CN112755290A - Special expander of visual peritoneal dialysis pipe of two halves formula - Google Patents

Special expander of visual peritoneal dialysis pipe of two halves formula Download PDF

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Publication number
CN112755290A
CN112755290A CN202110054563.9A CN202110054563A CN112755290A CN 112755290 A CN112755290 A CN 112755290A CN 202110054563 A CN202110054563 A CN 202110054563A CN 112755290 A CN112755290 A CN 112755290A
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China
Prior art keywords
sheath
peritoneal dialysis
visual
rod
oversheath
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CN202110054563.9A
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Chinese (zh)
Inventor
谢小街
黄凤梅
吴建文
陈紫华
王满琴
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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
    • A61M1/14Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
    • A61M1/28Peritoneal dialysis ; Other peritoneal treatment, e.g. oxygenation
    • 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
    • A61M1/14Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
    • A61M1/28Peritoneal dialysis ; Other peritoneal treatment, e.g. oxygenation
    • A61M1/285Catheters therefor

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  • Health & Medical Sciences (AREA)
  • Emergency Medicine (AREA)
  • Urology & Nephrology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Hematology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • External Artificial Organs (AREA)

Abstract

The invention provides a two-half type visual dilator special for a peritoneal dialysis catheter, which comprises a sheath made of stainless steel and a guide core embedded in the sheath, wherein the sheath comprises a left sheath and a right sheath which are matched with each other and respectively comprise a sheath body, a rod body and a first handle rod which are integrally formed, the front end of the sheath body is designed into a round table, the rear end of the sheath body is designed into a cylinder body, the two rod bodies are respectively provided with an arc-shaped convex column and an arc-shaped inner groove which are matched with each other, the two sides of the outer wall of the cylinder body are symmetrically connected with the first handle rod, the round table and the cylinder body are provided with a visual window, transparent glass or plastic is arranged on the visual window, the top of the front end of the guide core is designed into a pointed shape, the rear end of the guide core is designed into a blocking body matched with the sheath body, and the middle part of the guide core is provided with a through hole, the inner terylene sleeve can still be put into an accurate position and can not be taken out.

