CN103479470A - Hot-water circulation heating therapeutic apparatus for esophageal carcinoma - Google Patents

Hot-water circulation heating therapeutic apparatus for esophageal carcinoma Download PDF

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CN103479470A
CN103479470A CN201310463058.5A CN201310463058A CN103479470A CN 103479470 A CN103479470 A CN 103479470A CN 201310463058 A CN201310463058 A CN 201310463058A CN 103479470 A CN103479470 A CN 103479470A
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heating
hot
conduit
heating water
water circulation
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CN201310463058.5A
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CN103479470B (en
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范才
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Abstract

The invention relates to a hot-water circulation heating therapeutic apparatus for the esophageal carcinoma. The hot-water circulation heating therapeutic apparatus for the esophageal carcinoma structurally comprises a heating water tank, a heating water bag, three-cavity catheters, a hot-water circulation power unit, a controller and the like. According to the hot-water circulation heating therapeutic apparatus for the esophageal carcinoma, the hot-water circulation power unit can be used for injecting heated therapeutic liquid into the heating water bag, and sucking back cooled therapeutic liquid with the same volume from the heating water bag, circulating heating is carried out in the heating water tank, and the heating water bag can carry out thermal therapy on a neoplasia area in an esophageal lumen under the condition that the size of the heating water bag is not changed. The hot-water circulation heating therapeutic apparatus for the esophageal carcinoma can effectively prevent the phenomena of volume expansion and burst of the heating water bag from happening, and prevent the phenomenon of sudden cardiac arrest from happening due to the fact that no electrode is used in the esophageal lumen of a human body, use safety of the hot-water circulation heating therapeutic apparatus for the esophageal carcinoma in the therapeutic process can be ensured, and the hot-water circulation heating therapeutic apparatus for the esophageal carcinoma is applicable to clinical popularization and use.

