CN106139291A - A kind of irrigation of sinuses conduit - Google Patents

A kind of irrigation of sinuses conduit Download PDF

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Publication number
CN106139291A
CN106139291A CN201510192198.2A CN201510192198A CN106139291A CN 106139291 A CN106139291 A CN 106139291A CN 201510192198 A CN201510192198 A CN 201510192198A CN 106139291 A CN106139291 A CN 106139291A
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CN
China
Prior art keywords
irrigation
sinuses
conduit
sinuses conduit
tubular body
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CN201510192198.2A
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Chinese (zh)
Inventor
谢建
黄彬
李建军
魏征
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Pu Yi (shanghai) Biotechnology Co Ltd
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Pu Yi (shanghai) Biotechnology Co Ltd
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Priority to CN201510192198.2A priority Critical patent/CN106139291A/en
Publication of CN106139291A publication Critical patent/CN106139291A/en
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Abstract

The present invention relates to a kind of irrigation of sinuses conduit, described irrigation of sinuses conduit includes the tubular body formed by memory material, described tubular body has first, second open end relative to each other, this first open end is formed as the union joint for being connected with reservoir, and the second open end is formed as rinsing end, under feed status, the present essentially linear type of described tubular body, in a state of use, described tubular body is formed with the location structure making irrigation of sinuses conduit be fixed in sinus cavities.The present invention also provides for a kind of implant system, and described implant system includes illuminating guidewire or optical imagery seal wire and above-mentioned irrigation of sinuses conduit.The irrigation of sinuses conduit that the present invention provides is a kind of targeting flush pipe, this flush pipe is equipped in sinus cavities by location structure, exactly pus in nasal sinuses can be rinsed, thus reach the purpose effectively cleaned, it is a kind of easy to use, cheap, and the effective apparatus for nasal cavity cleaning.

Description

A kind of irrigation of sinuses conduit
Technical field
The present invention relates to the apparatus that a kind of nasal sinuses is relevant, relate more specifically to a kind of irrigation of sinuses conduit.
Background technology
Nasal sinuses is also known as paranasal sinuses, paranasal sinus, and for the sclerotin chamber of gassiness multiple around nasal cavity, they are all with little Pipe communicates with nasal cavity.They are hidden on nasal cavity side, and it is upper that maxillary sinus is positioned at above nasal cavity both sides, eye socket In jawbone;Sinus frontalis is in frontal bone;Sieve hole is positioned at the both sides on nasal cavity top, by gassiness loculuses many in screen casing Composition;Sphenoid sinus is talked endlessly in bone nasal cavity rear.
Epidermal mucosa cell in the nasal cavity of normal person and nasal sinuses persistently has limpid liquid secretion out, then The pulsation of rule rate is had, by these secretions from nasal sinuses, past via nasal cavity via the cilium above mucosa cells After flow to cavum nasopharyngeum, throat and swallow again in esophagus and stomach.General adult about secretes 1 liter every day Mucus, maintains the humidity within nasal cavity and nasal sinuses, the simultaneously dust in absorption air by these mucus And foreign body, to protect the health of respiratory tract.Once because virus, the invasion of antibacterial, or the stimulation of foreign body, Cause limpid mucilage secretion to become pus thick, or the pulsation having rule rate lost by cilium, all can produce pus thick The sensation that nasal mucus or nasal mucus flow backwards, and cause rhinitis or nose film swelling, all can make these tubular occultation.When During these tubular occultation, just influence whether that nasal cavity mucus remains in a standstill in nasal sinuses, impact discharge.If it is too late Early diagnosis and treatment, will develop and become sinusitis, allergic rhinitis or other rhinitis.
Sinusitis, including acute nasosinustis and chronic nasosinustis, for nose section common disease.Sinusitis Side can be betided, also can bilateral.Can be limited to a hole morbidity, also can involve many holes.The symptom of sinusitis Having fear of cold, heating, inappetence, constipation, whole body discomfort etc., patient's pus nasal mucus increases and is difficult to blow to the greatest extent, As during rearwards into pharyngeal and lower respiratory tract, stimulate pharynx, larynx mucosa, cause and itch, cough and expectoration, The most nauseating.Chronic sinusitis in addition to the symptoms such as nasal obstruction, watery nasal discharge, headache, also can hyposmia or disappearance, Cough, bow, bend over, firmly time headache increase the weight of.
At present the Therapeutic Method of sinusitis has traditional nasal-cavity administration, functional endoscopic sinus surgery, nose The methods such as chamber flushing.
Nasal-cavity administration refers to that medicine uses at nasal cavity, topically or systemically controls by stimulating nasal mucosa to play Treatment effect, thus reach a kind of outer treating method prevented and cured diseases.Nasal-cavity administration is as a kind of traditional administration Mode is long-standing, extremely wide in department of otorhinolaryngology application, is generally used to treat various nasal cavity and nasal sinuses disease Sick, it is possible to as adjuvant drug for the adjacent organs illness relevant with cacorhinia, to prevent and cure diseases the mankind Played an important role in the middle of process.But due to the stop of intranasal tissue, active drug can not be suitable Profit reaches diseased region.