Description

Special expander of visual peritoneal dialysis pipe of two halves formula
Technical Field
The invention relates to the field of medical instruments, in particular to a special two-half type dilator for a visual peritoneal dialysis catheter.
Background
The peritoneal dialysis catheter is the most commonly used peritoneal dialysis catheter, comprises a straight tube and a curled tube, and consists of a catheter, a lead wire and a polyester sleeve, wherein a side hole is arranged at the insertion end of the catheter, and the peritoneal dialysis catheter is characterized in that two arms are arranged at the insertion end and are Y-shaped, and the included angle between the two arms is 40 degrees. Peritoneal dialysis catheter methods are broadly divided into surgical incision, laparoscopic, and percutaneous puncture methods, wherein the percutaneous puncture method is a puncture procedure without incision of the abdominal cavity, and actually it is more "operative" than "operation". The operation is not needed to enter an operating room, and an operating room, a treatment room or even a bedside can be operated, compared with the classical incision method, the technical survival rate is better, when the peritoneal dialysis catheter is punctured through the skin, a dilator is used, and a large number of reamers are available on the market at present.
In the authorization notice number: the chinese invention of CN104841059B, entitled "puncture guide capable of tearing off sheath", discloses a puncture guide capable of tearing off sheath, which comprises a sheath and a stylet nested in the sheath, and the whole is rod-shaped, and is characterized in that the two ends of the sheath are open, the rear end is expanded, and is composed of two sheath bodies with horn-shaped petals, grooves are arranged on the two symmetrical sides of the rod body along the length direction, tearing openings are arranged on the grooves, and a pair of buckles matched with each other are arranged at the symmetrical positions of the sheath bodies close to the rod body and close to the two sheath bodies; the tip of the needle core is a solid cone or a rhombohedron, and the rear end of the needle core is an expansion body matched with the sheath body of the sheath. The inner dacron sleeve is a disposable medical product, the selling price is about 2000, a great economic burden is added to a patient, the catheter can enter an abdominal cavity when in use, but the inner diameter of the inner dacron sleeve is larger than the inner diameter of the avulsion sheath, so the inner dacron sleeve can only be inserted to the opening of the avulsion sheath, when the avulsion sheath is torn, the inner dacron sleeve can only be pushed into the avulsion sheath with force, and the avulsion sheath can only be torn at the external or internal superficial position, so the inner dacron sleeve is difficult to push to the posterior sheath of the rectus abdominus muscle, and particularly for patients with obesity or deeper rectus abdominus muscle, the inner dacron sleeve is difficult to put above the posterior sheath of the rectus abdominus muscle or periton; and if some thin patients with the rectus abdominis with shallow back sheaths tear the avulsion sheath, the inner dacron sleeve is forcefully pushed towards the inside of the avulsion sheath, and the inner dacron sleeve is probably pushed into the abdominal cavity but not above the abdominal cavity.
In the authorization notice number: in the chinese invention "double-layer dilator special for peritoneal dialysis catheter" of CN207785567U, it discloses a "double-layer dilator special for peritoneal dialysis catheter", which is characterized in that: comprises a tearing sheath and a guide core, the tearing sheath comprises a first fixed tube (2), a round table tube (4) and a second fixed tube (6), one side of the first fixed tube (2) is connected with the round table tube (4), one side of the round table tube (4) is connected with the second fixed tube (6), the inner diameter of the second fixed tube (6) is larger than that of the first fixed tube (2), the round table tube (4) is of a round table structure with openings at the upper bottom and the lower bottom, a through hole is formed in the middle of the guide core, the guide core comprises a tip (1) and a fixed column (3), one side of the tip (1) is connected with the fixed column (3), a pressing plate (8) is arranged on the outer side of the second fixed tube (6), an inner sliding sheath (18) is sleeved on the fixed column (3), the inner sliding sheath (18) is of a tubular structure, the inner sliding sheath (18) is positioned inside the second fixed tube (6), and the inner sliding sheath (18) can slide on the fixed column (3), the inner layer sliding sheath (18) is positioned between the fixed column (3) and the second fixed tube (6), and one side of the inner layer sliding sheath (18) is provided with a vertical plate (12). Although the inner sliding sheath supports the inner dacron sleeve, the outer tearing sheath can only be torn in the superficial surface of the skin of a human body, the tearing sheath deep in the body is difficult to tear, and only can be pulled out of the body for tearing for one section, so that the inner sliding sheath and the inner dacron sleeve are invisibly taken out of the body, particularly for patients with obesity and deeper rectus abdominis, the inner dacron sleeve is difficult to put above the posterior sheath of the rectus abdominis or the peritoneum, and when the integral body is inserted into the body, the insertion depth is difficult to hold, the circular truncated cone tube is difficult to hold to reach the upper part of the posterior sheath of the rectus abdominis or the peritoneum, and even possibly enters the abdominal cavity through the peritoneum, so that the circular cone tube can accurately reach the upper part of the posterior sheath of the rectus abdominis or.
Disclosure of Invention
Technical problem to be solved
The invention aims to provide a two-half type dilator special for a visual peritoneal dialysis catheter, which not only saves money for patients and relieves burden for national medical insurance, but also can still put an inner terylene sleeve on the peritoneal dialysis catheter into an accurate position without the help of a color ultrasonic instrument and cannot be taken out. In order to achieve the purpose, the invention adopts the following technical scheme:
(II) technical scheme
The utility model provides a special expander of visual peritoneal dialysis catheter of two halves formulas, includes the oversheath of being made by the stainless steel and the guide core of nestification in the oversheath, the oversheath includes left oversheath and right oversheath, left side oversheath and right oversheath match each other, and all include integrated into one piece's the sheath body, the body of rod and barre I, sheath body front end design is the cylinder for round platform, rear end design, the round platform is connected the body of rod, two be equipped with mutually supported arc projection and arc inner groovy on the body of rod respectively, cylinder outer wall bilateral symmetry is connected with barre I, be equipped with visual window on round platform and the cylinder, install transparent glass or plastics on the visual window, guide core front end top design for point form, rear end design with sheath body assorted blocks the body, and the through-hole has been seted up at the guide core middle part.
Further, the outer wall of the rear end of the sheath body is provided with a threaded ring, the threaded ring is arranged at the rear end of the handle rod, and a nut piece is sleeved on the threaded ring.
Further, chamfering is performed on the front end of the rod body.
Furthermore, the rear end of the blocking body is connected with a second handle rod.
