CN111686317A - Drilling pipe-placing sealing guiding device - Google Patents

Drilling pipe-placing sealing guiding device Download PDF

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Publication number
CN111686317A
CN111686317A CN202010575468.9A CN202010575468A CN111686317A CN 111686317 A CN111686317 A CN 111686317A CN 202010575468 A CN202010575468 A CN 202010575468A CN 111686317 A CN111686317 A CN 111686317A
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CN
China
Prior art keywords
guide
drainage tube
sealing
transverse part
guiding device
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN202010575468.9A
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Chinese (zh)
Inventor
万志平
骆纯
钱俊
邵启蕙
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Shanghai Tongji Hospital
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Shanghai Tongji Hospital
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Shanghai Tongji Hospital filed Critical Shanghai Tongji Hospital
Priority to CN202010575468.9A priority Critical patent/CN111686317A/en
Publication of CN111686317A publication Critical patent/CN111686317A/en
Pending legal-status Critical Current

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    • 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
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/90Negative pressure wound therapy devices, i.e. devices for applying suction to a wound to promote healing, e.g. including a vacuum dressing
    • 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
    • A61M39/00Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/22Valves or arrangement of valves
    • A61M39/26Valves closing automatically on disconnecting the line and opening on reconnection thereof
    • 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
    • A61M39/00Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/22Valves or arrangement of valves
    • A61M39/26Valves closing automatically on disconnecting the line and opening on reconnection thereof
    • A61M2039/267Valves closing automatically on disconnecting the line and opening on reconnection thereof having a sealing sleeve around a tubular or solid stem portion of the connector

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  • Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Vascular Medicine (AREA)
  • Pulmonology (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • External Artificial Organs (AREA)

Abstract

The invention relates to a drilling pipe arrangement sealing guide device, which consists of a guide pipe main body and a sponge body, wherein the guide pipe main body comprises a transverse part and a bending part, the front end of the transverse part is arranged in a circular truncated cone type structure, the transverse part is provided with a movable circular sponge body, the bending part has a smooth bending radian, and the bending part is bent inwards by 25-45 degrees by taking the rear end close to the transverse part as a starting point; the drainage tube is characterized in that a drainage tube channel is arranged in the guide tube body, the drainage tube channel penetrates from the front end of the transverse part to the tail end of the bending part, and the diameter of the drainage tube channel is 0.2-0.4 cm. Its advantages are: the device is through cutting out after being fit for the dura mater diameter, can be fast safe put into subdural hematoma intracavity, prevented the too fast outflow of hematoma to can adjust best and put a tub direction and degree of depth, its whole airtight operation, when improving operation treatment, also reduce the complicated symptom of postoperative.

