CN105232194B - Double J pipe extractor in a kind of males - Google Patents

Double J pipe extractor in a kind of males Download PDF

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Publication number
CN105232194B
CN105232194B CN201510663602.XA CN201510663602A CN105232194B CN 105232194 B CN105232194 B CN 105232194B CN 201510663602 A CN201510663602 A CN 201510663602A CN 105232194 B CN105232194 B CN 105232194B
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China
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hose
seal wire
pliers
inner sleeve
mesh basket
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CN105232194A (en
Inventor
邹青
李潇
蔡宏宙
徐子程
喻彬
须霆
周瑾
高杨
王昕炜
薛建新
汤井源
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Jiangsu Cancer Hospital
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Jiangsu Cancer Hospital
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Abstract

The invention discloses double J pipe extractors in a kind of males, including mesh basket, can opening and closing pliers, the housing hose of silica gel matter, the inner sleeve hose of silica gel matter, flexible elasticity seal wire, operation handle and tail end operating lever, the pliers is mounted on the front end of housing hose, and it links with operation handle, the inner sleeve hose is nested in housing hose, the back segment of inner sleeve hose is exposed outside, mesh basket is arranged on the front end of inner sleeve hose, tail end operating lever plug is in the tail end of inner sleeve hose, the elastic bendable seal wire is arranged in inner sleeve hose, the seal wire of elastic bendable seal wire one end and mesh basket connects, the other end is connect with tail end operating lever.Present invention construction is exquisite, easy to operate, is easy to universal use.

