CN104257441A - Sleeving component for emergency reconstruction of blood vessels and intestinal tubes - Google Patents

Sleeving component for emergency reconstruction of blood vessels and intestinal tubes Download PDF

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Publication number
CN104257441A
CN104257441A CN201410555561.8A CN201410555561A CN104257441A CN 104257441 A CN104257441 A CN 104257441A CN 201410555561 A CN201410555561 A CN 201410555561A CN 104257441 A CN104257441 A CN 104257441A
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China
Prior art keywords
blood vessel
intestinal tube
rebuild
meet
urgent need
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CN201410555561.8A
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Chinese (zh)
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CN104257441B (en
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王瑜
肖海
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Fuzhou General Hospital of Nanjing Military Command of PLA
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Individual
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Publication of CN104257441B publication Critical patent/CN104257441B/en
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  • Prostheses (AREA)

Abstract

The invention relates to the field of medical apparatus, in particular to a sleeving component for emergency reconstruction of blood vessels and intestinal tubes. The sleeving component for the emergency reconstruction of blood vessels and intestinal tubes comprises a connecting cannula and a tightening piece; at least one annular tightening groove vertical to the axial direction of the connecting cannula is formed in the outer surface of the cavity wall of each of two ends of the connecting cannula; the tightening piece is matched with the tightening grooves, after the tightening piece is tightened, ends of two blood vessels or intestinal tubes are respectively connected with two ends of the connecting cannula. The sleeving component for the emergency reconstruction of blood vessels and intestinal tubes is easy, fast and convenient to operate and capable of quickly constructing a temporary blood flow or intestinal tract passage.

