CN109549712A - A kind of intranasal channel bronchia mucosal protective device - Google Patents

A kind of intranasal channel bronchia mucosal protective device Download PDF

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Publication number
CN109549712A
CN109549712A CN201811647682.XA CN201811647682A CN109549712A CN 109549712 A CN109549712 A CN 109549712A CN 201811647682 A CN201811647682 A CN 201811647682A CN 109549712 A CN109549712 A CN 109549712A
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CN
China
Prior art keywords
channel
nasal cavity
intranasal
protective device
bronchia mucosal
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Pending
Application number
CN201811647682.XA
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Chinese (zh)
Inventor
林伟
贺亚龙
屈朔瑶
林子君
陈燕伟
董冀晨
李三中
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Fourth Military Medical University FMMU
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Fourth Military Medical University FMMU
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Priority to CN201811647682.XA priority Critical patent/CN109549712A/en
Publication of CN109549712A publication Critical patent/CN109549712A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/24Surgical instruments, devices or methods, e.g. tourniquets for use in the oral cavity, larynx, bronchial passages or nose; Tongue scrapers

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  • 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)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Pathology (AREA)
  • Dentistry (AREA)
  • Otolaryngology (AREA)
  • Pulmonology (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a kind of intranasal channel bronchia mucosal protective devices; it is surround and is formed by nylon shioze tissue layer; nylon shioze tissue layer is around rear internal formation channel; one end of the channel is extension end; the other end is inserting end, further includes the air bag being used to support in nasal cavity mouth being arranged between extension end and inserting end.The present invention is placed in nasal cavity in advance and can carry out fruitful protection to nasal cavity inner wall mucous membrane, it avoids in the course of surgery because instrument passes in and out repeatedly and causes to bronchia mucosal and the unnecessary injury of normal anatomical structures, and the present invention can well adapt to the environment in nasal cavity, even if instrument strikes through on nasal passage, also it can be good at decomposing impact force, very high protection effect played to nasal cavity inner wall.Meanwhile even if bronchia mucosal has a small amount of oozing of blood, pass through the densely covered fenestral fabric of the own braiding of protective device; it can be good at stopping oozing of blood to nasal cavity bottom art Qu Liudong, maintain the clear of visual area and endoscope lens, greatly save operating time; increase the safety of operation, reduces operation risk.

