CN113679397A

CN113679397A - Trigeminal semilunar junction compression device

Info

Publication number: CN113679397A
Application number: CN202010408726.4A
Authority: CN
Inventors: 王远强; 仲骏; 王兴娅; 项晓东
Original assignee: Shanghai Yueling Medical Technology Co ltd
Current assignee: Shanghai Yueling Medical Technology Co ltd
Priority date: 2020-05-14
Filing date: 2020-05-14
Publication date: 2021-11-23

Abstract

The invention discloses a trigeminal semilunar junction compression device, which comprises: sacculus, stay tube, connection handle and pressure measurement, the one end of stay tube is inserted in the sacculus, and the other end and the connection handle of stay tube are connected, and the connection handle has annotates the liquid chamber, annotates liquid chamber and stay tube intercommunication, and pressure measurement sets up on connecting the handle, and pressure measurement with annotate liquid chamber intercommunication. Foretell trigeminal semilunar ganglion oppression device can accurate control sacculus shape to can realize that trigeminal semilunar ganglion sacculus oppression operation is quick, accurate treatment, improve the disease cure rate, reduce postoperative complication, be favorable to trigeminal semilunar ganglion sacculus oppression technique to extensively popularize and apply.

Description

Trigeminal semilunar junction compression device

Technical Field

The invention relates to the field of medical instruments, in particular to a trigeminal semilunar junction compression device.

Background

The main factors influencing the treatment effect in trigeminal semilunar ganglion balloon compression comprise the filling shape and the compression time of the balloon. Generally, the balloon filling shape is pear-shaped, the rate of pain disappearance after surgery of the patient is 100%, the rate of pain disappearance of the dumbbell shape is 91%, the rate of pain disappearance of the pear-like shape is 93%, and the rate of pain disappearance of the oval shape is only 53%, so that the balloon filling shape has the best therapeutic effect in the shape of a pear. However, the shape of the saccule is the only one operation parameter which is not completely controlled by human, doctors mainly judge whether the saccule is full to reach an ideal shape (such as a pear shape) through images in the operation, the judgment of the full shape of the saccule is greatly influenced by subjective factors of the doctors, the treatment effect cannot be quantitatively evaluated, the treatment effect between different doctors is greatly different, even the treatment effect between different patients treated by the same doctor is greatly different, the cure rate of diseases is influenced, and the popularization and the application of the trigeminal nerve semilunar pressure saccule compression technology are not facilitated.

Disclosure of Invention

The invention aims to provide a trigeminal semilunar ganglion compression device which can accurately control the shape of a saccule, improve the disease cure rate and facilitate the popularization and application of a trigeminal semilunar ganglion saccule compression technology.

In order to achieve the purpose, the invention adopts the following technical scheme:

a trigeminal semilunar compression device comprising: sacculus, stay tube, connection handle and pressure measurement, the one end of stay tube is inserted in the sacculus, the other end of stay tube with connect the handle and connect, connect the handle and have and annotate the liquid chamber, annotate the liquid chamber with the stay tube intercommunication, pressure measurement sets up connect on hand, just pressure measurement with annotate liquid chamber intercommunication.

In one embodiment, the trigeminal semilunar pressure device further comprises: the end socket is provided with an arc-shaped surface and penetrates through the capsule body and is fixedly connected with the supporting tube.

In one embodiment, the trigeminal semilunar pressure device further comprises: the metal retaining ring is sleeved on the outer side of the balloon and fastens and fixes the balloon on the supporting tube.

In one embodiment, the trigeminal semilunar pressure device further comprises: and the syringe is connected with the connecting handle in an inserting manner.

In one embodiment, the syringe is further provided with a threaded portion, the connecting handle is provided with threads, and the threaded portion is in threaded connection with the connecting handle.

In one embodiment, the balloon is a ball-type balloon or a capsule-type balloon.

In one embodiment, the balloon is a pear-shaped balloon.

In one embodiment, the support tube is a single lumen tube or a multi-lumen tube.