Description

Esophageal carcinoma hot water circulation heated therapeutic instrument
Technical field
The present invention relates to a kind for the treatment of of cancer device, specifically a kind of esophageal carcinoma hot water circulation heated therapeutic instrument.
Background technology
The esophageal carcinoma is one of common digestive tract tumor of the mankind, and its sickness rate occupies the 8th of global malignant tumor.Esophageal carcinoma fatality rate is higher, according to recent statistics, new patient with esophageal carcinoma 482300 examples in the whole world in 2008, the same period dead 406800 examples.China is the country occurred frequently of the esophageal carcinoma, and it is over half that its year new cases account for the world, and its mortality rate has accounted for the 4th of China's malignant tumor, apparently higher than global average level.The primary treatment means of the esophageal carcinoma are operation, radiotherapy and chemotherapy.The first-selected operation of early stage esophageal carcinoma therapy, its five year survival rate reaches 90 ~ 100%, but about 80% patient with esophageal carcinoma is to have belonged to middle and advanced stage when medical, radiotherapy is its primary treatment means, but curative effect is not satisfactory, five year survival rate only 7 ~ 15%, local recurrence or not control be its main cause.Chemotherapy is only as the palliative therapy of the esophageal carcinoma, and the putting combined treatment esophageal carcinoma is expected to improve therapeutic effect.Visible, the therapeutic modality of concentrating on one thing only all can not improve the therapeutic effect of the esophageal carcinoma, and the multidisciplinary synthesis treatment just likely improves survival rate.The Recent study confirmation, thermotherapy and radiotherapy have complementary action, can improve the Partial controll rate of the esophageal carcinoma.
Current, esophageal carcinoma thermotherapy method has following several:
1, external heating: advantage is safety, easy to operate, but is difficult to reach the treatment temperature of clinical requirement.
2, intracavity heating: advantage is to press close to the cancer heating, and local tumor can obtain satisfied heat and cover, and peripheral normal structure heat decay is fast, can obtain the comparatively ideal treatment ratio of gains.The heating source used comprises microwave and the large class of radio frequency two.Its shortcoming is: the effective length of (1) intracavity irradiation is 5cm only, can not adjust according to the length of actual tumor; (2) available heat of irradiator is distributed in decay rapidly on the major axis vertical direction, and effectively heat penetration is no more than 0.5cm; (3) patient's compliance is poor, is difficult to reach effective treatment time and treatment temperature.
3, LRZ-II type esophagus endovenous radiofrequency heater, adopt a kind of electrode catheter with water pocket, and in capsule, saline injection, as electrolyte, produces thermal ionization, heat radiation and conduction of heat.Can become zone to 3cm tumor around muscle bundle and carry out homogeneous heating, place the thermometric galvanic couple in electrode, be in direct contact with the early position that slips of tumor by the outer pad of water pocket, can monitor and record the temperature at water pocket pad place in the overall process heated to treat.Shortcoming is: complicated operation, and patient's compliance is poor, in addition, because this device is heated by the electrode in the insertion esophageal lumen, therefore, the probability that causes cardiac arrest is arranged during energising, and Operative risk is large.This is also that this device was invented over more than ten years, has no clinically the reason of use always.
The CN200420010090.4 patent discloses a kind of " heat therapy instrument used in esophagus ", this device comprises: sacculus, conduit, heating control apparatus, be provided with water-thermometer on the panel of heating control apparatus, timetable, tachograph, water pressure gauge, the temperature control handle, the time control handle, on and off switch, pump switch, the flow speed control knob, hydraulic pressure control knob etc., inside at heating control apparatus is provided with water tank, water pump and various control senser element, far away at sacculus, near-end is provided with far-end sign and near-end sign, conduit is connected on heating control apparatus, conduit is by water inlet pipe, wire leading pipe, outlet pipe forms and is connected to form one, wire leading pipe is positioned at the centre of conduit, in the termination of conduit and be fixedly installed sacculus around conduit, water inlet pipe is communicated with sacculus by inlet opening, outlet pipe is communicated with sacculus by apopore.
The greatest problem that this patent exists is in therapeutic process, to make the volume of sacculus remain unchanged, but, along with the continuity for the treatment of, in the process of pumping treatment hot water, the volume of sacculus can be increasing, and finally cause the sacculus explosion, injure patient's health.This is because sacculus is to make with flexible material, lack rigidity, and the process of with water pump, to the circulation of being treated hot water in sacculus, taking out notes, seeming is the process that notes are taken out in a kind of isopyknic circulation, but actually not so, this is because water pump is that the negative pressure of vacuum that the high speed centrifugation effect by impeller produces is carried out the suction of liquid and send liquid after pressurization in pump, and the aspiration procedure of this negative-pressure vacuum state, contained gas componant in aspirated treatment hot water can be separated out, like this in the process of circulation pumping, the gas be precipitated will get more and more, and also all participate in the cyclic process for the treatment of hot water, and these gases are after being injected into sacculus, because sacculus is the flexible structure body, at first entering of gas will make the volume of sacculus expand, and the change of volume, the delay that nature will produce gas, and be difficult for being recycled extraction, like this, gas in sacculus will be more poly-more, it is increasing that the volume of sacculus also just becomes, cause the generation of explosion situation also just unavoidable.So, the reason of this to be also this technology failed to obtain clinically since coming out always practical application.
Summary of the invention
Purpose of the present invention just is to provide a kind of esophageal carcinoma hot water circulation heated therapeutic instrument, heats to treat the problem that can't obtain clinically practical application due to electrode interference or the security reason such as balloon volume is uncontrollable with the intracavity that solves the esophageal carcinoma.
The present invention is achieved in that a kind of esophageal carcinoma hot water circulation heated therapeutic instrument, includes:
Heating water tank is provided with electric heater unit and temperature-detecting device in its casing, for the splendid attire heating liquid, arriving design temperature by the treatment liquid heat of casing;
