CN105148380A - Water-bag type nose-bile flushing drainage tube - Google Patents
Water-bag type nose-bile flushing drainage tube Download PDFInfo
- Publication number
- CN105148380A CN105148380A CN201510681090.XA CN201510681090A CN105148380A CN 105148380 A CN105148380 A CN 105148380A CN 201510681090 A CN201510681090 A CN 201510681090A CN 105148380 A CN105148380 A CN 105148380A
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- Prior art keywords
- side opening
- pipeline
- drainage tube
- supervisor
- thin film
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- 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.)
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- 238000011010 flushing procedure Methods 0.000 title claims abstract description 20
- 210000000013 bile duct Anatomy 0.000 claims abstract description 30
- 239000010409 thin film Substances 0.000 claims description 34
- 210000000232 gallbladder Anatomy 0.000 claims description 21
- 230000002262 irrigation Effects 0.000 claims description 20
- 238000003973 irrigation Methods 0.000 claims description 20
- 239000000463 material Substances 0.000 claims description 3
- 210000000941 bile Anatomy 0.000 abstract description 16
- 230000006378 damage Effects 0.000 abstract description 4
- 230000000694 effects Effects 0.000 abstract description 4
- 238000000034 method Methods 0.000 abstract description 3
- 230000000968 intestinal effect Effects 0.000 abstract description 2
- 239000012530 fluid Substances 0.000 abstract 2
- 238000007599 discharging Methods 0.000 abstract 1
- 210000000867 larynx Anatomy 0.000 abstract 1
- 210000003800 pharynx Anatomy 0.000 abstract 1
- 239000010408 film Substances 0.000 description 4
- 206010061926 Purulence Diseases 0.000 description 3
- 210000001198 duodenum Anatomy 0.000 description 3
- 206010004637 Bile duct stone Diseases 0.000 description 2
- 201000009331 Choledocholithiasis Diseases 0.000 description 2
- 208000016222 Pancreatic disease Diseases 0.000 description 2
- 208000027418 Wounds and injury Diseases 0.000 description 2
- 230000000903 blocking effect Effects 0.000 description 2
- 208000010643 digestive system disease Diseases 0.000 description 2
- 238000007459 endoscopic retrograde cholangiopancreatography Methods 0.000 description 2
- 210000004877 mucosa Anatomy 0.000 description 2
- 208000024691 pancreas disease Diseases 0.000 description 2
- 230000002980 postoperative effect Effects 0.000 description 2
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 2
- 206010033645 Pancreatitis Diseases 0.000 description 1
- 206010033647 Pancreatitis acute Diseases 0.000 description 1
- 208000031481 Pathologic Constriction Diseases 0.000 description 1
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 1
- 206010046274 Upper gastrointestinal haemorrhage Diseases 0.000 description 1
- 201000010312 acute cholangitis Diseases 0.000 description 1
- 230000001154 acute effect Effects 0.000 description 1
- 201000003229 acute pancreatitis Diseases 0.000 description 1
- 208000006766 bile reflux Diseases 0.000 description 1
- 239000002775 capsule Substances 0.000 description 1
- 208000003167 cholangitis Diseases 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 230000009977 dual effect Effects 0.000 description 1
- 238000001839 endoscopy Methods 0.000 description 1
- 230000029142 excretion Effects 0.000 description 1
- 239000008398 formation water Substances 0.000 description 1
- 230000002440 hepatic effect Effects 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 210000004347 intestinal mucosa Anatomy 0.000 description 1
- 238000002350 laparotomy Methods 0.000 description 1
- 210000004185 liver Anatomy 0.000 description 1
- 210000004400 mucous membrane Anatomy 0.000 description 1
- 230000000414 obstructive effect Effects 0.000 description 1
- 230000037361 pathway Effects 0.000 description 1
- 238000005201 scrubbing Methods 0.000 description 1
- 230000036262 stenosis Effects 0.000 description 1
- 208000037804 stenosis Diseases 0.000 description 1
- 201000010304 suppurative cholangitis Diseases 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 238000002054 transplantation Methods 0.000 description 1
Abstract
The invention discloses a water-bag type nose-bile flushing drainage tube. The drainage tube comprises a main tube, a pipeline I and a balloon film, the pipeline I is located inside the main tube and provided with a closed end, and the outer wall of the main tube is sleeved with the balloon film. The cross section of the balloon film is in a plum blossom shape, a pipeline II communicated with the balloon film is further arranged inside the main tube, multiple lateral holes I and multiple lateral holes II are formed in the main tube and located in the pipe section part, above the balloon film, of the main tube, and the lateral holes II and the pipeline I are communicated. Automatic flushing is achieved, the oval lateral holes are adopted for reducing the probability of blockage, the flowing direction of flushing fluid in the bile duct is uniform with the discharging direction of bile, and it can be avoided that the flushing fluid and the bile reversely flow. The balloon film capable of being expanded and filled is arranged, in this way, the fixing force of the drainage tube is increased, an anti-slipping effect is achieved, and damage to the bile duct, intestinal canal and pharynx and larynx mucosae will not be caused in the process of taking out the drainage tube.