Description

Double J pipe extractor in a kind of males
Technical field
The invention belongs to clinical medicine medical instruments field, it is related to a kind of being suitable for pulling out pulling out for double J pipe in males Device.
Background technology
Double J pipe also known as ureter rack tube, double pigtail catheter or D-J pipes, using extremely wide in urological surgery. Suitable for Upper urinary tract operations and rubbles such as kidney stone, ureteral calculi, uronephrosis, kidney transplant, kidney and ureter benign tumours Machine rubble, ureterostenosis the therapeutic process such as expansion in.It can play drainage of urine after being implanted into ureter, prevent ureter narrow The important function that narrow and adhesion blocks.The double J pipe of all indwellings is required to pull out after certain time limit, pulls out double J pipe side at present Method is mainly cystoscope, but cystoscope operating condition is higher, and section office need special Cystoscopy Room, and to be equipped with surgical instrument, hand Art bed, sterilizing equipment decontaminating apparatus, and also need the doctor and nurse of operation.Many civilian hospitals do not have special Cystoscopy Room.In addition, For patient, tube drawing is costly under cystoscope.
Invention content
Technical problem:A kind of construction of present invention offer is exquisite, easy to operate, reduces cost, convenient and safe males Interior double J pipe extractor.
Technical solution:Double J pipe extractor in the males of the present invention, including mesh basket, can the pliers of opening and closing, silica gel matter Housing hose, the inner sleeve hose of silica gel matter, flexible elastic seal wire, operation handle and tail end operating lever, the pliers installation It links in the front end of housing hose, and with operation handle, the inner sleeve hose is nested in housing hose, the back segment of inner sleeve hose Exposed mesh basket is arranged on the front end of inner sleeve hose outside, and tail end operating lever plug is in the tail end of inner sleeve hose, the elasticity bendable Bent seal wire is arranged in inner sleeve hose, and the seal wire connection of elastic bendable seal wire one end and mesh basket, the other end is operated with tail end Bar connects.
Further, in apparatus of the present invention, the housing hose inside middle portion is provided with annular projection, the inner sleeve hose Front end outer side be provided with the corresponding rounded tabs of annular projection, can inner sleeve hose be pumped into housing hose after position.
Further, in apparatus of the present invention, the pliers and operation handle respectively by being pivotally mounted on housing hose, Operation handle is connected by bifilar seal wire and controls pliers, and the inside edge of the housing hose is provided with duct, bifilar seal wire It is laid in duct, wherein external control seal wire one end is pierced by from one aperture of housing hose front end, and drawing makes it on the outside of pliers It opens, internal control seal wire makes its closure in inside drawing pliers;The external control seal wire other end around around handle wheel shaft to set counterclockwise, internal control The seal wire other end clockwise about around handle wheel shaft to set, and during handle abduction, external control seal wire tightens drawing, and internal control seal wire loosens, Open pliers, time receiving in handle, internal control seal wire tightens drawing, and external control seal wire loosens, and collapses pliers.
Further, in apparatus of the present invention, the pliers be in two semi-cylindricals, close up it is rear cylindrical, built in pliers Latch, when integrally closing up, latch will not touch mesh basket, and when mesh basket is with double J pipe, then pliers can be clamped securely Mesh basket is together with seal wire.
Instrument of the present invention can replace traditional cystoscope to grip double J pipe in males, not need to operate in Cystoscopy Room, can One people's complete independently, it is easy to operate.
The operating procedure of double J pipe extractor is in the males:
(1)It is identical with cystoscope operation before operation, patient is allowed to take plain abdominal radiograph, determines double J pipe position, excludes double J pipe Slip into the medium special circumstances of ureter.
(2)Patient lies low during operation, both legs buckling abduction, routine disinfection and after sterilizing penis, spreads aseptic towel.
(3)Pipe extractor is smeared into paraffin oil, urethra is inserted into and enters bladder(The similar conventional plug in catheter of process), with reference to 20cm Locate graduation mark, when seeing that urine flows out at two side handles, go successively to 3-5cm.
(4)It is sub with two side handle opening clamps after, and pipe extractor to light drawing of drawing back is obstructed, pliers is stuck in urine at this time Road and bladder joint.
(5)By pushing tail handle, the clamping apparatus of activity is ejected, and is gently pushed until there is apparent resistance(Because There is rubber head end in mesh basket front end, will not injure tissue).
(6)Tail end handle is pulled after fixed inner sleeve hose, opens mesh basket.
(7)After slightly rotating left and right mesh basket, mesh basket is tightened, two side handles is then fixed and pulls back inner sleeve hose, until Apparent resistance.
(8)It is closed pliers and clamps, pipe extractor is integrally taken out.
Advantageous effect:Compared with prior art, the present invention has the following advantages:
(1)Tradition pulls out patient's double J pipe using cystoscope to be needed to be equipped with special Cystoscopy Room, and need special doctor, shield Scholar is operated, it is also necessary to a whole set of disinfection apparatus, cystoscope instrument and display equipment etc., it is more demanding to operating condition;This Outside, the cystoscope operating time is long, a whole set of cystoscope is needed to operate, and such as sterilizes, takes mirror, anesthesia, insert mirror, look for double J pipe, tube drawing Deng, and centre is constantly needed to nurse's auxiliary, operating procedure is more, the time is longer.But with after the present invention, operation step can be greatly simplified Suddenly, medical staff can effectively avoid the waste of medical resource in more than ten minutes end of operation, and cystoscope is used to really need wing The patient of Guang spectroscopy;
