CN108784758A - A kind of Sengstaken-Blakemore tube formula vein denudation device and its application method - Google Patents
A kind of Sengstaken-Blakemore tube formula vein denudation device and its application method Download PDFInfo
- Publication number
- CN108784758A CN108784758A CN201810092301.XA CN201810092301A CN108784758A CN 108784758 A CN108784758 A CN 108784758A CN 201810092301 A CN201810092301 A CN 201810092301A CN 108784758 A CN108784758 A CN 108784758A
- Authority
- CN
- China
- Prior art keywords
- sengstaken
- blakemore tube
- seal wire
- blood vessel
- vein
- 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.)
- Granted
Links
- 210000003462 vein Anatomy 0.000 title claims abstract description 18
- 238000000034 method Methods 0.000 title claims abstract description 12
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims abstract description 43
- 210000004204 blood vessel Anatomy 0.000 claims abstract description 24
- 239000002775 capsule Substances 0.000 claims abstract description 7
- 230000023597 hemostasis Effects 0.000 claims abstract description 7
- 230000006835 compression Effects 0.000 claims abstract description 6
- 238000007906 compression Methods 0.000 claims abstract description 6
- 210000003752 saphenous vein Anatomy 0.000 claims description 26
- 210000003191 femoral vein Anatomy 0.000 claims description 9
- 230000000977 initiatory effect Effects 0.000 claims description 9
- 239000012267 brine Substances 0.000 claims description 8
- HPALAKNZSZLMCH-UHFFFAOYSA-M sodium;chloride;hydrate Chemical compound O.[Na+].[Cl-] HPALAKNZSZLMCH-UHFFFAOYSA-M 0.000 claims description 8
- 230000008676 import Effects 0.000 claims description 7
- 239000000284 extract Substances 0.000 claims description 6
- 238000000605 extraction Methods 0.000 claims description 4
- 239000007924 injection Substances 0.000 claims description 4
- 238000002347 injection Methods 0.000 claims description 4
- 210000003141 lower extremity Anatomy 0.000 claims description 4
- 210000001367 artery Anatomy 0.000 claims 1
- 208000027418 Wounds and injury Diseases 0.000 abstract description 7
- 206010051373 Wound haemorrhage Diseases 0.000 abstract description 2
- 210000003238 esophagus Anatomy 0.000 abstract 1
- 238000010586 diagram Methods 0.000 description 6
- XEEYBQQBJWHFJM-UHFFFAOYSA-N Iron Chemical group [Fe] XEEYBQQBJWHFJM-UHFFFAOYSA-N 0.000 description 4
- 208000032843 Hemorrhage Diseases 0.000 description 3
- 230000000740 bleeding effect Effects 0.000 description 3
- 244000043261 Hevea brasiliensis Species 0.000 description 2
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 2
- 239000008280 blood Substances 0.000 description 2
- 210000004369 blood Anatomy 0.000 description 2
- 230000008034 disappearance Effects 0.000 description 2
- 210000001105 femoral artery Anatomy 0.000 description 2
- 229910052742 iron Inorganic materials 0.000 description 2
- 229920003052 natural elastomer Polymers 0.000 description 2
- 229920001194 natural rubber Polymers 0.000 description 2
- 239000011780 sodium chloride Substances 0.000 description 2
- 230000002792 vascular Effects 0.000 description 2
- 230000000694 effects Effects 0.000 description 1
- 238000013171 endarterectomy Methods 0.000 description 1
- 238000004299 exfoliation Methods 0.000 description 1
- 239000002504 physiological saline solution Substances 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 230000001737 promoting effect Effects 0.000 description 1
- 230000000630 rising effect Effects 0.000 description 1
- 239000004576 sand Substances 0.000 description 1
- 239000000243 solution Substances 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
- 208000019553 vascular disease Diseases 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
- A61B17/00008—Vein tendon strippers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00778—Operations on blood vessels
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B2017/12004—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Molecular Biology (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Public Health (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Reproductive Health (AREA)
- Vascular Medicine (AREA)
- Rheumatology (AREA)
- Surgical Instruments (AREA)
- Media Introduction/Drainage Providing Device (AREA)
Abstract
The present invention is a kind of Sengstaken-Blakemore tube formula vein denudation device and its application method, including Sengstaken-Blakemore tube and seal wire, is similar to the Sengstaken-Blakemore tube to stop blooding to esophagus fundus ventricularis varication.So-called Sengstaken-Blakemore tube, including two capsules, it can water-filling, front end water pocket is smaller, and rear end water pocket is larger, and three lumens in center are the cavities of semicircle by a section and two sections are that the cavity of quadrant is constituted, front-end and back-end water balloon catheter is communicated with quadrant cavity respectively, seal wire is in semicircle cavity and can walk, and there are 2 fixed rings in seal wire center, can connect and strip off head.The present invention guides Sengstaken-Blakemore tube traveling using seal wire, to tortuous blood vessel can not by when Sengstaken-Blakemore tube fill front end water pocket and " stretch " blood vessel backward it is made to pass through, improve the success rate that guiding is stripped off, it strips off blood vessel while seal wire guiding Sengstaken-Blakemore tube is again introduced into and strips off the blood vessel surface of a wound, it fills rear end water pocket and carries out hemostasis by compression, solve the problems, such as to strip off surface of a wound bleeding after blood vessel.