Description

A kind of intranasal channel bronchia mucosal protective device
Technical field
The invention belongs to Minimally Invasive Surgery fixture technology fields, and in particular to a kind of intranasal channel bronchia mucosal Protective device.
Background technique
With the continuous promotion of medical technique level, Minimally Invasive Surgery is more and more applied in clinic, and is obtained Extraordinary effect.Minimally Invasive Surgery has the advantages that wound is small, pain is light, restores fast, and Minimally Invasive Surgery also reduces traditional hand Injury of the art to human body is considerably reduced in treatment of diseases and is connect to patient to the inconvenience and pain come, therefore patient By degree height, satisfaction rate is good.In Minimally Invasive Surgery, intranasal is a kind of more common method of neurosurgery, utilizes nose The natural gap of the natural cavity of the human bodies such as chamber, nasal sinus, nasopharynx can sufficiently expose and cut off the disease for being located at basis cranii to greatest extent Become tissue.Because of the advantages such as its path is short, unobscured, imaging clearly, wound is small, post-operative recovery is fast and expense is low, gradually exist Neurosurgery is promoted and achieves good social and economic benefit.But through nasal operation, there is also some problems, intranasals at present Operation be equivalent to the channel for passing in and out nasal cavity as surgical instrument, because nasal cavity internal channel is narrow and its in have concha, nasal septum etc. Physiological anatomic architecture easily appears in during instrument passes in and out nasal cavity repeatedly, nasal cavity inner wall mucous membrane is caused to collide and be damaged, And nasal cavity inner wall mucous membrane tissue is very fragile and delicate, and blood supply is abundant, necessarily will cause the damage of mucous membrane after accidentally damaging And bleeding, this is not only to the unnecessary injury of patient, and the bleeding of nasal cavity inner wall mucous membrane will cause nerve endoscope camera lens It pollutes repeatedly, causes the visual field unclear, interfere procedure, while increasing the risk of operation.
Summary of the invention
For the problems of the prior art, the present invention provides a kind of protections of intranasal channel bronchia mucosal to fill It sets, its object is to avoid in the course of surgery because instrument disengaging nasal passage causes to bronchia mucosal even bony structure Damage keeps clear, the reduction operation risk of endoscopic surgery system camera lens and visual area.
In order to solve the above technical problems, the technical solution adopted by the present invention is that a kind of intranasal channel bronchia mucosal Protective device, by nylon shioze tissue layer around being formed, nylon shioze tissue layer is thin between rear internal formation channel, nylon shioze tissue layer Micro- latticed aperture, this densely covered coarse latticed aperture can adsorb and promote nasal mucosal surface blood clotting, One end of the channel is extension end, and the other end is inserting end, further includes that being used to support in nose between extension end and inserting end is arranged in The nasal cavity mouth end of accent;Extension end is designed to angulation toroidal, facilitate patient's surgical instrument can rapid alignment channel it is smooth Disengaging.
The extension end structure design tapered using internal diameter, gradually contracts from the end of extension end to nasal cavity mouth end internal diameter It is small;The inserting end is designed using the structure of internal diameter flaring, from the junction at inserting end Yu nasal cavity mouth end to the end of inserting end Internal diameter is gradually increased.
Between the extension end and nasal cavity mouth end and circular arc is all made of between the inserting end and nasal cavity mouth end excessively to connect It connects;Between the extension end and nasal cavity mouth end and circular arc is all made of between the inserting end and nasal cavity mouth end excessively to connect, and Angle is formed between section of stretching out central axes and dip section central axes, angle is 170 °;The angle to be raised up by the way that section of stretching out is arranged, just The nasal passage in dorsal position patient is operated in the patient in erect position and surgical instrument is more easier to pass in and out nose Chamber channel;The inserting end can reach individualized adjustment by directly trimming according to the case where different patient's nasal cavity length.
Support air bag is additionally provided in the extension end, the outer wall of extension end, support air bag is arranged in the support air bag Nostril is used to support at nostril.
The inner wall of the nylon shioze tissue layer is provided with liner layer, and the liner layer uses smooth compliant material;The nylon The outer wall of textle layers is covered with external layer, and the external layer is antimicrobial coating and blood coagulation coating.
The liner layer uses polytrimethylene carbonate material, has the characteristics that flexible and intensity is high, while it is organized Compatibility is strong, and adverse reaction is small.
It further, is latticed aperture between nylon shioze tissue layer.
Further, the least significant end diameter of the inserting end is 10mm~20mm.
Compared with prior art, the present invention at least has the advantages that, of the invention is reasonable in design, this is sent out Bright intranasal channel bronchia mucosal protective device, which is placed in advance in nasal cavity, to have nasal cavity inner wall mucous membrane progress Zhuo The protection of effect, while the tension intrinsic using this device, concha, nasal septum can be separated to two sides and be kept off outside channel Side expands channel, surgical instrument is facilitated to pass in and out, and avoids in the course of surgery because instrument passes in and out repeatedly and causes to cause to hurt to nasal cavity Evil, moreover, intranasal lane device of the invention can be well adapted in nasal cavity by the rational design of structure Environment decomposes even if instrument strikes through on nasal passage, also can be good at impact force, plays to nasal cavity inner wall very high Protection effect, meanwhile, even if bronchia mucosal has a small amount of oozing of blood, by the own structure of protective device, can be good at stopping to seep Blood maintains clear, reduction and the flushing for reducing visual area and endoscope lens of visual area and endoscope lens to nasal cavity bottom art Qu Liudong Number and the frequency save operating time, increase operation safety, reduce the risk of operation.
Further, extension end using internal diameter it is tapered structure design, from the end of extension end to nasal cavity mouth end internal diameter by It is tapered small;Inserting end is designed using the structure of internal diameter flaring, from the junction at inserting end Yu nasal cavity mouth end to the end of inserting end Internal diameter is gradually increased.By the structure design of the trumpet type entrance of extension end, instrument can be facilitated quick and precisely to pass in and out, and energy Enough effects that access instruments are carried out with auxiliary guiding, facilitate operation to carry out.Inserting end uses the structure that internal diameter is gradually expanded and sets Meter, can widen the operating space of channel rear end as far as possible, facilitate the development of operation.
Further, support air bag is additionally provided in extension end, support air bag is arranged in the outer wall of extension end, is used to support Expanding nostril, and can prevent the device being likely to cause in operating process from shifting up and down, support air bag cushion performance is good, Even if the cushion performance of support air bag can also play the role of slowing down shock, to keep away after hitting extension end because of accidental operation Exempt to cause subsequent injury.
Further, the inner wall of nylon shioze tissue layer is provided with liner layer, and liner layer uses smooth compliant material, and smooth is soft Property material can facilitate traveling of the instrument in channel, promote the fluency that instrument moves ahead in channel, medical staff facilitated to grasp Make, mitigates patient and do not accommodate pain.
