CN104306041A - Endonasal-transsphenoidal surgical wound closure guide - Google Patents

Endonasal-transsphenoidal surgical wound closure guide Download PDF

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Publication number
CN104306041A
CN104306041A CN201410571505.3A CN201410571505A CN104306041A CN 104306041 A CN104306041 A CN 104306041A CN 201410571505 A CN201410571505 A CN 201410571505A CN 104306041 A CN104306041 A CN 104306041A
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CN
China
Prior art keywords
pipe
nose conduit
nasal
sacculus
guider
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201410571505.3A
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Chinese (zh)
Inventor
章翔
章薇
毛星刚
李剑
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Fourth Military Medical University FMMU
Original Assignee
Fourth Military Medical University FMMU
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Fourth Military Medical University FMMU filed Critical Fourth Military Medical University FMMU
Priority to CN201410571505.3A priority Critical patent/CN104306041A/en
Publication of CN104306041A publication Critical patent/CN104306041A/en
Pending legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/24Surgical instruments, devices or methods, e.g. tourniquets for use in the oral cavity, larynx, bronchial passages or nose; Tongue scrapers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12099Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
    • A61B17/12109Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder in a blood vessel
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12131Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
    • A61B17/12136Balloons
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B2017/12004Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Animal Behavior & Ethology (AREA)
  • Reproductive Health (AREA)
  • Vascular Medicine (AREA)
  • Pulmonology (AREA)
  • Dentistry (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Otolaryngology (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention relates to an endonasal-transsphenoidal surgical wound closure guide. One end of a tube body is provided with a drain line and an inflating line which are parallel; the other end of the tube body is provided with two parallel nasal entry catheters; each nasal entry catheter is provided with an expandable bulb; the sidewall of the tube body and the sidewall of each nasal entry catheter are provided with a sidewall passage which connect the inflating line and the expandable bulbs, so that the size of the bulbs can be adjusted by adjusting air or liquid intake of the inflating line. With the endonasal-transsphenoidal surgical wound closure guide, a patient can have the nasal and sphenoidal physiological functions recovered, and the postoperative complications such as cerebrospinal fluid rhinorrhea and deviation of nasal septum are avoided. An opening of the inflating line is provided with a one-way valve, so that air or liquid leakage of the bulbs is prevented. A guide head of each nasal entry catheter is provided with a side hole allowing the patient to breathe or liquid to discharged, the patient's physiological functions are better satisfied, and the clinical popularization and application of the endonasal-transsphenoidal surgical wound closure guide is favored.