Description
Technical field
The invention belongs to medical instruments fields, more particularly, to a kind of Sengstaken-Blakemore tube formula vein denudation device and its user
Method.
Background technology
Varication is one of vascular diseases most commonly seen in clinic, is more common in lower limb great saphenous vein, since blood becomes silted up
The factors such as stagnant, vein tube wall weakness, cause vein it is tortuous, expansion.There are many cirsoid therapies at present, but a high position is tied
Prick, the method for endarterectomy is a kind of most classical method, with the low advantage of curative for effect, recurrence rate.To great saphenous vein master
Dry stripping off needs that blood vessel stripping device, generally wire guide is applied to be made, during surgery, each work in great saphenous vein proximal end and distal end
Stripper is inserted into tube chamber from great saphenous vein distal end and sent to proximal end by notch and detachment great saphenous vein, is placed in great saphenous vein distal end
It strips off head and ligatures great saphenous vein, then slowly pulled out by distally proximally promoting, strip off entire great saphenous vein trunk, this side
Method, which is often effectively caused since blood vessel is tortuous, to be inserted into unsmooth, can not be successfully stripper from distally sending to proximal end, so that midway needs
Increase notch, while stripping off rear great saphenous vein surface of a wound meeting bleeding, it is postoperative to cause subcutaneously to become silted up green and increase patient's pain.In art
Stripper can not be successfully by with strip off rear surface of a wound bleeding both of these problems and annoying clinician always, a kind of stripping can be invented
De- device solves both of these problems simultaneously to be particularly important.
Invention content
The present invention provides a kind of Sengstaken-Blakemore tube formula vein blood vessel stripper and its method of exfoliation, can efficiently, quickly
Vein blood vessel is carried out to strip off and reduce bleeding.
The complete technical solution of the present invention is.
A kind of vein blood vessel stripper, including Sengstaken-Blakemore tube, seal wire, head is stripped off, the Sengstaken-Blakemore tube is by natural
Rubber is made, a diameter of 3.5mm, there is 3 chambers in tube chamber, wherein 22 water pockets that respectively connected front end, other 1 chamber two
End is come round, and seal wire can be out of shape in wherein.Seal wire is iron seal wire, and can be in walking in pipe, seal wire in Sengstaken-Blakemore tube
Center have 2 fixed rings, fixed ring, which is connected through a screw thread, strips off head.
