CN116211375A - Duodenal bulbar hemostatic balloon and application method thereof - Google Patents
Duodenal bulbar hemostatic balloon and application method thereof Download PDFInfo
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- CN116211375A CN116211375A CN202211715178.5A CN202211715178A CN116211375A CN 116211375 A CN116211375 A CN 116211375A CN 202211715178 A CN202211715178 A CN 202211715178A CN 116211375 A CN116211375 A CN 116211375A
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- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
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- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
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- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12027—Type of occlusion
- A61B17/1204—Type of occlusion temporary occlusion
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12099—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
- A61B17/12109—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder in a blood vessel
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- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
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- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
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- A61M—DEVICES 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
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- A61B2017/12004—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding
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Abstract
The utility model relates to the technical field of hemostatic instruments and discloses a duodenal balloon portion hemostatic balloon, which comprises an inner balloon, wherein an outer balloon is fixedly assembled on the outer edge of the inner balloon, a central cavity is formed in the inner wall of the inner balloon, a hemostatic balloon is fixedly assembled on the outer edge of the outer balloon, a hemostatic balloon air tube is fixedly assembled on the outer edge of the hemostatic balloon, a first air valve is fixedly assembled on the outer edge of the hemostatic balloon air tube, a kafu balloon is fixedly assembled on the outer edge of the outer balloon, a kafu balloon air tube is fixedly assembled on the outer edge of the kafu balloon, a second air valve is fixedly assembled on the outer edge of the kafu balloon air tube, and the device is fixed on a designated bleeding part through the kafu balloon when bleeding parts in the duodenum are hemostatic by compression, so that the reliability and stability of the device are improved, the working efficiency of medical staff is improved, and the economic benefit is improved.
Description
Technical Field
The utility model relates to the technical field of hemostatic instruments, in particular to a duodenal bulbar hemostatic balloon.
Background
The hemostasis of duodenal bulbar hemorrhage, especially hemorrhage of the rear wall of the bulb, is relatively difficult, can only be treated by operation after hemostasis failure of the existing endoscopic hemostasis technique, has no effective method for continuous hemorrhage of the duodenal bulbar in the process of waiting for operation, has long operation recovery time, influences the life quality of patients, is a good hemostasis means by compression, has good effect on esophageal and gastric fundus varices, uterine and anal hemorrhages, but the design concept of the existing hemostasis instrument cannot be directly used for the duodenum due to the unique anatomical characteristics of the duodenum.
The traditional hemostatic dilator can refer to the Chinese patent with the patent publication number of CN215309547U, and discloses a balloon hemostatic dilator which comprises a dilator body, a balloon, drainage holes, scale marks, a one-way valve, luer, optical fibers and a visual positioning belt, wherein the drainage cavity, an infusion cavity and a luminous cavity are arranged in the dilator body, the drainage holes are arranged at the top end of the drainage cavity, the tail part of the drainage cavity is provided with the luer and is connected with a drainage device, the scale marks are arranged on the tube wall of the dilator body, the head end of the infusion cavity is embedded in the tube wall of the dilator body, the tail end of the infusion cavity is separated from the dilator body to form an independent cavity, the head end of the infusion cavity is communicated with the balloon, the tail part of the infusion cavity is provided with the one-way valve, the side edge of the balloon on the dilator is provided with a positioning part, the visual positioning belt is arranged on the positioning part in a surrounding manner, the optical fibers are arranged in the luminous cavity, the luminous cavity and the positioning part is additionally provided with the optical fibers, the optical fibers can increase brightness, the positioning belt is arranged on the positioning part in a surrounding manner, the positioning part can absorb the positioning belt to realize the position of the balloon, and the balloon can be positioned at a position.
However, in practical use, this device has at least the following problems:
(1) The stomach continuously secretes gastric juice, and the duodenal hemostat must allow gastric juice to pass or continuously suck out gastric juice;
(2) The duodenum is continuously peristaltic, and the duodenum hemostatic bag is required to be fixed when in use;
(3) The duodenal bulbar is an irregular sphere, and the duodenal bulbar hemostatic balloon is required to be attached to the wall of the duodenal bulbar after being expanded.
Disclosure of Invention
Aiming at the defects of the prior art, the utility model provides the duodenal bulbar hemostasis saccule which has the advantages of strong practicability, good stability and solves the problems in the prior art.
