CN201969172U - Double-airbag casing pipe used for treatment under gastrointestinal endoscope - Google Patents

Double-airbag casing pipe used for treatment under gastrointestinal endoscope Download PDF

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Publication number
CN201969172U
CN201969172U CN2011200178523U CN201120017852U CN201969172U CN 201969172 U CN201969172 U CN 201969172U CN 2011200178523 U CN2011200178523 U CN 2011200178523U CN 201120017852 U CN201120017852 U CN 201120017852U CN 201969172 U CN201969172 U CN 201969172U
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China
Prior art keywords
casing pipe
main
airbag
air bag
sleeve
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Expired - Fee Related
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CN2011200178523U
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Chinese (zh)
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宗坚
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Individual
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Individual
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Abstract

The utility model relates to a double-airbag casing pipe used for treatment under a gastrointestinal endoscope, in particular to a double-airbag casing pipe for the therapy/adjuvant therapy of gastric and intestinal lesions under a gastrointestinal endoscope, which belongs to the field of medical instruments and comprises a main casing pipe (16), a main casing pipe endoscope channel (2), a main casing pipe airbag (5), a main casing pipe airbag inflation chamber (3) and a main casing pipe dental pad fixator (4). The utility model is characterized in that an internal casing pipe channel (1) is arranged in the casing pipe, a movable internal casing pipe (6) is arranged in the internal casing pipe channel (1), one end of the movable internal casing pipe (6) leads to a mouth of the casing pipe, and the other end of the movable internal casing pipe is provided with an internal casing pipe airbag (7) at the point 0.5-1.5cm away from the end head. With the double-airbag casing pipe, the operation visual field of the gastrointestinal endoscope is obviously expanded and improved, so the possibility of succeeded esophagus fundic varix emergency endoscope hemostasis is greatly increased, the endoscope hemostasis can become a conventional hemostasis mode, and simultaneously other endoscope operations in the stomach and intestine can also be improved so as to reduce the operation difficulty, increase the success rate and expand the application scope of the airbag casing pipe.