Description
Technical field
The present invention relates to a kind of irrigation drainage tube, specifically a kind of water-bag type nose gallbladder irrigation drainage tube.
Background technology
Along with the development of endoscopic technic and the constantly perfect of adnexa thereof, current duodenoscope technology (ERCP) becomes the important measures for the treatment of hepatobiliary and pancreatic diseases already, comprises choledocholithiasis, acute obstructive suppurative cholangitis, bile duct injury, stenosis of bile duct, biliary complications after orthotopic liver transplantation etc.This technology, compared with Tradtional laparotomy, has that wound is little, safety coefficient is high, recovers the advantage such as fast.After ERCP iatrotechnics, conventional placement nose gallbladder drainage tube, for drain infection bile, gallbladder mud, rubble etc., can reduce postoperative cholangitis incidence rate and choledocholithiasis relapse rate.
The nose bile drainage tube of current clinical practice is single channel drainage tube, pipe shaft is type linearly, head end bends to button loop, drainage tube head end tube wall is provided with circular side holes, in biliary tract-effect of external pressure differential under, bile can be drawn through tube chamber, but bile flow velocity is slower, thickness purulence bile is not easily discharged, and its circular side holes is less, and rubble easily blocks drainage tube side opening.This drainage tube has the following disadvantages: 1, in order to keep the unobstructed of drainage tube and promote the discharge of thickness purulence bile, the postoperative capable nose bile duct of Reusability normal saline that needs rinses, to keep drainage tube unobstructed, hepatic bile is diluted simultaneously, promote the discharge of thickness purulence bile and rubble, add clinical position amount; 2, due to drainage tube linearly type, during suction bile, bile duct wall mucosa is easily adsorbed onto on drainage tube side opening, causes flushing liquor back scrubbing difficulty; 3, drainage tube head end is naturally in button loop, and its bed knife is less, drainage tube easily occurs and deviates from; 4, in tube drawing process, button loop formula drainage tube head end can cause the damage of bile duct and intestinal mucosa, even can bring out the complication such as acute cholangitis, acute pancreatitis, upper gastrointestinal hemorrhage.
Summary of the invention
According to the technical problem of above-mentioned proposition, and provide a kind of water-bag type nose gallbladder irrigation drainage tube.
The technological means that the present invention adopts is as follows:
A kind of water-bag type nose gallbladder irrigation drainage tube, comprise supervisor, be positioned at the pipeline I that described supervisor has blind end and the sacculus thin film be socketed on described supervisor's outer wall, the cross section of described sacculus thin film is quincunx, the pipeline II be communicated with described sacculus thin film is also provided with in described supervisor, the other end of described pipeline II is connected with pipe by cap, the other end of described pipe is connected with three-way valve, described cap has cylindrical head and truncated cone-shaped afterbody, the small end of described truncated cone-shaped afterbody is fixedly connected with described cylindrical head, described cylindrical head is provided with the through hole I matched with the external diameter of described pipeline II, described pipe has truncated cone-shaped head, the outer surface of described truncated cone-shaped head is provided with external screw thread, described truncated cone-shaped afterbody has the through hole II with described truncated cone-shaped fit heads, described through hole II is provided with away from one end of described cylindrical head the female thread matched with described external screw thread, described through hole II is also provided with smooth department, described smooth department is between described female thread and described cylindrical head, the small end of described truncated cone-shaped head and the internal diameter of described pipeline II match, described through hole I is communicated with described through hole II, described supervisor is provided with multiple side opening I and multiple side opening II, described side opening I and described side opening II are all positioned at described supervisor and are positioned at pipeline section part above described sacculus thin film, described side opening II is communicated with described pipeline I,
Under duty, flushing liquor enters in bile duct by described supervisor and from described side opening I and rinses bile duct, and described pipeline I connects negative pressure and is drawn in described pipeline I from described side opening II by the flushing liquor having rinsed bile duct.
The head of described supervisor is provided with pipe cap, and described pipe cap has arc surface, and described arc surface is provided with through hole III.
