CN202313919U - Integrated system for examining and treating lacrimal passage - Google Patents

Integrated system for examining and treating lacrimal passage Download PDF

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Publication number
CN202313919U
CN202313919U CN2011204510876U CN201120451087U CN202313919U CN 202313919 U CN202313919 U CN 202313919U CN 2011204510876 U CN2011204510876 U CN 2011204510876U CN 201120451087 U CN201120451087 U CN 201120451087U CN 202313919 U CN202313919 U CN 202313919U
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China
Prior art keywords
conduit
lacrimal passage
catheter
tee
lacrimal
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Expired - Lifetime
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CN2011204510876U
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Chinese (zh)
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于刚
项楠
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Individual
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Abstract

The utility model provides an integrated system for examining and treating a lacrimal passage. The integrated system comprises a catheter prober of which the front end is inserted into the lacrimal passage and a three-way pipe communicated with the catheter prober, wherein the catheter prober comprises a catheter and an extensible balloon sealed and sheathed outside the wall at the front end of the catheter; the rear end of the catheter is connected with the outlet of the three-way pipe; the catheter is internally provided with a first catheter cavity and a second catheter cavity which are independent of each other and extend along the direction of the catheter; the wall of the catheter sealed and surrounded by the balloon is provided with a micropore which is communicated with the first catheter cavity; the front end of the first catheter cavity is closed, and the rear end of the first catheter cavity is communicated with the first inlet of the three-way pipe by the outlet of the three-way pipe; and the front end of the second catheter cavity of the catheter is opened, and the rear end of the second catheter cavity is communicated with the second inlet of the three-way pipe by the outlet of the three-way pipe. According to the utility model, lacrimal passage examination, lacrimal passage flushing, lacrimal passage dredging, lacrimal passage biopsy, lacrimal passage foreign matter extraction and lacrimal passage plugging treatment are completed in one system, so that the damage of multi-time examination and probing on the lacrimal passage can be avoided. The integrated system is an innovative and unique design.

