CN109771002A - Air bag driving covers bundling device - Google Patents

Air bag driving covers bundling device Download PDF

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Publication number
CN109771002A
CN109771002A CN201910188220.4A CN201910188220A CN109771002A CN 109771002 A CN109771002 A CN 109771002A CN 201910188220 A CN201910188220 A CN 201910188220A CN 109771002 A CN109771002 A CN 109771002A
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China
Prior art keywords
tube
outer tube
pricks
ligation ring
ligation
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CN201910188220.4A
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Chinese (zh)
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刘明
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Individual
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Individual
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Priority to CN201910188220.4A priority Critical patent/CN109771002A/en
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Abstract

Air bag driving covers bundling device, is related to a kind of medical instrument.Inner tube is pricked equipped with set, set pricks outer tube, connecting conduit, syringe interface, ligation ring, ligation ring rack tube, ligation ring mounting plate, syringe and scope;Ligation ring, which is set in, pricks inner tube front outermost, set pricks outer tube and is wrapped in set bundle inner tube lateral surface, the front that set pricks outer tube is relatively thin, it is normally in contraction state, set is pricked outer tube and is closely attached with set bundle inner tube lateral surface, set pricks the front end of outer tube in open or closed, the rear portion that set pricks outer tube continues the connecting tube for thickening and being formed and being socketed with scope front end, set is pricked outer tube and is connected to by connecting conduit with the syringe interface of syringe, ligation ring rack tube is put into the circular hole of ligation ring mounting plate, and ligation ring rack tube can freely slide up and down in circular hole.Can be realized to all kinds of Alimentary tract diseases for having idicatio it is efficient, conveniently, safe and quick ligation treatment.Structure is simpler, and processing and manufacturing is easier, the lighter simple and direct feature of operation.

Description

Air bag driving covers bundling device
Technical field
The present invention relates to a kind of medical instruments, prick dress more particularly, to the air bag driving set used in direct view under endoscope It sets.
Background technique
To Esophageal and gastric varices carry out direct view under endoscope ligation treatment be universally acknowledged efficient preferred treatment method it One.Traditional single-shot formula looping and binding device generallys use silk thread both at home and abroad and carries out the work that drawing set pricks inner cylinder retraction and discharges ligation ring Flowing mode needs repeatedly manually assembly ligation ring although structure is simple, and operation is more many and diverse, and service efficiency is low, and need to use one Thicker draught line directly affects the negative pressure suction force and therapeutic effect when treatment by endoscopic biopsy channel.In addition, due to Such line traction looping and binding device can just make the set in front prick inner cylinder and draw back to be reduced in outer cylinder to ligation ring to be detached from it is still necessary to firmly drawing, There is slippage when draught line, and be difficult to operate in the case where scope front end is in 180 ° of rollover states, therefore may not apply to varices of fundus of stomach Ligation treatment, therapeutic domain is limited, therefore has been eliminated at present.Multiple continuous cannula ligature apparatus (such as U.S. produced in USA The five rings Speedband of Boston scientific & technical corporation and seven ring loop ligature apparatus and six ring loop ligature apparatus of the Six-shooter of Cook company) though So multiple ligation rings continuously once can be discharged using conducting wire, but structure process is complicated, assembling difficulty is big, and cost is high.In addition, its The ligation ring quantity pre-installed on the outside of looping and binding device fixes and can generate certain interference to the scope visual field, clinically cannot be according to reality The border patient's condition carries out flexible Application, limits its clinical application range.Hereafter the air driven of SUMITOMO CHEMICAL Co., Ltd. research and development Looping and binding device makees flowing mode using completely new, has abandoned traction rope, using external air guide conduit, is carried out using cylinder pushing tow principle The release of ligation ring, therefore it is not take up biopsy channel, equipped with ligation ring mounting plate, operating efficiency and reliability are improved, but tie Structure and technique are still more complex, and expensive.Traditional looping and binding device for endoscope or Loop ligature is limited to be applied to oesophagus and stomach bottom more Varication and hemorrhoid treatment, and modern endoscopic ligation art has spread over the therapy field of more disease of digestive tracts, Such as polypectomy, submucous tumor, parteriole rupture haemorrhage, vascular malformation hyperplasia, the carcinectomy early of mucous membrane precancerous lesion, digestion The closure etc. of road perforation, therefore the purposes of looping and binding device is very extensive.The whole world has had more than 20 various looping and binding device for endoscope to produce at present Condition successfully puts goods on the market after researching and developing.
