CN107320147A - Curable deformation pipe sleeve for intranasal endoscopic surgery - Google Patents

Curable deformation pipe sleeve for intranasal endoscopic surgery Download PDF

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Publication number
CN107320147A
CN107320147A CN201710462780.5A CN201710462780A CN107320147A CN 107320147 A CN107320147 A CN 107320147A CN 201710462780 A CN201710462780 A CN 201710462780A CN 107320147 A CN107320147 A CN 107320147A
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CN
China
Prior art keywords
pipe sleeve
tube wall
curable
endoscopic surgery
inner chamber
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201710462780.5A
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Chinese (zh)
Inventor
江力
俞文华
王昊
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Hangzhou First Peoples Hospital
Original Assignee
Hangzhou First Peoples Hospital
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Hangzhou First Peoples Hospital filed Critical Hangzhou First Peoples Hospital
Priority to CN201710462780.5A priority Critical patent/CN107320147A/en
Publication of CN107320147A publication Critical patent/CN107320147A/en
Pending legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12027Type of occlusion
    • A61B17/12031Type of occlusion complete occlusion
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12099Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
    • A61B17/12104Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder in an air passage
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12131Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
    • A61B17/1214Coils or wires
    • A61B17/12145Coils or wires having a pre-set deployed three-dimensional shape
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12131Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
    • A61B17/1214Coils or wires
    • A61B17/1215Coils or wires comprising additional materials, e.g. thrombogenic, having filaments, having fibers, being coated
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B2017/12004Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding

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  • 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)
  • Reproductive Health (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Endoscopes (AREA)

Abstract

The invention discloses a kind of curable deformation pipe sleeve for intranasal endoscopic surgery, the passage passed through including deformable tube wall and for nerve endoscope or operation apparatus, the tube wall is provided with the solidify liquid for being filled with and solidifying with water or air contact in inner chamber, the inner chamber;It is provided with and is expanded with passage aperture and aperture becomes the big via hole passed through for water or air on the outside of the tube wall, the via hole is connected with inner chamber.Deformation tube casing wall after being solidified according to nasal cavity shape oppresses the mucous membrane blood vessel of nasal cavity inwall, reach the purpose temporarily stopped blooding, solve the problem of nasal membrane bleeding influences the scope visual field in nose endoscopic surgery, and the tube wall after solidifying will not be deformed upon, it is ensured that not occur the phenomenon of loose shift in surgical procedure.

