CN108310595A - A kind of stomach ESD operation auxiliary tube and its application method - Google Patents
A kind of stomach ESD operation auxiliary tube and its application method Download PDFInfo
- Publication number
- CN108310595A CN108310595A CN201810230415.6A CN201810230415A CN108310595A CN 108310595 A CN108310595 A CN 108310595A CN 201810230415 A CN201810230415 A CN 201810230415A CN 108310595 A CN108310595 A CN 108310595A
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- China
- Prior art keywords
- annular air
- main pipe
- stomach
- lower annular
- 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.)
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/10—Balloon catheters
- A61M25/1002—Balloon catheters characterised by balloon shape
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/10—Balloon catheters
- A61M25/1011—Multiple balloon catheters
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/10—Balloon catheters
- A61M25/1018—Balloon inflating or inflation-control devices
- A61M25/10184—Means for controlling or monitoring inflation or deflation
- A61M25/10185—Valves
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/10—Balloon catheters
- A61M25/1011—Multiple balloon catheters
- A61M2025/1013—Multiple balloon catheters with concentrically mounted balloons, e.g. being independently inflatable
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2210/00—Anatomical parts of the body
- A61M2210/10—Trunk
- A61M2210/1042—Alimentary tract
- A61M2210/1053—Stomach
Abstract
The invention discloses a kind of stomach ESD operation auxiliary tubes and its application methods, including main pipe, the main pipe bottom is connected with steel ball, lower annular air-pocket is provided on the main pipe on steel ball top, the lower annular air-pocket is fixed with main pipe's outer wall, the lower annular air-pocket is connect with lower annular air-pocket gas tube, and the outer end of the lower annular air-pocket gas tube extends to main pipe's external port and connect with lower annular air-pocket air valve.By using auxiliary tube described herein, by lower annular air-pocket by pylorus inner seal, carbon dioxide in gastral cavity is avoided to enter duodenum, is conducive to postoperative patient recovery.
Description
Technical field
The present invention relates to a kind of stomach ESD operation auxiliary tubes.
Background technology
It needs, to pouring carbon dioxide safe gas in gastral cavity, then to perform the operation again, still in existing stomach ESD operations
Carbon dioxide gas cognition enters from pylorus in duodenum, is impacted to the function of intestines tracheae, is unfavorable for patient's post-operative recovery.
The prior art is badly in need of one kind and carbon dioxide is avoided to enter duodenum, is conducive to the stomach ESD operation auxiliary tubes that patient restores.
Invention content
It is an object of the invention to overcome defect existing in the prior art, one kind is provided, carbon dioxide is avoided to enter 12
Duodenum 12 is conducive to the stomach ESD operation auxiliary tubes that patient restores.
To achieve the above object, the technical solution of the present invention is to provide a kind of stomach ESD operation auxiliary tubes, including supervisor
Body, the main pipe bottom are connected with steel ball, and lower annular air-pocket, the lower annular gas are provided on the main pipe on steel ball top
Capsule is fixed with main pipe's outer wall, and the lower annular air-pocket is connect with lower annular air-pocket gas tube, the lower annular air-pocket gas tube
Outer end extend to main pipe's external port and connect with lower annular air-pocket air valve.
By using auxiliary tube described herein, by lower annular air-pocket by pylorus inner seal, avoid two in gastral cavity
Carbonoxide enters duodenum, is conducive to postoperative patient recovery.
Preferably, being provided with annular air-pocket, the upper annular on the main pipe on the lower annular air-pocket top
Air bag is fixed with main pipe's outer wall, and the upper annular air-pocket is connect with upper annular air-pocket gas tube, the upper annular air-pocket inflation
The outer end of pipe extends to main pipe's external port and is connect with upper annular air-pocket air valve.Such design can pass through upper annular gas
The outside of pylorus is also formed sealing by capsule, can form sealing dual fail-safe, meanwhile, by upper annular air-pocket and lower annular air-pocket with
Supervisor body position is fixed, prevents main pipe from being slided in the course of surgery to duodenum direction position by the limit of pylorus.
Preferably, the main pipe between the lower annular air-pocket and upper annular air-pocket forms ring-shaped depression, the ring
Shape is recessed to be coordinated with pylorus position.Such design can reduce main pipe to pylorus supporting deformation degree, lower to greatest extent
Damage to pylorus.
