CN107510481A - Skull base defects block repair apparatus - Google Patents
Skull base defects block repair apparatus Download PDFInfo
- Publication number
- CN107510481A CN107510481A CN201710885525.1A CN201710885525A CN107510481A CN 107510481 A CN107510481 A CN 107510481A CN 201710885525 A CN201710885525 A CN 201710885525A CN 107510481 A CN107510481 A CN 107510481A
- Authority
- CN
- China
- Prior art keywords
- skull base
- shape
- base defects
- leak
- closure
- 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
- 210000001154 skull base Anatomy 0.000 title claims abstract description 48
- 230000007547 defect Effects 0.000 title claims abstract description 42
- 230000008439 repair process Effects 0.000 title description 12
- 239000000463 material Substances 0.000 claims abstract description 31
- 210000001519 tissue Anatomy 0.000 claims abstract description 14
- 210000001951 dura mater Anatomy 0.000 claims abstract description 8
- 239000002775 capsule Substances 0.000 claims abstract description 7
- 210000003195 fascia Anatomy 0.000 claims abstract description 7
- 238000007789 sealing Methods 0.000 claims abstract description 7
- HZEWFHLRYVTOIW-UHFFFAOYSA-N [Ti].[Ni] Chemical compound [Ti].[Ni] HZEWFHLRYVTOIW-UHFFFAOYSA-N 0.000 claims abstract description 4
- 239000000427 antigen Substances 0.000 claims abstract description 4
- 102000036639 antigens Human genes 0.000 claims abstract description 4
- 108091007433 antigens Proteins 0.000 claims abstract description 4
- 230000015556 catabolic process Effects 0.000 claims abstract description 4
- 238000006731 degradation reaction Methods 0.000 claims abstract description 4
- 230000036760 body temperature Effects 0.000 claims description 3
- 229910052751 metal Inorganic materials 0.000 claims description 3
- 239000002184 metal Substances 0.000 claims description 3
- 229920000728 polyester Polymers 0.000 claims description 3
- 229910001000 nickel titanium Inorganic materials 0.000 claims 1
- 229910001285 shape-memory alloy Inorganic materials 0.000 claims 1
- 229910000990 Ni alloy Inorganic materials 0.000 abstract description 3
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 abstract description 3
- 238000000034 method Methods 0.000 description 19
- 208000027418 Wounds and injury Diseases 0.000 description 6
- 208000036071 Rhinorrhea Diseases 0.000 description 4
- 206010039101 Rhinorrhoea Diseases 0.000 description 4
- 230000006378 damage Effects 0.000 description 3
- 238000010586 diagram Methods 0.000 description 3
- 206010008164 Cerebrospinal fluid leakage Diseases 0.000 description 2
- 206010010356 Congenital anomaly Diseases 0.000 description 2
- 206010028980 Neoplasm Diseases 0.000 description 2
- 210000004204 blood vessel Anatomy 0.000 description 2
- 210000000988 bone and bone Anatomy 0.000 description 2
- 238000013461 design Methods 0.000 description 2
- 238000007917 intracranial administration Methods 0.000 description 2
- 210000003205 muscle Anatomy 0.000 description 2
- 230000001537 neural effect Effects 0.000 description 2
- 238000012546 transfer Methods 0.000 description 2
- 108010010803 Gelatin Proteins 0.000 description 1
- 206010033101 Otorrhoea Diseases 0.000 description 1
- 208000007913 Pituitary Neoplasms Diseases 0.000 description 1
- 201000005746 Pituitary adenoma Diseases 0.000 description 1
- 206010061538 Pituitary tumour benign Diseases 0.000 description 1
- 239000000853 adhesive Substances 0.000 description 1
- 230000001070 adhesive effect Effects 0.000 description 1
- 230000000844 anti-bacterial effect Effects 0.000 description 1
- 238000013459 approach Methods 0.000 description 1
- 210000004556 brain Anatomy 0.000 description 1
- 230000018044 dehydration Effects 0.000 description 1
- 238000006297 dehydration reaction Methods 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 235000013399 edible fruits Nutrition 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000002674 endoscopic surgery Methods 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 239000012530 fluid Substances 0.000 description 1
- 239000006260 foam Substances 0.000 description 1
- 230000004927 fusion Effects 0.000 description 1
- 229920000159 gelatin Polymers 0.000 description 1
- 239000008273 gelatin Substances 0.000 description 1
- 235000019322 gelatine Nutrition 0.000 description 1