Functional endoscopic sinus surgery, by by the good illumination of endoscope and supporting operating theater instruments, Operation can be made to become finer.By traditional radical-ability or the destructiveness of mucosa in all striking off nasal sinuses Operation, is changed on the basis of thoroughly removing pathological changes, retains nasal cavity and the normal mucosa of nasal sinuses as far as possible And structure, form good ventilation and drain, promote nasal cavity, the form of sinus mucosa and physiological function extensive Multiple Functional operation.And can reach to rely on nasal cavity and nasal sinuses self raw according to the order of severity of pathological changes Rhinitis, sinusitis and polypous purpose are cured in the recovery of reason function.Owing to its light conductivity is strong, polygonal Degree, the visual field are big, can directly spy on nasal cavity many significant points (such as each nasal sinuses opening, each Hidden stenosis within ditch, nasal sinuses) and the small lesions of nasopharynx part.Except operative treatment, also can be same Shi Jinhang images, and preserves data, sums up for the consultation of doctors, teaching demonstration and scientific research.The method has wound In little, art and the advantage such as postoperative misery is little, operation is fine, but expensive, the shortcomings such as relapse rate is high. Surgical operation is risky for patient, and is all expensive to patient and medical system, special It it not the common surgical procedures the most repeatedly of these diseases.It addition, the operation of benign and malignant tumor is cut Divided by and change the treatment operation of nose and nasal sinuses and often to excise such as concha nasalis, nasal septum, nasal membrane Deng anatomical structure.This kind of excision and reconstructive operation can destroy the natural filtration provided by these structures And humidification, cause being dried, hemorrhage, incrustation, add the risk of infection, and cause olfactory sensation to change, Including hyposmia, olfactory disorder, parosmia and anosmia.
Nasal cavity cleaning makes again salt wash nose, its principle be use certain pressure (inhale or with gravity or By mechanical pressure) normal saline is sent into nostril, flow through nasal vestibule (being exposed at the part outside head), nose Hole, nasal meatus pile warp nasopharynx part, or discharge from nostril, side, or discharge from oral area.By with upper pathway, By means of bactericidal action and the impulsive force of current of normal saline self, nasal cavity has been assembled cause a disease and Dirty discharge, so that nasal cavity recovers normal physiological environment, recovers the self-functions of expelling toxin of nasal cavity, reaches Purpose to protection nasal cavity.A kind of method of current nasal cavity cleaning is: undine or nose sucking device etc. are put Enter nasal cavity mouth position to be carried out.Owing to undine or nose sucking device do not stretch in sinus cavities, therefore clearly During washing, due to the stop of intranasal tissue, only relatively little of normal saline can pass through Dou Kou and enter Enter in sinus cavities, it is impossible to realize the effective cleaning to nasal sinuses.The another kind of method of current nasal cavity cleaning is: Nasal sprayer is inserted nasal cavity mouth position be carried out.Its principle is for produce instantaneous height by pressing nozzle Cleanout fluid is sprayed into nasal cavity and is rinsed by pressure.But, due to hydrojet off and on, spray flushing liquor every time Amount very little, nasal sinuses effectively cannot be cleaned equally, and the price of this product is high.
In sum, existing nasal cavity cleaning method all also exists weak curative effect, comfortableness is poor, persistence is poor Etc. problem.Existing treatment includes normal saline flushing and nasal spray, and they usually can not arrive at nose A lot of regions relevant in vestibule and nasal sinuses district.
Summary of the invention
In order to solve the problem that above-mentioned prior art exists, it is desirable to provide a kind of irrigation of sinuses conduit, This irrigation of sinuses conduit is fully recessed in sinus cavities in use, thus is effectively carried out nasal sinuses.
The present invention provides a kind of irrigation of sinuses conduit, and described irrigation of sinuses conduit includes being formed by memory material Tubular body, described tubular body has first, second open end relative to each other, this first open wide End is formed as the union joint for being connected with reservoir, and the second open end is formed as rinsing end, in conveying Under state, the present essentially linear type of described tubular body, in a state of use, described tubular body shape Become to have the location structure making irrigation of sinuses conduit be fixed in sinus cavities.
The size of described location structure is more than the size of described other sections of tubular body.
Described location structure is helical structure, lantern structure, planar spiral structures, multi-turn isometrical space spiral shell Rotation structure, multi-turn reducing spatially spiral structure or the back-shaped structure of plane.
Described memory material is can thermoset material.
Described can thermoset material be silica gel material, polyurethane or degradable poly caprolactone polymers.
Described tubular body is provided with flushing hole, or described flushing end on the wall closing on described flushing end It is formed directly as flushing hole.
Described union joint is bayonet arrangement or female thread structure.
The present invention also provides for a kind of implant system, described implant system include above-mentioned irrigation of sinuses conduit and Illuminating guidewire.
Described illuminating guidewire is made up of helical spring, lens and optical cable, and described lens are fixed on the photograph of optical cable Bright end, described helical spring is wrapped in the outside of optical cable in illumination end, described optical cable with described illumination end Relative tail end is connected with laser light emitting light source.
