CN113521422A - Milk tube dredging and flushing device - Google Patents

Milk tube dredging and flushing device Download PDF

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Publication number
CN113521422A
CN113521422A CN202110806445.9A CN202110806445A CN113521422A CN 113521422 A CN113521422 A CN 113521422A CN 202110806445 A CN202110806445 A CN 202110806445A CN 113521422 A CN113521422 A CN 113521422A
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Prior art keywords
tube
perfusion
pipe
dredging
inflation
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CN113521422B (en
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吕笑静
段晓怡
李米娜
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First Affiliated Hospital of Henan University of Science and Technology
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First Affiliated Hospital of Henan University of Science and Technology
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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
    • A61M3/00Medical syringes, e.g. enemata; Irrigators
    • A61M3/02Enemata; Irrigators
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/3205Excision instruments
    • A61B17/3207Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/3205Excision instruments
    • A61B17/3207Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions
    • A61B17/320725Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions with radially expandable cutting or abrading elements
    • 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
    • A61M3/00Medical syringes, e.g. enemata; Irrigators
    • A61M3/02Enemata; Irrigators
    • A61M3/0279Cannula; Nozzles; Tips; their connection means
    • A61M3/0287Cannula; Nozzles; Tips; their connection means with an external liquid collector
    • 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
    • A61M3/00Medical syringes, e.g. enemata; Irrigators
    • A61M3/02Enemata; Irrigators
    • A61M3/0279Cannula; Nozzles; Tips; their connection means
    • A61M3/0295Cannula; Nozzles; Tips; their connection means with inflatable balloon

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

Abstract

The utility model provides a breast pipe mediation washing unit, including stretching into in the breast pipe and inside have the filling pipe who fills the passageway, fill the passageway front end and stretch out filling pipe and form the perfusate export, can insert or extract a hollow wire guide in filling the passageway, this wire guide front end has and aerifys the district of expanding, after injecting aseptic compressed air into the wire guide, aerify the expansion of district of expanding and form conical flexible probe-in head, it moves the breast pipe bottom in the breast pipe to drive filling the catheter, it is intraductal to make to aerify the district of expanding and withdraw into the wire guide through the gassing, utilize the perfusate passageway to carry out the breast pipe and fill after taking out the wire guide. Although the invention leads the whole operation of the galactoscopy to become complex and needs to be filled by the galactoscopy filling component firstly, then the galactoscopy is carried out after the galactoscopy filling component is taken out, the filling process is more natural, the dosage is easier to control, and simultaneously, the filling from inside to outside has better washing effect.

Description

Milk tube dredging and flushing device
Technical Field
The invention relates to the field of galactoscopy in the mammary gland department, in particular to a lactiferous duct dredging and flushing device.
Background
The ductoscopy is a method for examining the lumen and the wall of a mammary duct by an ultrafine optical fiber endoscope ductoscopy, can observe the position, the size, the surface form and the number of a focus under direct vision, helps a clinician to determine the position, the operation range and the like of the focus, can realize early discovery and early treatment on patients with malignant tumors in the duct, and improves the detection rate of early breast cancer.
Generally, during the process of the galactoscopy, liquid is injected into the breast duct cavity to wash out the blocked breast duct cavity and wash out mucus in the cavity so as to facilitate the observation of the galactoscopy, and during the process of the galactoscopy or the process of withdrawing the galactoscopy, the galactoscopy inevitably stimulates the breast duct cavity to generate secretions, so that the secretions need to be filled and washed after the galactoscopy is withdrawn.
At present, the injection pipeline of the endoscope body of the galactoscope is generally adopted for the perfusion of the galactoscope, but the injection pipeline is very thin and is generally only 0.2mm, and the length is generally 150-200mm, the injection resistance is very large, the assistant is not only inconvenient to operate, but also is difficult to master the dosage of the injected perfusion solution.
Disclosure of Invention
The invention provides a dredging and flushing device for a breast duct, which is an independent component outside the breast duct endoscope and is matched with the breast duct endoscope for use, so that the whole operation of breast duct endoscope inspection is complicated, the breast duct infusion assembly is required to be used for infusion, then the breast duct infusion assembly is taken out, and then the breast duct endoscope inspection is carried out.
The technical scheme adopted by the invention for solving the technical problems is as follows: a dredging and flushing device for breast ducts comprises a perfusion catheter extending into the breast duct, wherein the tail end of the perfusion catheter is provided with a perfusion connector connected with an injector, the perfusion conduit is internally provided with a perfusion channel, the front end of the perfusion channel extends out of the perfusion conduit to form a perfusion liquid outlet, a hollow guide wire tube can be inserted into or pulled out of the perfusion channel, the front end of the guide wire tube is provided with an inflatable expansion area, the rear end of the guide wire tube is provided with an air hole, when the guide wire tube is inserted into the filling channel, is communicated with a compressed air pipe on the perfusion joint, the compressed air pipe injects sterile compressed air into the guide wire pipe through an air hole, the inflatable expansion area expands to form a conical flexible probe head, the flexible probe drives the perfusion catheter to move to the bottom of the breast duct in the breast duct, then the inflatable expansion area retracts into the guide wire duct through deflation, and the breast duct is perfused by utilizing a perfusion liquid channel after the guide wire duct is drawn out.
