CN104783775A - Ureter lead-in sheath with real-time pressure detection and absorption capacity - Google Patents

Ureter lead-in sheath with real-time pressure detection and absorption capacity Download PDF

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Publication number
CN104783775A
CN104783775A CN201510180226.9A CN201510180226A CN104783775A CN 104783775 A CN104783775 A CN 104783775A CN 201510180226 A CN201510180226 A CN 201510180226A CN 104783775 A CN104783775 A CN 104783775A
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China
Prior art keywords
ureter
sheath
pressure
pipeline
perfusion
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CN201510180226.9A
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Chinese (zh)
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CN104783775B (en
Inventor
曹富建
王养民
陈志强
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Zhengzhou Combest Jia Technology Co. Ltd.
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Zhengzhou Fujianda Medical Apparatus & Instruments Co Ltd
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Priority to CN201510180226.9A priority Critical patent/CN104783775B/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/03Detecting, measuring or recording fluid pressure within the body other than blood pressure, e.g. cerebral pressure; Measuring pressure in body tissues or organs
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/0021Catheters; Hollow probes characterised by the form of the tubing
    • A61M25/0023Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/02Holding devices, e.g. on the body
    • A61M25/04Holding devices, e.g. on the body in the body, e.g. expansible
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M2025/0001Catheters; Hollow probes for pressure measurement
    • A61M2025/0003Catheters; Hollow probes for pressure measurement having an additional lumen transmitting fluid pressure to the outside for measurement
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2202/00Special media to be introduced, removed or treated
    • A61M2202/0014Special media to be introduced, removed or treated removed from the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2202/00Special media to be introduced, removed or treated
    • A61M2202/04Liquids
    • A61M2202/0496Urine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2210/00Anatomical parts of the body
    • A61M2210/10Trunk
    • A61M2210/1078Urinary tract
    • A61M2210/1089Urethra

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Biophysics (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Hematology (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Pulmonology (AREA)
  • Anesthesiology (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Pathology (AREA)
  • Physics & Mathematics (AREA)
  • External Artificial Organs (AREA)

Abstract

The invention relates to an accessory device for organ intracavity operations, in particular to a ureter lead-in sheath with real-time pressure detection and absorption capacity. The ureter lead-in sheath comprises a pouring connector, a sealing cover, a suction pipeline, a pressure sensing passageway and a ureter sheath pipeline. The sealing cover is arranged at one end of the pouring connector. The ureter sheath pipeline is arranged at the other end of the pouring connector. The suction pipeline is arranged on the side face of the pouring connector and is communicated with a pouring passageway in the pouring connector. A pouring pressure sensing passageway is arranged in the side walls of the pouring connector and the ureter sheath pipeline. The portion, on one side of the pouring connector, of the pouring pressure sensing passageway is connected with the pressure detection connector which can be connected with an external pressure sensor. A pressure coupling hole is formed in the portion, on one side of the ureter sheath pipeline, of the tail end of the pouring pressure sensing passageway. The ureter lead-in sheath is easy to implement and convenient to operate and use; when a sheath pipeline works, pressure inside organ cavities can be detected all the time through the pressure detection passageway, it is avoided that patients are damaged when the intracavity pressure is too large, and the ureter lead-in sheath is suitable for popularization.

