CN105380686A - Congenital oesophagus atresia upper-blind-end growth promoting device - Google Patents

Congenital oesophagus atresia upper-blind-end growth promoting device Download PDF

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CN105380686A
CN105380686A CN 201511028347 CN201511028347A CN105380686A CN 105380686 A CN105380686 A CN 105380686A CN 201511028347 CN201511028347 CN 201511028347 CN 201511028347 A CN201511028347 A CN 201511028347A CN 105380686 A CN105380686 A CN 105380686A
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end
oesophagus
guiding
device
operation
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CN 201511028347
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Chinese (zh)
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李勇刚
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重庆医科大学附属儿童医院
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00137Details of operation mode
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00743Type of operation; Specification of treatment sites
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00982General structural features
    • A61B2017/00991Telescopic means

Abstract

The invention discloses a congenital oesophagus atresia upper-blind-end growth promoting device, belonging to the technical field of medical devices, and comprising a guiding catheter and a guard plate for limiting the guiding catheter, wherein the guiding catheter comprises a guiding end and an advancing end, the end part of the guiding end is provided with a protection airbag, the excircle surface of the advancing end is provided with scales along the axial direction, and a clamping fixing device is arranged between the guard plate and the advancing end. The device enters the oesophagus of a human body through the guiding catheter, stabs and pushes the upper blind end of the oesophagus, and promotes the growth of the blind end; meanwhile, an advancing quantity needed each day can be accurately controlled through the clamping fixing device and the scales, the oesophagus is promoted to grow uniformly and stably, and an expected aim is achieved; an oesophagus atresia operation method is simplified, operation wounds and operation risk are reduced, a treatment effect of oesophagus atresia operation is improved, and the life is better saved.

Description

先天性食管闭锁上盲端促长装置 Means to promote long blind end congenital esophageal atresia

技术领域 FIELD

[0001] 本发明属于医疗器具技术领域,具体涉及一种可促进先天性食管闭锁的食管加速生长的装置。 [0001] The present invention belongs to the technical field of medical instruments, particularly to an apparatus congenital esophageal atresia esophageal facilitate growth acceleration.

背景技术 Background technique

[0002]食管闭锁(atresia of oesophagus)及食管气管瘦(tracheoesophagealfistula)在新生儿期并不罕见,根据国内统计,其发生率为2000〜4500个新生儿中有1例,与国外发病率近似(2500〜3000个新生儿中有1例)。 [0002] Esophageal atresia (atresia of oesophagus) and tracheoesophageal thin (tracheoesophagealfistula) is not uncommon in the neonatal period, according to national statistics, the rate 2000~4500 births in Example 1, with similar incidence of foreign ( 2500~3000 births in one case). 占消化道发育畸形的第3位,仅次于肛门直肠畸形和先天性巨结肠。 Accounting for development of digestive tract malformations No. 3, behind anorectal malformations and Hirschsprung's disease. 男孩发病率略高于女孩。 Boys are affected slightly higher than girls. 过去患本病小儿多在生后数天内死亡,近年来由于小儿外科的发展,手术治疗成功率日渐改善。 Over the past more than children suffering from the disease died a few days after birth, in recent years due to the development of pediatric surgery, surgical treatment success rate is gradually improving.

