CN102805886B - Buckle for catherization for peritoneal dialysis - Google Patents
Buckle for catherization for peritoneal dialysis Download PDFInfo
- Publication number
- CN102805886B CN102805886B CN201210247478.5A CN201210247478A CN102805886B CN 102805886 B CN102805886 B CN 102805886B CN 201210247478 A CN201210247478 A CN 201210247478A CN 102805886 B CN102805886 B CN 102805886B
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- Prior art keywords
- blade
- peritoneal dialysis
- latch closure
- dialysis tube
- tube placing
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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
Technical field
The invention belongs to peritoneal dialysis tube placing operation device technique field, relate to a kind of peritoneal dialysis tube placing operation latch closure.
Background technology
Peritoneal dialysis is a kind of renal replacement therapies method for patients of chronic renal failure, needs to carry out the path that peritoneal dialysis tube placing operation sets up peritoneal dialysis liquid turnover abdominal cavity before doing peritoneal dialysis treatment.
Traditional peritoneal dialysis tube placing operation adopts open operation, its method is on stomach wall, do the long otch of 5cm, successively cut to peritoneum, peritoneum does the otch that 0.8cm is long, a circle purse string suture is done with silk thread around otch, saturating for abdomen pipe is inserted abdominal cavity from otch, then tightens up pocket suture and ligation, saturating for abdomen pipe is fixed on peritoneum.
The shortcoming of this kind of modus operandi is that operative incision is bigger than normal, easily causes peritoneum to tear damage when peritoneum is sewed 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 latch closure, this latch closure can insert peritoneum by the mode of puncture, reduce operation wound, can make to combine closely with peritoneum around the saturating pipe of abdomen, can prevent from tearing peritoneum in art and the incidence rate reducing postoperative peritoneal dialysis liquid seepage.
The present invention is achieved through the following technical solutions:
A kind of peritoneal dialysis tube placing operation latch closure, comprise axis, axis is provided with the center through hole passed through for the saturating pipe of abdomen, and the upper and lower two ends of axis are respectively equipped with blade and lower blade, and blade and lower blade are equipped with perforation; The axial wall of axis is provided with in the shape of a spiral around the aperture of distribution, and slip is successively through aperture; Connecting line passes the blade perforation corresponding with lower blade successively through center through hole.
Described axis, blade and lower blade are made by expanded PTFE surgical patch.
Center through hole is all stretched out in the two ends of described slip, is exposed to outside blade.
Described blade and lower blade are equipped with multiple equally distributed perforation, connecting line through blade and perforation corresponding to lower blade homonymy, in center through hole up and down.
Described blade and lower blade are equipped with multiple equally distributed perforation, connecting line sideling through center through hole, through the perforation of blade and lower blade opposite side.
Center through hole is all stretched out in the two ends of described connecting line, is exposed to outside blade.
Described slip, connecting line are that nylon is made.
Described axis is cylindric, and its internal diameter is at least 8mm, and its external diameter is 1 ~ 1.2cm, is highly at least 5mm.
Described blade and the diameter of lower blade at least 1.5cm, thickness is 2mm at least.
Compared with prior art, the present invention has following useful technique effect:
Peritoneal dialysis tube placing operation latch closure provided by the invention, easily saturating for abdomen pipe can be inserted without the need to large otch: when implementing peritoneal dialysis tube placing operation, the peritoneum that first punctures forms an aperture, then latch closure is inserted aperture, make the peritoneum aperture after puncture hold the axis of latch closure, make blade, lower blade lays respectively at the outer both sides of intraperitoneal.Saturating for abdomen pipe is inserted abdominal cavity from center through hole, then through axis in the shape of a spiral around the slip of aperture tighten up and tie a knot, latch closure tight enclosure abdomen is managed thoroughly, tighten up the connecting line through upper and lower blade again, upper and lower blade is drawn close and clamps peritoneum from inside and outside both sides, latch closure and peritoneum are combined closely, thus saturating for abdomen pipe is fixed on peritoneum, form watertight closed structure.
Owing to have employed expanded PTFE surgical patch, this material softness degree is high, and upper and lower blade can bend arbitrarily, therefore only needs puncture peritoneum to obtain the aperture identical with axis external diameter and can insert inserting in process.
