CN106362270A - Expansion device for ejaculatory duct obstruction - Google Patents

Expansion device for ejaculatory duct obstruction Download PDF

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Publication number
CN106362270A
CN106362270A CN201610902128.6A CN201610902128A CN106362270A CN 106362270 A CN106362270 A CN 106362270A CN 201610902128 A CN201610902128 A CN 201610902128A CN 106362270 A CN106362270 A CN 106362270A
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CN
China
Prior art keywords
expansion pipe
chamber
expansion
ejaculatory duct
duct obstruction
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.)
Granted
Application number
CN201610902128.6A
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Chinese (zh)
Other versions
CN106362270B (en
Inventor
高庆强
戴玉田
车晓艳
陈赟
陈海
徐志鹏
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Nanjing Drum Tower Hospital
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Nanjing Drum Tower Hospital
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Priority to CN201610902128.6A priority Critical patent/CN106362270B/en
Publication of CN106362270A publication Critical patent/CN106362270A/en
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Classifications

    • 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
    • A61M29/00Dilators with or without means for introducing media, e.g. remedies
    • A61M29/02Dilators made of swellable material
    • 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
    • A61M29/00Dilators with or without means for introducing media, e.g. remedies
    • A61M29/02Dilators made of swellable material
    • A61M2029/025Dilators made of swellable material characterised by the guiding element
    • 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
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/02General characteristics of the apparatus characterised by a particular materials
    • 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
    • A61M2210/16Male reproductive, genital organs

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  • Health & Medical Sciences (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Endoscopes (AREA)

Abstract

The invention discloses an expansion device for ejaculatory duct obstruction, which comprises a seminal vesicle sensing probe which can be inserted into an ejaculatory duct, wherein the seminal vesicle sensing probe is internally provided with a separation plate which extends axially; the separation plate divides an intracavity of the seminal vesicle sensing probe into an observation cavity and an expansion tube accommodating cavity; a highly-transparent objective lens is mounted on the front end of the observation cavity; the highly-transparent objective lens is externally connected with a central processing unit through a visual optical fiber; a displayer is arranged on the central processing unit; an image shot by the highly-transparent objective lens is displayed on the displayer; the expansion device for ejaculatory duct obstruction also comprises an expansion tube and a push rod; the expansion tube is a flexible tube prepared from degradable materials; a tube wall of the expansion tube is provided with a plurality of through holes which penetrate through the interior and the exterior of the tube wall; an outer tube wall of the expansion tube is also provided with a plurality of swelling bulges made from water-swelling materials.