It takes before internal malleolus and femoral artery inner incision, great saphenous vein initiating terminal is cut off, proximal end ligation, by great saphenous vein first
It imports at femoral vein and cuts off, distal end ligatures.Seal wire is drawn, from the traveling of great saphenous vein initiating terminal in Endovascular, seal wire guiding
Sengstaken-Blakemore tube traveling simultaneously in Endovascular, traveling to tortuous blood vessel can not be successfully by when Sengstaken-Blakemore tube sent to seal wire
Front end, Sengstaken-Blakemore tube, which fills front end water pocket and " stretches " blood vessel backward, makes it pass through, by the water in rear extraction water pocket, if
Pass through with method when meeting tortuous blood vessel again, send to great saphenous vein and import at femoral vein, extract Sengstaken-Blakemore tube out blood vessel backward,
It is fixed on conduit stripping off head and tightening, Sengstaken-Blakemore tube head end, which is fixed on, strips off a rear end, from great saphenous vein initiating terminal to big
Saphena is imported at femoral vein and is stripped off, while Sengstaken-Blakemore tube is again introduced into and strips off the vein surface of a wound, and injection brine ice is full
Rear end water pocket, hemostasis by compression extract brine ice out and take out Sengstaken-Blakemore tube, sew up the incision, entire lower limb are taut with elastic force after 15 minutes
Band wrapping.
The present invention compared with the existing technology the advantages of be.
Sengstaken-Blakemore tube traveling is guided using seal wire, improves the success rate that guiding is stripped off, while three chambers are applied after stripping off
Two capsule pipe hemostasiss by compression solve the problems, such as the surface of a wound and venous tributary bleeding after vein stripping.
Description of the drawings
Fig. 1 is stripper structural schematic diagram of the present invention.
Fig. 2 is schematic diagram after Sengstaken-Blakemore tube water-filling of the present invention.
Fig. 3 is Sengstaken-Blakemore tube longitudinal section of the present invention.
Fig. 4 is stripper seal wire of the present invention and strips off a schematic diagram.
Fig. 5 be stripper traveling of the present invention to tortuous blood vessel can not by schematic diagram.
Fig. 6 is " to stretch " schematic diagram of blood vessel after stripper front end water pocket water-filling of the present invention.
Fig. 7 is the schematic diagram of hemostasis by compression after stripper rear end water pocket water-filling of the present invention.
In figure:1 is seal wire, and 2 be Sengstaken-Blakemore tube, and 3 be front end water pocket, and 4 be rear end water pocket, and 5 is fill front end water pocket connector,
6 be the tube chamber of seal wire traveling, and 7 is fill rear end water pocket connector, and 8 be the Sengstaken-Blakemore tube section front ends Zhong Chong water pocket tube chamber, and 9 be three chambers
Fill rear end water pocket tube chamber in two capsule tube sections, 10 be seal wire traveling tube chamber in Sengstaken-Blakemore tube section, and 11 be seal wire fixed ring, 12
To strip off head, 13 be tortuous blood vessel.
Specific implementation mode
The present invention will be further described With reference to embodiment.
A kind of Sengstaken-Blakemore tube formula vein blood vessel stripper, including seal wire(Such as 1), Sengstaken-Blakemore tube(Such as 2), described leads
Silk is iron seal wire, and both ends round blunt is about 2400mm, and there are 2 fixed rings in the center of diameter about 1mm, seal wire(Such as 11), fixed ring
It is connected through a screw thread and strips off head(Such as 12), strip off an a diameter of 10mm.The Sengstaken-Blakemore tube(Such as Fig. 2)By natural rubber system
At being about 1000mm, a diameter of 3.5mm, front end water pocket is about 30mm, and rear end water pocket is about 900mm, there is 3 chambers in tube chamber(Such as
Fig. 3), wherein 2 chambers(Such as 8,9)2 water pockets of front end are respectively connected, in addition 1 chamber(Such as 10)Both ends communicate, and seal wire can be walked
Shape is in wherein(Such as Fig. 1).There are 3 connectors in the end of Sengstaken-Blakemore tube(Such as 5,6,7), one of connector(Such as 5)Transit chamber 8 with
Front end water pocket(Such as 3)It communicates, can be filled front end water pocket with syringe saline injection, front end water pocket(Such as 3)Surface is mill
Sand face can increase the frictional force of itself and vascular wall after full;One of connector(Such as 7)Transit chamber 9 and rear end water pocket(Such as 4)Phase
It is logical, brine ice can be injected with syringe and fill rear end water pocket, full rear end water pocket can stop stripping off the blood vessel surface of a wound and rising to oppress
The purpose of blood, brine ice more accelerate its hemostasis;One of connector(Such as 6)Hollow, the interior seal wire that is passed to passes through chamber 10 from front end
It is pierced by.