Description

Curable deformation pipe sleeve for intranasal endoscopic surgery
Technical field
The present invention relates to scope aid, specially a kind of curable deformation tube for intranasal endoscopic surgery Set.
Background technology
At present, intranasal nerve endoscope technology treatment hypophysoma, tumor of base of skull even aneurysm is increasingly extensive, and nasal cavity is used as god Through endoscope passage be operation necessary channel but be due to rich blood vessel in nasal cavity, the bleeding of nasal cavity and oozing of blood are often Cause surgical field of view to be deteriorated and wiped, it is necessary to rinse repeatedly and even repeat to take out by endoscope lens.And enter repeatedly in endoscope lens Easily cause the damage again of schneiderian membrane during going out so that the amount of bleeding of nasal cavity increases, be not easy to operation and carry out.
The Chinese patent of Application No. 201610757752.1 discloses a kind of nasal cavity for intranasal endoscopic surgery Fill to be provided with airbag apparatus, including hard pipeline, hard pipeline and worn for nerve endoscope by endoscope passage, outside hard pipeline Wall surface is additionally provided with expandable air bag, and air bag includes air bag epidermis, inner chamber and charging connector, and air bag epidermis is coated on hard completely Pipeline outer wall surface, inner chamber is located between air bag epidermis and hard pipeline outer wall;Charging connector is connected with the inner chamber of air bag.
Gas cell described in the patent is easily damaged and the volume and shape of air bag can not be accurately controlled in actual operation. Air bag needs lasting holding air pressure so that air bag is persistently fitted with nasal cavity inwall during inflation.Because inside air bag Filled for gas, balloon surface is flexible, so during operation, some slight touchings or rock and can all influence gas Capsule surface and the compactness of nasal cavity, whole nasal cavity filling airbag apparatus fix unstable, influence procedure.
The content of the invention
The invention aims to provide a kind of curable deformation pipe sleeve for intranasal endoscopic surgery, deformation tube Dilatancy in nasal cavity is enclosed on, the shape solidify afterwards needed in operation are formed, the deformation tube after being solidified according to nasal cavity shape Casing wall oppresses the mucous membrane blood vessel of nasal cavity inwall, reaches the purpose temporarily stopped blooding, and solves nasal cavity in nose endoscopic surgery and glues Tube wall after the problem of film bleeding influences the scope visual field, and solidification will not be deformed upon, it is ensured that not occurred in surgical procedure The phenomenon of loose shift.
In order to realize foregoing invention purpose, present invention employs following technical scheme:One kind is used for intranasal nerve endoscope hand The curable deformation pipe sleeve of art, including the passage that deformable tube wall and confession nerve endoscope or operation apparatus pass through, the pipe Wall is provided with the solidify liquid for being filled with and solidifying with water or air contact in inner chamber, the inner chamber;It is provided with the outside of the tube wall with passage Aperture is expanded and aperture becomes the big via hole passed through for water or air, and the via hole is connected with inner chamber.
In surgical procedure, deformation pipe sleeve access opening footpath becomes big, and tube wall is expanded outwardly, and the via hole on the outside of tube wall is with tube wall Stretcher strain and become big so that the extraneous water and air of deformation pipe sleeve is entered in inner chamber by via hole.In tube wall inner chamber Solidify liquid solidifies with water or air contact so that deformation pipe sleeve is fixed on certain form, so as to reach the purpose of compressing nasal cavity.
It is preferred that, have in inner chamber along tube wall circumferentially around annular chamber, resist radial load.
It is preferred that, position of the via hole on the outside of tube wall is corresponding with the position of annular chamber, when deformation pipe sleeve passage expansion, After via hole aperture becomes big, extraneous water and air energy is preferably and the solidify liquid inside annular chamber preferably contacts solidification.
It is preferred that, have in inner chamber along the axially extending axial cavity of tube wall, the anti-folding of bending resistance.
It is preferred that, position of the through hole on the outside of tube wall is corresponding with the position of axial cavity, when deformation pipe sleeve passage expansion, leads After through-hole aperture becomes big, extraneous water and air energy is preferably and the solidify liquid inside annular chamber preferably contacts solidification.
It is preferred that, the annular chamber in inner chamber is connected with axial cavity, can reduce hardening time, improves resistance to deformation intensity.
It is preferred that, the solidify liquid of interior intracavitary filling is α-cyanoacrylate, α-cyanoacrylate meet water or Humid air is catalyzed, and solidification can be adhered rapidly, be reached more preferable solidification effect.
It is preferred that, deformation pipe sleeve is divided into front end and end, and front end and end two ends bore differ, and front end bore is end port The 3/4 of footpath.Beloid deformation pipe sleeve facilitates front end to enter nasal cavity, is easy to operation.
It is preferred that, the outer surface of deformation tube casing wall is provided with hemostasis coating, and hemostasis coating is mainly used in blood vessel in mucous membrane and received Contracting accelerates blood clotting.
It is preferred that, contain adrenaline in hemostasis coating, adrenaline can stimulate blood vessel so that vessel retraction, reaches only The purpose of blood.
