CN109276797A - Gall-bladder inner drainage tube - Google Patents

Gall-bladder inner drainage tube Download PDF

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Publication number
CN109276797A
CN109276797A CN201811399394.7A CN201811399394A CN109276797A CN 109276797 A CN109276797 A CN 109276797A CN 201811399394 A CN201811399394 A CN 201811399394A CN 109276797 A CN109276797 A CN 109276797A
Authority
CN
China
Prior art keywords
pipeline section
circular arc
drainage
button loop
elasticity button
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
Application number
CN201811399394.7A
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Chinese (zh)
Other versions
CN109276797B (en
Inventor
杨玉龙
张�诚
胡海
赵刚
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Shanghai East Hospital
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Shanghai East Hospital
Priority date (The priority date 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 date listed.)
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Publication date
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Priority to CN201811399394.7A priority Critical patent/CN109276797B/en
Publication of CN109276797A publication Critical patent/CN109276797A/en
Application granted granted Critical
Publication of CN109276797B publication Critical patent/CN109276797B/en
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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
    • A61M25/0021Catheters; Hollow probes characterised by the form of the tubing
    • A61M25/0023Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
    • 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
    • A61M25/0045Catheters; Hollow probes characterised by structural features multi-layered, e.g. coated
    • 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
    • A61M2202/00Special media to be introduced, removed or treated
    • A61M2202/04Liquids
    • A61M2202/0403Gall; Bile
    • 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
    • A61M2210/1042Alimentary tract
    • A61M2210/1075Gall bladder

Abstract

The invention discloses a kind of gall-bladder inner drainage tube, head to tail portion is successively arranged elasticity button loop pipe, drainage pipeline section I and the drainage pipeline section II interconnected;Draining pipeline section I is in class arc-shaped, its circular arc opening is managed towards the elasticity button loop, drainage pipeline section I includes the circular arc pipeline section I and circular arc pipeline section II being sequentially communicated, circular arc pipeline section I is connected to elasticity button loop pipe, circular arc pipeline section I is to be that axial II direction of circular arc pipeline section deviates 45 °~60 ° with the junction of circular arc pipeline section II, circular arc pipeline section II is connected to drainage pipeline section II, and I head section of circular arc pipeline section is equipped with hangnail along elasticity button loop pipe extending direction, the inside outer wall lower end of circular arc pipeline section II;Draining pipeline section II is single pigtail type pipe;Elasticity button loop pipe, circular arc pipeline section II and drainage pipeline section II are equipped with biliary drainage hole;Elasticity button loop tube head has through-hole.Elasticity button loop I head of pipe of the invention is tapered, and outer wall has hydrophilic coating, it is easier to enter through duodenofiberscope and cystic duct enters in gall-bladder.