It takes before internal malleolus and femoral artery inner incision, great saphenous vein initiating terminal is cut off, proximal end ligation, by great saphenous vein first
It imports at femoral vein and cuts off, distal end ligatures.Seal wire is drawn, from the traveling of great saphenous vein initiating terminal in Endovascular, seal wire guiding
Sengstaken-Blakemore tube traveling simultaneously is in Endovascular(Such as Fig. 5).Seal wire traveling to tortuous blood vessel can not be successfully by when, by three chambers two
Capsule pipe is sent to seal wire front end, with syringe from 5 saline injection of connector, Sengstaken-Blakemore tube front end water pocket is filled to light and is drawn
When conduit can not smoothly pull out it, it was demonstrated that water pocket has certain frictional force with vascular wall, and it is same then slowly " to stretch " blood vessel backward
When transport seal wire so that it is passed through tortuous blood vessel(Such as Fig. 6), make front end from the extraction physiological saline of connector 5 with syringe by rear
Water pocket " disappearance " passes through seal wire using same procedure if meeting tortuous blood vessel again.Seal wire send to great saphenous vein and imports
To be pierced by femoral vein, Sengstaken-Blakemore tube extraction blood vessel is exposed into fixed ring backward, is fixed on conduit stripping off head and tightening,
The ligation of Sengstaken-Blakemore tube head end, which is fixed on, strips off a rear end, imports at femoral vein and carries out from great saphenous vein initiating terminal to great saphenous vein
It strips off, while Sengstaken-Blakemore tube is again introduced into and strips off the vein surface of a wound, rear end water pocket by chance at surface of a wound position, passes through 7 note of connector
Enter brine ice fill rear end water pocket, by Sengstaken-Blakemore tube rear end water pocket fill to light pull catheter can not by its smoothly pull out when, protect
Hold 15 minutes, hemostasis by compression, after with syringe from connector 7 extract out brine make rear end water pocket " disappearances " extract out Sengstaken-Blakemore tube, stitch
Notch is closed, entire lower limb are wrapped up with Elastic bandage.
Claims (3)
1. a kind of Sengstaken-Blakemore tube formula vein denudation device, it is characterised in that:Including stripping off two capsule component of Yarn guide component and three chambers,
Specific part includes seal wire, strips off head, Sengstaken-Blakemore tube.
2. Sengstaken-Blakemore tube formula vein denudation device according to claim 1, it is characterised in that:There are two water for Sengstaken-Blakemore tube
Capsule, front end water pocket are spheroidal, and surface is frosting, and rear end water pocket is long cylindricality, and surface is smooth, and a three chambers wherein chamber can pass through
Seal wire, another two chamber can be filled to front end water pocket and rear end water pocket respectively.
3. Sengstaken-Blakemore tube formula vein denudation device according to claim 1, application method:It takes first before internal malleolus and stock is dynamic
Arteries and veins originates position inner incision, and great saphenous vein initiating terminal is cut off, and great saphenous vein is imported at femoral vein and cut off by proximal end ligation,
Distal end ligatures;Seal wire is drawn, from the traveling of great saphenous vein initiating terminal in Endovascular, seal wire guides Sengstaken-Blakemore tube traveling simultaneously
In Endovascular, traveling to tortuous blood vessel can not be successfully by when, Sengstaken-Blakemore tube is sent to seal wire front end, fill front end water
Capsule, " stretching " blood vessel backward makes it pass through, by the water in rear extraction water pocket, if logical with method when meeting tortuous blood vessel again
It crosses, send to great saphenous vein and import at femoral vein, extract Sengstaken-Blakemore tube out blood vessel backward, be fixed on conduit stripping off head and tightening
On, Sengstaken-Blakemore tube head end, which is fixed on, strips off a rear end, imports at femoral vein and carries out from great saphenous vein initiating terminal to great saphenous vein