Description

To meet an urgent need the cover connected components rebuild for blood vessel, intestinal tube
Technical field
The present invention relates to medical instruments field, be in particular and a kind ofly meet an urgent need the cover connected components rebuild for blood vessel, intestinal tube.
Background technology
As everyone knows, multiple situation can cause fracture or the perforation of blood vessel or intestinal tube in splanchnocoel, and such as, on battlefield, soldier's splanchnocoel is by during gunshot wound or comparatively serious accident occurs cause the patient of damage in splanchnocoel, also or the wounded of the similar natural disaster such as the such as earthquake that happens suddenly etc. certain situation.
Above-mentioned cited several sights have several common feature: be 1. emergency case, and the situation is critical, cannot predict in advance and ready; 2. sb.'s sickness becomes critical needs to carry out surgical intervention immediately to save life; 3. in injured 72 hours, Relapse rate difficulty is surveyed and thus cannot carry out comprehensive definitiveness operation immediately with a large amount of complication generation.
Emergency processing mode traditional is at present under Damage Coutrol theory instructs, and after first the blood vessel of fracture or intestinal tube being carried out the emergent management such as ligation, then enters ICU recovery, row definitiveness operation again after stable disease.
But above-mentioned traditional approach also exists very large drawback:
1. for blood vessel injury, adopt the mode of traditional ligation to cause blood flow ceases, thus the ischemic necrosis of supply internal organs can be caused, finally cause the complication such as multiple organs dysfunction.
2., for intestinal tube, ligation intestinal tube can cause that intestinal cavity pressure increases, intestinal dysfunction, thus causes bacterial translocation from gut even to cause multiple organs dysfunction, and intestinal poor arterial inflow also can be caused to cause the problems such as bowel necrosis.
3. after stable disease, carry out definitiveness surgical stapling when rebuilding, easily there is atrophy or delayed necrosis and cause rebuilding difficulty in the blood vessel after traditional approach process, intestinal tube, or could coincide after must excising more intestinal tube.
Summary of the invention
The object of the invention is to: a kind of simple to operate, rapid and convenient is provided, can rapid build a kind ofly meeting an urgent need the cover connected components rebuild for blood vessel, intestinal tube of going out interim blood flow or intestinal passage.
The present invention is achieved through the following technical solutions: a kind ofly to meet an urgent need the cover connected components rebuild for blood vessel, intestinal tube, it is characterized in that: it comprises joint sleeve and tightening piece; What the chamber wall outer surface at described joint sleeve two ends is respectively equipped with at least one ring-type axially vertical with joint sleeve tightens groove;
Described tightening piece with tighten fit depressions, the termination of two sections of blood vessels or intestinal tube can be made after tightening piece is tightened to be connected to the two ends of joint sleeve.
Technology comparatively, beneficial effect of the present invention is:
1, rapidly easy to operate, utilize joint sleeve blood vessel, intestinal tube are communicated with and adopt tightening piece fixedly to get final product complete operation;
2, the blood vessel rupture multistage or intestinal tube utilize joint sleeve bridge joint namely can construct unimpeded blood flow or intestinal passage rapidly later temporarily, the meaning building unimpeded blood vessel access is to make the unobstructed local organization of vascularity that allows of blood flow not easily downright bad, the meaning building unimpeded intestinal passage is to prevent bacterial translocation from gut, the generation of intestinal infection, make intestinal blood transport smooth and easy preventing and cause bowel necrosis, thus maintain the vital sign of patient, reduce multiple organ dysfunction incidence rate, reduce mortality rate and disability rate, and then improve the survival rate of patient,
3, the present invention disassembles conveniently, and owing to constructing temporary paths, after only joint sleeve need being disassembled one by one in later stage suture operation, row is rebuild, convenient and swift.
Accompanying drawing explanation
Fig. 1 is joint sleeve schematic perspective view;
Fig. 2 is fastening straps schematic perspective view;
Fig. 3 is using state schematic diagram of the present invention;
Fig. 4 is Fig. 3 sectional view;
Fig. 5 is for rebuilding blood vessel schematic diagram;
Fig. 6 is for rebuilding intestinal tube schematic diagram;
Fig. 7 is elasticity latch closure front view;
Fig. 8 is tight ring front view;
Fig. 9 is tight ring working state schematic representation.
Label declaration: 1-tightens groove, 2-flexible pipe body, 3-coincide, and socket termination, 4-cut off pipe, 5-fastening straps, 6-limiting tooth, 7-spacing hole, 8-elasticity latch closure, 9-tight ring.
Detailed description of the invention
Illustrate below in conjunction with accompanying drawing and the present invention elaborated:
As shown in Figures 1 to 6, the present invention includes joint sleeve and tightening piece; What the chamber wall outer surface at described joint sleeve two ends is respectively equipped with at least one ring-type axially vertical with joint sleeve tightens groove 1;
Described tightening piece with tighten groove 1 and match, the termination of two sections of blood vessels or intestinal tube can be made after tightening piece is tightened to be connected to the two ends of joint sleeve.
Further, described joint sleeve comprises the flexible pipe body 2 and two socket terminations 3 that coincide that can stretch, and described identical socket termination 3 is located at flexible pipe body two ends respectively and connects as one with flexible pipe body.
Because the intestinal of fracture or blood vessel all certain contraction can occur, therefore adopt flexible pipe body 2 can stretch further accordingly and avoid pullling be connected blood vessel or intestinal tube and producing phenomenon of rupture.