Preferably, being provided with outer tube body, the outer tube body upper end outside the main pipe on the upper annular air-pocket top
It is tightly connected with lower end and main pipe, forms cavity between the outer tube body and main pipe, the outer tube body extends to main pipe
Outer end, the outer tube body lower part are provided with trepanning, and the trepanning is provided with multiple along outer tube body；The outer tube body top setting
There are upper valve body, the upper valve body to be connected to cavity.Such design, can be at the end of routine operation, by cavity by gastral cavity
Interior carbon dioxide gas is excreted by trepanning, cavity, upper valve body.It simultaneously can be more to empty intracavitary administration by upper valve body
Cacaine rubber cement, more cacaine rubber cements, to outer tube body outer wall, and are contacted with gastral cavity inner wall by outer wall by open flow and are transferred to stomach
Cavity wall, more cacaine rubber cements can be mitigated the feeling of pain after patient wakes up with surface anesthesia, be conducive to patient and restore.
Preferably, the application method of the stomach ESD operations auxiliary tube is directed to stomach ESD operation auxiliary tubes
Application method comprises the steps of：
Main pipe is inserted into stomach and across cardia to pylorus from esophagus, and passes through pylorus, supervisor by steel ball gravity by the first step
Body is continued traveling downwardly crosses pylorus by lower annular air-pocket band, and ring-shaped depression and pylorus position are coordinated；
Second step inflates lower annular air-pocket air valve by lower annular air-pocket air valve, and lower annular air-pocket expansion will be close on the inside of pylorus
Envelope；
Third walks, and carries out carbon dioxide to be inflated to stomach being in inflated condition to stomach, carries out stomach ESD operation routine operations, until
Terminate；
4th step opens upper valve body, the carbon dioxide gas inside stomach is excreted by trepanning, cavity and upper valve body；
5th step deflates to lower annular air-pocket air valve by lower annular air-pocket air valve, and lower annular air-pocket reduces, by main pipe from food
It takes out in road.
Application method in this way can avoid the carbon dioxide in gastral cavity to enter duodenum to greatest extent, profit
In patient's post-operative recovery.
Preferably, after second step, upper annular air-pocket air valve is inflated by upper annular air-pocket air valve, upper ring
Shape air bag is expanded pylorus outer side seal；Then third step is carried out, is increased through upper annular air-pocket air valve to upper in the 5th step
Annular air-pocket air valve is deflated.The outside of pylorus can also be formed sealing by upper annular air-pocket, can be formed by such design
Dual fail-safe is sealed, meanwhile, by the limit of upper annular air-pocket and lower annular air-pocket and pylorus, supervisor body position is fixed, is prevented
Main pipe slides to duodenum direction position in the course of surgery.
Preferably, increase after the 4th step, by upper valve body to the more cacaine rubber cements of empty intracavitary administration, more cacaine rubber cements
By open flow to outer tube body outer wall, and is contacted with gastral cavity inner wall by outer wall and be transferred to gastral cavity inner wall.Then proceed to the 5th
Step.Such design, can be by upper valve body to the more cacaine rubber cements of empty intracavitary administration, and more cacaine rubber cements are by open flow outside
Tube wall, and contacted with gastral cavity inner wall by outer wall and be transferred to gastral cavity inner wall, more cacaine rubber cements can mitigate disease with surface anesthesia
People wake up after feeling of pain, be conducive to patient restore.Cavity both can also become injection as the channel of discharge carbon dioxide
The channel for injecting more cacaine rubber cements, realizes two-way utilization.
The advantages of the present invention are：By using auxiliary tube described herein, pass through lower annular air-pocket
By pylorus inner seal, carbon dioxide in gastral cavity is avoided to enter duodenum, is conducive to postoperative patient recovery.
Description of the drawings
Fig. 1 is schematic structural view of the invention.
In figure：1, main pipe；2, steel ball；3, lower annular air-pocket；4, lower annular air-pocket gas tube；5, lower annular air-pocket gas
Valve；6, upper annular air-pocket；7, upper annular air-pocket gas tube；8, upper annular air-pocket air valve；9, ring-shaped depression；10, outer tube body；11、
Cavity；12, trepanning；13, upper valve body.
Specific implementation mode
With reference to the accompanying drawings and examples, the specific implementation mode of the present invention is further described.Following embodiment is only
For clearly illustrating technical scheme of the present invention, and not intended to limit the protection scope of the present invention.
