CN111202916A - Transrectal balloon insertion device for relieving side reaction of ultrasonic therapy - Google Patents

Transrectal balloon insertion device for relieving side reaction of ultrasonic therapy Download PDF

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Publication number
CN111202916A
CN111202916A CN202010124129.9A CN202010124129A CN111202916A CN 111202916 A CN111202916 A CN 111202916A CN 202010124129 A CN202010124129 A CN 202010124129A CN 111202916 A CN111202916 A CN 111202916A
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catheter
main body
water
port
transrectal
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CN202010124129.9A
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CN111202916B (en
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杨峂
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00Ultrasound therapy
    • A61N7/02Localised ultrasound hyperthermia
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M25/1002Balloon catheters characterised by balloon shape
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M25/1025Connections between catheter tubes and inflation tubes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M29/00Dilators with or without means for introducing media, e.g. remedies
    • A61M29/02Dilators made of swellable material
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B2017/12004Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M2025/1043Balloon catheters with special features or adapted for special applications
    • A61M2025/1093Balloon catheters with special features or adapted for special applications having particular tip characteristics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2210/00Anatomical parts of the body
    • A61M2210/10Trunk
    • A61M2210/1042Alimentary tract
    • A61M2210/1067Anus

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Vascular Medicine (AREA)
  • Child & Adolescent Psychology (AREA)
  • Biophysics (AREA)
  • Pulmonology (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Reproductive Health (AREA)
  • Radiology & Medical Imaging (AREA)
  • Media Introduction/Drainage Providing Device (AREA)

Abstract

The invention discloses a transrectal balloon inserting device for relieving side reaction of ultrasonic therapy, which comprises a main body catheter with an internal channel and a water sac which is coated on the periphery of the main body catheter and is used for extruding the rectal wall, wherein the end surface of the head of the main body catheter is expanded in a spherical shape, an internal port communicated with the internal channel and an external port communicated with the outside are respectively arranged on the main body catheter, and a water delivery catheter is connected outside the water sac; the water sac can be expanded to a required size after being injected with required liquid, so that the water sac not only can press the rectum to play a role in hemostasis, but also can increase the distance between a focus and the hip, the sacrum and the coccyx when the high-intensity focused ultrasound is used for treating uterine diseases, and has the functions of absorbing ultrasonic energy and reducing the temperature, so that the stimulation of the hip, the sacrum and the coccyx caused by the high-intensity focused ultrasound for treating the uterine diseases is relieved, and the pain or the discomfort is reduced.

