CN105833412A - Stomach tube special for precise laparoscopic Roux-en-Y gastric bypass - Google Patents

Stomach tube special for precise laparoscopic Roux-en-Y gastric bypass Download PDF

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Publication number
CN105833412A
CN105833412A CN201610352066.6A CN201610352066A CN105833412A CN 105833412 A CN105833412 A CN 105833412A CN 201610352066 A CN201610352066 A CN 201610352066A CN 105833412 A CN105833412 A CN 105833412A
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CN
China
Prior art keywords
stomach tube
stomach
special
gastric bypass
roux
Prior art date
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.)
Pending
Application number
CN201610352066.6A
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Chinese (zh)
Inventor
杨华
杨景哥
王存川
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Jinan University
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Jinan University
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Publication date
Application filed by Jinan University filed Critical Jinan University
Priority to CN201610352066.6A priority Critical patent/CN105833412A/en
Publication of CN105833412A publication Critical patent/CN105833412A/en
Pending legal-status Critical Current

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    • 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
    • A61M25/0105Steering means as part of the catheter or advancing means; Markers for positioning
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/0003Apparatus for the treatment of obesity; Anti-eating devices
    • A61F5/0013Implantable devices or invasive measures
    • A61F5/0036Intragastrical devices
    • 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
    • A61M25/0067Catheters; Hollow probes characterised by the distal end, e.g. tips
    • A61M25/0068Static characteristics of the catheter tip, e.g. shape, atraumatic tip, curved tip or tip structure
    • A61M25/007Side holes, e.g. their profiles or arrangements; Provisions to keep side holes unblocked
    • 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
    • A61B2017/00022Sensing or detecting at the treatment site
    • A61B2017/00057Light
    • 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
    • A61B2017/00818Treatment of the gastro-intestinal system
    • 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
    • A61M2210/1042Alimentary tract
    • A61M2210/1053Stomach

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Biophysics (AREA)
  • Hematology (AREA)
  • Anesthesiology (AREA)
  • Pulmonology (AREA)
  • Surgery (AREA)
  • Vascular Medicine (AREA)
  • Child & Adolescent Psychology (AREA)
  • Obesity (AREA)
  • Nursing (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention provides a stomach tube special for an precise laparoscopic Roux-en-Y gastric bypass, comprising a soft and elastic stomach tube body with scales, wherein a stomach tube plug and a stomach tube connector are connected atto the front end and the tail end of the stomach tube body respectively, 2-4 rows of side holes with 10mm intervals are formed in the a tubepipe wall inof the front section of the stomach tube body, and a lighting positioning device is arranged in the stomach tube plug. The stomach tube special for the precise laparoscopic Roux-en-Y gastric bypass is different from the a normal stomach tubein that the lighting positioning device is arranged on the head of the special stomach tube, so the size of gastric pouches can be positioned and evaluated accurately, operation of gastrojejunostomy stoma is facilitated, the gastric tissue is not apt to be hurt, and the surgical effect is ensured. At the same time, the special stomach tube is made of soft materials so that the possibility of hurting the gastric tissue can be effectively reduced. A fluorescent reflection section near the lighting positioning device arranged at the front end of the special stomach tube facilitates identifying the position of the stomach tube under a laparoscope and accurately positioning its position, is favorable for operation of gastrojejunostomy stoma and improves the surgical effect.

