external diameter is 1~1.2cm, highly is at least 5mm.
The diameter of described blade and lower blade is 1.5cm at least, and thickness is 2mm at least.
Compared with prior art, the present invention has following beneficial technical effects:
Peritoneal dialysis tube placing operation provided by the invention is used latch closure; Need not big otch can be easily pass through pipe with abdomen and inserts: when implementing the peritoneal dialysis tube placing operation; The puncture peritoneum forms a scarce hole earlier; Then latch closure is inserted scarce hole, make the peritoneum after the puncture lack the axis that the hole holds latch closure, make blade, lower blade lay respectively at the outer both sides of intraperitoneal.Abdomen is passed through pipe insert the abdominal cavity from center through hole; Pass then axis in the shape of a spiral shape around the slip of aperture tighten up and tie a knot, make latch closure closely hold abdomen and pass through pipe, tighten up the connecting line that passes upper and lower blade again; Make up and down blade draw close and clamp peritoneum from inside and outside both sides; Latch closure and peritoneum are combined closely, be fixed on the peritoneum, form watertight closed structure thereby abdomen is passed through pipe.
Owing to adopted the expanded PTFE surgical patch, this material softness degree is high, and upper and lower blade can be crooked arbitrarily, and therefore in inserting process, only needing the puncture peritoneum to obtain the scarce hole identical with the axis external diameter can insert.
Peritoneal dialysis tube placing operation provided by the invention is used latch closure; In the peritoneal dialysis tube placing operation, need not big otch and get into stomach wall; Also need not to cut peritoneum, but accomplish operation, can make operative incision be contracted to 2cm like this with the mode that the puncture peritoneum is put into latch closure; Prevent to tear peritoneum in the art, reduced the incidence rate of postoperative peritoneal dialysis liquid seepage.And with latch closure insert and fixing after; Because its excellent biological compatibility and distinctive microcellular structure; Side effect such as nontoxic, no carcinogenic, no sensitization, the expanded PTFE surgical patch is an ideal biological tissue succedaneum, also can not cause untoward reaction so be retained in the human body.
Description of drawings
Fig. 1 is a longitudinal profile sketch map of the present invention;
Fig. 2 is a structural representation of the present invention;
Fig. 3 tightens sketch map before for the present invention;
Fig. 4 tightens sketch map afterwards for the present invention;
The sketch map that Fig. 5 uses in the peritoneal dialysis tube placing operation for the present invention.
Wherein, 1 is blade, and 2 is lower blade, and 3 is axis, and 4 is connecting line, and 5 is aperture;
101 peritoneal dialysis pipelines, 102 is skin layer, and 103 is peritoneum, and 104 is the abdominal cavity.105 latch closures.
The specific embodiment
Below in conjunction with concrete embodiment the present invention is done further detailed description, said is to explanation of the present invention rather than qualification.
Referring to Fig. 1, Fig. 2; A kind of peritoneal dialysis tube placing operation is used latch closure, comprises axis 3, and axis 3 is provided with the center through hole that supplies peritoneal dialysis pipeline (abdomen passes through pipe) to pass through; Axis two ends up and down is respectively equipped with blade 1 and lower blade 2, is equipped with equally distributed perforation on blade 1 and the lower blade 2;
The axial wall of axis is provided with shape in the shape of a spiral around the aperture 5 that distributes, and slip passes aperture successively;
Connecting line 5 passes center through hole and passes blade 1 and lower blade 2 corresponding perforation, in center through hole up and down.
Concrete described axis 3, blade 1 and lower blade 2 are processed by the expanded PTFE surgical patch, and slip, connecting line 5 are processed for nylon.Politef has good sealing property, elasticity, electrical insulating property and ageing resistance, to the human non-toxic side effect, with tissue the good compatibility is arranged, and therefore is the preferred material of making this latch closure.
Clamp the peritoneal dialysis pipeline and be fixed on the peritoneum for the ease of latch closure; Two channel system (A duct, B duct) and slip, connecting line have been designed; A duct wherein: the axial wall of axis 3 is provided with that shape is around the aperture that distributes in the shape of a spiral, and slip passes aperture successively; And center through hole is all stretched out at the slip two ends, is exposed to outside the blade, so that operation; When needs tighten up, through being similar to the action of tying the shoelace: tighten up two ends and knotting that slip exposes, axis is just tightened up makes latch closure closely hold abdomen pipe thoroughly;
The B duct: described blade and lower blade are equipped with a plurality of equally distributed perforation, and connecting line passes the corresponding perforation of blade and lower blade homonymy, in center through hole up and down.
Perhaps referring to Fig. 3, Fig. 4; Blade and lower blade are equipped with a plurality of equally distributed perforation, and a connecting line passes center through hole sideling, pass the relative perforation of blade and lower blade; Two ends are exposed to outside the blade, the connecting line that so just can have two intersections to pass; When needs tighten up, tighten up two ends and knotting that connecting line exposes, blade and lower blade under pulling force each other near, thereby peritoneum is clamped.
In order to reduce reactivity, slip, connecting line are all selected the material to the human non-toxic side effect, preferably can also have the good compatibility; Concrete slip, connecting line are selected the thick nylon wire of 0.5mm.
Pass through pipe and pass through in order better to be convenient to abdomen, axis is cylindric, and its internal diameter (being center through hole) is at least 8mm, and its external diameter is 1~1.2cm, highly is at least 5mm.And the diameter of blade and lower blade 1.5cm at least, thickness is 2mm at least.
In order to match with existing operating apparatus, concrete is designed to:
Axis is diameter 1cm, and high 5mm's is cylindric, and center through hole is the circular hole of diameter 8mm;
Upper and lower blade is diameter 2cm, the round pie of thick 3mm.
Referring to Fig. 5, the operation when concrete the use is following:
When implementing the peritoneal dialysis tube placing operation, sever skin layer 102, puncture forms a scarce hole on peritoneum 103, then 105 latch closures is inserted scarce hole, makes the peritoneum after the puncture lack the axis that the hole holds latch closure, makes blade, lower blade lay respectively at the outer both sides of intraperitoneal.Abdomen is passed through pipe insert abdominal cavity 104 from center through hole; Tighten up slip and knotting then, make latch closure closely hold abdomen and pass through pipe, tighten up the connecting line that passes upper and lower blade again; Make up and down blade draw close and clamp peritoneum from inside and outside both sides; Latch closure and peritoneum are combined closely, be fixed on the peritoneum, form watertight closed structure thereby abdomen is passed through pipe.
Owing to adopted the expanded PTFE surgical patch, this material softness degree is high, and upper and lower blade can be crooked arbitrarily, and therefore in inserting process, only needing the puncture peritoneum to obtain the scarce hole identical with the axis external diameter can insert.In the peritoneal dialysis tube placing operation, need not big otch like this and get into stomach wall; Also need not to cut peritoneum, but accomplish operation, thereby can make operative incision be contracted to 2cm with the mode that the puncture peritoneum is put into latch closure; Prevent to tear peritoneum in the art, reduced the incidence rate of postoperative peritoneal dialysis liquid seepage.
And with latch closure insert and fixing after; Because its excellent biological compatibility and distinctive microcellular structure; Side effect such as nontoxic, no carcinogenic, no sensitization, the expanded PTFE surgical patch is an ideal biological tissue succedaneum, also can not cause untoward reaction so be retained in the human body.