Description

A kind of per nasal-operation of sphenoid sinus wound road closes guider
Technical field
The present invention relates to a kind of closed guider, be specifically related to a kind of per nasal-operation of sphenoid sinus wound road and close guider.
Background technology
Hemostasis after surgery of nasal cavity is also by traditional method: water pocket, balloon tamponade hemostasis are clogged or made by oneself to ointment ribbon gauze, and burn rear spraying medicine etc.Above method can only play anastalsis, but causes the multiple discomfort of patient during clogging simultaneously, as: headache, xerostomia, nasal obstruction, face swelling, even there is feed or dyspnea in severe patient.No matter above method is sliver filling, still burns rear spraying medicine, all can obtain certain therapeutic effect, but not good to postoperative nasal meatus place haemostatic effect, row postnasal packing of still needing.Postnasal packing action need is implemented by there being the doctor of certain clinical experience, makes clinical practice be subject to a definite limitation.Easily making patients's psychological burden simultaneously, and reduce the quality of life of patient.
The ventilation of hemostatic balloon used is at present single straight tube ventilation, patient's nasal cavity healing deviation can be caused, cause nasal septum to be shifted, be unfavorable for that patient recovers, have a strong impact on the work after operation in patients and life, also may produce the complication of postoperative cerebrospinal rhinorrhea and deviation of nasal septum.
Summary of the invention
The object of the invention is to overcome the shortcoming existed in above-mentioned prior art, provide a kind of per nasal-operation of sphenoid sinus wound road to close guider, have the effect being beneficial to the rapid rehabilitation of patient, avoid the harmful effect of Post operation cerebrospinal rhinorrhea and deviation of nasal septum.
For achieving the above object, the present invention by the following technical solutions: comprise pipe shaft, one end of pipe shaft offers parallel Drainage pipe and aerating pipe; The other end of pipe shaft offer two-way parallel enter nose conduit, and enter on nose conduit to be provided with expandable sacculus;
Described pipe shaft and enter nose conduit sidewall on offer side wall channels, side wall channels connects aerating pipe and sacculus;
The pipeline opening place of described aerating pipe is provided with check valve;
The described top guide place entering nose conduit all offers the side opening for patient respiratory or discharge opeing.
Described sacculus is elliposoidal, and length is 0.5 ~ 1.0cm, and internal capacity is 3 ~ 6mL.
The described length entering nose conduit is 5 ~ 8cm.
The length of described pipe shaft is 10 ~ 20cm.
Described sacculus is positioned at into nose conduit head end 1/3 place.
Described pipe shaft, Drainage pipe, aerating pipe and the material entering nose conduit are silica gel.
The present invention has following beneficial effect: prior art of comparing, and the present invention is by offering parallel Drainage pipe and aerating pipe in one end of pipe shaft; The other end of pipe shaft offer two-way parallel enter nose conduit, and enter on nose conduit to be provided with expandable sacculus; Its pipe shaft and enter nose conduit sidewall on offer side wall channels, side wall channels connects aerating pipe and sacculus; Thus the size of sacculus can be regulated by the air inlet or liquid inlet volume regulating aerating pipe.During use, two-way is entered nose conduit to insert in patient's nasal cavity all simultaneously, and the sacculus of unswollen state is placed to wound position, road, afterwards by injecting air or liquid in aerating pipe, sacculus is expanded gradually, make it expand Er Duichuan road gradually and carry out pressurization, allow the cutting edge in wound road close.After the healing of wound road, by the liquid in sacculus or gas discharging, and this device is taken out.By the physiological function using this device patient can recover rapidly nasal cavity, nasal sinuses, avoid the complication of Post operation cerebrospinal rhinorrhea and deviation of nasal septum.Because the pipeline opening place of aerating pipe is provided with check valve, thus avoid the gas leakage of sacculus or the generation of the phenomenon of leakage; In addition the top guide place entering nose conduit all offers the side opening for patient respiratory or discharge opeing, this promotes the recovery of patient, improves the practicality of device.This device greatly can improve the situation that existing postoperative patients recovers, and alleviates the misery of patient, and is applicable to clinically to apply on a large scale.