Description

Gall-bladder inner drainage tube
Technical field
The present invention relates to a kind of drainage tube, specifically a kind of gall-bladder inner drainage tube.
Background technique
Acute cholecystitis is a kind of common disease in China and frequently-occurring disease, cholecystolithiasis are its main inducings.Abdomen gall-bladder is opened to cut Except art is the Traditional regimen of acute cholecystitis, with the development of endoscopic assistance and minimal invasive techniques, Laparoscopic Cholecystectomy As accompanying gallstones acute cholecystitis major programme.With the high speed development of 21 century China's economic society, aging of population It is increasingly becoming one of contemporary China's hot spot of society, and the bases such as the normal complicated hypertension of elderly patient, diabetes, coronary heart disease Disease has derived local anaesthesia Cholecystostomy, percutaneously through liver to general anesthesia operation and long-term surgery poor resistance on this basis Gall-bladder puncture drainage (PTCD), through endoscopic surgery for nose gallbladder drainage art (ENGD), through endoscopic retrograde gall-bladder Intra drainage (ERGD) its Middle ENGD and ERGD wound is small, significant in efficacy, recovery is fast, more suitable for there are the cholecystolithiasis of ascites, cirrhosis and acute biliaries Capsulitis patient.Compared with ENGD, ERGD comfort is stronger, not will lead to the loss of bile, be more suitable for for a long time carry out gall-bladder and Duct bile drainage person.
ERGD can be applied not only to the treatment of acute cholecystitis as one of ERCP operation routine techniques, can also be straight Scoop out the treatment for diseases such as obstructive jaundice, acute pyogenic cholangitis, gallbladder leakages;Postoperative indwelling gall-bladder inner drainage tube can fill Stream gall-bladder and duct bile are separated, gall-bladder and pressure of biliary tract are reduced, having reduces the general of postoperative cholecystitis, pancreatitis and cholangitis Rate.
It there is no the gall-bladder inner drainage tube of commercialization to be applied to clinic at present, bile duct inner drainage tube clinically taken to carry out gallbladder Capsule biliary drainage, common Endobiliary drainage pipe includes linear type, single pigtail type and double pigtail types, wherein with single pigtail type bile duct Inner drainage tube is the most commonly used, and carry out gall bladder bile drainage using bile duct inner drainage tube and have the following problems: 1. drainage tube both ends are set There is side opening, tube body is then without side opening, and after drainage tube head end is placed in gall-bladder, Endobiliary drainage pipe makees hepatic duct bile without drainage With, and then lose the effect of bile duct inner drainage tube;2. hepatic bile can not Via bile duct or drainage tube enter in gall-bladder, liver Duct bile cannot be unfavorable for the recovery of cholecystitis to the dilution of inflammatory mediator in gall-bladder;2. cystic duct is out of shape arc-shaped, and with Ductuli hepaticus communis is at an acute angle to be converged, and Endobiliary drainage pipe tube body is of a straight line type, and is mismatched with the physiologic result of biliary tract, Endobiliary drainage Cystic duct is easy to suffer oppression after pipe merging gall-bladder, and gallbladder wall is also easy to be pulled, and induces colic symptoms or drainage tube occurs and move Position;3. linear type or single pigtail Endobiliary drainage tube head end are of a straight line type, head end is easy compressing gallbladder mucosa, leads to local proliferation The generation of perforation of gallbladder even occurs;4. linear type and single pigtail Endobiliary drainage tube head end are equipped with hangnail, to prevent drainage tube It shifts, discovery hangnail is easy voluntarily to be closed in clinic, and its morphosis and biliary tract structure mismatch, leads to Endobiliary drainage pipe It is easy to take off in choledochus through gall-bladder, and then loses the drainage to gall bladder bile.
Summary of the invention
According to technical problem set forth above, and provide a kind of gall-bladder inner drainage tube.The technological means that the present invention uses is such as Under:
A kind of gall-bladder inner drainage tube, head to tail portion are successively arranged the elasticity button loop pipe interconnected, drainage pipeline section I and draw Flow tube section II;
The drainage pipeline section I is in class arc-shaped, and circular arc opening includes towards the elasticity button loop pipe, the drainage pipeline section I The circular arc pipeline section I and circular arc pipeline section II being sequentially communicated, the circular arc pipeline section I are connected to the elasticity button loop pipe, the circular arc pipeline section I To be that axial II direction of circular arc pipeline section deviates 45 °~60 ° with the junction of the circular arc pipeline section II, the circular arc pipeline section II It is connected to the drainage pipeline section II, I head section of circular arc pipeline section is along the elasticity button loop pipe extending direction, the circular arc pipeline section II Inside outer wall lower end be equipped with hangnail;
The drainage pipeline section II is single pigtail type pipe;
The elasticity button loop pipe and the circular arc pipeline section II and the drainage pipeline section II are equipped with biliary drainage hole;
The elasticity button loop tube head has through-hole.
The elasticity button loop tube head is tapered and outer wall has hydrophilic coating.