The utility model provides the following technical scheme: the utility model provides a duodenum sacculus of stopping bleeding, includes the interior bag, the outer edge fixed mounting of interior bag has outer bag, the inner wall of interior bag is equipped with the central chamber, the outer edge fixed mounting of outer bag has the sacculus of stopping bleeding, the outer edge fixed mounting of sacculus of stopping bleeding has the sacculus trachea, the tracheal outer edge fixed mounting of stopping bleeding has first air valve, the outer edge fixed mounting of outer bag has the carboff bag, the outer edge fixed mounting of carboff bag has the carboff bag trachea, the tracheal outer edge fixed mounting of carboff bag has the second pneumatic valve.
As a preferable technical scheme of the utility model, the outer edge of the inner bag is fixedly provided with an inner bag air pipe, and the outer edge of the inner bag air pipe is fixedly provided with an inner bag air pipe valve.
As a preferable technical scheme of the utility model, the length of the hemostatic bag is larger than that of the kafu bag, and the maximum expansion volume of the hemostatic bag is larger than that of the kafu bag.
As a preferable technical scheme of the utility model, the hemostatic bag is positioned at one end far away from the trachea of the inner bag, and the kafu bag is positioned at one end close to the trachea of the inner bag.
As a preferable technical scheme of the utility model, the hemostatic bag trachea and the Carff bag trachea are both prepared by medical hoses, and the inner bag trachea is prepared by the medical hoses.
As a preferable technical scheme of the utility model, the hemostatic range of the hemostatic bag is smaller than ten centimeters, the hemostatic range of the hemostatic bag is larger than five centimeters, the length of the inner bag trachea is reserved, and the length of the inner bag trachea is larger than twenty centimeters and smaller than eighty centimeters.
A method of using a duodenal bulbar hemostasis balloon, the method being used in any one of the above-described technical solutions, the method comprising the steps of:
s1: sleeving the duodenal bulbar hemostatic balloon on the endoscope through the central cavity, and inflating the endoscope to fix the duodenal bulbar hemostatic balloon on the endoscope so that the hemostatic balloon is positioned at the front end of the endoscope;
s2: inserting the hemostasis balloon of the endoscope together with the duodenal bulb part into the duodenum of a patient, and after the hemorrhage is observed by the endoscope, inflating the hemostasis balloon through a hemostasis balloon trachea to expand the hemostasis balloon to perform compression hemostasis on the hemorrhage;
s3: extracting air from the inner bag to separate the duodenal bulbar hemostasis balloon from the endoscope, observing the hemostasis effect of the bleeding part through the endoscope, and if the hemostasis effect is not good, adjusting the position of the hemostasis balloon, and if the hemostasis effect is good, performing step S4;
s4: inflating the kafu bag through a kafu bag air pipe, and fixing the duodenal bulbar hemostasis saccule in the duodenum to ensure that the hemostasis saccule is fixed at a bleeding part until the bleeding part stops bleeding;
s5: the endoscope is placed on the inner wall of the central cavity, the inner bag is inflated through the inner bag air pipe, the duodenal bulbar hemostatic balloon is fixed on the endoscope, then the hemostatic bag and the kafu bag are pumped through the hemostatic bag air pipe and the kafu bag air pipe, and the duodenal bulbar hemostatic balloon is brought out of the duodenum through the endoscope.
As a preferred technical solution of the present utility model, the step S3 specifically includes:
s31: observing the hemostatic effect of the bleeding part through an endoscope, if the hemostatic effect is not good, judging the optimal hemostatic position of the hemostatic bag again, and performing S32, and if the hemostatic effect is good, performing S4;
s32: the hemostatic bag is pumped through the hemostatic bag trachea, and the inner bag is inflated to fix the inner bag and the endoscope;
s33: the hemostatic bag is moved to the optimal hemostatic position by the endoscope, after which step S3 is repeated.
Compared with the prior art, the utility model has the following beneficial effects:
1. the duodenal bulb hemostatic balloon is beneficial to stopping bleeding of a bleeding part in the duodenum through compression through the hemostatic balloon and the kafu balloon, and simultaneously, the device is fixed on a designated bleeding part through the kafu balloon, so that separation of the hemostatic balloon and the bleeding part is prevented, the device can be used for stopping bleeding of the bleeding part of the duodenum timely and effectively, and the reliability and stability of the device are improved.