Description

The gastrointestinal mirror is the two air bag sleeve pipes of treatment down
Technical field
Gastrointestinal mirror down treatment belongs to medical instruments field with two air bag sleeve pipes, be specifically related to a kind of under the intestines and stomach mirror two air bag sleeve pipes of treatment or auxiliary treatment gastrointestinal pathological changes.
Background technology
Clinically; regular meeting occurs because gastrointestinal hemorrhage, patient's food debris and a large amount of secretions influence the therapeutic effect of gastrointestinal pathological changes under the gastrointestinal mirror; trace it to its cause; in narrow space; simultaneously under the interference of blood, secretions; the attraction cleaning effect of gastrointestinal mirror is limited, influences the intestines and stomach mirror mirror downward view, and then influences the diagnosis and treatment of doctor to patient's lesion locations.
Sengstaken-Blakemore tube is commonly used clinically to cause esophagus, the gastric fundus vein hemorrhage patient of breaking to get involved the hemostatic medical apparatus and instruments to suffering from liver cirrhosis.Usually the structure of usefulness comprises gastral cavity, gastric pouch gas injection chamber, oesophageal pouches gas injection chamber, gastric qi capsule, esophagus air bag, after its per os or nasal cavity intubate enter stomach, inflation is expanded the gastric qi capsule of pipe end, outwards traction, air bag is promptly oppressed the cirso-at the bottom of the stomach, inflation is expanded the capsule that is positioned at esophagus again, and the cirso-of compressing esophagus often can obtain haemostatic effect.At the deficiencies in the prior art, numerous inventors improve Sengstaken-Blakemore tube, Chinese patent " four chambeies, two capsule pipes " (number of patent application: 91205403.4) disclose a kind of a kind of improvement structure of the Sengstaken-Blakemore tube to clinical use for example, its architectural feature is that the side at gastral cavity is provided with an esophagus chamber, and respectively opens an esophagus chamber proximal orifice and esophagus chamber remote stomidium in the esophagus chamber near the far and near both sides of esophagus air bag.Its advantage is: avoid because of the anti-person who lives in exile's trachea of hematocele in the esophagus causes that patient suffocates, and can annotate people's hemorrhage from the esophagus chamber, shorten indwelling catheter time, prevent mucosal erosion at the bottom of the esophageal-gastric.This structure has overcome long-time use Sengstaken-Blakemore tube hemostasis to a certain extent may increase grieved defective to patient, has expanded the function of Sengstaken-Blakemore tube.Yet this design is not still satisfied and is opened up the intestines and stomach mirror visual field clinically, and auxiliary doctor utilizes the needs of the accurate diagnosis and treatment pathological changes of gastrointestinal mirror.
The utility model content
The technical problems to be solved in the utility model is: overcome the deficiencies in the prior art, provide a kind of and can expand the work visual field under the gastrointestinal mirror, and treat down with two air bag sleeve pipes than the wider gastrointestinal mirror of Sengstaken-Blakemore tube range of application commonly used.
The technical scheme in the invention for solving the technical problem is: the gastrointestinal mirror is the two air bag sleeve pipes of treatment down, comprise main sleeve pipe, main sleeve pipe scope passage, main cover tube airbag, main sleeve pipe balloon inflation lumen and main sleeve pipe bite-block holder, it is characterized in that being provided with in the main sleeve pipe inner sleeve passage, be provided with movable inner sleeve in the inner sleeve passage, movable inner sleeve one end leads to the sleeve pipe mouth of pipe, and the other end is provided with the inner sleeve air bag at 0.5~1.5cm place, distance termination.
Described movable inner sleeve is two chambeies in mouth of pipe punishment, is respectively inner sleeve balloon inflation lumen and interior air bag tube chamber.
The length of described movable inner sleeve is than the long 10~20cm of length of main sleeve pipe scope passage.
Described main sleeve pipe balloon inflation lumen, inner sleeve balloon inflation lumen can be connected with Pressure gauge.
Treatment is with being provided with reserved passageway in two air bag sleeve pipes down for this gastrointestinal mirror, and as the passage usefulness that attracts hydrops in the cleaning tract, the tract that passes through that also can be used as other apparatuses uses.
This gastrointestinal mirror treatment down is specially with two telescopic sizes of air bag: duodenoscope is treated down with two air bag sleeve pipes, its main sleeve pipe is about 70~80cm, the about 13.5cm of main sleeve pipe scope passage internal diameter, movable inner sleeve 80~90cm, about 4~the 5cm of capsule diameter of main cover tube airbag and inner sleeve air bag, the about 5~7cm of distance during work; Gastroscope is the two air bag sleeve pipes of treatment down, and its main sleeve pipe is about 50~70cm, the about 1.2cm of scope passage internal diameter, movable inner sleeve 80~90cm, the about 8~15cm of maximum gauge behind two airbag aerations; The intestinal mirror is the two air bag sleeve pipes of treatment down, and main sleeve pipe is about 130~150cm, movable inner sleeve 150~160cm, the about 1.5cm of main sleeve pipe scope passage internal diameter, the about 10~15cm of maximum gauge behind two airbag aerations.
This utility model can be used in the diagnosis and treatment of multiple diseased region.Mainly comprise:
1, in cirso-at the bottom of esophagus, the stomach breaks hemorrhage treatment, can use by the indication of common Sengstaken-Blakemore tube; 2, in the treatment of gastroscope, play the auxiliary treatment effect; 3, the assosting effect under duodenoscope; And 4, play the auxiliary treatment effect in the treatment of intestinal mirror.
Described gastrointestinal mirror treatment down also can be used as the attraction passage with two air bag sleeve pipes, and wherein inner sleeve can be used as suction catheter or is replaced into simple suction catheter.
Compare with existing three chambeies two capsules, this gastrointestinal mirror treatment down with the beneficial effect that two air bag sleeve pipes are had is: under its assistance application, except acute gastroscope imports hemostasis by compression, obviously expand and improved the operation visual field of gastrointestinal mirror, so make that the successful property of cirso-emergency treatment Endoscope hemostasis might greatly improve at the bottom of the esophageal-gastric, and can make it can become conventional hemostasis mode.Thereby making simultaneously that other endoscopic surgeries also improve in the gastrointestinal tract reduces operation easier, improves success rate, has like this than common Sengstaken-Blakemore tube wide applications more.