[0003] 食管闭锁病例中存在食管上下两段不连接、各成盲端的情况对这种情况的病例通常采用将上下两段拉长缝合的手术方式进行治疗,但在该种病例中,还存在上下两段相隔距离过长,无法直接拉拢进行手术的情形(如I型食管闭锁、II型食管闭锁、111(A)型食管闭锁)。 [0003] The presence of esophageal atresia esophageal upper and lower two cases are not connected, in each case to the blind end of the case is usually the case that two vertically elongated surgical suture treatment, but in this kind of case, there is also two vertically spaced distance is too long, the case can not be directly draw surgery (e.g., esophageal atresia type I, type II esophageal atresia, 111 (a) esophageal atresia). 这种情况下,可以通过小肠、结肠移植或将胃上提到胸腔吻合重建食管-胃的连接,但手术复杂,创伤大,并发症多。 In this case, through the small intestine, or colon transplant will be mentioned on the chest stomach esophagus anastomosis - connection of the stomach, but complex surgery, trauma, complications. 另一种方法是等待食管盲端自行生长到合适长度,进行食管吻合。 Another approach is to wait for their own growth esophageal blind end to an appropriate length, esophageal anastomosis. 食管盲端自行生长到可以吻合的长度一般需要4-8周,过程漫长,期间可能发生严重肺炎、内环境紊乱等危及生命的严重并发症。 Esophageal blind end itself can grow to match the length normally takes 4-8 weeks, long process, severe pneumonia, internal environment disorders that may occur during the life-threatening serious complications.

[0004] 针对上述问题,有必要研究出一种可促进先天性食管闭锁的食管盲端加速生长的装置,在相对更短的时间内,加速食管生长,尽早手术挽救生命。 [0004] For the above-described problems, it is necessary to promote developed a congenital esophageal atresia esophageal growth accelerator blind end, in a relatively shorter period of time, accelerate the growth of esophageal surgery as soon as possible to save lives.

发明内容 SUMMARY

[0005] 有鉴于此,本发明的目的在于提供一种先天性食管闭锁上盲端促长装置,以解决现有技术中无法促进食管生长病人存在生命危险的问题。 [0005] In view of this, an object of the present invention is a blind end to provide a means to promote long congenital esophageal atresia, life-threatening to solve problems of the prior art can not promote the growth of esophageal patient.

[0006] 本发明的目的是通过以下技术方案实现的: [0006] The object of the present invention is achieved by the following technical solution:

[0007] 先天性食管闭锁上盲端促长装置,包括引导管和对引导管限位的护板,所述引导管包括引导端和推进端,所述引导端的端部设置有防护气囊,所述推进端的外圆面沿轴向方向设置有刻度,所述护板与推进端之间设置有卡合固定装置。 The end portion [0007] blind end congenital esophageal atresia and promote growth device, comprising a guide tube and the guide tube to limit guard, said guide tube includes a guide end and a propulsion end, said leading end is provided with airbags, the advancing said outer end face is provided with a scale in the axial direction, the fixing means is provided with a retaining engagement engagement between the end plate and propulsion.

[0008] 进一步,所述卡合固定装置包括固定于护板上的卡合爪和设置于推进端外圆面上与卡合爪卡合的卡槽。 [0008] Further, the engagement means comprises a fixing plate secured to the retaining claw and the engaging slot provided in advance with an end surface of the outer engaging claw engages.

[0009] 进一步,所述卡合爪包括两个可相对转动的卡合体。 [0009] Further, the engagement pawl comprises two relatively rotatable engaging body.

[0010] 进一步,所述卡合体为圆弧结构,一端设置有卡合头,另一端设置有可将两个卡合体可旋转的连接在一起的转轴。 [0010] Further, the structure of the card body in an arc, is provided at one end engaging the head, the other end may be provided with a rotating shaft connecting together two rotatable card body.

[0011] 进一步,所述卡合爪还包括可使两个卡合体始终处于夹紧状态的复位弹簧,所述复位弹簧两端分别固定于两个卡合体位于转轴一端的端部。 [0011] Further, the engagement pawl further comprises two engaging body can always return spring is clamped state, the return spring ends are fixed to two ends of the rotating shaft located at one end of the card body.

[0012] 进一步,所述卡槽为两个沿推进端轴向方向布置的长方槽,所述长方槽的宽度与卡合头的直径相匹配。 [0012] Further, the propulsion end slot axial grooves are arranged in two rectangular directions along the width of the rectangular groove and the diameter of the engagement head match.

[0013] 进一步,所述引导管在引导端和推进端之间还设置有缓冲段。 [0013] Further, the leading end of the guide tube and advancing further provided a buffer between the end sections.

