CN108543195B - Styptic powder sprinkling conduit assembly in laparoscopy - Google Patents

Styptic powder sprinkling conduit assembly in laparoscopy Download PDF

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Publication number
CN108543195B
CN108543195B CN201810420812.XA CN201810420812A CN108543195B CN 108543195 B CN108543195 B CN 108543195B CN 201810420812 A CN201810420812 A CN 201810420812A CN 108543195 B CN108543195 B CN 108543195B
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China
Prior art keywords
conduit
guide frame
sheath
insertion guide
channel
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CN201810420812.XA
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Chinese (zh)
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CN108543195A (en
Inventor
董德鑫
纪志刚
肖河
荣石
黄钟明
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Peking Union Medical College Hospital Chinese Academy of Medical Sciences
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Peking Union Medical College Hospital Chinese Academy of Medical Sciences
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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/0043Catheters; Hollow probes characterised by structural features
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/0067Catheters; Hollow probes characterised by the distal end, e.g. tips
    • A61M25/0068Static characteristics of the catheter tip, e.g. shape, atraumatic tip, curved tip or tip structure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/0043Catheters; Hollow probes characterised by structural features
    • A61M2025/0059Catheters; Hollow probes characterised by structural features having means for preventing the catheter, sheath or lumens from collapsing due to outer forces, e.g. compressing forces, or caused by twisting or kinking

Abstract

The present invention relates to field of stopping blooding in laparoscopy, styptic powder sprinkling conduit assembly in a kind of laparoscopy, including conduit epitheca (1) and conduit (2) are disclosed;Conduit epitheca includes sheath (11) and its interior catheter channel (12), and catheter channel has feeder connection (121) and a channel outlet (122), and conduit is through catheter channel;The front end of sheath has elasticity insertion guide frame (3), and for guiding conduit to bleeding part, channel outlet is located at the front end of elasticity insertion guide frame;The rear end of conduit has catheter interface (21), and front end has conduit outlet (22), and catheter interface is fixed on the outside of feeder connection, and conduit outlet is fixed on the outside of channel outlet.Technological innovation through the invention, it is possible to prevente effectively from improving the precision to stop blooding in art the problems such as the bending during insertion of styptic powder conduit, blocking.