As an improved scheme of the milk tube dredging and washing device, the silk guide tube comprises a hollow tube body, an inflation and expansion area at the front end of the hollow tube body is formed by surrounding an annular silica gel tube at the front end of the hollow tube body and a first elastic skin for sealing the free end of the annular silica gel tube, after inflation, the first elastic skin expands and protrudes to form a conical head, and the elastic annular silica gel tube is extruded to the lateral rear side to form a lateral side protruding part for shielding the front end of the perfusion catheter.
As another kind of improvement scheme of breast pipe mediation washing unit, the front end of filling the pipe has export protection architecture, this export protection architecture has the silica gel body with perfusate export syntropy open-ended including encircleing the setting of filling the pipe front end, be provided with second elastic coating between silica gel body open end and perfusate export, and second elastic coating, silica gel body and fill the pipe front end and enclose into a first inflation district that encircles the perfusate export, this first inflation district is through the gas passage that is equipped with in the filling pipe and is gone into aseptic compressed air and make it expand to the perfusate export direction in the middle of it.
As another kind of improvement scheme of breast pipe mediation washing unit, set up the first inflation and deflation hole of intercommunication first inflation district and gas channel on the silica gel body, and this first inflation and deflation hole is controlled it by the first shutoff pad that is in the gas channel and is opened and close, first shutoff pad be in the afterbody of a rotating member, the outer wall of this rotating member and the outer tube inner wall threaded connection who fills the pipe, and form handheld rotation portion behind the protruding outer tube of the front end of rotating member, twist through the finger and hand the anticlockwise or clockwise rotation of rotation portion, drive rotating member and outer tube and take place relative movement, and then realize that first shutoff pad is to first opening and closing of inflating and deflating the hole.
As another improvement scheme of the breast duct dredging and washing device, a positioning mechanism for fixing is arranged at the front end of the perfusion duct, the positioning mechanism comprises an annular hollow support sleeve fixed around an outer tube of the perfusion duct, at least three hollow support tubes are uniformly distributed around the hollow support sleeve, the end parts of the hollow support tubes are provided with inflation expansion ends, the hollow support tubes and the hollow support sleeve are communicated, and the hollow support sleeve is communicated with a gas channel arranged in the perfusion duct through at least two second inflation and deflation holes.
As another kind of improvement scheme of breast pipe mediation washing unit, the second fills the gassing hole and is controlled it by the second shutoff pad that is in gas passage and open and close, the second shutoff pad is in on the rotating member, the outer wall of this rotating member and the outer tube inner wall threaded connection who fills the pipe, and forms handheld rotating part behind the front end protrusion outer tube of rotating member, twist handheld rotating part anticlockwise or clockwise rotation through the finger, drive rotating member and outer tube and take place relative movement, and then realize the second shutoff pad and fill opening and closing of gassing hole to the second.
As another improvement scheme of the milk tube dredging and flushing device, a sliding milk tube dredging structure is arranged on the perfusion catheter in a sliding mode and comprises a sliding ring sleeved on the perfusion catheter in a sliding mode, two vertical plates surrounding the edge of the sliding ring are symmetrically arranged on two sides of the sliding ring, an annular cavity is formed between the two vertical plates, an annular air bag is arranged at the bottom of the annular cavity, at least three arc-shaped scrapers are arranged on the annular air bag and spliced to form an annular part surrounding the annular air bag when the annular air bag is not inflated and expanded, the top of the annular part does not protrude out of the annular cavity, the arc-shaped scrapers are pushed to extend out of the annular cavity after the annular air bag is inflated and expanded to form dredging heads protruding out, gaps are formed between every two adjacent arc-shaped scrapers, and when perfusion liquid sprayed from a perfusion liquid outlet flows back to the sliding milk tube dredging structure, one part flows out of the milk duct through the gap, and the other part generates pressure for pushing the sliding type milk duct dredging structure to slowly move out of the milk duct along the perfusion conduit.
As another improvement of the milk tube dredging and flushing device, the sliding milk tube dredging structure has an initial position close to the perfusate outlet, and when the sliding milk tube dredging structure is at the initial position, a third air charging and discharging hole arranged in the slip ring is communicated with an air channel arranged in the perfusion catheter so as to complete air charging and discharging of the annular air bag through the air channel.
As another improvement scheme of breast pipe mediation washing unit, fill and have the air guide hole of filling the pore butt joint with the third on the pipe, this air guide hole is closed and is opened by third shutoff pad control, third shutoff pad be in on a rotating member, the outer wall of this rotating member and the outer tube inner wall threaded connection who fills the pipe, and form handheld rotating part behind the protrusion outer tube of the front end of rotating member, twist handheld rotating part anticlockwise or clockwise rotation through the finger, drive rotating member and outer tube and take place relative movement, and then realize that third shutoff pad opens and closes the third and fill the air guide hole.
As another improvement of the milk tube dredging and washing device, the tail end of the perfusion catheter is provided with a transparent overflowing liquid collecting sleeve, the overflowing liquid collecting sleeve comprises an elastic cover made of a silica gel material, the center of the elastic cover is provided with a mounting hole for the perfusion catheter to pass through, the outer edge of the elastic cover is curled to form a liquid storage space, a nipple probing area is formed between the outer edge and the mounting hole, and the back of the outer edge is provided with a sticker adsorbed on a breast.