2. This duodenal bulbar portion hemostasis bag through the cooperation use of interior bag trachea and outer bag trachea, is favorable to inflating and gassing to interior bag and outer bag to be favorable to placing and taking out the device, improved the convenience of using the device, be favorable to improving medical personnel's work efficiency and hemostatic effect, the device simple structure simultaneously, the cost is lower, is favorable to economic benefits's improvement.
Drawings
FIG. 1 is a schematic perspective view of the present utility model;
FIG. 2 is a schematic side sectional view of the present utility model;
FIG. 3 is a schematic view of the expanded structure of the present utility model;
fig. 4 is a schematic side view of the present utility model.
In the figure: 1. an inner bag; 2. an outer bladder; 3. a central cavity; 4. a hemostatic sac; 5. hemostatic sac trachea; 6. a first air valve; 7. a kafu bag; 8. a kafu balloon trachea; 9. a second air valve; 10. an inner bag trachea; 11. an inner bag air tube valve.
Detailed Description
The following description of the embodiments of the present utility model will be made clearly and completely with reference to the accompanying drawings, in which it is apparent that the embodiments described are only some embodiments of the present utility model, but not all embodiments. All other embodiments, which can be made by those skilled in the art based on the embodiments of the utility model without making any inventive effort, are intended to be within the scope of the utility model.
Example 1
Referring to fig. 1-4, a duodenal bulbar hemostasis balloon comprises an inner balloon 1, wherein an outer balloon 2 is fixedly assembled on the outer edge of the inner balloon 1, a central cavity 3 is arranged on the inner wall of the inner balloon 1, a hemostasis balloon 4 is fixedly assembled on the outer edge of the outer balloon 2, a hemostasis balloon air pipe 5 is fixedly assembled on the outer edge of the hemostasis balloon 4, a first air valve 6 is fixedly assembled on the outer edge of the hemostasis balloon air pipe 5, a kafu balloon 7 is fixedly assembled on the outer edge of the outer balloon 2, a kafu balloon air pipe 8 is fixedly assembled on the outer edge of the kafu balloon 7, and a second air valve 9 is fixedly assembled on the outer edge of the kafu balloon air pipe 8.
Example 2
On the basis of embodiment 1, the outer edge of inner bag 1 is fixedly equipped with inner bag trachea 10, and the outer edge of inner bag trachea 10 is fixedly equipped with inner bag valve 11, is favorable to inflating and gassing to inner bag 2 to be favorable to placing and taking out the device, improved the convenience of using the device, be favorable to improving medical personnel's work efficiency and hemostatic effect, the device simple structure simultaneously, the cost is lower, be favorable to economic benefits's improvement.
Example 3
Based on example 1 or 2, the length of the hemostatic bag 4 is greater than the length of the kav bag 7, and the maximum inflation volume of the hemostatic bag 4 is greater than the maximum inflation volume of the kav bag 7;
in the embodiment, the hemostatic bag 4 is made of medical film materials, and the volume of the hemostatic bag is larger than that of the duodenal bulbar after the hemostatic bag is completely inflated, so that the hemostatic bag can change shape according to intestinal tracts after incomplete air injection or water injection; the carboff bag 7 is made of medical rubber, and the shape is fixed after inflation, through setting up hemostatic bag 4 and carboff bag 7, be favorable to stopping bleeding through the oppression to the position that bleeds in the duodenum, fix the device at appointed position that bleeds through carboff bag 7 to be favorable to preventing hemostatic bag 4 and bleeding department separation, ensured that the device can in time effectually stop bleeding to the position that bleeds of duodenum, improved the reliability and the stability of the device.
Example 4
On the basis of the above embodiment, the hemostatic bag 4 is positioned at one end far from the inner bag trachea 10, and the kafu bag 7 is positioned at one end close to the inner bag trachea 10;
in the embodiment, the middle parts of the hemostatic sac 4 and the kafu sac 7 are the positions of pylorus in use and are made of medical film materials or soft rubber materials, so that pylorus mucous membranes are not easy to be damaged for a long time. The restriction of the positions of the hemostatic bag 4 and the kafu bag 7 is beneficial to ensuring that the device can be fixed at a designated position while effectively stopping bleeding and preventing the device from shifting in position.
Example 5
On the basis of the embodiment, the hemostatic balloon trachea 5 and the kafu balloon trachea 8 are both prepared by medical hoses, and the inner balloon trachea 10 is prepared by the medical hoses, so that the hemostatic balloon trachea 5 and the kafu balloon trachea 8 prepared by the medical hoses and the inner balloon trachea 10 are beneficial to reducing the stimulation of the device to the body of a patient and improving the reliability of the device.