The upper end of described sacculus thin film is apart from the head end 7-9cm of described pipe cap, and the blind end of described pipeline I is apart from the upper end 2cm of described sacculus thin film.
Described side opening I is between described pipe cap and the blind end of described pipeline I, and described side opening II is between the blind end and the upper end of described sacculus thin film of described pipeline I.
The two ends of described sacculus thin film are connected respectively by the outer wall of becket with described supervisor.
Described becket is that X-ray material is made thoroughly.
Described pipe is connected by screw thread or buckle with described three-way valve.
Described side opening I ovalize, the major axis of described side opening I is parallel with the axle of described supervisor, and the area of described side opening I is 2 × 3 × π mm
2; Described side opening II ovalize, the major axis of described side opening II is parallel with the axle of described supervisor, and the area of described side opening II is 3 × 5 × π mm
2.
The present invention has the following advantages:
1, the present invention is dual pathways drainage tube, and supervisor connects rinsing bottle, and pipeline I connects vacuum extractor, has the function of auto-flushing;
2, be responsible for sidewall and be provided with the oval side opening I be communicated with pipeline I, cross section is larger than circular side holes cross section, and side opening blocking probability reduces;
3, side opening I is positioned at the far-end of side opening II, and flushing liquor flow direction in bile duct is consistent with bile excretion direction, can not cause flushing liquor and bile reflux;
4, when sacculus film expansion fills, add the bed knife of drainage tube, there is anti-slip effect, take out the damage that can not cause bile duct, intestinal tube and bottleneck throat mucosa in drainage tube process;
5, add the space between side opening II and periphery bile duct when sacculus film expansion fills, be easy to the discharge of flushing liquor, side opening II can not be caused to adsorb bile duct mucous membrane;
6, the cross section of sacculus thin film is plum blossom-shaped, and during pipeline I unexpected blockage, flushing liquor and bile can enter duodenum, has the effect reducing biliary pressure.
The present invention extensively can promote in fields such as the therapeutic endoscopies of hepatobiliary and pancreatic diseases for the foregoing reasons.
Accompanying drawing explanation
Below in conjunction with the drawings and specific embodiments, the present invention is further detailed explanation.
Fig. 1 is the structural representation under the sacculus thin film unexpanded mode of a kind of water-bag type nose gallbladder irrigation drainage tube in the specific embodiment of the present invention.
Fig. 2 is I portion enlarged diagram in Fig. 1.
Fig. 3 is the structural representation of cap in the specific embodiment of the present invention.
Fig. 4 is the structural representation of the truncated cone-shaped head of pipe in the specific embodiment of the present invention.
Fig. 5 is the structural representation under the sacculus film expansion state of a kind of water-bag type nose gallbladder irrigation drainage tube in the specific embodiment of the present invention.
Fig. 6 be in Fig. 5 A-A to sectional view.
Fig. 7 be in Fig. 5 B-B to sectional view.
Fig. 8 be in Fig. 5 C-C to sectional view.
Fig. 9 is that in the specific embodiment of the present invention, a kind of water-bag type nose gallbladder irrigation drainage tube is placed to the structural representation in bile duct.
Figure 10 is that in the specific embodiment of the present invention, a kind of water-bag type nose gallbladder irrigation drainage tube is placed to the structural representation after bile duct under capsule film expansion state.
Detailed description of the invention
As shown in Fig. 1-Figure 10, a kind of water-bag type nose gallbladder irrigation drainage tube, comprise supervisor 1, be positioned at the pipeline I 3 that described supervisor 1 has blind end 301 and the sacculus thin film 2 be socketed on described supervisor 1 outer wall, the cross section of described sacculus thin film 2 is quincunx, the pipeline II 4 be communicated with described sacculus thin film 2 is also provided with in described supervisor 1, the other end of described pipeline II 4 is connected with pipe 6 by cap 5, the other end of described pipe 6 is connected with three-way valve, described cap 5 has cylindrical head 501 and truncated cone-shaped afterbody 502, the small end of described truncated cone-shaped afterbody 502 is fixedly connected with described cylindrical head 501, described cylindrical head 501 is provided with the through hole I 503 matched with the external diameter of described pipeline II 4, described pipe 6 has truncated cone-shaped head 601, the outer surface of described truncated cone-shaped head 601 is provided with external screw thread, described truncated cone-shaped afterbody 502 has the through hole II 504 matched with described truncated cone-shaped head 601, described through hole II 504 is provided with away from one end of described cylindrical head 501 female thread matched with described external screw thread, described through hole II 504 is also provided with smooth department 505, described smooth department 505 is between described female thread and described cylindrical head 501, the small end of described truncated cone-shaped head 601 and the internal diameter of described pipeline II 4 match, described through hole I 503 is communicated with described through hole II 504, described supervisor 1 is provided with multiple side opening I 101 and multiple side opening II 302, described side opening I 101 and described side opening II 302 are all positioned at described supervisor 1 and are positioned at pipeline section part above described sacculus thin film 2, described side opening II 302 is communicated with described pipeline I 3,
The head of described supervisor 1 is provided with pipe cap 102, and described pipe cap 102 has arc surface 103, and described arc surface 103 is provided with through hole III 104.