Description of drawings
Fig. 1 is a deployed configuration sketch map of the present utility model.
Fig. 2 is an A-A cutaway view of the present utility model.
Fig. 3 is the structural representation of movable inner sleeve described in the utility model.
Fig. 4 of the present utility modelly uses sketch map under gastroscope.
Fig. 5 is the application sketch map of this utility model in cirso-at the bottom of esophagus, the stomach breaks hemorrhage treatment.
Fig. 6 is this utility model user mode figure during the pathological changes auxiliary treatment in duodenum.
Fig. 7 is that this utility model intestinal mirror is used two air bag sleeve pipe sketch maps.
Wherein, 1, inner sleeve passage 2, main sleeve pipe scope passage 3, main sleeve pipe balloon inflation lumen 4, main sleeve pipe bite-block holder 5, main cover tube airbag 6, movable inner sleeve 7, inner sleeve air bag 8, inner sleeve balloon inflation lumen 9, interior air bag tube chamber 10, Pressure gauge 11, reserved passageway 12, gastroscope 13, duodenoscope 14, intestinal mirror 15, seal wire 16, main sleeve pipe.
Fig. 1~7 are preferred forms of the present utility model, are described further below in conjunction with 1~7 pair of this utility model of accompanying drawing:
The specific embodiment
Shown in accompanying drawing 1~3, this gastrointestinal mirror down treatment comprises main sleeve pipe 16 with two air bag sleeve pipes,, main sleeve pipe scope passage 2, main cover tube airbag 5, main sleeve pipe balloon inflation lumen 3 and main sleeve pipe bite-block holder 4.Also be provided with inner sleeve passage 1 in the main sleeve pipe 16, be provided with movable inner sleeve 6 in the inner sleeve passage 1, movable inner sleeve 6 one ends lead to the sleeve pipe mouth of pipe, and the other end is provided with inner sleeve air bag 7 at 0.5~1.5cm place, distance termination.The special feature of movable inner sleeve 6 is that it is two chambeies in mouth of pipe punishment, is respectively inner sleeve balloon inflation lumen 8 and interior air bag tube chamber 9, and the length of movable inner sleeve 6 is than the long 10~20cm of length of main sleeve pipe scope passage 2.Described main sleeve pipe balloon inflation lumen 3, inner sleeve balloon inflation lumen 8 are connected with Pressure gauge 10.
Also can be provided with reserved passageway 11 in the main sleeve pipe 16 described in the utility model, as the passage usefulness that attracts hydrops in the cleaning tract, the tract that passes through that also can be used as other apparatuses uses.
Be described below in conjunction with Fig. 4~7 pair concrete work process of the present utility model:
As shown in Figure 4, this utility model plays the auxiliary treatment effect in the treatment of using gastroscope 12.Concrete work process is: after intubate enters stomach, continue movable inner sleeve 6 is extended forward, until reach the duodenum position by pylorus, make its expansion to main cover tube airbag 5,7 inflations of inner sleeve air bag successively then.Along with finishing of inflation, main cover tube airbag 5 gets lodged in cardia and pylorus respectively with inner sleeve air bag 7, thereby form the relative closure environment of stomach, can expand to gastric gas injection appropriateness this moment by gastroscope 12, to enlarge gastroscope 12 visuals field, make things convenient for diagnosis or further operation, solve the visual field and be difficult to control problem, and avoid being easy to generate ill symptomses such as abdominal distention because of the patient that works long hours.
As shown in Figure 5, this utility model can use by the indication of common Sengstaken-Blakemore tube in cirso-at the bottom of esophagus, the stomach breaks hemorrhage treatment.Can import by gastroscope 12, main cover tube airbag 5 be expanded through main sleeve pipe balloon inflation lumen 3 inflations, outwards traction, air bag is promptly oppressed the cirso-at the bottom of the stomach, again this sleeve pipe is fixed in a mouthful pad through main sleeve pipe bite-block holder 4.If the bleeding part mainly is positioned at esophagus, poor effect at the bottom of the simple compressing stomach, then can be at the bottom of stomach with inner sleeve air bag 7 inflation compressions, the main cover tube airbag 5 of inflation is oppressed in esophagus, thereby reach temporarily not hemorrhage, meanwhile gastroscope can be rinsed visual field cleaning well, and then makes treatment mirror under (prick or harden as cirso-thromboembolism at the bottom of the stomach and esophagus cirso-cover) be able to emergency treatment to carry out.
As shown in Figure 6, this utility model can help out under duodenoscope.Diagnosis and treatment with duodenum position pathological changes are example, its process is: under duodenoscope 13 guiding main sleeve pipe is sent into angle on the duodenum section of falling (nipple proximal end), movable inner sleeve 6 is imported the duodenum section of falling inferior horn, in main cover tube airbag 5 and inner sleeve air bag 7, inflate respectively by main sleeve pipe balloon inflation lumen 3, inner sleeve balloon inflation lumen 8 then and make it expansion.Form the relative closure environment this moment between main cover tube airbag 5 and inner sleeve air bag 7.. suitably inflate by duodenoscope 13, and pass through to regulate the size of two air bags, thereby greatly improve working place and environment, reduce operation easier, improve success rate.
As shown in Figure 7, play the auxiliary treatment effect in the treatment of this utility model under the intestinal mirror.Concrete work process is: after intubate enters intestinal, continue the seal wire 15 that movable inner sleeve 6 passes through air bag tube chamber 9 in the insertion is extended forward, movable inner sleeve 6 is crossed diseased region, inflates in main cover tube airbag 5 and inner sleeve air bag 7 successively then and makes its expansion.Along with finishing of inflation, main cover tube airbag 5 gets lodged in the two ends of intestinal diseased region respectively with inner sleeve air bag 7, thereby forms the relative closure environment of local enteric cavity, and can expand to enteral gas injection appropriateness this moment by intestinal mirror 14, to enlarge intestinal mirror 14 visuals field, make things convenient for diagnosis or further operation.
The above, it only is preferred embodiment of the present utility model, be not to be the restriction of utility model being made other form, any those skilled in the art may utilize the technology contents of above-mentioned announcement to be changed or be modified as the equivalent embodiment of equivalent variations.But every technical solutions of the utility model content that do not break away to any simple modification, equivalent variations and remodeling that above embodiment did, still belongs to the protection domain of technical solutions of the utility model according to technical spirit of the present utility model.