[0014] 进一步,所述防护气囊通过设置于引导管内的气路与外界气源连通。 [0014] Further, the protection provided by the guide airbag gas passage and the outside air in the pipe.

[0015] 进一步,所述护板上设置有用于观察推进端刻度的观察面,所述观察面与刻度平行设置。 [0015] Further, the guard plate is provided with propulsion for observing the observation surface side of the scale, the scale and arranged parallel to the viewing surface.

[0016] 进一步,所述护板上设置有用于将护板固定于人体面部的系紧带。 [0016] Further, the guard plate is provided for the guard plate is fixed to the body portion of the fastening tape.

[0017] 本发明的有益效果是: [0017] Advantageous effects of the present invention are:

[0018] 本发明通过引导管进入人体食管,对食管进行刺激性的拉扯,伸进其生长,同时通过卡合固定装置和刻度可准确控制每天需要的推进量,促进食管均匀稳定生长,并达到预期目标,最终实现及时实施手术挽救生命。 [0018] The present invention, through the guide tube into the esophagus body, to pull or esophageal irritation, extending into their growth, while the amount of the engagement and propulsion fixture can accurately control the scale required per day, to promote the growth of esophageal uniform and stable, and to achieve expectations, and ultimately surgery in time to save lives.

[0019] 本发明的其他优点、目标和特征在某种程度上将在随后的说明书中进行阐述,并且在某种程度上,基于对下文的考察研究对本领域技术人员而言将是显而易见的,或者可以从本发明的实践中得到教导。 [0019] Additional advantages, objects and features of the present invention will be to some extent set forth in the description which follows and, in part, based on a study of the following investigation to those skilled in the art will be apparent, or it may be learned from practice of the invention. 本发明的目标和其他优点可以通过下面的说明书来实现和获得。 Other objects and advantages of the invention may be realized and obtained by the following description.

附图说明 BRIEF DESCRIPTION

[0020] 为了使本发明的目的、技术方案和优点更加清楚,下面将结合附图对本发明作进一步的详细描述,其中: [0020] To make the objectives, technical solutions, and advantages of the present invention will become more apparent below in conjunction with the accompanying drawings of the present invention will be further described in detail, wherein:

[0021] 图1为本发明的结构示意图; [0021] FIG. 1 is a schematic view of the structure of the present invention;

[0022] 图2为图1的侧视图。 [0022] FIG. 2 is a side view of FIG.

[0023] 附图标记: [0023] reference numerals:

[0024] 1-引导管;2_护板;3_引导端;4_推进端;5_防护气囊;6_刻度;7_气路;8_卡槽;9_卡合体;10_卡合头;11_转轴;12_复位弹簧;13-缓冲段;14-观察面;15-系紧带。 [0024] 1- guide tube; 2_ fender; 3_ leading end; 4_ propulsion end; 5_ airbags; 6_ scale; 7_ air passage; 8_ slot; 9_ card body; 10_ card Sympegma; 11_ shaft; 12_ return spring; 13- buffer segment; 14- observation plane; 15 fastening tape.

具体实施方式 detailed description

[0025] 以下将参照附图,对本发明的优选实施例进行详细的描述。 [0025] below with reference to the accompanying drawings, detailed description of embodiments of the present invention is preferably. 应当理解,优选实施例仅为了说明本发明,而不是为了限制本发明的保护范围。 It should be understood that the preferred embodiments are merely illustrative of the invention and not intended to limit the scope of the present invention.