Compared with prior art, the curable deformation tube for intranasal endoscopic surgery of above-mentioned technical proposal is employed Set, has the advantages that:
Using the curable deformation pipe sleeve for intranasal endoscopic surgery of the present invention, with the passage in deformation pipe sleeve Expansion, during tube wall expands laterally, water and air is contacted with solidify liquid, and solidify liquid curing rate is fast, required time It is short.
Meanwhile, in surgical procedure, air bag or enlarging pincers etc. are penetrated in the middle part of deformation pipe sleeve, the internal channel for deforming pipe sleeve is supportted Greatly, the tube wall of deformation pipe sleeve is allow to fit nasal cavity inwall, after after the solidify liquid solidification of interior intracavitary, solidify liquid is formed in the lumen The skeleton that one shape is fixed, for the structure and shape of supporting deformation pipe sleeve, due to the solidify liquid in inner chamber after hardening not Can deformation, can be fitted with nasal cavity inwall with complete stability, will not occur break-off in operation, scope and operation apparatus can be with More easily pass through so that surgical procedure is more reliable and stable.
Brief description of the drawings
Structural representations of the Fig. 1 for the present invention for the curable deformation pipe sleeve embodiment of intranasal endoscopic surgery;
Fig. 2 is the structural representation of inner chamber in the present embodiment;
Fig. 3 be the present embodiment in be used for intranasal endoscopic surgery curable deformation pipe sleeve sectional view;
Fig. 4 is the partial enlarged drawing at A in Fig. 3.
Reference:1st, tube wall;2nd, cavity;21st, annular chamber;22nd, axial cavity;3rd, via hole.
Embodiment
The present invention is described further below in conjunction with the accompanying drawings.
The curable deformation pipe sleeve for intranasal endoscopic surgery as shown in Figures 1 to 4, including deformable tube wall 1 And for nerve endoscope or the passage for operating apparatus to pass through.
Tube wall 1, which has, fills this solidify liquid in a hollow inner chamber 2, inner chamber 2, solidify liquid with after water or air contact itself Can solidifying and setting.
The outside of tube wall 1 is additionally provided with via hole 3, while expansion in passage aperture, and deformation tube casing wall 1 is swollen to outside It is swollen so that the aperture of via hole 3 also becomes big therewith, advantageously passes through in water or air.
The inner chamber 2 in via hole 3 and tube wall 1 on tube wall is interconnected, can first by the water or air of via hole 3 Time contacts with the solidify liquid in inner chamber 2, solidifies solidify liquid.
In surgical procedure, deformation pipe sleeve access opening footpath becomes big, and tube wall 1 is expanded outwardly, and the via hole 3 in the outside of tube wall 1 becomes big, So that the extraneous water and air of deformation pipe sleeve is entered in inner chamber 2 by via hole 3.Solidify liquid and water or air in inner chamber 2 Contact solidification so that deformation pipe sleeve is fixed on certain form, so as to reach the purpose of compressing nasal cavity.
Inner chamber 2 in tube wall can be along tube wall 1 circumferentially around annular chamber 21, annular chamber 21 is distributed in pipe with proportional spacing In wall 1, radial load is resisted.Solidify liquid solidification can make deformation tube set sizing in actual operation, it is ensured that solidify in surgical procedure Alteration of form does not occur for deformation pipe sleeve afterwards.
Inner chamber 2 in tube wall can also be that axial cavity 22 is distributed with proportional spacing along the axially extending axial cavity 22 of tube wall 1 In tube wall 1, the anti-folding of bending resistance.Ensure that alteration of form does not occur for deformation pipe sleeve after solidify liquid solidification in same axial cavity 22.
Via hole 3 is corresponding with the position of annular chamber 21 or axial cavity 22 in the position in the outside of tube wall 1, when deformation pipe sleeve leads to Road is expanded, after the aperture of via hole 3 becomes big, and extraneous water and air can consolidating preferably and inside annular chamber 21 or axial cavity 22 Change liquid and preferably contact solidification.
In the present embodiment, inner chamber 2 include along tube wall 1 circumferentially around annular chamber 21 and axially extending along tube wall 1 Axial cavity 22, and annular chamber 21 and axial cavity 22 are interconnected, and such cavity body structure can better ensure that deformation pipe sleeve The stability of shape after hardening.
The solidify liquid filled in inner chamber 2 is α-cyanoacrylate.α-cyanoacrylate meets water or moist empty Gas is catalyzed, meeting solidification adhesion rapidly, is solidification in the curable deformation pipe sleeve of the invention for intranasal endoscopic surgery The preferable material of liquid.
Pipe sleeve is deformed in the present invention and is divided into front end and end, front end and end two ends bore differ, front end bore is end The 3/4 of bore.Beloid deformation pipe sleeve facilitates front end to enter nasal cavity, is easy to operation.
The outer surface of deformation tube casing wall 1 is mainly used in mucous membrane vessel retraction or added provided with hemostasis coating, hemostasis coating Fast blood clotting.
Contain adrenaline in hemostasis coating, adrenaline can stimulate blood vessel so that vessel retraction, reaches the mesh of hemostasis 's.
It is described above to make the preferred embodiment of the present invention, this hair is not departed from for the person of ordinary skill of the art On the premise of bright principle, some variations and modifications can also be made, these also should be regarded as protection scope of the present invention.