Further, the outer wall of nylon shioze tissue layer is covered with external layer, and external layer is antimicrobial coating and blood coagulation coating, passes through The setting of antimicrobial coating and blood coagulation layer can preferably control the schneiderian membrance bleeding occurred in art, bleeding is avoided to soak Expansion causes camera lens to pollute, and influences medical staff's operation, avoids medical-risk, and have extraordinary antibacterial effect.
Further, it is provided with support air bag at nasal cavity mouth end, is used to support nasal cavity mouth, and play the work of expansion nasal cavity mouth With facilitating surgical procedure.
Further, the latticed design of gathering of nylon shioze tissue layer can promote oozing of blood in nasal cavity to be quickly set in channel layer On, prevent oozing of blood from rapidly flowing toward nasal cavity bottom influences surgical field of view and pollution endoscope lens.
Detailed description of the invention
In order to illustrate more clearly of the technical solution in the specific embodiment of the invention, specific embodiment will be retouched below Attached drawing needed in stating is briefly described, it is clear that, the accompanying drawings in the following description is some realities of the invention Mode is applied, it for those of ordinary skill in the art, without creative efforts, can also be attached according to these Figure obtains other attached drawings.
Fig. 1 is overall structure diagram of the invention;
Fig. 2 is Structure of cross section schematic diagram of the invention.
Wherein: the extension end 1-, 2- nasal cavity mouth end, 3- inserting end, 4- support air bag, 5- liner layer, the external layer of 6-, 7- nylon Textle layers.
Specific embodiment
In order to make the object, technical scheme and advantages of the embodiment of the invention clearer, below in conjunction with attached drawing to the present invention Technical solution be clearly and completely described, it is clear that described embodiments are some of the embodiments of the present invention, rather than Whole embodiments.Based on the embodiments of the present invention, those of ordinary skill in the art are not making creative work premise Under every other embodiment obtained, shall fall within the protection scope of the present invention.
As depicted in figs. 1 and 2, a kind of intranasal channel bronchia mucosal protective device of the present invention, including extension end 1, nasal cavity mouth end 2, inserting end 3, support air bag 4, liner layer 5, external layer 6 and nylon shioze tissue layer 7, intranasal channel nose Chamber mucosa protection device is by nylon shioze tissue layer 7 around forming, and around rear internal formation channel, one end of the channel is nylon shioze tissue layer 7 Extension end 1, the other end are inserting end 3, and it is grid between nylon shioze tissue layer 7 that the least significant end diameter of inserting end 3, which is 10mm~20mm, Shape aperture, latticed design can promote the oozing of blood accelerated solidification of nasal mucosal surface on channel layer, prevent oozing of blood from quickly flowing To nasal cavity bottom image surgical field of view and pollution endoscope lens.It is provided with and is used to support in nose between extension end 1 and inserting end 3 The nasal cavity mouth end 2 of accent, it is preferred that be provided with support air bag 4 at nasal cavity mouth end 2, be used to support nasal cavity mouth, and play expansion nose The effect in hole, facilitates surgical procedure.
As a certain preferred embodiment of the invention, the inner wall of nylon shioze tissue layer 7 is provided with liner layer 5, and liner layer 5 uses Smooth compliant material, smooth flexible material can facilitate traveling of the instrument in channel, promote what instrument moved ahead in channel Fluency facilitates medical staff to operate, and mitigates patient suffering.Smooth compliant material uses polytrimethylene carbonate, has flexibility It is good, the high advantage of intensity, while its histocompatbility is strong, adverse reaction is small.In addition, the outer wall of nylon shioze tissue layer 7 is covered with External layer 6, external layer 6 is antimicrobial coating and blood coagulation coating, can be to occurring in art by the setting of antimicrobial coating and blood coagulation layer Schneiderian membrance bleeding preferably controlled, avoid bleeding from soaking expansion and camera lens caused to pollute, influence medical staff operation, avoid Medical-risk, and there is extraordinary antibacterial effect.
As a certain preferred embodiment of the invention, the structure design tapered using internal diameter of extension end 1, from extension end 1 End is gradually reduced to 2 internal diameter of nasal cavity mouth end, is designed by the structure of the trumpet type entrance of extension end 1, instrument can be facilitated fast Fast accurate disengaging, and can access instruments be carried out with the effect of auxiliary guiding, facilitate operation to carry out.Inserting end 3 uses internal diameter The structure of flaring designs, and is gradually increased from the junction at inserting end 3 with nasal cavity mouth end 2 to the end internal diameter of inserting end 3, Neng Goujin The operating space of possible broadening channel rear end, facilitates the development of operation.Preferably, between extension end 1 and nasal cavity mouth end 2 and It is all made of circular arc between the inserting end 3 and nasal cavity mouth end 2 excessively to connect, and between section of stretching out central axes and dip section central axes Angle is formed, angle is 170 °.The angle to be raised up by the way that section of stretching out is arranged, convenient for the patient in erect position in dorsal position The nasal passage of patient carries out operation and surgical instrument is more easier to pass in and out nasal passage.
As a certain preferred embodiment of the invention, support air bag 4 is additionally provided in extension end 1, the setting of support air bag 4 exists The inner wall of extension end 1, and support air bag 4 is arranged close to the end of extension end 1,4 cushion performance of support air bag is good, even if because of meaning After extension end is hit in outer operation, the cushion performance of support air bag 4 can also play the role of slowing down shock, to avoid causing not Necessary injury.
Intranasal channel bronchia mucosal protective device of the invention is placed in the course of surgery in nasal cavity can be right Nasal cavity inner wall mucous membrane and concha, the nasal cavities such as nasal septum normal anatomical structures carry out fruitful protection, avoid performing the operation In journey because instrument pass in and out repeatedly cause to nasal cavity caused by unnecessary injury.Moreover, this device can well adapt in nasal cavity Environment nasal cavity inner wall is risen even if instrument strikes accidentally through on nasal passage, also can be good at decomposing this impact force To very high protection effect.Meanwhile even if bronchia mucosal has a small amount of oozing of blood, tied by the distinctive braiding of protective device itself Structure can be good at stopping oozing of blood to nasal cavity bottom art Qu Liudong, keep clear, reduction and the reduction art of visual area and endoscope lens Wild and endoscope lens washing times and the frequency, greatly save operating time, increase the safety of operation, reduce operation risk.
Finally, it should be noted that embodiment described above, only a specific embodiment of the invention, to illustrate the present invention Technical solution, rather than its limitations, scope of protection of the present invention is not limited thereto, although with reference to the foregoing embodiments to this hair It is bright to be described in detail, those skilled in the art should understand that: anyone skilled in the art In the technical scope disclosed by the present invention, it can still modify to technical solution documented by previous embodiment or can be light It is readily conceivable that variation or equivalent replacement of some of the technical features;And these modifications, variation or replacement, do not make The essence of corresponding technical solution is detached from the spirit and scope of technical solution of the embodiment of the present invention, should all cover in protection of the invention Within the scope of.Therefore, the protection scope of the present invention shall be subject to the protection scope of the claims.