The heating water pocket, the hollow ball-shape body made from flexible material, after the described treatment liquid after the perfusion heating, support becomes location in the Endo-esophageal tumor of patient, tumor is become to zone and heated to treat;
Three cavities conduit pipe, be divided into the first conduit, the second conduit and seal wire guiding tube, and described the first conduit and described the second conduit are connected with described heating water pocket respectively;
Hot-water circulation power device, be arranged in described heating water tank, respectively with connect described the first conduit and described second conduit of drawing from described three cavities conduit pipe and join, for the treatment liquid of institute's splendid attire is alternately injected and extracts out to described heating water pocket by described the first conduit and described the second conduit respectively, the described treatment liquid injected is heated to treat at described heating water pocket, after the described treatment liquid after cooling is drawn out of, by the described heating liquid in described heating water tank, carries out heat temperature raising; Described treatment liquid in described heating water pocket is replaced simultaneous implantation and is drawn back under the equivalent state, so that the volume of described heating water pocket remains unchanged; And
Controller, with described hot-water circulation power device and described electric heater unit, described temperature-detecting device, be electrically connected to, for setting and control the heating-up temperature of described heating water tank, control do action time, action interval time and the thermotherapy operations time of the injection of described hot-water circulation power device/draw back.
Described hot-water circulation power device comprises two right circular cylinder shape cylinder bodies that internal diameter is identical, is divided into the first cylinder body and the second cylinder body, is respectively charged into described treatment liquid; The lower port of described the first cylinder body connects described the first conduit, and the lower port of described the second cylinder body connects described the second conduit; In described the first cylinder body and described the second cylinder body, be equipped with respectively can press down or on take out the piston that described treatment liquid is used, two described pistons carry out the alternately elevating movement of constant amplitude under the drive of constant amplitude apparatus for controlling of lifting.
Described constant amplitude apparatus for controlling of lifting is that the central pivot point of lever is hinged on support, at the two ends of described lever, is connected to respectively pull bar, and the lower end of two described pull bars connects on a described piston separately, in order to the described piston of push-and-pull; Be connected to the connecting rod that drives described lever action on described lever, described connecting rod is connected on a cam mechanism, and described cam mechanism is connected on the output shaft of drive motors.
On the cyst wall of described heating water pocket with temperature probe, for described controller provides the treatment temperature signal of described heating water pocket.
The present invention connects into a single-pass pipeline by the first cylinder body, the first conduit, heating water pocket, the second conduit, the second cylinder body, treatment liquid in this single-pass pipeline, under the alternately constant amplitude push-and-pull action of the piston of two cylinder bodies that are arranged in the pipeline two ends, what carry out is that the monolithic wheel of both direction flows to reciprocating cutter, like this, injection and the extraction of equivalent have just been guaranteed by the treatment liquid in the heating water pocket; Owing to not treating circulating of liquid in this process, the pump action that there is no the impeller of high speed rotating, therefore just there is no separating out of gas componant yet, there is no gathering of gas, take out the employing of notes measure in conjunction with distinctive equivalent, thereby guaranteed that the normality of the volume of heating water pocket in patient's esophagus is constant.In addition, the present invention also can, by the adjustment of the flow velocity to treatment liquid, flow and by the control of the heating-up temperature to heating water tank, make the treatment temperature that heats water pocket keep constant.
The present invention both can avoid heating the volumetric expansion of water pocket and the generation of explosion situation effectively, also because not having the use of electrode in the human body esophageal lumen to avoid the generation of sudden cardiac arrest situation, guaranteed thus the safety in utilization in therapeutic process, be suitable in clinical employing.In addition, heating sacculus and three cavities conduit pipe in the present invention can enter esophagus by nasal cavity, can improve patient's toleration and compliance, and treatment time is extended, thereby reach comparatively desirable therapeutic effect.
The accompanying drawing explanation
Fig. 1 is structural representation of the present invention.
In figure: 1, heating water tank, 2, the heating water pocket, 3, controller, 4, the first cylinder body, the 5, second cylinder body, the 6, first conduit, 7, the second conduit, 8, piston, 9, lever, 10, support, 11, pull bar, 12, connecting rod, 13, cam mechanism, 14, drive motors, 15, electric heater unit, 16, seal wire guiding tube, 17, three cavities conduit pipe.
The specific embodiment
Embodiment 1
As shown in Figure 1, be provided with electric heater unit 15, temperature-detecting device (not shown) and support 10 in heating water tank 1, be provided with two interfaces on support 10, bottom surface at each interface connects a cylinder block, and the internal diameter of two cylinder bodies is identical and all have lower port in the bottom of cylinder body.The lower port that the lower port that two cylinder bodies are divided into the first cylinder body 4 and the second cylinder body 5, the first cylinder bodies 4 connects the first conduit 6, the second cylinder bodies 5 connects the second conduit 7.8, two pistons 8 of piston moving up and down in cylinder body is housed respectively in two cylinder bodies, can press down or on take out the treatment liquid be contained in cylinder body.After the first conduit 6 and the second conduit 7 pass the casing of heating water tank 1, be connected on altogether on a three cavities conduit pipe 17, make three cavities conduit pipe 17 form one section combination body that comprises the first conduit, the second conduit and seal wire guiding tube 16, these three cavities conduit pipe 17 cross-under are in the heating water pocket 2 of a hollow ball-shape body, the upper end of the first catheter opening in three cavities conduit pipe 17 in heating water pocket 2, the bottom of the second catheter opening in three cavities conduit pipe 17 in heating water pocket 2, to form the reciprocating notes of taking out to the treatment liquid in heating water pocket 2; Seal wire guiding tube 16 in three cavities conduit pipe 17, for connecting seal wire, is delivered to the appointed part in esophageal lumen by heating water pocket 2.Can adhere to thermal insulation layer in the outside of three cavities conduit pipe 17, scald patient's Esophageal Mucosa with the treatment liquid of avoiding flowing through.
