CN105326531B - A kind of channel system of Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment - Google Patents

A kind of channel system of Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment Download PDF

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Publication number
CN105326531B
CN105326531B CN201510834600.2A CN201510834600A CN105326531B CN 105326531 B CN105326531 B CN 105326531B CN 201510834600 A CN201510834600 A CN 201510834600A CN 105326531 B CN105326531 B CN 105326531B
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air bag
sleeve
needle guard
needle
cerebral hemorrhage
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CN105326531A (en
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孙德科
李宪锋
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/0034—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means adapted to be inserted through a working channel of an endoscope

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

A kind of channel system of Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment, including metal needle, needle guard, air bag, sleeve and detachable handle, the needle guard, are enclosed on metal needle outer surface, and for penetrating brain tissue, its head is rounded, reduces the infringement to brain tissue；The metal needle, with needle guard collective effect, whether reach bleeding part for sense channel system；The air bag, is initially located in compressive state, positioned at needle guard outer surface, is expanded after encephalocoele is inserted with needle guard using aerating device to strut brain tissue；The sleeve, it is to form support passage along column gasbag outer surface insertion encephalocoele after airbag-releasing, then metal needle, needle guard and air bag is taken out after Deflation out of sleeve, forms the treatment passage of cerebral hemorrhage.

Description

A kind of channel system of Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment
Technical field
The present invention is applied to hypertension cerebral hemorrhage patients surgical technic field, more particularly to a kind of minimally-invasive treatment brain goes out The channel system of blood.
Background technology
The hypertensive cerebral hemorrhage incidence of disease, the death rate, rate of curing the disease, disability rate are higher, and traditional medical treatment is difficult to solve in early days Except compressing of the occupation time process to surrouding brain tissue of hemotoncus after bleeding, the secondary lesion of surrouding brain tissue anoxic, and blood coagulation connection Reaction.
Operation of opening cranium evacuation of hematoma, the preparation of operation, hypertensive patient's contraindication is more, prolonged operationses operate, art In certain limitation is brought to the selection for opening cranium art to the damaging of normal cerebral tissue, recovery of postoperative important organ etc..
The content of the invention
To solve the above problems, the invention provides a kind of channel system of Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment, the system includes gold Belong to pin 1, needle guard 2, air bag 3, sleeve 5, detachable handle 4, it is characterised in that：Metal needle 1 is located in needle guard 2, and air bag 3 is located at pin Outside set 2, sleeve 5 is arranged on outside the air bag 3 after the completion of inflation；Detachable handle 4 passes through at the circumferential end of neck and sleeve 5 It is engaged；In use, air bag 3 is inflated, brain tissue is strutted, then outer wall insertion of the sleeve 5 along air bag 3, air bag 3 are deflated, air bag 3 Outer wall separated with sleeve 5 after, take metal needle 1, needle guard 2 and the air bag 3 after deflating away, form stable operation duct.
The needle guard 2 is that head is rounded, and through hole is provided with 5mm, and through hole is connected with inner chamber, and afterbody external diameter is less than head Portion external diameter 1-2mm.
The metal needle 1 is located at the inside of needle guard 2, and the aperture of metal needle 1 is identical with the internal diameter of needle guard 2, the length of metal needle 1 Degree is than 2 long 20-30mm of needle guard.
The air bag 3 is flat structure under unaerated state, and middle part is provided with through channel, sidepiece be provided be available for inflation, The circular passage of exhaust；Under inflated condition, in cylinder.
