CN104434354B - Stent placement device - Google Patents

Stent placement device Download PDF

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Publication number
CN104434354B
CN104434354B CN201510010262.0A CN201510010262A CN104434354B CN 104434354 B CN104434354 B CN 104434354B CN 201510010262 A CN201510010262 A CN 201510010262A CN 104434354 B CN104434354 B CN 104434354B
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outer tube
support
core
head construction
inserter
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CN104434354A (en
Inventor
蒋军红
毛静宇
黄建安
冷德嵘
李常青
沈正华
韦建宇
李玉茜
党军
张子蔚
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Micro Tech Nanjing Co Ltd
First Affiliated Hospital of Suzhou University
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Micro Tech Nanjing Co Ltd
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Abstract

The invention discloses a stent placement device. The stent placement device comprises an outer tube used for containing a stent, the far end of the outer tube is provided with a head structure, and a wire core and a central tube are arranged in the outer tube and fixedly connected with the head structure. When the stent needs to be released, the head structure, the wire core and the central tube are kept at fixed positions, the outer tube is retreated, the stent is released, and then the head structure, the wire core and the central tube are retreated. Various defects caused when a stent is released through a traditional stent placement device are overcome, the operation risk is reduced, operation difficulty is lowered, and a great deal of operation time is saved.

Description

A kind of support inserting device
Technical field
The present invention relates to a kind of medical device, particularly a kind of miniaturization easily support can be inserted human organ Support inserting device.
Background technology
Existing support inserting device complex structure, including inner tube, outer tube, middle pipe, soft first-class structure, and will ensure Inner tube diameter can pass through diameter 0.035 " zebra guide wire of (0.889mm) so that interior caliber is larger, cause inner tube with outer Between pipe, gap reduces, so that the space putting support reduces, designer has to increase outer tube external diameter, has reached loading The purpose of support.The tissue of much long and narrow bendings in human body so cannot be applied to.
For example, the implantation of trachea bracket is in order to treat malignant disease:As pulmonary carcinoma and benign disease such as tuberculosis etc. cause Trachea and the method for bronchus luminal stenosis, have obtained the affirmative of medical circle, but the release steps of support are loaded down with trivial details, Healthcare practitioner has high demands, and patient risk is big.
The mode of traditional trachea bracket implantation has following several:
1. insert under bronchoscope direct-view:Bronchoscope guiding insertion seal wire retreats mirror, again by another nasal cavity or mouth Bronchoscope is inserted in chamber, and the inserter that will be equipped with support inserts air flue along seal wire, discharges support to narrow positions.It is excellent Point discharges support under bronchoscope direct-view, and release is not in place can be found to adjust in time.Its shortcoming inserter and a gas Guan Jing simultaneously enters air flue, larger on ventilation impact, increases operational risk.In addition, for operation under general anesthesia When, tracheal intubation and respirator need separated in short-term, are easy to the release of support.Lose respirator during putting support Protection, will be breakneck for dyspnea and general anesthesia patient, be also very big challenge at heart to surgical doctor, Increase operation pressures.
Insert under 2.X line guide of fluoroscopy:First bronchoscope is inserted air flue, intending placing the upper of support under X-ray examination Lower edge position paperclip does body surface location, inserts seal wire through biopsy hole, exits bronchoscope.Will be equipped with putting of support Enter device and insert air flue along seal wire, by stent pushing to airway constriction position under X-ray examination guiding, release after accurate positioning Put support.Its shortcoming complex steps, does not have the lower accurate positioning of bronchoscope direct-view reliable, and medical personnel and patient are subject to The shortcomings of radio radiation.
3. the bronchoscope pass by is inserted under directly guiding:Will be equipped with support two-ply plastic be enclosed within bronchoscope or Support is directly bundled on bronchoscope, discharges support when bronchoscope is inserted through narrow.This method bronchoscope activity Very flexible, the poor accuracy inserted, and fragile bronchoscope, clinical few application.List of references《Prop up gas Pipe mirror interventional therapy》
The above tradition method inserted of bronchial stent why using blind put and X-ray examination under discharge, mainly because Only have φ 2.8mm for electric bronchoscope pincers road is maximum, and traditional bronchus cytoskeletal implanting device external diameter is usually 9Fr (φ 3mm), 10Fr (φ 3.3mm), 11Fr (φ 3.65mm), 12Fr (φ 4mm), therefore cannot put into device and be entered by biopsy channel hole Enter pathology location.
Again for example, various malignants tumor of digestive tract, in late cases, can cause tight because of the direct invasion of tumor or compressing Block again, have 40% patients with gastric cancer and 95% to involve duodenal pancreas patient according to statistics and all cannot make radical correction. Now under selection scope, inner support is inserted is wise, and the narrow positions commonly used at present has:
1) narrow caused by malignant tumor of esophagus;
2) stomach, descendant duodenum, pancreas gallbladder panel of tumor and gastric cancer Post operation anastomotic stricture;
3) malignant tumor of colon obstruction and colonic operation after anastomotic stricture.
The traditional method for releasing of support is at present:First scope is reached pathology stenosis, scope can not be by narrow sexually transmitted disease (STD) Become, first a zebra guide wire is passed through narrow section, insert plastic bushing along seal wire, inject contrast agent, under x-ray Determine the lesion locations of far-end, measure the length of whole pathological changes, needed for determining again, the length of support (surpasses up and down Cross pathological changes 2cm), then TTS inserter is passed through endoscope and reach stenosis along seal wire, then carry out support release.
Content of the invention
Goal of the invention:The technical problem to be solved is for the deficiencies in the prior art, provides a kind of to mount Enter device.
In order to solve above-mentioned technical problem, the invention discloses a kind of support inserting device, including for placing the outer of support Pipe, the far-end of outer tube is provided with head construction, is provided with the core being fixedly connected with head construction and middle pipe in outer tube;
When needing to discharge support, head construction, core and middle pipe keep fixed position, and outer tube is dropped back, and support is released Put, then recall head construction, core and middle pipe.
One of the solution of the present invention, described head construction is hard structure.
The two of the solution of the present invention, described head construction is soft structures, makes inserter have guide function.