The present invention provides again a kind of implant system, described implant system include above-mentioned irrigation of sinuses conduit and Optical imagery seal wire.
Described optical imagery seal wire is by light source input lead, signals collecting wire, photographic head and signal input Outfan forms, and described signal input output end and outside imaging system connect, and optical signal passes through described light Source input lead inputs and imaging obtains picture signal at described photographic head, and described picture signal passes through institute State signals collecting wire to export on the display screen of described outside imaging system.
The irrigation of sinuses conduit that the present invention provides is a kind of targeting flush pipe, and this flush pipe passes through location structure It is equipped in sinus cavities, can exactly pus in nasal sinuses be rinsed, thus reach effectively to clean Purpose.It addition, the irrigation of sinuses conduit that the present invention provides can carry out once flushing to nasal sinuses, it is also possible to Long-time indwelling, in nasal sinuses, needs to realize long-term cleaning according to clinic.And, when with this irrigation of sinuses When liquid in the reservoir that conduit connects is replaced by medicine, this irrigation of sinuses conduit can be used for topical, Make active drug can reach diseased region smoothly.In a word, the irrigation of sinuses conduit that the present invention provides is one Plant easy to use, cheap, and the effective apparatus for nasal cavity cleaning.
Accompanying drawing explanation
Fig. 1 is the schematic diagram in a state of use of the irrigation of sinuses conduit according to the first embodiment of the present invention;
Fig. 2 is the schematic diagram of the union joint of the irrigation of sinuses conduit according to the first embodiment of the present invention;
Fig. 3 is the schematic diagram under feed status of the irrigation of sinuses conduit according to the first embodiment of the present invention;
Fig. 4 is the schematic diagram in a state of use of irrigation of sinuses conduit according to the second embodiment of the present invention;
Fig. 5 is the schematic diagram of the union joint of irrigation of sinuses conduit according to the second embodiment of the present invention;
Fig. 6 is the schematic diagram under feed status of the irrigation of sinuses conduit according to the second embodiment of the present invention;
Fig. 7 a is first the showing in a state of use of irrigation of sinuses conduit according to the third embodiment of the invention It is intended to;
Fig. 7 b is second the showing in a state of use of irrigation of sinuses conduit according to the third embodiment of the invention It is intended to;
Fig. 8 a is first the showing in a state of use of irrigation of sinuses conduit according to the fourth embodiment of the invention It is intended to;
Fig. 8 b is second the showing in a state of use of irrigation of sinuses conduit according to the fourth embodiment of the invention It is intended to;
Fig. 9 a is first the showing in a state of use of irrigation of sinuses conduit according to the fifth embodiment of the invention It is intended to;
Fig. 9 b is second the showing in a state of use of irrigation of sinuses conduit according to the fifth embodiment of the invention It is intended to;
Figure 10 a is the signal in a state of use of irrigation of sinuses conduit according to the sixth embodiment of the invention Figure;
Figure 10 b is in a state of use of irrigation of sinuses conduit according to the sixth embodiment of the invention The schematic diagram of modification;
Figure 11 is the schematic diagram of the illuminating guidewire according to the present invention;
Figure 12 is the schematic diagram of the irrigation of sinuses conduit according to the first embodiment of the present invention and illuminating guidewire;
Figure 13 is the schematic diagram of the sheath pipe according to the present invention;
Figure 14 is the schematic diagram of the solid bar according to the present invention;And
Figure 15 is the schematic diagram of the optical imagery seal wire according to the present invention.
Detailed description of the invention
Below in conjunction with the accompanying drawings, provide presently preferred embodiments of the present invention, and be described in detail.
The present invention provides a kind of irrigation of sinuses conduit, and this irrigation of sinuses conduit includes being formed by memory material Tubular body, this tubular body has first, second open end relative to each other, this first open end shape Become the union joint for being connected with reservoir, and the second open end is formed as rinsing end, this tubular body Location structure can be formed, make irrigation of sinuses conduit be fixed in sinus cavities, will not be sliding due to action of gravity Abjection sinus cavities.Under feed status, this irrigation of sinuses conduit can be formed as straight under the effect of external force Line style;In a state of use (corresponding to arriving the state after using position to remove external force), this irrigation of sinuses Conduit reverts to the form with location structure due to the Memorability of material from linear type.Nasal sinuses given below Multiple embodiments of irrigating catheter are illustrated.