Compared with the prior art, the invention has the following beneficial effects:
1) the invention is independent of the independent part outside the galactoscope, use with the matched with galactoscope, although lead to the galactoscope to examine the whole operation become complicated and need to pour with the galactoscope perfusion assembly first, take out the galactoscope perfusion assembly and then carry on the galactoscope and examine, but the pouring process is more natural, it is easier to control the dosage, meanwhile, pour from inside to outside, the flushing effect is also better;
2) according to the invention, the guide wire tube is inserted into the perfusion catheter, and then the guide wire tube is inflated, so that the inflatable expansion area at the front end of the guide wire tube is expanded to form the conical flexible probe head, the arrangement mode can guide the perfusion catheter to directly reach the interior of the breast duct, then the air in the flexible probe head is discharged, and the guide wire tube is drawn out for perfusion, and the flexible probe head formed at the front end of the guide wire tube can shield the front end of the perfusion catheter, so that the resistance of the perfusion catheter inserted into the breast duct is reduced, and the blockage of a lesion tissue to the perfusion catheter is prevented; (ii) a
3) The front end of the perfusion catheter is provided with an outlet protection structure, the core of the perfusion catheter is a first inflatable expansion area formed by an elastic skin and a silicone tube body, and the first inflatable expansion area expands out in the direction of the outlet of the middle perfusate after being inflated, so that the pathological tissue in the breast duct is expanded, and meanwhile, the blockage of the perfusate outlet by the secretion of the breast duct can be prevented;
4) the front end of the perfusion catheter is provided with a positioning mechanism which is provided with hollow supporting tubes, after the hollow supporting tubes are inflated, the inflation expansion ends at the end parts of the hollow supporting tubes expand and protrude and are contacted with the inner wall of the milk tube, so that the perfusion catheter is positioned and supported, and meanwhile, the channels between the inflation expansion ends cannot influence perfusion flushing of perfusion liquid flowing out of a perfusion liquid outlet on the milk tube;
5) the core of the sliding type milk duct dredging structure on the perfusion catheter of the invention is a sliding ring which is arranged on the perfusion catheter in a sliding way, an annular air bag which is arranged on the sliding ring and an arc-shaped scraping plate which is arranged on the annular air bag, when the annular air bag is inflated and expanded, the arc-shaped scraping plate is pushed to extend out to form a convex dredging head, because the annular air bag is uniformly expanded, the arc-shaped scrapers are radially expanded, gaps are generated between the adjacent arc-shaped scrapers, when the perfusion fluid flows into the front part of the sliding type milk duct dredging structure, a part of the perfusion fluid generates pressure for pushing the arc-shaped scraping plate to move outwards, so that the arc-shaped scraping plate is pushed to drive the sliding type milk duct dredging structure to move outwards slowly, during the moving process, secretion on the inner wall of the breast duct is dredged, and due to the existence of gaps between the adjacent arc-shaped scrapers, the pressure of perfusion liquid in the breast duct is not too high, so that the breast duct is not pricked;
6) the perfusion liquid is poured and washed from inside to outside, and inevitably occurs, the perfusion liquid flows to the chest skin of an operator after overflowing from the front end of the breast tube, and then flows downwards along the skin of the operator.
Drawings
FIG. 1 is a schematic view of the overall structure of the present invention;
FIG. 2 is a schematic view of the rear portion of the irrigation catheter;
FIG. 3 is a schematic view of the structure of the guidewire tube;
FIG. 4 is an enlarged schematic view of the front of the irrigation catheter (with the guidewire tube not inserted);
fig. 5 is a schematic perspective view of a sliding type milk duct dredging structure;
FIG. 6 is a schematic cross-sectional view of a sliding type milk duct dredging structure;
FIG. 7 is a schematic view of the inner cross section of the sliding type milk duct guiding structure (when not opened);
FIG. 8 is a schematic view of the inner cross section of the sliding type milk duct guiding structure (when opened);
FIG. 9 is a schematic view of the positioning mechanism (when not expanded);
FIG. 10 is a schematic view of the positioning mechanism (when expanded);
FIG. 11 is an enlarged view of the front portion of the irrigation catheter (with the guidewire tube inserted);
FIG. 12 is a schematic front view of the irrigation catheter after inflation of the guidewire tube inserted therein;
FIG. 13 is a front view of the irrigation catheter during irrigation after withdrawal of the guidewire tube;
FIG. 14 is a schematic structural view of the irrigation catheter and its frontal outlet protection structure (when not inflated);
FIG. 15 is a schematic structural view of the irrigation catheter and its frontal outlet protection structure (when inflated);
reference numerals: 1. a perfusion catheter, 101, an outer tube, 102, a rotating piece, 103, an inner tube, 104, a gas channel, 105, a perfusion channel, 106, a third plugging pad, 107, a second plugging pad, 108, a first plugging pad, 109, a handheld rotating part, 2, a guide wire tube, 201, a hollow tube body, 202, an annular silicone tube, 203, a first elastic skin, 204, a tail plug part, 205, an air hole, 206, an operating handle, 3, an outlet protection structure, 301, a silicone tube body, 302, a second elastic skin, 303, a first inflation expansion area, 304, a perfusion liquid outlet, 4, a sliding milk tube dredging structure, 401, a slip ring, 402, a vertical plate, an arc scraper, 404, an annular air bag, 405, an annular cavity, 406, a third inflation and deflation hole, 407, a gap, 5, a positioning mechanism, 501, a hollow support sleeve, 502, a hollow support tube, 503, an inflation and deflation end, 6, a gas joint, 7, and an overflow collecting sleeve, 701. elastic cover, 702, mounting hole, 703, outer edge, 704, liquid storage space, 705, glue, 706, nipple access area, 8, stent rod, 9, perfusion connector.