Description

Drilling pipe-placing sealing guiding device
Technical Field
The invention relates to the technical field of neurosurgery, in particular to a drilling and pipe placing sealing guide device.
Background
Chronic subdural hematoma is a common neurosurgical disease in clinic, and is better in the elderly population over 50 years old, and the incidence rate of the chronic subdural hematoma accounts for about 10% of intracranial hematoma. The current treatment for chronic subdural hematoma still uses drill drainage as the main treatment measure. However, the catheter is not ideal in position and air enters into the cranial cavity due to restlessness, blood swelling and too fast drainage of the patient, so that the brain tissue rebounds badly or the condition is aggravated after the operation.
The Chinese patent application: CN201692472U discloses a chronic subdural hematoma drainage tube, which is provided with a tube body and is characterized in that the front end part of the tube body is provided with drainage holes which are arc-shaped and are arranged on two side surfaces of the arc-shaped tube body at the front end part of the tube body. The device can reduce the angulation of the drainage tube and the inner plate of the skull, and avoids the drainage tube from being inserted into gradually swelled brain tissue after operation. However, the device is hard and tough, and is easy to be inserted too deep in the operation, which causes brain tissue damage, damage to cortical bridgeveins and intracranial hemorrhage, and when the drainage tube is placed, arachnoid is also easy to be damaged, and no device capable of isolating gas from entering into cranial cavity is arranged, so that the intracranial hemorrhage or the skull is often caused due to pressure difference, and the treatment of patients is affected.
The Chinese patent application: CN202538127U discloses a chronic subdural hematoma drainage tube guide needle, which comprises an integral metal round bar, wherein the front end of the metal round bar is bent to form an elbow, and the rear end of the metal round bar is provided with a lifting lug. The device mainly makes things convenient for the drainage tube to put into subdural hematoma chamber, prevents to put into subdural drainage tube and stabs cerebral cortex, but the device is too simple single, can not put into subdural hematoma intracavity of putting into of the quick safety of pipe, and the device can not adjust the pipe direction of putting in addition, also does not have the device that can the outside gas entering skull chamber in addition, consequently is unfavorable for using widely.
Therefore, in summary, there is a need for a novel drilling and tube-placing closed guiding device which is simple in operation, capable of drilling and tube-placing, rapidly draining hematoma, adjusting tube-placing direction and preventing gas from entering cranial cavity due to pressure difference, and no report is found about the novel drilling and tube-placing closed guiding device.
Disclosure of Invention
The invention aims to be capable of being quickly and safely placed into a subdural hematoma cavity after cutting a proper dura mater diameter, preventing the hematoma from flowing out too quickly, adjusting the optimal tube placing direction and depth, and performing whole-process sealing operation, thereby providing a drilling tube placing sealing guide device.
In order to achieve the purpose, the invention adopts the technical scheme that:
a drilling pipe-placing closed guide device comprises a guide pipe body and a cavernous body, wherein the guide pipe body comprises a guide part, a transverse part and a bent part, the guide part, the transverse part and the bent part are connected in an integrated structure, the guide part is arranged in a circular truncated cone type structure, the transverse part is provided with a movable circular cavernous body, the bent part has a smooth bending radian, the bent part takes the rear end close to the transverse part as a starting point, and the bent part is bent inwards by 25-45 degrees; the drainage tube is characterized in that a drainage tube channel is arranged in the guide tube body, the drainage tube channel penetrates from the front end of the guide part to the tail end of the bending part, and the diameter of the drainage tube channel is 0.2-0.4 cm.
In the above-described sealing and guiding device for a drill pipe, preferably, the size from the upper end of the lateral portion to the lower end of the bending portion is uniformly reduced, and the diameter of the upper end of the guide pipe body is 0.8 to 1.2cm, and the diameter of the lower end is 0.2 to 0.4 cm.
In the above-described sealing and guiding device for a drill pipe, preferably, the sponge body is a blood-expanding sponge having an inner diameter of 1.2 to 1.8 cm.
In the above-described sealing and guiding device for a drill pipe, preferably, the sponge body is detachably connected to the guide pipe body and is movable from a front end of the lateral portion of the guide pipe body to a rear end of the curved portion.
In the above-described sealing and guiding device for a drill pipe, preferably, the joints between the guiding portion and the curved portion and between the lateral portion and the curved portion are smooth flat surfaces or curved surfaces.