Description

The precisely peritoneoscope special stomach tube of Roux-en-Y gastric bypass
Technical field
The invention belongs to technical field of medical instruments, relate to a kind of gastric bypass operation equipment, specifically Relate to a kind of precisely peritoneoscope special stomach tube of Roux-en-Y gastric bypass.
Background technology
Precisely peritoneoscope Roux-en-Y gastric bypass (Precise Laparoscopic Roux-en-Y Gastric Bypass, PLRYGB) it is acknowledged as the fat standard art formula with metabolic disease for the treatment of. It is a kind of change intestinal structure, close major part stomach function operation.Gastrointestinal is not excised in operation. The stomach of patient is divided into upper and lower two parts, and the part stomach of dress food only has original stomach 1/6-1/10, capacity 10-20ml, to reduce the absorption of food;Spacious put one section of small intestinal, again arrange The position of row small intestinal, reduces the small intestinal absorption to heat.Operation changes food through digestive tract Approach, slow down gastric emptying speed, work along both lines, thus reach fat-reducing purpose.Operation Long-term effect is more notable, more longlasting than other modus operandis and tradition medical treatment effect, is deeply subject to Patient and surgical favor.Along with expanding economy, China's population of being obese increases rapidly, This operation embodies fabulous development prospect.The special stomach tube of gastric bypass, can be as stomach by Conventional use of equipment in the art operation of road, determines the excision size of stomach, stomach jejunum to surgeon The size of anastomotic stoma is made and being assessed more accurately, to surgical effect, the generation of minimizing complication To important effect.
In gastric bypass surgery, needing to make stomach folliculus, the size of stomach folliculus directly affects hands Art effect, when operation, needs to insert stomach tube as supporting to assess the size of stomach folliculus.Separately External when doing stomach intestinal anastomosis mouth, need also exist for stomach tube and support and position, reduce anastomotic stoma narrow Narrow chance, thus reduce the generation of complication.The most not for this operation Special stomach tube, general stomach tube is relatively thin, does not has supporting role, and some stomach tube then material compares Firmly, easily damage gastric tissue when inserting, cause bleeding, bore a hole, anastomotic leakage etc..Along with The increase of gastric bypass surgery, the usage amount of this kind of equipment also will increase therewith.In order to preferably Meet operation needs to ask, improve product according to practical effect further, therefore develop One is suitable for the special stomach tube of gastric bypass, has also become current medical personnel one to be duty-bound Urgent responsibility.
Summary of the invention
It is an object of the invention to provide a kind of simple in construction, easy to use, it is suitable for essence The special stomach tube of quasi-peritoneoscope Roux-en-Y gastric bypass, it can precise positioning, precisely assess The operation of the size of stomach folliculus and beneficially stomach intestinal anastomosis mouth, not only increases the effect of operation, Also solve the problems referred to above present in existing gastric bypass surgery simultaneously.
The concrete technical scheme of the present invention is, a kind of precisely peritoneoscope Roux-en-Y gastric bypass Special stomach tube, including a softness and flexible and set graduated stomach tube body, described stomach tube The front end of body, tail end are connected to stomach tube stopper and stomach duct connector, the tube wall of stomach tube body leading portion respectively Having 2~4 rows and be spaced the side opening of 10 millimeters, described stomach tube stopper is equipped with luminescent positioner.
The present invention accurate peritoneoscope special stomach tube of Roux-en-Y gastric bypass, is further characterized in that,
A diameter of 2~3 millimeters of the tube wall side opening of described stomach tube body leading portion.
Described stomach tube stopper front end equipped with luminescent positioner be made up of accumulator and LED, and Head is that soft passivity is circular.
Described stomach duct connector is provided with grafting standard needle tubing and the through hole of negative pressure device.
Described stomach tube body uses TPU and PVC material to make, fixed equipped with luminescence near stomach tube stopper One section of region of device, position is the reflecting segment being coated with light-emitting materials.