Detailed Description
The technical solution of the present invention will be further described with reference to the following embodiments, and the portions of the present invention which appear in the following embodiments and are not described in detail do not relate to the improvement portion of the present invention, and the functions of the present invention, such as the structure of the perfusion connector 9 and the connection thereof with the existing perfusion apparatus or syringe, and the structure of the gas connector 6 and the connection thereof with the existing inflation apparatus, etc., can be realized by using the prior art or similar related structure.
Example 1
A milk tube dredging and flushing device, as shown in figures 1, 3, 11 and 12, comprises a perfusion catheter 1 extending into a milk tube, the perfusion catheter 1 is a thin-wall metal tube with the thickness of 0.3-0.8mm, which diameter can be determined according to the expansion condition of the milk tube of the specific condition of a patient, the length is generally 25-40cm, and has certain elasticity, the tail end of the perfusion catheter 1 is provided with a perfusion connector 9 connected with an injector, the perfusion connector is connected to a perfusion branch tube of the perfusion connector 9 through the injector, the injector is pushed to enable the perfusion liquid in the perfusion catheter to flow into the milk tube along the perfusion catheter 1 to complete the milk tube perfusion, a perfusion channel 105 is arranged in the perfusion catheter 1, the tail end of the perfusion channel 105 is communicated with the perfusion connector 9, the front end of the perfusion channel extends out of the perfusion catheter 1 to form a perfusion liquid outlet 304, a hollow guide wire 2 can be inserted or pulled out of the perfusion channel 105, the front end of the guide wire tube 2 is provided with an inflatable bulging area, when the guide wire tube 2 is inserted into the perfusion channel 105, the inflatable bulging area extends out of the perfusate outlet 304, the rear end of the guide wire tube 2 is provided with a limiting block, when the guide wire tube 2 is inserted into the perfusion catheter 1, and the rear end of the perfusion catheter 1 props against the limiting block, the guide wire tube 2 is indicated to be inserted into a limited position, and the inflatable bulging area extends out of the perfusate outlet 304; the rear end has the air vent 205, this air vent 205 when the guide wire pipe 2 inserts in filling the passageway 105, with the compressed air pipe intercommunication on the filling joint 9, after the compressed air pipe injects aseptic compressed air into guide wire pipe 2 through air vent 205, aerify the inflation district inflation and form conical flexible probe head, this flexible probe head moves filling pipe 1 and moves to the breast duct bottom in the breast duct, afterwards, make through the gassing and aerify the inflation district and retract in guide wire pipe 2, utilize perfusate liquid passageway 105 to carry out the breast duct and fill after taking out guide wire pipe 2.
In this embodiment, the infusion connector 9 is connected to the infusion catheter 1, and has two branch tubes, one of which is used for connecting a syringe to inject infusion fluid into the infusion catheter 1, and the other of which is connected with compressed air, and after the guide wire tube 2 is inserted into the infusion channel 105, sterile compressed air is injected into the guide wire tube 2, and at this time, the infusion catheter 1 has a hole butted with the air hole 205.
In the embodiment, the perfusion is performed without the aid of a perfusion assembly carried by the existing galactoscope, the rear end of the perfusion catheter 1 is provided with the support rod 8, and the support rod 8 can be fixed on a support to avoid the movement caused by holding by hand during operation;
in this embodiment, the filling opening 2 and the gas connector 6 are both implemented by the prior art, and only the requirement of filling the liquid and the gas into the filling conduit 1 is satisfied.
The use method of the milk duct perfusion assembly comprises the following steps:
1) inserting the guide wire tube 2 into the perfusion catheter 1 until the inflatable expansion area of the guide wire tube 2 protrudes out of the front end of the perfusion catheter 1;
2) connecting the perfusion connector 9 to a compressed air pipe, and blowing sterile compressed air into the guide wire pipe 2 until the inflation expansion area expands to form a conical flexible probe;
3) smearing a lubricant on the surface of the flexible probe, rotating the perfusion catheter 1 while probing the flexible probe into the target breast duct, and continuing to rotate the perfusion catheter 1 while stretching the perfusion catheter 1 into the target breast duct until the flexible probe enters the bottom of the target breast duct after the flexible probe completely enters the target breast duct; generally, the depth of a target breast duct is measured in advance by using a guide wire or in other modes, and then whether the target breast duct reaches the bottom of the breast duct is judged by the length of the perfusion catheter 1 extending into the breast duct;
4) extracting the sterile compressed air in the guide wire tube 2, and then extracting the guide wire tube 2;
5) the perfusion connector 9 is connected with an injector for sucking the perfusion liquid, and the injector is slowly pushed to inject the perfusion liquid into the perfusion opening 2 until the perfusion liquid overflows from the front end of the breast duct. The perfusion time and the perfusion flow are set according to the command of the operating doctor.
The above is a basic implementation manner of the present invention, and the technical solution of the present invention can be further improved, optimized or limited on the basis of the above, so as to obtain the following embodiments:
example 2
This embodiment is an improved scheme based on embodiment 1, and the main structure thereof is the same as embodiment 1, and the improvement point is that: as shown in fig. 3, the guidewire tube 2 includes a hollow tube 201, the inflation and expansion area at the front end of the hollow tube 201 is surrounded by an annular silicone tube 202 surrounding the front end of the hollow tube 201 and a first elastic skin 203 closing the free end of the annular silicone tube 202, and after inflation, the first elastic skin 203 expands and protrudes to form a conical head, and presses the elastic annular silicone tube 202 towards the lateral rear to form a lateral protruding portion shielding the front end of the perfusion catheter 1, so as to prevent the end of the perfusion catheter 1 from entering during the process of probing the pathological tissue in the breast, as shown in fig. 11 and 12.