Elasticity button loop pipe reduces the probability that gall-bladder inner drainage tube is slipped through gall-bladder to the tension of gallbladder wall;It can drain simultaneously Gall-bladder and duct bile, the endocrine bile of liver can also enter gall-bladder;During extracting gall-bladder inner drainage tube, to gall-bladder and Bile duct mucous membrane, duodenofiberscope, gastrointestinal tract mucous and bottleneck throat mucous membrane are non-stimulated, will not cause acute cholangitis, acute The complication such as pancreas, upper gastrointestinal bleeding;During tube drawing, the uncomfortable reaction of patient will also be substantially reduced.
The invention has the following advantages that
1. the present invention all has drainage to gall-bladder and duct bile, in addition to being used for acute cholangitis, obstructive jaundice Etc. diseases treatment, be more suitable for applied to acute cholecystitis treatment and ERCP postoperative acute cholecystitis prevention;
2. elasticity button loop tube head of the invention is tapered, outer wall has hydrophilic coating, it is easier to enter through duodenum Nipple and cystic duct enter in gall-bladder;
3. drainage pipeline section II (single pigtail type pipe) of the invention and hangnail can prevent drainage tube and be displaced in choledochus;
4. hangnail of the invention can position the depth of drainage tube merging, pipeline section II will be drained by, which avoiding, is placed in choledochus;
5. not damaged to gall-bladder bile duct and up and down slideway mucous membrane in withdrawal process of the present invention.
The present invention can be widely popularized in fields such as medical apparatus based on the above reasons.
Detailed description of the invention
In order to more clearly explain the embodiment of the invention or the technical proposal in the existing technology, to embodiment or will show below There is attached drawing needed in technical description to do simply to introduce, it should be apparent that, the accompanying drawings in the following description is this hair Bright some embodiments for those of ordinary skill in the art without any creative labor, can be with It obtains other drawings based on these drawings.
Fig. 1 is the structural schematic diagram of gall-bladder inner drainage tube in a specific embodiment of the invention.
Fig. 2 is location diagram when gall-bladder inner drainage tube is placed to operating position in a specific embodiment of the invention.
Fig. 3 is that location diagram when gall-bladder inner drainage tube is in operating position in a specific embodiment of the invention (is extracted Part seal wire).
Fig. 4 is structural schematic diagram when gall-bladder inner drainage tube is in operating position in a specific embodiment of the invention.
Specific embodiment
In order to make the object, technical scheme and advantages of the embodiment of the invention clearer, below in conjunction with the embodiment of the present invention In attached drawing, technical scheme in the embodiment of the invention is clearly and completely described, it is clear that described embodiment is A part of the embodiment of the present invention, instead of all the embodiments.Based on the embodiments of the present invention, those of ordinary skill in the art Every other embodiment obtained without making creative work, shall fall within the protection scope of the present invention.
As Figure 1-Figure 4, a kind of gall-bladder inner drainage tube, head to tail portion are successively arranged the elasticity button loop pipe interconnected 1, pipeline section I 2 and drainage pipeline section II 3 are drained;
The drainage pipeline section I 2 is in class arc-shaped, and circular arc opening is wrapped towards the elasticity button loop pipe 1, the drainage pipeline section I 2 The circular arc pipeline section I 4 and circular arc pipeline section II 5 being sequentially communicated are included, the circular arc pipeline section I 4 is connected to the elasticity button loop pipe 1, the circle Arc pipeline section I 4 is described to be axial described 45 °~60 ° of the offset of II 5 direction of circular arc pipeline section with the junction of the circular arc pipeline section II 5 Circular arc pipeline section II 5 is connected to the drainage pipeline section II 3, I 4 head section of circular arc pipeline section along it is described elasticity button loop 1 extending direction of pipe, The inside outer wall lower end of the circular arc pipeline section II 4 is equipped with hangnail 6;
The drainage pipeline section II 3 is single pigtail type pipe;
The elasticity button loop pipe 1 and the circular arc pipeline section II 5 and the drainage pipeline section II 3 are equipped with biliary drainage hole 7;
The elasticity button loop 1 head of pipe has through-hole.
The elasticity button loop 1 head of pipe is tapered and outer wall has hydrophilic coating.
The seal wire 8 is placed to operating position, the gall-bladder inner drainage tube and propeller 9 are successively socketed in the seal wire On 8, pushes the propeller 9 and be pushed into operating position, to drag later by the gall-bladder inner drainage tube under the guidance of the seal wire 8 The seal wire 8 and the propeller 9 of pulling back out, so that the propeller 8 is separated with the gall-bladder inner drainage tube.
Finally, it should be noted that the above embodiments are only used to illustrate the technical solution of the present invention., rather than its limitations;To the greatest extent Pipe present invention has been described in detail with reference to the aforementioned embodiments, those skilled in the art should understand that: its according to So be possible to modify the technical solutions described in the foregoing embodiments, or to some or all of the technical features into Row equivalent replacement;And these are modified or replaceed, various embodiments of the present invention technology that it does not separate the essence of the corresponding technical solution The range of scheme.

