CN108653901B - Renal pelvis shaping sacculus expansion pipe - Google Patents

Renal pelvis shaping sacculus expansion pipe Download PDF

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Publication number
CN108653901B
CN108653901B CN201810525846.5A CN201810525846A CN108653901B CN 108653901 B CN108653901 B CN 108653901B CN 201810525846 A CN201810525846 A CN 201810525846A CN 108653901 B CN108653901 B CN 108653901B
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China
Prior art keywords
tube
sacculus
expansion pipe
renal pelvis
sets
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CN201810525846.5A
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Chinese (zh)
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CN108653901A (en
Inventor
李九智
李循
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Peoples Hospital of Xinjiang Uygur Autonomous Region
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Peoples Hospital of Xinjiang Uygur Autonomous Region
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Priority to CN201810525846.5A priority Critical patent/CN108653901B/en
Publication of CN108653901A publication Critical patent/CN108653901A/en
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    • 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
    • A61M25/10Balloon catheters
    • A61M25/1002Balloon catheters characterised by balloon shape
    • 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
    • A61M25/10Balloon catheters
    • A61M25/1011Multiple balloon catheters
    • 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
    • A61M25/10Balloon catheters
    • A61M25/1018Balloon inflating or inflation-control devices
    • A61M25/10181Means for forcing inflation fluid into the balloon
    • A61M25/10182Injector syringes
    • 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
    • A61M25/10Balloon catheters
    • A61M25/1025Connections between catheter tubes and inflation tubes
    • 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
    • A61M29/00Dilators with or without means for introducing media, e.g. remedies
    • A61M29/02Dilators made of swellable material
    • 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
    • A61M25/10Balloon catheters
    • A61M25/1011Multiple balloon catheters
    • A61M2025/1013Multiple balloon catheters with concentrically mounted balloons, e.g. being independently inflatable
    • 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
    • A61M25/10Balloon catheters
    • A61M2025/1043Balloon catheters with special features or adapted for special applications
    • A61M2025/105Balloon catheters with special features or adapted for special applications having a balloon suitable for drug delivery, e.g. by using holes for delivery, drug coating or membranes
    • 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
    • A61M2210/00Anatomical parts of the body
    • A61M2210/10Trunk
    • A61M2210/1078Urinary tract
    • A61M2210/1082Kidney

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Hematology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Biophysics (AREA)
  • Pulmonology (AREA)
  • Child & Adolescent Psychology (AREA)
  • Vascular Medicine (AREA)
  • Media Introduction/Drainage Providing Device (AREA)

Abstract

The invention discloses a renal pelvis forming saccule dilating tube, which comprises a single J tube, a dilating tube, a drainage tube and a saccule filling injector, wherein the single J tube is arranged in the dilating tube; through being equipped with single J pipe in the expansion pipe, single J pipe bending head one end sets up in the bladder, and the expansion pipe is close to renal pelvis one end and sets up straight section of thick bamboo sacculus, and the expansion pipe of straight section of thick bamboo sacculus below is equipped with the drainage tube outward, and the drainage tube top sets up sacculus two, forms good supporting effect at connecting portion, solves the narrow problem of connecting portion, also can not influence the drainage effect, has extensive practicality in the medical instrument field.