Description

A kind of ureter with real-time pressure detection and absorbability imports sheath
Technical field
The present invention relates to a kind of auxiliary device of human body intracavity operation, particularly relate to a kind of have cavity pressure detect in real time and absorbability ureter import sheath.
Background technology
Flexible ureteroscope guide sheath is mainly used in stricture of ureter, adhesion clinically, blocks, blocks, calculus time, related surgical need be carried out carry out treatment to set up operation path used, import endoscope, laser fiber, calculus removing instrument or operation cable etc. by passage.
Chinese utility model patent 200810197442.4 relates to a kind of combined soft-hard ureteroscope, comprise the hard sheath of cylindrical shape, soft lens, handle and swivel joint, the soft lens fixed sleeving be fixedly connected with soft lens is had in the outer surface cover of soft lens back segment, soft lens fixed sleeving penetrates hard sheath endoporus together with soft lens, through hole is provided with in described handle, the through hole of handle is enclosed within outside hard sheath, axial direction positioning device is provided with between hard sheath and handle through hole, swivel joint is fixed on hard sheath outer wall, and handle is provided with the fixed mechanism that handle and soft lens fixed sleeving can be interfixed/unclamp.
Chinese utility model patent 2201220133059.4 relates to a kind of ureteral catheter sheath, and it comprises: a guiding sheath, and this guiding sheath is provided with an expanding channel imported for medical apparatus and instruments; One match with this guiding sheath one expand ureteral convergent divergent channel; A fixation clamp for fixing convergent divergent channel, this fixation clamp is connected with this convergent divergent channel; And a pallet.
Chinese utility model patent 2201320047718.7 discloses a kind of Flexible ureteroscope guiding sheath external member, comprise convergent divergent channel, one end of described convergent divergent channel is provided with point, the other end of described convergent divergent channel is provided with apparatus and implants end and fixation clamp, described convergent divergent channel is arranged with guiding epitheca, described guiding epitheca is provided with hold assembly.This Flexible ureteroscope guiding sheath external member, original basis increases at the hand griping position of guiding epitheca the hold assembly of convenient operation.
There is general defect and cannot measure pressure exactly in the ureter importing sheath of above-mentioned prior art, easily causes pyemia etc. because cavity pressure is excessive, therefore have the necessity improved further.
Chinese utility model patent 201420055134.9 describes a kind of ureter measuring pressure and imports sheath, comprise perfusion adapter body, sealing cap, attraction pipeline, sheath pipeline and pressure transducer, wherein pressure transducer is fixed on the end of described sheath pipeline, and the signal line that pressure transducer connects is fixed in the signalling channel in sheath insides of pipes face, intraorganic pressure can be measured the moment while the work of sheath pipeline, prevent that cavity pressure is excessive to be damaged patient.But in the middle of practical application, based on sheath pipe diameter very little (being generally less than 4mm), and pressure transducer is because of its reason such as size, waterproof, current technology and technological level also cannot really realize, consider simultaneously and the sensor caused because of accidentalia in operation process cannot be avoided to come off in intracavity in the method for the direct sensor installation of end, cause operation risk.
Summary of the invention
The technical problem to be solved in the present invention overcomes above-mentioned the deficiencies in the prior art exactly, there is provided a kind of practicable, can pressure in Real-time Feedback tissue lumen, simultaneously by host computer control perfusion with attract the real-time pressure that has of flow to detect and the ureter of absorbability imports sheath.
For solving the problems of the technologies described above, technical scheme of the present invention is:
Design a kind of ureter with real-time pressure detection and absorbability and import sheath, comprise perfusion joint, seal cover, suction pipeline, pressure sensitive passage and ureter sheath pipeline, wherein seal cover is arranged on perfusion fitting end, ureter sheath Pipe installing is at the perfusion joint other end, suction pipeline is arranged on perfusion joint side, and be connected with the inner perfusion channel of perfusion joint, an injection pressure induction channels is provided with altogether in perfusion joint and ureter sheath pipe side wall, the injection pressure induction channels of perfusion joint side is connected with pressure detecting joint, pressure detecting joint can connect external pressure sensor, coupling pressure hole is provided with at the injection pressure induction channels end of ureter sheath pipeline side.
Further, the inner perfusion channel of described perfusion joint and ureter sheath internal diameter of the pipeline in the same size.
Preferably, described ureter sheath pipeline adopts flexible material to make.
Preferably, be embedded with sealing ring between described seal cover and perfusion fitting end simultaneously.
Further, described suction pipeline to be formed in one structure with perfusion joint.
Further, described ureter sheath pipeline to be formed in one structure with perfusion joint.