In the drilling pipe arrangement closed guiding device, as a preferred scheme, an elastic sealing diaphragm is fixedly arranged at an inlet of the drainage pipe channel, the sealing diaphragm is arranged in four sections, the diaphragm can be stretched when the sealing diaphragm is inserted, and the diaphragm can rebound and close after being pulled out.
The invention has the advantages that:
1. the invention has simple structure and convenient operation, can quickly drain hematoma and adjust the direction of the catheter, practically improves the treatment efficiency of chronic subdural hematoma operation, reduces the postoperative complication and brings good operation benefit.
2. The sponge body can absorb surrounding blood and expand to prevent hematoma from flowing out too fast, and the expanded sponge body is convenient for taking out the guiding device after the tube placement is finished successfully, and can play a role in buffering when the drainage tube exits from the skull end to prevent the drainage tube from being extruded and deformed.
3. The sealing membrane is arranged to increase the air tightness of the sealing membrane, so that the risk of accidental slipping is avoided; meanwhile, the air can be prevented from entering the skull cavity of the patient due to the fact that a large amount of air enters the drainage tube channel, so that the air skull and other conditions caused by the fact that air enters the skull cavity due to pressure difference are avoided, certain damage is caused to the patient, and normal treatment of the operation of the patient is not facilitated.
Drawings
FIG. 1 is a schematic structural diagram of a drilling pipe sealing and guiding device according to the present invention.
FIG. 2 is a schematic structural view between a drainage tube channel and a guiding device on the drilling tube sealing guiding device.
FIG. 3 is a schematic structural diagram of an upper sealing membrane at the upper end of the drilling pipe sealing and guiding device.
FIG. 4 is a schematic view of the general curvature of the sealing and guiding device for a drill pipe of the present invention. The curved portion is inclined inward by 25 to 45 degrees from the intersection point of the tangent lines of the lateral portion in the figure.
Detailed Description
The invention will be further illustrated with reference to specific embodiments. It should be understood that these examples are for illustrative purposes only and are not intended to limit the scope of the present invention. Furthermore, it should be understood that various changes and modifications can be made by those skilled in the art after reading the disclosure of the present invention, and equivalents fall within the scope of the appended claims.
The reference numerals and components referred to in the drawings are as follows:
1. guide tube body 2, guide part 3, transverse part
4. A bending part 5, a drainage tube channel 6, a cavernous body
7. Sealing diaphragm
Embodiment 1 a drilling pipe installation sealing guide device
Referring to fig. 1-4, fig. 1 is a schematic structural view of the sealing and guiding device for a drill pipe according to the present invention. FIG. 2 is a schematic structural view between a drainage tube channel and a guiding device on the drilling tube sealing guiding device. FIG. 3 is a schematic structural diagram of an upper sealing membrane at the upper end of the drilling pipe sealing and guiding device. FIG. 4 is a schematic view of the general curvature of the sealing and guiding device for a drill pipe of the present invention. The curved portion is inclined inward by 25 to 45 degrees from the intersection point of the tangent lines of the lateral portion in the figure.
The invention aims to solve the problems that the position of a tube is not ideal and gas enters a cranial cavity due to reasons of restlessness, too fast hematoma drainage and the like of a patient, so that the brain tissue rebounds badly or the illness condition is aggravated after operation, and particularly provides a drill tube-placing closed guiding device aiming at the problems, so that the operation treatment effect is improved, and the postoperative complications are reduced; the guiding device consists of a guiding tube main body 1 and a cavernous body 6, wherein the guiding tube main body 1 comprises a guiding part 2, a transverse part 3 and a bending part 4, the guiding part 2, the transverse part 3 and the bending part 4 are connected in an integrated structure, the guiding part 2 is arranged in a round table type structure, the transverse part 3 is provided with a movable round cavernous body 6, the bending part 4 is a plastic silica gel hose, has smooth bending radian, takes the position close to the rear end of the transverse part 3 as a starting point, and the bending part 4 is bent inwards by 25-45 degrees (please refer to the attached figure 4, namely the included angle between the head end tangent of the bending part and the edge tangent of the bending part is 25-45 degrees), and the curvature can be adjusted according to the tube placing requirement so as to be timely adjusted according to the body position and the state of a patient after chronic dura mater is cut, and the guiding tube placing, reduce unnecessary injury to the patient during the catheterization process. The inside of guide tube body 1 is provided with a drainage tube passageway 5, drainage tube passageway 5 run through to the tail end of flexion 4 from the front end of guide portion 2, just the diameter of drainage tube passageway is 0.3 cm.