Be loaded with heating liquid in heating water tank 1, after electric heater unit 15 energisings, can be by the heating liquid heat temperature raising in casing, and the heating liquid after heating up can in the first cylinder body 4, the second cylinder body 5, the first conduit 6 and the second conduit 7 back and forth mobile treatment liquid carry out water-bath and heat, make it to reach the required temperature of thermotherapy.
The upper end that the upper end of the piston 8 in two cylinder bodies connects respectively 11, two pull bars 11 of a pull bar is hinged on respectively the two ends of lever 9, and the central pivot point of lever 9 is hinged on support 10; The connecting rod 12 of activation lever action is arranged in a termination of lever 9, and the other end of connecting rod 12 is connected on cam mechanism 13, and this cam mechanism 13 is connected on the output shaft of drive motors 14.Drive motors 14 drives cam mechanism 13 and slowly rotates, drive an end lifting of lever 9 by connecting rod 12, be subject to the supporting role of support 10, the pull bar 11 at lever 9 two ends drives respectively the elevating movement that piston 8 in the first cylinder body 4 and the second cylinder body 5 is done constant amplitude, because the internal diameter of the first cylinder body 4 and the second cylinder body 5 is equal, thereby, reached consistent with the equivalent of extracting liquid from heating water pocket 2 out to heating water pocket 2 filling liquids, realized that the equivalent in heating water pocket 2 takes out notes, the volume that heats water pocket 2 remained unchanged.
Also be provided with controller 3 in this device, electric heater unit 15, temperature-detecting device and drive motors 14 etc. all are electrically connected to controller 3, the action that the control instruction of sending according to controller 3 is answered.Can set up temperature probe on the cyst wall of heating water pocket 2, the temperature measurement signal that this temperature probe spreads out of reaches in controller 3, for controller 3 provides the treatment temperature signal that heats water pocket 2.Utilize controller 3 to be adjusted flow velocity, the flow for the treatment of liquid, also can be controlled the heating-up temperature of heating water tank 1, make the treatment temperature that heats water pocket 2 keep constant.Also can set the heating-up temperature of heating water tank 1 on controller 3, set the various control parameters such as time, action interval time and thermotherapy operations time of once injecting/draw back do action.
Embodiment 2
The basic structure of the present embodiment and embodiment's 1 is basic identical, just the constant amplitude apparatus for controlling of lifting of control piston 8 actions is different, this constant amplitude apparatus for controlling of lifting is, connect a sleeve pipe on each piston 8, a screw of upper port welding at sleeve pipe, on support 10, install two with the first cylinder body 4 and the second cylinder body 5 relative servomotor up and down, connect respectively vertical up and down leading screw at the axle head of two servomotors, the screw on leading screw and sleeve pipe joins.Two servomotors, under the control of controller 3, carry out the synchronous same-speed rotation, by coordinating of leading screw and screw, drive piston 8 and carry out the constant amplitude lifting.
The realization of two piston 8 one rise and one drop manner of execution, the one, can be achieved by the reverse synchronized rotation of servomotor; The 2nd, can be achieved by the mode that forward and reverse screw thread is set at two leading screws.
Working method of the present invention is: splendid attire heating liquid in heating water tank 1 at first, and control electric heater units 15 by controller 3 and heat; After temperature slightly surpasses the required thermotherapy temperature for the treatment of liquid, can carry out the thermotherapy preparation.First in seal wire guiding tube 16, insert seal wire, the nasal cavity by the patient inserts in esophageal lumen together with three cavities conduit pipe 17 to utilize seal wire will heat water pocket 2, always lower to Endo-esophageal tumor change location; Then, inject treatment liquid in the first cylinder body 4 that pulls out piston and the second cylinder body 5, treatment liquid, by the first conduit 6 and the second conduit 7 injection heating water pocket 2 slowly, makes to heat water pocket 2 supports and becomes location in the Endo-esophageal tumor of patient; The piston 8 of finally packing in the first cylinder body 4 and the second cylinder body 5, and connect with the constant amplitude apparatus for controlling of lifting.Until the heating liquid in casing by the treatment liquid heat in cylinder body and conduit after design temperature, start the constant amplitude apparatus for controlling of lifting, piston in the first cylinder body 48 is descended and the synchronous constant amplitude rising of piston 8 in the second cylinder body 5, in this process, piston 8 in the first cylinder body 4 will be treated liquid and be injected in heating water pocket 2 by the first conduit 6, heat the existing treatment liquid of water pocket 2 simultaneously and drawn back by the piston 8 in the second cylinder body 5 by the second conduit 7, the treatment liquid of drawing back carries out heat temperature raising in the second cylinder body 5; After the certain hour of interval, two pistons 8 carry out counteragent, piston 8 in the second cylinder body 5 injects by the second conduit 7 the treatment liquid after heating in heating water pocket 2, heat the existing treatment liquid of water pocket 2 simultaneously and drawn back by the piston 8 in the first cylinder body 4 by the first conduit 6, the treatment liquid of drawing back carries out heat temperature raising in the first cylinder body 4.So move in circles, can, in the situation that the volume of heating water pocket 2 remains unchanged, become zone with the tumor to the patient and carry out 1-2 hours heating to treat.After arriving treatment time, the notes action of taking out that controller 3 is controlled the constant amplitude lifting stops, and takes out three cavities conduit pipe 17 and heating water pocket 2 from patient's esophagus by seal wire, completes the seance process, stand-by after equipment disinfection.
Above-described embodiment is only the description to the preferred embodiment of the present invention; not the spirit and scope of the present invention are limited; under the prerequisite that does not break away from design concept of the present invention, various modification and improvement that technical scheme of the present invention is made, all belong to protection scope of the present invention.