Heretofore described head construction deviates from outer tube one end and is provided with the elongated lengthened hose developing, and described core is worn Cross the center of lengthened hose, the end of core is located in lengthened hose.Inserter does not have the structure of plastic inner pipe, by one The thinner solid core of root replaces.
Such as black mark is stamped respectively in the corresponding proximal location of support and the near-end 10mm position of distance bracket on outer tube Note.
Brief description
With reference to the accompanying drawings and detailed description the present invention is done and further illustrates, the present invention above-mentioned and/ Or otherwise advantage will become apparent.
Fig. 1 is embodiment 1 structural representation.
Fig. 2 is embodiment 2 structural representation.
Specific embodiment
Embodiment 1
As shown in figure 1, the invention discloses a kind of trachea bracket inserter, including the outer tube 1 for placing support 6, The far-end of outer tube 1 is provided with head construction 3, is provided with the core 2 being fixedly connected with head construction and middle pipe 4 in outer tube.
This embodiment simplifies step during support release, decrease complication during support release.Eliminate traditional Inserter inner tube, by φ 0.58mm titanium-nickel wire as core 2, thus having saved the space of φ 0.7mm, is equivalent to 2Fr Space.This is just that the inserter that existing trachea bracket is loaded 8Fr (φ 2.65mm) provides possibility, also Make for novel air pipe support inserting device (8Fr) insertion bronchoscopic forceps road (φ 2.8mm) to provide possibility.
Inserter head construction 3 adopts metal bullet-shaped or spheroidal, makes inserter preferably pass through narrow section.Put Clear water coating treatment is done on outer tube 1 surface entering device, makes outer tube more lubricate the narrow section more easily by pincers road.Before outer tube At the transparent section of end, stamp black MARK respectively in mount proximal end position with apart from near-end 10mm position, doctor is releasing When putting support 6, after seeing second MARK, outer tube 1 is withdrawn, first MARK is directed at stenosis Near-end, middle pipe 4 promotes and starts to discharge support, and release after-poppet near-end is just overlapped with the near-end of stenosis, if necessary Can make toward some supports of pulling back of biopsy forcepss and last be accurately positioned confirmation.
Traditional titanium-nickel wire braiding trachea bracket can be clamped road by electric bronchoscope and enter by 8Fr trachea bracket inserter Trachea pathology location, accurately discharges support under bronchoscope direct-view.Can ensure that simultaneously and use under tracheal intubation, make Operation can carry out always under the protection of respirator, it is to avoid the shortcomings of conventional tracheal support release, reduce handss Art risk, reduces operating difficulty and has saved a large amount of operating times.
Embodiment 2
The present embodiment provides a kind of TTS esophagus, intestinal stent inserter, and in the present embodiment, 1 is outer tube, and 2 is front end As core, 3 is soft head construction to band taper 0.58mm titanium-nickel wire, and 5 is the PU soft head of lengthening that can develop, and 4 are Middle pipe, 6 is support.Soft head construction 3 is connected with core 2 by UV glue with lengthening soft 5.Support compresses After to be contained in left and right be middle pipe 4 and head construction 3, inside and outside is between outer tube 1 and core 2, outer tube 1 and core 2 space Save 2Fr.During release, lengthen soft 5 and first cross stenosis, guiding head structure 3, outer tube 1 passes sequentially through narrow Narrow, when seeing second MARK outside outer tube 1 by endoscope, confirm second MARK and narrow end Near-end overlaps, and at the uniform velocity withdraws outer tube 1, slowly opens release in the promotion lower carriage of middle pipe 4, at this moment middle pipe 4, NiTi Silk inner core 2 and head construction 3, lengthen soft 5 be all attached to one piece motionless.
Eliminate traditional inserter inner tube, and by a φ 0.58mm titanium-nickel wire as core 2, thus having saved φ The space of 0.7mm, is equivalent to the space of 2Fr.When this is just the support discharging specification of the same race, inserter external diameter is permissible Accomplish less (theory is can be with little 1~2Fr), this development to therapeutic endoscopy, inestimable effect will be played.For example: Esophageal stents appear is generally discharged with OTW mode, and external diameter is more than 6mm;Will be using TTS mode (through endoscope tract φ 3.8mm) discharge, inserter external diameter can not be more than 10.5Fr, traditional inserter design space very little, support can only be because This reduces radial support power and loads traditional inserter.New implanter increases the space of 2Fr because eliminating inner tube, Support thus can be made to load new implanter in the case of not losing radial support power, thus promoting under scope accurately Release support, it is to avoid it is many bad that OTW release brings.The unique design in inserter front end simultaneously, by soft X The PU pipe can having an X-rayed under ray is arranged on the front end i.e. softness making inserter on the seal wire after the taper grinding of front end, and not Lose tenacity, smoothly can pass through narrow section, and tissue will not be hurt, work as with seal wire function phase.Thus reducing Operating difficulty and saved a large amount of operating times, also cancels seal wire for partial surgical, is that patient saves money and provides possibility, There is good market prospect.
Eliminate traditional inserter inner tube to be replaced by titanium-nickel wire, save the space of 2Fr, unique the setting in inserter front end Meter, the PU pipe can having an X-rayed is arranged on the seal wire after the taper grinding of front end, makes inserter under soft X-ray Front end is softness, and does not lose tenacity, can smoothly pass through narrow section, and will not hurt tissue, with seal wire function Quite, make inserter preferably pass through narrow section, front end PU simultaneously, can develop under X-ray, can be under X-ray Accurately find inserter and support.The outer pipe surface of inserter and front end guiding all do clear water coating treatment, make inserter Appearance more lubricates more easily by pincers road and narrow section.
Outer tube accurately indicates support off-position:At the transparent section of outer tube front end, in mount proximal end position with apart from near-end 10mm position stamps black MARK respectively, and doctor, when discharging support, after seeing second MARK, will put Enter device to withdraw, first MARK is directed at the near-end of stenosis, start to discharge support, release after-poppet near-end just with The near-end of stenosis overlaps and last is accurately positioned confirmation it may be necessary to make toward some supports of pulling back of biopsy forcepss.
The invention provides a kind of support inserting device, the method and the approach that implement this technical scheme are a lot, above institute Stating is only the preferred embodiment of the present invention it is noted that for those skilled in the art, Without departing from the principles of the invention, some improvements and modifications can also be made, these improvements and modifications also should be regarded as Protection scope of the present invention.In the present embodiment, all available prior art of clearly not each ingredient is realized.