Preferably, described suction pipeline has an angle so that the connection of pipeline with the central axis at perfusion joint place.
Preferably, described suction pipeline and injection pressure induction channels are placed in and pour into joint both sides.
The beneficial effect of technical solution of the present invention is:
1, structurally, the ureter importing sheath that the present invention has real-time pressure detection and absorbability comprises perfusion joint, seal cover, suction pipeline, ureter sheath pipeline, injection pressure induction channels, coupling pressure hole and priming line and can connect the external host of pressure transducer, adopt fluid coupling pressure measuring principle, pressure is measured with common invasive blood pressure sensor or other universal fluid pressure transducer, relative to prior art, practical, easy to implement; Thus, while the work of sheath pipeline, can real-time pressure in moment sense organ by pressure sensitive passage, prevent that cavity pressure is excessive to be damaged patient, especially control pyemia.Wherein the circuit of pressure transducer is external, on the normal work of sheath without impact, rational in infrastructure.
2, structurally, the present invention adopts the combined sealing structure of seal cover and sealing ring, sealing function is played during attraction, injection pressure induction channels is arranged on perfusion joint, the sensor be attached thereto is connected with main frame, instant playback sheath end cavity pressure situation, personnel easy to use adjust in time.
3, structurally, suction pipeline of the present invention to be connected molding with perfusion joint with perfusion joint and ureter sheath pipeline, and structure is simple, simplifies and assembles; And ureter sheath pipeline has flexibility, be convenient to the surgical work under process complex passages.In addition, suction pipeline and injection pressure induction channels are placed in and pour into joint both sides, non-interference, rational in infrastructure, easy for operation.
4, to sum up, the ureter importing sheath structure that the present invention has real-time pressure detection and absorbability is simple, reasonable in design, easy to implement, easy for operation, and, while the work of sheath pipeline, can pressure in moment induction mechanism by induction channels, adjust pressure in time in process easy to use, prevent that cavity pressure is excessive to be damaged patient, therefore, promotion and implementation are very suitable for.
Accompanying drawing explanation
Below in conjunction with accompanying drawing, the specific embodiment of the present invention is described in further detail, wherein:
Fig. 1 is the structural representation that the present invention has the ureter importing sheath of real-time pressure detection and absorbability;
Fig. 2 is the right TV structure schematic diagram shown in Fig. 1;
Fig. 3 is the plan structure schematic diagram shown in Fig. 1;
The end structure for amplifying schematic diagram that Fig. 4 is the ureter sheath pipeline shown in Fig. 1;
Sequence number in figure: 1, pour into joint, 2, seal cover, 3, sealing ring, 4, suction pipeline, 5, ureter sheath pipeline, 6, pressure sensitive passage, 7, coupling pressure hole, 8, pressure detecting joint.
Detailed description of the invention
Embodiment one:
See Fig. 1-4, in figure, the ureter that the present invention has real-time pressure detection and absorbability imports sheath, and it comprises perfusion joint 1, seal cover 2, sealing ring 3, suction pipeline 4, ureter sheath pipeline 5, injection pressure induction channels 6, coupling pressure hole 7, the external host (not shown) of pressure detecting joint 8 and band pressure transducer.
Described seal cover 2, sealing ring 3, suction pipeline 4 is all connected on described perfusion joint 1.Wherein, it is inner that sealing ring 3 setting-in is fixed on perfusion joint, and seal cover 2 is fixed on perfusion fitting end.Perfusion fitting end is provided with hermetically-sealed construction, plays sealing function during attraction.Suction pipeline 4 is fixed on sidewall, and is connected with perfusion joint.The inner perfusion channel of described perfusion joint 1 communicates with sheath internal diameter of the pipeline, and is an angle with suction pipeline, to have facilitated tubes connection and attraction.
Described injection pressure induction channels is arranged on perfusion joint and ureter sheath pipe side wall, and the sensor be attached thereto is connected with main frame, and instant playback sheath end cavity pressure situation, personnel easy to use adjust in time.Described perfusion joint is connected with ureter sheath pipeline, and has flexibility, can not be out of shape, and is convenient to the surgical work under process complex passages.Signal line is external, on the normal work of sheath without impact.
During use, cavity pressure feeds back to main frame by pressure transducer, judges, after identification, to make corresponding control action through main frame.Pressure data, can according to the account form analyzing and processing data pre-set after importing main frame into, the control strategy finally drawing perfusion and attract, and then the injection pressure, irrigation flow, suction pressure, attraction flow etc. that control perfusion attraction system.
The foregoing is only the schematic detailed description of the invention of the present invention; and be not used to limit scope of the present invention; the equivalent variations that any those skilled in the art makes under the prerequisite not departing from design of the present invention and principle and amendment, all should belong to the scope of protection of the invention.