The sleeve 5 be thin-wall metal or can antibacterial plastic material, it is provided with different barrel dliameter series, the sleeve 5 end is circumferentially with elliptical gradient neck, and detachable handle 4 forms one-way locking mechanism with elliptical gradient neck, and guarantee can Removal handle 4 and the tight fit of sleeve 5；The elliptical gradient neck is elastic material, facilitates detachable handle 4 and sleeve 5 Dismounting, installation；The end face of the sleeve 5 is arc structure.
The detachable handle 4 is less than 2-4mm with diameter at the cooperation of sleeve 5 than the elliptical gradient neck diameter of sleeve 5, Irregular structure arc surfaced at the cooperation of detachable handle 4, its arc length are 0.6-0.7 times of circumferential length.
Air bag 3 includes penetrating via 6, periphery air bag 7, gas access way 8；Penetrating via 6 is arranged in air bag 3 Between, penetrating via 6 is connected with needle guard 2；Periphery air bag 7 is arranged on the surrounding of air bag 3, and forms closed cycle structure；Gas Access way 8 is arranged on the end eccentric part of air bag 3；The gas access way 8 can also play buffering, the work of steady air flow With.
The present invention is a kind of channel system of Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment, and the air bag 3 of unaerated is wrapped on needle guard 2 by it, Under its protective effect, bleeding part is brought into, air bag 3 is inflated by inflation inlet, and the outer of homogeneous soft squeezes and support periphery Brain tissue, reduce damage of the other modes to brain tissue, after the aperture of requirement is reached, sleeve 5 is inserted into brain along airbag wall In tissue, withdrawn after air bag 3 is deflated, form stable operating walk way.
Compared with prior art, the present invention has the advantages that.
1st, the system is that cerebral hemorrhage minimum traumatic treatment opens enough passages, surrouding brain tissue is damaged light and periphery by Power is uniform, to brain tissue without shear property model, can easily and efficiently form operating space.
2nd, by air bag is circumferential, the vertical and each fluid space of end set, to realize the steady, uniform of air bag Expansion, good operating environment is provided to implement the brain tissue of operation, to protect operator, reduces operation risk.
3rd, detachable handle and sleeve coordinate for irregular cambered surface, lock realization by elastic one-way and the stabilization of sleeve is matched somebody with somebody Close, realize the stability contorting to the system.
4th, sleeve from thin-wall metal or can antibacterial plastic material and arc structure effectively brain tissue can be inserted Enter uniform, blind-mate, whole engagement process is softer, smooth-going, ensures the security of surgical procedure.
Brief description of the drawings
Accompanying drawing is used for providing a further understanding of the present invention, and a part for constitution instruction, and with the present invention's Embodiment together, for explaining the present invention, is not construed as limiting the invention.In the accompanying drawings：
Fig. 1 .1 are probe structure schematic diagram under the unaerated state according to the present invention.
Fig. 1 .2 are the probe structure schematic diagram according to the present invention.
Fig. 2 is probe structure head I enlarged diagrams under the unaerated state according to the present invention.
Fig. 3 is schematic three dimensional views when being inserted in sleeve under the inflated condition according to the present invention.
Fig. 4 is diagrammatic cross-section when being inserted in sleeve under the inflated condition according to the present invention.
Fig. 5 is the different series sleeve schematic diagram according to the present invention.
Fig. 6 is the structural map according to the air bag of the present invention.
In figure：1st, metal needle, 2, needle guard, 3, air bag, 4, detachable handle, 5, sleeve pipe, 6, penetrating via, 7, periphery gas Capsule, 8, gas access way
Embodiment
The preferred embodiments of the present invention are illustrated below in conjunction with accompanying drawing, it will be appreciated that described herein preferred real Apply example to be merely to illustrate and explain the present invention, be not intended to limit the present invention.