Claims (10)

1. a kind of curable deformation pipe sleeve for intranasal endoscopic surgery, it is characterised in that:Including deformable tube wall (1) And for the passage that nerve endoscope or operation apparatus pass through, the tube wall (1) is provided with inner chamber (2), is filled with the inner chamber (2) The solidify liquid solidified with water or air contact;It is provided with and is expanded with passage aperture and aperture becomes big and is used for water on the outside of the tube wall (1) Or the via hole (3) that air passes through, the via hole (3) connects with inner chamber (2).
2. the curable deformation pipe sleeve according to claim 1 for intranasal endoscopic surgery, it is characterised in that:It is described Inner chamber (2) include along tube wall (1) circumferentially around annular chamber (21).
3. the curable deformation pipe sleeve according to claim 2 for intranasal endoscopic surgery, it is characterised in that:It is described Position of the via hole (3) on the outside of tube wall (2) is corresponding with the position of annular chamber (21).
4. the curable deformation pipe sleeve according to claim 1 for intranasal endoscopic surgery, it is characterised in that:It is described Inner chamber (2) is included along the axially extending axial cavity (22) of tube wall (1).
5. the curable deformation pipe sleeve according to claim 4 for intranasal endoscopic surgery, it is characterised in that:It is described Position of the via hole (3) on the outside of tube wall (2) is corresponding with the position of axial cavity (22).
6. the curable deformation pipe sleeve according to claim 2 for intranasal endoscopic surgery, it is characterised in that:It is described Inner chamber (2) is included along the axially extending axial cavity of tube wall (22), and the annular chamber (21) is connected with axial cavity (22).
7. the curable deformation pipe sleeve according to claim 1 for intranasal endoscopic surgery, it is characterised in that:It is described The solidify liquid of filling is α-cyanoacrylate in inner chamber (3).
8. the curable deformation pipe sleeve according to claim 1 for intranasal endoscopic surgery, it is characterised in that:It is described Deformation pipe sleeve is divided into front end and end, and front end bore is the 3/4 of end bore.
9. the curable deformation pipe sleeve according to claim 1 for intranasal endoscopic surgery, it is characterised in that:It is described The outer surface of tube wall (1), which is provided with, is used for vessel retraction or the hemostasis coating of acceleration blood clotting in mucous membrane.
10. the curable deformation pipe sleeve according to claim 9 for intranasal endoscopic surgery, it is characterised in that:Institute State in hemostasis coating and include adrenaline.
CN201710462780.5A 2017-06-19 2017-06-19 Curable deformation pipe sleeve for intranasal endoscopic surgery Pending CN107320147A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201710462780.5A CN107320147A (en) 2017-06-19 2017-06-19 Curable deformation pipe sleeve for intranasal endoscopic surgery

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Application Number Priority Date Filing Date Title
CN201710462780.5A CN107320147A (en) 2017-06-19 2017-06-19 Curable deformation pipe sleeve for intranasal endoscopic surgery

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CN107320147A true CN107320147A (en) 2017-11-07

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111297419A (en) * 2020-02-28 2020-06-19 李标 Sternum retractor

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20020082638A1 (en) * 2000-12-27 2002-06-27 Porter Stephen Christopher Selectively permeable highly distensible occlusion balloon
CN103501714A (en) * 2011-02-11 2014-01-08 泰尔茂株式会社 Interspinous process spacing device
CN204306858U (en) * 2014-05-10 2015-05-06 中南大学湘雅三医院 Stomach first aid capsule haemostat
CN106308869A (en) * 2016-08-29 2017-01-11 杭州市第人民医院 Nasal cavity filling airbag device for transoral-nosal neuroendoscopy surgery
CN106659506A (en) * 2014-06-10 2017-05-10 伊西康内外科有限责任公司 Methods and devices for sealing a body lumen
CN208404706U (en) * 2017-06-19 2019-01-22 杭州市第一人民医院 A kind of curable deformation pipe sleeve for intranasal endoscopic surgery

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20020082638A1 (en) * 2000-12-27 2002-06-27 Porter Stephen Christopher Selectively permeable highly distensible occlusion balloon
CN103501714A (en) * 2011-02-11 2014-01-08 泰尔茂株式会社 Interspinous process spacing device
CN204306858U (en) * 2014-05-10 2015-05-06 中南大学湘雅三医院 Stomach first aid capsule haemostat
CN106659506A (en) * 2014-06-10 2017-05-10 伊西康内外科有限责任公司 Methods and devices for sealing a body lumen
CN106308869A (en) * 2016-08-29 2017-01-11 杭州市第人民医院 Nasal cavity filling airbag device for transoral-nosal neuroendoscopy surgery
CN208404706U (en) * 2017-06-19 2019-01-22 杭州市第一人民医院 A kind of curable deformation pipe sleeve for intranasal endoscopic surgery

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111297419A (en) * 2020-02-28 2020-06-19 李标 Sternum retractor
CN111297419B (en) * 2020-02-28 2023-02-28 李标 Sternum retractor

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