CN106491180A - A kind of calculus of basket branch equipped with sacculus takes out operating theater instruments - Google Patents
A kind of calculus of basket branch equipped with sacculus takes out operating theater instruments Download PDFInfo
- Publication number
- CN106491180A CN106491180A CN201611249055.1A CN201611249055A CN106491180A CN 106491180 A CN106491180 A CN 106491180A CN 201611249055 A CN201611249055 A CN 201611249055A CN 106491180 A CN106491180 A CN 106491180A
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- CN
- China
- Prior art keywords
- sacculus
- gas injection
- basket
- branch
- calculus
- 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
Links
- 238000002347 injection Methods 0.000 claims abstract description 56
- 239000007924 injection Substances 0.000 claims abstract description 56
- 239000004575 stone Substances 0.000 claims abstract description 37
- 239000002872 contrast media Substances 0.000 claims abstract description 25
- 238000003780 insertion Methods 0.000 claims abstract description 5
- 230000037431 insertion Effects 0.000 claims abstract description 5
- 238000000605 extraction Methods 0.000 claims description 19
- 238000007789 sealing Methods 0.000 claims description 12
- 229910000831 Steel Inorganic materials 0.000 claims description 2
- 239000007769 metal material Substances 0.000 claims description 2
- 239000010959 steel Substances 0.000 claims description 2
- 239000002775 capsule Substances 0.000 claims 1
- 239000003795 chemical substances by application Substances 0.000 abstract description 3
- 230000000694 effects Effects 0.000 abstract description 3
- 230000015572 biosynthetic process Effects 0.000 abstract description 2
- 210000000232 gallbladder Anatomy 0.000 description 11
- 238000010586 diagram Methods 0.000 description 4
- 238000007459 endoscopic retrograde cholangiopancreatography Methods 0.000 description 4
- 238000000034 method Methods 0.000 description 3
- 230000008859 change Effects 0.000 description 2
- 230000000916 dilatatory effect Effects 0.000 description 2
- 210000000277 pancreatic duct Anatomy 0.000 description 2
- 230000008569 process Effects 0.000 description 2
- 238000002601 radiography Methods 0.000 description 2
- 206010004637 Bile duct stone Diseases 0.000 description 1
- 201000009331 Choledocholithiasis Diseases 0.000 description 1
- 208000037011 Microlithiasis Diseases 0.000 description 1
- 238000002583 angiography Methods 0.000 description 1
- 210000000013 bile duct Anatomy 0.000 description 1
- 201000001883 cholelithiasis Diseases 0.000 description 1
- 230000009977 dual effect Effects 0.000 description 1
- 210000001198 duodenum Anatomy 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 230000008676 import Effects 0.000 description 1
- 238000001727 in vivo Methods 0.000 description 1
- 238000002504 lithotomy Methods 0.000 description 1
- 239000000203 mixture Substances 0.000 description 1
- 210000000214 mouth Anatomy 0.000 description 1
- 238000007464 sphincterotomy Methods 0.000 description 1
- 230000000638 stimulation Effects 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B17/221—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22038—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with a guide wire
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22051—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22072—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with an instrument channel, e.g. for replacing one instrument by the other
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Vascular Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
The present invention relates to a kind of calculus of basket branch equipped with sacculus takes out operating theater instruments.Agent structure outer tube parcel is meander line structure by the vessel cluster that stone sacculus gas injection conduit and wire catheter are constituted, sacculus gas injection conduit rear portion pre-setting is taken, and also functions to the basket effect of leading simultaneously as basket branch.Tinsel needed for remaining basket is tied up into formation basket structure in sacculus gas injection catheter tip.Gas injection conduit runs through whole vessel cluster first and last end.Injecting hole is left after gas injection catheter tip meander line structure and adheres to rubber sacculus.Gas injection channel end is completely encapsulated in during the non-gas injection of sacculus.Catheter proximal end connection telescoping handle and sacculus syringe.Contrast agent injection is realized in another branch that by syringe contrast agent injection catheter is incorporated to sacculus gas injection conduit outer tube in vessel cluster insertion section, to reduce diameter as far as possible.
Description
Technical field
The present invention relates to a kind of endoscope operation instruments, especially a kind of basket branch equipped with sacculus for inverse through scope
The operating theater instruments that pancreatic duct calculus is taken out in row cholangiopancreatography (ERCP), are mainly used in clinical Gastroenterology dept. and surgery.