Claims (4)

1. an esophageal carcinoma hot water circulation heated therapeutic instrument, is characterized in that, includes:
Heating water tank is provided with electric heater unit and temperature-detecting device in its casing, for the splendid attire heating liquid, arriving design temperature by the treatment liquid heat of casing;
The heating water pocket, the hollow ball-shape body made from flexible material, after the described treatment liquid after the perfusion heating, support becomes location in the Endo-esophageal tumor of patient, tumor is become to zone and heated to treat;
Three cavities conduit pipe, be divided into the first conduit, the second conduit and seal wire guiding tube, and described the first conduit and described the second conduit are connected with described heating water pocket respectively;
Hot-water circulation power device, be arranged in described heating water tank, respectively with connect described the first conduit and described second conduit of drawing from described three cavities conduit pipe and join, for the treatment liquid of institute's splendid attire is alternately injected and extracts out to described heating water pocket by described the first conduit and described the second conduit respectively, the described treatment liquid injected is heated to treat at described heating water pocket, after the described treatment liquid after cooling is drawn out of, by the described heating liquid in described heating water tank, carries out heat temperature raising; Described treatment liquid in described heating water pocket is replaced simultaneous implantation and is drawn back under the equivalent state, so that the volume of described heating water pocket remains unchanged; And
Controller, with described hot-water circulation power device and described electric heater unit, described temperature-detecting device, be electrically connected to, for setting and control the heating-up temperature of described heating water tank, control do action time, action interval time and the thermotherapy operations time of the injection of described hot-water circulation power device/draw back.
2. esophageal carcinoma hot water circulation heated therapeutic instrument according to claim 1, is characterized in that, described hot-water circulation power device comprises two right circular cylinder shape cylinder bodies that internal diameter is identical, is divided into the first cylinder body and the second cylinder body, is respectively charged into described treatment liquid; The lower port of described the first cylinder body connects described the first conduit, and the lower port of described the second cylinder body connects described the second conduit; In described the first cylinder body and described the second cylinder body, be equipped with respectively can press down or on take out the piston that described treatment liquid is used, two described pistons carry out the alternately elevating movement of constant amplitude under the drive of constant amplitude apparatus for controlling of lifting.
3. esophageal carcinoma hot water circulation heated therapeutic instrument according to claim 2, it is characterized in that, described constant amplitude apparatus for controlling of lifting is that the central pivot point of lever is hinged on support, two ends at described lever are connected to respectively pull bar, the lower end of two described pull bars connects on a described piston separately, in order to the described piston of push-and-pull; Be connected to the connecting rod that drives described lever action on described lever, described connecting rod is connected on a cam mechanism, and described cam mechanism is connected on the output shaft of drive motors.
4. according to claim 1,2 or 3 described esophageal carcinoma hot water circulation heated therapeutic instruments, it is characterized in that, on the cyst wall of described heating water pocket with temperature probe, for described controller provides the treatment temperature signal of described heating water pocket.
CN201310463058.5A 2013-10-08 2013-10-08 Hot-water circulation heating therapeutic apparatus for esophageal carcinoma Expired - Fee Related CN103479470B (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107411816A (en) * 2017-04-26 2017-12-01 杨帆 A kind of cell tissue boiling hotization of disliking in vivo decomposes therapeutic equipment