In this embodiment, as shown in fig. 3, the hollow tube body 201 has a tail plug portion 204 at the rear end thereof for plugging the hollow tube body, the free end of the tail plug portion 204 has an operating handle 206, the guide wire tube 2 is inserted or pulled out through the operating handle 206, and the air hole 205 is located at the end close to the tail plug portion 204; besides, a limiting block can be designed on the tail plug part 204 for limiting the position of the guide wire tube 2 inserted into the perfusion catheter 1, and the limiting block is not marked on the figure.
Example 3
The present embodiment is another modified scheme based on embodiment 1, and the main structure of the present embodiment is the same as that of embodiment 1, and the improvement point is that: as shown in fig. 14 and 15, the front end of the perfusion catheter 1 is provided with an outlet protection structure 3, the outlet protection structure 3 comprises a silica gel tube body 301 which is arranged around the front end of the perfusion catheter 1 and has an opening in the same direction as the perfusate outlet 304, the silica gel tube body 301 is a semi-closed sleeve which is open at one end and closed at the other end, the perfusion catheter 1 extends into the sleeve through the closed end so as to wrap the perfusate outlet 304, a second elastic skin 302 is arranged between the open end of the silica gel tube body 301 and the perfusate outlet 304, the second elastic skin 302, the silica gel tube body 301 and the front end of the perfusion catheter 1 enclose a first inflatable expansion area 303 which surrounds the perfusate outlet 304, the first inflatable expansion area 303 is inflated by sterile compressed air through a gas channel 104 arranged in the perfusion catheter 1 so as to expand towards the middle perfusate outlet 304 to prop open the lesion tissue in the catheter, meanwhile, the perfusion liquid outlet 304 can be prevented from being blocked by secretion of the milk duct, and the tail end of the gas channel 104 is communicated with the gas connector 6 connected to the tail end of the perfusion catheter 1.
To ensure that the first inflatable expansion region 303 can expand towards the perfusate outlet 304 after inflation but does not block the perfusate outlet 304, the edge of the silicone tube body 301 generally extends beyond the edge of the perfusate outlet 304, so that the first elastic skin 302 is gradually inclined and lowered from the edge to the middle in the uninflated condition, and the tail end of the gas channel 104 is communicated with the gas connector 6 connected to the tail end of the perfusion catheter 1.
Example 4
This embodiment is an improved scheme based on embodiment 3, and the main structure thereof is the same as embodiment 3, and the improvement point is that: as shown in fig. 14 and 15, the silicone tube 301 is provided with first inflation/deflation holes communicating the first inflation/deflation area 303 with the gas channel 104, the opening and closing of the first inflation/deflation holes are controlled by the first plugging pad 108 located in the gas channel 104, the number of the first inflation/deflation holes is generally two or three, the first inflation/deflation holes are uniformly distributed around the perfusate outlet 304, the first plugging pads 108 correspond to the first plugging pads one by one, the first plugging pad 108 is located at the tail of the rotating member 102, the outer wall of the rotating member 102 is in threaded connection with the inner wall of the outer tube 101 of the perfusion catheter 1, the front end of the rotating member 102 protrudes out of the outer tube 101 to form a handheld rotating portion 109, the handheld rotating portion 109 is twisted by fingers to rotate counterclockwise or clockwise, the rotating member 102 and the outer tube 101 are driven to move relatively, and the first inflation/deflation holes 305 are further opened and closed by the first plugging pad 108.
Example 5
The present embodiment is another modified scheme based on embodiment 1, and the main structure of the present embodiment is the same as that of embodiment 1, and the improvement point is that: as shown in fig. 4, 9, 10, 12 and 13, a positioning mechanism 5 for fixing is disposed at the front end of the perfusion catheter 1, the positioning mechanism 5 is located at a side of the outlet protection structure 3 away from the first inflation expansion region 303, the positioning mechanism 5 includes an annular hollow support sleeve 501 fixed around the outer tube 101 of the perfusion catheter 1, at least three hollow support tubes 502 are uniformly distributed around the hollow support sleeve 501, 4 hollow support tubes are shown in fig. 9 and 10, an inflation expansion end 503 is disposed at an end of each hollow support tube 502, the inflation expansion end 503, the hollow support tubes 502 and the hollow support sleeve 501 are communicated, the hollow support sleeve 501 is communicated with the gas passage 104 disposed in the perfusion catheter 1 through at least two second inflation and deflation holes, and a tail end of the gas passage 104 is communicated with the gas connector 6 connected to the tail end of the perfusion catheter 1.
In this embodiment, the inflatable puff 503 is made of an elastic film, and when not inflated, has a height not exceeding the edge of the outlet protection structure 3, and when inflated with a certain amount of gas, the inflatable puff 503 protrudes to a height exceeding the edge of the outlet protection structure 3 and contacts the milk duct wall; the loft of the inflation puff 503 is controlled by controlling the inflation pressure to match the elasticity of the material of the inflation puff 503.