Furthermore, the visual window is provided with a mounting groove.
(III) advantageous effects
Compared with the prior art, the invention has obvious advantages and beneficial effects, and particularly, the left sheath, the right sheath and the guide core which are made of stainless steel are combined, so that the high-temperature sterilization and repeated use are facilitated, the money is saved for patients, the burden on national medical care is reduced, meanwhile, the visible window is arranged on the sheath body, whether the sheath body is inserted in place or not is conveniently observed through the visible window during operation, the accurate position of the inner dacron sheath on the peritoneal dialysis catheter is further ensured, and the left sheath and the right sheath are pulled out in a sliding mode, so that the inner dacron sheath cannot be taken out.
Drawings
FIG. 1 is an overall exploded view of the present invention;
FIG. 2 is a diagram of the overall effect of the present invention;
FIG. 3 is an enlarged schematic view of A in FIG. 2;
FIG. 4 is a sectional view of the connection of the rod bodies of the left sheath and the right sheath according to the present invention.
The reference numbers illustrate:
1. sheath 11, left sheath 12 and right sheath
13. Sheath 131, round table 132, cylinder
14. Rod body 141, arc convex column 142 and arc inner groove
15. First handle bar 16, visual window 161 and mounting groove
17. Thread ring 2, guide core 21 and blocking body
22. Through hole 23, second handle rod 3 and nut member
Detailed Description
Reference will now be made in detail to embodiments of the present invention, examples of which are illustrated in the accompanying drawings, wherein like or similar reference numerals refer to the same or similar elements or elements having the same or similar function throughout. The embodiments described below with reference to the drawings are illustrative and intended to be illustrative of the invention and are not to be construed as limiting the invention.
The invention is further described with reference to the following detailed description and accompanying drawings.
Referring to fig. 1 to 4, a two-half type dilator special for a visual peritoneal dialysis catheter comprises a sheath 1 made of stainless steel and a guide core 2 nested in the sheath 1, wherein the sheath 1 comprises a left sheath 11 and a right sheath 12 which are two-half type, the left sheath 11 and the right sheath 12 are matched with each other and respectively comprise a sheath body 13, a rod body 14 and a first handle bar 15 which are integrally formed, the front end of the sheath body 13 is designed to be a circular table 131, the rear end of the sheath body is designed to be a cylinder 132, the circular table 131 is connected with the rod body 14, the two rod bodies 14 are respectively provided with an arc convex column 141 and an arc inner groove 142 which are matched with each other, the left sheath 11 and the right sheath 12 are connected together through the mutual matching of the arc convex column 141 and the arc inner groove 142, the two sides of the outer wall of the cylinder 132 are symmetrically connected with the first handle bar 15, the circular table 131 and the cylinder 132 are provided with a visual window 16, the visual window 16 is provided with transparent glass or plastic, wherein the inner diameter of the rod body 14 is slightly larger than that of the peritoneal dialysis catheter, but is smaller than the outer diameter of a polyester sleeve on the coated dialysis catheter, the outer diameter of the polyester sleeve is 0.6cm, the rod body 14 only allows the coated dialysis catheter to pass but not allows the polyester sleeve to pass, the outer diameter of the polyester sleeve is smaller than that of the cylinder 132, the polyester sleeve can only be sent into the circular table 131 on the sheath body 13, the inner diameter of the conventional cylinder 132 is designed to be about 2cm, the length is about 6cm, the height of the circular table 131 is about 1cm, the depth of the front end of the sheath body 13 can be observed through the visual window 16 according to the emaciation of a patient and the depth of the rear sheath of the rectus abdominus muscle, so as to ensure that the front end of the sheath body 13 is inserted to the upper part of the rear sheath or peritoneum of the rectus muscle, the sheath body 13 can still be inserted in place without the help of a color ultrasonography instrument, the top of the front end of the guide core 2, the middle part of the guide core 2 is provided with a through hole 22, which is convenient for inserting a guide wire in the early stage of operation.
In order to avoid relative sliding of the left sheath 11 and the right sheath 12, the outer wall of the rear end of the sheath body 13 is provided with a thread ring 17, and the thread ring 17 is arranged at the rear end of the first handle rod 15 and is sleeved with the nut member 3.
In order to insert the sheath 1 into the human body, the front end of the rod body 14 is chamfered.
In order to operate the guide core 2 conveniently, the rear end of the blocking body 21 is connected with a second handle rod 23.
To facilitate the installation of glass or plastic, the viewing window 16 is provided with an installation groove 161.
The invention mainly comprises a left sheath 11, a right sheath 12, a guide core 2 and a nut member 3, when in use, the left sheath 11 and the right sheath 12 are connected together through an arc convex column 141 and an arc inner groove 142, then the nut member 3 is sleeved, the guide core 2 is sleeved in the left sheath 11 and the right sheath 12, then the front end of a sheath body 13 is inserted above a posterior sheath or a covering membrane of rectus abdominis muscle, the guide core 2 is pulled out, the depth of the front end of the sheath body 13 can be adjusted through a visual window 16 according to the emaciation of a patient and the depth of the posterior sheath of the rectus abdominis muscle, the front end of the sheath body 13 is ensured to be inserted above the posterior sheath of the rectus abdominis muscle or the peritoneal membrane, then a peritoneal dialysis catheter is inserted into the left sheath 11 and the right sheath 12 under the guide of a guide wire, when the inner dacron sleeve on the peritoneal dialysis catheter reaches the front end of the sheath body 13, the guide wire is pulled out, the nut member 3 is taken down, the inner dacron sleeve on the peritoneal dialysis, the right sheath 12 is firstly pulled out, and then the left sheath 11 is pulled out towards the other side, or the inner dacron sheath on the peritoneal dialysis catheter is deviated towards one side of the right sheath 12, and the left sheath 11 is pulled out firstly, and then the right sheath 12 is pulled out towards the other side.
The left sheath, the right sheath and the guide core which are made of stainless steel are combined, so that high-temperature sterilization and repeated use are facilitated, money is saved for patients, burden on medical care of the country is reduced, meanwhile, the visible window is arranged on the sheath body, whether the sheath body is inserted in place or not is conveniently observed through the visible window during surgery, the inner dacron sheath on the peritoneal dialysis catheter is further ensured to be placed at an accurate position, and the left sheath and the right sheath are pulled out in a sliding mode, so that the inner dacron sheath cannot be taken out.
The above description is only a preferred embodiment of the present invention, and is not intended to limit the technical scope of the present invention, so that any minor modifications, equivalent changes and modifications made to the above embodiment according to the technical spirit of the present invention are within the technical scope of the present invention.