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0801938A2 (en) * 1996-04-16 1997-10-22 ARGOMED Ltd. Thermal treatment apparatus
CN2678606Y (en) * 2004-01-16 2005-02-16 冯立东 Heat therapy instrument used in esophagus
US20120226337A1 (en) * 2011-03-03 2012-09-06 Inserm (Institut National De La Sante Et De La Recherche Medicale) Method and System for Treatment of a Body of a Mammal in Cardiac Arrest
CN203107397U (en) * 2013-03-15 2013-08-07 成都嘉逸科技有限公司 Intravascular temperature automatic regulating device
CN203506964U (en) * 2013-10-08 2014-04-02 范才 Esophagus cancer hot water circulating and heating therapeutic machine

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0801938A2 (en) * 1996-04-16 1997-10-22 ARGOMED Ltd. Thermal treatment apparatus
CN2678606Y (en) * 2004-01-16 2005-02-16 冯立东 Heat therapy instrument used in esophagus
US20120226337A1 (en) * 2011-03-03 2012-09-06 Inserm (Institut National De La Sante Et De La Recherche Medicale) Method and System for Treatment of a Body of a Mammal in Cardiac Arrest
CN203107397U (en) * 2013-03-15 2013-08-07 成都嘉逸科技有限公司 Intravascular temperature automatic regulating device
CN203506964U (en) * 2013-10-08 2014-04-02 范才 Esophagus cancer hot water circulating and heating therapeutic machine

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107411816A (en) * 2017-04-26 2017-12-01 杨帆 A kind of cell tissue boiling hotization of disliking in vivo decomposes therapeutic equipment

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