In one embodiment, the supporting tube is a double-cavity tube body, the handle is further provided with a guide wire through hole, the liquid injection cavity is communicated with one cavity on the supporting tube, and the guide wire through hole is communicated with the other cavity on the supporting tube.

In one embodiment, the pressure detecting device is a pressure gauge.

Foretell trigeminal semilunar junction oppression device includes sacculus, stay tube, connection handle and pressure measurement, and the sacculus passes through the stay tube and connects the notes liquid chamber intercommunication of handle, and pressure measurement sets up on connecting the handle, and pressure measurement and annotate liquid chamber intercommunication. Generally, the filling shape of the balloon corresponds to the pressure in the balloon, the pressure in the balloon corresponding to the filling shape of the balloon reaching the ideal pear shape is a fixed pressure value range, and the trigeminal semilunar node compression device can monitor the pressure in the balloon in real time through the pressure detection device, so that whether the filling shape of the balloon reaches the ideal pear shape can be evaluated and judged. The pressure in the sacculus is a preset pressure value range when the filling shape of the sacculus reaches the ideal pear shape, when the pressure detection device detects that the pressure in the sacculus is in the preset pressure value range, the filling shape of the sacculus is pear shape, the injection of the contrast medium is stopped at the moment, and a doctor can accurately control the filling shape of the sacculus to be pear shape by observing the pressure value detected by the pressure detection device in an operation so as to achieve the optimal treatment effect. Therefore, foretell trigeminal semilunar ganglion oppression device can accurate control sacculus shape, the aassessment treatment effect that can be quantitative to can realize that trigeminal semilunar ganglion sacculus oppression operation is quick, accurate treatment, improve the disease cure rate, reduce postoperative complication, be favorable to trigeminal semilunar ganglion sacculus oppression technique to extensively popularize and apply.

Drawings

FIG. 1 is a schematic diagram of a half-moon compression device for trigeminal nerve according to one embodiment;

FIG. 2 is a schematic diagram of a balloon in one embodiment;

FIG. 3 is a schematic view of a balloon in another embodiment;

FIG. 4 is a sectional view showing the structure of the attaching handle in one embodiment;

FIG. 5 is a schematic structural view of the head in one embodiment;

FIG. 6 is a schematic diagram of the structure of the syringe in one embodiment;

FIG. 7 is a sectional view showing the structure of a support tube in another embodiment;

fig. 8 is a schematic structural view of a semilunar pressure device for trigeminal nerve in another embodiment.

Description of reference numerals:

10-balloon, 20-support tube, 21-support segment tube, 22-connecting segment tube, 211-through hole, 23-inner support tube, 24-outer support tube, 30-connecting handle, 31-liquid injection cavity, 32-guide wire through hole, 40-pressure detection device, 41-analog dial display, 50-end socket, 51-arc surface, 60-metal snap ring, 70-injector and 71-thread part.

Detailed Description

The technical scheme of the invention is further explained by the specific implementation mode in combination with the attached drawings.

In the description of the present invention, it is to be understood that the terms "upper", "lower", "front", "rear", "left", "right", "vertical", "horizontal", "top", "bottom", "inner", "outer", etc., indicate orientations or positional relationships based on those shown in the drawings, and are only for convenience of description and simplicity of description, but do not indicate or imply that the device or element being referred to must have a particular orientation, be constructed and operated in a particular orientation, and thus, are not to be construed as limiting the present invention.

Referring to fig. 1 to 6, the apparatus for compressing semilunar junction of trigeminal nerve according to one embodiment includes a balloon 10, a supporting tube 20, a connecting handle 30 and a pressure detecting device 40, wherein one end of the supporting tube 20 is inserted into the balloon 10, the other end of the supporting tube 20 is connected to the connecting handle 30, the connecting handle 30 has an infusion cavity 31, the infusion cavity 31 is communicated with the supporting tube 20, the pressure detecting device 40 is disposed on the connecting handle 30, and the pressure detecting device 40 is communicated with the infusion cavity 31.