The auxiliary tube as shown in Figure 1, a kind of stomach ESD performs the operation, including main pipe 1,1 bottom of the main pipe are connected with steel ball
2, lower annular air-pocket 3 is provided on the main pipe 1 on 2 top of steel ball, and the lower annular air-pocket 3 is fixed with 1 outer wall of main pipe, institute
It states lower annular air-pocket 3 to connect with lower annular air-pocket gas tube 4, the outer end of the lower annular air-pocket gas tube 4 extends to main pipe 1
External port is simultaneously connect with lower annular air-pocket air valve 5.
Annular air-pocket 6, the upper annular air-pocket 6 and master are provided on the main pipe 1 on 3 top of lower annular air-pocket
1 outer wall of tube body is fixed, and the upper annular air-pocket 6 is connect with upper annular air-pocket gas tube 7, the upper annular air-pocket gas tube 7
Outer end extends to 1 external port of main pipe and is connect with upper annular air-pocket air valve 8.
Main pipe 1 between the lower annular air-pocket 3 and upper annular air-pocket 6 forms ring-shaped depression 9, the ring-shaped depression 9
Coordinate with pylorus position.
Outer tube body 10,10 top and bottom of the outer tube body are provided with outside the main pipe 1 on 6 top of upper annular air-pocket
It is tightly connected with main pipe 1, forms cavity 11 between the outer tube body 10 and main pipe 1, the outer tube body 10 extends to supervisor
1 outer end of body, 10 lower part of the outer tube body are provided with trepanning 12, and the trepanning 12 is provided with multiple along outer tube body 10；It is described outer
10 top of tube body is provided with upper valve body 13, and the upper valve body 13 is connected to cavity 11.
The application method of stomach ESD operation auxiliary tube be directed to the application method of stomach ESD operation auxiliary tubes, including with
Lower step：
Main pipe 1 is inserted into stomach and across cardia to pylorus from esophagus, and passes through pylorus by 2 gravity of steel ball by the first step, main
Tube body 1 is continued traveling downwardly lower annular air-pocket 3 with pylorus is crossed, and ring-shaped depression 9 and pylorus position are coordinated；
Second step inflates lower annular air-pocket air valve 5 by lower annular air-pocket air valve 5, and the lower expansion of annular air-pocket 3 will be on the inside of pylorus
Sealing；
Third walks, and carries out carbon dioxide to be inflated to stomach being in inflated condition to stomach, carries out stomach ESD operation routine operations, until
Terminate；
4th step opens upper valve body 13, the carbon dioxide gas inside stomach is discharged by trepanning 12, cavity 11 and upper valve body 13
In vitro；
5th step deflates to lower annular air-pocket air valve 5 by lower annular air-pocket air valve 5, and lower annular air-pocket 3 reduces, by main pipe 1
It is taken out from esophagus.
After second step, upper annular air-pocket air valve 8 is inflated by upper annular air-pocket air valve 8, upper annular air-pocket 6 is swollen
It is swollen by pylorus outer side seal；Then third step is carried out, is increased through upper annular air-pocket air valve 8 to upper annular air-pocket in the 5th step
Air valve 8 is deflated.
Increase after the 4th step, injects more cacaine rubber cements into cavity 11 by upper valve body 13, more cacaine rubber cements are by opening
Hole 12 flow to 10 outer wall of outer tube body, and is contacted with gastral cavity inner wall by outer wall and be transferred to gastral cavity inner wall.Then proceed to the 5th step.
Embodiment 1
A kind of stomach ESD operations auxiliary tube, including main pipe 1,1 bottom of the main pipe are connected with steel ball 2,2 top of steel ball
Main pipe 1 on be provided with lower annular air-pocket 3, the lower annular air-pocket 3 is fixed with 1 outer wall of main pipe, the lower annular air-pocket 3
It is connect with lower annular air-pocket gas tube 4, the outer end of the lower annular air-pocket gas tube 4 extends to 1 external port of main pipe and under
Annular air-pocket air valve 5 connects.2 surface of steel ball is coated with hydrophilic lubricant coating, and main component is 2- butanone, tetrahydrofuran, breast
Acetoacetic ester mixture, when Clinical practice, it is only necessary to be impregnated 10 minutes in sterile water, you can be so that 10 surface lubrication of conduit,
Much smaller than the surface for being coated with paraffin oil 100 times of friction coefficient, using the gravity of steel ball 2, passes through pylorus.