The upper end of described sacculus thin film 2 is apart from the head end 7-9cm of described pipe cap 102, and the blind end 301 of described pipeline I 3 is apart from the upper end 2cm of described sacculus thin film 2.
Described side opening I 101 is between described pipe cap 102 and the blind end 301 of described pipeline I 3, and described side opening II 302 is between the blind end 301 and the upper end of described sacculus thin film 2 of described pipeline I 3.
The two ends of described sacculus thin film 2 are connected respectively by the outer wall of becket 201 with described supervisor 1.
Described becket 201 is that X-ray material is made thoroughly.
Described pipe 6 is connected by screw thread or buckle with described three-way valve.
Described side opening I 101 ovalize, the major axis of described side opening I 101 is parallel with the axle of described supervisor 1, and the area of described side opening I 101 is 2 × 3 × π mm
2; Described side opening II 302 ovalize, the major axis of described side opening II 302 is parallel with the axle of described supervisor 1, and the area of described side opening II 302 is 3 × 5 × π mm
2.
Under duty, described pipeline II 4 is through described through hole I 503, described truncated cone-shaped head 601 enters in described through hole II 504, the small end of described truncated cone-shaped head 601 is inserted in described pipeline II 4, now, described pipeline II 4 part between described truncated cone-shaped head 601 and described smooth department 505 is squeezed and deforms, itself and described truncated cone-shaped head 601 and described smooth department 505 are fitted tightly, coordinated by described female thread and described external screw thread afterwards and described cap 5 is tightened with described truncated cone-shaped head 601
Described seal wire is inserted into bile duct 7, being socketed in by described water-bag type nose gallbladder irrigation drainage tube on described seal wire and pushing to bile duct 7, described seal wire, successively through described pipe cap 102 and described supervisor 1, is recalled from described water-bag type nose gallbladder irrigation drainage tube by described seal wire afterwards, open described three-way valve
Water is successively through described three-way valve and described pipe 6, and enter into described pipeline II 4 from the small end of described truncated cone-shaped head 601, enter into described sacculus thin film 2 from through hole IV 401 afterwards and be full of, now, described sacculus thin film 2 expands outwardly formation water pocket under the effect of water.
Now, flushing liquor enters in bile duct 7 by described supervisor 1 and from described side opening I 101 and rinses bile duct 7, and described pipeline I 3 connects negative pressure and is drawn in described pipeline I 3 from described side opening II 302 by the flushing liquor having rinsed bile duct 7.Because described sacculus thin film 2 blocks bile duct 7, bile and flushing liquor are drawn from described pipeline I 3 through described side opening II 302.Because the cross section of described sacculus thin film 2 is quincunx, when described pipeline I 3 keeps clear, bile duct 7 pressure is low, bile duct 7 wall can attach to described sacculus thin film 2 surface, bile and flushing liquor can not enter duodenum, when there is blocking in described pipeline I 3, bile duct 7 pressure raises, bile duct 7 wall being attached to described sacculus thin film 2 leaves described sacculus thin film 2, the suture on described sacculus thin film 2 surface of plum blossom-shaped appears, flushing liquor and bile can enter duodenum through this suture, reduce bile duct 7 pressure.
The above; be only the present invention's preferably detailed description of the invention; but protection scope of the present invention is not limited thereto; anyly be familiar with those skilled in the art in the technical scope that the present invention discloses; be equal to according to technical scheme of the present invention and inventive concept thereof and replace or change, all should be encompassed within protection scope of the present invention.