- 235000011852 gelatine desserts Nutrition 0.000 description 1
- 239000003292 glue Substances 0.000 description 1
- 230000023597 hemostasis Effects 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 230000036512 infertility Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 235000014659 low sodium diet Nutrition 0.000 description 1
- 208000023443 meningoencephalocele Diseases 0.000 description 1
- 239000000203 mixture Substances 0.000 description 1
- 210000004400 mucous membrane Anatomy 0.000 description 1
- 230000003387 muscular Effects 0.000 description 1
- 238000012856 packing Methods 0.000 description 1
- 230000004310 photopic vision Effects 0.000 description 1
- 208000021310 pituitary gland adenoma Diseases 0.000 description 1
- 239000002861 polymer material Substances 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 238000002271 resection Methods 0.000 description 1
- 230000002123 temporal effect Effects 0.000 description 1
- 238000009966 trimming Methods 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
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
- A61B2017/00575—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
- A61B2017/00606—Implements H-shaped in cross-section, i.e. with occluders on both sides of the opening
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
- A61B2017/00575—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
- A61B2017/00623—Introducing or retrieving devices therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
- A61B2017/00646—Type of implements
- A61B2017/00654—Type of implements entirely comprised between the two sides of the opening
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Cardiology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
Abstract
A kind of device for skull base defects closure repairing, blind pipe shape or capsule shape outer layer sealing shroud, built-in deformable waist drum shape or dumbbell shaped self-locking plug members and delivery device are made by good with tissue compatibility and tough and tensile submissive film material and formed.Artificial dura mater, de- antigen allosome tissue or autologous fascia tissue can be selected in the film material.The deformable self-locking plug members can use shape shape-memory titanium-nickel alloy net, dumbbell shaped degradation material or medical suture to make.It can be operated during use under scope, first find exposure skull base defects and the leak of leakage of cerebrospinal occur, select the skull base defects of suitable size to block patching material, leak is broadcasted by delivery device, slowly push closure patching material makes its front end enter in leak, and rear end is located at outside leak.Block patching material and meet water and soften, deformation self-locking plug members in it reach the purpose of tight closure leak into waist drum shape or dumbbell shaped.
Description
Technical field
The invention belongs to a kind of medical supplies rebuild for skull base defects repairing.
Background technology
Skull base defects may occur in which leakage of cerebrospinal, easily cause intracranial infection threat to life.Skull base defects can be because congenital, outer
Wound or surgical operation cause.Congenital skull base defects Chang Bingfa meningoencephaloceles and cerebrospinal rhinorrhea or the leakage of cerebrospinal fluid ear nose.Outside
Wound it is more because of collision injury, stab or bullet wound causes.And perform the operation caused by skull base defects often because excision tumor of base of skull or encephalic disease damage after
Fail properly to repair and form.When there is skull base defects cerebrospinal fluid leakage, position and the size of skull base defects should be found out as early as possible,
Suitable method is selected to be repaired.Conventional skull base defects method for repairing and mending has：Skull-opening exploration operative repair method, through intranasal
Mirror exploratory operation method for repairing and mending and the methods of detect repairing through otomicroscope or endoscopic surgery.Patching material selects autologous group more
Knit, such as fascia late, temporal fascia, mucous membrane, fat or muscle.Method for repairing and mending has interior patch method, outer patch method and transfer pad pasting valve method.
