CN107374692A - A kind of orifice of the stomach coarctation clamp and its operating method - Google Patents

A kind of orifice of the stomach coarctation clamp and its operating method Download PDF

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Publication number
CN107374692A
CN107374692A CN201710704394.2A CN201710704394A CN107374692A CN 107374692 A CN107374692 A CN 107374692A CN 201710704394 A CN201710704394 A CN 201710704394A CN 107374692 A CN107374692 A CN 107374692A
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CN
China
Prior art keywords
stomach
orifice
coarctation
clamp
release
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Pending
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CN201710704394.2A
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Chinese (zh)
Inventor
胡海清
令狐恩强
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Individual
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Individual
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Priority to CN201710704394.2A priority Critical patent/CN107374692A/en
Publication of CN107374692A publication Critical patent/CN107374692A/en
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    • 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
    • A61B17/122Clamps or clips, e.g. for the umbilical cord

Abstract

The invention discloses orifice of the stomach constriction device and its operating method, the device includes hyaline cap, orifice of the stomach coarctation clamp and release;The hyaline cap includes fore-end and base section, and the hyaline cap is located at gastroscope front end, and orifice of the stomach constriction is folded in the transparent fore-end emitted;The orifice of the stomach coarctation clamp includes two parts:The transparent base emitted and the serrated clips that can be opened and closed are fixed on, serrated clips are fixed on base by release, and release includes three parts:End, helical metal wire, handle are clamped, handle controls pincers end by helical metal wire, is in mouse dentation at the occlusion at the pincers end.The invention also discloses the operating method of orifice of the stomach constriction device.The present invention has the characteristics of simple in construction, easy to operate, is adapted to popularization and application.

