CN110693560B - Nasal cavity air filling bag device for nasal cavity neuroendoscopy operation - Google Patents

Abstract

The invention discloses a nasal cavity filling air bag device for a nasal cavity neuroendoscopy operation, which comprises a nasal cavity tube, wherein an endoscope channel is arranged in the nasal cavity tube, an opening I and an opening II are respectively arranged on two side edges of the endoscope channel, one side edge of the nasal cavity tube, which is positioned at the opening II, is of an arc edge structure, a connecting ring is arranged on one side edge of the nasal cavity tube, which is positioned at the opening I and is far away from the opening II, an air bag placing cavity is arranged on the outer side of the nasal cavity tube, which is far away from the endoscope channel, an inflating bag is arranged in the air bag placing cavity, an inflating tube is arranged on one side edge of the inflating bag, which is close to the opening I, one end of the inflating tube, which is far away from the inflating bag, penetrates through the side wall of the nasal cavity tube and extends. Has the advantages that: can be better assist the nasal nerve endoscope operation, be convenient for better satisfy the demand in the operation.

Description

A nasal cavity filling balloon device for transnasal neuroendoscopic surgery

technical field

The present invention relates to the technical field of medical appliances, in particular, to a device for filling a nasal cavity with a balloon for transnasal neuroendoscopic surgery.

Background technique

At present, the treatment of pituitary tumors, skull base tumors and even aneurysms through nasal neuroendoscopy is becoming more and more widespread. For a long time, due to the abundant blood vessels in the nasal cavity, the bleeding and oozing of this channel often lead to the deterioration of the surgical field, and it is necessary to repeatedly rinse or even continuously remove and clean the endoscope lens; It leads to the re-injury of the nasal mucosa and increases the bleeding; in clinical practice, some units currently use epinephrine cotton to push and compress the nasal mucosa to create a channel, so that the endoscopic lens can be easily entered and exited, and the nasal mucosa vasoconstriction can achieve the purpose of hemostasis; However, the shortcomings are also obvious. The absorption of epinephrine by the nasal mucosa leads to the increase of blood pressure in patients during operation, which leads to unforeseen complications after operation, such as intracranial hemorrhage. And inferior turbinate nasal mucosa, resulting in blood still contaminating the surgical field along the nasal dilator, and the nasal dilator cannot move after being fixed, which limits the movement of the endoscope lens and reduces the surgical field of view, which is not conducive to better surgery. It is not possible to better meet the needs of the operation.

To sum up, how to better assist nasal neuroendoscopic surgery is a technical problem that needs to be solved urgently.

SUMMARY OF THE INVENTION

The technical task of the present invention is to address the above deficiencies, and to provide a nasal cavity filling balloon device for transnasal neuroendoscopic surgery to solve the problem of how to better assist the nasal neuroendoscopic surgery.

The technical scheme of the present invention is realized as follows:

A nasal cavity filling airbag device for transnasal neuroendoscopic surgery, comprising a nasal cavity tube, an endoscope channel is opened inside the nasal cavity tube, and an opening 1 and an opening 2 are respectively opened on both sides of the endoscope channel, And one side of the nasal cavity tube located at the second opening is an arc-shaped edge structure.

Preferably, a connecting ring is installed on the side of the nasal cavity tube away from the opening 2, and an airbag placement cavity is opened on the outer side of the nasal cavity tube away from the endoscope channel, and the airbag placement cavity is An inflatable bag is installed inside, an inflatable tube is installed on one side of the inflatable bag close to the opening one, and the end of the inflatable tube away from the inflatable bag penetrates through the side wall of the nasal cavity tube and extends to the Below the connecting ring, a connecting head is installed below the connecting ring, and the end of the inflatable tube away from the inflatable bag is fixedly connected to the side of the connecting head one close to the nasal cavity tube, and the air bag is fixedly connected. A hemostatic mechanism is installed on the outer side of the placement cavity away from the nasal cavity tube, and the hemostasis mechanism is composed of a bottom compartment, a catheter cavity, a water-absorbing gauze layer and a sterile cotton layer, and the bottom compartment is located in the airbag placement cavity. At the top, the catheter cavity, the water-absorbing gauze layer and the sterile cotton layer are arranged in sequence above the bottom compartment, the catheter cavity is installed with a catheter, and the top of the catheter A number of two conduits are installed, and the top of the two conduits penetrates and extends to the interior of the sterile cotton layer, and one end of the conduit one close to the connecting ring penetrates and extends to the inner top of the connecting ring, The top end of the connecting ring is installed with the second connecting head, and one end of the first conduit close to the connecting ring is fixedly connected with the bottom of the second connecting head, and a push rod is installed inside the endoscope channel, and the push rod is installed inside the endoscope channel. One end of the rod away from the opening 1 penetrates through the connecting ring and extends to the side of the connecting ring away from the opening 1, the end of the push rod close to the opening 2 is installed with a push head, and the The head is in the shape of a ball, a support rod is installed on the outer side of one end of the push rod close to the opening 2 and on the side of the push head away from the opening 2, and the outer side of the connecting ring is located on the connecting head 1. A baffle plate is fixedly installed between the nasal cavity tube and the connection head 2 and the nasal cavity tube; a valve switch 1 is installed on the connection head 1.