Claims (8)

1. a kind of intranasal channel bronchia mucosal protective device, it is characterised in that: by nylon shioze tissue layer (7) around braiding It forming, for nylon shioze tissue layer (7) after, inside forms channel, and one end of the channel is extension end (1), and the other end is inserting end (3), It further include setting being used to support at the nasal cavity mouth end (2) of nasal cavity external-open oral area between extension end (1) and inserting end (3).
2. a kind of intranasal channel bronchia mucosal protective device according to claim 1, it is characterised in that: described Extension end (1) the structure design tapered using internal diameter, is gradually reduced from the end of extension end (1) to nasal cavity mouth end (2) internal diameter;Institute It states inserting end (3) to design using the structure of internal diameter flaring, from the junction at inserting end (3) and nasal cavity mouth end (2) to inserting end (3) End internal diameter be gradually increased.
3. a kind of intranasal channel bronchia mucosal protective device according to claim 1, it is characterised in that: described Between extension end (1) and nasal cavity mouth end (2) and circular arc is all made of between the inserting end (3) and nasal cavity mouth end (2) excessively to connect It connects, and forms angle between section of stretching out central axes and dip section central axes, angle is 170 °.
4. a kind of intranasal channel bronchia mucosal protective device according to claim 1, it is characterised in that: described It is additionally provided on extension end (1) support air bag (4), outer wall of support air bag (4) setting in extension end (1), support air bag (4) it is located at nostril and is used to support nostril.
5. a kind of intranasal channel bronchia mucosal protective device according to claim 1, it is characterised in that: described The inner wall of nylon shioze tissue layer (7) is provided with liner layer (5), and the liner layer (5) uses smooth compliant material.
6. a kind of intranasal channel bronchia mucosal protective device according to claim 1, it is characterised in that: described The outer wall of nylon shioze tissue layer (7) is covered with external layer (6), and the external layer (6) is antimicrobial coating and blood coagulation coating.
7. a kind of intranasal channel bronchia mucosal protective device according to claim 1, it is characterised in that: nylon It is latticed aperture between textle layers (7).
8. a kind of intranasal channel bronchia mucosal protective device according to claim 1, it is characterised in that: described The least significant end diameter of inserting end (3) is 10mm~20mm.
CN201811647682.XA 2018-12-29 2018-12-29 A kind of intranasal channel bronchia mucosal protective device Pending CN109549712A (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111436891A (en) * 2020-04-10 2020-07-24 北京鸿鹄高翔科技开发有限公司 Nasal cavity protection device for nasal endoscope operation channel and using method thereof