Description

A kind of extension fixture for ejaculatory duct obstruction
Technical field
The invention belongs to technical field of medical instruments, more particularly, to a kind of extension fixture for ejaculatory duct obstruction.
Background technology
The obstruction at ejaculatory duct obstruction Shu Jing road remote testis end, the cause of disease has congenital and posteriority, and it is obstructive sterile that it leads to Account for the 1%-5% of male sterility.Main clinic symptoms are painful ejaculation, hemospermia, scrotum pain, perineal position are uncomfortable, chronic pelvic Pain, the weak, lack of quantity of spermatic fluid of ejaculation and urethral orifice are abnormal, and small part patient can be associated with epididymitiss or seminal vesiculitis.But it is traditional Per urethra ejaculatory duct cut there is open defect, this operation generally requires to climb TURP seminal colliculus using TURP, need in art grasp electricity The depth cut and scope, observe surgical wound surface simultaneously and have or not milky, brown, yellowish-brown or dark red solution outflow, to determine Whether expose bilateral ejaculatory duct, the experience to patient and operation requirement are higher, there is higher post-operative complication simultaneously, such as postoperative Cicatrization, urine is backflowed, seminal fluid is thin, hematuria, epididymitiss, smart road vasculitises, urinary incontinence or perforation of rectum etc..Carry to patient Come endless worry and misery.And so many complication also brings huge burden to nursery work.
Content of the invention
In order to overcome the shortcoming of above-mentioned prior art, it is an object of the invention to provide one kind effectively to expand ejaculatory duct narrow Narrow section, a kind for the treatment of extension fixture for ejaculatory duct obstruction that ejaculatory duct obstruction effect is good, patient suffering is little.
For realizing above-mentioned technical purpose, the technical scheme that the present invention takes is:
A kind of extension fixture for ejaculatory duct obstruction, wherein: include inserting the seminal vesicle inserting tube of ejaculatory duct, seminal vesicle inserting tube Inside it is provided with an axially extended division board, seminal vesicle inserting tube inner chamber is divided into division board observation chamber and expansion pipe accommodates chamber, sees The front end examining chamber is provided with high printing opacity object lens, and high printing opacity object lens pass through the external central processing unit of visual optical fiber, on central processing unit It is provided with display, the image that high printing opacity object lens are clapped shows, the extension fixture for ejaculatory duct obstruction also wraps over the display Include expansion pipe and push rod, expansion pipe is the flexible pipe of degradation material preparation, the tube wall of expansion pipe is provided with several and runs through Through hole inside and outside tube wall, the expansion that the outer tube wall of expansion pipe is additionally provided with the making of several water uptake expansion materials is raised, expands Pipe in the dry state can insert expansion pipe accommodate in chamber, and can expansion pipe accommodate in chamber slide, push rod can from expansion pipe The rear insertion expansion pipe accommodating chamber accommodates in chamber, and can accommodate having been placed on expanding pipe expansion pipe in chamber and put from expansion pipe Receive chamber front end release.
For optimizing technique scheme, the concrete measure taken also includes:
The material of above-mentioned expansion pipe is polyurethane.
The above-mentioned raised material that expands is water-absorbing resin.
Above-mentioned high printing opacity object lens are objective glass lenses or translucent silica gel object lens.
Above-mentioned high printing opacity object lens and the forward end seal cooperation observing chamber.
Above-mentioned central processing unit is pc machine.
Still there is no the precedent using expansion pipe in ejaculatory duct at present, however, it is contemplated that expansion pipe is put into one in ejaculatory duct In addition it is also necessary to take out although operating difficulty is not high from ejaculatory duct after the section time, but patient can be agonizing, more seriously Ejaculatory duct can be caused with a certain degree of damage so as to there are infection and other complication during tube drawing, therefore, the present invention adopts A kind of material of degradable as the expansion pipe of ejaculatory duct, through after a while, can automatically degrade, and enters urethra row by expansion pipe Go out, eliminate the trouble that expansion pipe is taken out.Because expansion pipe is that flexible material makes, incidence need to be entered together with seminal vesicle inserting tube Spermaduct, therefore, the caliber of expansion pipe can be more narrower compared with ejaculatory duct, and the present invention is provided with numerous water-absorbing resins outside expansion pipe The expansion making is raised, when expansion pipe is left in ejaculatory duct, water-absorbing resin imbibition, and expansion pipe can be effectively improved outer Footpath, makes narrow ejaculation pipeline section swell, and when expansion pipe degraded, water-absorbing resin is raised to enter urethra row with expansion pipe fragment Go out, expansion pipe is provided with numerous through holes, so that seminal fluid and prostate liquid energy is passed through expansion pipe and enter urethra.