Preferably, an inflatable head is installed at the bottom of the connecting head 1, and a sealing cover 1 is installed on the inflatable head.

Preferably, a second valve switch is installed on the second connecting head.

Preferably, a pipe joint is installed on the top of the connecting head 2, and a sealing cover 2 is installed on the pipe joint.

Preferably, a plurality of fixing rings are installed on the top of the bottom partition and inside the conduit cavity, and the fixing rings are all sleeved on the outer side of the first conduit.

Preferably, a push handle is fixedly installed at one end of the push rod away from the push head.

Preferably, a side of the push head away from the push rod is coated with a smooth coating.

Preferably, the two struts are installed symmetrically, and the side of the nasal cavity tube close to the endoscope channel is provided with a groove that matches the struts.

Preferably, the nasal tube has a hard rubber tube.

Compared with the prior art, the advantages and positive effects of the present invention are:

1. Through the interaction between the nasal tube and the inflatable bag, it is possible to facilitate the entry and exit of the endoscopic lens during the operation, and facilitate the better performing of the endoscopic surgery of the nasal nerve.

2. Through the interaction between the nasal tube and the hemostasis mechanism, the nasal endometrial blood vessels can be protected to a certain extent during the endoscopic operation of the nasal cavity, and at the same time, the hemostasis can be carried out in time after the hemorrhage to ensure the nasal endoscopic operation. normal operation of the operation.

3. The present invention solves the problem of how to better assist the endoscopic operation of the nasal nerve, so that an effective channel can be created during the endoscopic operation of the nasal nerve, which facilitates the entry and exit of the endoscopic lens. At the same time, it also protects the intimal blood vessels of the nasal cavity to a certain extent, and can deal with the bleeding in a timely and effective manner, so that the endoscopic nasal neurosurgery can be performed better and better meet the needs of the operation.

Description of drawings

In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the accompanying drawings required in the embodiments will be briefly introduced below. Obviously, the drawings in the following description are only some of the present invention. In the embodiments, for those of ordinary skill in the art, other drawings can also be obtained according to these drawings without any creative effort.

1 is a schematic structural diagram according to an embodiment of the present invention;

FIG. 2 is a schematic structural diagram of a part of an inflatable bag according to an embodiment of the present invention;

FIG. 3 is a schematic structural diagram of a part of a hemostatic structure according to an embodiment of the present invention;

4 is a schematic diagram of a strut and a groove structure according to an embodiment of the present invention;

FIG. 5 is a schematic diagram of a bulging structure of an inflatable bag according to an embodiment of the present invention.

In the picture:

1. Nasal tube; 2. Endoscope channel; 3. Opening 1; 4. Opening 2; 5. Connecting ring; 6. Airbag placement cavity; 7. Inflatable bag; 8. Inflatable tube; 9. Connector 1; 10. Hemostasis mechanism; 11. Bottom compartment; 12. Catheter cavity; 13. Water-absorbing gauze layer; 14. Sterile cotton layer; 15. Catheter 1; 16. Catheter 2; 17. Connector 2; 18. Push rod; 19 , push head; 20, strut; 21, baffle; 22, valve switch one; 23, inflation head; 24, sealing cover one; 25, valve switch two; 26, pipe joint; 27, sealing cover two; 28, Fixing ring; 29, push handle; 30, smooth coating; 31, groove.

Detailed ways

In order to more clearly understand the above objects, features and advantages of the present invention, the present invention will be further described below with reference to the accompanying drawings and embodiments. It should be noted that the embodiments of the present application and the features in the embodiments may be combined with each other in the case of no conflict.

The present invention will be further described below with reference to the accompanying drawings and specific embodiments.