Annular air-pocket 6, the upper annular air-pocket 6 and master are provided on the main pipe 1 on 3 top of lower annular air-pocket
1 outer wall of tube body is fixed, and the upper annular air-pocket 6 is connect with upper annular air-pocket gas tube 7, the upper annular air-pocket gas tube 7
Outer end extends to 1 external port of main pipe and is connect with upper annular air-pocket air valve 8.Upper annular air-pocket 6 and lower annular air-pocket 3 are medical
Latex balloon.
Main pipe 1 between the lower annular air-pocket 3 and upper annular air-pocket 6 forms ring-shaped depression 9, the ring-shaped depression 9
Coordinate with pylorus position.
Outer tube body 10,10 top and bottom of the outer tube body are provided with outside the main pipe 1 on 6 top of upper annular air-pocket
It is tightly connected with main pipe 1, forms cavity 11 between the outer tube body 10 and main pipe 1, the outer tube body 10 extends to supervisor
1 outer end of body, 10 lower part of the outer tube body are provided with trepanning 12, and the trepanning 12 is provided with multiple along outer tube body 10；It is described outer
10 top of tube body is provided with upper valve body 13, and the upper valve body 13 is connected to cavity 11.Lower annular air-pocket air valve 5, upper annular air-pocket
Air valve 8 is Air filling and discharging valves.13 detachable valve body of upper valve body, can open, can be closed, convenient for the injection with liquid of deflating.
It is preferably provided with sealing cover, sealing is realized by the folding of sealing cover and valve body port and is opened.
The application method of stomach ESD operation auxiliary tube be directed to the application method of stomach ESD operation auxiliary tubes, including with
Lower step：
Main pipe 1 is inserted into stomach and across cardia to pylorus from esophagus, and passes through pylorus by 2 gravity of steel ball by the first step, main
Tube body 1 is continued traveling downwardly lower annular air-pocket 3 with pylorus is crossed, and ring-shaped depression 9 and pylorus position are coordinated；Steel ball 2 needs to add in advance
Heat is to body temperature.
Second step inflates lower annular air-pocket air valve 5 by lower annular air-pocket air valve 5, and lower annular air-pocket 3 is expanded pylorus
Inner seal；
Third walks, and carries out carbon dioxide to be inflated to stomach being in inflated condition to stomach, carries out stomach ESD operation routine operations, until
Terminate；
4th step opens upper valve body 13, the carbon dioxide gas inside stomach is discharged by trepanning 12, cavity 11 and upper valve body 13
In vitro；
5th step deflates to lower annular air-pocket air valve 5 by lower annular air-pocket air valve 5, and lower annular air-pocket 3 reduces, by main pipe 1
It is taken out from esophagus.
After second step, upper annular air-pocket air valve 8 is inflated by upper annular air-pocket air valve 8, upper annular air-pocket 6 is swollen
It is swollen by pylorus outer side seal；Then third step is carried out, is increased through upper annular air-pocket air valve 8 to upper annular air-pocket in the 5th step
Air valve 8 is deflated.
Embodiment 2
To advanced optimizing for embodiment 1, increase after the 4th step, injects more cacaine glue into cavity 11 by upper valve body 13
Slurry, more cacaine rubber cements flow to 10 outer wall of outer tube body by trepanning 12, and are contacted with gastral cavity inner wall by outer wall and be transferred to gastral cavity
Inner wall.Then proceed to the 5th step.Since more cacaine rubber cements have certain viscosity, part, other portions are flowed out by trepanning 12
Point, extruding is received when outer tube passes through cardia, can be continued to flow out from trepanning 12 and be flowed out at cardia.Cavity 11 both may be used
Using the channel as discharge carbon dioxide, the channel that more cacaine rubber cements are injected in injection can also be become, realize two-way utilization.
The above is only a preferred embodiment of the present invention, it is noted that for the ordinary skill people of the art
For member, without departing from the technical principles of the invention, several improvements and modifications can also be made, these improvements and modifications
Also it should be regarded as the protection domain of invention.