Description

Transrectal balloon insertion device for relieving side reaction of ultrasonic therapy
Technical Field
The invention relates to a medical auxiliary instrument, in particular to a transrectal balloon insertion device for relieving side effects of ultrasonic therapy.
Background
When the high-intensity focused ultrasound is used for treating uterine diseases, a patient often has pain or soreness and discomfort of the hip, the sacrum and the coccyx, which are caused by sound energy conduction behind an ultrasonic focus when the uterine diseases are treated by the ultrasound, and the conventional means at present mainly depends on anesthetic drugs to control the symptoms. After the treatment is over, with the anesthetic drug being stopped, symptoms become more pronounced and persist for hours to days.
In order to solve the problems, a clinician tries to insert a common catheter into the rectum of a patient and inject water into the balloon, so that the distance between the uterus and the hip, the sacrum and the coccyx is increased, the symptoms of the patient are obviously relieved, the dosage of anesthetic is reduced, and the treatment speed is accelerated. However, the existing common catheter is designed for a urethra structure, is difficult to operate when being inserted into rectum, is easy to coil at the internal orifice of the anus as shown in figure 1, cannot be inserted to the required rectal depth in many cases, and is too small in water sac, insufficient in opening degree and easy to burst.
There is currently a clinical lack of a saccular catheter inserted into the rectum for high intensity focused ultrasound treatment of uterine disorders. The present invention is designed to specifically address this problem.
Disclosure of Invention
The technical problem to be solved by the invention is to provide a transrectal balloon insertion device which can relieve the side effect of ultrasonic therapy when high-intensity focused ultrasound is used for treating uterine diseases, relieve the stimulation of buttocks, sacrum and coccyx caused by the high-intensity focused ultrasound for treating uterine diseases, and reduce pain or discomfort; simultaneously, the hemostatic effect of the rectum can be achieved.
The technical scheme provided by the invention for solving the technical problems is as follows: the utility model provides a alleviate transrectal insertion sacculus device of ultrasonic therapy side reaction, including the main part pipe that has internal channel and cladding in the main part pipe outlying be used for extrudeing the water pocket of rectal wall, the head of main part pipe be spherical swelling, the terminal surface is the rounding off cambered surface, just the main part pipe on be equipped with respectively with the interior port of internal channel UNICOM and with the communicating outer port in external world, the water pocket connect outward and have the water delivery pipe.
The further preferable scheme of the invention is as follows: the inner port is arranged at the side edge of the head of the main body conduit, and the outer port is a tail end straight port of the main body conduit.
The further preferable scheme of the invention is as follows: the water sac is of a long cylindrical structure, the middle area of the main catheter is covered by the long cylindrical water sac, and the water sac is positioned at the inner side positions of the inner port and the outer port.
The further preferable scheme of the invention is as follows: the outer contour of the water sac after being filled with liquid is in a regular cylindrical structure or in an irregular shape to match the thickness of different sections of the rectal cavity.
The further preferable scheme of the invention is as follows: also included is a flexible support guidewire that is inserted from the outer port of the main catheter to a head position to support and guide the main catheter into the patient's rectum.
The further preferable scheme of the invention is as follows: the supporting guide wire is a metal guide wire.
The further preferable scheme of the invention is as follows: the head of the main body conduit is spherical or hemispherical or mushroom-shaped.
The further preferable scheme of the invention is as follows: the water delivery conduit is provided with a self-closing valve which can be inserted into an injector.
The further preferable scheme of the invention is as follows: the main body conduit is made of elastic latex.
The further preferable scheme of the invention is as follows: the length of the water bag is not less than 7 CM.
Compared with the prior art, the invention has the advantages that the main catheter is coated with the water sac for extruding the rectal wall, the water sac can be expanded to a required size after being injected with required liquid, so that the rectum can be pressed to play a role in hemostasis, the distance between a focus and a hip, a sacrum and a coccyx can be increased when high-intensity focused ultrasound is used for treating uterine diseases, and the water sac also has the functions of absorbing ultrasonic energy and reducing the temperature, so that the stimulation of the hip, the sacrum and the coccyx caused by the high-intensity focused ultrasound for treating the uterine diseases is reduced, and the pain or the discomfort is reduced.
Drawings
The present invention will be described in further detail below with reference to the drawings and preferred embodiments, but those skilled in the art will appreciate that the drawings are only drawn for the purpose of illustrating the preferred embodiments and therefore should not be taken as limiting the scope of the invention. Furthermore, unless specifically stated otherwise, the drawings are merely schematic representations based on conceptual representations of elements or structures depicted and may contain exaggerated displays and are not necessarily drawn to scale.
Fig. 1 is a schematic view of a conventional urinary catheter of the prior art;
FIG. 2 is a schematic view of a balloon catheter device for insertion into the rectum;
FIG. 3 is a partial schematic view of an internal organ of a human body;
FIG. 4 is a schematic view of a balloon catheter device inserted into the rectum.
Detailed Description
Hereinafter, preferred embodiments of the present invention will be described in detail with reference to the accompanying drawings. Those skilled in the art will appreciate that the description is illustrative only, and is not to be construed as limiting the scope of the invention.
It should be noted that: like reference numerals refer to like items in the following figures, and thus, once an item is defined in one figure, it may not be further defined and explained in subsequent figures.
In clinical medicine, when the uterus disease is treated by high-intensity focused ultrasound, the pain or the soreness and the discomfort of the hip, the sacrum and the coccyx of a patient are easy to cause due to the conduction of ultrasonic energy, and the anesthesia medicaments are commonly used for controlling the symptoms in the prior art.