The applicant discloses a kind of Pneumatic ligator in Chinese patent 200920136854.7, is equipped with ligation tube, set Prick ring, airsac tube and connecting conduit.Ligation ring is set in ligation tube front, and airsac tube is located at the ligation tube outside after ligation ring, The front end of airsac tube is in open, is in contraction state when airsac tube is normal, and airsac tube passes through connecting conduit and a common medical injection Emitter is connected.Also some technical paper (clinical application of [1] Liu Ming self-control Novel air dynamic formula looping and binding device in relation to looping and binding device Chinese scope magazine .2002;8 (2): 48-49;[2] Liu Ming application self-control Novel air dynamic formula looping and binding device carries out endoscopic ligation art 206 experiences and cognition biomedical engineering and clinic .2011;15 (6): 539-543;[3] the disposable gas of Wu Mengjie The Xiamen comparative study [D] of dynamic formula looping and binding device and Cook looping and binding device treatment esophageal varices hemorrhage: medical college, Xiamen University .2014 year Xiamen University Bo Shuoshilunwenji;[4] Yu Juan set pricks the observation of curative effect of resection treatment colon slightly long base of a fruit polyp The Xiamen [D]: medical college, Xiamen University, Xiamen University Bo Shuoshilunwenji in 2018).
Summary of the invention
The purpose of the present invention is provide for above-mentioned shortcomings present in the existing looping and binding device applied both at home and abroad A kind of working principle is totally different from the past looping and binding device, operates easier, more efficient, more reliable performance in direct view under endoscope, Structure is simpler, and application is more flexible, it is easier to process, the less expensive air bag driving of cost covers bundling device.
The present invention be equipped with set prick inner tube, set prick outer tube, connecting conduit, syringe interface, ligation ring, ligation ring rack tube, Ligation ring mounting plate, syringe and scope;The ligation ring, which is set in, pricks inner tube front outermost, and the set pricks outer tube package Inner tube lateral surface is pricked in set, the front of set bundle outer tube is relatively thin, is normally in contraction state, set pricks outer tube and set bundle inner tube lateral surface is tight Closely connected attached, set pricks the front end of outer tube in open or closed, the rear portion that set pricks outer tube continue thicken to be formed can with before scope The connecting tube that end cap connects, set are pricked outer tube and are connected to by connecting conduit with the syringe interface of syringe, the ligation ring rack tube It is put into the circular hole of ligation ring mounting plate, ligation ring rack tube can freely slide up and down in circular hole.
The syringe for being provided with side opening can be used in the syringe.
Elastic ligation ring can be used in the ligation ring, and high resiliency O shape cushion rubber can be used in the elasticity ligation ring.
The set, which pricks inner tube, can be used hard transparent plastic casing, and the set, which pricks outer tube, then can be used elastic thin-wall transparent sheath Pipe.
The set constitutes a closed lacuna, set bundle inner tube after pricking inner tube and the one or both ends processing bonding of set bundle outer tube The back body for pricking outer tube with set is that set bundle outer tube continues integrally formed heavy wall resilient connection sebific duct, by coupling sebific duct part The front that set can be made to prick outer tube securely connects together with scope front end portion.
The closed lacuna then passes through an elongated soft connecting conduit and is connected with syringe, is led by syringe through connection When the set of pipe forwards pricks gas injection in outer lumen, set pricks outer tube will constantly expand increase in ring week capsule column, form expansive force, right It is placed in the ligation ring that set is pricked in front of outer tube lateral surface in advance and generates and makees to the successively incremeantal launching method that set bundle inner tube and set are pricked in front of outer tube With the continuous forward direction of ligation ring rolls until arrival set pricks inner tube and set bundle outer tube front end and falls off, and rapid elastical retraction restores To the lesser original shape state of diameter, and then complete set bundle movement.
Multiple ligation rings be expanded to one by one using expander in advance diameter it is sufficiently large after be seated on the outside of ligation ring rack tube On face, then sequentially it is placed into each corresponding bracket circular hole on ligation ring mounting plate with spare.
Cone expander can be used in the expander.