Claims (8)

1. a ureter with real-time pressure detection and absorbability imports sheath, comprise perfusion joint, seal cover, suction pipeline, pressure sensitive passage and ureter sheath pipeline, wherein seal cover is arranged on perfusion fitting end, ureter sheath Pipe installing is at the perfusion joint other end, suction pipeline is arranged on perfusion joint side, and be connected with the inner perfusion channel of perfusion joint, it is characterized in that: in perfusion joint and ureter sheath pipe side wall, be provided with an injection pressure induction channels altogether, the injection pressure induction channels of perfusion joint side is connected with pressure detecting joint, pressure detecting joint can external pressure transducer, coupling pressure hole is provided with at the pressure sensitive channel end of ureter sheath pipeline side.
2. according to claim 1 have real-time pressure and to detect and the ureter of absorbability imports sheath, it is characterized in that: the inner perfusion channel of described perfusion joint and ureter sheath internal diameter of the pipeline in the same size.
3. the ureter with real-time pressure detection and absorbability according to claim 1 imports sheath, it is characterized in that: described ureter sheath pipeline is the compliant member adopting elastomeric material to make.
4. the ureter with real-time pressure detection and absorbability according to claim 1 imports sheath, it is characterized in that: be embedded with sealing ring between described seal cover and perfusion fitting end simultaneously.
5. according to claim 1 have real-time pressure and to detect and the ureter of absorbability imports sheath, it is characterized in that: described suction pipeline to be formed in one structure with perfusion joint.
6. according to claim 1 have real-time pressure and to detect and the ureter of absorbability imports sheath, it is characterized in that: described ureter sheath pipeline to be formed in one structure with perfusion joint.
7. the ureter with real-time pressure detection and absorbability according to claim 1 imports sheath, it is characterized in that: described suction pipeline has an angle so that the connection of pipeline with the central axis at perfusion joint place.
8. the ureter with real-time pressure detection and absorbability according to claim 1 imports sheath, it is characterized in that: described suction pipeline and pressure detecting joint are placed in and pour into joint both sides.
CN201510180226.9A 2015-04-16 2015-04-16 A kind of ureter with real-time pressure detection and adsorption capacity imports sheath Active CN104783775B (en)

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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104840246A (en) * 2015-05-29 2015-08-19 郑州富健达医疗器械有限公司 Flexible ureteroscope leading-in sheath with real-time pressure displaying and sucking capabilities
WO2017193327A1 (en) * 2016-05-12 2017-11-16 秀育企业股份有限公司 Pressure sensing apparatus, pressure sensing system using same and pressure sensing switch using same
CN109152585A (en) * 2016-03-04 2019-01-04 万肖蓬 Vacuum suction sheath
CN113768591A (en) * 2021-09-09 2021-12-10 遵义医科大学附属医院 Percutaneous nephroscope puncture sheath capable of regulating and controlling intra-renal pressure

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20080103408A1 (en) * 2004-12-03 2008-05-01 Wolfe Tory Medical, Inc. Continuous Intra-Abdominal Pressure Monitoring Urinary Catheter With Optional Core Temperature Sensor
CN202681991U (en) * 2012-03-31 2013-01-23 深圳市库珀科技发展有限公司 Ureteral catheter sheath
CN203620051U (en) * 2013-11-12 2014-06-04 赵曙光 Urinary catheter for pressure measurement
CN203776869U (en) * 2014-01-28 2014-08-20 宋乐明 Nephric duct importing sheath capable of measuring pressure, and perfusion and suction device
CN104367313A (en) * 2014-11-13 2015-02-25 余月 Intraoperative real-time pressure measuring device in percutaneous nephroscope set operation
CN204581494U (en) * 2015-04-16 2015-08-26 郑州富健达医疗器械有限公司 A kind of ureter with real-time pressure detection and absorbability imports sheath

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20080103408A1 (en) * 2004-12-03 2008-05-01 Wolfe Tory Medical, Inc. Continuous Intra-Abdominal Pressure Monitoring Urinary Catheter With Optional Core Temperature Sensor
CN202681991U (en) * 2012-03-31 2013-01-23 深圳市库珀科技发展有限公司 Ureteral catheter sheath
CN203620051U (en) * 2013-11-12 2014-06-04 赵曙光 Urinary catheter for pressure measurement
CN203776869U (en) * 2014-01-28 2014-08-20 宋乐明 Nephric duct importing sheath capable of measuring pressure, and perfusion and suction device
CN104367313A (en) * 2014-11-13 2015-02-25 余月 Intraoperative real-time pressure measuring device in percutaneous nephroscope set operation
CN204581494U (en) * 2015-04-16 2015-08-26 郑州富健达医疗器械有限公司 A kind of ureter with real-time pressure detection and absorbability imports sheath

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104840246A (en) * 2015-05-29 2015-08-19 郑州富健达医疗器械有限公司 Flexible ureteroscope leading-in sheath with real-time pressure displaying and sucking capabilities
CN109152585A (en) * 2016-03-04 2019-01-04 万肖蓬 Vacuum suction sheath
WO2017193327A1 (en) * 2016-05-12 2017-11-16 秀育企业股份有限公司 Pressure sensing apparatus, pressure sensing system using same and pressure sensing switch using same
CN113768591A (en) * 2021-09-09 2021-12-10 遵义医科大学附属医院 Percutaneous nephroscope puncture sheath capable of regulating and controlling intra-renal pressure

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