Embodiment 1
As it is shown in figure 1, the irrigation of sinuses conduit 1 of the present invention includes tubular body 11, this tubular body 11 Having open end 111,112 relative to each other, this first open end 111 is formed as union joint 111a, and Second open end 112 is formed as rinsing end 112a.This union joint 111a be shown as in joint, such as Fig. 2 Shown in, for bayonet arrangement, it is used for being connected with reservoir.This tubular body 11 is closing on flushing end 112a Wall be provided with some flushing hole 112b, this flushing hole 112b and be uniformly distributed in circumference, can be string Flushing hole 4 holes of wherein string (Fig. 1 illustrate only), it is also possible to be two row, three row, four row, five Row flushing hole, the diameter of this flushing hole 112b is generally 1mm-2mm.In a state of use, this tubulose Body 11 is formed with location structure, it is shown that for shape between the first open end 111 and the second open end 112 The helical structure 113 become, the overall dimensions (Breadth Maximum) of this helical structure 113 is more than tubular body 11 The diameter of other sections, the effect of this helical structure 113 is to make irrigation of sinuses conduit 1 be fixed on In sinus cavities, sinus cavities will not be sliding out due to action of gravity.Generally, the maximum of this helical structure 113 Width is 8mm-30mm, preferably 15-20mm, and the diameter of other sections of tubular body 11 exists Between 4-8mm.This tubular body 11 is formed by memory material, particularly one can thermoset material, example As, this memory material can be silica gel material, Saint-Gobain (http://www.biopharm.saint-gobain.com/en/Products.asp?ID=17), polyurethane (PU), Degradable poly caprolactone (PCL) polymer, these materials can present required structure after heat treatment, And there is certain toughness.Such as, formed the present invention irrigation of sinuses conduit 1 base substrate as it is shown on figure 3, Being rendered as linear tubulose, the material of this irrigation of sinuses conduit 1 makes after Overheating Treatment, base substrate Helical structure 113 can be formed in position.So, under a stretching force, helical structure 113 can To pull into linear type as shown in Figure 3;After pulling force is removed, due to the Memorability of material, again can be from directly Line style reverts to shape as shown in Figure 1.
Embodiment 2
As shown in Figure 4, the irrigation of sinuses conduit 2 of the present invention includes tubular body 21, this tubular body 21 Having open end 211,212 relative to each other, this first open end 211 is formed as union joint 211a, and Second open end 212 is formed as rinsing end 212a.This union joint 211a be shown as in joint, such as Fig. 5 Shown in, for female thread structure, it is used for being connected with reservoir.This tubular body 21 is closing on flushing end 212a Wall be provided with some flushing hole 212b, this flushing hole 212b and be uniformly distributed in circumference, can be string Flushing hole 4 holes of wherein string (Fig. 4 illustrate only), it is also possible to be two row, three row, four row, five Row flushing hole, the diameter of this flushing hole 212b is generally 1mm-2mm.In a state of use, this tubulose Body 21 is formed with location structure, it is shown that for outside the second open end 212 formed lantern structure 213, The effect of this lantern structure 213 is to make irrigation of sinuses conduit 2 be fixed in sinus cavities, will not be due to Action of gravity is sliding out sinus cavities.This lantern structure 213 is formed, often by the support bar 213a of some bendings The support bar 213a of root bending is gathered together formation crimped end 213b at end.Wherein, support bar 213a Be uniformly distributed at circumferencial direction, can be made up of 3 support bars, it is also possible to by 4,6,8 or 10 support bar compositions, are preferably formed lantern structure 213 by 3,4 and 6 support bars.In conveying Under state, this lantern structure 213 has the diameter identical with other sections of tubular body 21, this diameter For 4-8mm;In a state of use, the diameter of this lantern structure 213 is more than other districts of tubular body 21 The diameter of section, thus utilize this lantern structure 213 to be equipped in sinus cavities, this lantern structure 213 now A diameter of 8mm-30mm, preferably 15-20mm, and the diameter of other sections of tubular body 21 exists Between 4-8mm.
This tubular body 21 is formed by memory material, particularly one can thermoset material, such as, this note Recalling material can be silica gel material, Saint-Gobain (http://www.biopharm.saint-gobain.com/en/Products.asp?ID=17), polyurethane (PU), Degradable poly caprolactone (PCL) polymer, these materials can present required structure after heat treatment, And there is certain toughness.Such as, form the base substrate of irrigation of sinuses conduit 2 of the present invention as shown in Figure 6, Being rendered as the tubulose of essentially linear type, the material of this irrigation of sinuses conduit 2 makes after Overheating Treatment, Base substrate can form lantern structure 213 in position.So, under a stretching force, lantern structure 213 can pull into linear type as shown in Figure 6;After pulling force is removed, due to the Memorability of material, again can Shape as shown in Figure 4 is reverted to from linear type.
Embodiment 3
As shown in figs. 7 a and 7b, the irrigation of sinuses conduit 3 of the present invention includes tubular body 31, this pipe Shape body 31 has open end 311,312 relative to each other, and this first open end 311 is formed as union joint 311a, and the second open end 312 is formed as rinsing end 312a.This union joint 311a is shown as female thread knot Structure, for being connected with reservoir.This flushing end 312a is formed directly as flushing hole 312b.In the state of use Under, this tubular body 31 is formed with location structure, it is shown that flat for be formed about at the second open end 312 Surface helix structure 313, the effect of this planar spiral structures 313 is to make irrigation of sinuses conduit 3 be fixed on In sinus cavities, sinus cavities will not be sliding out due to action of gravity.Popular in fact, this planar spiral structures 313 It is exactly the winding coil of a plane extension, spirals with being similar to mosquito incense shape.Generally, this snail knot A diameter of 8mm-30mm of structure 313, preferably 15-20mm, and other sections of tubular body 31 Diameter is between 4-8mm.This tubular body 31 is formed by memory material, and particularly one can thermal finalization material Material, such as, this memory material can be silica gel material, Saint-Gobain (http://www.biopharm.saint-gobain.com/en/Products.asp?ID=17), polyurethane (PU), Degradable poly caprolactone (PCL) polymer, these materials can present required structure after heat treatment, And there is certain toughness.Such as, the base substrate of the irrigation of sinuses conduit 3 forming the present invention is rendered as straight line The tubulose of type, the material of this irrigation of sinuses conduit 3 makes after Overheating Treatment, and base substrate is in suitable position Put formation planar spiral structures 313.So, under a stretching force, planar spiral structures 313 can pull into Linear type;After pulling force is removed, due to the Memorability of material, can revert to such as Fig. 7 a from linear type again and Shape shown in Fig. 7 b.