Further, the chamber wall of described identical socket termination 3 is double-decker, wherein internal layer be rigid layer, outer be flexible layer.
The effect of rigid layer be maintain fracture port place shape to maintain the smooth and easy of passage, flexible layer is in order in blood, the effect playing buffering between intestinal tube road and rigid layer, prevents from acting on because fastening straps 5 is tightened for a long time and causing blood vessel or intestinal tube tissue necrosis.Here, the cell body of tightening in groove 1 expands crosses over flexible layer and rigid layer.Usually, flexible layer can adopt silica gel to make, and rigid layer can adopt medical plastic to make.
Further, be also provided with at least one between described identical socket termination 3 and flexible pipe body 2 and cut off pipe 4, cut off pipe 4 and flexible pipe body 2 and the identical termination 3 that is socketed is tightly connected into and is integrated.
When carrying out surgical procedure, many residual materials are often had to flow out the operation that thus can hamper operation greatly in blood vessel or intestinal tube, and the effect cutting off pipe 4 is here exactly, and one end is when being fixed operation, the tool holdings such as clip can be used to make in joint sleeve, to form a temporary closing surface at partition pipe 4 place pass through to stop residuals, greatly facilitate the operation that doctor is fixed, to be fixed complete after again by clip take out can make to recover unimpeded in joint sleeve.
Further, tighten described between groove 1 and adapter sleeve wall of the lumen and there is rounding off face.
Transition face is in order to fastening straps 5 and tighten the anti-hemostatic tube of leaving gap or intestinal tube tissue necrosis between groove 1.
Further, described joint sleeve internal face is covered with anticoagulant coating, joint sleeve outside wall surface is covered with antiinflammatory coating.
Anticoagulant coating can adopt rapamycin, and antiinflammatory coating can adopt silver ion or titanium dioxide.
Below introduce the scheme of three kinds of tightening pieces:
Embodiment 1:
As Fig. 2, described tightening piece is fastening straps 5; The wall of at least one sidewall of fastening straps 5 is provided with several limiting tooths 6 extended along fastening straps 5 length direction, the profile of described limiting tooth 6 is blunt rounded, several limiting tooth 6 equidistant arrangement and keeping the gap of limiting tooth 6 width between adjacent limiting tooth 6 between two, make fastening straps 5 form wavy shaped configuration containing the face of limiting tooth 6;
Fastening straps 5 one end is provided with spacing hole 7, is provided with the spacing preiection with matched in clearance in spacing hole 7, fastening straps 5 can be made blood vessel, intestinal tube to be tightened after spacing hole 7 is engaged mutually with limiting tooth 6.
Limiting tooth 6 profile is waveform is in order to when preventing fastening straps 5 from tightening, limiting tooth 6 scratches the tube wall of blood vessel or intestinal tube.Tightening piece in this scheme is comparatively firm, slippage not easily occurs and is applicable to the longer operation of second operation time and uses.Corrugated structure can also between fastening straps 5 and blood vessel or intestinal tube the anti-hemostatic tube of leaving gap or intestinal tube tissue necrosis.
Embodiment 2:
As shown in Figure 7, described tightening piece is the elasticity latch closure 8 with opening, and when opening closes, the internal diameter of elasticity latch closure 8 matches with the external diameter of tightening groove, and the material of elasticity latch closure 8 is memory metal, and elasticity latch closure 8 internal face is provided with anti-skidding lines.Described anti-skidding lines is smooth waveform lines.
The design of the anti-skidding lines of waveform is in order to the anti-hemostatic tube of leaving gap or intestinal tube tissue necrosis between elasticity latch closure 8 and blood vessel or intestinal tube.Anti-skidding lines can also increase frictional force and prevent elasticity latch closure 8 slippage, adopts smooth waveform lines to be to prevent elasticity latch closure 8 extruding for a long time for the injury of intestinal tube, blood vessel simultaneously.
Scheme in embodiment 1, tightening piece in this scheme is installed fast more convenient, be adapted at the state of an illness more urgent and need the operative site that operates more numerous and diverse when adopt.Certainly, other other material that can realize above-mentioned functions or structure and combination thereof can also be adopted.
Embodiment 3:
As can be seen from figures 8 and 9, described tightening piece is the Semen Benincasae shape tight ring 9 that nickel-titanium memory tinsel surrounds.
Here operating temperature is adopted to be that the nickel-titanium memory metal material of 37 degree is made.Untapped tight ring 9 is placed in frozen water and keeps normal morphology by operation consent; During use, only tight ring 9 need be positioned over and need fixing position, the body temperature of human body conduct to rapidly in tight ring 9 temperature when making it reach work then tight ring 9 curl into ring-type along the tube wall of intestinal tube or blood vessel, tight ring 9 two ends can form the memory configuration of intersection, thus tube wall are closely wrapped up by tight ring 9 realize fixing.
This scheme is rapidly more convenient compared to embodiment 2, extremely low to operation operation requirements, is applicable to any common medical worker, good fixing effect.
Although the present invention adopts specific embodiment and alternative thereof illustrate to the present invention and illustrate, only to should be appreciated that otherwise the variations and modifications deviated from scope of the present invention all can be implemented.Therefore, except being to be understood that the restriction of claim except being enclosed and condition of equivalent thereof, the present invention is not by the restriction of going up in all senses.