Description

A kind of orifice of the stomach coarctation clamp and its operating method
Technical field
The invention belongs to medicine technology field, it is related to a kind of mis instruments-orifice of the stomach of GERD Endoscopic Treatment Coarctation clamp and its operating method.
Background technology
GERD (gastro-esophageal reflux disease, GERD) refers to that gastric content reflux enters Oesophagus, oral cavity (including throat) or symptom and complication caused by lung.In the U.S., symptomatic GERD illness rate up to 15%~ 20%, it is most common disease in Gastroenterology dept. of hospital consulting patients in out-patient department.GERD is also very common in China, and epidemiology survey shows Show, symptomatic GERD illness rate has reached 3.1% in China adult.Although the disease is in benign course, symptom in itself may be used Have a strong impact on the life of patient.GERD turns into has a strong impact on one of dominant digestion systemic disease of people's quality of life.
Pathogenesis declines for anti-reflux defense mechanism and reflux thing is strengthened the attack function of Esophageal Mucosa, esophageal acid Removing decline etc. causes LES (lower esophageal sphincter, LES) dysfunction.Make a definite diagnosis main root According to scope, 24h Esophageal pH measurements and proton pump inhibitor experiment etc..The therapeutic purposes of GERD are control diseases Shape, esophagitis is cured, improves the quality of living and prevents complication from occurring.
Treating gastroesophageal reflux disease method includes life style guidance, medical treatment, endoscopic minimally-invasive treatment and surgery hand Art is treated.Pointed out in 2013 updated Guidelines, GERD primary treatments are oral proton pump inhibitor (proton pump Inhibitor, PPI), but side effect is likely to occur, easily recurred after drug withdrawal, and it is not good enough to intractable GERD curative effects.Operative treatment It is a selection for receiving long-term treatment GERD patient, but wound is larger.The present invention is to tighten orifice of the stomach by orifice of the stomach coarctation clamp to prevent Only reflux, it is evident in efficacy by pre-clinical assay.Current therapeutic endoscopy can not still substitute conventional medicament or operative treatment, hand Art is considered as to need the best method of long-term treatment gastroesophageal reflux disease, but operation wound is big, and patient compliance is poor, therefore is needed Want a kind of simple and easy and evident in efficacy GERD treatment methods.Orifice of the stomach Constriction (Peroral under oral scope Endoscopic cardial constriction, PECC) it is a kind of new method for treating GERD, orifice of the stomach coarctation clamp is operation The mis instruments of application, it is to tighten orifice of the stomach by orifice of the stomach coarctation clamp to prevent reflux, it is evident in efficacy by pre-clinical assay.
The content of the invention
In order to overcome defect present in prior art, the present invention provides a kind of orifice of the stomach contracting simple in construction, easy to operate Narrow folder and its operating method.
Its technical scheme is as follows:
Orifice of the stomach coarctation clamp, including hyaline cap, orifice of the stomach coarctation clamp and release;The hyaline cap includes fore-end 7 and bottom Portion part 8, the hyaline cap are located at gastroscope front end, and orifice of the stomach constriction is folded in the transparent fore-end 7 emitted;The orifice of the stomach coarctation clamp Including two parts:The transparent base 1 emitted and the serrated clips 2 that can be opened and closed are fixed on, serrated clips 2 are fixed on base 1 by release, Release includes three parts:End 4, helical metal wire 5, handle 6 are clamped, handle 6 controls pincers end 4, institute by helical metal wire 5 It is in mouse dentation to state at the occlusion at pincers end 4.
Preferably, the head end internal diameter of the hyaline cap is 1.2cm, and external diameter 1.3cm, bottom and gastroscope junction are silica gel Material, it is installed on gastroscope point diameter 1.0cm.
Preferably, a diameter of 1.3cm of the orifice of the stomach coarctation clamp.
The operating method of orifice of the stomach coarctation clamp:The base section 8 of hyaline cap and gastroscope junction are silica gel material, are installed on stomach Mirror front end, orifice of the stomach coarctation clamp are installed on hyaline cap, the base 1 of orifice of the stomach coarctation clamp is opened orifice of the stomach coarctation clamp towards scope side Serrated clips 2, serrated clips 2 are fixed on base 1 by the pincers end 4 for opening release;Food is together passed transorally into after installation with gastroscope Above pipe hypomere orifice of the stomach, lesser curvature side negative pressure fully attracts mucous membrane and submucosa tissue above dentate line, and release is slightly downward Discharge and open after push, the naturally inside closure folder of orifice of the stomach coarctation clamp is closed the tissue being drawn into hyaline cap and be fixed on this, move back Go out release and gastroscope.With method, installation set is pricked and is fixed on above dentate line big curved side and fixes again.
Beneficial effects of the present invention:
The orifice of the stomach coarctation clamp of the present invention is the mis instruments for treating arthroscopic diagnosis application in GERD, is under scope Tightening orifice of the stomach by orifice of the stomach coarctation clamp prevents reflux, evident in efficacy by pre-clinical assay, and operation Micro-operation is simple and easy, It is small to patient trauma.
Brief description of the drawings
Fig. 1 be orifice of the stomach coarctation clamp release after closure state structural representation;
Fig. 2 is the structural representation of hyaline cap;
Fig. 3 is the open configuration schematic diagram of orifice of the stomach coarctation clamp;
Specific embodiment
Technical scheme is described in more detail with reference to the accompanying drawings and detailed description.
Reference picture 1- Fig. 2, orifice of the stomach coarctation clamp, including hyaline cap, orifice of the stomach coarctation clamp and release;Before the hyaline cap includes End part 7 and base section 8, the hyaline cap are located at gastroscope front end, and orifice of the stomach constriction is folded in the transparent fore-end 7 emitted;Institute Stating orifice of the stomach coarctation clamp includes two parts:The transparent base 1 emitted and the serrated clips 2 that can be opened and closed are fixed on, release consolidates serrated clips 2 Due on base 1, release includes three parts:End 4, helical metal wire 5, handle 6 are clamped, handle 6 passes through helical metal wire 5 Control pincers end 4.
7 a diameter of 1.3cm of front end of the hyaline cap 1, is silica gel material with gastroscope junction 8, can be placed on just transparent Cap front end.
Reference picture 3, the operating method of orifice of the stomach coarctation clamp:The base section 8 of hyaline cap and gastroscope junction are silica gel material, Gastroscope front end is installed on, orifice of the stomach coarctation clamp is installed on hyaline cap, the base 1 of orifice of the stomach coarctation clamp is opened beautifully adorned towards scope side The serrated clips 2 of door coarctation clamp, operation handle 6, control pincers end 4 to discharge by helical metal wire 5, open the saw of orifice of the stomach coarctation clamp Serrated clips 2 are fixed on base 1 by toothholder 2, the pincers end 4 for opening release.Together it is passed transorally into after installation with gastroscope under oesophagus Above section orifice of the stomach, lesser curvature side negative pressure fully attracts mucous membrane and submucosa tissue above dentate line, and release slightly pushes downwards Release is opened afterwards, the naturally inside closure folder of orifice of the stomach coarctation clamp is closed the tissue being drawn into hyaline cap and is fixed on this, exits and release Put device and gastroscope.With method, installation set is pricked and is fixed on above dentate line big curved side and fixes again.
The present invention is to treat the mis instruments of GERD operation application, is to be tightened under scope by orifice of the stomach coarctation clamp Orifice of the stomach prevents reflux, evident in efficacy by pre-clinical assay, and operation Micro-operation is simple and easy, small to patient trauma.
The foregoing is only a preferred embodiment of the present invention, protection scope of the present invention not limited to this, any ripe Those skilled in the art are known in the technical scope of present disclosure, the letter for the technical scheme that can be become apparent to Altered or equivalence replacement are each fallen within protection scope of the present invention.