Example 6
Based on the above embodiment, the hemostatic range of the hemostatic bag 4 is smaller than ten cm, and the hemostatic range of the hemostatic bag 4 is larger than five cm, the length of the inner bag trachea 10 is larger than twenty cm and smaller than eighty cm, and the device is beneficial to medical staff to use more conveniently and improve the working efficiency of the medical staff by limiting the hemostatic range and limiting the lengths of the inner bag trachea 11 and the outer bag trachea 12.
Example 7
On the basis of the embodiment, the surface of the hemostatic balloon is provided with a plurality of granular bulges for increasing the blood coagulation speed; the hemostatic polymer material or hemostatic medicine is covered on the surface of the hemostatic bag, and is used for improving hemostatic efficiency, and the hemostatic polymer material comprises gelatin sponge, chitosan hemostatic sponge and collagen hemostatic sponge; the hemostatic materials are synthesized from polyvinyl alcohol, polylactic acid, etc., and the hemostatic drugs include, but are not limited to, thrombin, carbazochrome sodium sulfonate, tranexamic acid, norepinephrine.
Example 8
A method of using a duodenal bulbar hemostasis balloon, the method for using one of the above embodiments, the method comprising the steps of:
s1: sleeving the duodenal bulbar hemostatic balloon on the endoscope through the central cavity 3, and inflating the inner balloon 1 to fix the duodenal bulbar hemostatic balloon on the endoscope so that the hemostatic balloon 4 is positioned at the front end of the endoscope;
s2: inserting an endoscope together with a duodenal bulb hemostasis balloon into the duodenum of a patient, and after the endoscope observes a bleeding part, inflating the hemostasis balloon 4 through a hemostasis balloon trachea 5 to expand the hemostasis balloon 4 to perform compression hemostasis on the bleeding part;
s3: the inner bag 1 is pumped to enable the duodenal bulbar hemostasis saccule to be separated from the endoscope, then the hemostasis effect of the bleeding part is observed through the endoscope, if the hemostasis effect is not good, the position of the hemostasis saccule 4 is adjusted, and if the hemostasis effect is good, the step S4 is carried out;
s4: inflating the kafu bag 7 through the kafu bag air pipe 8 to fix the duodenal bulbar hemostatic balloon in the duodenum, so as to ensure that the hemostatic balloon 4 is fixed at the bleeding part until bleeding is stopped at the bleeding part;
s5: the endoscope is placed on the inner wall of the central cavity 3, the inner bag 1 is inflated through the inner bag air pipe 10, the duodenal bulbar hemostatic balloon is fixed on the endoscope, then the hemostatic bag 4 and the kafu bag 6 are pumped through the hemostatic bag air pipe 5 and the kafu bag air pipe 8, and the duodenal bulbar hemostatic balloon is brought out of the duodenum through the endoscope.
Example 9
On the basis of embodiment 8, the step S3 specifically includes:
s31: observing the hemostatic effect of the bleeding part through an endoscope, if the hemostatic effect is not good, judging the optimal hemostatic position of the hemostatic bag 4 again, and performing S32, and if the hemostatic effect is good, performing S4;
s32: the hemostatic bag 4 is pumped through the hemostatic bag trachea 5, and the inner bag 1 is inflated to fix the inner bag 1 and the endoscope;
s33: the hemostatic bag 4 is moved endoscopically to the optimal hemostatic position, after which step S31 is repeated.
Although embodiments of the present utility model have been shown and described, it will be understood by those skilled in the art that various changes, modifications, substitutions and alterations can be made therein without departing from the principles and spirit of the utility model, the scope of which is defined in the appended claims and their equivalents.
Claims (8)
1. A duodenal bulbar hemostasis balloon, comprising an inner balloon (1), characterized in that: the outer edge fixed mounting of interior bag (1) has outer bag (2), the inner wall of interior bag (1) is equipped with central chamber (3), the outer edge fixed mounting of outer bag (2) has hemostatic bag (4), the outer edge fixed mounting of hemostatic bag (4) has hemostatic bag trachea (5), the outer edge fixed mounting of hemostatic bag trachea (5) has first air valve (6), the outer edge fixed mounting of outer bag (2) has kafu bag (7), the outer edge fixed mounting of kafu bag (7) has kafu bag trachea (8), the outer edge fixed mounting of kafu bag trachea (8) has second air valve (9).