Background technology
Due to pancreaticobiliary physiological structure feature, for guaranteeing therapeutic effect, mitigate patient suffering, reduce expense and improve treatment
Effect, to being treated through endoscopic retrograde cholangiopancreatography (ERCP) using X-ray more than the position calculus.Operating theater instruments must be led to
Cross the duodenoscope forceps channel that current maximum gauge is only 4.2 millimeters to enter in vivo through patient oral cavity, reach focus.And
Can only once there is an apparatus to carry out an operation by pipeline.Such as, angiography tube is injected for contrast agent；Papillotome is used for
Sphincterotomy；Dilating sacculus are used for bile duct and vater's papilla is expanded；Rubble basket decomposes for bulk calculus；
Stone sacculus is taken for fritter rubble and the taking-up of gallbladder mud etc..Various apparatuses can not share mutually irreplaceable.This point forces doctor
Frequent changer tool in operation process.The length of 1800 millimeters increased the difficulty of apparatus replacing when extending operation
Between.On the other hand, pancreatic duct complex structure, calculus differ in size different, be often accompanied by gallbladder mud presence, need to remove in the lump.
Above procedure is complicated to increase operating difficulty, and required medical instrumentss are various, and then increases operating time, improves complication risk operation
The financial burden of expense, making patients and family members.Although dilating sacculus are combined by invention at present with stone extraction basket, not
All operations are required for carrying out cholangiectasiss, and fritter calculus and gallbladder mud need in addition to change apparatus taking-up, and such apparatus is not
Simplify operation process.Separately there is the band sacculus integral type stone extraction basket of Patent No. CN201520628158.3, its sacculus is in front net
The posterior structure of basket, it is impossible to remain a need for again with Microlithiasis and the case of gallbladder mud, apparatus after disposably completing bulk calculus
Remaining focus is operated after entering vater's papilla, it is impossible to tackle the problem at its root.
Content of the invention
The present invention is intended to provide the surgical device that can take out whole gallbladder/pancreatic stones and gallbladder mud is just invented in a kind of once-through operation
Tool, reduces plug repeatedly as far as possible and changes stimulation of the apparatus to vater's papilla, shorten the operating time, reduce complication.This
Bright is substantially dual chamber vessel cluster（Seal wire is not contained）The step for taking out for calculus in ERCP arts, by the radiography of prior art
Pipe, take stone sacculus, stone extraction basket and wire catheter and combine, change without the need for apparatus and can achieve：1. 2. seal wire of contrast agent is injected
Guiding, 3 take stone sacculus using 4. use of basket taking-up bulk calculus and take fritter calculus and gallbladder mud out of.
For realizing that integrating many operating theater instruments in narrow service aisle is operated, agent structure outer tube parcel of the present invention is by taking
Stone sacculus gas injection conduit and the vessel cluster of wire catheter composition, sacculus gas injection conduit rear portion pre-setting is meander line structure, used as net
Basket branch also functions to the basket effect of leading simultaneously.Tinsel needed for remaining basket is tied up into formation basket in sacculus gas injection catheter tip
Structure.Gas injection conduit runs through whole vessel cluster first and last end.Injecting hole is left after gas injection catheter tip meander line structure and adheres to rubber
Sacculus.Gas injection channel end is completely encapsulated in during the non-gas injection of sacculus.Catheter proximal end connection telescoping handle and sacculus syringe.Radiography
Agent injection is realized in another branch that by syringe contrast agent injection catheter is incorporated to outside sacculus gas injection conduit in vessel cluster insertion section
Pipe, to reduce diameter as far as possible.
The branch of front end of the present invention three, respectively A main bodys branch, B contrast agent injection branch, C seal wires insertion branch.A master
Body branch, is core texture of the present invention, and by its front-end operations are realized with basket is flexible, inflated is so as to taking out calculus and gallbladder
Mud.Specifically：1 sacculus syringe connects 2 sacculus sealing valves, is tightly connected with 6 sacculus gas injection conduits afterwards.4 telescoping handles are hard
Matter is tightly connected with 5 conduit sealing valves, 7 basket catheters.It is hard that 6 sacculus gas injection conduits are sequentially inserted into 3 telescoping handles, 4 telescoping handles
Matter, 5 conduit sealing valves, 7 sacculus gas injection conduit outer tubes.3 telescoping handle overcoat, 4 telescoping handle hard, the two relative can slide, from
And realize driving 6 sacculus gas injection conduits by 3 telescoping handles, make end basket integral telescopic.
B contrast agent injects branch：8 contrast medium injectors connect 9 contrast agent sealing valves, reconnect 10 contrast agent conduits afterwards.
C seal wires insert branch：11 wire catheters.