Hermetic type air bag and opening air bag both of which, hermetic type air bag can be used in the air bag that the set pricks outer tube front One closing chamber of the Nian Jie closure formation in the plastic conduit both ends of inner tube can be pricked with set, only communicated with the outside world by connecting conduit, benefit It is then covered when constantly being pricked in outer tube to set with syringe and injected gas and pricks outer tube and continue passively to expand, to generate sufficiently large swollen Expansive force and ligation ring is pushed away to set forwards and pricks outer tube front end, i.e. release ligation ring stops syringe pressurization and gas injection or does negative Pressure suction rear enclosure pricks outer tube elastical retraction and restores to the original state rear in the reversed dispatch re-injection emitter of air;Opening air bag is outside set is pricked The front end that pipe front end and set prick inner tube is not bonded together, and set pricks inner tube and set bundle, and outer tube is only parallel is closely attached onto, and Front end is only placing ligation ring by ligation ring mounting plate after set pricks outer tube lateral surface in open, set bundle outer tube Closely bound round at tube wall one by ligation ring and be pressed in set and prick the temporary airtight blister cavities formed on inner tube lateral wall, by syringe to Set is pricked in outer tube rear portion after gas injection, and inflated set is pricked outer tube positioned at the ligation ring for covering bundle outer tube front outsides and is pushed to set bundle Pipe front end continuous rolling finally loses the supporting role of set bundle inner tube from ligation tube front end and slips, the compression then injected Gas will all be overflowed from the opening shape gap that set pricks outer tube front end, lose gas pressure and elastic to cover and prick outer tube Retraction restores to the original state, standby to operate with for the second time, forms the gas injection-outer tube swelling-ligation ring release of set bundle-set and pricks outer tube retraction- Gas injection-reflation circulation actuation process again.
The set pricks the injection that has side opening of the outer tube in rear by an elongated connecting conduit and connection interface tube and rear Intercommunication after device connector is coupled.
Using the syringe for being provided with side opening on tube wall in the middle part of syringe, the pintle forward end seal circle for pushing injection needle forward is super It, can be through the outside gas injection of front end of the syringe needle connector, reversed pull pintle forward end seal circle to side after crossing this syringe small side hole plane It can air-breathing and gas storage into syringe when the rear of hole.And so on operation can after can disposably connecting gas injection catheter interface The square set forward for completing arbitrary number of times pricks gas injection movement repeatedly quantitative in outer tube, it is no longer necessary to repeated multiple times progress unloading injection The mode of device connector and connecting conduit interface realizes in syringe cavity the process of gas storage again by triple valve, thus simple Operation sequence is changed.
Multiple circular holes are offered above matching used ligation ring mounting plate, corresponding ligation ring rack tube outer diameter omits It is small in bore inner diameter so that when grip prick ring support cylinder be put into the circular hole of ligation ring mounting plate when, ligation ring rack tube can Freely to be slided up and down in hole;It is mounted on the lateral surface of ligation ring rack tube barrel after expanding ligation ring and places together When into circular hole hole, due to the thickening barrier effect by this external ligation ring added, part ligation ring rack tube will be quiet Only suspension is fixed on ligation ring mounting plate in each circular hole, is in stand-by state;Because ligation ring rack tube bosom has barrier Plate links and limits the depth in ligation tube front end insertion ligation ring rack tube when can play a dual role of in conjunction with ligation tube, It can ligation ring that can be easily and quickly assembled to set from ligation ring rack tube lateral surface to prick on outer tube front outsides face Predetermined position.
The process that ligation tube front assembly ligation ring is given below is as follows:
First ligation tube is sleeved and fixed by the connection rubber tube that the rear part thickens in scope front end, then ligation tube front end is whole Body is directed at the ligation ring rack tube inner vertical in ligation ring mounting plate hole and pushes, and has due to intermediate on the inside of ligation ring rack tube Baffler, ligation ring rack tube can link with the pushing of ligation tube and slide to the inside of mounting plate circular hole cave to lower section, and preparatory It is blocked on above hole, covers since diameter is greater than the diameter in hole by being placed in the ligation ring outside ligation ring rack tube Pricking ring will take advantage of a situation with being slid in hole completely for ligation ring rack tube and is detached from ligation ring rack tube lateral surface, then parallel retraction It is displaced on the outside of the ligation tube for being in ligation ring rack tube inner cylinder medial surface, i.e., set is pricked on outer tube lateral surface, to complete The process of ligation ring is once assembled in ligation tube.