It strips off, while Sengstaken-Blakemore tube is again introduced into and strips off the vein surface of a wound, the full rear end water pocket of injection brine ice, hemostasis by compression, 15 points
It extracts brine ice after clock out and takes out Sengstaken-Blakemore tube, sew up the incision, entire lower limb are wrapped up with Elastic bandage.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN201810092301.XA CN108784758B (en) | 2018-04-08 | 2018-04-08 | Sengstaken-Blakemore tube type vein stripper and using method thereof |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
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CN201810092301.XA CN108784758B (en) | 2018-04-08 | 2018-04-08 | Sengstaken-Blakemore tube type vein stripper and using method thereof |
Publications (2)
Publication Number | Publication Date |
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CN108784758A true CN108784758A (en) | 2018-11-13 |
CN108784758B CN108784758B (en) | 2021-05-04 |
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CN201810092301.XA Expired - Fee Related CN108784758B (en) | 2018-04-08 | 2018-04-08 | Sengstaken-Blakemore tube type vein stripper and using method thereof |
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Citations (12)
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US6352544B1 (en) * | 2000-02-22 | 2002-03-05 | Gregory A. Spitz | Apparatus and methods for removing veins |
US20030120256A1 (en) * | 2001-07-03 | 2003-06-26 | Syntheon, Llc | Methods and apparatus for sclerosing the wall of a varicose vein |
EP1593346A1 (en) * | 2004-05-04 | 2005-11-09 | L'Echevin, Patrick | Light-emitting, linear collimated, successively readjustable,operative vein stripper |
US20050283174A1 (en) * | 2004-01-27 | 2005-12-22 | Opie John C | Vein stripping tool and method of use |
CN201642132U (en) * | 2010-05-06 | 2010-11-24 | 中国人民解放军第四军医大学 | Great saphenous vein stripping device |
CN202104957U (en) * | 2011-06-16 | 2012-01-11 | 上海中山医疗科技发展公司 | Varicose vein exfoliative device |
CN104287783A (en) * | 2014-07-03 | 2015-01-21 | 北京普益盛济科技有限公司 | Vein stripper |
WO2015015226A1 (en) * | 2013-08-02 | 2015-02-05 | Sabado Martin | Minimally invasive device and method for treating vascular disorders |
CN105232094A (en) * | 2015-09-21 | 2016-01-13 | 烟台毓璜顶医院 | Vein stripping device and method |
CN205493922U (en) * | 2016-02-03 | 2016-08-24 | 杨辉 | A two sacculus formula water pockets for gynaecology and obstetrics |
CN106923873A (en) * | 2017-03-15 | 2017-07-07 | 上海普益医疗器械股份有限公司 | Varication stripper |
CN206910355U (en) * | 2016-11-03 | 2018-01-23 | 唐文波 | A kind of vein takes out stripping device |
-
2018
- 2018-04-08 CN CN201810092301.XA patent/CN108784758B/en not_active Expired - Fee Related
Patent Citations (12)
Publication number | Priority date | Publication date | Assignee | Title |
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US6352544B1 (en) * | 2000-02-22 | 2002-03-05 | Gregory A. Spitz | Apparatus and methods for removing veins |
US20030120256A1 (en) * | 2001-07-03 | 2003-06-26 | Syntheon, Llc | Methods and apparatus for sclerosing the wall of a varicose vein |
US20050283174A1 (en) * | 2004-01-27 | 2005-12-22 | Opie John C | Vein stripping tool and method of use |
EP1593346A1 (en) * | 2004-05-04 | 2005-11-09 | L'Echevin, Patrick | Light-emitting, linear collimated, successively readjustable,operative vein stripper |
CN201642132U (en) * | 2010-05-06 | 2010-11-24 | 中国人民解放军第四军医大学 | Great saphenous vein stripping device |
CN202104957U (en) * | 2011-06-16 | 2012-01-11 | 上海中山医疗科技发展公司 | Varicose vein exfoliative device |
WO2015015226A1 (en) * | 2013-08-02 | 2015-02-05 | Sabado Martin | Minimally invasive device and method for treating vascular disorders |
CN104287783A (en) * | 2014-07-03 | 2015-01-21 | 北京普益盛济科技有限公司 | Vein stripper |
CN105232094A (en) * | 2015-09-21 | 2016-01-13 | 烟台毓璜顶医院 | Vein stripping device and method |
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Publication number | Publication date |
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CN108784758B (en) | 2021-05-04 |
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