Fig. 1 .1 are probe structure schematic diagram under the unaerated state according to the present invention, and Fig. 1 .2 are the probe according to the present invention Structural representation, Fig. 2 are that probe structure head enlarged diagram 3 is according to the present invention's under the unaerated state according to the present invention Schematic three dimensional views when sleeve is inserted under inflated condition, Fig. 4 are that section is illustrated when being inserted in sleeve under the inflated condition according to the present invention Figure, Fig. 5 are according to the different series sleeve schematic diagram of the present invention, and Fig. 6 is the structural map according to the air bag of the present invention.
As shown in figure 4, the present invention includes metal needle 1, needle guard 2, air bag 3, sleeve 5 and detachable handle 4, wherein,
Metal needle 1, it is arranged in the inner chamber of needle guard 2, and its one end insertion needle guard intracavity bottom, one end will than needle guard inner chamber Long 20-30mm, it is easy to metal needle to extract out, insert from needle guard.
Needle guard 2, divide head rounded, reduce the damage to brain tissue during needle guard probes into, and opened at 5mm Have through hole, be connected with inner chamber, coordinate with interior metal pin, it can be determined that whether reach bleeding part, afterbody external diameter than head outside The small 1-2mm in footpath, it is smaller than head to make to depend on the external diameter of air bag thereon, does not cause drag effects to probeing into process.
Air bag 3, the air bag are flat structure under unaerated state, and there is through channel at middle part, place needle guard and use.At it Sidepiece has the passage for being available for inflating, be vented；Under inflated condition, in cylinder.
Sleeve 5, sleeve be the very thin metal of barrel or can antibacterial plastic material, there are different barrel dliameter series to be directed to difference Amount of bleeding, be provided with groove in one section, with detachable handle coordinate, play positioning action, place the cunning of detachable handle Move.
Detachable handle 4, with being the diameter arc structure smaller than groove footpath at sleeve pipe cooperation, its arc length is 0.6-0.7 times for it Circumference, open clamping using the elasticity of material and remove and install.
The present invention is a kind of channel system of Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment, and the through channel of the air bag 3 of unaerated is placed into pin Set 2, and by cell wraps on needle guard, metal needle 1 is inserted in needle guard, it integrally forms probe structure, is probeed into, and utilizes Metal needle 1 in leather sheath judges whether to reach bleed site.After bleeding part is reached, air bag 3 is inflated by inflation inlet, The outer of homogeneous soft squeezes and supports surrounding brain tissues, reduces damage of the other modes to brain tissue, when the aperture for reaching requirement Afterwards, sleeve 5 being inserted along brain tissue along airbag wall, after air bag 3 is deflated, probe is withdrawn, now only remaining sleeve 5 in passage, So as to form stable operating walk way, detachable handle 4 is then laid on sleeve 5 again, is easy to the operation in later stage.
Wherein the structure of air bag is as shown in figure 4, be penetrating via 6 among air bag, periphery air bag 7 is shut, had in its side Supplied gas access way 8.
One of ordinary skill in the art will appreciate that：The preferred embodiments of the present invention are the foregoing is only, and are not had to In the limitation present invention, although the present invention is described in detail with reference to the foregoing embodiments, for those skilled in the art For, its technical scheme that can be still recorded to foregoing embodiments is modified, or which part technical characteristic is entered Row equivalent substitution.Within the spirit and principles of the invention, any modification, equivalent substitution and improvements made etc., all should include Within protection scope of the present invention.