Brief description
Fig. 1 is the structural representation of seminal vesicle inserting tube;
Fig. 2 is the sectional view of seminal vesicle inserting tube;
Fig. 3 is a portion schematic enlarged-scale view of Fig. 2;
Fig. 4 is the schematic diagram of expansion pipe;
Fig. 5 is the b portion schematic enlarged-scale view of Fig. 4;
Fig. 6 is the schematic diagram that expansion pipe inserts seminal vesicle inserting tube;
Fig. 7 is the c portion schematic enlarged-scale view of Fig. 6.
Reference therein is: seminal vesicle inserting tube 1, division board 11, observation chamber 12, expansion pipe accommodate chamber 13, high transparent object Mirror 2, visual optical fiber 3, central processing unit 4, expansion pipe 5, through hole 51, expansion projection 52, push rod 6.
Specific embodiment
Below in conjunction with accompanying drawing, embodiments of the invention are described in further detail.
A kind of extension fixture for ejaculatory duct obstruction of the present invention, wherein: include inserting the seminal vesicle inserting tube of ejaculatory duct 1, it is provided with an axially extended division board 11 in seminal vesicle inserting tube 1, seminal vesicle inserting tube 1 inner chamber is divided into observation chamber 12 by division board 11 Accommodate chamber 13 with expansion pipe, the front end observing chamber 12 is provided with high printing opacity object lens 2, it is external that high printing opacity object lens 2 pass through visual optical fiber 3 Central processing unit 4, central processing unit 4 is provided with display, and the image that high printing opacity object lens 2 are clapped shows over the display, uses Extension fixture in ejaculatory duct obstruction also includes expanding pipe 5 and push rod 6, the flexible pipe that expansion pipe 5 is prepared for degradation material, expands It is provided with several on the tube wall of pipe 5 and runs through through hole 51 inside and outside tube wall, the outer tube wall of expansion pipe 5 is additionally provided with some The expansion projection 52 that individual water uptake expansion material makes, expansion pipe 5 can insert expansion pipe in the dry state and accommodate in chamber 13, and energy Accommodate in chamber 13 in expansion pipe and slide, the rear insertion expansion pipe that push rod 6 can accommodate chamber 13 from expansion pipe accommodates chamber 13, and energy By have been placed on expand pipe accommodate in chamber 13 expansion pipe 5 from expansion pipe accommodate chamber 13 front end release.
In embodiment, the material of expansion pipe 5 is polyurethane.
In embodiment, the material expanding raised 52 is water-absorbing resin.
In embodiment, high printing opacity object lens 2 are objective glass lenses or translucent silica gel object lens.
In embodiment, high printing opacity object lens 2 are coordinated with the forward end seal observing chamber 12.
In embodiment, central processing unit 4 is pc machine.
The using method of the present invention is as follows: during use, high printing opacity object lens 2, visual optical fiber 3, central processing unit 4 is connected successively Connect, show screen display high printing opacity object lens 2 forward image, expansion pipe 5 is inserted expansion pipe and accommodates chamber 13, patient is by seminal vesicle inserting tube 1 slow insertion ejaculatory duct, after finding ejaculatory duct obstruction position, seminal vesicle inserting tube 1 is passed through block position, until ejaculation tube opening End, then withstands expansion pipe 5 with push rod 6, slowly exits seminal vesicle inserting tube 1, expand pipe 5 forward slip in seminal vesicle inserting tube 1, from essence Capsule inserting tube 1 front end is stretched out, and when seminal vesicle inserting tube 1 exits ejaculatory duct, expansion pipe 5 is deviate from completely from seminal vesicle inserting tube 1, has stayed and has penetrated In spermaduct, because the front-end and back-end of ejaculatory duct are all narrower, expansion pipe 5 can be stayed in ejaculatory duct and not fall out, over time Passage, the expansion projection 52 on expansion pipe 5 can expand suitable size gradually, so that ejaculatory duct obstruction position is opened, one week to two Zhou Hou, expansion pipe 5 can be degraded gradually, and the fragment of expansion pipe 5 and expansion raised 52 can enter urethra and discharge.
The above is only the preferred embodiment of the present invention, protection scope of the present invention is not limited merely to above-described embodiment, All technical schemes belonging under thinking of the present invention belong to protection scope of the present invention.It should be pointed out that for the art For those of ordinary skill, some improvements and modifications without departing from the principles of the present invention, should be regarded as the protection of the present invention Scope.