Description

Renal pelvis shaping sacculus expansion pipe
Technical Field
The invention belongs to the technical field of medical instruments, and particularly relates to the technical field of balloon dilation tubes.
Background
Ureteral nephroplasty, also known as nephroureteral junction arthroplasty, is used primarily to address the phenomenon of ectopic vessels in the junction of the patient's renal pelvis with the ureter. The operation mode adopts Y-V forming operation of the connecting part of the renal pelvis and the ureter to separate the connecting part of the renal pelvis and the ureter, and the operation mode should be noted that the external surface of the connecting part is normal and still has narrow in practice, and physiological saline can be injected into the renal pelvis to observe whether the connecting part can be emptied. When the renal pelvis is unable to empty, the upper ureter segment below the ureteral junction should be longitudinally incised, and probed upward with a probe to encounter a blockage at the ureteral junction. The incision is lengthened upward and the Y-shape cuts through the renal pelvis revealing and resecting the fibromuscular ring of the ureteral junction of the renal pelvis. The posterior wall muscle layer of the renal pelvis and ureter was intermittently sutured with 4-0 chromium-made intestinal lines. New small mushroom catheters and plastic tubes were introduced through the renal parenchymal incision into the renal pelvis and ureter, respectively, to make a pyogenic fistula. Finally, the tip of the triangle valve is pulled to the ureter for suturing to form a V shape, and the incision is sutured according to layers after the cigarette is placed at the renal pelvis for drainage.
The traditional balloon dilation tube has the risk of bending the tube into sections in the Y-V forming operation of the connecting part of the renal pelvis and ureter, so that the connecting part cannot have good flow guiding effect and supporting forming effect, and the problem of stenosis of the formed ureter of the renal pelvis cannot be solved. Thus, there is a need for a suitable balloon dilation tube.
Disclosure of Invention
Aiming at the defects of the prior art, in order to solve the technical problems that the traditional balloon dilation tube has a bending section risk in the Y-V forming operation of the connection part of the renal pelvis ureter, so that the connection part cannot have good diversion effect and support forming effect and the narrow problem of the renal pelvis forming ureter cannot be solved, the invention provides the renal pelvis forming balloon dilation tube.
In order to solve the problems, the invention adopts the following technical scheme:
the invention provides a renal pelvis forming saccule dilating tube, which comprises a single J tube, a dilating tube, a drainage tube and a saccule filling injector, wherein the single J tube is arranged in the dilating tube, one end of the bent head of the single J tube passes through the dilating tube and is arranged in a bladder, one end of the dilating tube, which is close to the renal pelvis, is provided with a straight saccule, the dilating tube below the straight saccule is sheathed and connected with the drainage tube, one side of the bottom of the drainage tube is provided with a side end, the end of the side end is provided with a one-way valve, the other side of the bottom of the drainage tube is provided with a side end I, the end of the side end I is provided with a blocking cover, the top end of the drainage tube is provided with a saccule II, the saccule II is communicated with the side end I, the single J tube is arranged in an inner cavity of the dilating tube, the saccule filling injector is arranged at the bottom of the dilating tube, and a plug is sheathed and arranged on the end of the inner cavity.
In the invention, a groove is arranged in the blanking cover.
In the invention, the one-way valve is connected with the side end through the end head.
In the invention, the shape of the balloon II is apple-shaped.
In the invention, an anti-scar medicine coating is arranged outside the balloon.
In the invention, a drainage port is arranged on the bent head of a single J-pipe.
In the invention, the plug adopts a rubber plug.
In the invention, the straight barrel balloon is provided with a shape collector.
In the invention, the length of the straight barrel balloon is 6cm-8cm.
In the present invention, the length of the single J-tube excluding the bent portion is 10cm-25cm.
The technical scheme provided by the invention has the following beneficial effects:
the expansion tube of the renal pelvis forming balloon provided by the invention has a simple structure and is convenient to use, the single J-tube is arranged in the expansion tube, one end of the bent head of the single J-tube is arranged in the bladder, the expansion tube is provided with the straight-tube balloon close to one end of the renal pelvis, the drainage tube is arranged outside the expansion tube below the straight-tube balloon, the balloon II is arranged at the top end of the drainage tube, a good supporting effect is formed at the connecting part, the problem of the narrow connecting part is solved, the drainage effect is not influenced, and the expansion tube has wide practicability in the field of medical appliances.
Drawings
Fig. 1 shows a schematic structure of the present invention.
FIG. 2 is a schematic view showing the structure of section A-A in FIG. 1 according to the present invention.