The present invention by ligation tube and the tight fit of each ligation ring rack tube on ligation ring mounting plate in use, made With the high resiliency O shape ligation ring that can will already be at spare expansion state is quickly light from mounting plate ligation ring rack tube Ground reducing sleeve is put in the front that ligation tube first half outer elastic set pricks outer tube, and set pricks outer tube by the elastic lock ring in outside at this time Ligation ring is separated into front and back two parts, and it is still in open state that set, which pricks outer tube first half, and latter half of set is pricked outer tube and then covered on the outside The elastical retraction crimp effect for pricking ring is lower in temporary airtight state.It is covered outside bundle when being pricked via connecting conduit to set by syringe When pipe latter half pricks bolus quantitative gas in outer tube in the resilient sleeve of air-tight state, this resilient sleeve, which will prick outer tube, to be in rapidly The expansion of goalpost shape, set are put in the forward direction expansion that the high resiliency O shape ligation ring that set is pricked on the outside of outer tube first half is pricked outer tube by set and make Continuous movement forward and upwards is firmly generated, to be finally reached ligation tube to continuous rolling movement in front of ligation tube Front end loses the supporting role of internal layer hard ligation tube and falls off, and elastical retraction set is tied in advance by direct view under endoscope It was found that and entering the intracavitary portion of ligation tube first half inner cylinder by vacuum suction and the lesion vessels that sufficiently swell or soft tissue Basal part, to complete a ligation treatment process.Since connecting conduit is elongated soft conduit, therefore can arbitrarily be attached in parallel It is moved and free bend on the outside of scope shank with scope, neither interferes the activity of scope shank, the biopsy for being also not take up scope is logical Road, therefore vacuum suction and the flushing action of endoscopic biopsy channel can be given full play to, while nor affecting on the logical of endoscopic injection needle It crosses.
Following manner can be used and realize repeated multiple times continuous operation to complete the set bundle to multiple alimentary canal target tissues Treatment:
Ligation tube first with scope front end be connected and fixed after again by with ligation ring mounting plate install ligation ring, in endoscopic observation It is intracavitary with scope insertion alimentary canal under state, accurately search out lesion vessels or tissue, close to and be aligned lesion implement it is abundant Vacuum suction enables assistant inject firm gas quickly through syringe after organizing effectively completely to be sucked in ligation tube inner cylinder Body is pricked in outer tube via connecting conduit to front end sleeve, and set pricks the high resiliency O shape after outer tube swelling on i.e. releasable ligation tube outside Ligation ring is then realized primary complete set bundle process, is operated repeatedly, i.e., the implementable multiple ligation treatment to multiple spot lesion Operation.
The present invention and existing domestic and international wire-pulling type single-shot or running fire set of principle manufacture are expanded against according to above-mentioned air bag It pricks device to compare, due to using the technical method of completely new air bag driving release ligation ring, ligation ring can be made to cover In rolling tube generate before to skid exercise effect, be totally different from the simple sliding motion side of ligation ring of traditional wire-pulling type product Formula, it is easier to which the release of ligation ring, operation are more easily simple.It draws, is not required to since connecting conduit is attached in parallel outside shank To pass through endoscopic biopsy channel, that is, be not take up the channel of scope, greatly simplifie the installation procedure of looping and binding device, therefore install more Add original effect that is simple and direct quick, while farthest playing scope, such as vacuum suction, flushing and insertion puncture needle injection are hard Agent treatment etc..Connecting conduit can arbitrarily be bent with scope for soft conduit and transmit aerodynamical function without influencing its, therefore Especially it is suitable for using in various complicated tortuous digester tubes.
Transparent material manufacture can be used in ligation tube of the present invention, can achieve fully transparent, and lateral surface is only pacified Equipped with 1 ligation ring on outer side, therefore minimum can achieve compared with other looping and binding devices to the interference in the scope visual field, more has Conducive to accurately finding Alimentary tract disease in direct view under endoscope and implement successive treatment.
Matched ligation ring mounting plate is equipped with 8 spare ligation rings expanded in advance, can an operative process It can complete the ligation treatment at least eight diseased region.The second secondary ligation ring mounting plate can also be added according to the state of an illness to realize The ligation treatment of more numbers and more site lesions.