(2)Traditional cystoscope tube drawing is more demanding to condition, and many civilian hospitals there is no cystoscope condition, thus many trouble Person needs relatively large hospital admission, increases large hospital and goes to a doctor pressure;
(3)The present invention is easy to operate, convenient for universal, especially base do not have Cystoscopy Room hospital's demand it is big;
(4)Present invention construction is exquisite, and cost is substantially reduced relative to cystoscope, traditional cystoscope tube drawing easily four or five hundred Member, and use the cost The present invention reduces patient.
Description of the drawings
Structure diagram when Fig. 1 is present invention work.
Fig. 2 is the overlooking the structure diagram when present invention closes up.
Fig. 3 is the structure diagram when present invention closes up.
Fig. 4 is head end pliers of the present invention regulation and control figure.
Have in figure:1. mesh basket, 2. rubber head ends, 3. rounded tabs, 4. pliers, 5. latches, 6. elastic seal wires, 7. is cyclic annular Protrusion, 8. inner sleeve hoses, 9. operation handles, 10. tail end operating levers, housing hose 11.
Specific embodiment
The invention will be further described with embodiment with reference to the accompanying drawings of the specification.
As shown in Figure 1, in the embodiment of the present invention, double J pipe extractor mainly includes such as lower component in males:
It is collapsible in strip similar to " calculus catching net-like means " for taking calculus 1. mesh basket, overall length 5cm during contraction, during opening most Short about 3cm.After be compiled in seal wire, seal wire is placed in tubule(Inner sleeve hose leading portion)In, capillary diameter about 1.5mm, the connection of seal wire leading portion Mesh basket twine, and be connected with tail end operating lever, it can be adjusted by the handle of tail portion.
2. rubber head end for cone, positioned at mesh basket front end, can be prevented into injury tissue after bladder;And whole When body closes up, rubber head end coincide with the head clamped, conducive to urethra is inserted into.
3. rounded tabs, positioned at mesh basket back segment and 8 connecting place of inner sleeve hose, diameter about 3mm, can when integrally closing up It is blocked, will not slide rearwardly out by the annular projection 7 inside housing hose 11.
4. pliers in two semi-cylindricals, closes up rear cylindrical, length about 2cm.Latch built in pliers, in whole conjunction Mesh basket will not be contacted when holding together, and when mesh basket is with double J pipe, then pliers can securely clamp mesh basket together with double J pipe.Before The handle of section casing two sides of tail can adjust the opening and closing of pliers 4 by the hard seal wire 6 set in housing hose.
5. latch on the inside of pliers, can increase folder object frictional force.
6. elastic seal wire, the handle of leading portion casing two sides of tail can adjust pliers by the seal wire built in sleeve side walls hole Opening and closing.
7. annular projection, for blocking the catch of mesh basket back segment.It is located at 11 head end 5cm of housing hose herein, There is label in 11 outside of housing hose, is referred to during urethra for entering.
8. inner sleeve hose, the tubule of seal wire built in connection.
9. operation handle controls the opening and closing of pliers by flexible elastic seal wire 6.
10. tail end operating lever, the seal wire that connection mesh basket twine is compiled in, there is operation handle in tail portion.
The main body of the present invention is made of three sections of casings, and head end has pliers 4, and there is ring-type handle at three in tail portion, built-in adjustable Mesh basket.Leading portion is cylindrical when it is collapsed, overall length about 32cm, diameter about 6mm.Casing is divided into three parts, away from head end There is scale at 20cm on facial canal wall, herein to be inserted into male urethra reference during operation.Mobilizable clamping apparatus, forepart built in casing Mesh basket 1, which is similar to, takes " calculus catching net-like means " of calculus, collapsible in strip in netted, overall length 5cm during contraction, and when opening is most short About 3cm.Its front end can be prevented by a conical rubber head end 2 into injury tissue after bladder;And when integrally closing up, rubber Rubber head end 2 and the head of pliers 4 coincide, conducive to urethra is inserted into.1 back segment of mesh basket has a circle with itself adjusting sleeve pipe connecting place Catch 3, diameter about 3mm when integrally closing up, can be blocked by leading portion casing inner annular projection portion 7, will not be slid rearwardly out.Head The inner sleeve hose 8 that pliers rear portion is built-in elastic seal wire 6,8 diameter of inner sleeve hose about 1.5mm are held, elastic 6 leading portion of seal wire connects net The twine of shape basket 1, and be connected with tail end operating lever 10, the opening and closing of mesh basket 1 can be adjusted by the operation handle of tail portion;Pass through tune It saves inner sleeve hose 8 and realizes back-and-forth motion of the mesh basket 1 in housing hose 11.Pliers 4 is in two semi-cylindricals, in circle after closing up Column, length about 2cm, 11 two sides of tail of housing hose have operation handle 9 that pliers opening and closing are adjusted.Latch 5 built in pliers, whole Mesh basket 1 will not be just touched when body closes up, and when mesh basket 1 is with double J pipe, then pliers 4 can securely clamp mesh basket 1.The operation handle 9 of 11 two sides of tail of housing hose can adjust the opening and closing of pliers 4 by elastic bendable seal wire 6.
Above-described embodiment is only the preferred embodiment of the present invention, it should be pointed out that:For the ordinary skill of the art For personnel, without departing from the principle of the present invention, several improvement and equivalent replacement can also be made, these are to the present invention Claim be improved with the technical solution after equivalent replacement, each fall within protection scope of the present invention.