[0026] 如图1、图2所示,图1为先天性食管闭锁上盲端促长装置的结构示意图,图2为图1的左视图,本实施例的先天性食管闭锁上盲端促长装置,包括引导管1和对引导管1限位的护板2,本实施例中,引导管不能太软,应具有一定力或位移的传导能力,具体的,应能将施加在一端的力或位移传递到另一端,同时,也不能太硬,以免对食管带来损伤,该引导管1包括引导端3和推进端4,所述引导端3的端部设置有防护气囊5,防止对人体的伤害,防护气囊通过设置于引导管内的气路7与外界气源连通供气,气源可以是气囊或气栗或压缩机等,在推进端4的外圆面沿轴向方向设置有刻度6,对推进长度进行控制,在护板2与推进端4之间设置有卡合固定装置,通过卡合固定装置松开或固定引导管,当松开时,可对推进引导管的不同长度,当完成调节后,将其固定。 [0026] As shown in FIG 1, FIG. 2, FIG. 1 is a schematic structural diagram of congenital esophageal atresia blind end of the pro-growth device, FIG. 2 is a left side view of FIG. 1, the embodiment according to the present embodiment congenital esophageal atresia and promote the blind end growth device, comprising a guide tube and a pair of guide limit guard tube 1 of 2, in this embodiment, the guide tube can not be too soft, the conductivity should have a certain force or displacement, concrete, can be applied at one end force or displacement is transmitted to the other side, but also not too hard, so as to avoid damage to the esophagus, the guide includes a guide tube 1 and the advancing end 3 end 4, the leading end portion 3 is provided with side airbags 5 against harm to human body, airbags disposed in the air passage through the guide pipe 7 in communication with the outside gas supply source, the gas source may be a gas balloon or the like, or Li compressor disposed in the axial direction of the outer peripheral surface of the advancing end 4 graduated 6, the length of the propulsion control, in promoting protective plate 2 and 4 is provided between an end engaging fixing means, fixing devices to release or fasten the guide tube by a snap, when released, to advance the guide tube may be different lengths, when the adjustment is completed, it was fixed.

[0027] 本实施例通过引导管插入人体食管中,对食管进行刺激性的拉扯,伸进其生长,同时通过卡合固定装置和刻度可准确控制每天需要的推进量,促进食管均匀稳定生长,并达到预期目标,最终实现及时实施手术挽救生命。 [0027] The present embodiment, on or esophageal irritation by pulling a guide tube inserted into the human esophagus, extends into their growth, while fixing devices and can accurately control the amount of scale required daily by a propulsion card, esophageal promote uniform and stable growth and achieve the desired goals, and ultimately surgery in time to save lives.

[0028] 作为本实施例的改进,所述卡合固定装置包括固定于护板2上的卡合爪和设置于推进端外圆面上与卡合爪卡合的卡槽8,所述卡合爪包括两个可相对转动的卡合体9,所述卡合体9为圆弧结构,一端设置有卡合头10,另一端设置有可将两个卡合体9可旋转的连接在一起的转轴11,本实施例中,在转轴的一端设置螺纹,并用螺纹将转轴固定于护板2上,所述卡合爪还包括可使两个卡合体始终处于夹紧状态的复位弹簧12,所述复位弹簧12两端分别固定于两个卡合体位于转轴一端的端部,在复位弹簧的作用下,卡合爪常用状态为夹紧状态,当需要调节时,可用手握住卡合体9的端部,克服复位弹簧12的弹性力,将卡合头10退出卡槽,从而将引导管松开,进行长度调节,同时,由于转轴11与护板2固定,也可实现对护板2的固定。 [0028] As an improvement of this embodiment, the engagement means comprises a fixed jaw and secured to the engagement guard plate 2 is provided on an end slot in advance with the outer peripheral surface of the engaging pawl 8 engaging said card engagement pawl engaging body 9 comprises two relative rotation, said engaging body structure 9 in an arc, is provided at one end with an engagement head 10, the other end of the shaft is provided with connecting together two rotatable engaging body 9 11, in this embodiment, the threaded end of the shaft, and the rotating shaft is fixed to the threaded retaining plate 2, the engagement pawls further comprises two cards can body is always in a clamped state of the return spring 12, the the return spring 12 are respectively fixed to the two ends of two engaging element located at one end of the end of the shaft, under the action of the return spring, the engaging pawl is clamped state common state, when the need to adjust, by hand grip end 9 of the card body portion, against the elastic force of the return spring 12, the engagement head 10 to exit the slot to release the guide tube, the length adjustment, at the same time, since the fixed shaft 11 and the protective plate 2 may be fixed to the protective plate 2 is realized .