The present invention can directly connect ligation tube in scope front end by the secured intussusception peace in connection rubber tube part of the rear part, Elongated connecting conduit and scope shank parallel arrangement are freely drawn, and the biopsy channel by scope is not needed, and are installed from ligation ring Feeding oesophagus is inserted with scope after quick fit on ligation ring on plate or gastric tube is intracavitary, can carry out essence in direct view under endoscope Really, intuitively, easy operation of diagnosis and treatment.Due to using the novel air bag actuation principle without using draught line, this air bag driving Versatile apparatus is completed to cover in bundle action process and will not generate interference to the functional status of scope.Assistant uses special needle cylinder wall There is the syringe of small side hole to prick bolus quantitative gas in outer tube via the set of connecting conduit forward end, set is made to prick outer tube by nothing And greatly to expansion rapidly on the outside of ligation tube, the high resiliency O shape that tightly compressing hoop strangles in ligation tube lateral surface front can be covered and be pricked Ring generate before to expansion power, push ligation ring continuous rolling from the front to the back on the outside of ligation tube, finally ligation ring made to exist The front end of hard ligation tube loses supporting role and is detached from and is released, and elastical retraction reduction jacket is tied in oneself through being arrived by vacuum suction The basal part of intracavitary soft cirso- root and lesion in ligation tube, to complete primary set bundle process.According to practical need It wants, can quickly and easily reinstall next new ligation ring again by ligation ring mounting plate, repeat aforesaid operations program, A series of ligation treatments sequentially can be carried out to more lesions, therefore its application is very simple and direct and flexible.
Compared with existing all types of looping and binding devices, the present invention has following characteristics:
(1) new airbag driving release ligation ring principle;
(2) installation ligation tube is simple and direct;
(3) it is easily rapid that multiple ligation rings are assembled;
(4) it is not take up endoscopic biopsy channel;
(5) use flexibly;
(6) clinical application is extensive.
(7) using the present invention can be realized to all kinds of Alimentary tract diseases for having idicatio it is efficient, conveniently, it is safely and quick Ligation treatment.
Compared with the gas push formula single-shot of Japan set bundling device, the present invention has the more advanced novelty of principle, and structure is more Simply, processing and manufacturing is easier, the lighter simple and direct feature of operation.
Detailed description of the invention
Fig. 1 is the structure composition that set of the present invention pricks inner tube, set pricks outer tube, connecting conduit and syringe interface embodiment Schematic diagram.
Fig. 2 is that the structure composition of ligation ring of the present invention, ligation ring rack tube and ligation ring mounting plate embodiment is illustrated Figure.
Fig. 3 is that the ligation tube of the embodiment of the present invention assembles the structure composition schematic diagram of ligation ring.In Fig. 3, A is ligation tube Alignment sleeve is pricked on the inside of ring support cylinder, and B is that press sleeve pricks ring support cylinder vertically downward, and C is that ligation ring is displaced in after above proposing ligation tube Ligation tube periphery.
Fig. 4 is that the ligation tube of the embodiment of the present invention discharges the structure composition schematic diagram of ligation ring.In Fig. 4, A is alignment disease Become and implement vacuum suction, B is to prick gas injection in outer tube to set to discharge ligation ring, and C is the pathological tissues that quilt cover is pricked.
Fig. 5 is the matching used syringe schematic diagram with side opening of the embodiment of the present invention.
Specific embodiment
Following embodiment will the present invention is further illustrated in conjunction with attached drawing.
Referring to Fig. 1~5, the embodiment of the present invention be equipped with set pricks inner tube 1, set pricks outer tube 2, connecting conduit 3, syringe interface 4, Ligation ring 5, ligation ring rack tube 6, ligation ring mounting plate 7, syringe 8 and scope 9;The ligation ring 5, which is set in, pricks inner tube 1 Front outermost, the set prick outer tube 2 and are wrapped in set bundle 1 lateral surface of inner tube, and the front that set pricks outer tube 2 is relatively thin, normal in contraction State, set are pricked outer tube 2 and are closely attached with set bundle 1 lateral surface of inner tube, and set pricks the front end of outer tube 2 in open or closed, set The rear portion for pricking outer tube 2 continues the connecting tube for thickening and being formed and being socketed with 9 front end of scope, and set is pricked outer tube 2 and led by an elongated connection Pipe 3 is connected to the syringe interface 4 of syringe 8, and the ligation ring rack tube 6 is put into the circular hole of ligation ring mounting plate 7, and set is pricked Ring support cylinder 6 can freely slide up and down in circular hole.In Fig. 3, label 10 is the pathological tissues that quilt cover is pricked.
The syringe 8 is using the syringe for being provided with side opening.
High resiliency O shape cushion rubber can be used using elastic ligation ring, the elasticity ligation ring in the ligation ring 5.