Embodiment 1, as shown in FIGS. 1-5 , according to an embodiment of the present invention, a nasal cavity filling balloon device for transnasal neuroendoscopic surgery includes a nasal cavity tube 1 , and an endoscope is opened inside the nasal cavity tube 1 . Channel 2, the two sides of the endoscope channel 2 are respectively provided with an opening 3 and an opening 2 4, and the side of the nasal cavity tube 1 located in the opening 2 4 is an arc-shaped edge structure, and the nasal cavity tube 1. A connecting ring 5 is installed on the side of the opening one 3 away from the opening two 4, and an airbag placement cavity 6 is opened on the outer side of the nasal cavity tube 1 away from the endoscope channel 2, and the airbag placement cavity is 6. An inflatable bag 7 is installed in it. Through the interaction between the nasal cavity tube 1 and the inflatable bag 7, it is possible to facilitate the entry and exit of the endoscopic lens during the operation, which is convenient for better performing endoscopic surgery of the nasal nerve. The inflatable bag 7 An inflatable tube 8 is installed on the side close to the opening one 3 , and the end of the inflatable tube 8 away from the inflatable bag 7 penetrates the side wall of the nasal cavity tube 1 and extends to the bottom of the connecting ring 5 , a connecting head 9 is installed below the connecting ring 5, and the end of the inflatable tube 8 away from the inflatable bag 7 is fixedly connected with the side of the connecting head 9 close to the nasal cavity tube 1, using When connected to an external inflatable device through the connector 1 9, the inflation of the inflatable bag 7 is realized. 10 consists of a bottom partition 11, a catheter cavity 12, a water-absorbing gauze layer 13 and a sterile cotton layer 14, and the bottom partition 11 is located on the top of the balloon placement cavity 6, the catheter cavity 12 and the The water-absorbing gauze layer 13 and the sterile cotton layer 14 are arranged in sequence on the top of the bottom partition 11 , a conduit one 15 is installed inside the conduit cavity 12 , and several conduits are installed on the top of the conduit one 15 . The second 16, and the top end of the second conduit 16 penetrates and extends to the interior of the sterile cotton layer 14, and one end of the conduit one 15 close to the connecting ring 5 penetrates and extends to the interior of the connecting ring 5 The top, the top of the connecting ring 5 is installed with the connecting head 2 17, and the end of the catheter 1 15 close to the connecting ring 5 is fixedly connected with the bottom of the connecting head 2 17. When in use, when the nasal cavity intimal blood vessels are When bleeding occurs, the operator can quickly input the hemostatic drug into the sterile cotton layer 14 through the interaction between the connector 2 17 and the catheter 1 15 and the catheter 2 16, and then pass through the The genital cotton layer 14 performs hemostasis treatment on the bleeding place, and at the same time, because the bottom of the sterile cotton layer 14 is a water-absorbing gauze layer 13, it can absorb the blood flowing out, so as to ensure that the bleeding will not affect the endoscope lens. The sterile cotton layer 14 can protect the intimal blood vessels of the nasal cavity to a certain extent, and can also achieve the effect of preventing bleeding to a certain extent. A push rod 18 is installed inside the endoscope channel 2, and the push rod 18 The end away from the opening one 3 penetrates through the connecting ring 5 and extends to the side of the connecting ring 5 away from the opening one 3, and the push rod 18 is close to the One end of the second opening 4 is installed with a pusher 19, and the pusher 19 is spherical. The push rod 18 is close to the outer side of one end of the second opening A support rod 20 is installed on the side, and a stopper is fixedly installed on the outer side of the connecting ring 5 and between the connecting head 9 and the nasal cavity tube 1 and between the connecting head 2 17 and the nasal cavity tube 1. Plate 21, when in use, the operator holds the push handle 29, pushes the push rod 18 to move the push head 19 to the position of the opening 24, so that the push head 19 and the nasal cavity tube 1 An arc-shaped pusher head is formed at one end near the opening 2 4, and then under the action of the support rod 20, the nasal cavity tube 1 is pushed into the nasal cavity, and the baffle 21 can be used very well. It prevents over-push and ensures safe operation.

Embodiment 2, as shown in Figures 1 and 2, a valve switch 22 is installed on the connector 1 9; an inflation head 23 is installed on the bottom of the connector 9, and a sealing cover is installed on the inflation head 23 One 24; when in use, open the sealing cover one 24, connect the inflatable head 23 with an external inflatable device, then open the valve switch one 22, and carry out the inflatable bag 7 through the inflatable tube 8. Inflate, close the valve switch 1 22 after the inflation is completed, the valve switch 1 22 can ensure that the air bag 7 will not leak air, and ensure that it can be used stably; and the sealing cover 1 24 is in the The structure is protected before use to ensure that the structure of the device can maintain good stability before use, so that it can be used better.