Claims (5)

1. the gastrointestinal mirror is treated down with two air bag sleeve pipes, comprise main sleeve pipe (16), main sleeve pipe scope passage (2), main cover tube airbag (5), main sleeve pipe balloon inflation lumen (3) and main sleeve pipe bite-block holder (4), it is characterized in that being provided with in the main sleeve pipe (16) inner sleeve passage (1), be provided with movable inner sleeve (6) in the inner sleeve passage (1), movable inner sleeve (6) one ends lead to the sleeve pipe mouth of pipe, and the other end is provided with inner sleeve air bag (7) at 0.5~1.5cm place, distance termination.
2. gastrointestinal mirror according to claim 1 treatment down is characterized in that with two air bag sleeve pipes described movable inner sleeve (6) is two chambeies in mouth of pipe punishment, is respectively inner sleeve balloon inflation lumen (8) and interior air bag tube chamber (9).
3. gastrointestinal mirror according to claim 1 and 2 treatment down is characterized in that the length long 10~20cm of the length of described movable inner sleeve (6) than main sleeve pipe scope passage (2) with two air bag sleeve pipes.
4. gastrointestinal mirror according to claim 2 treatment down is characterized in that with two air bag sleeve pipes described main sleeve pipe balloon inflation lumen (3), inner sleeve balloon inflation lumen (8) can be connected with Pressure gauge (10).
5. gastrointestinal mirror according to claim 1 treatment down is characterized in that being provided with in the main sleeve pipe (16) reserved passageway (11) with two air bag sleeve pipes.
CN2011200178523U 2011-01-20 2011-01-20 Double-airbag casing pipe used for treatment under gastrointestinal endoscope Expired - Fee Related CN201969172U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN2011200178523U CN201969172U (en) 2011-01-20 2011-01-20 Double-airbag casing pipe used for treatment under gastrointestinal endoscope

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN2011200178523U CN201969172U (en) 2011-01-20 2011-01-20 Double-airbag casing pipe used for treatment under gastrointestinal endoscope

Publications (1)

Publication Number Publication Date
CN201969172U true CN201969172U (en) 2011-09-14

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CN2011200178523U Expired - Fee Related CN201969172U (en) 2011-01-20 2011-01-20 Double-airbag casing pipe used for treatment under gastrointestinal endoscope

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105559834A (en) * 2016-01-13 2016-05-11 重庆金创谷医疗科技有限公司 Diagnosis and treatment sheathing canal for endoscope
CN106580387A (en) * 2016-12-19 2017-04-26 北京大学第三医院 Medical intra-cavity pressure apparatus
CN110392555A (en) * 2017-03-08 2019-10-29 加利福尼亚大学董事会 Esophagus arrangement for deflecting

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105559834A (en) * 2016-01-13 2016-05-11 重庆金创谷医疗科技有限公司 Diagnosis and treatment sheathing canal for endoscope
CN106580387A (en) * 2016-12-19 2017-04-26 北京大学第三医院 Medical intra-cavity pressure apparatus
CN106580387B (en) * 2016-12-19 2023-11-14 北京积水潭医院 Medical body cavity internal pressure applying device
CN110392555A (en) * 2017-03-08 2019-10-29 加利福尼亚大学董事会 Esophagus arrangement for deflecting

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C14 Grant of patent or utility model
GR01 Patent grant
C17 Cessation of patent right
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20110914

Termination date: 20140120