Example 6
This embodiment is an improved scheme based on embodiment 5, and the main structure thereof is the same as embodiment 5, and the improvement point is that: as shown in fig. 14 and 15, the second inflation/deflation hole is controlled to be opened and closed by a second plugging pad 107 located in the gas channel 104, the second plugging pad 107 is located on a rotating member 102, the outer wall of the rotating member 102 is in threaded connection with the inner wall of the outer tube 101 of the perfusion catheter 1, the front end of the rotating member 102 protrudes out of the outer tube 101 to form a handheld rotating part 109, the handheld rotating part 109 is screwed by fingers to rotate anticlockwise or clockwise, the rotating member 102 and the outer tube 101 are driven to move relatively, and then the second inflation/deflation hole is opened and closed by the second plugging pad 107.
The rotating member 102 in this embodiment is actually the same as the rotating member 102 in embodiment 4, and the second sealing pad 107 and the first sealing pad 108 synchronously control the opening and closing of the second air vent and the first air vent.
Example 7
The present embodiment is another modified scheme based on embodiment 1, and the main structure of the present embodiment is the same as that of embodiment 1, and the improvement point is that: as shown in fig. 4, 5, 6, 7 and 8, the perfusion catheter 1 is slidably provided with a sliding type milk duct canalizing structure 4, the sliding type milk duct canalizing structure 4 comprises a sliding ring 401 slidably sleeved on the perfusion catheter 1, two vertical plates 402 surrounding the edge of the sliding ring 401 are symmetrically arranged on two sides of the sliding ring 401, an annular cavity 405 is formed between the two vertical plates 402, an annular air bag 404 is arranged at the bottom of the annular cavity 405, the bottom of the annular air bag 404 is fixedly connected with the sliding ring 401, the upper part of the annular air bag can expand along the annular cavity 405 after being inflated, at least three arc-shaped scrapers 403 are arranged on the annular air bag 404, when the annular air bag 404 is not inflated and expanded, the arc-shaped scrapers 403 are spliced to form an annular member surrounding the annular air bag 404, the top of the annular member does not protrude out of the annular cavity 405, when the annular air bag 404 is inflated and expanded, the arc-shaped scrapers 403 are pushed to extend out of the annular cavity 405, form the protruding mediation head outside, and protruding mediation head height is higher than the height that stretches into probe 3 protrusion filling pipe 1, produce gap 407 between two adjacent arc-shaped scraper 403, when the perfusate that exports 304 spun from the perfusate flows back to sliding breast duct canals and does all the secretion outside pressure are moved to secretion in the pressure to the secretion of the gliding style milk of the gliding style milk of the generating of the slippage of the breast that take place that the partly production of the canals and canal.
Example 8
This embodiment is an improved scheme based on embodiment 7, and the main structure thereof is the same as that of embodiment 7, and the improvement point is that: as shown in fig. 6, 7 and 8, the sliding type milk duct canalizing structure 4 has an initial position close to the perfusate outlet 304, and when the sliding type milk duct canalizing structure 4 is in the initial position, the third inflation and deflation hole 406 arranged in the sliding ring 401 is communicated with the gas channel 104 arranged in the perfusion catheter 1 to complete inflation and deflation of the annular air bag 404 through the gas channel 104, and the tail end of the gas channel 104 is communicated with the gas connector 6 connected to the tail end of the perfusion catheter 1.
In this embodiment, the perfusion tube 1 corresponding to the initial position has an air hole corresponding to the third inflation/deflation hole 406, and the air hole is sealed by the third plugging pad 106, during the sliding process, because the connection between the slider 401 and the surface of the perfusion tube 1 is not completely sealed, the air can gradually escape, and further the protruding height of the scraper 403 is gradually reduced, so as to meet the characteristics of the diameter of the milk tube, that is, the inside is wide and the outside is narrow.
Example 9
This embodiment is an improved scheme based on embodiment 8, and the main structure thereof is the same as that of embodiment 8, and the improvement point is that: as shown in fig. 6, 14 and 15, the perfusion catheter 1 is provided with an air vent in butt joint with the third air vent 406, the air vent is controlled to be closed and opened by the third plugging pad 106, the third plugging pad 106 is located on a rotating member 102, the outer wall of the rotating member 102 is in threaded connection with the inner wall of the outer tube 101 of the perfusion catheter 1, the front end of the rotating member 102 protrudes out of the outer tube 101 to form a handheld rotating part 109, the handheld rotating part 109 is screwed by fingers to rotate counterclockwise or clockwise, the rotating member 102 is driven to move relative to the outer tube 101, and then the third air vent 406 is opened and closed by the third plugging pad 106.
The rotating member 102 in this embodiment is actually the same as the rotating member 102 in embodiments 4 and 6, and one rotating member 102 drives the third plugging pad 106, the second plugging pad 107 and the first plugging pad 108 synchronously to control the opening and closing of the third air charging and discharging hole 406, the second air charging and discharging hole and the first air charging and discharging hole.
Example 10
The present embodiment is another modified scheme based on embodiment 1, and the main structure of the present embodiment is the same as that of embodiment 1, and the improvement point is that: as shown in fig. 2, the tail end of the perfusion catheter 1 is provided with a transparent overflow collecting sleeve 7, the overflow collecting sleeve 7 comprises a sheet of elastic cover 701 made of silica gel material, the center of the elastic cover 701 is provided with a mounting hole 702 for the perfusion catheter 1 to pass through, the outer edge 703 of the elastic cover 701 is curled to form a liquid storage space 704, a nipple probing area 706 is formed between the outer edge 703 and the mounting hole 702, and the back of the outer edge 703 is provided with a sticker 705 attached to the breast. In this embodiment, after the front end of the perfusion catheter 1 extends into the breast duct, the overflow collecting sleeve 7 slides to make the nipple pass through the nipple probing area 706, and then the sticker 705 on the back of the outer edge 703 sticks to the breast, thereby realizing the sealing of the nipple, and the perfusate and the tissue fluid overflowing from the breast duct can enter the overflow collecting sleeve 7.