Description

Styptic powder sprinkling conduit assembly in laparoscopy
Technical field
The present invention relates to fields of stopping blooding in laparoscopy, more particularly to styptic powder sprinkling conduit in a kind of laparoscopy Assembly.
Background technique
Laparoscope is a kind of instrument with miniature webcam.Laparoscopic surgery is exactly to utilize laparoscope and its related equipment The operation of progress: providing illumination using cold light source, and lens of laparoscope (diameter 3-10mm) insertion is intraperitoneal, with number The image that photography technology takes lens of laparoscope is conducted to rear class signal processing system by optical fiber, and shown in real time Show in dedicated monitor.Then doctor passes through the image of shown patient organ's different angle on monitor screen, to patient The state of an illness analyzed and determined, and perform the operation with special laparoscopic instrument.Laparoscopic surgery mostly uses 2-4 hole operation Method, one of them is opened on the navel of human body, avoids leaving the scar of strip at patient abdominal cavity position, after recovery, only exist There are 1-3 0.5-1 centimetres of linear scars at abdominal cavity position, it may be said that and it is that the surface of a wound is small, the small operation of pain, therefore also have person For " keyhole " perform the operation.The development of laparoscopic surgery alleviates the pain that patient operates on, while the convalescence of patient being made to contract It is short, and the relative reduction disbursement of patient, it is the operation project quickly grown in recent years.
With the improvement of laparoscopic technique development and instrument, laparoscopic surgery is increasing in clinical application.Laparoscope Lower absorbable hemostasia material is widely applied, and styptic powder is widely applied, it can be ensured that hand as one of technology in clinic Art gets a clear view, and reduces postoperative drainage, prevents post-operation adhesion and infection, promotes tissue repair healing, promotees bone uptake, be widely used in All surgical departments: neurosurgery, thoracic surgery, department of cardiovascular surgery, orthopaedics, liver and gall surgical department, department of general surgery, gynemetrics, urological department, chamber Mirror surgery, ear nose larynx and facial area, Department of B urn, shaping and beauty section etc..
It is general to be stopped blooding using sprinkling styptic powder in laparoscopic surgery.The characteristics of styptic powder is direct effect wound When it is selective absorb blood in hydrone, without absorb blood in other compositions, lead to blood platelet and blood clotting factor Concentration;The heat generated after absorbing water simultaneously enhances the agglomeration speed and cohesion ability of blood platelet, to reach quick-acting haemostatic powder.
In the prior art, hemostatic material sprays needs by a conduit in laparoscopy, and presently used conduit is modeling Expect flexible conduit, internal diameter about 2mm, outer diameter about 3mm, in use, the conduit there are pliable, easy blocking, can not be accurately straight The disadvantages of up to target area.
Summary of the invention
The purpose of the invention is to overcome styptic powder sprinkling conduit in laparoscopy of the existing technology pliable, easy Blocking, can not accurately go directly target area the problems such as, a kind of conduit assembly is provided, in the laparoscopy styptic powder spray uses conduit Assembly has the advantages that smoothly to reach bleeding part convenient for styptic powder sprinkling conduit.
To achieve the goals above, the present invention provides styptic powder sprinkling conduit assembly in a kind of laparoscopy, including leads Pipe epitheca and conduit;The conduit epitheca includes sheath and its interior catheter channel, the catheter channel have feeder connection and Channel outlet, the conduit is through the catheter channel;The front end of the sheath has elasticity insertion guide frame, is used for The conduit is guided to bleeding part, the channel outlet is located at the front end of the elasticity insertion guide frame;The conduit Rear end there is catheter interface, front end has conduit outlet, and the catheter interface is fixed on the outside of the feeder connection, described to lead Pipe outlet is fixed on the outside of the channel outlet.
Preferably, the sheath is structure as a whole with the elasticity insertion guide frame;Alternatively, the sheath and the bullet Property insertion guide frame be separate structure, the elasticity insertion guide frame is mounted on the front end of the sheath;The conduit is logical Road axially penetrates through in it along the sheath and the elasticity insertion guide frame.
Preferably, the elasticity insertion guide frame is along its axial direction from one end of the neighbouring sheath to other end radial direction The revolving body of sectional area gradually linear narrowing.
Preferably, the radial section of the conduit epitheca is in a ring or c-type.
Preferably, the junction and the elasticity insertion of the elasticity insertion guide frame and the sheath are oriented to The front end face of structure and the junction of outer peripheral surface are equipped with transition circle arc portion.
Preferably, it is formed on the outer peripheral surface in adjacent front end face for oppressing bleeding portion on the elasticity insertion guide frame The flange of position perienchyma.
Preferably, the flange and the contact surface of bleeding part perienchyma are arcwall face.
Preferably, the deflector hole for liquid to be discharged is equipped on the outer peripheral surface of the elasticity insertion guide frame.
Preferably, the radial section of the conduit is in a closed ring shape.
Preferably, the catheter interface is equipped with fastening assembly.
Through the above technical solutions, constituting conduit assembly by conduit epitheca and conduit, conduit in the prior art is overcome It is easy to be blocked in insertion and the shortcomings that bending, the arrival bleeding part of styptic powder rapidly and efficiently can be allowed, to laparoscopy Middle hemostasis is played the role of good.
Detailed description of the invention
Fig. 1 is the structural schematic diagram of one embodiment of the invention;
Fig. 2 is the structural schematic diagram of another embodiment of the present invention;
Fig. 3 is the structural schematic diagram of another embodiment of the invention.
Description of symbols
1 conduit epitheca, 2 conduits, 3 elasticity insertion guide frames, 4 transition circle arc portions, 5 flanges, 6 deflector holes, 7 fastening groups Part, 11 sheathes, 12 catheter channels, 21 catheter interfaces, 22 conduit outlets, 121 feeder connections, 122 channel outlets.
Specific embodiment
In the present invention, in the absence of explanation to the contrary, the noun of locality used such as " up, down, left, right, before and after, It is inside and outside, remote, close " typically refer to the orientation illustrated.
Below in conjunction with attached drawing, detailed description of the preferred embodiments, it should be appreciated that retouches in this place The specific embodiment stated is merely to illustrate and explain the present invention, and protection scope of the present invention is not limited to following specific realities Apply mode.
Embodiment 1
As shown in Figure 1, styptic powder sprinkling conduit assembly in a kind of laparoscopy, which is characterized in that including conduit epitheca 1 With conduit 2;The conduit epitheca 1 includes sheath 11 and its interior catheter channel 12, and the catheter channel 12 has feeder connection 121 and channel outlet 122, the conduit 2 is through the catheter channel 12;The front end of the sheath 11 has elasticity insertion Guide frame 3, for by the conduit 2 guidance to bleeding part, the channel outlet 122 to be located at the elasticity insertion guiding knot The front end of structure 3;The rear end of the conduit 2 has catheter interface 21, and front end has conduit outlet 22, and the catheter interface 21 is fixed In 121 outside of feeder connection, the conduit outlet 22 is fixed on 122 outside of channel outlet.