Claims (10)

1. to meet an urgent need the cover connected components rebuild for blood vessel, intestinal tube, it is characterized in that: it comprises joint sleeve and tightening piece; What the chamber wall outer surface at described joint sleeve two ends is respectively equipped with at least one ring-type axially vertical with joint sleeve tightens groove (1);
Described tightening piece with tighten groove (1) and match, the termination of two sections of blood vessels or intestinal tube can be made after tightening piece is tightened to be connected to the two ends of joint sleeve.
2. according to claim 1ly to meet an urgent need the cover connected components rebuild for blood vessel, intestinal tube, it is characterized in that: described joint sleeve comprises the flexible pipe body (2) and two sockets termination (3) that coincide that can stretch, and described identical socket termination (3) is located at flexible pipe body two ends respectively and connects as one with flexible pipe body.
3. according to claim 2ly to meet an urgent need the cover connected components rebuild for blood vessel, intestinal tube, it is characterized in that: the chamber wall of described identical socket termination (3) is double-decker, wherein internal layer be rigid layer, outer be flexible layer.
4. according to claim 2ly to meet an urgent need the cover connected components rebuild for blood vessel, intestinal tube, it is characterized in that: be also provided with to cut off between described identical socket termination (3) and flexible pipe body (2) and manage (4), cut off pipe (4) and flexible pipe body (2) and the identical termination (3) that is socketed is tightly connected into and is integrated.
5. according to claim 1ly to meet an urgent need the cover connected components rebuild for blood vessel, intestinal tube, it is characterized in that: described in tighten between groove (1) and adapter sleeve wall of the lumen and there is rounding off face.
6. according to claim 1ly to meet an urgent need the cover connected components rebuild for blood vessel, intestinal tube, it is characterized in that: described joint sleeve internal face is covered with anticoagulant coating, joint sleeve outside wall surface is covered with antiinflammatory coating.
7. according to claim 1ly to meet an urgent need the cover connected components rebuild for blood vessel, intestinal tube, it is characterized in that: described tightening piece is fastening straps (5); The wall of fastening straps (5) at least one sidewall is provided with several limiting tooths (6) extended along fastening straps (5) length direction, the profile of described limiting tooth (6) is blunt rounded, several limiting tooths (6) equidistant arrangement and keeping the gap of limiting tooth (6) width between adjacent limiting tooth (6) between two, makes fastening straps (5) form wavy shaped configuration containing the face of limiting tooth (6);
Fastening straps (5) one end is provided with spacing hole (7), be provided with the spacing preiection with matched in clearance in spacing hole (7), after spacing hole (7) is engaged mutually with limiting tooth (6), fastening straps (5) can be made blood vessel, intestinal tube to be tightened.
8. according to claim 1ly to meet an urgent need the cover connected components rebuild for blood vessel, intestinal tube, it is characterized in that: described tightening piece is the elasticity latch closure (8) with opening, when opening closes, the internal diameter of elasticity latch closure (8) matches with the external diameter of tightening groove, the material of elasticity latch closure (8) is memory metal, and elasticity latch closure (8) internal face is provided with anti-skidding lines.
9. according to claim 8ly to meet an urgent need the cover connected components rebuild for blood vessel, intestinal tube, it is characterized in that: described anti-skidding lines is smooth waveform lines.
10. according to claim 1ly to meet an urgent need the cover connected components rebuild for blood vessel, intestinal tube, it is characterized in that: described tightening piece is the Semen Benincasae shape tight ring (9) that nickel-titanium memory tinsel surrounds.
CN201410555561.8A 2014-10-17 2014-10-17 To meet an urgent need the cover connected components rebuild for blood vessel, intestinal tube Expired - Fee Related CN104257441B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201410555561.8A CN104257441B (en) 2014-10-17 2014-10-17 To meet an urgent need the cover connected components rebuild for blood vessel, intestinal tube