In this embodiment, the elastic cover 701 has a slit along the radial direction of the mounting hole 702 to separate the cover, and the two sides of the slit are combined into a whole by using an adhesive structure, and when in use, the mounting hole 702 is sleeved on the perfusion catheter 1 through the slit.
Example 11
The present embodiment is another modified scheme based on embodiment 1, and the main structure of the present embodiment is the same as that of embodiment 1, and the improvement point is that: as shown in fig. 14 and 15, the perfusion catheter 1 includes an outer tube 101 and an inner tube 103 disposed therein, a gas passage 104 is formed between an outer wall of the inner tube 103 and an inner wall of the outer tube 101, and a perfusion passage 105 is formed inside the inner tube 103.

Claims (10)

1. The utility model provides a breast pipe mediation washing unit, is including stretching into perfusion catheter (1) in the breast pipe, and the tail end of perfusion catheter (1) has the perfusion joint (9) of being connected with the syringe, its characterized in that: the perfusion conduit (1) is internally provided with a perfusion channel (105), the front end of the perfusion channel (105) extends out of the perfusion conduit (1) to form a perfusate outlet (304), a hollow guide wire tube (2) can be inserted into or pulled out of the perfusion channel (105), the front end of the guide wire tube (2) is provided with an inflatable expansion area, the rear end is provided with an air hole (205), the air hole (205) is formed when the guide wire tube (2) is inserted into the perfusion channel (105), is communicated with a compressed air pipe on the filling joint (9), after the compressed air pipe injects sterile compressed air into the guide wire pipe (2) through an air hole (205), an inflation and expansion area expands to form a conical flexible probe, the flexible probe drives the perfusion catheter (1) to move to the bottom of the breast duct in the breast duct, after which, the inflatable expansion area is retracted into the guide wire tube (2) through deflation, and the breast duct is filled by utilizing the filling fluid channel (105) after the guide wire tube (2) is drawn out.
2. The milk tube dredging and flushing device of claim 1, wherein: the wire guide tube (2) comprises a hollow tube body (201), an inflation and expansion area at the front end of the hollow tube body (201) is formed by surrounding an annular silica gel tube (202) at the front end of the hollow tube body (201) and surrounding a first elastic skin (203) sealed at the free end of the annular silica gel tube (202), and after inflation, the first elastic skin (203) expands and protrudes to form a conical head, and the side rear part of the inflatable rubber tube (202) is extruded to have elasticity, so that a side protruding part blocking the front end of the perfusion tube (1) is formed.
3. The milk tube dredging and flushing device of claim 1, wherein: the front end of filling pipe (1) has export protection architecture (3), this export protection architecture (3) have with perfusate export (304) syntropy open-ended silica gel body (301) including surrounding the setting of filling pipe (1) front end, be provided with second elasticity covering (302) between silica gel body (301) open end and perfusate export (304), and second elasticity covering (302), silica gel body (301) and fill pipe (1) front end enclose into a first inflation expansion district (303) of surrounding perfusate export (304), this first inflation expansion district (303) make it expand to middle perfusate export (304) direction through the gas channel (104) of being equipped with in filling pipe (1) aseptic compressed air of drum into.
4. A milk tube dredging and flushing device according to claim 3, characterized in that: the silica gel pipe body (301) is provided with a first inflation and deflation hole communicated with a first inflation and deflation area (303) and a gas channel (104), the first inflation and deflation hole is controlled to be opened and closed by a first plugging pad (108) in the gas channel (104), the first plugging pad (108) is arranged at the tail part of a rotating piece (102), the outer wall of the rotating piece (102) is in threaded connection with the inner wall of an outer pipe (101) of the perfusion catheter (1), the front end of the rotating piece (102) protrudes out of the outer pipe (101) to form a handheld rotating part (109), the handheld rotating part (109) is screwed by fingers to rotate anticlockwise or clockwise, the rotating piece (102) and the outer pipe (101) are driven to move relatively, and then the first inflation and deflation hole (305) is opened and closed by the first plugging pad (108).
5. The milk tube dredging and flushing device of claim 1, wherein: the front end of pouring into pipe (1) is provided with positioning mechanism (5) that are used for fixing, and this positioning mechanism (5) support cover (501) including the fixed ring form cavity of outer tube (101) that encircles pouring into pipe (1), encircles this cavity and supports cover (501) evenly distributed and have three at least hollow stay tubes (502), and the tip of hollow stay tube (502) has aerifys inflation end (503), aerify inflation end (503), hollow stay tube (502) and hollow stay cover (501) intercommunication, and hollow stay cover (501) fill the gas channel (104) intercommunication that is equipped with in gas charging and discharging hole and pouring into pipe (1) through two at least seconds.
6. A milk tube dredging and flushing device according to claim 5, characterized in that: the second air charging and discharging hole is controlled to be opened and closed by a second plugging pad (107) in the air channel (104), the second plugging pad (107) is arranged on a rotating piece (102), the outer wall of the rotating piece (102) is in threaded connection with the inner wall of an outer tube (101) of the perfusion catheter (1), a handheld rotating part (109) is formed after the front end of the rotating piece (102) protrudes out of the outer tube (101), the handheld rotating part (109) is screwed by fingers to rotate anticlockwise or clockwise, the rotating piece (102) and the outer tube (101) are driven to move relatively, and then the second air charging and discharging hole is opened and closed by the second plugging pad (107).