Further, because pipe shaft, Drainage pipe, aerating pipe and the material that enters nose conduit are silica gel, thus device can be bent arbitrarily, improve the practicality of device.
Accompanying drawing explanation
Fig. 1 is structural representation of the present invention;
In figure: 1: pipe shaft; 2: Drainage pipe; 3: aerating pipe; 4: check valve; 5: enter nose conduit; 6: sacculus; 7: top guide; 8: side opening; 9: side wall channels.
Detailed description of the invention
Below in conjunction with accompanying drawing, the present invention is described in further detail.
See Fig. 1, the present invention includes pipe shaft 1, one end of pipe shaft 1 offers parallel Drainage pipe 2 and aerating pipe 3; The other end of pipe shaft 1 offer two-way parallel enter nose conduit 5, and enter on nose conduit 5 to be provided with expandable sacculus 6; Pipe shaft 1 and enter nose conduit 5 sidewall on offer side wall channels 9, side wall channels 9 connects aerating pipe 3 and sacculus 6; The pipeline opening place of aerating pipe 3 is provided with check valve 4; Top guide 7 place entering nose conduit 5 all offers the side opening 8 for patient respiratory or discharge opeing.Sacculus 6 is in elliposoidal, and length is 0.5 ~ 1.0cm, and internal capacity is 3 ~ 6mL.The length entering nose conduit 5 is 5 ~ 8cm.The length of pipe shaft 1 is 10 ~ 20cm.Sacculus 6 is positioned at into nose conduit 5 head end 1/3 place.Pipe shaft 1, Drainage pipe 2, aerating pipe 3 and the material entering nose conduit 5 are silica gel.
This device is by offering parallel Drainage pipe 2 and aerating pipe 3 in one end of pipe shaft 1; The other end of pipe shaft 1 offer two-way parallel enter nose conduit 5, and enter on nose conduit 5 to be provided with expandable sacculus 6; And pipe shaft 1 and enter nose conduit 5 sidewall on offer side wall channels 9, side wall channels 9 connects aerating pipe 3 and sacculus 6; Thus the size of sacculus 6 can be regulated by the air inlet or liquid inlet volume regulating aerating pipe 3.
This device using method: during use, two-way is entered nose conduit 5 and insert in patient's nasal cavity all simultaneously, and the sacculus 6 of unswollen state is placed to the position, wound road of nasal cavity, afterwards by injecting air or liquid in aerating pipe 3, sacculus 6 is expanded gradually, make it expand Er Duichuan road gradually and carry out pressurization, allow the cutting edge in wound road close.After the healing of wound road, by the liquid in sacculus 6 or gas discharging, and this device is taken out.
By using the patient of this device, the physiological function of nasal cavity, nasal sinuses can be recovered rapidly, avoid the untoward reaction of Post operation cerebrospinal rhinorrhea and deviation of nasal septum.Because the pipeline opening place of aerating pipe 3 is provided with check valve 4, thus avoid the gas leakage of sacculus 6 or the generation of the phenomenon of leakage; In addition top guide 7 place entering nose conduit 5 all offers the side opening 8 for patient respiratory or discharge opeing, therefore can promote that patient recovers rapidly, improves the practicality of device.This device greatly can improve the recovery of existing postoperative patients, alleviates the misery of patient, and is applicable to clinically to apply on a large scale.Because pipe shaft 1, Drainage pipe 2, aerating pipe 3 and the material that enters nose conduit 5 are silica gel, thus make device to bend arbitrarily, improve the practicality of device.
Sacculus 6 in this device is and can two-wayly charges and discharges gas or the sacculus of liquid.
This device can pass in and out in the interval between nasal septum and concha nasalis glossily, and utilizes that it is soft, the distensible feature of sacculus 6, to air full in it or normal saline, makes it expand Er Duichuan road gradually and carries out pressurization, allow the cutting edge in wound road close.Wound road healing after, now by the liquid in sacculus 6 or gas discharging, and extract wound road close guider.Patient recovers the physiological function of nasal cavity, nasal sinuses, avoids the untoward reaction of Post operation cerebrospinal rhinorrhea and deviation of nasal septum.