Embodiment 4
As figures 8 a and 8 b show, the irrigation of sinuses conduit 4 of the present invention includes tubular body 41, this pipe Shape body 41 has open end 411,412 relative to each other, and this first open end 411 is formed as union joint 411a, and the second open end 412 is formed as rinsing end 412a.This union joint 411a is shown as female thread knot Structure, for being connected with reservoir.This flushing end 412a is formed directly as flushing hole 412b.In the state of use Under, this tubular body 41 is formed with location structure, it is shown that for being formed about many at the second open end 412 Enclosing isometrical spatially spiral structure 413, the effect of this multi-turn isometrical spatially spiral structure 413 is to make nasal sinuses Irrigating catheter 4 is fixed in sinus cavities, will not be sliding out sinus cavities due to action of gravity.Popular in fact, This multi-turn isometrical spatially spiral structure 413 is exactly an axially extended winding coil, is similar to solenoid Shape ground spiral, preferably spiral 2-5 encloses.Generally, this multi-turn isometrical spatially spiral structure 413 is a diameter of 8mm-30mm, preferably 15-20mm, and the diameter of other sections of tubular body 41 is at 4-8mm Between.Compared with above-described embodiment 3, this multi-turn isometrical spatially spiral structure 413 compares planar spiral structures 313 have fixation in more preferable sinus cavities.This tubular body 41 is formed by memory material, particularly One can thermoset material, such as, this memory material can be silica gel material, Saint-Gobain (http://www.biopharm.saint-gobain.com/en/Products.asp?ID=17), polyurethane (PU), Degradable poly caprolactone (PCL) polymer, these materials can present required structure after heat treatment, And there is certain toughness.Such as, the base substrate of the irrigation of sinuses conduit 4 forming the present invention is rendered as straight line The tubulose of type, the material of this irrigation of sinuses conduit 4 makes after Overheating Treatment, and base substrate is in suitable position Put formation multi-turn isometrical spatially spiral structure 413.So, under a stretching force, the isometrical spatially spiral of multi-turn Structure 413 can pull into linear type;After pulling force is removed, due to the Memorability of material, again can be from straight line Type reverts to shape as figures 8 a and 8 b show.
Embodiment 5
As shown in figures 9 a and 9b, the irrigation of sinuses conduit 5 of the present invention includes tubular body 51, this pipe Shape body 51 has open end 511,512 relative to each other, and this first open end 511 is formed as union joint 511a, and the second open end 512 is formed as rinsing end 512a.This union joint 511a is shown as female thread knot Structure, for being connected with reservoir.This flushing end 512a is formed directly as flushing hole 512b.In the state of use Under, this tubular body 51 is formed with location structure, it is shown that for being formed about many at the second open end 512 Circle reducing spatially spiral structure 513, the effect of this multi-turn reducing spatially spiral structure 513 is to make nasal sinuses Irrigating catheter 5 is fixed in sinus cavities, will not be sliding out sinus cavities due to action of gravity.Generally, these are many The minimum diameter of circle reducing spatially spiral structure 513 is preferably 5mm-10mm, and maximum gauge is preferably 15mm-20mm, and the diameter of other sections of tubular body 51 is between 4-8mm.With reality above Execute example 4 to compare, in many coil structures of this multi-turn reducing spatially spiral structure 513, a diameter of gradual change type, The diameter of the bung flange closing on the first open end 511 is minimum, consequently facilitating can be easier to after treatment is finished Irrigation of sinuses conduit 5 is withdrawn from ground from sinus cavities.This tubular body 51 is formed by memory material, particularly One can thermoset material, such as, this memory material can be silica gel material, Saint-Gobain (http://www.biopharm.saint-gobain.com/en/Products.asp?ID=17), polyurethane (PU), Degradable poly caprolactone (PCL) polymer, these materials can present required structure after heat treatment, And there is certain toughness.Such as, the base substrate of the irrigation of sinuses conduit 5 forming the present invention is rendered as straight line The tubulose of type, the material of this irrigation of sinuses conduit 5 makes after Overheating Treatment, and base substrate is in suitable position Put formation multi-turn reducing spatially spiral structure 513.So, under a stretching force, multi-turn reducing spatially spiral Structure 513 can pull into linear type;After pulling force is removed, due to the Memorability of material, again can be from straight line Type reverts to shape as shown in figures 9 a and 9b.