Peritoneal dialysis tube placing operation latch closure provided by the invention, stomach wall is entered without the need to large otch in peritoneal dialysis tube placing operation, also without the need to cutting peritoneum, but complete operation in the mode that the peritoneum that punctures puts into latch closure, operative incision can be made like this to be contracted to 2cm, prevent from tearing peritoneum in art, decrease the incidence rate of postoperative peritoneal dialysis liquid seepage.And latch closure to be inserted and after fixing, the biocompatibility good due to it and distinctive microcellular structure, nontoxic, without carcinogenic, without side effect such as sensitization, expanded PTFE surgical patch is desirable biological tissue's succedaneum, also can not cause untoward reaction so be retained in human body.
Accompanying drawing explanation
Fig. 1 is longitudinal profile schematic diagram of the present invention;
Fig. 2 is structural representation of the present invention;
Fig. 3 is the schematic diagram before the present invention tightens;
Fig. 4 is the schematic diagram after the present invention tightens;
Fig. 5 is the schematic diagram that the present invention uses in peritoneal dialysis tube placing operation.
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 abdominal cavity.105 latch closures.
Detailed description of the invention
Below in conjunction with specific embodiment, the present invention is described in further detail, and the explanation of the invention is not limited.
See Fig. 1, Fig. 2, a kind of peritoneal dialysis tube placing operation latch closure, comprise axis 3, axis 3 is provided with the center through hole passed through for peritoneal dialysis pipeline (abdomen is managed thoroughly), the upper and lower two ends of axis are respectively equipped with blade 1 and lower blade 2, and blade 1 and lower blade 2 are equipped with equally distributed perforation;
The axial wall of axis is provided with in the shape of a spiral around the aperture 5 of distribution, and slip is successively through aperture;
Connecting line 5 through center through hole through blade 1 and the corresponding perforation of lower blade 2, in center through hole up and down.
Concrete described axis 3, blade 1 and lower blade 2 are made by expanded PTFE surgical patch, and slip, connecting line 5 are made for nylon.Politef has good sealing, elasticity, electrical insulating property and ageing resistance, to human non-toxic's side effect, has the good compatibility with tissue, is therefore the preferred material making this latch closure.
Clamp peritoneal dialysis pipeline for the ease of latch closure and be fixed on peritoneum, devise two channel system (A duct, B duct) and slip, connecting line, wherein A duct: the axial wall of axis 3 is provided with in the shape of a spiral around the aperture of distribution, and slip is successively through aperture; And center through hole is all stretched out in slip two ends, is exposed to outside blade, to operate; When needs tighten up, by being similar to the action of tying the shoelace: tighten up the two ends of slip exposure and tie a knot, axis is just tightened up makes latch closure tight enclosure abdomen thoroughly manage;
B duct: described blade and lower blade are equipped with multiple equally distributed perforation, connecting line through blade and perforation corresponding to lower blade homonymy, in center through hole up and down.
Or see Fig. 3, Fig. 4, blade and lower blade are equipped with multiple equally distributed perforation, and a connecting line passes center through hole, sideling through the perforation that blade is relative with lower blade, two ends are exposed to outside blade, so just can have two connecting lines crossed through; When needs tighten up, tighten up the two ends of connecting line exposure and tie a knot, blade and lower blade are close to each other under tension, thus are clamped by peritoneum.
In order to reduce reactivity, slip, connecting line all select the material to human non-toxic's side effect, preferably can also have the good compatibility; Concrete slip, connecting line select the nylon wire that 0.5mm is thick.
Pass through to better be convenient to the saturating pipe of abdomen, axis is cylindric, and its internal diameter (i.e. center through hole) is at least 8mm, and its external diameter is 1 ~ 1.2cm, is highly at least 5mm.And the diameter of blade and lower blade at least 1.5cm, 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 the round pie of diameter 2cm, thick 3mm.
See Fig. 5, the operation when concrete use is as follows:
When implementing peritoneal dialysis tube placing operation, cut open skin layer 102, peritoneum 103 punctures formation aperture, then 105 latch closures is inserted aperture, makes the peritoneum aperture after puncture hold the axis of latch closure, makes blade, lower blade lays respectively at the outer both sides of intraperitoneal.Saturating for abdomen pipe is inserted abdominal cavity 104 from center through hole, then tighten up slip and tie a knot, latch closure tight enclosure abdomen is managed thoroughly, tighten up the connecting line through upper and lower blade again, upper and lower blade is drawn close and clamps peritoneum from inside and outside both sides, latch closure and peritoneum are combined closely, thus saturating for abdomen pipe is fixed on peritoneum, form watertight closed structure.