In fig. 1-2: 1-single J tube, 2-expansion tube, 21-inner cavity, 211-plug, 22-straight balloon, 23-shape collector, 3-drainage tube, 31-side end, 32-end, 321-check valve, 33-balloon two, 34-side end one, 35-plug cover, 351-groove, 4-balloon filling injector.
Detailed Description
Specific embodiments of the present invention will be described in further detail below with reference to fig. 1-2 and examples, but the apparatus of the present invention is not limited to the examples described below.
In the present invention, for convenience of description, a description of the relative positional relationship of the components in a renal pelvis forming balloon dilation tube is described with reference to the layout of fig. 1, as follows: the upper, lower, left, right, etc. relationships are determined according to the layout direction of fig. 1.
The single J tube 1, the expansion tube 2, the plug 211, the anti-scar medicine coating, the straight balloon 22, the shape collector 23, the one-way valve 321, the balloon two 33 and the balloon filling syringe 4 adopted by the invention can be purchased through public channels.
Embodiment one: renal pelvis shaping saccule dilating tube
The invention provides a renal pelvis forming saccule dilating tube, which comprises a single J tube 1, a dilating tube 2, a drainage tube 3 and a saccule filling injector 4, wherein the single J tube 1 is arranged in the dilating tube 2, one end of the bent head of the single J tube 1 penetrates through the dilating tube 2 to be arranged in a bladder, a straight saccule 22 is arranged at one end of the dilating tube 2 close to the renal pelvis, the dilating tube 2 below the straight saccule 22 is sleeved with the drainage tube 3, one side of the bottom of the drainage tube 3 is provided with a side end 31, the end of the side end 31 is provided with a one-way valve 321, the other side of the bottom of the drainage tube 3 is provided with a side end 34, the end of the side end 34 is provided with a blocking cover 35, the top end of the drainage tube 3 is provided with a saccule two 33, the saccule two 33 is communicated with the side end 31, the single J tube 1 is arranged in an inner cavity 21 of the dilating tube 2, the bottom of the dilating tube 2 is provided with the saccule filling injector 4, and the end 21 is sleeved with a plug 211.
In the invention, the groove 351 is arranged in the blanking cover 35 and can be connected with a urine bag.
In the invention, the shape of the balloon II 33 is apple-shaped, which is beneficial to the support and the forming of the narrow part.
In the invention, the anti-scar medicine coating is arranged outside the balloon II 33, which is beneficial to the shaping of the renal pelvis.
In the invention, a drainage port is arranged on the bent head of the single J-tube 1.
In the present invention, the stopper 211 is a rubber stopper.
In the present invention, the straight balloon 22 is provided with a shape collector 23.
In the present invention, the length of the straight balloon 22 is 6cm-8cm.
In the present invention, the length of the single J-tube 1 excluding the bent portion is 10cm-25cm.
Embodiment two: application of renal pelvis forming balloon dilation tube
When the balloon dilation tube for renal pelvis molding is applied to the invention, medical staff performs puncture operation, when the drainage tube 3 and the dilation tube 2 are placed in a patient, water can be injected into the straight balloon 22 through the balloon filling syringe 4 to support the ureter, the diameter of the dilation tube 2 can be adjusted to change from 15F to 18F, the purpose of dilating the stoma can be achieved slowly at one time, water can be injected into the balloon two 33 through the one-way valve 321 at the side end 31 to support the ureter connection part of the ureter, the problem of stenosis is solved, the maximum diameter of the outer shape part of the balloon two 33 can be adjusted to 20F, the support and molding of the renal pelvis molding operation are facilitated, meanwhile, pain of the patient is relieved, the inner cavity 21 can be closed by the sliding plug 211, the urine bag can be connected with the groove 351, the valve of the balloon filling syringe 4 can be removed, the one-way valve 321, the valve of the balloon filling syringe 4 and the redundant plug 211 are left outside the patient, and the patient is wrapped by the tube body.
The expansion tube of the renal pelvis forming saccule provided by the invention has a simple structure and is convenient to use, one end of the bending head of the single J tube 1 is arranged in the bladder by arranging the single J tube 1 in the expansion tube 2, one end of the expansion tube 2 close to the renal pelvis is provided with the straight saccule 22, the drainage tube 3 is arranged outside the expansion tube 2 below the straight saccule 22, the top end of the drainage tube 3 is provided with the saccule two 33, a good supporting effect is formed at a connecting part, the problem of the narrow connecting part is solved, the drainage effect is not influenced, and the expansion tube has wide practicability in the field of medical appliances.
The present invention may be better implemented as described above, and the above examples are merely illustrative of preferred embodiments of the present invention and not intended to limit the scope of the present invention, and various modifications and improvements made by those skilled in the art to the technical solution of the present invention should fall within the scope of protection defined by the present invention without departing from the spirit of the design of the present invention.