[0029] 作为本实施例的改进,所述卡槽8为两个沿推进端4轴向方向布置的长方槽,所述长方槽的宽度与卡合头10的直径相匹配。 [0029] As a modified example of the present embodiment, the two slots 8 along the axial direction of the advancing end 4 arranged in a rectangular groove, the width of the rectangular groove and the diameter of the engagement head 10 matches.

[0030] 作为本实施例的改进,所述引导管1在引导端3和推进端4之间还设置有缓冲段13,所述缓冲段采用弹性材料制成,可在推进操作完成后,通过缓冲段13持续保持对引导端3的推力,该推力通过引导端3持续的施加在人体食管上,促进其持续快速生长。 [0030] As an improvement of this embodiment, the guide tube 1 at the leading end 3 and end 4 provided between the further advance buffer section 13, the buffer section is made of an elastic material, after advancing operation is completed, by segment Length 13 holding thrust force on the end of the guide 3 by the leading end of the continuous application of force on the body 3 in the esophagus, contribute to its continued rapid growth.

[0031] 作为本实施例的改进,所述护板2上设置有用于观察推进端刻度的观察面14,所述观察面14与刻度平行设置,利于观察刻度,减少读数误差。 [0031] As a modified example of the present embodiment, is provided for observation carried forward end of the scale 14 on the viewing surface of the shield 2, the viewing surface 14 disposed parallel with the scale, the scale was observed beneficial to reduce reading errors.

[0032] 作为本实施例的改进,所述护板2上设置有用于将护板固定于人体面部的系紧带15ο [0032] As an improvement of this embodiment, the shield 2 is provided with a system for protecting the face plate is fixed to the body of the clamping band 15ο

[0033] 最后说明的是,以上实施例仅用以说明本发明的技术方案而非限制,尽管参照较佳实施例对本发明进行了详细说明,本领域的普通技术人员应当理解,可以对本发明的技术方案进行修改或者等同替换,而不脱离本技术方案的宗旨和范围,其均应涵盖在本发明的权利要求范围当中。 [0033] Finally is noted that, the above embodiments are intended to illustrate and not limit the present invention, although the present invention has been described in detail with reference to preferred embodiments, those of ordinary skill in the art should be understood that the present invention technical solution modifications or equivalent replacements without departing from the spirit and scope of the present technical solution, which should be covered by the present invention which is claimed in the required range.

Claims (10)

