CN104771129A - Enteroscope guiding device capable of developing under radioactive rays - Google Patents
Enteroscope guiding device capable of developing under radioactive rays Download PDFInfo
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- CN104771129A CN104771129A CN201510084570.8A CN201510084570A CN104771129A CN 104771129 A CN104771129 A CN 104771129A CN 201510084570 A CN201510084570 A CN 201510084570A CN 104771129 A CN104771129 A CN 104771129A
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- enteroscope
- seal wire
- guiding device
- lonizing radiation
- air bag
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Abstract
The invention discloses an enteroscope guiding device capable of developing under radioactive rays. The enteroscope guiding device comprises a soft and smooth guide wire, wherein a guiding body is arranged at the front end of the guide wire; the rear end of the guide wire is branched to form a first branch wire and a second branch wire, the first branch wire is connected with an air bag allowing air injection through a syringe needle, and a connection structure used for being connected with an external connection wire is arranged at the tail end of the second branch wire; the guide wire is towed by the guiding body to penetrate an alimentary canal and clearly displays the complete traveling mode of the small intestine under radioactive rays, so that an operator can comprehensively learn about traveling of the small intestine of each patient before an operation; the traveling direction of the small intestine at the front end can be accurately judged during examination; the distance between the front end of an endoscope and the ileocecal valve is accurately judged; and the guide wire can enter a biopsy duct to guide operation of an enteroscope. Therefore, the operation success rate and efficiency of the enteroscope are improved to a great extent, the technical difficulty of the enteroscope is greatly reduced, and a novel enteroscope guided by the guide wire can be developed accordingly.
Description
Technical field
The present invention relates to a kind of enteroscope guiding device, in particular to a kind of enteroscope guiding device that can be able to develop under lonizing radiation, this device can in the traveling of the little intestinal tube of clear view under lonizing radiation, and enteroscope biopsy duct can be drawn in order to guide completing of small intestinal endoscopy, and operation is simple, enteroscope technical difficulty is reduced greatly, improves level and the success rate of small intestinal endoscopy.
Background technology
Small intestinal is organ the longest in digestion, and adult's total length about 5 ~ 7 meters, accounts for 75% of digestive tract total length.Upper small intestine connects stomach pylorus, and lower end connects with colon at right iliac fossa, can be divided into duodenum, jejunum and ileum three part.Because small intestinal is long and dissociate, tortuous overlap out of shape, be in health comparatively position, deep, and away from oral cavity and anus, the diagnosis and treatment of disease of intestine are Gastroenterology dept. doctor's difficult problems always.In the past in a very long time, small intestinal far lags behind the diagnosis of other site disorders of gastrointestinal tract.
The development of enteroscope and clinical practice start from 20 century 70s, and traditional enteroscope can only observe proximal section jejunum and terminal ileum, and medical experts once attempted various method, but the observation of distal jejunum and ileum still can not be satisfactory.1999, Israel Given Developed first deglutible capsule endoscope in the world, can make a video recording to all-digestive tract, high compared with other traditional methods to the recall rate of disease of intestine, it is non-invasive, without cross infection easily by patient is accepted.But have its limitation, capsular movement is uncontrollable, and in intestinal, hydrops may affect the observation to pathological changes, biopsy row pathologic finding can not be got with clear and definite focus character.2002, scholar's Yomamoto and Fuji Photo Optic Machine Co., Ltd developed Double-balloon push enteroseopy jointly.Its appearance and application, rise to a brand-new height by the Diagnosis and Treat of disease of intestine.But existing enteroscope operating technology is complicated, and the probability that disposable inspection can get a glimpse of whole small intestinal is extremely low, and many patients need enter mirror through bilateral still cannot check out whole small intestinal.
We pass through obduction research discovery, there is very large variation in human small intestine's traveling, if understand not the traveling of small intestinal and very easily become loop in the process of mirror, thus can per os to complete the success rate of full small bowel examination not high, and compare with gastroscope, colonoscopy, because small intestinal traveling and structure variation are very big, doctor is before inspection and all cannot predict the traveling of small intestinal in checking, also cannot know the distance of scope apart from ileocecal valve in art, therefore there is great blindness.