Claims (8)
1. a water-bag type nose gallbladder irrigation drainage tube, it is characterized in that: comprise supervisor, be positioned at the pipeline I that described supervisor has blind end and the sacculus thin film be socketed on described supervisor's outer wall, the cross section of described sacculus thin film is quincunx, the pipeline II be communicated with described sacculus thin film is also provided with in described supervisor, the other end of described pipeline II is connected with pipe by cap, the other end of described pipe is connected with three-way valve, described cap has cylindrical head and truncated cone-shaped afterbody, the small end of described truncated cone-shaped afterbody is fixedly connected with described cylindrical head, described cylindrical head is provided with the through hole I matched with the external diameter of described pipeline II, described pipe has truncated cone-shaped head, the outer surface of described truncated cone-shaped head is provided with external screw thread, described truncated cone-shaped afterbody has the through hole II with described truncated cone-shaped fit heads, described through hole II is provided with away from one end of described cylindrical head the female thread matched with described external screw thread, described through hole II is also provided with smooth department, described smooth department is between described female thread and described cylindrical head, the small end of described truncated cone-shaped head and the internal diameter of described pipeline II match, described through hole I is communicated with described through hole II, described supervisor is provided with multiple side opening I and multiple side opening II, described side opening I and described side opening II are all positioned at described supervisor and are positioned at pipeline section part above described sacculus thin film, described side opening II is communicated with described pipeline I,
Under duty, flushing liquor enters in bile duct by described supervisor and from described side opening I and rinses bile duct, and described pipeline I connects negative pressure and is drawn in described pipeline I from described side opening II by the flushing liquor having rinsed bile duct.
2. water-bag type nose gallbladder irrigation drainage tube according to claim 1, it is characterized in that: the head of described supervisor is provided with pipe cap, described pipe cap has arc surface, and described arc surface is provided with through hole III.
3. water-bag type nose gallbladder irrigation drainage tube according to claim 2, is characterized in that: the upper end of described sacculus thin film is apart from the head end 7-9cm of described pipe cap, and the blind end of described pipeline I is apart from the upper end 2cm of described sacculus thin film.
4. water-bag type nose gallbladder irrigation drainage tube according to claim 3, is characterized in that: described side opening I is between described pipe cap and the blind end of described pipeline I, and described side opening II is between the blind end and the upper end of described sacculus thin film of described pipeline I.
5. water-bag type nose gallbladder irrigation drainage tube according to claim 1, is characterized in that: the two ends of described sacculus thin film are connected respectively by the outer wall of becket with described supervisor.
6. water-bag type nose gallbladder irrigation drainage tube according to claim 5, is characterized in that: described becket is that X-ray material is made thoroughly.
7. water-bag type nose gallbladder irrigation drainage tube according to claim 1, is characterized in that: described pipe is connected by screw thread or buckle with described three-way valve.
8. the water-bag type nose gallbladder irrigation drainage tube according to the arbitrary claim of claim 1-7, is characterized in that: described side opening I ovalize, and the major axis of described side opening I is parallel with the axle of described supervisor, and the area of described side opening I is 2 × 3 × π mm
2; Described side opening II ovalize, the major axis of described side opening II is parallel with the axle of described supervisor, and the area of described side opening II is 3 × 5 × π mm
2.
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CN201510681090.XA CN105148380B (en) | 2015-10-19 | 2015-10-19 | Water-bag type nose gallbladder irrigation drainage tube |
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CN201510681090.XA CN105148380B (en) | 2015-10-19 | 2015-10-19 | Water-bag type nose gallbladder irrigation drainage tube |
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CN105148380A true CN105148380A (en) | 2015-12-16 |
CN105148380B CN105148380B (en) | 2019-01-01 |
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Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN108325045A (en) * | 2018-02-09 | 2018-07-27 | 大连大学 | Multi-functional nose bile drainage tube |
CN108697878A (en) * | 2016-03-04 | 2018-10-23 | 巴德股份有限公司 | Perfusion balloon catheter with inner valve |
TWI776461B (en) * | 2021-04-12 | 2022-09-01 | 國立陽明交通大學 | Auxiliary device for inhaler |
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CN204637250U (en) * | 2015-05-05 | 2015-09-16 | 上海英诺伟医疗器械有限公司 | A kind of nose bile drainage tube |
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Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
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CN108697878A (en) * | 2016-03-04 | 2018-10-23 | 巴德股份有限公司 | Perfusion balloon catheter with inner valve |
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TWI776461B (en) * | 2021-04-12 | 2022-09-01 | 國立陽明交通大學 | Auxiliary device for inhaler |
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Application publication date: 20151216 Assignee: XINHAIHEXING TECHNOLOGY (DALIAN) Co.,Ltd. Assignor: DALIAN University Contract record no.: X2023210000008 Denomination of invention: Water-capsule naso-biliary irrigation drainage tube Granted publication date: 20190101 License type: Common License Record date: 20230215 |
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