The special stomach tube of the present invention accurate peritoneoscope Roux-en-Y gastric bypass, with common stomach tube Difference, the head of the special stomach tube of the present invention, can precise positioning, precisely with luminescent positioner The size of assessment stomach folliculus, not only contributes to the operation of stomach intestinal anastomosis mouth, not easy damaged stomach group Knit, it is ensured that surgical effect.Meanwhile, special stomach tube uses soft material, can be effectively with fall The chance of low damage gastric tissue.Near the fluorescent reflecting segment of special stomach tube front end luminescent positioner, Convenient identification stomach tube position, precise positioning, the beneficially behaviour of stomach intestinal anastomosis mouth under peritoneoscope Make, improve the effect of operation.
Accompanying drawing explanation
Fig. 1 is the signal of the present invention accurate peritoneoscope Roux-en-Y gastric bypass special stomach ciphon structure Figure;
Fig. 2 is the present invention accurate peritoneoscope Roux-en-Y gastric bypass special stomach ciphon structure section view Figure.
In figure, 1. stomach tube body, 2. stomach tube stopper, 3. stomach duct connector, 4. side opening, 5. luminous location dress Put, 6. through hole, 7. reflecting segment, 8. scale.
Detailed description of the invention
The present invention is described in detail with detailed description of the invention below in conjunction with the accompanying drawings.
A kind of precisely peritoneoscope special stomach tube of Roux-en-Y gastric bypass, such as Fig. 1 and Fig. 2 institute Showing, it includes a softness and flexible and be provided with the stomach tube body 1 of scale 8, described stomach tube pipe The front end of body 1, tail end are connected to stomach tube stopper 2 and stomach duct connector 3 respectively, stomach tube body 1 leading portion Tube wall has 2~4 rows and is spaced the side opening 4 of 10 millimeters, and described stomach tube stopper 2 head is equipped with luminescence Positioner 5, a diameter of 2~3 millimeters of the side opening 4 of stomach tube body 1 leading portion tube wall.
Stomach tube stopper 2 front end of the present invention equipped with luminescent positioner 5 by accumulator and LED group Become, and head is that soft passivity is circular;Stomach duct connector 3 is provided with grafting standard needle tubing and negative pressure dress The through hole 6 put, stomach tube body 1 uses TPU and PVC material to make, before stomach tube stopper 2 End is the reflecting segment 7 being coated with light-emitting materials equipped with 5 one sections of regions of luminescent positioner.
The special stomach tube of the present invention is divided into 32F, 34F, 36F, 38F, 40F by diameter dimension size Five kinds of models, in accurate peritoneoscope Roux-en-Y gastric bypass surgery, need to be according to Stomach in Patients Size concrete condition select, during use, stomach tube body 1 front end of stomach tube stopper 2 will be connected to, From bariatric patients oral cavity esophagus insert, slowly special stomach tube is stretched in stomach by cardia, so Afterwards by the reflection of laparoscopic visualization to stomach tube body 1 stomach tube stopper 2 head illuminant positioner 5 Section 7 rests on the position of stomach intestinal anastomosis mouth below stomach cardia, and patient oral cavity is stayed in combination The reading of outer special stomach tube body 1 high scale 8, precisely carries out assessment and the hands of stomach folliculus size Art positions, and after the assessment of stomach folliculus size and location, then implements cutting and coincide;At operation process In, connect negative pressure device by stomach tube body 1 stomach duct connector 3, by stomach tube body 1 leading portion pipe The side opening 4 that wall has, extracts the hydrops in stomach folliculus out, or by by stomach duct connector 3 through hole 6 Connect needle tubing, through stomach tube body 1 leading portion tube wall side opening 4 to stomach folliculus input medicinal liquid, join Conjunction completes whole accurate peritoneoscope Roux-en-Y gastric bypass surgery.
Owing to the head of the special stomach tube of the present invention is with luminescent positioner 5, and head is soft blunt Property circular can not only precise positioning and precisely assess the size of stomach folliculus, beneficially stomach intestinal anastomosis The operation of mouth, not easy damaged gastric tissue, it is ensured that surgical effect.Meanwhile, special stomach tube uses Soft material, also can be effectively to reduce the chance of damage gastric tissue.Near special stomach tube front end The fluorescent reflecting segment 7 of luminescent positioner 5, more convenient identification stomach tube position under peritoneoscope, essence Certainly position, the beneficially operation of stomach intestinal anastomosis mouth, improve the effect of operation.
Above-mentioned embodiment is an example of the present invention, is not intended to limit the enforcement of invention With interest field, all equivalences made according to the content described in the present patent application scope of patent protection Change and modification, all should be included in scope of the present invention patent.