Specifically, in order to overcome in the prior art, styptic powder conduit is excessively soft, so that being easy during insertion curved The shortcomings that folding and obstruction, conduit 2 is applied in the catheter channel 12 of conduit epitheca 1, and through but not limited to bonding, screw thread connects It connects, weld and the modes such as grafting, the entrance 121 of catheter interface 21 and catheter channel is connected.The effect of connection can be closing Connection, so that the inner wall of the outer wall of conduit 2 and catheter channel 12 forms a closed space, to increase the knot of the conduit assembly Structure intensity is also possible to part connection, so that the outer wall of conduit 2 and catheter channel 12 suitable for corresponding laparoscopic surgery Inner wall form an open space, mitigate the weight of the conduit assembly, leave improved space for further be applicable in.
It should be noted that there is no limit the length between them for the length of conduit 2 and conduit epitheca 1 in the conduit assembly Also there is no limit can also inside contract moreover, feeder connection 121 can protrude from catheter interface 21 in the conduit assembly degree ratio In catheter interface 21, likewise, channel outlet 122 can protrude from conduit outlet 22, conduit outlet 22 can also be recessed in.It leads The outer diameter of pipe 2 is less than the internal diameter of catheter channel 12, but specific ratio is with no restrictions.
Specifically, for suitable for different surgical environments, the sheath 11 is integrated with the elasticity insertion guide frame 3 Structure;Alternatively, the sheath 11 is separate structure with the elasticity insertion guide frame 3, the elasticity insertion guide frame 3 is pacified Mounted in the front end of the sheath 11;Axial direction of the catheter channel 12 along the sheath 11 and the elasticity insertion guide frame 3 In it.In the case where separate structure, elasticity insertion guide frame 3 is through but not limited to bonding, screw thread, buckle and welding Mode connect with one end of sheath 11, so as to form penetrated through on front-rear direction the sheath 11 and it is described elasticity insertion guiding The catheter channel 12 of structure 3.
Specifically, the catheter channel 12 penetrates through the conduit epitheca along the longitudinal direction, wherein the feeder connection 121 In the rear end face of the sheath 11, the sheath 11 and the elasticity insertion guide frame 3 are hollow structure, and the conduit is logical Road 12 includes the main channel in the sheath 11 and the guide part channel in the elasticity insertion guide frame 3.It needs It is noted that other positions of sheath 11 can be arranged according to specific service condition in the feeder connection 121, it is convenient Styptic powder conduit is inserted into orientation from different perspectives.
Specifically, the elasticity insertion guide frame 3 is along its axial direction from one end of the neighbouring sheath 11 to the other end The revolving body of the long-pending gradually linear narrowing of radial section.The revolving body includes but is not limited to cone, sphere, hemisphere and other are more Face body.It should be noted that the elasticity insertion guide frame 3 is used for gap of the guiding catheter epitheca by histoorgan, it is suitable Benefit arrives at bleeding part, and during interspersed, reduces epitheca front end face to the pressure of histoorgan, avoids because of conduit epitheca Insertion process it is improper, and cause the damage of histoorgan.
Specifically, the radial section of the conduit epitheca 1 is in a ring or c-type.It should be noted that the annular include but It is not limited to annulus and other polygon rings.Since styptic powder conduit can not be viewed directly in laparoscopy, performing the operation Real-time status in the process needs to carry out track up by the camera of laparoscope, and notch specific to c-type structure gives abdominal cavity The camera of mirror leaves sufficient observation visual angle, the person that can satisfy laparoscopic procedure, in the course of surgery external sheath inner catheter Concrete condition checked in real time, and take appropriate measures.
Specifically, the junction and the elasticity insertion of the elasticity insertion guide frame 3 and the sheath 11 are led The junction of front end face and outer peripheral surface to structure 3 is equipped with transition circle arc portion 4.Using the design feature of transition circle arc portion 3, The damage in epitheca insertion process to histoorgan is reduced, and epitheca is guided to reach bleeding part.
Specifically, the radial section of the conduit 2 is in a closed ring shape.It should be noted that the annular includes but not It is limited to annulus and other polygon rings.The annular is enclosed construction, and to ensure during operation, suitable styptic powder can Puncture site is quickly reached by a conduit 2.
Embodiment 2
As shown in Fig. 2, on the basis of embodiment 1, in the periphery in the adjacent front end face of the elasticity insertion guide frame 3 Face is also formed with the flange 5 for oppressing bleeding part perienchyma.Because the complexity of laparoscopic surgery and histoorgan Different configuration, during surgery, the size of amount of bleeding, the flow velocity and blood pressure of blood is also uncontrollable factor, when going out for blutpunkte Blood volume is big, velocity of blood flow is fast, high blood pressure when, need using flange 5 near bleeding part tissue carry out hemostasis by compression, So that styptic powder is not broken up by blood flow, achieve the purpose that quick-acting haemostatic powder.
Specifically, the flange 5 and the contact surface of bleeding part perienchyma are arcwall face.It is special using the structure of cambered surface Property, improper damage of the flange 5 to histoorgan is reduced, and epitheca is guided smoothly to arrive at blutpunkte.
Embodiment 3
As shown in figure 3, being provided on the elasticity insertion guide frame 3 and being arranged for liquid on the basis of embodiment 2 Deflector hole 6 out.In operation, blutpunkte can not take hemostasis by compression or hemostasis by compression styptic powder can not be allowed to give full play to When effect, blood is allowed to be shunted through deflector hole 6, to reduce impact of the blood to styptic powder, is conducive to styptic powder Quick-acting haemostatic powder.
Embodiment 4
As shown in Figure 1-Figure 3, the catheter interface 21 is equipped with fastening assembly 7.In use, conduit assembly needs It is connected on external styptic powder supply pipeline, is connected by catheter interface 21 with the outlet of styptic powder supply pipeline.Connection Mode includes but is not limited to grafting, threaded connection, is bonded and snaps connection, by the effect of fastening assembly 7, so that conduit connects Mouth 21 connect even closer safety in guarantee surgical procedure with the outlet of styptic powder supply pipeline.Fastening assembly 7 includes but not It is limited to buckle, nut, bonding strip and plug button etc..
Figure 1 above-Fig. 3 is described the prefered embodiments of the present invention in detail, and still, the present invention is not limited thereto.At this , can be with various simple variants of the technical solution of the present invention are made in the range of the technology design of invention, including each particular technique Feature is combined in any suitable manner.In order to avoid unnecessary repetition, the present invention is to various combinations of possible ways No further explanation will be given.But it should also be regarded as the disclosure of the present invention for these simple variants and combination, belongs to the present invention Protection scope.