Embodiment 6
As as-shown-in figures 10 a and 10b, the irrigation of sinuses conduit 6,6 ' of the present invention includes tubular body 61, 61 ', this tubular body 61,61 ' has an open end 611 relative to each other, and 611 ', 612,612 ', This first open end 611,611 ' is formed as union joint 611a, 611a ', and the second open end 612,612 ' Be formed as rinsing end 612a, 612a '.This union joint 611a, 611a ' are shown as female thread structure, are used for It is connected with reservoir.This flushing end 612a, 612a ' are formed directly as flushing hole 612b, 612b '.Make With under state, this tubular body 61,61 ' is formed with location structure, it is shown that at the second open end 612, 612 ' the back-shaped structures of the plane being formed about 613,613 ', the work of the back-shaped structure of this plane 613,613 ' With being to make irrigation of sinuses conduit 6,6 ' be fixed in sinus cavities, will not be sliding out due to action of gravity Sinus cavities.Generally, the size (horizontal width) of the back-shaped structure of this plane 613,613 ' is 15-20mm, And the diameter of other sections of tubular body 61,61 ' is between 4-8mm.The embodiment of Figure 10 b and figure The embodiment of 10a is compared, and it differs only in the back-shaped structure 613 ' of plane and uses rounder and more smooth back-shaped knot, Resistance when removing this irrigation of sinuses conduit 6 ' from sinus cavities is less, is conducive to recalling smoothly.This pipe Shape body 61,61 ' is formed by memory material, particularly one can thermoset material, such as, this memory Material can be silica gel material, Saint-Gobain (http://www.biopharm.saint-gobain.com/en/Products.asp?ID=17), polyurethane (PU), Degradable poly caprolactone (PCL) polymer, these materials can present required structure after heat treatment, And there is certain toughness.Such as, the base substrate of the irrigation of sinuses conduit 6,6 ' forming the present invention is rendered as Linear tubulose, the material of this irrigation of sinuses conduit 6,6 ' makes after Overheating Treatment, and base substrate exists Suitable position forms the back-shaped structure of plane 613,613 '.So, under a stretching force, the back-shaped knot of plane Structure 613,613 ' can pull into linear type;After pulling force is removed, due to the Memorability of material, again can be from Linear type reverts to shape as as-shown-in figures 10 a and 10b.
The present invention provides a kind of implant system, and this implant system includes that irrigation of sinuses provided by the present invention is led Pipe and illuminating guidewire.
As shown in figure 11, illuminating guidewire 10 is made up of helical spring 103, lens 102 and optical cable 101, Lens 102 are fixed on the illumination end of optical cable 101, and helical spring 103 is wrapped in optical cable 101 in illumination end Outside.The tail end relative with illumination end of optical cable 101 and general laser are launched light source and are connected so that Laser is propagated by this optical cable 101, emits in the position of lens 102, forms a laser bright spot. By illuminating guidewire 10 from nasal cavity opening part approach, probe in sinus cavities, utilize this laser bright spot to observe and judge Whether illuminating guidewire 10 is positioned at nasal sinuses is specified position.If illuminating guidewire 10 arrives target location, then turn off Light source switch, and remove laser light emitting light source.
The present invention provides a kind of method for implantation, and this method for implantation includes: first, from nasal cavity aperture position handle Illuminating guidewire 10 puts in nasal cavity, is entered in sinus cavities by nasal vestibule, wherein, optical cable 101 with illumination Hold the relative other end to launch light source with general laser to be connected so that laser is propagated by this optical cable 103, Emit in the position of lens 102, form a laser bright spot.By illuminating guidewire 10 from nasal cavity opening Place's approach, probes in sinus cavities, utilizes this laser bright spot to observe and judges whether illuminating guidewire 10 is positioned at nasal sinuses Specify position, if illuminating guidewire 10 arrives target location, then turn off light source switch, and remove Laser emission Light source.Then, as guiding, the irrigation of sinuses conduit 1 of embodiment 1 in illuminating guidewire 10 stays nasal sinuses Flushing end 112a fit inside from the tail end of illuminating guidewire 10, and push sinus cavities along illuminating guidewire 10 In, as shown in figure 12, irrigation of sinuses conduit 1 is due to illuminating guidewire 10 for straight tube under external force Pulling into linear type, now, it is motionless that existing position stayed by irrigation of sinuses conduit 1, removes illuminating guidewire 10, Due to the memory performance of irrigation of sinuses conduit 1, after removing illuminating guidewire 10, irrigation of sinuses conduit 1 by Having there is helical structure 113 as shown in Figure 1 is become in losing constraint from linear type as shown in Figure 3 Form, thus be fixed in sinus cavities, do not fall out.Subsequently, at the tail end of irrigation of sinuses conduit 1 Connecting syringe or other aspirators, then can inject flushing liquor and be rinsed sinus cavities, flushing completes After again with syringe holder flushing liquor extract out sinus cavities, remove syringe, complete the flushing process of sinus cavities. Irrigation of sinuses conduit 1 is left in place motionless, reconnects syringe and be rinsed when next time rinses.If desired After rinsing, by anti-inflammatory drugs, or other treatment medicine is sprayed at lesion locations by irrigating catheter. Being similar to, the irrigation of sinuses conduit of embodiment 3-6 all can be operated by above-mentioned method for implantation.