Claims (5)

1. it is characterised in that including the outer tube for placing support, the far-end of outer tube is provided with head to a kind of trachea bracket inserter Portion's structure, is provided with the core being fixedly connected with head construction and middle pipe, is not had inner tube in outer tube;Trachea bracket discharges Before, trachea bracket is located at the position between outer tube and core and between the tail end of head construction and middle pipe;
Described outer tube diameter is less than 2.8mm, is inserted into bronchoscopic forceps road;
When needing to discharge support, head construction, core and middle pipe keep fixed position, and outer tube is dropped back, and support discharges, Then head construction, core and middle pipe are recalled.
2. a kind of trachea bracket inserter according to claim 1 is it is characterised in that described head construction is hard knot Structure.
3. a kind of trachea bracket inserter according to claim 1 is it is characterised in that described head construction is soft knot Structure.
4. a kind of trachea bracket inserter according to claim 3 is it is characterised in that described head construction deviates from outer tube One end is provided with the elongated lengthened hose developing, and described core passes through the center of lengthened hose, and the end of core is located at In lengthened hose.
5. a kind of trachea bracket inserter according to claim 1 is it is characterised in that corresponding to the near of support on outer tube The near-end 10mm position of end position and distance bracket stamps labelling respectively.
CN201510010262.0A 2015-01-08 2015-01-08 Stent placement device Active CN104434354B (en)