Claims (2)

1. a kind of gall-bladder inner drainage tube, head to tail portion is successively arranged elasticity button loop pipe, drainage pipeline section I and the drainage interconnected Pipeline section II, which is characterized in that the drainage pipeline section I is in class arc-shaped, and circular arc opening is managed towards the elasticity button loop, the drainage Pipeline section I includes the circular arc pipeline section I and circular arc pipeline section II being sequentially communicated, and the circular arc pipeline section I is connected to the elasticity button loop pipe, described Circular arc pipeline section I is described to be axial described 45 °~60 ° of the offset of II direction of circular arc pipeline section with the junction of the circular arc pipeline section II Circular arc pipeline section II is connected to the drainage pipeline section II, and I head section of circular arc pipeline section is described along the elasticity button loop pipe extending direction The inside outer wall lower end of circular arc pipeline section II is equipped with hangnail;
The drainage pipeline section II is single pigtail type pipe;
The elasticity button loop pipe, the circular arc pipeline section II and the drainage pipeline section II are equipped with biliary drainage hole;
The elasticity button loop tube head has through-hole.
2. gall-bladder inner drainage tube according to claim 1, which is characterized in that tube head is tapered and outer wall for the elasticity button loop With hydrophilic coating.
CN201811399394.7A 2018-11-22 2018-11-22 Internal drainage tube for gall bladder Active CN109276797B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201811399394.7A CN109276797B (en) 2018-11-22 2018-11-22 Internal drainage tube for gall bladder

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201811399394.7A CN109276797B (en) 2018-11-22 2018-11-22 Internal drainage tube for gall bladder

Publications (2)

Publication Number Publication Date
CN109276797A true CN109276797A (en) 2019-01-29
CN109276797B CN109276797B (en) 2021-08-31

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114588495A (en) * 2022-03-08 2022-06-07 上海市第一人民医院 Z-shaped double-pigtail tunnel type multi-lateral-hole biliary drainage stent
US20230010429A1 (en) * 2019-09-06 2023-01-12 Blue Halo BioMedical, LLC Coil catheter, method of use, and method of manufacture

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20080051911A1 (en) * 2006-08-23 2008-02-28 Wilson-Cook Medical Inc. Stent with antimicrobial drainage lumen surface
CN201101801Y (en) * 2007-11-05 2008-08-20 陈潮洪 Bile duct support internal drainage tube
CN203749989U (en) * 2014-04-04 2014-08-06 赵中伟 Anti-reflux biliary tract internal-external drainage catheter
CN204017094U (en) * 2013-12-17 2014-12-17 常州乐奥医疗科技有限公司 A kind of novel T-type drainage tube
CN104784804A (en) * 2015-05-11 2015-07-22 大连大学 Loop type bile external drainage tube
CN104826216A (en) * 2015-05-11 2015-08-12 大连大学 Loop-type bile and pancreatic juice drainage tube
CN206660280U (en) * 2016-08-20 2017-11-24 安瑞医疗器械(杭州)有限公司 A kind of more side opening list phoenix coronet biliary tract racks
CN108451678A (en) * 2018-03-13 2018-08-28 北京大学第三医院 The anti-reflux biliary tract rack of suspension type

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20080051911A1 (en) * 2006-08-23 2008-02-28 Wilson-Cook Medical Inc. Stent with antimicrobial drainage lumen surface
CN201101801Y (en) * 2007-11-05 2008-08-20 陈潮洪 Bile duct support internal drainage tube
CN204017094U (en) * 2013-12-17 2014-12-17 常州乐奥医疗科技有限公司 A kind of novel T-type drainage tube
CN203749989U (en) * 2014-04-04 2014-08-06 赵中伟 Anti-reflux biliary tract internal-external drainage catheter
CN104784804A (en) * 2015-05-11 2015-07-22 大连大学 Loop type bile external drainage tube
CN104826216A (en) * 2015-05-11 2015-08-12 大连大学 Loop-type bile and pancreatic juice drainage tube
CN206660280U (en) * 2016-08-20 2017-11-24 安瑞医疗器械(杭州)有限公司 A kind of more side opening list phoenix coronet biliary tract racks
CN108451678A (en) * 2018-03-13 2018-08-28 北京大学第三医院 The anti-reflux biliary tract rack of suspension type

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20230010429A1 (en) * 2019-09-06 2023-01-12 Blue Halo BioMedical, LLC Coil catheter, method of use, and method of manufacture
CN114588495A (en) * 2022-03-08 2022-06-07 上海市第一人民医院 Z-shaped double-pigtail tunnel type multi-lateral-hole biliary drainage stent

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