The present invention provides a kind of method for implantation, and this method for implantation includes: first, from nasal cavity aperture position handle Illuminating guidewire 10 puts in nasal cavity, is entered in sinus cavities by nasal vestibule, wherein, optical cable 101 with illumination Hold the relative other end to launch light source with general laser to be connected so that laser is propagated by this optical cable 101, Emit in the position of lens 102, form a laser bright spot.By illuminating guidewire 10 from nasal cavity opening Place's approach, probes in sinus cavities, utilizes this laser bright spot to observe and judges whether illuminating guidewire 10 is positioned at nasal sinuses Specify position, if illuminating guidewire 10 arrives target location, then turn off light source switch, and remove Laser emission Light source, then, in illuminating guidewire 10 stays nasal sinuses, conduct guides.Then, the nasal sinuses of embodiment 2 is rushed Wash conduit 2 and put sheath pipe 20 as shown in fig. 13 that into, form pre-installation assembly, wherein, irrigation of sinuses conduit The lantern structure 213 of 2 receives in this sheath pipe 20 completely.Sheath pipe 20 is a hollow tubular structure, and it is long Spend 10-50mm longer than irrigation of sinuses conduit 2.Then, above-mentioned pre-installation assembly is from the tail of illuminating guidewire 10 End fits inside, and pushes in sinus cavities along seal wire.Remove illuminating guidewire 10, then with as shown in figure 14 30 irrigation of sinuses conduits 2 of solid bar release sheath pipe 20, simultaneously recession sheath pipe 20.Due to irrigation of sinuses The memory performance of conduit 1, irrigation of sinuses conduit 2 due to lose constraint and from linear type as shown in Figure 6 Become the form with lantern structure 213 that has as shown in Figure 3, thus be fixed in sinus cavities, will not Abjection.Subsequently, the tail end at irrigation of sinuses conduit 2 connects syringe or other aspirators, then can note Enter flushing liquor sinus cavities is rinsed, after having rinsed, extract sinus cavities out with syringe holder flushing liquor again, Remove syringe, complete the flushing process of sinus cavities.Irrigation of sinuses conduit 2 is left in place motionless, next time Reconnect syringe during flushing to be rinsed.The most after rinsing, by anti-inflammatory drugs, or other are controlled Treat medicine and be sprayed at lesion locations by irrigating catheter.
The present invention provides a kind of implant system, and this implant system includes that irrigation of sinuses provided by the present invention is led Pipe and optical imagery seal wire.
As shown in figure 15, optical imagery seal wire 40 by light source input lead 401, signals collecting wire 402, Photographic head 403 and signal input output end 404 form, wherein, and signal input output end 404 and outside Imaging system connects, and optical signal is inputted by light source input lead 401 and imaging obtains at photographic head 403 Obtaining picture signal, picture signal is by the display screen of signals collecting wire 402 output to outside imaging system On, thus can obtain the structure within nasal sinuses the most clearly, doctor draws in imaging system Lead lower guiding wire and insert nasal sinuses appointment position.
The present invention provides a kind of method for implantation, and this method for implantation includes: first, optical imagery seal wire 40 Connect with outside imaging system, open switch, screen can be seen in real time by optical imagery seal wire The image obtained at the photographic head 403 of 40 front portions.From nasal cavity aperture position, optical imagery seal wire 40 is put in Nasal cavity, is entered in sinus cavities by nasal vestibule.Doctor imaging system guide under optical imagery seal wire 40 Insert in sinus cavities, turn off imaging system light sources, and optical imagery seal wire 40 and outside imaging system are divided From, as guiding in now optical imagery seal wire 40 stays nasal sinuses, the irrigation of sinuses conduit 1 of embodiment 1 Flushing end 112a fit inside from the tail end of optical imagery seal wire 40, and push away along optical imagery seal wire 40 Entering in sinus cavities, as shown in figure 12, irrigation of sinuses conduit 1 is owing to optical imagery seal wire 40 is for straight tube Pulling into linear type under external force, now, it is motionless that existing position stayed by irrigation of sinuses conduit 1, removes Optical imagery seal wire 40, due to the memory performance of irrigation of sinuses conduit 1, is removing optical imagery seal wire 40 After, irrigation of sinuses conduit 1 becomes as shown in Figure 1 from linear type as shown in Figure 3 owing to losing constraint Have the form with helical structure 113, thus be fixed in sinus cavities, do not fall out.Subsequently, exist The tail end of irrigation of sinuses conduit 1 connects syringe or other aspirators, then can inject flushing liquor to nasal sinuses Chamber is rinsed, and extracts sinus cavities out with syringe holder flushing liquor again, remove syringe after having rinsed, complete Become the flushing process of sinus cavities.Irrigation of sinuses conduit 1 is left in place motionless, reconnects note when next time rinses Emitter is rinsed.The most after rinsing, by anti-inflammatory drugs, or other treatment medicine is by rinsing Conduit is sprayed at lesion locations.Being similar to, the irrigation of sinuses conduit of embodiment 3-6 all can be by above-mentioned implantation Method operates.