Specifically, the balloon 10 is fixedly connected to the support tube 20 by bonding, high-strength fiber winding, welding or heat sealing.

The trigeminal semilunar junction compression device comprises a balloon 10, a support tube 20, a connecting handle 30 and a pressure detection device 40, wherein the balloon 10 is communicated with an infusion cavity 31 of the connecting handle 30 through the support tube 20, the pressure detection device 40 is arranged on the connecting handle 30, and the pressure detection device 40 is communicated with the infusion cavity 31. Generally, the filling shape of the balloon 10 corresponds to the pressure in the balloon 10, and when the filling shape of the balloon 10 reaches the ideal pear shape, the corresponding pressure in the balloon 10 is a fixed pressure value range, and the trigeminal semilunar junction compression device can monitor the pressure in the balloon 10 in real time through the pressure detection device 40, so as to evaluate and judge whether the filling shape of the balloon 10 reaches the ideal pear shape. The pressure in the balloon 10 is defined as a preset pressure value range when the filling shape of the balloon 10 reaches the ideal pear shape, when the pressure detection device 40 detects that the pressure in the balloon 10 is within the preset pressure value range, the filling shape of the balloon 10 is pear shape, at the moment, the injection of the contrast medium is stopped, and a doctor can accurately control the filling shape of the balloon 10 to be pear shape by observing the pressure value detected by the pressure detection device 40 in an operation so as to achieve the optimal treatment effect. Therefore, foretell trigeminal semilunar ganglion oppression device can accurate control sacculus 10 shape, the aassessment treatment effect that can be quantitative to can realize that trigeminal semilunar ganglion sacculus 10 oppresses quick, the accurate treatment of operation, improve the disease cure rate, reduce postoperative complication, be favorable to trigeminal semilunar ganglion sacculus 10 to oppress the technique and extensively popularize and apply.

In one embodiment, the above-mentioned apparatus for compressing semilunar junction of trigeminal nerve further comprises a sealing head 50, the sealing head 50 has an arc surface 51, and the sealing head 50 passes through the balloon 10 and is fixedly connected with the support tube 20. Specifically, the end socket 50 is arranged at the foremost end of the balloon 10, and the arc-shaped surface 51 can reduce resistance in the process of propelling the balloon 10, so that the balloon 10 is smoothly propelled, and the operation efficiency is improved. The sealing head 50 can be made of metal such as stainless steel or medical polymer material such as PVC. The sealing head 50 is partially inserted into the support tube 20 and is connected to the support tube 20 by an adhesive, welding or heat sealing process.

In one embodiment, the trigeminal semilunar junction compression device further comprises a metal buckle 60, wherein the metal buckle 60 is sleeved outside the balloon 10, and the metal buckle 60 fastens and fixes the balloon 10 on the support tube 20. Specifically, the metal clasp 60 is in the form of a metal tube or wire, and the metal clasp 60 is made of stainless steel, tungsten, titanium, platinum, gold, silver, or an alloy, and is used to provide X-ray visualization during the procedure, which clearly indicates the position of the balloon 10 in the body tissue.

In one embodiment, the support tube 20 is a single lumen tube. Specifically, as shown in fig. 1, the support tube 20 includes a support section tube 21 and a connection section tube 22 connected in sequence, the support section tube 21 penetrates through the balloon 10, and the support section tube 21 is located at a portion of the balloon body and is provided with a through hole 211, the connection section tube 22 is connected with the connection handle 30, an inner diameter of the support section tube 21 is smaller than an inner diameter of the connection section tube 22, the support section tube 21 may be a section of tube or a section of metal like a spring, and the connection section tube 22 may be made of medical polymer material, such as PVC, PU, PA, PE, PP, or metal material like stainless steel. The support section tube 21 and the connecting section tube 22 may be integrally formed, or may be connected by bonding, welding or heat sealing, and this embodiment is not limited in particular. In this embodiment, the lumen of the support tube 20 serves as both a fluid channel and a guide wire channel, and the contrast agent enters the support section tube 21 through the connecting section tube 22, and finally enters the balloon 10 through the through hole 211 on the support section tube 21.