Claims (5)

1. the accurate peritoneoscope special stomach tube of Roux-en-Y gastric bypass, including a softness And flexible and set graduated stomach tube body (1), it is characterised in that described stomach tube body (1) Front end, tail end be connected to stomach tube stopper (2) and stomach duct connector (3), stomach tube body (1) respectively The tube wall of leading portion has 2~4 rows and is spaced the side opening (4) of 10 millimeters, described stomach tube stopper (2) Equipped with luminescent positioner (5).
The accurate peritoneoscope special stomach of Roux-en-Y gastric bypass the most according to claim 1 Pipe, it is characterised in that side opening (4) a diameter of 2~3 milli of described stomach tube body (1) leading portion Rice.
The accurate peritoneoscope special stomach of Roux-en-Y gastric bypass the most according to claim 1 Pipe, it is characterised in that described stomach tube stopper (2) front end equipped with luminescent positioner (5) by Accumulator and LED form, and head is that soft passivity is circular.
The accurate peritoneoscope special stomach of Roux-en-Y gastric bypass the most according to claim 1 Pipe, it is characterised in that described stomach duct connector (3) is provided with grafting standard needle tubing and negative pressure device Through hole (6).
The accurate peritoneoscope special stomach of Roux-en-Y gastric bypass the most according to claim 1 Pipe, it is characterised in that described stomach tube body (1) uses TPU and PVC material to make, and leans on Nearly stomach tube stopper (2) front end is equipped with (5) one sections of districts of luminescent positioner (5) luminescent positioner Territory is the reflecting segment (7) being coated with light-emitting materials.
CN201610352066.6A 2016-05-24 2016-05-24 Stomach tube special for precise laparoscopic Roux-en-Y gastric bypass Pending CN105833412A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201610352066.6A CN105833412A (en) 2016-05-24 2016-05-24 Stomach tube special for precise laparoscopic Roux-en-Y gastric bypass

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201610352066.6A CN105833412A (en) 2016-05-24 2016-05-24 Stomach tube special for precise laparoscopic Roux-en-Y gastric bypass

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Publication Number Publication Date
CN105833412A true CN105833412A (en) 2016-08-10

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106618583A (en) * 2017-01-23 2017-05-10 金欣 Transvaginal build-in type measuring instrument
CN107736870A (en) * 2017-11-16 2018-02-27 常州市第人民医院 Cold light source inflatable support in a kind of rectum
CN107789723A (en) * 2016-09-02 2018-03-13 泰尔茂株式会社 Medical pipe

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101711689A (en) * 2008-09-30 2010-05-26 伊西康内外科公司 methods and devices for performing gastrectomies and gastroplasties
CN201719670U (en) * 2010-07-13 2011-01-26 上海家宝医学保健科技有限公司 Interstitial portion guide pipe
US20120199060A1 (en) * 2011-02-07 2012-08-09 Furbush Jr Norman C Angular Rotation Guidance Device for a Surgical Instrument
CN102872523A (en) * 2012-09-29 2013-01-16 边俊杰 Novel guide wire of gastric tube
CN104066414A (en) * 2011-11-15 2014-09-24 史密斯医疗Asd公司 Medical tubing detection and management
CN204260838U (en) * 2014-11-20 2015-04-15 上海市浦东医院 A kind of visual sleeve-like gastrectomy stomach calibration tube

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101711689A (en) * 2008-09-30 2010-05-26 伊西康内外科公司 methods and devices for performing gastrectomies and gastroplasties
CN201719670U (en) * 2010-07-13 2011-01-26 上海家宝医学保健科技有限公司 Interstitial portion guide pipe
US20120199060A1 (en) * 2011-02-07 2012-08-09 Furbush Jr Norman C Angular Rotation Guidance Device for a Surgical Instrument
CN104066414A (en) * 2011-11-15 2014-09-24 史密斯医疗Asd公司 Medical tubing detection and management
CN102872523A (en) * 2012-09-29 2013-01-16 边俊杰 Novel guide wire of gastric tube
CN204260838U (en) * 2014-11-20 2015-04-15 上海市浦东医院 A kind of visual sleeve-like gastrectomy stomach calibration tube

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107789723A (en) * 2016-09-02 2018-03-13 泰尔茂株式会社 Medical pipe
CN106618583A (en) * 2017-01-23 2017-05-10 金欣 Transvaginal build-in type measuring instrument
CN107736870A (en) * 2017-11-16 2018-02-27 常州市第人民医院 Cold light source inflatable support in a kind of rectum

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Application publication date: 20160810

RJ01 Rejection of invention patent application after publication