What the traveling therefore how predicting intestinal tube and guided enteroscope enters mirror direction, and the checking efficiency and the success rate that improve enteroscope are the difficult problems that medical circle faces.This research is intended to invention one and utilizes intestinal peristalsis promoting function voluntarily by small intestinal, can know the traveling of display small intestinal, and can be drawn into enteroscope biopsy duct in order to guide the guide wire apparatus of small intestinal endoscopy under lonizing radiation.
Summary of the invention
For solving the problems of the technologies described above, the object of the invention is to: the enteroscope guiding device that can develop under a kind of lonizing radiation are provided, this device can in the traveling of the little intestinal tube of clear view under lonizing radiation, and guide into mirror direction as the seal wire of enteroscope, improve checking efficiency and the success rate of enteroscope.
For achieving the above object, the technical solution adopted in the present invention is: the enteroscope guiding device that can develop under a kind of lonizing radiation, it comprises the seal wire of a soft smooth, the front end of this seal wire is provided with a guide body, the rear end bifurcated of this seal wire forms first point of cross hair and second point of cross hair, this first point of cross hair connects the air bag that can use entry needle gas injection, and the end of this second point of cross hair is provided with one for connecting the syndeton of external silk thread.
The enteroscope guiding device that can develop under described lonizing radiation, this seal wire is made by containing the heavy metal material can developed under lonizing radiation; This seal wire is provided with scale mark; The length of this seal wire is 4-6m, and the diameter of this seal wire is 0.6-1.2mm.
The enteroscope guiding device that can develop under described lonizing radiation, this guide body is made by containing the heavy metal material can developed under lonizing radiation, and this guide body maximum radial dimension is 8-12mm.
The enteroscope guiding device that can develop under described lonizing radiation, this air bag is made up of inelastic silica gel or latex material, this air bag has an Inflation plug, this Inflation plug is made up of the macromolecular material having from sealing function, be unaerated state under this air bag normality, after this airbag aeration, diameter is 30-60mm.
The enteroscope guiding device that can develop under described lonizing radiation, this guide body is circular, square or oval.
Compared with prior art, the invention has the advantages that of technique scheme is adopted:
1) the software seal wire that this device has can develop under the microscope, solve in enteroscope operation small intestinal traveling do not understood, enter that mirror direction is unpredictable, small intestinal endoscopy performance level cannot judge cause operating a unsuccessful difficult problem.
2) this device conceptually have changed the thinking of traditional enteroscope operation, and guide wire apparatus can guide small intestinal endoscopy through biopsy duct, makes that operation is simple;
3) improve success rate and efficiency that per os or per anum complete full small intestinal endoscopy, no longer only have experienced scope doctor to implement to check, make young doctor skillfully grasp correlation technique fast, thus improve disease treatment and treatment level.
Accompanying drawing explanation
Fig. 1 is the schematic diagram under using state of the present invention.
Description of reference numerals: 1-seal wire; 2-guide body; 3-air bag; 4-entry needle; The external silk thread of 5-; 6-scale mark; 7-syndeton; 8-first point of cross hair; 9-Inflation plug; 10-high density plug; 11-Inflation plug outer wall; 12-entry needle nook closing member; 13-entry needle trocar sheath; 14-second point of cross hair.
Detailed description of the invention
Further describe the present invention below in conjunction with specific embodiments and the drawings, advantage and disadvantage of the present invention will be more clear along with description.
As shown in Figure 1, the schematic diagram of enteroscope guiding device for developing under a kind of lonizing radiation of the present invention.This device mainly comprises: seal wire 1; Guide body 2; Air bag 3; Entry needle 4; External silk thread 5.
This seal wire 1 quality is soft, includes heavy metal (as tungsten, barium etc.), thus can know development under lonizing radiation; The long 4-6m of this seal wire, can run through small intestinal and colon; This seal wire 1 diameter is 0.6-1.2mm, smooth surface, can pass through enteroscope biopsy duct smoothly; It is also high-visible under lonizing radiation that this seal wire 1 is provided with scale mark 6; The rear end bifurcated of this seal wire 1 forms first point of cross hair 8 and second point of cross hair 14, this first point of cross hair 8 connects air bag 3 by modes such as bonding, binding windings, the end of second point of cross hair 14 is provided with syndeton 7, and this syndeton 7 can be connected under scope with the external silk thread 5 through endoscopic biopsy duct.