  1. 1.先天性食管闭锁上盲端促长装置,其特征在于:包括引导管和对引导管限位的护板,所述引导管包括引导端和推进端,所述引导端的端部设置有防护气囊,所述推进端的外圆面沿轴向方向设置有刻度,所述护板与推进端之间设置有卡合固定装置。 1. congenital blind end esophageal atresia and promote growth device, wherein: the end of the end portion includes a guide tube and the guide tube to limit guard, said guide tube includes a guide end and a propulsion end, a guide with a protective airbag, the propulsion end outer circumferential surface provided with a scale in the axial direction, the fixing means is provided with a retaining engagement engagement between the end plate and propulsion.
  2. 2.根据权利要求1所述的先天性食管闭锁上盲端促长装置,其特征在于:所述卡合固定装置包括固定于护板上的卡合爪和设置于推进端外圆面上与卡合爪卡合的卡槽。 Congenital according to claim 1, esophageal atresia blind end of the pro-growth device, wherein: said engagement means comprises a fixing plate fixed to the guard and engaging claw provided on the outer surface of the end of the propulsion engaging claw engaging slot.
  3. 3.根据权利要求2所述的先天性食管闭锁上盲端促长装置,其特征在于:所述卡合爪包括两个可相对转动的卡合体。 The blind congenital esophageal atresia second end of the growth-promoting apparatus, as claimed in claim wherein: the engagement claw body comprises two relatively rotatable.
  4. 4.根据权利要求3所述的先天性食管闭锁上盲端促长装置,其特征在于:所述卡合体为圆弧结构,一端设置有卡合头,另一端设置有可将两个卡合体可旋转的连接在一起的转轴。 4. The blind end congenital esophageal atresia claim 3 promote growth device, wherein: the card body in an arc configuration, an engaging head one end, the other end is provided with two engaging body a rotatable shaft connected together.
  5. 5.根据权利要求3所述的先天性食管闭锁上盲端促长装置,其特征在于:所述卡合爪还包括可使两个卡合体始终处于夹紧状态的复位弹簧,所述复位弹簧两端分别固定于两个卡合体位于转轴一端的端部。 Congenital according to claim 3, esophageal atresia blind end of the pro-growth device, wherein: the engagement pawl further comprises two engaging body can always return spring is clamped state, the return spring two opposite ends fixed to the end of the shaft engaging element located at one end.
  6. 6.根据权利要求4所述的先天性食管闭锁上盲端促长装置,其特征在于:所述卡槽为两个沿推进端轴向方向布置的长方槽,所述长方槽的宽度与卡合头的直径相匹配。 6. Congenital esophageal atresia blind end 4 of the pro-growth device, according to claim wherein: the width of the slot advancing direction axial end disposed along two grooves are rectangular, said rectangular groove match the diameter of the engagement head.
  7. 7.根据权利要求1所述的先天性食管闭锁上盲端促长装置,其特征在于:所述引导管在引导端和推进端之间还设置有缓冲段。 The esophageal atresia congenital blind end of the growth-promoting apparatus, as claimed in claim wherein: said guide pipe between the guide end and the end is further provided with a propulsion buffer segment.
  8. 8.根据权利要求1所述的先天性食管闭锁上盲端促长装置,其特征在于:所述防护气囊通过设置于引导管内的气路与外界气源连通。 Blind according to claim congenital esophageal atresia promote long end of the apparatus, characterized in that: said airbag is disposed in the shield passage with the ambient air within the air guide pipe.
  9. 9.根据权利要求1-8任一所述的先天性食管闭锁上盲端促长装置,其特征在于:所述护板上设置有用于观察推进端刻度的观察面,所述观察面与刻度平行设置。 Congenital esophageal atresia according to any one of claims 1 to 8, a blind end of the pro-growth device, wherein: the fender is provided with a propulsion for observing the observation surface side of the scale, the scale and the viewing surface parallel.
  10. 10.根据权利要求1-8任一所述的先天性食管闭锁上盲端促长装置,其特征在于:所述护板上设置有用于将护板固定于人体面部的系紧带。 Claim 10. The blind end of the pro-growth device according to any one of congenital esophageal atresia 1-8, characterized in that: said plate is provided with a protective shield for the fastening tape is fixed to the body portion.
CN 201511028347 2015-12-31 2015-12-31 Congenital oesophagus atresia upper-blind-end growth promoting device CN105380686A (en)

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CN1778402A (en) * 2004-10-15 2006-05-31 伊西康内外科公司 Transparent dilator device and method of use
CN102416218A (en) * 2011-10-09 2012-04-18 东南大学 Adjustable-diameter esophagus balloon catheter
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CN102416218A (en) * 2011-10-09 2012-04-18 东南大学 Adjustable-diameter esophagus balloon catheter
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CN203971135U (en) * 2014-07-12 2014-12-03 复旦大学附属眼耳鼻喉科医院 Bayonet type fixing buckle for stomach tube
CN204671584U (en) * 2015-02-17 2015-09-30 中国人民解放军第四军医大学 Stomach tube with fixing device
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