In one embodiment, the trigeminal semilunar pressure device further comprises a syringe 70, and the syringe 70 is connected with the connecting handle 30 in a plugging manner. Specifically, the injector 70 is used for injecting a contrast medium into the injection cavity 31 of the connection handle 30 (as shown in fig. 4), and the contrast medium enters the injection cavity 31, then enters the support section tube 21 through the connection section tube 22, and finally enters the balloon 10 through the through hole 211 on the support section tube 21. Further, a scale value is provided on the injector 70, by which the volume of contrast agent injected can be monitored.

In one embodiment, the syringe 70 is further provided with a screw portion 71, and the coupling handle 30 is provided with a screw, the screw portion 71 being screw-coupled with the coupling handle 30. In this embodiment, the syringe 70 is connected to the connection handle 30 through a screw thread, so that the sealing performance of the trigeminal semilunar ganglion compression device can be improved, the pressure value in the balloon 10 during the injection process of the contrast agent can be monitored more accurately in real time, and the operation precision can be improved. Specifically, in the present embodiment, an internal thread is disposed on the thread portion 71, and an external thread is disposed on the connection handle 30, but in other embodiments, an external thread may be disposed on the thread portion 71, and an internal thread is disposed on the connection handle 30, which may also achieve the same technical effect, and the present embodiment is not limited specifically.

In one embodiment, the balloon 10 is a ball-type balloon (as shown in fig. 2) or a capsule-type balloon, and the balloon 10 is made of an elastic material, and may be specifically a compliant or semi-compliant material. In another embodiment, as shown in fig. 3, the balloon 10 is a pear-shaped balloon, and the material of the balloon 10 may be natural latex, polyurethane, thermoplastic elastomer polymer material, silicone, rubber, or the like. Specifically, the balloon 10 may change shape with the body tissue after being expanded during surgery, be pear-shaped or otherwise. According to the trigeminal semilunar junction compression device, the pressure of the saccule 10 in the filling process can be monitored, whether the saccule 10 in any shape is in an ideal pear shape or not in the expansion process can be accurately judged, so that the saccule in any shape can be adopted, and the application range is wide.

In one embodiment, the pressure detection device 40 is a pressure gauge. Be provided with simulation calibrated scale display 41 on the manometer, the sign has the corresponding preset pressure value scope when sacculus 10 presents the pyriform on the simulation calibrated scale display 41 to further make things convenient for the doctor to observe, improve operation efficiency and operation precision.

In another embodiment, the support tube 20 is a multi-lumen tube. Specifically, in one embodiment, the support tube 20 is a double lumen tube. As shown in fig. 7, in one embodiment, the support tube 20 comprises an inner support tube 23 and an outer support tube 24, the inner support tube 23 is sleeved inside the outer support tube 24, the inner support tube 23 and the outer support tube 24 are sleeved to form a dual-lumen structure, wherein the lumen of the inner support tube 23 is used as a guide wire channel, the gap between the inner support tube 23 and the outer support tube 24 is used as another lumen, which is used as a fluid channel, and the contrast agent enters the balloon 10 through the gap between the inner support tube 23 and the outer support tube 24, so that through holes do not need to be formed in the inner support tube 23 and the outer support tube 24. In this embodiment, the support tube 20 is sleeved by the inner support tube 23 and the outer support tube 24 to form a dual-lumen structure, in other embodiments, the support tube 20 may also directly adopt a dual-lumen tube, one lumen of the dual-lumen tube is used as a fluid channel, and the other lumen is used as a guide wire channel, and the specific structure of the support tube 20 may be selected according to the needs in practical application, which is not limited in this embodiment.