Claims (5)

1. The utility model provides a kidney pelvis shaping sacculus expansion pipe, a serial communication port, including single J pipe, the expansion pipe, drainage tube and sacculus filling syringe, be equipped with single J pipe in the expansion pipe, single J pipe bending head one end passes the expansion pipe and sets up in the bladder, the expansion pipe is close to kidney pelvis one end and sets up straight barrel sacculus, the expansion pipe overcoat of straight barrel sacculus below sets up the drainage tube, drainage tube bottom one side sets up the side end, the side end is last to be equipped with the check valve, inject water to sacculus second through the check valve, support kidney pelvis ureter connecting portion, the check valve passes through the end to be connected with the side end, drainage tube bottom opposite side sets up side one, side one end sets up the blanking cap, set up the recess in the blanking cap, the drainage tube top sets up sacculus second, the sacculus second appearance is apple form, the sacculus is outer to set up anti-scar medicine coating, sacculus second and side end are linked together and are set up in the inner chamber of expansion pipe, expansion pipe bottom sets up the sacculus filling syringe, inject water to straight barrel sacculus through sacculus filling syringe, support, cup joint rubber plug on the inner chamber end, the adoption plug.
2. A renal pelvis forming balloon dilation tube as in claim 1 wherein said single J-tube bend has a drainage port disposed therein.
3. A renal pelvis forming balloon dilation tube as in claim 1 wherein said straight balloon is provided with a retractor.
4. A shaped-renal pelvis balloon dilation tube as in claim 1, wherein said straight balloon has a length of 6cm to 8cm.
5. A shaped-renal pelvis balloon dilation tube as in claim 1, wherein said single J-tube does not include a bend having a length of 10cm to 25cm.
CN201810525846.5A 2018-05-28 2018-05-28 Renal pelvis shaping sacculus expansion pipe Active CN108653901B (en)

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CN108653901B true CN108653901B (en) 2024-03-29

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Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113318325A (en) * 2021-05-08 2021-08-31 宁波市第一医院 Anti-blocking nephrostomy tube
CN115192870A (en) * 2022-07-08 2022-10-18 湖南依微迪医疗器械有限公司 Ureteral catheter

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6066113A (en) * 1995-11-02 2000-05-23 Overtoom; Timotheus Theodorus Cornelis System for treating the ureter and/or pyelo-ureter junction
US6364868B1 (en) * 1995-08-02 2002-04-02 The Trustees Of Columbia University In The City Of New York Ureteral catheter and tissue expander and method of megaureter creation
WO2007121399A1 (en) * 2006-04-18 2007-10-25 Mayo Foundation For Medical Education And Research Accessing a body cavity through the urinary tract
DE102008057177A1 (en) * 2008-11-13 2010-05-20 Urotech Gmbh Catheter e.g. renal catheter, for discharge of urine from kidney area of patient, has catheter end area guided into ureter, and urine discharge opening provided in hose section between nephrostomy balloon and auxiliary balloon
CN105148387A (en) * 2015-10-09 2015-12-16 江苏耀华医疗器械科技有限公司 One-step percutaneous renal channel balloon dilatation device
CN106669015A (en) * 2017-02-13 2017-05-17 广西医科大学第附属医院 Water-lubricating composite balloon ureteral dilator
CN107233655A (en) * 2017-07-03 2017-10-10 华中科技大学同济医学院附属协和医院 The application method and its double balloon drainage tube structures of the double balloon drainage tubes of ureter
CN208893432U (en) * 2018-05-28 2019-05-24 新疆维吾尔自治区人民医院 A kind of renal plevis molding ball-bag dilation tube

Family Cites Families (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9433765B2 (en) * 2012-11-05 2016-09-06 Indiana University Research & Technology Corporation System and method for pyeloplasty internal-external stent
JP2017520377A (en) * 2014-06-27 2017-07-27 ウロゲン ファーマ リミテッド Connectable catheter

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6364868B1 (en) * 1995-08-02 2002-04-02 The Trustees Of Columbia University In The City Of New York Ureteral catheter and tissue expander and method of megaureter creation
US6066113A (en) * 1995-11-02 2000-05-23 Overtoom; Timotheus Theodorus Cornelis System for treating the ureter and/or pyelo-ureter junction
WO2007121399A1 (en) * 2006-04-18 2007-10-25 Mayo Foundation For Medical Education And Research Accessing a body cavity through the urinary tract
DE102008057177A1 (en) * 2008-11-13 2010-05-20 Urotech Gmbh Catheter e.g. renal catheter, for discharge of urine from kidney area of patient, has catheter end area guided into ureter, and urine discharge opening provided in hose section between nephrostomy balloon and auxiliary balloon
CN105148387A (en) * 2015-10-09 2015-12-16 江苏耀华医疗器械科技有限公司 One-step percutaneous renal channel balloon dilatation device
CN106669015A (en) * 2017-02-13 2017-05-17 广西医科大学第附属医院 Water-lubricating composite balloon ureteral dilator
CN107233655A (en) * 2017-07-03 2017-10-10 华中科技大学同济医学院附属协和医院 The application method and its double balloon drainage tube structures of the double balloon drainage tubes of ureter
CN208893432U (en) * 2018-05-28 2019-05-24 新疆维吾尔自治区人民医院 A kind of renal plevis molding ball-bag dilation tube

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