Claims (7)
- The auxiliary tube 1. a kind of stomach ESD performs the operation, it is characterised in that：Including main pipe, the main pipe bottom is connected with steel ball, steel Lower annular air-pocket is provided on the main pipe on ball top, the lower annular air-pocket is fixed with main pipe's outer wall, the lower annular Air bag is connect with lower annular air-pocket gas tube, and the outer end of the lower annular air-pocket gas tube extends to main pipe's external port and under Annular air-pocket air valve connects.
- The auxiliary tube 2. stomach ESD as described in claim 1 performs the operation, it is characterised in that：The master on the lower annular air-pocket top Annular air-pocket is provided on tube body, the upper annular air-pocket is fixed with main pipe's outer wall, the upper annular air-pocket and upper annular Airbag inflation pipe connects, the outer end of the upper annular air-pocket gas tube extend to main pipe's external port and with upper annular air-pocket air valve Connection.
- The auxiliary tube 3. stomach ESD as claimed in claim 2 performs the operation, it is characterised in that：The lower annular air-pocket and upper annular gas Main pipe between capsule forms ring-shaped depression, and the ring-shaped depression coordinates with pylorus position.
- The auxiliary tube 4. stomach ESD as claimed in claim 3 performs the operation, it is characterised in that：The supervisor on the upper annular air-pocket top Be provided with outer tube body outside body, the outer tube body top and bottom are tightly connected with main pipe, the outer tube body and main pipe it Between form cavity, the outer tube body extends to main pipe outer end, and the outer tube body lower part is provided with trepanning, and the trepanning is along outer Tube body is provided with multiple；The outer tube body top is provided with upper valve body, and the upper valve body is connected to cavity.
- 5. a kind of application method of stomach ESD operations auxiliary tube, it is characterised in that：The use of the stomach ESD operations auxiliary tube Method is to be directed to the application method of the stomach ESD operation auxiliary tubes described in claim 4, is comprised the steps of：Main pipe is inserted into stomach and across cardia to pylorus from esophagus, and passes through pylorus, supervisor by steel ball gravity by the first step Body is continued traveling downwardly crosses pylorus by lower annular air-pocket band, and ring-shaped depression and pylorus position are coordinated；Second step inflates lower annular air-pocket air valve by lower annular air-pocket air valve, and lower annular air-pocket expansion will be close on the inside of pylorus Envelope；Third walks, and carries out carbon dioxide to be inflated to stomach being in inflated condition to stomach, carries out stomach ESD operation routine operations, until Terminate；4th step opens upper valve body, the carbon dioxide gas inside stomach is excreted by trepanning, cavity and upper valve body；5th step deflates to lower annular air-pocket air valve by lower annular air-pocket air valve, and lower annular air-pocket reduces, by main pipe from food It takes out in road.
- 6. the application method of stomach ESD operations auxiliary tube as claimed in claim 5, it is characterised in that：After second step, Upper annular air-pocket air valve is inflated by upper annular air-pocket air valve, upper annular air-pocket is expanded pylorus outer side seal；Then it carries out Third walks, and increases in the 5th step and is deflated to upper annular air-pocket air valve by upper annular air-pocket air valve.
- 7. the application method of stomach ESD operations auxiliary tube as claimed in claim 6, it is characterised in that：Increase after the 4th step, By upper valve body to the more cacaine rubber cements of empty intracavitary administration, more cacaine rubber cements by open flow to outer tube body outer wall, and by outer Wall contacts with gastral cavity inner wall and is transferred to gastral cavity inner wall, then proceedes to the 5th step.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810230415.6A CN108310595A (en) | 2018-03-20 | 2018-03-20 | A kind of stomach ESD operation auxiliary tube and its application method |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810230415.6A CN108310595A (en) | 2018-03-20 | 2018-03-20 | A kind of stomach ESD operation auxiliary tube and its application method |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN108310595A true CN108310595A (en) | 2018-07-24 |
Family
ID=62898742
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201810230415.6A Pending CN108310595A (en) | 2018-03-20 | 2018-03-20 | A kind of stomach ESD operation auxiliary tube and its application method |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN108310595A (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110812245A (en) * | 2019-11-14 | 2020-02-21 | 南京医科大学附属逸夫医院 | Tube body structure with swallowing training function |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110812245A (en) * | 2019-11-14 | 2020-02-21 | 南京医科大学附属逸夫医院 | Tube body structure with swallowing training function |
| CN110812245B (en) * | 2019-11-14 | 2022-02-08 | 南京医科大学附属逸夫医院 | Tube body structure with swallowing training function |
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