Tri- branches of A B C realize converging in 16 vessel cluster hard portions：10 contrast agent conduits are imported outside 7 sacculus gas injection conduits
Pipe.11 wire catheters remain independent, but are brought into close contact with 7 sacculus gas injection conduit outer tubes in 16 vessel cluster hard portions, are formed
Double channel catheter beam, is wrapped up by 12 vessel cluster trocar sheaths after 16 vessel cluster hard portions.
Instrument end：6 sacculus gas injection conduit rear portion pre-settings are polyline shaped, as a branch of stone extraction basket, herein
Tie up into 3-7 bar steel wires, form 13 stone extraction baskets.6 sacculus gas injection catheter tips leave 14 sacculus injecting holes, take stone sacculus note to 15
Gas.Front, 15 take stone sacculus rear to 13 stone extraction baskets.15 take stone sacculus gas injection after diameter stretch out rear diameter phase with 13 stone extraction baskets
Deng.Sacculus gas injection conduit is ductile metal material, and diameter is thin.
Description of the drawings
Fig. 1 is the overall schematic of the present invention.
Fig. 2 is sectional view at D, and 10 contrast agent injection catheters import the 7 sacculus gas injections for being wrapped in 6 sacculus gas injection conduits herein
Conduit outer tube, the double channel catheter beam formed with 11 wire catheters are wrapped up by 12 vessel cluster trocar sheaths.
Fig. 3 is the sectional view after many conduits converge at C.
Fig. 4 is instrument end initial condition, and schematic diagram is withdrawn in the non-gas injection of sacculus, basket.
Fig. 5 is instrument end, and sacculus gas injection, basket do not extend out schematic diagram.
Fig. 6 is instrument end, and schematic diagram is stretched out in the non-gas injection of sacculus, basket.
Fig. 7 is instrument end, and schematic diagram is stretched out in sacculus gas injection, basket.
In Fig. 1, each component is：
1 sacculus syringe, 2 sacculus sealing valves, 3 telescoping handles, 4 telescoping handle hard, 5 conduit sealing valves, 6, sacculus gas injection
Conduit, 7 sacculus gas injection conduit outer tubes, 8 contrast medium injectors, 9 contrast agent sealing valves, 10 contrast agent injection catheters, 11 seal wires
Conduit, 12 vessel cluster trocar sheaths, 13 stone extraction baskets, 14 sacculus injecting holes, 15 take stone sacculus, 16 vessel cluster hard portions.
Figure of description is retracted for 3 telescoping handles and drives 13 stone extraction basket retracted states.
Specific embodiment
Just it is explained in detail with reference to the accompanying drawings by taking the case around choledocholithiasis with gallbladder mud as an example below.
12 vessel cluster trocar sheath of the invention is integrally inserted duodenum through forceps channel.By 12 vessel cluster overcoat pipe ends
Insertion vater's papilla.8 contrast medium injectors close 9 contrast agent sealing valves after pushing enough contrast agent prevent which from leaking.In X
Light guiding is lower to determine calculus position.Seal wire is inserted 11 wire catheters, deeply to calculus.Seal wire guiding under make the present invention after
Continue deeply to calculus gallbladder mud, promote 3 telescoping handles to stretch out 13 stone extraction baskets.2 sacculus sealing valves are opened, is noted by 1 sacculus
Emitter takes stone sacculus gas injection to 15.Note, it is ensured that 15 stone extraction baskets are opened after calculus and gallbladder mud.The shake present invention, is made as far as possible
13 stone extraction baskets entangle calculus.Retain seal wire and draw back 12 vessel cluster trocar sheaths, take calculus and gallbladder mud out of.As needed can be such as figure
5 take the gas injection of stone sacculus to 15 and do not stretch out 13 stone extraction baskets；13 lithotomy nets are only stretched out as Fig. 6 takes the non-gas injection of stone sacculus to 15
Basket；As Fig. 7 takes the gas injection of stone sacculus while stretching out 13 stone extraction baskets to 15.
Claims (5)
1. a kind of calculus of basket branch equipped with sacculus takes out operating theater instruments, including：1 sacculus syringe, 2 sacculus sealing valves, 3
Telescoping handle, 4 telescoping handle hard, 5 conduit sealing valves, 6, sacculus gas injection conduit, 7 sacculus gas injection conduit outer tubes, 8 contrast agent are noted
Emitter, 9 contrast agent sealing valves, 10 contrast agent injection catheters, 11 wire catheters, 12 vessel cluster trocar sheaths, 13 stone extraction baskets, 14
Sacculus injecting hole, 15 take stone sacculus, 16 vessel cluster hard portions.