Description

The integrated system of a kind of examination of lacrimal passages and treatment
Technical field
This utility model relates to a kind of medical apparatus and instruments, particularly relates to a kind of integrated system that integrates examination of lacrimal passages and treat.
Background technology
Obstructed lacrimal passage is one of multiple oculopathy of child; For the obstructed lacrimal passage property disease of complicated obstructed lacrimal passage, especially far-end of child, traditional irrigation of lacrimal passage and probing of lacrimal passages operation can be described as at a loss what to do to the obstructed lacrimal passage treatment of this complicacy; Usually after child's probing of lacrimal passages; Because the narrow factor (comprising that bone property is narrow) of lacrimal passage far-end still exists, that the probability of secondary stricture takes place again is very big so visit lacrimal passage after logical, and it is also high to visit logical mortality of performing the operation.Child's lacrimal passage through repeatedly visit cause easily after logical via, cause the cicatrization of lacrimal passage, perform the operation for child's lacrimal passage once more and cause obstacle, be unfavorable for the lacrimal passage treatment of diseases.
Summary of the invention
This utility model is to the child who suffers from complicated obstructed lacrimal passage disease; On the basis of lacrimal passage ring cutting balloon tube device dilatation; Develop a kind of new product that can substitute the treatment obstructed lacrimal passage of irrigation of lacrimal passage, probing of lacrimal passage; Be to integrate multiple integrated systems of performing the operation such as examination of lacrimal passages, probing of lacrimal passages, lacrimal passage biopsy, the taking-up of lacrimal passage foreign body, the little brill of lacrimal passage, lacrimal passage ring cutting, the expansion of lacrimal passage far-end occlusion balloon; Be a kind of convenient and swift, safe, the novel examination of lacrimal passages that effectively, do not destroy the topography structure and the integrated system of treatment; Can carry out lacrimal passage illness inspection, auxiliary lacrimal passage illness diagnosis, lacrimal passage ring cutting simultaneously visits and passes to and the operative treatment of special lacrimal passage illness; Can be used for the congenital obstructed lacrimal passage treatment of various children behind the operative failures such as probing of lacrimal passages, lacrimal passage intubation, lacrimal passage laser, its success rate obtains good result up to 92%; And balloon dilatation catheter is minimum to child's nasolacrimal duct tissue injury, safety, no various severe complications, makes a breakthrough for the treatment of the especially complicated lacrimal passage illness of the congenital obstructed lacrimal passage of child.
The technical scheme of this utility model is:
The integrated system of a kind of examination of lacrimal passages and treatment comprises the tee T that conduit is visited logical device and is communicated with the logical device of said conduit spy, and said tee T comprises first import, second import and outlet, and the front end that said conduit is visited logical device inserts lacrimal passage, it is characterized in that:
Said conduit is visited logical device and is comprised that a conduit reaches at the sheathed distensible sacculus of the tube wall external seal of said catheter proximal end; The rear end of said conduit is connected with the outlet of said tee T; Two separate first tube chamber and second tube chambers along the duct direction perforation are arranged in the said conduit; Said sacculus seals on the tube wall of the conduit that surrounds has micropore, and said micropore is communicated with said first tube chamber; The front end of said first tube chamber is a closed, and the rear end of said first tube chamber further is communicated with first import of said tee T through the outlet of said tee T; The front opening of second tube chamber of said conduit, the rear end of second tube chamber of said conduit further is communicated with second import of said tee T through the outlet of said tee T.
The technical scheme of the said examination of lacrimal passages of this utility model and the integrated system of treatment can also be:
Said conduit is the contraction that slightly slopes inwardly of the tube wall of its front end, and its end is the ring cutting conduit of endless belt sword.
The end of said ring cutting conduit is threaded with said tee T or connects and fixes.
First import of said tee T is connected with pressurization pump-up device or fluid infusion apparatus.
The accessory that is used to check and treat obstructed lacrimal passage is inserted in second import through said tee T in said second tube chamber of said conduit.
Said accessory comprises the biopsy forceps that is used to take a sample, gets the little brill of thing basket, cytology brush or lacrimal passage, perhaps is used to the guide wire of dredging, and perhaps is used to the infusion liquid and the various medicinal liquid of treating.
The said thing basket of getting is miniature three strands or four strands of telescopic thing baskets of getting.
Said cytology brush is hairbrush like cell brush.
Said guide wire is the memory steel wire.
The examination of lacrimal passages of this utility model and the integrated system of treatment are applicable to the obstructed lacrimal passage patient at any age, and technical scheme is reasonable in design, is skillfully constructed; Processing ease; Multiple functional, can examination of lacrimal passages, probing of lacrimal passages, lacrimal passage be stopped up treatment and in a system, once accomplish, avoid repeatedly the damage of probing of lacrimal passages to lacrimal passage; Solved the not good problem of far-end stricture of lacrimal passage surgical result simultaneously; Design the logical device of conduit spy of various different purposes, different model, different cambers simultaneously, this conduit is visited the infant after logical device can be used for dacryocystorhinostomy simultaneously, the anastomotic stoma behind the entering nasal cavity lachrymal sac anastomosis but this utility model via intranasal application is driven in the wrong direction; Be used for expanding lachrymal sac anastomosis operation mouth repeatedly, repeatedly after the operation; To guarantee the unobstructed of anastomotic stoma, avoid granulation tissue muscle fiber cicatrization to cause the failure of nasal cavity lachrymal sac anastomosis operation, be a kind of Wicresoft's unique design of innovation.
Description of drawings
Fig. 1 is the structural representation of integrated system of examination of lacrimal passages and the treatment of this utility model.
Fig. 2 is the cross-sectional schematic of A-A direction of the catheter section of this utility model.
Fig. 3 is the structural representation of leading section of ring cutting band sword of the conduit of this utility model.
Fig. 4 is the structural representation of the biopsy forceps of this utility model.
Fig. 5 is the structural representation of getting the thing basket of this utility model.
Fig. 6 is the structural representation of the guide wire of this utility model.