In this embodiment, it is preferable that the dimension from the upper end of the lateral portion 3 to the lower end of the bending portion 4 is uniformly reduced, the arrangement can reduce the puncture resistance at the time of guiding, and the diameter of the upper end of the guide tube body 1 is 1cm and the diameter of the lower end is 0.4 cm.
In this embodiment, the sponge body 6 is preferably a blood-swelling sponge (similar to an absorbable gelatin sponge in operation), the arrangement can absorb the surrounding blood and swell to prevent hematoma from flowing out too fast, the inner diameter of the sponge body 6 is 1.2cm, and the outer diameter of the sponge body 6 is changed according to the expansion of the blood absorbed by the sponge body 6.
In this embodiment, preferably, the sponge body 6 is detachably connected with the guiding tube body 1, and can move from the front end of the transverse part 3 on the guiding tube body 1 to the tail end of the bending part 4, after the sponge body 6 expands to a certain size, the expanded size can reach the same diameter as the skull drill hole, so that the guiding device can be taken out after the tube placement is finished smoothly, the sponge body can slide down to the skull drill hole to play a role in plugging and sealing, and the drainage tube can play a role in buffering the skull outlet end of the drainage tube, so as to prevent the drainage tube from being extruded and deformed.
In this embodiment, the connection points between the guiding portion 2 and the transverse portion 3, and between the transverse portion 3 and the bending portion 4 are preferably smooth planes or curved surfaces, which can enhance the stability of the closed guiding device, reduce unnecessary damage during puncturing, and reduce the manufacturing difficulty.
In this embodiment, preferably, an elastic sealing membrane 7 is fixedly arranged at the entrance of the drainage tube channel 5, the shape of the sealing membrane 7 is similar to that of a prosthetic valve (the action effect is similar to a one-way valve), the sealing performance in the hematoma drainage process can be ensured, the sealing membrane 7 is arranged in four valves, the sealing membrane is spread when the drainage tube is inserted, normal drainage is performed, and the peripheral sealing membrane 7 is tightly attached to the inner wall of the drainage tube channel due to the insertion of the drainage tube at the drainage tube channel, so that the contact area between the drainage tube and the inner wall of the drainage tube channel 5 is increased, the air tightness is increased, and the risk of accidental slippage is avoided; and when the inserted drainage tube is accidentally slipped and dropped, the membrane can be rebounded and closed. The arrangement can prevent a large amount of air from entering the skull cavity of a patient in the drainage tube channel, thereby avoiding the occurrence of the condition that the air skull is caused after the air enters the skull cavity due to pressure difference, causing certain damage to the patient and being not beneficial to the normal treatment of the operation of the patient.
The use method of the invention comprises the following steps: after drilling a skull and cutting off a dura mater, placing the bending part of the guiding device into a hematoma cavity, and placing a drainage tube into a drainage tube channel for drainage; after the cavernosum stanchs the inflation to prop up to the diameter the same state with the skull drilling, take out the guiding device after will putting the pipe and accomplish this moment, also can slide the cavernosum downwards to the skull drilling in addition and play and pack the sealing effect, can play drainage tube and go out skull end cushioning effect, prevented drainage tube extrusion deformation.
It should be noted that: the invention has simple structure, convenient operation and low manufacturing cost, can quickly drain hematoma and adjust the direction of the catheter, practically improves the treatment efficiency of chronic subdural hematoma operation, reduces the postoperative complication and brings good operation benefit; the device can be applied to the drilling and drainage operation of the neurosurgery, is convenient for timely, conveniently and safely placing the drainage tube in the operation, is particularly suitable for the drilling and external drainage operation of chronic subdural hematoma, can effectively reduce the undesirable incidence rate of the air skull or the tube placement, can shorten the operation time when the patient is not matched in the local anesthesia operation in time, and improves the operation effect and the safety; and the sealing membrane is made of a strong high-elasticity material, and can be rebounded and closed in time after the drainage tube is pulled out, so that a large amount of air is prevented from entering the cranial cavity of a patient due to entering of the drainage tube channel, the air skull and other conditions caused by the fact that air enters the cranial cavity due to pressure difference are avoided, certain damage is caused to the patient, and normal treatment of the operation of the patient is not facilitated.
The foregoing is only a preferred embodiment of the present invention, and it should be noted that, for those skilled in the art, various modifications and additions can be made without departing from the principle of the present invention, and these should also be considered as the protection scope of the present invention.