Claims (3)

1. double J pipe extractor in a kind of males, which is characterized in that the extractor includes mesh basket(1), can opening and closing pliers (4), silica gel matter housing hose(11), silica gel matter inner sleeve hose(8), flexible elastic seal wire(6), operation handle(9) With tail end operating lever(10), the pliers(4)Mounted on housing hose(11)Front end, and and operation handle(9)Linkage, it is described Inner sleeve hose(8)It is nested in housing hose(11)In, inner sleeve hose(8)Back segment it is exposed outside, mesh basket(1)It is arranged on inner sleeve Hose(8)Front end, tail end operating lever(10)Plug is in inner sleeve hose(8)Tail end, it is described elasticity seal wire(6)It is soft to be arranged on inner sleeve Pipe(8)In, elastic seal wire(6)One end and mesh basket(1)Seal wire connection, the other end and tail end operating lever(10)Connection, it is described Pliers(4)In two semi-cylindricals, close up rear cylindrical, pliers(4)Built-in latch(5), the latch when integrally closing up(5)No Mesh basket can be touched, and when mesh basket is with double J pipe, then pliers(4)Mesh basket can securely be clamped.
2. double J pipe extractor in males according to claim 1, which is characterized in that the housing hose(11)Middle part Inside is provided with annular projection(7), the inner sleeve hose(8)Front end outer side be provided with and annular projection(7)Corresponding circle Shape catch(3), can be in inner sleeve hose(8)It is pumped into housing hose(11)After position.
3. double J pipe extractor in males according to claim 1, which is characterized in that the pliers(4)And operation handle (9)Respectively by being pivotally mounted in housing hose(11)On, operation handle(9)It is connected by bifilar seal wire and controls pliers(4), The housing hose(11)Inside edge be provided with duct, the bifilar seal wire is laid in duct, wherein outer conduct Silk(12)One end is from housing hose(11)One aperture of front end is pierced by, in pliers(4)Outside drawing makes its opening, internal control seal wire(13) In inside, drawing pliers makes its closure;External control seal wire(12)The other end around handle wheel shaft to set counterclockwise, internal control seal wire(13) The other end clockwise about handle wheel shaft to set, during handle abduction, external control seal wire(12)Tighten drawing, internal control seal wire(13)It puts Pine makes pliers(4)It opens, the time receiving in handle, internal control seal wire(13)Tighten drawing, external control seal wire(12)Loosen, make pliers(4)It receives Hold together.
CN201510663602.XA 2015-10-15 2015-10-15 Double J pipe extractor in a kind of males Active CN105232194B (en)

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CN105232194B true CN105232194B (en) 2018-06-29

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Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108836587A (en) * 2018-05-16 2018-11-20 张晨辉 A kind of dedicated extractor of ureter rack tube
CN110974499B (en) * 2019-12-31 2021-07-09 孙祯 Expandable ureteral stent

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN201642264U (en) * 2010-05-19 2010-11-24 郐占波 Bronchus foreign body clamp
CN202060921U (en) * 2011-05-16 2011-12-07 上海市杨浦区中心医院 Loop type remover for double J-shaped pipes
CN202437950U (en) * 2012-02-10 2012-09-19 夏生俊 Double-cannula double-J tube
CN202654270U (en) * 2012-03-30 2013-01-09 景德善 Noninvasive pipe extractor for support pipe in ureter
CN203749527U (en) * 2014-03-10 2014-08-06 谷军飞 Ring sleeve type double-J pipe removing device
CN204520868U (en) * 2015-01-29 2015-08-05 深圳市康医博科技发展有限公司 A kind of Wicresoft expansion two-chamber ureter guiding sheath external member
CN205073482U (en) * 2015-10-15 2016-03-09 江苏省肿瘤医院 Ware is pulled out to internal pair of J pipe of male sex

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7758594B2 (en) * 2005-05-20 2010-07-20 Neotract, Inc. Devices, systems and methods for treating benign prostatic hyperplasia and other conditions

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN201642264U (en) * 2010-05-19 2010-11-24 郐占波 Bronchus foreign body clamp
CN202060921U (en) * 2011-05-16 2011-12-07 上海市杨浦区中心医院 Loop type remover for double J-shaped pipes
CN202437950U (en) * 2012-02-10 2012-09-19 夏生俊 Double-cannula double-J tube
CN202654270U (en) * 2012-03-30 2013-01-09 景德善 Noninvasive pipe extractor for support pipe in ureter
CN203749527U (en) * 2014-03-10 2014-08-06 谷军飞 Ring sleeve type double-J pipe removing device
CN204520868U (en) * 2015-01-29 2015-08-05 深圳市康医博科技发展有限公司 A kind of Wicresoft expansion two-chamber ureter guiding sheath external member
CN205073482U (en) * 2015-10-15 2016-03-09 江苏省肿瘤医院 Ware is pulled out to internal pair of J pipe of male sex

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