The present invention provides a kind of method for implantation, and this method for implantation includes: first, optical imagery seal wire 40 Connect with outside imaging system, open switch, screen can be seen in real time by optical imagery seal wire The image obtained at the photographic head 403 of 40 front portions.From nasal cavity aperture position, optical imagery seal wire 40 is put in Nasal cavity, is entered in sinus cavities by nasal vestibule.Doctor imaging system guide under optical imagery seal wire 40 Insert in sinus cavities, turn off imaging system light sources, and optical imagery seal wire 40 and outside imaging system are divided From, as guiding in now optical imagery seal wire 40 stays nasal sinuses.Then, the nasal sinuses of embodiment 2 is rushed Wash conduit 2 and put sheath pipe 20 as shown in fig. 13 that into, form pre-installation assembly, wherein, irrigation of sinuses conduit The lantern structure 213 of 2 receives in this sheath pipe 20 completely.Sheath pipe 20 is a hollow tubular structure, and it is long Spend 10-50mm longer than irrigation of sinuses conduit 2.Then, above-mentioned pre-installation assembly is from optical imagery seal wire 40 Tail end fit inside, and push in sinus cavities along seal wire.Remove optical imagery seal wire 40, then with such as scheming 30 irrigation of sinuses conduits 2 of solid bar shown in 14 release sheath pipe 20, simultaneously recession sheath pipe 20.Due to The memory performance of irrigation of sinuses conduit 1, irrigation of sinuses conduit 2 due to lose constraint and from as shown in Figure 6 Linear type become as shown in Figure 3 have the form with lantern structure 213, thus be fixed on sinus cavities In, do not fall out.Subsequently, the tail end at irrigation of sinuses conduit 2 connects syringe or other aspirators, Then can inject flushing liquor sinus cavities is rinsed, after having rinsed, extract nose out with syringe holder flushing liquor again Sinus cavities, removes syringe, completes the flushing process of sinus cavities.Irrigation of sinuses conduit 2 is left in place motionless, Reconnect syringe when next time rinses to be rinsed.The most after rinsing, by anti-inflammatory drugs, or its He is sprayed at lesion locations by irrigating catheter by medicine.
Above-described, only presently preferred embodiments of the present invention, it is not limited to the scope of the present invention, The above embodiment of the present invention can also make a variety of changes.The most every right according to the present patent application is wanted Ask change simple, equivalent and modification that book and description made, fall within the right of patent of the present invention Claimed scope.The most detailed description of the present invention be routine techniques content.

Claims (11)

1. an irrigation of sinuses conduit, it is characterised in that described irrigation of sinuses conduit includes by memory material The tubular body formed, described tubular body has first, second open end relative to each other, and this is first years old Open end is formed as the union joint for being connected with reservoir, and the second open end is formed as rinsing end, Under feed status, the present essentially linear type of described tubular body, in a state of use, described tubulose is originally Body is formed with the location structure making irrigation of sinuses conduit be fixed in sinus cavities.
Irrigation of sinuses conduit the most according to claim 1, it is characterised in that described location structure Size is more than the size of described other sections of tubular body.
Irrigation of sinuses conduit the most according to claim 1, it is characterised in that described location structure is Helical structure, lantern structure, planar spiral structures, multi-turn isometrical spatially spiral structure, multi-turn reducing are empty Between helical structure or the back-shaped structure of plane.
Irrigation of sinuses conduit the most according to claim 1, it is characterised in that described memory material is Can thermoset material.
Irrigation of sinuses conduit the most according to claim 4, it is characterised in that described can thermal finalization material Material is silica gel material, polyurethane or degradable poly caprolactone polymers.
Irrigation of sinuses conduit the most according to claim 1, it is characterised in that described tubular body exists The wall closing on described flushing end is provided with flushing hole, or described flushing end is formed directly as flushing hole.
Irrigation of sinuses conduit the most according to claim 1, it is characterised in that described union joint is card Mouth structure or female thread structure.
8. an implant system, it is characterised in that described implant system includes illuminating guidewire and according to right Require the irrigation of sinuses conduit according to any one of 1-7.
Implant system the most according to claim 8, it is characterised in that described illuminating guidewire is by spiral Spring, lens and optical cable composition, described lens are fixed on the illumination end of optical cable, and described helical spring is shining Bright end is wrapped in the outside of optical cable, the tail end relative with described illumination end of described optical cable and Laser emission light Source is connected.
10. an implant system, it is characterised in that described implant system includes optical imagery seal wire and root According to the irrigation of sinuses conduit according to any one of claim 1-7.
11. implant systems according to claim 10, it is characterised in that described optical imagery seal wire By light source input lead, signals collecting wire, photographic head and signal input output end composition, described signal Input/output terminal and outside imaging system connect, and optical signal is inputted and in institute by described light source input lead Stating imaging at photographic head and obtain picture signal, described picture signal is exported by described signals collecting wire On the display screen of described outside imaging system.
CN201510192198.2A 2015-04-20 2015-04-20 A kind of irrigation of sinuses conduit Pending CN106139291A (en)

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Application publication date: 20161123