Claims (6)

1. per nasal-operation of sphenoid sinus wound road closes a guider, and it is characterized in that: comprise pipe shaft (1), one end of pipe shaft (1) offers parallel Drainage pipe (2) and aerating pipe (3); The other end of pipe shaft (1) offer two-way parallel enter nose conduit (5), and enter on nose conduit (5) to be provided with expandable sacculus (6);
Described pipe shaft (1) and enter nose conduit (5) sidewall on offer side wall channels (9), side wall channels (9) connects aerating pipe (3) and sacculus (6);
The pipeline opening place of described aerating pipe (3) is provided with check valve (4);
Described top guide (7) place entering nose conduit (5) all offers the side opening (8) for patient respiratory or discharge opeing.
2. a kind of per nasal according to claim 1-operation of sphenoid sinus wound road closes guider, it is characterized in that: described sacculus (6) is in elliposoidal, and length is 0.5 ~ 1.0cm, and internal capacity is 3 ~ 6mL.
3. a kind of per nasal according to claim 1-operation of sphenoid sinus wound road closes guider, it is characterized in that: the described length entering nose conduit (5) is 5 ~ 8cm.
4. a kind of per nasal according to claim 1-operation of sphenoid sinus wound road closes guider, it is characterized in that: the length of described pipe shaft (1) is 10 ~ 20cm.
5. a kind of per nasal according to claim 1-operation of sphenoid sinus wound road closes guider, it is characterized in that: described sacculus (6) is positioned at into nose conduit (5) head end 1/3 place.
6. a kind of per nasal according to claim 1-operation of sphenoid sinus wound road closes guider, it is characterized in that: described pipe shaft (1), Drainage pipe (2), aerating pipe (3) and the material entering nose conduit (5) are silica gel.
CN201410571505.3A 2014-10-23 2014-10-23 Endonasal-transsphenoidal surgical wound closure guide Pending CN104306041A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201410571505.3A CN104306041A (en) 2014-10-23 2014-10-23 Endonasal-transsphenoidal surgical wound closure guide

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201410571505.3A CN104306041A (en) 2014-10-23 2014-10-23 Endonasal-transsphenoidal surgical wound closure guide

Publications (1)

Publication Number Publication Date
CN104306041A true CN104306041A (en) 2015-01-28

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Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3516407A (en) * 1968-04-25 1970-06-23 Santo L Ruggero Inflatable intranasal tampon
WO1989011308A1 (en) * 1988-05-24 1989-11-30 Brennan H George Methods for controlling nasal hemorrhaging
WO2001085037A1 (en) * 2000-05-09 2001-11-15 John Overton Hudson Nasal packing device
CN2652335Y (en) * 2003-10-25 2004-11-03 嵇怀成 Nasal pressure hemostatic balloon
CN1954782A (en) * 2005-10-26 2007-05-02 广东冠昊生物科技有限公司 Filling device of nose butterfly operation
CN201578304U (en) * 2009-12-29 2010-09-15 柴华旗 Nasal meatus ventilating water sac hemostat
CN202313552U (en) * 2011-11-21 2012-07-11 邓艺婷 Multi-functional nasal polycystic bag hemostat
CN102688079A (en) * 2012-04-05 2012-09-26 泸州医学院 Cavity hemostat
CN204260779U (en) * 2014-10-23 2015-04-15 中国人民解放军第四军医大学 A kind of per nasal-operation of sphenoid sinus wound road closes guider

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3516407A (en) * 1968-04-25 1970-06-23 Santo L Ruggero Inflatable intranasal tampon
WO1989011308A1 (en) * 1988-05-24 1989-11-30 Brennan H George Methods for controlling nasal hemorrhaging
WO2001085037A1 (en) * 2000-05-09 2001-11-15 John Overton Hudson Nasal packing device
CN2652335Y (en) * 2003-10-25 2004-11-03 嵇怀成 Nasal pressure hemostatic balloon
CN1954782A (en) * 2005-10-26 2007-05-02 广东冠昊生物科技有限公司 Filling device of nose butterfly operation
CN201578304U (en) * 2009-12-29 2010-09-15 柴华旗 Nasal meatus ventilating water sac hemostat
CN202313552U (en) * 2011-11-21 2012-07-11 邓艺婷 Multi-functional nasal polycystic bag hemostat
CN102688079A (en) * 2012-04-05 2012-09-26 泸州医学院 Cavity hemostat
CN204260779U (en) * 2014-10-23 2015-04-15 中国人民解放军第四军医大学 A kind of per nasal-operation of sphenoid sinus wound road closes guider

Non-Patent Citations (2)

* Cited by examiner, † Cited by third party
Title
欧洲专利局,美国专利与商标局: "《Cooperative Patent Classification》", 30 June 2014, article "A61M25/10186", pages: 47 *
美国专利与商标局: "《United States Patent Classification》", 30 September 2009, article "604/94.01", pages: 3 *

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Application publication date: 20150128