Claims (6)

1. The guide device is characterized by consisting of a guide tube body and a sponge body, wherein the guide tube body comprises a guide part, a transverse part and a bent part, the guide part, the transverse part and the bent part are connected in an integrated structure, the guide part is arranged in a round platform type structure, a movable round sponge body is arranged on the transverse part, the bent part has a smooth bending radian, and the bent part is bent inwards by 25-45 degrees by taking the rear end close to the transverse part as a starting point; the drainage tube is characterized in that a drainage tube channel is arranged in the guide tube body, the drainage tube channel penetrates from the front end of the guide part to the tail end of the bending part, and the diameter of the drainage tube channel is 0.2-0.4 cm.
2. The drill pipe closing guide of claim 1, wherein the dimension from the upper end of the lateral portion to the lower end of the bent portion is uniformly reduced, and the diameter of the upper end of the lateral portion is 0.8-1.2cm and the diameter of the lower end of the bent portion is 0.2-0.4 cm.
3. The sealing and guiding device for a drill cannula as claimed in claim 1, wherein the cavernous body is a blood-expanding sponge having an inner diameter of 1.2-1.8 cm.
4. The sealing and guiding device for a drill pipe according to claim 1, wherein the sponge body is detachably connected with the guiding tube body and can move from the front end of the transverse part of the guiding tube body to the tail end of the bending part.
5. The sealing and guiding device for a drill pipe placing device as claimed in claim 1, wherein the joints between the guiding part and the transverse part and between the transverse part and the bending part are smooth planes or curved surfaces.
6. The drilling pipe placing sealing and guiding device according to claim 1, wherein an elastic sealing diaphragm is fixedly arranged at the inlet of the drainage pipe channel, the sealing diaphragm is in a four-piece arrangement, and can be spread when being inserted, and can be rebounded and closed after being pulled out.
CN202010575468.9A 2020-06-22 2020-06-22 Drilling pipe-placing sealing guiding device Pending CN111686317A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202010575468.9A CN111686317A (en) 2020-06-22 2020-06-22 Drilling pipe-placing sealing guiding device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202010575468.9A CN111686317A (en) 2020-06-22 2020-06-22 Drilling pipe-placing sealing guiding device

Publications (1)

Publication Number Publication Date
CN111686317A true CN111686317A (en) 2020-09-22

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112717246A (en) * 2020-12-25 2021-04-30 广东省妇幼保健院 Selective bronchial intubation device

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101443067A (en) * 2004-12-16 2009-05-27 史密斯医疗Asd公司 Catheter with direction orientation
CN203989403U (en) * 2014-06-30 2014-12-10 席刚明 A kind of subdural space conductor
CN107854162A (en) * 2017-04-21 2018-03-30 苏州诺来宁医疗科技有限公司 A kind of guide device of intracranial hematoma and hydrops
CN209004809U (en) * 2018-05-02 2019-06-21 中国人民解放军第二军医大学第二附属医院 It is arranged with the neurosurgery suction tube of hemostasis brain cotton
CN110353778A (en) * 2019-07-30 2019-10-22 福建医科大学附属第一医院 One kind setting pipe guiding arrangement for lumbar puncture cavum subarachnoidale
CN210114695U (en) * 2019-01-30 2020-02-28 沈阳得康医药科技有限公司 Anus postoperative auxiliary treatment device
CN110960779A (en) * 2020-02-14 2020-04-07 上海交通大学医学院附属仁济医院 Drainage tube external member
CN210447152U (en) * 2019-02-27 2020-05-05 吴立红 Closed puncture guiding drainage device led out from side of drainage tube

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101443067A (en) * 2004-12-16 2009-05-27 史密斯医疗Asd公司 Catheter with direction orientation
CN203989403U (en) * 2014-06-30 2014-12-10 席刚明 A kind of subdural space conductor
CN107854162A (en) * 2017-04-21 2018-03-30 苏州诺来宁医疗科技有限公司 A kind of guide device of intracranial hematoma and hydrops
CN209004809U (en) * 2018-05-02 2019-06-21 中国人民解放军第二军医大学第二附属医院 It is arranged with the neurosurgery suction tube of hemostasis brain cotton
CN210114695U (en) * 2019-01-30 2020-02-28 沈阳得康医药科技有限公司 Anus postoperative auxiliary treatment device
CN210447152U (en) * 2019-02-27 2020-05-05 吴立红 Closed puncture guiding drainage device led out from side of drainage tube
CN110353778A (en) * 2019-07-30 2019-10-22 福建医科大学附属第一医院 One kind setting pipe guiding arrangement for lumbar puncture cavum subarachnoidale
CN110960779A (en) * 2020-02-14 2020-04-07 上海交通大学医学院附属仁济医院 Drainage tube external member

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112717246A (en) * 2020-12-25 2021-04-30 广东省妇幼保健院 Selective bronchial intubation device

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Application publication date: 20200922

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