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Application Number Priority Date Filing Date Title
CN201410555561.8A CN104257441B (en) 2014-10-17 2014-10-17 To meet an urgent need the cover connected components rebuild for blood vessel, intestinal tube

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CN104257441A true CN104257441A (en) 2015-01-07
CN104257441B CN104257441B (en) 2016-03-23

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Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
SU1237202A1 (en) * 1985-03-04 1986-06-15 Всесоюзный научный центр хирургии Prosthesis of tubular organ
CN1225565A (en) * 1996-07-24 1999-08-11 詹·奥托·索里姆 Blood vessel connecting device
US20020082684A1 (en) * 2000-09-25 2002-06-27 David Mishaly Intravascular prosthetic and method
CN1475193A (en) * 2003-07-04 2004-02-18 中国人民解放军总医院 Double layer hollow blood vessel internal support used for vascular anastomosis and its preparation method
CN1636531A (en) * 2003-09-30 2005-07-13 伊西康内外科公司 Implantable band having improved attachment mechanism
CN202458780U (en) * 2012-01-19 2012-10-03 卢世璧 Temporary vessel shunting device
CN204106110U (en) * 2014-10-17 2015-01-21 王洛 To meet an urgent need the cover connected components rebuild for blood vessel, intestinal tube

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
SU1237202A1 (en) * 1985-03-04 1986-06-15 Всесоюзный научный центр хирургии Prosthesis of tubular organ
CN1225565A (en) * 1996-07-24 1999-08-11 詹·奥托·索里姆 Blood vessel connecting device
US20020082684A1 (en) * 2000-09-25 2002-06-27 David Mishaly Intravascular prosthetic and method
CN1475193A (en) * 2003-07-04 2004-02-18 中国人民解放军总医院 Double layer hollow blood vessel internal support used for vascular anastomosis and its preparation method
CN1636531A (en) * 2003-09-30 2005-07-13 伊西康内外科公司 Implantable band having improved attachment mechanism
CN202458780U (en) * 2012-01-19 2012-10-03 卢世璧 Temporary vessel shunting device
CN204106110U (en) * 2014-10-17 2015-01-21 王洛 To meet an urgent need the cover connected components rebuild for blood vessel, intestinal tube

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CB03 Change of inventor or designer information

Inventor after: Zhang Hongwen

Inventor after: Wang Yu

Inventor after: Xiao Hai

Inventor before: Wang Yu

Inventor before: Xiao Hai

CB03 Change of inventor or designer information
TR01 Transfer of patent right

Effective date of registration: 20181227

Address after: 350000 No. 156, North Road, West Second Ring Road, Gulou District, Fuzhou City, Fujian Province

Patentee after: FUZHOU GENERAL HOSPITAL OF NANJING MILITARY COMMAND OF CHINESE PLA

Address before: 350200 Heyang Building, Hexia Street, Wuhang Town, Changle City, Fuzhou City, Fujian Province, No. 202, 6 blocks

Co-patentee before: Wang Yu

Patentee before: Wang Luo

Co-patentee before: Xiao Hai

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CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20160323

CF01 Termination of patent right due to non-payment of annual fee