The set pricks inner tube 1 and uses hard transparent plastic casing, and the set, which pricks outer tube 2, can be used elastic thin-wall transparent sheath Pipe.
The set pricks inner tube 1 and constitutes a closed lacuna after covering the one or both ends processing bonding for pricking outer tube 2, covers in pricking The back body of pipe 1 and set bundle outer tube 2 pricks outer tube 2 for set and continues integrally formed heavy wall resilient connection sebific duct, by coupling glue The front that tube portion can make set prick outer tube 2 securely connects together with 9 front end portion of scope.
The closed lacuna then passes through an elongated soft connecting conduit 3 and is connected with syringe 8, by syringe 8 through even When connecing the set bundle 2 intracavitary gas injection of outer tube of conduit 3 forwards, set pricks outer tube 2 will constantly expand increase in ring week capsule column, be formed swollen Expansive force generates to set the ligation ring 5 being placed in front of set bundle 2 lateral surface of outer tube in advance and pricks 2 front of inner tube 1 and set bundle outer tube Successively incremeantal launching method effect, the continuous forward direction of ligation ring 5 rolls until arrival set pricks inner tube 1 and set bundle 2 front end of outer tube and falls off, rapidly Elastical retraction restores to the lesser original shape state of diameter, and then completes set bundle movement.
Multiple ligation rings 5 in advance using expander be expanded to one by one diameter it is sufficiently large after be seated in outside ligation ring rack tube 6 On side, then sequentially it is placed into each corresponding bracket circular hole on ligation ring mounting plate 7 with spare.
The expander uses cone expander.
Hermetic type air bag and opening air bag both of which, hermetic type gas can be used in the air bag that the set pricks 2 front of outer tube Capsule can prick one closing chamber of the Nian Jie closure formation in the plastic conduit both ends of inner tube 1 with set, only pass through connecting conduit 3 and extraneous phase It is logical, bundle outer tube 2 is then covered when constantly pricking in outer tube 2 to set using syringe 8 and inject gas and continues passively to expand, to generate foot Enough big expansive forces and ligation ring 5 is pushed away to set forwards and pricks 2 front end of outer tube, i.e. release ligation ring 5 stops syringe 8 and pressurizes Gas injection does negative-pressure ward rear enclosure bundle 2 elastical retraction of outer tube for reinstatement rear in the reversed dispatch re-injection emitter 8 of air;It is open Type air bag be set prick 2 front end of outer tube and set prick inner tube 1 front end be not bonded together, set prick inner tube 1 and cover bundle outer tube 2 it is only parallel It is closely attached onto, and front end is in open, only pricks outer tube 2 in set placing ligation ring 5 by ligation ring mounting plate 7 After lateral surface, is closely bound round to be pressed in cover by ligation ring 5 at the tube wall one of set bundle outer tube 2 and prick on 1 lateral wall of inner tube and the one of formation faces When closed blister cavities, pricked in 2 rear portion of outer tube after gas injection by syringe 8 to set, the ligation ring 5 of 2 front outsides of outer tube pricked positioned at set Inflated set is pricked outer tube 2 to push to ligation tube front end continuous rolling, finally set is lost from ligation tube front end and pricks inner tube 1 Supporting role and slip, the compressed gas then injected by from set prick 2 front end of outer tube opening shape gap in all overflow, thus It covers to prick inside outer tube 2 and loses gas pressure and elastical retraction restores to the original state, it is standby to operate with for the second time, it is outer to form gas injection-set bundle 2 expansions of pipe-5 releases of ligation ring-set pricks the retraction of outer tube 2-gas injection-reflation circulation actuation process again.
The set, which pricks outer tube 2, has side opening 11 by an elongated connecting conduit 3 and connection interface tube and rear in rear Intercommunication after 8 connector of syringe is coupled, the diameter of the side opening 11 are 1mm.
Using the syringe 8 for being provided with side opening 11 on tube wall in the middle part of syringe, the pintle forward end seal of injection needle is pushed forward Circle be more than this syringe small side hole plane after, can be through the outside gas injection of 8 front tab of syringe, reversed pull pintle forward end seal circle It can air-breathing and gas storage into syringe when to side opening rear.After and so on operation can disposably connect gas injection catheter interface Gas injection movement repeatedly quantitative in outer tube is pricked with regard to the square set forward of achievable arbitrary number of times, it is no longer necessary to repeated multiple times carry out unloading The mode of syringe adapter and connecting conduit interface realizes in syringe cavity the process of gas storage again by triple valve, from And simplify operation sequence.