Claims (6)

1. a kind of extension fixture for ejaculatory duct obstruction, is characterized in that: includes inserting the seminal vesicle inserting tube (1) of ejaculatory duct, institute It is provided with an axially extended division board (11), described division board (11) is by seminal vesicle inserting tube (1) in the seminal vesicle inserting tube (1) stated Chamber is divided into observation chamber (12) and expansion pipe accommodates chamber (13), and the front end in described observation chamber (12) is provided with high printing opacity object lens (2), described high printing opacity object lens (2) pass through the external central processing unit of visual optical fiber (3) (4), on described central processing unit (4) Be provided with display, the image that high printing opacity object lens (2) are clapped shows over the display, for ejaculatory duct obstruction extension fixture also Including expansion pipe (5) and push rod (6), the flexible pipe that described expansion pipe (5) is prepared for degradation material, described expansion pipe (5) it is provided with several on tube wall and runs through through hole (51) inside and outside tube wall, the described outer tube wall of expansion pipe (5) also sets It is equipped with expansion projection (52) of several water uptake expansion materials making, described expansion pipe (5) can insert expansion in the dry state Open pipe to accommodate in chamber (13), and slip in chamber (13) can be accommodated in expansion pipe, described push rod (6) can accommodate chamber from expansion pipe (13) rear insertion expansion pipe accommodates in chamber (13), and energy will have been placed on expansion pipe and accommodate the expansion pipe (5) in chamber (13) The front end accommodating chamber (13) from expansion pipe is released.
2. a kind of extension fixture for ejaculatory duct obstruction according to claim 1, is characterized in that: described expansion pipe (5) material is polyurethane.
3. a kind of extension fixture for ejaculatory duct obstruction according to claim 2, is characterized in that: described expansion is raised (52) material is water-absorbing resin.
4. a kind of extension fixture for ejaculatory duct obstruction according to claim 3, is characterized in that: described high transparent object Mirror (2) is objective glass lenses or translucent silica gel object lens.
5. a kind of extension fixture for ejaculatory duct obstruction according to claim 4, is characterized in that: described high transparent object Mirror (2) and the forward end seal cooperation observing chamber (12).
6. a kind of extension fixture for ejaculatory duct obstruction according to claim 5, is characterized in that: described central authorities' process Device (4) is pc machine.
CN201610902128.6A 2016-10-17 2016-10-17 A extension fixture for ejaculatory duct is obstructed Active CN106362270B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201610902128.6A CN106362270B (en) 2016-10-17 2016-10-17 A extension fixture for ejaculatory duct is obstructed

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Application Number Priority Date Filing Date Title
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Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2061461U (en) * 1990-03-24 1990-09-05 济南市第五人民医院 Cervix dilating embolus made of gelatin
CN1654096A (en) * 2005-01-19 2005-08-17 刘希双 Colonoscope support putting auxiliary channel and application method thereof
CN101496754A (en) * 2008-01-29 2009-08-05 太雄医疗器株式会社 Biodegradable double stent
KR20100093579A (en) * 2007-12-18 2010-08-25 스미토모 베이클라이트 가부시키가이샤 Guide tube having balloons for puncture
CN201969170U (en) * 2011-01-05 2011-09-14 中国人民解放军第三军医大学第三附属医院 Ureteral catheter with air bag
CN203736153U (en) * 2013-12-24 2014-07-30 苏新军 Seminal vesicle treatment endoscope
CN104305956A (en) * 2014-10-20 2015-01-28 苏新军 Combined seminal vesicle scope

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2061461U (en) * 1990-03-24 1990-09-05 济南市第五人民医院 Cervix dilating embolus made of gelatin
CN1654096A (en) * 2005-01-19 2005-08-17 刘希双 Colonoscope support putting auxiliary channel and application method thereof
KR20100093579A (en) * 2007-12-18 2010-08-25 스미토모 베이클라이트 가부시키가이샤 Guide tube having balloons for puncture
CN101496754A (en) * 2008-01-29 2009-08-05 太雄医疗器株式会社 Biodegradable double stent
CN201969170U (en) * 2011-01-05 2011-09-14 中国人民解放军第三军医大学第三附属医院 Ureteral catheter with air bag
CN203736153U (en) * 2013-12-24 2014-07-30 苏新军 Seminal vesicle treatment endoscope
CN104305956A (en) * 2014-10-20 2015-01-28 苏新军 Combined seminal vesicle scope

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