2. A duodenal bulbar hemostatic balloon according to claim 1, wherein: the outer edge of the inner bag (1) is fixedly provided with an inner bag air pipe (10), and the outer edge of the inner bag air pipe (10) is fixedly provided with an inner bag air pipe valve (11).
3. A duodenal bulbar hemostatic balloon according to claim 1, wherein: the length of the hemostatic bag (4) is larger than that of the Carff bag (7), and the maximum expansion volume of the hemostatic bag (4) is larger than that of the Carff bag (7).
4. A duodenal bulbar hemostatic balloon according to claim 1, wherein: the hemostatic bag (4) is positioned at one end far away from the inner bag trachea (10), and the kafu bag (7) is positioned at one end close to the inner bag trachea (10).
5. A duodenal bulbar hemostatic balloon according to claim 1, wherein: the hemostatic bag trachea (5) and the kafu bag trachea (8) are both prepared from medical hoses, and the inner bag trachea (10) is prepared from the medical hoses.
6. A duodenal bulbar hemostatic balloon according to claim 2, wherein: the hemostatic range of the hemostatic bag (4) is smaller than ten centimeters, the hemostatic range of the hemostatic bag (4) is larger than five centimeters, the length of the inner bag trachea (10) is reserved, and the length of the inner bag trachea (10) is larger than twenty centimeters and smaller than eighty centimeters.
7. A method of using a duodenal bulbar hemostatic balloon according to any one of claims 1-6, comprising the steps of:
s1: sleeving the duodenal bulbar hemostatic balloon on the endoscope through the central cavity (3), and inflating the inner balloon (1) to fix the duodenal bulbar hemostatic balloon on the endoscope, so that the hemostatic balloon (4) is positioned at the front end of the endoscope;
s2: inserting an endoscope together with a duodenal bulb hemostasis balloon into the duodenum of a patient, and after the endoscope observes a bleeding part, inflating the hemostasis balloon (4) through a hemostasis balloon trachea (5), so that the hemostasis balloon (4) is inflated to perform compression hemostasis on the bleeding part;
s3: the inner bag (1) is pumped to enable the duodenal bulbar hemostasis saccule to be separated from the endoscope, then the hemostasis effect of the bleeding part is observed through the endoscope, if the hemostasis effect is not good, the position of the hemostasis saccule (4) is adjusted, and if the hemostasis effect is good, the step S4 is carried out;
s4: inflating the kafu bag (7) through a kafu bag air pipe (8), and fixing the duodenal bulbar hemostatic balloon in the duodenum to ensure that the hemostatic balloon (4) is fixed at a bleeding part until bleeding is stopped at the bleeding part;
s5: the endoscope is arranged on the inner wall of the central cavity (3), the inner bag (1) is inflated through the inner bag air pipe (10), the duodenal bulbar hemostatic balloon is fixed on the endoscope, then the hemostatic balloon (4) and the kafu balloon (6) are pumped through the hemostatic bag air pipe (5) and the kafu balloon air pipe (8), and the duodenal bulbar hemostatic balloon is taken out from the duodenum through the endoscope.
8. The method of using a duodenal bulbar hemostatic balloon according to claim 7, wherein the step S3 is specifically:
s31: observing the hemostatic effect of the bleeding part through an endoscope, if the hemostatic effect is not good, judging the optimal hemostatic position of the hemostatic bag (4) again, and performing S32, and if the hemostatic effect is good, performing S4;
s32: the hemostatic bag (4) is pumped through the hemostatic bag trachea (5), and the inner bag (1) is inflated to fix the inner bag (1) and the endoscope;
s33: the hemostatic bag (4) is moved to the optimal hemostatic position by an endoscope, after which step S31 is repeated.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202211715178.5A CN116211375A (en) | 2022-12-29 | 2022-12-29 | Duodenal bulbar hemostatic balloon and application method thereof |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202211715178.5A CN116211375A (en) | 2022-12-29 | 2022-12-29 | Duodenal bulbar hemostatic balloon and application method thereof |
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| Publication Number | Publication Date |
|---|---|
| CN116211375A true CN116211375A (en) | 2023-06-06 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202211715178.5A Pending CN116211375A (en) | 2022-12-29 | 2022-12-29 | Duodenal bulbar hemostatic balloon and application method thereof |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN116211375A (en) |
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