Matching used ligation ring mounting plate 7 offers multiple circular holes, corresponding 6 outer diameter of ligation ring rack tube above It is slightly smaller than bore inner diameter, so that when grip is pricked ring support cylinder 6 and is put into the circular hole of ligation ring mounting plate 7, ligation ring bracket Cylinder 6 can freely slide up and down in hole;The lateral surface of 6 barrel of ligation ring rack tube is mounted on simultaneously after expanding ligation ring 5 When be placed into circular hole hole together, due to the thickening barrier effect by this external ligation ring added, part ligation ring bracket Cylinder 6 static will be suspended and is fixed on ligation ring mounting plate 7 in each circular hole, be in stand-by state;Inside ligation ring rack tube 6 There is baffler in centre, and the depth in ligation tube front end insertion ligation ring rack tube 6 is linked and limited when can play in conjunction with ligation tube Double action is spent, can make ligation ring 5 that can be easily and quickly assembled to set from ligation ring rack tube 6 and prick 2 front of outer tube Predetermined position on lateral surface.
Set is pricked inner tube 1, ligation ring mounting plate 7 and ligation ring rack tube 6 and is processed using medical grade rigid plastics, and set pricks outer tube 2 and latter half of connecting tube part using transparent silicone rubber be integrally formed manufacture;Connecting conduit 3 uses soft medical plastic processing system At;Ligation ring 5 is made of the nontoxic natural rubber of high resiliency.
Technological merit of the invention is simple for structure, utilizes the tension actuation expanded outward after completely new air bag gas injection former Reason pushes the resilient sleeve for being located at outside to prick mobile in front of circumferential looping and binding device and is finally released to realize the ligation treatment to lesion Effect is totally different from the principle of the existing commercially available ligation ring of all types of looping and binding devices release both at home and abroad, and, source few using material Abundant, assembling is simple, easy to manufacture, does not need installation draught line and line button, and uses elongated gas-guide tube in scope outlet Cloth extraction is docked i.e. usable with syringe, is not take up the biopsy channel of scope, and equipped with dedicated polycyclic ligation ring mounting plate, Multiple ligation rings quickly continuously can be successively installed, looping and binding device ontology can quickly be socketed with scope front end and use, and installation is extremely It is simple and direct.Disadvantage is single-shot formula looping and binding device, slightly cumbersome using program, but application is very flexible;Presently mainly it is limited to existing processing Technical difficulty is big and looping and binding device narrow space, can not temporarily be manufactured as repeating type looping and binding device.

Claims (10)

1. air bag driving cover bundling device, it is characterised in that be equipped with set prick inner tube, set prick outer tube, connecting conduit, syringe interface, Ligation ring, ligation ring rack tube, ligation ring mounting plate, syringe and scope;The ligation ring, which is set in, pricks inner tube front most Outside, the set prick outer tube and are wrapped in set bundle inner tube lateral surface, and set bundle outer tube is pricked inner tube lateral surface with set and closely attached, covers outside pricking In open or closed, the rear portion that set pricks outer tube continues the connecting tube for thickening and being formed with the socket of scope front end for the front end of pipe, Set is pricked outer tube and is connected to by connecting conduit with the syringe interface of syringe, and the ligation ring rack tube is put into ligation ring mounting plate Circular hole in, ligation ring rack tube freely slides up and down in circular hole.
2. air bag driving as described in claim 1 covers bundling device, it is characterised in that the syringe is using the note for being provided with side opening Emitter.
3. air bag driving as described in claim 1 covers bundling device, it is characterised in that the ligation ring is using elastic ligation ring, institute Elastic ligation ring is stated using high resiliency O shape cushion rubber.
4. air bag driving as described in claim 1 covers bundling device, it is characterised in that the set is pricked inner tube and moulded using hard transparent Expect that casing, the set prick outer tube and use elastic thin-wall transparent casing.
5. air bag driving as described in claim 1 covers bundling device, it is characterised in that the set pricks inner tube and set pricks the one of outer tube One closed lacuna of composition after end or both ends processing are bonded, it is that set pricks outer tube continuity that set, which pricks inner tube and covers the back body of bundle outer tube, Integrally formed heavy wall resilient connection sebific duct is socketed in by coupling the front that sebific duct makes set prick outer tube with scope front end portion Together.