Claims (9)

1. a peritoneal dialysis tube placing operation is used latch closure, it is characterized in that, comprises axis, and axis is provided with and supplies abdomen to pass through the center through hole that pipe passes through, and axis is respectively equipped with blade and lower blade in two ends up and down, is equipped with perforation on blade and the lower blade; The axial wall of axis is provided with shape in the shape of a spiral around the aperture that distributes, and slip passes aperture successively; Connecting line passes blade and the corresponding perforation of lower blade successively through center through hole.
2. peritoneal dialysis tube placing operation as claimed in claim 1 is used latch closure, it is characterized in that, described axis, blade and lower blade are processed by the expanded PTFE surgical patch.
3. peritoneal dialysis tube placing operation as claimed in claim 1 is used latch closure, it is characterized in that, center through hole is all stretched out at the two ends of described slip, is exposed to outside the blade.
4. peritoneal dialysis tube placing operation as claimed in claim 1 is used latch closure, it is characterized in that, described blade and lower blade are equipped with a plurality of equally distributed perforation, and connecting line passes the corresponding perforation of blade and lower blade homonymy, in center through hole up and down.
5. peritoneal dialysis tube placing operation as claimed in claim 1 is used latch closure, it is characterized in that, described blade and lower blade are equipped with a plurality of equally distributed perforation, and connecting line passes center through hole sideling, passes the perforation of blade and lower blade opposite side.
6. use latch closure like claim 4 or 5 described peritoneal dialysis tube placing operations, it is characterized in that center through hole is all stretched out at the two ends of connecting line, is exposed to outside the blade.
7. peritoneal dialysis tube placing operation as claimed in claim 1 is used latch closure, it is characterized in that, described slip, connecting line are that nylon is processed.
8. peritoneal dialysis tube placing operation as claimed in claim 1 is used latch closure, it is characterized in that, described axis is cylindric, and its internal diameter is at least 8mm, and its external diameter is 1~1.2cm, highly is at least 5mm.
9. peritoneal dialysis tube placing operation as claimed in claim 1 is used latch closure, it is characterized in that, the diameter of described blade and lower blade is 1.5cm at least, and thickness is 2mm at least.
CN201210247478.5A 2012-07-17 2012-07-17 Buckle for catherization for peritoneal dialysis Expired - Fee Related CN102805886B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201210247478.5A CN102805886B (en) 2012-07-17 2012-07-17 Buckle for catherization for peritoneal dialysis

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201210247478.5A CN102805886B (en) 2012-07-17 2012-07-17 Buckle for catherization for peritoneal dialysis

Publications (2)

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CN102805886A true CN102805886A (en) 2012-12-05
CN102805886B CN102805886B (en) 2015-01-07

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Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5645532A (en) * 1996-03-04 1997-07-08 Sil-Med Corporation Radiopaque cuff peritoneal dialysis catheter
JP2011115271A (en) * 2009-12-01 2011-06-16 National Cerebral & Cardiovascular Center Cuff member and catheter with the same
JP2011115272A (en) * 2009-12-01 2011-06-16 National Cardiovascular Center Cuff member and catheter with cuff member
CN202715074U (en) * 2012-07-17 2013-02-06 西安交通大学 Buckle for peritoneal dialysis catherization

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5645532A (en) * 1996-03-04 1997-07-08 Sil-Med Corporation Radiopaque cuff peritoneal dialysis catheter
JP2011115271A (en) * 2009-12-01 2011-06-16 National Cerebral & Cardiovascular Center Cuff member and catheter with the same
JP2011115272A (en) * 2009-12-01 2011-06-16 National Cardiovascular Center Cuff member and catheter with cuff member
CN202715074U (en) * 2012-07-17 2013-02-06 西安交通大学 Buckle for peritoneal dialysis catherization

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Granted publication date: 20150107

Termination date: 20170717