In another embodiment, as shown in fig. 8, when the support tube 20 is a double lumen tube, the handle 30 is further provided with a guide wire through hole 32, the infusion lumen 31 is communicated with a lumen on the support tube 20 as a fluid passage, and the guide wire through hole 32 is communicated with another lumen on the support tube 20 as a guide wire passage. The difference between this embodiment and the above embodiments is that the structure of the support tube 20 is different, and accordingly, the handle 30 is modified adaptively, and the other structures and components are the same, and will not be described herein again.

Specifically, the specific clinical operation of the operation using the above-mentioned trigeminal semilunar junction compression device is as follows:

firstly, after general anesthesia, the patient takes a supine position, and a cloth roll with a proper height is wrapped on the shoulder pad to ensure that the neck is slightly stretched; then, under the X-ray environment, establishing a channel from a position about 2.5cm beside the affected oral corner by means of X-ray image positioning, and inserting the balloon 10; then, after the balloon 10 enters the meniscal's cavity of the trigeminal nerve to be positioned, injecting a diluted contrast medium into the support tube 20 through the connecting handle 30 to enable the balloon 10 to be inflated and observing the value of the pressure detection device 40, and when the value reaches a preset pressure value range, ensuring that the Meckle's cavity is just filled with the injected diluted contrast medium, and monitoring the inflation shape of the balloon 10 at the side position through X-ray images to be in an ideal pear shape; and finally, keeping the saccule 10 inflated to press the trigeminal nerve semilunar ganglion for 3-7 minutes, extracting the contrast agent, and finishing the operation.

The technical features of the embodiments described above may be arbitrarily combined, and for the sake of brevity, all possible combinations of the technical features in the embodiments described above are not described, but should be considered as being within the scope of the present specification as long as there is no contradiction between the combinations of the technical features.

The above-mentioned embodiments only express several embodiments of the present invention, and the description thereof is more specific and detailed, but not construed as limiting the scope of the invention. It should be noted that, for a person skilled in the art, several variations and modifications can be made without departing from the inventive concept, which falls within the scope of the present invention. Therefore, the protection scope of the present patent shall be subject to the appended claims.

Claims

1. A trigeminal semilunar junction compression device, comprising: sacculus (10), stay tube (20), connection handle (30) and pressure measurement (40), the one end of stay tube (20) is inserted in sacculus (10), the other end of stay tube (20) with connect handle (30) and connect, it has annotates liquid chamber (31) to connect handle (30), annotate liquid chamber (31) with stay tube (20) intercommunication, pressure measurement (40) set up connect on handle (30), just pressure measurement (40) with annotate liquid chamber (31) intercommunication.

2. The apparatus of claim 1, further comprising: the end socket (50), the end socket (50) has arc surface (51), the end socket (50) pass the utricule (10) with stay tube (20) fixed connection.

3. The apparatus of claim 1, further comprising: the metal retaining ring (60) is sleeved on the outer side of the balloon (10), and the balloon (10) is fastened and fixed on the supporting tube (20) by the metal retaining ring (60).

4. The apparatus of claim 1, further comprising: a syringe (70), wherein the syringe (70) is connected with the connecting handle (30) in a plugging way.

5. A device as claimed in claim 4, wherein the injector (70) is further provided with a threaded portion (71), the connection handle (30) is provided with a thread, and the threaded portion (71) is threadedly connected to the connection handle (30).

6. A device according to any one of claims 1 to 5, wherein the balloon (10) is a ball or capsule type balloon.

7. A device according to any one of claims 1 to 5, wherein the balloon (10) is a pear-shaped balloon.

8. A device according to any one of claims 1 to 5, wherein the support tube (20) is a single or multi-lumen tube.

9. The device as claimed in claim 8, wherein the supporting tube (20) is a double-lumen tube, the handle (30) further has a wire guiding through hole (32), the injection lumen (31) is communicated with one of the lumens of the supporting tube (20), and the wire guiding through hole (32) is communicated with the other lumen of the supporting tube (20).

10. The device as claimed in any one of claims 1 to 5, wherein the pressure detecting means (40) is a pressure gauge.