Owing to have employed expanded PTFE surgical patch, this material softness degree is high, and upper and lower blade can bend arbitrarily, therefore only needs puncture peritoneum to obtain the aperture identical with axis external diameter and can insert inserting in process.Stomach wall is entered without the need to large otch like this in peritoneal dialysis tube placing operation, also without the need to cutting peritoneum, but complete operation in the mode that the peritoneum that punctures puts into latch closure, thus operative incision can be made to be contracted to 2cm, prevent from tearing peritoneum in art, decrease the incidence rate of postoperative peritoneal dialysis liquid seepage.
And latch closure to be inserted and after fixing, the biocompatibility good due to it and distinctive microcellular structure, nontoxic, without carcinogenic, without side effect such as sensitization, expanded PTFE surgical patch is desirable biological tissue's succedaneum, also can not cause untoward reaction so be retained in human body.
Claims (9)
1. a peritoneal dialysis tube placing operation latch closure, is characterized in that, comprises axis, and axis is provided with the center through hole passed through for the saturating pipe of abdomen, and the upper and lower two ends of axis are respectively equipped with blade and lower blade, and blade and lower blade are equipped with perforation; The axial wall of axis is provided with in the shape of a spiral around the aperture of distribution, and slip is successively through aperture; Connecting line passes the blade perforation corresponding with lower blade successively through center through hole.
2. peritoneal dialysis tube placing operation latch closure as claimed in claim 1, it is characterized in that, described axis, blade and lower blade are made by expanded PTFE surgical patch.
3. peritoneal dialysis tube placing operation latch closure as claimed in claim 1, it is characterized in that, center through hole is all stretched out in the two ends of described slip, is exposed to outside blade.
4. peritoneal dialysis tube placing operation latch closure as claimed in claim 1, it is characterized in that, described blade and lower blade are equipped with multiple equally distributed perforation, connecting line through blade and perforation corresponding to lower blade homonymy, in center through hole up and down.
5. peritoneal dialysis tube placing operation latch closure as claimed in claim 1, it is characterized in that, described blade and lower blade are equipped with multiple equally distributed perforation, connecting line sideling through center through hole, through the perforation of blade and lower blade opposite side.
6. the peritoneal dialysis tube placing operation latch closure as described in claim 4 or 5, it is characterized in that, center through hole is all stretched out in the two ends of connecting line, is exposed to outside blade.
7. peritoneal dialysis tube placing operation latch closure as claimed in claim 1, it is characterized in that, described slip, connecting line are that nylon is made.
8. peritoneal dialysis tube placing operation latch closure as claimed in claim 1, 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, is highly at least 5mm.
9. peritoneal dialysis tube placing operation latch closure as claimed in claim 1, it is characterized in that, described blade and the diameter of lower blade at least 1.5cm, thickness is 2mm at least.
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 |
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CN201210247478.5A CN102805886B (en) | 2012-07-17 | 2012-07-17 | Buckle for catherization for peritoneal dialysis |
Publications (2)
Publication Number | Publication Date |
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CN102805886A CN102805886A (en) | 2012-12-05 |
CN102805886B true CN102805886B (en) | 2015-01-07 |
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CN201210247478.5A Expired - Fee Related CN102805886B (en) | 2012-07-17 | 2012-07-17 | Buckle for catherization for peritoneal dialysis |
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Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5645532A (en) * | 1996-03-04 | 1997-07-08 | Sil-Med Corporation | Radiopaque cuff peritoneal dialysis catheter |
CN202715074U (en) * | 2012-07-17 | 2013-02-06 | 西安交通大学 | Buckle for peritoneal dialysis catherization |
Family Cites Families (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2011115272A (en) * | 2009-12-01 | 2011-06-16 | National Cardiovascular Center | Cuff member and catheter with cuff member |
JP2011115271A (en) * | 2009-12-01 | 2011-06-16 | National Cerebral & Cardiovascular Center | Cuff member and catheter with the same |
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2012
- 2012-07-17 CN CN201210247478.5A patent/CN102805886B/en not_active Expired - Fee Related
Patent Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5645532A (en) * | 1996-03-04 | 1997-07-08 | Sil-Med Corporation | Radiopaque cuff peritoneal dialysis catheter |
CN202715074U (en) * | 2012-07-17 | 2013-02-06 | 西安交通大学 | Buckle for peritoneal dialysis catherization |
Non-Patent Citations (2)
Title |
---|
JP特开2011-115271A 2011.06.16 * |
JP特开2011-115272A 2011.06.16 * |
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Granted publication date: 20150107 Termination date: 20170717 |