Claims (4)

  1. A kind of 1. channel system of Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment, it is characterised in that：The system includes metal needle (1), needle guard (2), gas Capsule (3), sleeve (5), detachable handle (4), it is characterised in that：Metal needle (1) is located in needle guard (2), and air bag (3) is located at needle guard (2) outside, the air bag (3) that sleeve (5) is arranged on after the completion of inflation is outside；The week that detachable handle (4) passes through neck and sleeve (5) It is engaged to end；In use, air bag (3) is inflated, brain tissue is strutted, then outer wall insertion of the sleeve (5) along air bag (3), Air bag (3) is deflated, and after the outer wall of air bag (3) separates with sleeve (5), takes the air bag after metal needle (1), needle guard (2) and deflation away (3) stable operation duct, is formed；
    The needle guard (2) is that head is rounded, and through hole is provided with 5mm, and through hole is connected with inner chamber, and afterbody external diameter is less than head External diameter 1-2mm；
    The metal needle (1) is located at the inside of needle guard (2), and the aperture of metal needle (1) is identical with the internal diameter of needle guard (2), metal needle (1) length is longer 20-30mm than needle guard (2)；
    The air bag (3) is flat structure under unaerated state, and middle part is provided with through channel, and sidepiece is provided with and is available for inflating, arranges The circular passage of gas；Under inflated condition, in cylinder；
    The sleeve (5) be thin-wall metal or can antibacterial plastic material, it is provided with different barrel dliameter series, the sleeve (5) end is circumferentially with elliptical gradient neck, and detachable handle (4) forms one-way locking mechanism with elliptical gradient neck, protects Demonstrate,prove the tight fit of detachable handle (4) and sleeve (5)；The elliptical gradient neck is elastic material, convenient dismountable Dismounting, installation of the handle (4) with sleeve (5)；The end face of the sleeve (5) is arc structure.
  2. A kind of 2. channel system of Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment according to claim 1, it is characterised in that：The detachable hand Handle (4) is less than 2-4mm, detachable handle (4) with diameter at the cooperation of sleeve (5) than the elliptical gradient neck diameter of sleeve (5) Irregular structure arc surfaced at cooperation, its arc length are 0.6-0.7 times of circumferential length.
  3. A kind of 3. channel system of Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment according to claim 1, it is characterised in that：Air bag (3) includes Penetrating via (6), periphery air bag (7), gas access way (8)；Penetrating via (6) is arranged on the centre of air bag (3), through logical Road (6) is connected with needle guard (2)；Periphery air bag (7) is arranged on the surrounding of air bag (3), and forms closed cycle structure；Gas enters Go out the end eccentric part that passage (8) is arranged on air bag (3)；The gas access way (8) can also play buffering, steady air flow Effect.
  4. A kind of 4. channel system of Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment according to claim 1, it is characterised in that：The system its will not Inflated airbag (3) is wrapped on needle guard (2), under its protective effect, brings bleeding part into, air bag (3) is entered by inflation inlet Row inflation, the outer of homogeneous soft squeeze and support surrounding brain tissues, reduce damage of the other modes to brain tissue, when reaching requirement Aperture after, sleeve (5) is inserted along brain tissue along airbag wall, will air bag (3) deflate after withdraw, form stable operation and lead to Road.
CN201510834600.2A 2015-11-25 2015-11-25 A kind of channel system of Patients With Cerebral Hemorrhage Accepted Micro-traumatic Treatment Active CN105326531B (en)

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US11986150B2 (en) 2009-12-15 2024-05-21 Lumendi Ltd. Method and apparatus for manipulating the side wall of a body lumen or body cavity so as to provide increased visualization of the same and/or increased access to the same, and/or for stabilizing instruments relative to the same
CN105943096B (en) * 2016-06-02 2018-02-16 南方医科大学南方医院 The nerve endoscope operation tool of the complete conformal multipotency artificial finger of band
EP3823513A4 (en) * 2018-07-16 2022-08-17 Lumendi Ltd. Method and apparatus for manipulating the side wall of a body lumen or body cavity so as to provide increased visualization of the same and/or increased access to the same and/or for stabilizing instruments relative to the same
EP4243910A1 (en) 2020-11-16 2023-09-20 Lumendi Ltd. Methods and apparatus for inverting a hollow sleeve and thereafter reverting an inverted hollow sleeve
CN113974723B (en) * 2021-11-24 2024-06-18 河南印何阗生物科技有限公司 Visual deep brain operation puncture drainage retracting guide tube

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US6168586B1 (en) * 1998-08-07 2001-01-02 Embol-X, Inc. Inflatable cannula and method of using same
US8337512B2 (en) * 2008-12-08 2012-12-25 Siemens Aktiengesellschaft Device and workflow for minimally-invasive therapy, in particular needle guidance
CN203195717U (en) * 2012-12-07 2013-09-18 李经辉 Disposable space forming device for minimally-invasive brain surgery
CN203074666U (en) * 2013-03-18 2013-07-24 刘进 Assist device for nerve endoscopic intubation
CN103654887B (en) * 2013-12-18 2016-03-23 上海市东方医院 Hollow type abdominal-cavity minimal-invasion surgery endoscope passage

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