This guide body 2 and seal wire 1 to be wound around or the mode such as bonding is connected by bundling; Also containing heavy metal material (as tungsten, barium etc.), therefore its position of observable under lonizing radiation in this guide body 2; The diameter of guide body 2 is 8-12mm, in the implementation case, this guide body 2 is spherical, but therefore do not limit the shape of guide body 2, the shape of this guide body also can be square or oval etc. other can by the shape of stomach pylorus and intestinal, this guide body 2 can drive the front end of seal wire 1 to intestinal tube distal advancement by the wriggling of small intestinal.
This air bag 3 is made up of inelastic silica gel or latex material, gastral cavity is sent under unaerated state, inflated by entry needle 4 at gastric, be separated with entry needle 4 after the inflation of this air bag 3 and keep inflated condition, diameter after this airbag aeration is 30-60mm, and the inelastic characteristic of air bag 3 ensures that it can not be out of shape under gastric peristaltic wave crosses stomach pylorus; This air bag 3 has Inflation plug 9 structure in order to complete the gas injection of entry needle 4 pairs of air bags 3; Inflation plug 9 is made up of high density plug 10 and Inflation plug outer wall 11; High density plug 10 is made up of high polymer elastic material, has self sealss, and air bag 3 can not be leaked gas after inflation; Inflation plug outer wall 11 extends inside high density plug 10 air bag, prevents entry needle 4 from puncturing air bag 3.
This entry needle 4 is the transendoscopic biopsy duct entry needle of conventional use at present; Be made up of entry needle nook closing member 12 and entry needle trocar sheath 13, both cooperations depart from after completing gas injection.
The software material that this external silk thread 5 develops for non-radioactive line, not easily break and smooth surface, the diameter of this external silk thread 5 is 0.1-0.5mm, and after being connected with syndeton 7 by endoscopic biopsy duct, transendoscopic biopsy duct is drawn again, thus guides external silk thread 5 to enter endoscopic biopsy duct.
To specifically tell about the use procedure of apparatus of the present invention below.
Step one: insert esophagus sleeve pipe from oral cavity, this esophagus sleeve pipe can alleviate the sense of discomfort of patient in operating process, by gastroscope, the front end guidance body 2 of seal wire 1 is sent into the duodenum section of falling, then entry needle 4 is by inserting the Inflation plug 9 of air bag 3 behind gastroscopic biopsy duct, by gastroscope, the air bag 3 under unaerated state and residue seal wire 1 are sent into gastric, then give air bag 3 injected gas with entry needle 4, making air bag 3 be inflated to diameter is 30-60mm, then extracts entry needle 4 by gastroscopic biopsy duct.
Step 2: patient takes conventional catharsis agent, utilize the creeping effect of intestinal, this guiding object 2 drives seal wire 1 to advance to anus direction in intestinal, diameter now due to the air bag 3 being positioned at seal wire 1 rear end is excessive, air bag 3 can by stomach pylorus, thus the end syndeton 7 of fixing seal wire 1 is positioned at gastric, guide body 2 was discharged from anus through about four hours, doctor during this period by the position of lonizing radiation determination guide body 2 and the route of seal wire 1 process, thus makes doctor can understand the trend of small intestinal and structure by overall picture before small intestinal microscopy.
Step 3: be incorporated in stomach with the front end that a biopsy forceps clamps an external silk thread 5 through the biopsy duct of enteroscope before small intestinal endoscopy, keep the rear end of external silk thread 5 to be positioned at external simultaneously, the syndeton 7 of seal wire 1 end is passed at gastric in the front end of external silk thread 5 by biopsy forceps, and again by outside the biopsy duct lead body of enteroscope, then the front-end and back-end of external silk thread 5 are fixed on external jointly.
Step 4: puncture air bag 3 by a sharp instrument by enteroscope biopsy duct and disconnect first point of cross hair 8 between air bag 3 and seal wire 1, air bag 3 and seal wire 1 are departed from, air bag 3 can excrete through digestive tract, now external silk thread 5 and seal wire 1 connect as one, and per os to anus complete run through whole digestive tract.During enteroscope operation, the external silk thread 5 of outside tractive makes seal wire 1 enter enteroscope biopsy duct, and seal wire 1 guides enteroscope operate, improves the efficiency of small intestinal endoscopy and success rate, and this is complicated and operation that is that be difficult to control becomes simple to make small intestinal endoscopy.