In order to solve the problems, a clinician tries to insert a common catheter into the rectum of a patient and inject water into the balloon, so that the distance between the uterus and the hip, the sacrum and the coccyx is increased, the symptoms of the patient are obviously relieved, the dosage of anesthetic is reduced, and the treatment speed is accelerated. However, the head end of the catheter is in a pointed shape, so that the risk of puncturing the rectum exists; the middle section of the catheter is easy to coil at the internal anal opening due to lack of guide wire support, and cannot be inserted to the required rectal depth under many conditions, and the water sac is too small, so that the distance for opening the uterus, the sacrum and the coccyx is insufficient; the water sac has small volume, poor toughness of the sac wall and easy bursting.
The present embodiment therefore primarily describes a novel balloon catheter device for insertion into the rectum, as follows:
a transrectal balloon insertion device 100 for relieving side effects of ultrasonic therapy comprises a main body catheter 10 with an internal channel and a water sac 20 coated on the periphery of the main body catheter 10 and used for squeezing the rectal wall, wherein the end face of the head of the main body catheter 10 is a smooth arc surface, the main body catheter 10 is respectively provided with an internal port 12 communicated with the internal channel 11 and an external port 13 communicated with the outside, and the water sac 20 is externally connected with a water delivery catheter 30.
Specifically, the main body catheter 10 is coated with paraffin oil for lubrication, is directed to the anus of the patient, and is slowly inserted to a desired depth. Preferably, the head of the main body tube 10 is smoothly curved, so that the insertion process is smoother, less uncomfortable for the patient, and less risk of puncturing the intestine.
After the injector f sucks a certain amount of normal saline or distilled water, the water bag 20 can be filled with water through the water delivery conduit 30 connected to the water bag 20 until the expansion degree of the water bag 20 reaches the actual requirement.
The main body duct 10 is provided with an inner port 12, and the feces, intestinal juice and the like in the body of the patient can pass through the inner port 12 and be discharged out of the body from an outer port 13 along an inner channel 11 on the main body duct 10.
When the high-intensity focused ultrasound is used for treating uterine diseases, the saccular catheter device 100 for inserting into the rectum in the embodiment utilizes the expanded water sac 20 to increase the distance between the uterus 01 and the hip, the sacrum and the coccyx, and the water sac 20 also has the functions of absorbing ultrasonic energy and reducing the temperature, so that the stimulation of the hip, the sacrum and the coccyx caused by the high-intensity focused ultrasound treatment of the uterine diseases can be reduced, and the pain or the discomfort can be reduced.
In addition, wound bleeding often occurs after the rectum has undergone surgery such as trauma, hemorrhoid or anal fissure; the expanded water sac 20 can fully press the rectal wall, and can well play a role in hemostasis of the rectum.
The inner port 12 is opened at the side of the head of the main body duct 10, and the outer port 13 is a straight port at the tail end of the main body duct 10.
The water bag 20 is of a long cylindrical structure, the long cylindrical water bag 20 covers the middle area of the main body catheter 10, and the water bag 20 is positioned at the inner side of the inner port 12 and the outer port 13.
The outer contour of the water sac 20 after being filled with liquid is in a regular cylindrical structure or in an irregular shape to match the thickness of different sections of the rectal cavity. So as to meet the requirement of compressing irregular rectal wall and achieve better hemostasis effect.
The balloon catheter device 100 for insertion into the rectum further comprises a flexible support wire 40, the support wire 40 being inserted from the outer port 13 of the main body catheter 10 to a head position for supporting and guiding the main body catheter 10 into the rectum of the patient. Thereby making the device insertion more convenient and faster.
Preferably, the support wire 40 is a metal wire. The support wire 40 made of metal has better support performance. The metal guide wire is preferably made of iron, steel, copper, titanium, aluminum and the like.
The head of the main body duct 10 has a spherical or hemispherical shape or a mushroom shape. Thereby reducing discomfort to the patient during insertion of the balloon catheter device.
The water delivery pipe 30 is provided with a self-closing valve 31, and the self-closing valve 31 can be inserted into the syringe f. To facilitate filling of the water bladder 20 with the syringe f.
Preferably, the main body tube 10 is made of elastic latex. The main body catheter 10 is made deformable and can be better inserted into the inside of the irregular rectum to adapt to the rectal lumens with different thickness sections.
The long cylindrical water sac 20 covers the middle region of the main body duct 10, and the length of the water sac 20 is not less than 10 CM. Such that the length distribution of the water bladder 20 is sufficient to match the rectal length.
In a specific practical operation, the supporting guide wire 40 is completely inserted into the main body catheter 10, and then the main body catheter 10 is coated with paraffin oil for lubrication; then the head of the main body catheter 10 in the shape of a ball or a hemisphere or a mushroom is aligned with the anus of the patient and is slowly inserted until the required depth is pushed; then, pumping a certain amount of normal saline or distilled water by using an injector f, injecting the normal saline or distilled water into the water sac 20 through the self-closing valve 31 until the required amount is reached, and removing the injector f; the main catheter 10 is then pulled slightly to accommodate the main catheter 10 more snugly inside the rectal wall, and the intestinal waste is then discharged under the guidance of the internal channel 11 of the main catheter 10, and finally treated as usual.
In the description of the present invention, it should be noted that the terms "upper", "lower", "front", "back", "inner", "outer", and the like indicate orientations or positional relationships based on orientations or positional relationships shown in the drawings or orientations or positional relationships conventionally arranged when products of the present invention are used, and are used for convenience of description and simplicity of description, but do not indicate or imply that the referred device or element must have a specific orientation, be constructed in a specific orientation, and be operated, and thus, should not be construed as limiting the present invention.
The present invention provides a transrectal balloon insertion device for reducing the side effects of ultrasound therapy, and the principle and embodiments of the present invention are described in detail herein using specific examples, which are provided only to help understanding the present invention and the core concept. It should be noted that, for those skilled in the art, it is possible to make various improvements and modifications to the present invention without departing from the principle of the present invention, and those improvements and modifications also fall within the scope of the claims of the present invention.