Claims (6)

1. styptic powder sprinkling conduit assembly in a kind of laparoscopy, which is characterized in that including conduit epitheca (1) and conduit (2);
The conduit epitheca (1) includes sheath (11) and its interior catheter channel (12), and the catheter channel (12) has channel Entrance (121) and channel outlet (122), the conduit (2) is through the catheter channel (12);
The front end of the sheath (11) has elasticity insertion guide frame (3), for guiding the conduit (2) to bleeding portion Position, the channel outlet (122) are located at the front end of elasticity insertion guide frame (3);
The rear end of the conduit (2) has catheter interface (21), and front end has conduit outlet (22), and the catheter interface (21) is solid It is scheduled on the outside of the feeder connection (121), the conduit outlet (22) is fixed on the outside of the channel outlet (122);
The radial section of the conduit epitheca (1) is C-shaped;
It is formed on the outer peripheral surface in adjacent front end face for oppressing bleeding part peripheral group on elasticity insertion guide frame (3) The flange (5) knitted;
The contact surface of the flange (5) and bleeding part perienchyma is arcwall face;
The deflector hole (6) for liquid to be discharged is equipped on the outer peripheral surface of elasticity insertion guide frame (3).
2. styptic powder sprinkling conduit assembly in laparoscopy according to claim 1, which is characterized in that the sheath (11) it is structure as a whole with elasticity insertion guide frame (3);Alternatively,
The sheath (11) and elasticity insertion guide frame (3) are separate structure, elasticity insertion guide frame (3) peace Mounted in the front end of the sheath (11);
The catheter channel (12) axially penetrates through in it along the sheath (11) and elasticity insertion guide frame (3).
3. styptic powder sprinkling conduit assembly in laparoscopy according to claim 1, which is characterized in that the elasticity is inserted Entering guide frame (3) is that gradually linear narrowing is accumulated from the one end of neighbouring sheath (11) to other end radial section along its axial direction Revolving body.
4. styptic powder sprinkling conduit assembly in laparoscopy according to claim 1, which is characterized in that the elasticity is inserted Enter the junction of guide frame (3) and the sheath (11) and the front end face of elasticity insertion guide frame (3) and outer The junction of circumferential surface is equipped with transition circle arc portion (4).
5. styptic powder sprinkling conduit assembly in laparoscopy according to claim 1, which is characterized in that the conduit (2) radial section is in a closed ring shape.
6. styptic powder sprinkling conduit assembly in laparoscopy according to claim 1-4, which is characterized in that institute Catheter interface (21) are stated equipped with fastening assembly (7).
CN201810420812.XA 2018-05-04 2018-05-04 Styptic powder sprinkling conduit assembly in laparoscopy Active CN108543195B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201810420812.XA CN108543195B (en) 2018-05-04 2018-05-04 Styptic powder sprinkling conduit assembly in laparoscopy

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Application Number Priority Date Filing Date Title
CN201810420812.XA CN108543195B (en) 2018-05-04 2018-05-04 Styptic powder sprinkling conduit assembly in laparoscopy

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CN108543195B true CN108543195B (en) 2019-04-30

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US8608702B2 (en) * 2007-10-19 2013-12-17 C. R. Bard, Inc. Introducer including shaped distal region
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