Claims (5)

1. The utility model provides a special expander of visual peritoneal dialysis pipe of two halves formula which characterized in that: include the oversheath of being made by the stainless steel and the guide core of nestification in the oversheath, the oversheath includes left oversheath and right oversheath, left side oversheath and right oversheath match each other, and all include integrated into one piece's the sheath body, the body of rod and barre one, the design of sheath body front end is round platform, rear end design for the cylinder, the round platform is connected the body of rod, two be equipped with arc projection and the arc inner groovy of mutually supporting on the body of rod respectively, cylinder outer wall bilateral symmetry is connected with barre one, be equipped with visual window on round platform and the cylinder, install transparent glass or plastics on the visual window, guide core front end top design for point form, rear end design for with sheath body assorted blocks the body, the through-hole has been seted up at the guide core middle part.
2. The special two-half type visual dilator for peritoneal dialysis catheter according to claim 1, wherein: the outer wall of the rear end of the sheath body is provided with a thread ring, and the thread ring is arranged at the rear end of the handle rod and is sleeved with a nut piece.
3. The special two-half type visual dilator for peritoneal dialysis catheter according to claim 1, wherein: and chamfering the front end of the rod body.
4. The special two-half type visual dilator for peritoneal dialysis catheter according to claim 1, wherein: the rear end of the blocking body is connected with a second handle rod.
5. The special two-half type visual dilator for peritoneal dialysis catheter according to claim 1, wherein: the visual window is provided with a mounting groove.
CN202110054563.9A 2021-01-15 2021-01-15 Special expander of visual peritoneal dialysis pipe of two halves formula Pending CN112755290A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202110054563.9A CN112755290A (en) 2021-01-15 2021-01-15 Special expander of visual peritoneal dialysis pipe of two halves formula

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202110054563.9A CN112755290A (en) 2021-01-15 2021-01-15 Special expander of visual peritoneal dialysis pipe of two halves formula

Publications (1)

Publication Number Publication Date
CN112755290A true CN112755290A (en) 2021-05-07

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Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN206228395U (en) * 2016-07-26 2017-06-09 李文成 One step expands method PCN passage Stent assembly
CN107144233A (en) * 2017-04-11 2017-09-08 北京航空航天大学 The three dimensional shape measurement system that a kind of projected grating phase is combined with digital hologram
CN207785567U (en) * 2018-07-11 2018-08-31 陈彬 Peritoneum dialysis catheter special double-layer expander
CN109253708A (en) * 2018-09-29 2019-01-22 南京理工大学 A kind of fringe projection time phase method of deploying based on deep learning
CN112022247A (en) * 2020-07-01 2020-12-04 昆明医科大学第二附属医院 Visual expander
CN215386387U (en) * 2021-01-15 2022-01-04 谢小街 Special expander of visual peritoneal dialysis pipe of two halves formula

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN206228395U (en) * 2016-07-26 2017-06-09 李文成 One step expands method PCN passage Stent assembly
CN107144233A (en) * 2017-04-11 2017-09-08 北京航空航天大学 The three dimensional shape measurement system that a kind of projected grating phase is combined with digital hologram
CN207785567U (en) * 2018-07-11 2018-08-31 陈彬 Peritoneum dialysis catheter special double-layer expander
CN109253708A (en) * 2018-09-29 2019-01-22 南京理工大学 A kind of fringe projection time phase method of deploying based on deep learning
CN112022247A (en) * 2020-07-01 2020-12-04 昆明医科大学第二附属医院 Visual expander
CN215386387U (en) * 2021-01-15 2022-01-04 谢小街 Special expander of visual peritoneal dialysis pipe of two halves formula

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