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Publication number Priority date Publication date Assignee Title
WO2008081889A1 (en) * 2006-12-29 2008-07-10 Jms Co., Ltd. Protector for nasal cavity
US20120203069A1 (en) * 2009-11-14 2012-08-09 Blake Hannaford Surgical shield for soft tissue protection
CN102988122A (en) * 2012-11-13 2013-03-27 浦易(上海)生物技术有限公司 Prosthetic system for treating nasosinusitis or allergic rhinitis
CN105963796A (en) * 2016-07-02 2016-09-28 河南驼人贝斯特医疗器械有限公司 Anti-infection and anticoagulation coating for central venous catheters and preparation method thereof
CN107307888A (en) * 2017-08-09 2017-11-03 上海创迈医疗器械有限公司 Nasal cavity protection device for transnasal approach endoscopic surgery
CN107432755A (en) * 2017-09-20 2017-12-05 叶新运 A kind of nasal membrane protection device being used for during transnasal endoscopic skull base surgery
CN107714243A (en) * 2017-09-29 2018-02-23 翎秀生物科技(上海)有限公司 The intranasal support of self-expansion type
CN207855790U (en) * 2017-10-17 2018-09-14 江苏省苏北人民医院 It is a kind of to protect sheath through nasal operation
CN208243636U (en) * 2017-08-10 2018-12-18 陈胜利 A kind of intranasal endoscopic surgery schneiderian membrane protective case
CN209695404U (en) * 2018-12-29 2019-11-29 中国人民解放军第四军医大学 A kind of intranasal channel bronchia mucosal protective device

Patent Citations (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2008081889A1 (en) * 2006-12-29 2008-07-10 Jms Co., Ltd. Protector for nasal cavity
US20120203069A1 (en) * 2009-11-14 2012-08-09 Blake Hannaford Surgical shield for soft tissue protection
CN102988122A (en) * 2012-11-13 2013-03-27 浦易(上海)生物技术有限公司 Prosthetic system for treating nasosinusitis or allergic rhinitis
CN105963796A (en) * 2016-07-02 2016-09-28 河南驼人贝斯特医疗器械有限公司 Anti-infection and anticoagulation coating for central venous catheters and preparation method thereof
CN107307888A (en) * 2017-08-09 2017-11-03 上海创迈医疗器械有限公司 Nasal cavity protection device for transnasal approach endoscopic surgery
CN208243636U (en) * 2017-08-10 2018-12-18 陈胜利 A kind of intranasal endoscopic surgery schneiderian membrane protective case
CN107432755A (en) * 2017-09-20 2017-12-05 叶新运 A kind of nasal membrane protection device being used for during transnasal endoscopic skull base surgery
CN107714243A (en) * 2017-09-29 2018-02-23 翎秀生物科技(上海)有限公司 The intranasal support of self-expansion type
CN207855790U (en) * 2017-10-17 2018-09-14 江苏省苏北人民医院 It is a kind of to protect sheath through nasal operation
CN209695404U (en) * 2018-12-29 2019-11-29 中国人民解放军第四军医大学 A kind of intranasal channel bronchia mucosal protective device

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111436891A (en) * 2020-04-10 2020-07-24 北京鸿鹄高翔科技开发有限公司 Nasal cavity protection device for nasal endoscope operation channel and using method thereof

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