Interior patch fado needs skull-opening exploration to repair, and wound is larger.Outer patch rule needs filling of pressurizeing, not firm enough, easily recurrence.Transfer paste
Film valve method is similar with outer patch method, postoperative to require bed, dehydration, low salt diet or row lumbar cistern drainage etc., prevents that patching material is loose
De- recurrence.In recent years reported in literature is made bathtub plug-like using autologous tissue such as muscular fascia or fat and carries out skull base defects repairing, into
Power is higher.The present inventor also carried out many cases bathtub plug method and the clamping plate method concurrent spinal fluid rhinorrhea of repairing skull base defects or otorrhea
Case, obtain compared with high success rate and good result.In addition, the operation of row tumor of base of skull, particularly Pituitary adenoma resection, if do not entered
Row skull base defects reparation, then have the danger of concurrent cerebrospinal rhinorrhea.Method for repairing and mending is more using autologous muscle or fat plus medical adhesive
Filling.Patient's secondary insult is caused using autologous tissue, extends operating time, it is not firm to repair sometimes, and brain ridge easily occurs again
Liquid leaks.Special basis cranii repair apparatus and artificial dura mater be designed with it is a variety of, such as：Chinese patent application " repair by a kind of basis cranii
Mend device and method " (application number：201510611374) a kind of basis cranii repair apparatus is disclosed, including：Support bar, the first repairing
Material and the second patching material, the supporting bar top set the first fixed disk, and the support bar lower end is set can be in support bar
The movable disk of upper movement, the support frame for being fixed with the first patching material is set between first fixed disk and movable disk, it is described
Push rod is set below movable disk, and the support bar lower end also sets up the second fixed disk for fixing the second patching material.The invention carries
The repair apparatus of confession, it can facilitate and operative incision is blocked, effect is good.But structure is complex, for leak it is excessive or
Too small person is not suitable for using.A kind of utility model patent " transnasal approach cerebrospinal rhinorrhea patcher " (application number：
201220112628) the fimbriatum artificial dura mater sticking patch that use can be packed up and strutted, sticking patch can insert outer tube after packing up
In one end, the other end of outer tube is cased with mobilizable inner catheter, states seal wire and passes through outer tube and inner catheter.It is sudden and violent available for leak
Dew is preferable, the patient that endocranium breakage is larger, intracranial pressure is higher.But the design is difficult to operate in nose basis cranii, into encephalic rapid wear
It is severely injured to want neural blood vessel, and fixation is not firm, easily shifts.Another utility model patent " basis cranii repairing fixator " (Shen
Please number：201420152123) connecting rod is included, connecting rod top sets fixed disk, and connecting rod lower end sets movable disk, fixed disk and work
Moving plate is coaxial in connecting rod, is interior using the relative one side of fixed disk and movable disk, being fitted with the fixed disk lateral surface can
The biological dura mater of trimming, the first pellosil to match with fixed disk shape, the work are fitted with the fixed disk medial surface
The second pellosil to match with movable disk shape is fitted with Moving plate medial surface.Make artificial meninx and surrounding defect dura mater can be with
Mutually fusion, recovers normal cranial cavity structure, repairs while dura mater and bony defect.In summary various basis cranii method for repairing and mending
Advantage and disadvantage, to reach more safely and effectively, the following New cranial bottom defect repairing apparatus and method of ad hoc meter.
The content of the invention
It is a primary object of the present invention to design and produce a kind of device rebuild for skull base defects repairing and propose corresponding
Operation method.
What the present invention was realized in：It is a kind of for skull base defects closure repairing device, by with tissue compatibility
Blind pipe shape or capsule shape outer layer sealing shroud, built-in deformable waist drum shape or dumbbell shaped is made certainly in good and tough and tensile submissive film material
Lock plug members are equipped with the flexible delivery device composition of strip.Artificial dura mater, de- antigen allosome can be selected in the film material
Film fibr tissue or autologous fascia tissue.The deformable self-locking plug members use shape shape-memory titanium-nickel alloy net, are under normal temperature
Bar shaped or thin tube-like are placed in the flexible delivery device of strip, are expanded when being placed into skull base defects and being under body temperature to deform in waist drum
Shape.The dumbbell shaped degradation material by two spherical or hemispherical polyester material in put retractable self-locking bar or medical suture knot
Bundle forms.The flexible delivery device of strip in a tubular form, inside has push piston, push rod and push handle, use are medical
High polymer material or metal make.The blind pipe shape or capsule shape outer layer sealing shroud can be made into diameter 1mm to 30mm, by doctor
Packaged spare with sterility requirements.