2. a kind of calculus of the basket branch according to belonging to claim 1 equipped with sacculus takes out operating theater instruments, it is characterised in that：6
Sacculus gas injection conduit rear portion pre-setting is polyline shaped, as a branch of stone extraction basket, is tied up again into 3-7 bar steel wires, shape herein
Into 13 stone extraction baskets；6 sacculus gas injection catheter tips leave 14 sacculus injecting holes, take stone sacculus gas injection to 15.
3. a kind of calculus of the basket branch according to belonging to claim 1 equipped with sacculus takes out operating theater instruments, it is characterised in that：13
Front, 15 take stone sacculus rear to stone extraction basket；15 take stone sacculus gas injection after diameter and 13 stone extraction baskets stretch out rear equal diameters.
4. a kind of calculus of the basket branch according to claim 1 with sacculus takes out operating theater instruments, it is characterised in that 6 balls
Capsule gas injection conduit is ductile metal material, and diameter is thin.
5. a kind of calculus of the basket branch according to claim 1 with sacculus takes out operating theater instruments, it is characterised in that：Before
Three branches in end, respectively main body branch, contrast agent injection branch, seal wire insertion branch：Main body branch, including sacculus syringe
Realize to end sacculus gas injection；Basket telescoping handle realizes that basket stretches；Contrast agent injection branch is comprising syringe and contrast agent
Conduit realizes that contrast agent is injected；Seal wire branches into individual conduits and realizes that seal wire is inserted.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201611249055.1A CN106491180A (en) | 2016-12-29 | 2016-12-29 | A kind of calculus of basket branch equipped with sacculus takes out operating theater instruments |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201611249055.1A CN106491180A (en) | 2016-12-29 | 2016-12-29 | A kind of calculus of basket branch equipped with sacculus takes out operating theater instruments |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN106491180A true CN106491180A (en) | 2017-03-15 |
Family
ID=58334727
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201611249055.1A Pending CN106491180A (en) | 2016-12-29 | 2016-12-29 | A kind of calculus of basket branch equipped with sacculus takes out operating theater instruments |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN106491180A (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108577930A (en) * | 2018-02-09 | 2018-09-28 | 大连大学 | Cup-shaped stone extraction basket with sacculus |
| CN114469259A (en) * | 2021-12-15 | 2022-05-13 | 中国医学科学院北京协和医院 | Bile duct calculus removing instrument with balloon and basket |
Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN202355445U (en) * | 2011-11-16 | 2012-08-01 | 常州市久虹医疗器械有限公司 | Spherical stone removing net basket |
| CN202654186U (en) * | 2012-04-26 | 2013-01-09 | 常州乐奥医疗科技有限公司 | Novel calculus-removing saccule for biliary tract |
| CN203182972U (en) * | 2012-12-14 | 2013-09-11 | 常州乐奥医疗科技有限公司 | Novel preassembled guide wire intrahepatic bile duct calculus removing ball bag |
| CN203988233U (en) * | 2014-07-09 | 2014-12-10 | 姚俊 | Stone integrated airbag conduit is got in cholangiectasis |
| CN204971452U (en) * | 2015-08-20 | 2016-01-20 | 兰州大学第一医院 | Stone basket is got to dribbling bag integral type |
-
2016
- 2016-12-29 CN CN201611249055.1A patent/CN106491180A/en active Pending
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN202355445U (en) * | 2011-11-16 | 2012-08-01 | 常州市久虹医疗器械有限公司 | Spherical stone removing net basket |
| CN202654186U (en) * | 2012-04-26 | 2013-01-09 | 常州乐奥医疗科技有限公司 | Novel calculus-removing saccule for biliary tract |
| CN203182972U (en) * | 2012-12-14 | 2013-09-11 | 常州乐奥医疗科技有限公司 | Novel preassembled guide wire intrahepatic bile duct calculus removing ball bag |
| CN203988233U (en) * | 2014-07-09 | 2014-12-10 | 姚俊 | Stone integrated airbag conduit is got in cholangiectasis |
| CN204971452U (en) * | 2015-08-20 | 2016-01-20 | 兰州大学第一医院 | Stone basket is got to dribbling bag integral type |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108577930A (en) * | 2018-02-09 | 2018-09-28 | 大连大学 | Cup-shaped stone extraction basket with sacculus |
| CN108577930B (en) * | 2018-02-09 | 2024-03-08 | 大连大学 | Cup-shaped stone-taking basket with saccule |
| CN114469259A (en) * | 2021-12-15 | 2022-05-13 | 中国医学科学院北京协和医院 | Bile duct calculus removing instrument with balloon and basket |
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Application publication date: 20170315 |
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