Embodiment 3, as shown in FIGS. 1 and 3 , a valve switch 25 is installed on the connecting head 2 17 , a pipe joint 26 is installed on the top of the connecting head 2 17 , and a sealing cover is installed on the pipe joint 26 . Two 27; When using, open the sealing cover two 27, connect the hemostatic drug syringe with the pipe joint 26, and then open the valve switch two 25, through the mutual connection between the conduit one 15 and the conduit two 16 function, the hemostatic drug is delivered to the inside of the sterile cotton layer 14, so that the sterile cotton layer 14 can stop the bleeding of the blood vessels in the nasal cavity. The structure is protected to ensure that the structure of the device before use can maintain good stability, so that it can be used better.

Embodiment 4, as shown in FIG. 3 , a plurality of fixing rings 28 are installed on the top of the bottom partition 11 and inside the conduit cavity 12 , and the fixing rings 28 are all sleeved on the conduit one 15 . The outer side of the tube 1; the catheter one 15 can be well fixed and limited by the fixing ring 28, so that the catheter one 15 can be used better, and thus can better assist the operation.

Embodiment 5, as shown in FIG. 1 , a push handle 29 is installed at the end of the push rod 18 away from the second opening 4 ; it is convenient to hold and push during use, so that the operation can be better.

Embodiment 6, as shown in FIG. 1 , the side of the push head 19 away from the push rod 18 is coated with a smooth coating 30; the smooth coating 30 can make the push head 19 more convenient to carry out It facilitates the operation of medical staff, reduces the discomfort of patients, and can better meet the needs of use.

Embodiment 7, as shown in Figures 1 and 4, the support rods 20 are two symmetrically installed, and one side of the nasal tube 1 close to the endoscope channel 2 is provided with the support rods 20. Fitted groove 31 ; through the cooperation between the groove 31 and the strut 20 , the nasal tube 1 can be better advanced, so that the operation of the medical staff can be better facilitated.

Embodiment 8, as shown in Figures 1-5, the nasal cavity tube 1 has a hard rubber tube; the hard rubber tube has both flexibility and a certain hardness, which can make the endoscope lens go in and out better, and can also The intimal blood vessels of the nasal cavity should be protected to a certain extent, so that the endoscopic surgery of the nasal nerve can be better performed.

In order to facilitate the understanding of the above technical solutions of the present invention, the working principle or operation mode of the present invention in the actual process will be described in detail below.

In practical application, the operator holds the push handle 29 and pushes the push rod 18 to move the push head 19 to the position of the opening 2 4 , so that the push head 19 and the nasal cavity tube 1 are close to each other. One end of the opening 24 forms an arc-shaped push head, and then under the action of the support rod 20 and the groove 31, the nasal cavity tube 1 is pushed into the nasal cavity, and then the sealing cover is opened. One 24, connect the inflatable head 23 to the external inflatable device, then open the valve switch one 22, inflate the inflatable bag 7 through the inflatable tube 8, and close the valve switch after the inflation is completed One 22 , at this time, the inflatable bag 7 is inflated, so that the nasal cavity tube 1 is fixed inside the nasal cavity, because the support rod 20 and the groove 31 are both set obliquely, and the push head 19 is a ball Therefore, after the nasal cavity tube 1 is pushed into the nasal cavity and fixed, the push rod 18 and the push head 19 can be easily taken out, and the endoscopic lens can be inserted after taking out. When bleeding occurs in the blood vessels in the nasal cavity, the operator can open the second sealing cover 27, connect the hemostatic drug syringe with the pipe joint 26, and then open the valve switch 2 25, and connect the catheter with the catheter through the catheter 1 15. The interaction of the two 16, the hemostatic drug is delivered to the inside of the sterile cotton layer 14, so that the sterile cotton layer 14 can stop the bleeding of the blood vessels in the nasal cavity. The bottom is a water-absorbing gauze layer 13, which can absorb the blood flowing out, so as to ensure that the bleeding will not affect the endoscope lens.

Through the above specific embodiments, those skilled in the art can easily implement the present invention. However, it should be understood that the present invention is not limited to the specific embodiments described above. On the basis of the disclosed embodiments, those skilled in the technical field can arbitrarily combine different technical features to realize different technical solutions.