Brief description of the drawings
Fig. 1 is a kind of structural representation of embodiment of the present invention, and deformation waist drum shape plug members are built in delivery device
It is standby.
Fig. 2 is the schematic diagram that the double delivery devices of the present invention are pushed out deforming waist drum shape plug members.
Fig. 3 is the structural representation of another embodiment of the present invention, and dumbbell shaped self-locking plug members block skull base defects
The preceding schematic diagram with after closure.
Fig. 4 is the structural representation of another embodiment of the present invention, retractable self-locking bar, medical suture ligation, is blocked
Schematic diagram after being blocked before skull base defects with dumbbell shaped.
Embodiment
Below with reference to accompanying drawing, the embodiment of the present invention is described in further detail.
Refering to shown in Fig. 1, Fig. 2, Fig. 3 and Fig. 4, a kind of device for skull base defects closure repairing, by with tissue
Compatibility is good and tough and tensile submissive film material be made blind pipe shape or capsule shape outer layer sealing shroud 1, built-in deformable waist drum shape or
Dumbbell shaped self-locking plug members 2, be equipped with push piston 3 and the flexible delivery device 4 of strip form.The film material is optional
Manually endocranium, de- antigen allosome film fibr tissue or autologous fascia tissue.The deformable self-locking plug members 2 use
Shape shape-memory titanium-nickel alloy net, it is placed in the flexible delivery device 3 of strip in bar shaped or thin tube-like under normal temperature, is put when by push piston 3
When putting at skull base defects, deformation under body temperature is expanded in waist drum shape.The dumbbell shaped degradation material is spherical or half by two
Retractable self-locking bar is put in spherical polyester material or medical suture ligation forms.The flexible delivery device 4 of strip in a tubular form,
Inside there are push piston 3, push rod 5 and push handle 6, medical macromolecular materials or metal can be used to make.The blind pipe shape
Or capsule shape outer layer sealing shroud can be made into diameter 1mm to 30mm, be packaged spare by medical aseptic requirement.
It can be operated during use under scope, first find exposure skull base defects and the leak of leakage of cerebrospinal occur, with curet and suction
Pipe handles the surface of a wound, and bone leak is trimmed to circle as far as possible, properly hemostasis.Must not pay attention to and excessively enter encephalic operation, avoid damage to
The important neural blood vessel of encephalic.Suitable skull base defects closure patching material is selected according to leak size.As skull base defects leak compared with
Greatly, the scheme that embodiment Fig. 1, Fig. 2 or Fig. 3 can be selected is carried out.Built-in plug members 2 are broadcasted by delivery device 4 under scope photopic vision
To at leak, the operation push push rod 5 of handle 6 and push piston 3 slowly push plug members 2 and its front end is entered leak
Interior, rear end is located at outside leak.Block patching material and meet water and soften, deformation self-locking plug members 2 in it are into waist drum shape or dumbbell
Shape, reach the purpose of tight closure leak.Skull base defects leak is as smaller, and optional embodiment Fig. 4 schemes are carried out, by elongate strip
Shape plug members are slowly pushed into leak, and rear end is located at outside leak, are pulled expansion self-locking bar or are tensed ligation medical suture,
It is in dumbbell shaped to shorten elongated strip plug members, you can firmly closure skull base defects leak.As because of the open basis cranii institute shape of operation
Into skull base defects, common saddle bottom or slope bone wall mill open Post operation, can use embodiment 2 or 3 carry out.First with drill bit by basis cranii
Cranial defect leak rounding, then the skull base defects closure patching material of suitable size is chosen, leak is broadcasted by delivery device, slowly
Push closure patching material makes its front end enter in leak, and rear end is located at outside leak.Block patching material and meet water and soften, in it
Self-locking plug members are deformed into waist drum shape or dumbbell shaped, tight closure skull base defects leak.The surface re-binding band base of a fruit glues if necessary
Film valve and gelatin foam and antibacterial sliver etc..Above method is easy, and securely and reliably, repair efficiency is good.