7. The milk tube dredging and flushing device of claim 1, wherein: the perfusion catheter (1) is provided with a sliding type milk duct dredging structure (4) in a sliding manner, the sliding type milk duct dredging structure (4) comprises a sliding ring (401) sleeved on the perfusion catheter (1) in a sliding manner, two vertical plates (402) surrounding the edge of the sliding ring (401) are symmetrically arranged on two sides of the sliding ring (401), an annular cavity (405) is formed between the two vertical plates (402), an annular air bag (404) is arranged at the bottom of the annular cavity (405), at least three arc-shaped scrapers (403) are arranged on the annular air bag (404), the arc-shaped scrapers (403) are spliced to form an annular piece surrounding the annular air bag (404) when the annular air bag (404) is not inflated and expanded, the top of the annular piece does not protrude out of the annular cavity (405), and the arc-shaped scrapers (403) are pushed to extend out of the annular cavity (405) after the annular air bag (404) is inflated and expanded to form a dredging head protruding outside, a gap (407) is formed between two adjacent arc-shaped scrapers (403), when the perfusion fluid sprayed from the perfusion fluid outlet (304) flows back to the sliding type milk duct dredging structure (4), one part flows out of the milk duct through the gap (407), the other part generates pressure for pushing the sliding type milk duct dredging structure (4), and the sliding type milk duct dredging structure (4) is pushed to slowly move out of the milk duct along the perfusion conduit (1).
8. A milk tube dredging and flushing device according to claim 7, characterized in that: the sliding type milk duct dredging structure (4) is provided with an initial position close to the perfusate outlet (304), and when the sliding type milk duct dredging structure (4) is in the initial position, a third air charging and discharging hole (406) formed in the sliding ring (401) is communicated with an air channel (104) formed in the perfusion catheter (1) so as to complete air charging and discharging of the annular air bag (404) through the air channel (104).
9. The milk tube dredging and flushing device of claim 8, wherein: the perfusion catheter (1) is provided with an air guide hole in butt joint with a third air charging and discharging hole (406), the air guide hole is controlled to be closed and opened by a third plugging pad (106), the third plugging pad (106) is arranged on a rotating piece (102), the outer wall of the rotating piece (102) is in threaded connection with the inner wall of an outer tube (101) of the perfusion catheter (1), the front end of the rotating piece (102) protrudes out of the outer tube (101) to form a handheld rotating part (109), the handheld rotating part (109) is screwed by fingers to rotate anticlockwise or clockwise, the rotating piece (102) and the outer tube (101) are driven to move relatively, and then the third air charging and discharging hole (406) is opened and closed by the third plugging pad (106).
10. The milk tube dredging and flushing device of claim 1, wherein: the tail end of the perfusion catheter (1) is provided with a transparent overflowing liquid collecting sleeve (7), the overflowing liquid collecting sleeve (7) comprises an elastic cover (701) made of a silica gel material, the center of the elastic cover (701) is provided with a mounting hole (702) for the perfusion catheter (1) to pass through, the outer edge (703) of the elastic cover (701) is curled to form a liquid storage space (704), a nipple probing area (706) is formed between the outer edge (703) and the mounting hole (702), and the back of the outer edge (703) is provided with a glue sticker (705) adsorbed on a breast.
CN202110806445.9A 2021-07-16 2021-07-16 Milk tube dredging and flushing device Active CN113521422B (en)

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CN114405360A (en) * 2021-12-24 2022-04-29 绍兴绿嘉环保科技有限公司 Preparation device and method of polyaluminum chloride water purifying agent

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US20040144392A1 (en) * 2003-01-23 2004-07-29 Mueller Richard L. Breast nipple duct protective device
US20040153001A1 (en) * 1999-12-28 2004-08-05 David Hung Devices, methods and systems for collecting material from a breast duct
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CN206730188U (en) * 2016-12-28 2017-12-12 南通大学附属医院 A kind of abdominal cavity negative pressure drainage flusher
CN109350831A (en) * 2018-09-27 2019-02-19 广州圣犹达生物科技有限公司 A kind of anti-clogging catheter
CN213608797U (en) * 2020-05-20 2021-07-06 深圳市人民医院 Flushing dilator
CN113101426A (en) * 2021-04-06 2021-07-13 河南科技大学第一附属医院 Peritoneal perfusion is with presetting drainage subassembly

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Publication number Priority date Publication date Assignee Title
US20040153001A1 (en) * 1999-12-28 2004-08-05 David Hung Devices, methods and systems for collecting material from a breast duct
US20040144392A1 (en) * 2003-01-23 2004-07-29 Mueller Richard L. Breast nipple duct protective device
CN106267390A (en) * 2016-08-30 2017-01-04 腾科宝迪(厦门)生物科技有限公司 A kind of variation route feces drainage system and using method thereof
CN206730188U (en) * 2016-12-28 2017-12-12 南通大学附属医院 A kind of abdominal cavity negative pressure drainage flusher
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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114405360A (en) * 2021-12-24 2022-04-29 绍兴绿嘉环保科技有限公司 Preparation device and method of polyaluminum chloride water purifying agent

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