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Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106264807B (en) * 2016-08-16 2018-01-09 常州乐奥医疗科技股份有限公司 A kind of intravascular stent induction system
CN109350322B (en) * 2018-12-06 2024-03-22 南京法迈特科技发展有限公司 Double-bracket implantation device
CN111249044A (en) * 2020-03-20 2020-06-09 南微医学科技股份有限公司 Support and imbedding system
CN111956374A (en) * 2020-08-28 2020-11-20 陈维永 Tracheal stent, and implanting device and implanting method thereof

Citations (5)

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Publication number Priority date Publication date Assignee Title
CN2239270Y (en) * 1995-05-23 1996-11-06 沈沛 Esophagus support placing device
CN101926696A (en) * 2010-08-30 2010-12-29 尹秋伟 Esophageal stent forceps
CN201840554U (en) * 2010-07-28 2011-05-25 黄连军 Blood vessel scaffold conveying device
CN102711664A (en) * 2011-01-14 2012-10-03 Idev科技公司 Stent delivery system with pusher assembly
CN202537722U (en) * 2012-03-05 2012-11-21 中国人民解放军第三军医大学第二附属医院 Urinary catheter and catheter bracket device containing same

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DE60201905T2 (en) * 2002-09-09 2005-11-10 Abbott Laboratories Vascular Enterprises Ltd. System for introducing a self-expanding stent
CN2863015Y (en) * 2004-11-24 2007-01-31 深圳市先健科技股份有限公司 Rack in aorta operation and transferring system thereof
CN2785543Y (en) * 2005-04-08 2006-06-07 吴雄 Tectorial stent transporter
JP2012000328A (en) * 2010-06-18 2012-01-05 Kaneka Corp Stent delivery catheter
JP2012029980A (en) * 2010-08-02 2012-02-16 Kaneka Corp Stent delivery catheter
CN203524817U (en) * 2013-08-27 2014-04-09 南京医科大学第一附属医院 Airway stent implantation device
CN204394748U (en) * 2015-01-08 2015-06-17 蒋军红 A kind of support inserting device

Patent Citations (5)

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Publication number Priority date Publication date Assignee Title
CN2239270Y (en) * 1995-05-23 1996-11-06 沈沛 Esophagus support placing device
CN201840554U (en) * 2010-07-28 2011-05-25 黄连军 Blood vessel scaffold conveying device
CN101926696A (en) * 2010-08-30 2010-12-29 尹秋伟 Esophageal stent forceps
CN102711664A (en) * 2011-01-14 2012-10-03 Idev科技公司 Stent delivery system with pusher assembly
CN202537722U (en) * 2012-03-05 2012-11-21 中国人民解放军第三军医大学第二附属医院 Urinary catheter and catheter bracket device containing same

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Address after: 215006 Nanjing hi tech Industrial Development Zone, Jiangsu hi tech Road, No. three, No. 10

Applicant after: Jiang Junhong

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Inventor after: Zhang Ziwei

Inventor after: Mao Jingyu

Inventor after: Huang Jianan

Inventor after: Leng Derong

Inventor after: Li Changqing

Inventor after: Shen Zhenghua

Inventor after: Wei Jianyu

Inventor after: Li Yuqian

Inventor after: Dang Jun

Inventor before: Jiang Junhong

Inventor before: Mao Jingyu

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Effective date of registration: 20190115

Address after: 210061 high tech three road 10, Nanjing high tech Industrial Development Zone, Jiangsu

Co-patentee after: The First Affiliated Hospital of Suzhou University

Patentee after: Micro-Tech (Nanjing) Co., Ltd.

Address before: 215006 No. 10 No. 3 Gaoke Road, Nanjing High-tech Industrial Development Zone, Jiangsu Province

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Assignor: The First Affiliated Hospital of Suzhou University|Micro-Tech (Nanjing) Co., Ltd.

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Denomination of invention: Stent placement device

Granted publication date: 20170208

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Address after: 210061 No. three, No. 10, hi tech Road, Nanjing hi tech Industrial Development Zone, Jiangsu, China

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Patentee after: Nanwei Medical Technology Co., Ltd

Address before: 210061 No. three, No. 10, hi tech Road, Nanjing hi tech Industrial Development Zone, Jiangsu, China

Co-patentee before: The First Affiliated Hospital of Suzhou University

Patentee before: Micro-Tech (Nanjing) Co., Ltd.