The present invention adopts the advantage of technique scheme to be:
Seal wire under lonizing radiation clear display small intestinal complete walk row mode, make operator have one comprehensively to understand to the small intestinal traveling of each patient in the preoperative; The direction of travel of front end small intestinal accurately can be judged in checking process; Accurate judgement scope front end is apart from the distance of ileocecal valve; Most importantly seal wire can enter biopsy duct and play guiding function.Therefore, this patent greatly enhances success rate and the efficiency of enteroscope operation, enteroscope technical difficulty is reduced greatly, thus this highly difficult technology is promoted better, and likely develop the enteroscope of Novel warp seal wire guiding.
Above embodiment is only exemplary, does not form any restriction to scope of the present invention.It will be understood by those skilled in the art that and can modify to the details of technical solution of the present invention and form or replace down without departing from the spirit and scope of the present invention, but these amendments and replacement all fall within the scope of protection of the present invention.
Claims (5)
1. the enteroscope guiding device that can develop under lonizing radiation, it is characterized in that, it comprises the seal wire of a soft smooth, the front end of this seal wire is provided with a guide body, the rear end bifurcated of this seal wire forms first point of cross hair and second point of cross hair, this first point of cross hair connects the air bag that can use entry needle gas injection, and the end of this second point of cross hair is provided with one for connecting the syndeton of external silk thread.
2. the enteroscope guiding device that can develop under lonizing radiation according to claim 1, is characterized in that, this seal wire is made by containing the heavy metal material can developed under lonizing radiation, and this seal wire is provided with scale mark; The length of this seal wire is 4-6m, and the diameter of this seal wire is 0.6-1.2mm.
3. the enteroscope guiding device that can develop under lonizing radiation according to claim 1, is characterized in that, this guide body is made by containing the heavy metal material can developed under lonizing radiation, and the maximum radial dimension of this guide body is 8-12mm.
4. the enteroscope guiding device that can develop under lonizing radiation according to claim 1, it is characterized in that, this air bag is that inelastic silica gel or latex material are made, this air bag has an Inflation plug, this Inflation plug is made up of the macromolecular material having from seal, be unaerated state under this air bag normality, after this airbag aeration, diameter is 30-60mm.
5. the enteroscope guiding device that can develop under lonizing radiation according to claim 3, is characterized in that, this guide body is circular, square or oval.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510084570.8A CN104771129B (en) | 2015-02-16 | 2015-02-16 | The enteroscope guide can developed under lonizing radiation |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510084570.8A CN104771129B (en) | 2015-02-16 | 2015-02-16 | The enteroscope guide can developed under lonizing radiation |
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| CN104771129A true CN104771129A (en) | 2015-07-15 |
| CN104771129B CN104771129B (en) | 2016-08-24 |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105126227A (en) * | 2015-09-01 | 2015-12-09 | 王兆华 | Small intestine double-contrast angiographic catheter and using method thereof |
Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5318530A (en) * | 1991-12-06 | 1994-06-07 | Bissel Medical Products, Inc. | Gastrointestinal tube with inflatable bolus |
| CN200970222Y (en) * | 2006-10-17 | 2007-11-07 | 刘思德 | Improved leading type small intestine mirror |
| CN200970227Y (en) * | 2006-10-17 | 2007-11-07 | 刘思德 | Leading type single sac small intestine mirror |
| CN202589485U (en) * | 2012-05-21 | 2012-12-12 | 曹阳 | Endoscope jacket air bag with dual tubes |
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2015
- 2015-02-16 CN CN201510084570.8A patent/CN104771129B/en active Active
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5318530A (en) * | 1991-12-06 | 1994-06-07 | Bissel Medical Products, Inc. | Gastrointestinal tube with inflatable bolus |
| CN200970222Y (en) * | 2006-10-17 | 2007-11-07 | 刘思德 | Improved leading type small intestine mirror |
| CN200970227Y (en) * | 2006-10-17 | 2007-11-07 | 刘思德 | Leading type single sac small intestine mirror |
| CN202589485U (en) * | 2012-05-21 | 2012-12-12 | 曹阳 | Endoscope jacket air bag with dual tubes |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105126227A (en) * | 2015-09-01 | 2015-12-09 | 王兆华 | Small intestine double-contrast angiographic catheter and using method thereof |
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| CN104771129B (en) | 2016-08-24 |
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