Claims (10)

1. The transrectal balloon inserting device capable of relieving the side reaction of ultrasonic therapy is characterized by comprising a main body catheter with an internal channel and a water sac which is coated on the periphery of the main body catheter and is used for extruding the rectal wall, wherein the head of the main body catheter is expanded in a spherical shape, an internal port communicated with the internal channel and an external port communicated with the outside are respectively arranged on the main body catheter, and a water delivery catheter is connected outside the water sac.
2. The device of claim 1, wherein the inner port is formed at a side of the head of the main catheter, and the outer port is a straight port at the tail end of the main catheter.
3. The transrectal insertion balloon apparatus for alleviating side effects of ultrasound therapy according to claim 1, wherein the water bladder is of a long cylindrical configuration, the long cylindrical water bladder covers a central region of the main catheter, and the water bladder is located at an inner port and an outer port.
4. The device as claimed in claim 3, wherein the outer contour of the liquid-filled bladder is regular cylindrical or irregular to match the thickness of different sections of the rectal lumen.
5. The transrectal insertion balloon apparatus for reducing side effects of ultrasound therapy according to claim 1, further comprising a flexible support wire inserted from the outer port of the main body catheter to a head position for supporting and guiding the main body catheter into the rectum of the patient.
6. The transrectal insertion balloon apparatus for alleviating side effects of ultrasound therapy according to claim 5, wherein the support wire is a metal wire.
7. The device of claim 1, wherein the head of the main catheter is spherical or hemispherical or mushroom-shaped.
8. The device of claim 1, wherein the water delivery catheter is provided with a self-closing valve, and the self-closing valve can be inserted into a syringe.
9. The device of claim 1, wherein the main catheter is made of elastic latex.
10. A transrectal insertion balloon apparatus for reducing side effects of ultrasound therapy according to claim 1 wherein the length of the water balloon is not less than 7 CM.
CN202010124129.9A 2020-02-27 2020-02-27 Transrectal balloon insertion device for relieving side effects of ultrasonic treatment Active CN111202916B (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113694407A (en) * 2021-08-30 2021-11-26 中惠医疗科技(上海)有限公司 Ultrasonic wave blocker in rectum

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1814317A (en) * 2005-01-31 2006-08-09 重庆海扶(Hifu)技术有限公司 Device for delivering medium to body cavity, vascular-cavity leading-in and ultrasonic blocking
US20130096499A1 (en) * 2010-05-06 2013-04-18 Universitatsmedizin Der Johannes Gutenberg Univers Balloon catheter system for sealing puncture points in body cavities, hollow organs or in percutaneous systems in mammals
CN204484265U (en) * 2015-03-09 2015-07-22 刘倩 A kind of hemostatic bag for gynaecology
CN108578195A (en) * 2018-04-25 2018-09-28 西安交通大学医学院第二附属医院 A kind of rectal treatment instrument with rectal distention stimulation, pressure monitoring and cooling function
CN212067481U (en) * 2020-02-27 2020-12-04 杨峂 Transrectal balloon insertion device for relieving side reaction of ultrasonic therapy

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1814317A (en) * 2005-01-31 2006-08-09 重庆海扶(Hifu)技术有限公司 Device for delivering medium to body cavity, vascular-cavity leading-in and ultrasonic blocking
US20130096499A1 (en) * 2010-05-06 2013-04-18 Universitatsmedizin Der Johannes Gutenberg Univers Balloon catheter system for sealing puncture points in body cavities, hollow organs or in percutaneous systems in mammals
CN204484265U (en) * 2015-03-09 2015-07-22 刘倩 A kind of hemostatic bag for gynaecology
CN108578195A (en) * 2018-04-25 2018-09-28 西安交通大学医学院第二附属医院 A kind of rectal treatment instrument with rectal distention stimulation, pressure monitoring and cooling function
CN212067481U (en) * 2020-02-27 2020-12-04 杨峂 Transrectal balloon insertion device for relieving side reaction of ultrasonic therapy

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113694407A (en) * 2021-08-30 2021-11-26 中惠医疗科技(上海)有限公司 Ultrasonic wave blocker in rectum
CN113694407B (en) * 2021-08-30 2024-01-30 中惠医疗科技(上海)有限公司 Intrarectal ultrasonic blocking device

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