6. air bag driving as claimed in claim 5 covers bundling device, it is characterised in that the closed lacuna by connecting conduit with Syringe is connected, and pricks gas injection in outer lumen through the set of connecting conduit forwards by syringe.
7. air bag driving as described in claim 1 covers bundling device, it is characterised in that the air bag that the set pricks outer tube front uses Hermetic type air bag and opening air bag both of which, hermetic type air bag closed Nian Jie with the set bundle plastic conduit both ends of inner tube At a closing chamber, only communicated with the outside world by connecting conduit;Opening air bag is the front end that set pricks outer tube front end and set pricks inner tube Be not bonded together, set pricks inner tube and set pricks that outer tube is only parallel is closely attached onto, and front end be in it is open, only passing through Ligation ring mounting plate places ligation ring after set pricks outer tube lateral surface, is closely bound round and is pressed in by ligation ring at the tube wall one of set bundle outer tube Set pricks the temporary airtight blister cavities formed on inner tube lateral wall, after gas injection, is located at by syringe into set bundle outer tube rear portion Inflated set is pricked outer tube and pushed to ligation tube front end continuous rolling by the ligation ring of set bundle outer tube front outsides, final from set Rolling tube front end loses set and pricks the supporting role of inner tube and slip, and the compressed gas then injected will prick the opening of outer tube front end from set Shape all overflows in gap, pricks that outer tube loses gas pressure and elastical retraction restores to the original state to cover, and operates for standby second It uses, forms gas injection-set and prick outer tube swelling-ligation ring release-set bundle outer tube retraction-gas injection-reflation circulation actuation again Journey.
8. air bag driving as described in claim 1 covers bundling device, it is characterised in that the set pricks outer tube and passes through connection in rear Intercommunication after conduit and connection interface tube are coupled with the syringe adapter for having side opening at rear.
9. air bag driving as described in claim 1 covers bundling device, it is characterised in that the ligation ring mounting plate is equipped with multiple Circular hole, ligation ring rack tube outer diameter are less than bore inner diameter, so that when grip pricks the circular hole that ring support cylinder is put into ligation ring mounting plate When interior, ligation ring rack tube freely slides up and down in circular hole.
10. air bag driving as described in claim 1 covers bundling device, it is characterised in that the ligation ring mounting plate is equipped with multiple pre- The spare ligation ring first expanded.
CN201910188220.4A 2019-03-13 2019-03-13 Air bag driving covers bundling device Pending CN109771002A (en)

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CN109771002A true CN109771002A (en) 2019-05-21

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111248979A (en) * 2020-03-30 2020-06-09 解金枝 Haemorrhoids ligation device
CN113143376A (en) * 2021-02-25 2021-07-23 重庆市中医院 Internal hemorrhoid ligation device

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH10179595A (en) * 1996-12-25 1998-07-07 Sumitomo Bakelite Co Ltd Kit for endoscopic ligation
CN2302014Y (en) * 1997-04-01 1998-12-30 湖北省肿瘤医院 Pressurizing and air-filling device for venous infusion
CN2436107Y (en) * 2000-05-29 2001-06-27 刘明 Pneumatic continuous cannula ligature apparatus
US20050177178A1 (en) * 2002-08-26 2005-08-11 Hirohito Suzuki Ligation treating apparatus
CN201353173Y (en) * 2009-02-25 2009-12-02 刘明 Pneumatic ligator
CN210277292U (en) * 2019-03-13 2020-04-10 刘明 Air bag driving type ligation device

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH10179595A (en) * 1996-12-25 1998-07-07 Sumitomo Bakelite Co Ltd Kit for endoscopic ligation
CN2302014Y (en) * 1997-04-01 1998-12-30 湖北省肿瘤医院 Pressurizing and air-filling device for venous infusion
CN2436107Y (en) * 2000-05-29 2001-06-27 刘明 Pneumatic continuous cannula ligature apparatus
US20050177178A1 (en) * 2002-08-26 2005-08-11 Hirohito Suzuki Ligation treating apparatus
CN201353173Y (en) * 2009-02-25 2009-12-02 刘明 Pneumatic ligator
CN210277292U (en) * 2019-03-13 2020-04-10 刘明 Air bag driving type ligation device

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111248979A (en) * 2020-03-30 2020-06-09 解金枝 Haemorrhoids ligation device
CN113143376A (en) * 2021-02-25 2021-07-23 重庆市中医院 Internal hemorrhoid ligation device

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