Claims (4)

1. orifice of the stomach coarctation clamp, it is characterised in that:Including hyaline cap, orifice of the stomach coarctation clamp and release;The hyaline cap includes front end Partly (7) and base section (8), the hyaline cap are located at gastroscope front end, and orifice of the stomach constriction is folded in the transparent fore-end emitted (7);The orifice of the stomach coarctation clamp includes two parts:The serrated clips (2) that is fixed on the base (1) of hyaline cap and can be opened and closed, release Serrated clips (2) are fixed on base (1), release includes three parts:End (4), helical metal wire (5), handle (6) are clamped, Handle (6) controls pincers end (4) by helical metal wire (5), is in mouse dentation at the occlusion of pincers end (4).
2. orifice of the stomach coarctation clamp according to claim 1, it is characterised in that:The fore-end (7) of the hyaline cap is a diameter of 1.3cm.
3. orifice of the stomach coarctation clamp according to claim 1, it is characterised in that:The orifice of the stomach coarctation clamp (2) it is a diameter of 1.3cm。
4. the operating method of the orifice of the stomach coarctation clamp described in claim 1:Characterized in that, the base section (8) and stomach of hyaline cap Mirror junction is silica gel material, is installed on gastroscope front end, and orifice of the stomach coarctation clamp is installed on hyaline cap, makes the base of orifice of the stomach coarctation clamp (1) towards scope side, operation handle (6), control pincers end (4) to discharge by helical metal wire (5), open orifice of the stomach coarctation clamp Serrated clips (2) are fixed on base (1) by serrated clips (2), the pincers end (4) for opening release;It is together oral with gastroscope after installation Above into distal esophagus orifice of the stomach, lesser curvature side negative pressure fully attracts mucous membrane and submucosa tissue, release above dentate line Slightly discharge downwards and open after push, the naturally inside closure folder of orifice of the stomach coarctation clamp is closed the tissue being drawn into hyaline cap and be fixed on This, exits release and gastroscope;With method, installation set is pricked and is fixed on above dentate line big curved side and fixes again.
CN201710704394.2A 2017-08-13 2017-08-13 A kind of orifice of the stomach coarctation clamp and its operating method Pending CN107374692A (en)

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CN201710704394.2A CN107374692A (en) 2017-08-13 2017-08-13 A kind of orifice of the stomach coarctation clamp and its operating method