Claims (6)

1. The utility model provides a nasal cavity gas pocket device of filling for nasal cavity neuroendoscopy operation, a serial communication port, including nasal cavity pipe (1), scope passageway (2) have been seted up to the inside of nasal cavity pipe (1), opening one (3) and opening two (4) have been seted up respectively to the both sides limit of scope passageway (2), just nasal cavity pipe (1) is located one side of opening two (4) is arc edge structure, nasal cavity pipe (1) is located opening one (3) are kept away from go-between (5) are installed to one side of opening two (4), nasal cavity pipe (1) is kept away from the outside of scope passageway (2) is seted up the gasbag and is placed chamber (6), just gasbag (7) are installed in chamber (6) is placed to the gasbag (7), gasbag (7) are close to one side of opening one (3) is installed gas tube (8), just gas tube (8) are kept away from the one end of gasbag (7) run through in the one end of nasal cavity pipe (1) The side wall of the nasal cavity is extended to the lower portion of the connecting ring (5), a first connecting head (9) is installed below the connecting ring (5), one end, far away from the inflatable bag (7), of the inflatable tube (8) is fixedly connected with one side edge, close to the nasal cavity tube (1), of the first connecting head (9), a hemostasis mechanism (10) is installed on the outer side, far away from the nasal cavity tube (1), of the air bag placing cavity (6), the hemostasis mechanism (10) is composed of a bottom partition layer (11), a catheter cavity (12), a water absorption gauze layer (13) and an aseptic cotton layer (14), the bottom partition layer (11) is located at the top of the air bag placing cavity (6), the catheter cavity (12), the water absorption gauze layer (13) and the aseptic cotton layer (14) are sequentially arranged above the bottom partition layer (11), and a first catheter (15) is installed inside the catheter cavity (12), a plurality of pipe two (16) are installed at the top of pipe (15), just the top of pipe two (16) runs through and extends to the inside of aseptic cotton layer (14), pipe one (15) are close to the one end of go-between (5) runs through and extends to the inside top of go-between (5), connector two (17) are installed on the top of go-between (5), just pipe one (15) are close to the one end of go-between (5) with the bottom fixed connection of connector two (17), the internally mounted of scope passageway (2) has push rod (18), push rod (18) are kept away from the one end of opening one (3) run through in go-between (5) and extend to go-between (5) are kept away from the one side of opening one (3), push rod (18) are close to push head (19) are installed to the one end of opening two (4), the push head (19) is spherical, a support rod (20) is arranged on the outer side of one end, close to the second opening (4), of the push rod (18) and on one side, far away from the second opening, of the push head (19), and baffles (21) are fixedly arranged on the outer side of the connecting ring (5) and between the first connecting head (9) and the nasal cavity tube (1) and between the second connecting head (17) and the nasal cavity tube (1); a first valve switch (22) is arranged on the first connecting head (9); a push handle (29) is fixedly arranged at one end of the push rod (18) far away from the push head (19); the two support rods (20) are symmetrically arranged, and a groove (31) matched with the support rods (20) is formed in one side edge, close to the endoscope channel (2), of the nasal cavity tube (1); an inflation head (23) is installed at the bottom of the first connecting head (9), and a first sealing cover (24) is installed on the inflation head (23);

an operator holds the push handle (29), pushes the push rod (18) to enable the push head (19) to move to the position of the second opening (4), enables the push head (19) and one end, close to the second opening (4), of the nasal cavity tube (1) to form an arc-shaped push head, then pushes the nasal cavity tube (1) to enter the nasal cavity under the action of the support rod (20) and the groove (31), then opens the first sealing cover (24), connects the inflation head (23) with an external inflation device, then opens the first valve switch (22), inflates the inflation bag (7) through the inflation tube (8), closes the first valve switch (22) after inflation is completed, and at the moment, the inflation bag (7) is inflated, so that the nasal cavity tube (1) is fixed inside the nasal cavity, and the support rod (20) and the groove (31) are obliquely arranged, and the push head (19) is spherical, so when the nasal cavity tube (1) is pushed into the nasal cavity and fixed, the push rod (18) and the push head (19) can be easily taken out, and the endoscope lens can enter after the push rod and the push head are taken out.

2. The nasal cavity filling air bag device for the nasal neuroendoscope operation according to the claim 1, wherein the second connector (17) is provided with a second valve switch (25).

3. The nasal cavity filling air bag device for the nasal neuroendoscope operation according to the claim 1, wherein the top of the second connector (17) is provided with a pipe joint (26), and the pipe joint (26) is provided with a second sealing cover (27).

4. The nasal cavity filling air bag device for the nasal neuroendoscope operation is characterized in that a plurality of fixing rings (28) are arranged at the top of the bottom interlayer (11) and inside the catheter cavity (12), and the fixing rings (28) are sleeved outside the first catheter (15).

5. The nasal cavity filling air bag device for the nasal neuroendoscope operation according to the claim 1, wherein the side of the pushing head (19) far away from the pushing rod (18) is coated with a smooth coating (30).

6. A nasal cavity filling balloon device for neuroendoscopic surgery through the nose according to claim 1, characterized in that the nasal cavity tube (1) has a hard rubber tube.

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