In summary, the present invention can also have other various embodiments, in the situation without departing substantially from spirit of the invention and its essence
Under, those skilled in the art work as can make various corresponding changes and deformation according to the present invention, but these change accordingly
Become and deform the protection domain that should all belong to appended claims of the invention.
Claims (6)
1. a kind of device for skull base defects closure repairing, it is characterized in that：By good and tough and tensile submissive with tissue compatibility
Film material blind pipe shape or capsule shape outer layer sealing shroud is made, built-in deformable waist drum shape or dumbbell shaped self-locking plug members are matched somebody with somebody
Formed with the flexible delivery device of strip.
2. the device of the skull base defects closure repairing as described in claim 1, the film material can be selected artificial dura mater, take off
Antigen allosome film fibr tissue or autologous fascia tissue.
3. the device of the skull base defects closure repairing as described in claim 1 and 2, the deformable self-locking plug members use nickel
Titanium memory-alloy mesh, it is placed in bar shaped or thin tube-like in the flexible delivery device of strip under normal temperature, when being placed at skull base defects
Deform and expanded in waist drum shape under body temperature.
4. the device of the skull base defects closure repairing as described in claim 1 and 2, the dumbbell shaped degradation material is by two balls
Retractable self-locking bar is put in shape or hemispherical polyester material or medical suture ligation forms.
5. the device of the skull base defects closure repairing as described in claim 1 and 2, the flexible delivery device of strip is in pipe
Shape, inside there are push piston, push rod and push handle, made using medical macromolecular materials or metal.
6. the device of the skull base defects closure repairing as described in claim 1 and 2, the blind pipe shape or capsule shape outer layer sealing shroud
Diameter 1mm to 30mm is can be made into, is packaged spare by medical aseptic requirement.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710885525.1A CN107510481A (en) | 2017-09-18 | 2017-09-18 | Skull base defects block repair apparatus |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710885525.1A CN107510481A (en) | 2017-09-18 | 2017-09-18 | Skull base defects block repair apparatus |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN107510481A true CN107510481A (en) | 2017-12-26 |
Family
ID=60726305
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201710885525.1A Pending CN107510481A (en) | 2017-09-18 | 2017-09-18 | Skull base defects block repair apparatus |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN107510481A (en) |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108992201A (en) * | 2018-08-08 | 2018-12-14 | 江苏省苏北人民医院 | Nipper device and its method for carrying out repairing basis cranii under a kind of nerve endoscope |
| WO2020191806A1 (en) * | 2019-03-27 | 2020-10-01 | 深圳市擎源医疗器械有限公司 | Balloon catheter |
| CN115429347A (en) * | 2022-09-23 | 2022-12-06 | 广东省人民医院 | Skull and dura mater defect plugging device |
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|---|---|---|---|---|
| CN1843306A (en) * | 2006-05-16 | 2006-10-11 | 靳莉杰 | Blocking device capable of contracting and expanding |
| CN101234041A (en) * | 2008-01-31 | 2008-08-06 | 上海交通大学 | Atrial septal defect plugging device knitted by degradable material |
| CN101773418A (en) * | 2009-01-12 | 2010-07-14 | 赵菁 | Cardiac ventricular septal defect closer |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108992201A (en) * | 2018-08-08 | 2018-12-14 | 江苏省苏北人民医院 | Nipper device and its method for carrying out repairing basis cranii under a kind of nerve endoscope |
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| WO2020191806A1 (en) * | 2019-03-27 | 2020-10-01 | 深圳市擎源医疗器械有限公司 | Balloon catheter |
| CN115429347A (en) * | 2022-09-23 | 2022-12-06 | 广东省人民医院 | Skull and dura mater defect plugging device |
| CN115429347B (en) * | 2022-09-23 | 2023-11-17 | 广东省人民医院 | Skull and dural defect plugging device |
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