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Citations (21)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
RU2004197C1 (en) * 1990-07-03 1993-12-15 Владимир Иванович Оноприев Method for surgical treatment of hernia in esophageal opening of diaphragm
US20020032454A1 (en) * 1999-11-18 2002-03-14 Durgin Russell F. Apparatus and method for compressing body tissue
RU2180801C1 (en) * 2000-07-10 2002-03-27 Республиканский центр функциональной хирургической гастроэнтерологии Method for making selective proximal revagotomy
CN2714005Y (en) * 2004-01-17 2005-08-03 上海第二医科大学附属新华医院 Artificial cardia orifice placing device
US20070156165A1 (en) * 2005-07-21 2007-07-05 Chang Kenneth J Percutaneous transgastric gastroplication and transgastric minimally invasive surgery
CN101268925A (en) * 2008-04-29 2008-09-24 中国人民解放军第二军医大学 Back-stream preventing gastroscope casing tube
US20090043246A1 (en) * 2007-08-07 2009-02-12 Dominguez Guillermo Manuel Magnetic Surgical Device to Manipulate Tissue in Laparoscopic Surgeries Performed with a Single Trocar or Via Natural Orifices
US20090138071A1 (en) * 2005-11-16 2009-05-28 Yingsheng Cheng Cardia Stent
US20110190578A1 (en) * 2008-06-11 2011-08-04 Ovesco Endoscopy Ag Endoscope Cap
CN202154932U (en) * 2011-06-29 2012-03-07 重庆市南川区人民医院 Stomach tube clamp
CN202409021U (en) * 2011-12-26 2012-09-05 升尚(北京)医疗科技有限公司 Multi-ring loop ligature device
TWM477255U (en) * 2013-12-31 2014-05-01 shi-huang Zhao Removable gastric clip
CN204033475U (en) * 2014-08-12 2014-12-24 上海交通大学医学院附属新华医院 A kind of scope hyaline cap
CN204765785U (en) * 2015-05-29 2015-11-18 嵊州领航信息科技有限公司 Drop tissue of taking releaser presss from both sides
JP2015204973A (en) * 2014-04-18 2015-11-19 Hoya株式会社 Super-magnifying observation endoscope
CN105310630A (en) * 2014-07-08 2016-02-10 蔡长春 Transparent cap for endoscope for treating appendicitis
CN106236194A (en) * 2016-08-18 2016-12-21 北京大学第三医院 A kind of electronic tissue holding forceps
CN206151519U (en) * 2016-07-13 2017-05-10 杨军营 Endoscope ligation device
CN206315116U (en) * 2016-07-06 2017-07-11 叶斌 A kind of hyaline cap used under gastroscope during taking foreign body
CN206324830U (en) * 2016-08-18 2017-07-14 北京大学第三医院 A kind of electronic tissue holding forceps
US20220175512A1 (en) * 2019-08-26 2022-06-09 Eschara Medical, Llc Methods and devices for treating sphincter disorders

Patent Citations (21)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
RU2004197C1 (en) * 1990-07-03 1993-12-15 Владимир Иванович Оноприев Method for surgical treatment of hernia in esophageal opening of diaphragm
US20020032454A1 (en) * 1999-11-18 2002-03-14 Durgin Russell F. Apparatus and method for compressing body tissue
RU2180801C1 (en) * 2000-07-10 2002-03-27 Республиканский центр функциональной хирургической гастроэнтерологии Method for making selective proximal revagotomy
CN2714005Y (en) * 2004-01-17 2005-08-03 上海第二医科大学附属新华医院 Artificial cardia orifice placing device
US20070156165A1 (en) * 2005-07-21 2007-07-05 Chang Kenneth J Percutaneous transgastric gastroplication and transgastric minimally invasive surgery
US20090138071A1 (en) * 2005-11-16 2009-05-28 Yingsheng Cheng Cardia Stent
US20090043246A1 (en) * 2007-08-07 2009-02-12 Dominguez Guillermo Manuel Magnetic Surgical Device to Manipulate Tissue in Laparoscopic Surgeries Performed with a Single Trocar or Via Natural Orifices
CN101268925A (en) * 2008-04-29 2008-09-24 中国人民解放军第二军医大学 Back-stream preventing gastroscope casing tube
US20110190578A1 (en) * 2008-06-11 2011-08-04 Ovesco Endoscopy Ag Endoscope Cap
CN202154932U (en) * 2011-06-29 2012-03-07 重庆市南川区人民医院 Stomach tube clamp
CN202409021U (en) * 2011-12-26 2012-09-05 升尚(北京)医疗科技有限公司 Multi-ring loop ligature device
TWM477255U (en) * 2013-12-31 2014-05-01 shi-huang Zhao Removable gastric clip
JP2015204973A (en) * 2014-04-18 2015-11-19 Hoya株式会社 Super-magnifying observation endoscope
CN105310630A (en) * 2014-07-08 2016-02-10 蔡长春 Transparent cap for endoscope for treating appendicitis
CN204033475U (en) * 2014-08-12 2014-12-24 上海交通大学医学院附属新华医院 A kind of scope hyaline cap
CN204765785U (en) * 2015-05-29 2015-11-18 嵊州领航信息科技有限公司 Drop tissue of taking releaser presss from both sides
CN206315116U (en) * 2016-07-06 2017-07-11 叶斌 A kind of hyaline cap used under gastroscope during taking foreign body
CN206151519U (en) * 2016-07-13 2017-05-10 杨军营 Endoscope ligation device
CN106236194A (en) * 2016-08-18 2016-12-21 北京大学第三医院 A kind of electronic tissue holding forceps
CN206324830U (en) * 2016-08-18 2017-07-14 北京大学第三医院 A kind of electronic tissue holding forceps
US20220175512A1 (en) * 2019-08-26 2022-06-09 Eschara Medical, Llc Methods and devices for treating sphincter disorders

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