Fig. 7 is the structural representation of the little brill of lacrimal passage of this utility model.
Fig. 8 is the structural representation of the cytology brush of this utility model.
Fig. 9 is an expansion state sketch map of the sacculus of this utility model.
Figure 10 is another expansion state sketch map of the sacculus of this utility model.
The figure number explanation
1... conduit is visited the logical device 2... tee T 3... first import 4... second import 5... outlet 6... conduit 7... sacculus 8... first tube chamber 9... second tube chamber 10... micropore 11... clamping structure 12... biopsy forceps 13... and is got the little brill of thing basket 14... guide wire 15... cytology brush 16... lacrimal passage 17... three cowlings
The specific embodiment
Below in conjunction with accompanying drawing this utility model is done further explain.
Shown in Fig. 1-10; A kind of examination of lacrimal passages of this utility model and the integrated system of treatment; Comprise that conduit visits logical device 1 and visit the tee T 2 that logical device is communicated with conduit, tee T comprises first import 3, second import 4 and exports 5 that conduit is visited the front end insertion lacrimal passage of logical device.The conduit of this utility model is visited logical device and is comprised that further a conduit 6 reaches at the sheathed distensible sacculus 7 of the tube wall external seal of conduit 6 front ends; The rear end of conduit 6 is connected with the outlet of tee T 5; Two separate first tube chamber 8 and second tube chambers 9 along duct direction extension perforation are arranged in the conduit; Sacculus 7 seals on the tube wall of the conduit 6 that surrounds has micropore 10, and micropore 10 is communicated with first tube chamber 8; The front end of first tube chamber is a closed, and the rear end of first tube chamber further is communicated with first import 3 of tee T through the outlet 5 of tee T; The front opening of second tube chamber 9 of conduit 6, the rear end of second tube chamber 9 of conduit 6 further is communicated with second import 4 of tee T through the outlet 5 of tee T 2.
In this example; The end that conduit is visited logical device 1 and tee T 2 can be to be threaded fixing through the helicitic texture (not shown) on the inwall of the outlet of tee T; Also can be the fixed connection of other modes, connect and fix through clamping structure 11 as shown in the drawings.Anyly can realize that conduit is visited logical device to be connected fixed practical implementation means and all can with tee T.
In this example; Conduit 6 is the contractions that slightly slope inwardly of the tube wall of its front end, and its end is the ring cutting conduit of endless belt sword, to guarantee visiting logical device when getting into lacrimal passage; Can expand, cut bone sex organization, fibrous membrane sex organization in the lacrimal passage tissue simultaneously, fibrous scar tissue.
In this example, the end of ring cutting conduit is threaded with tee T or connects and fixes.
In this example; First import of tee T can be connected with pressurization pump-up device or fluid infusion apparatus, pressurizes in tee T from first import of tee T and inflates or inject liquid, and gas or liquid pass through the supravasal micropore of ring cutting; Act on sacculus; Make balloon expandable, thereby will insert the far-end stricture of lacrimal passage expansion at the place, sacculus place of the ring cutting conduit in patient's lacrimal passage, because the complexity obstructed lacrimal passage has many places or ductile pipeline obstruction more; The design that front end has a ring cutting conduit of sacculus meets the treatment demand of complexity obstructed lacrimal passage just; Expansible sacculus can fully be expanded whole section narrow nasolacrimal duct tube chamber simultaneously, tube chamber is produced the elastic dilatation power of a uniform lateral divergence direction, and reach the effect of abundant expansion stricture of lacrimal passage adhesion tube chamber.In this example, length of balloon is 40mm.
In this example, the inside diameter ranges of ring cutting conduit is 0.4~0.6mm, is preferably 0.5mm.
A kind of examination of lacrimal passages of this utility model and the integrated system of treatment are except realizing expanding lacrimal passage; Can also be used other the accessory that is used for examination of lacrimal passages and treatment; These accessories can use separately; Insert the accessory that is used to check and treat obstructed lacrimal passage in first import through tee T or first tube chamber of the second import conductive pipe or second tube chamber; Perhaps these accessories also can be used in case of necessity; Insert the accessory that is used to check and treat obstructed lacrimal passage in first tube chamber of first import through tee T and the second import conductive pipe and second tube chamber simultaneously, make it, and can stretch out from the opening of the leading section of ring cutting conduit deeply to the stricture of lacrimal passage place that the ring cutting catheter proximal end is positioned at.
Such accessory can be the biopsy forceps 12 that is used for the lacrimal passage sampling; Be used for laser therapy at the obstructed lacrimal passage position; Foreign body in the lacrimal passage taken out when promptly being used for the lacrimal passage cell extraction and using the terminal seal wire of biopsy forceps is inserted work cavity from the front end (sound end) of endoscope, after endoscope passes, insert the handle from the front end of handle again, after passing from handle rear end; Tighten the turncap of handle rear end, seal wire and handle are fixed.Biopsy forceps external diameter 1.1mm as shown in Figure 4 in this example, total length is greater than 300mm.
Such accessory can also be to get thing basket 13, gets the thing basket and can get the thing basket for three strands or four strands.During use, the front end of the end of getting the thing basket from handle inserted the handle, tighten the turncap of handle bar rear end then, fixedly get the blue seal wire of thing.With after getting the blue front end of thing and from the service aisle of endoscope, inserting, the pull bar of pulling handle is observed from display, make basket with netting on top entangle in the lacrimal passage ground foreign body or calculus after, endoscope is with handle and gets the thing basket shift out lacrimal passage simultaneously.The total length of getting the thing basket as shown in Figure 5 in this example is greater than 500mm, and diameter is 0.38mm.
Perhaps such accessory can also be the guide wire 14 that is used to dredge, and guide wire can be processed with the polypropylene for medical article material, and this guide wire is inserted from a tube chamber of tee T; Deeply to said ring cutting conduit, and stretch out from the opening of the front end of said ring cutting conduit, treat that guide wire is implanted after; Can extract the ring cutting conduit out, only keep guide wire in human body, and draw it and move up and down; Play the expansion inferior nasal meatus, remove paraplasm granulation tissue in the lacrimal passage, reach the effect of mediation.
The guide wire here can also be used nickel-titanium memory steel wire (not shown); After the one of which end inserts behind the ring cutting conduit and stretches out from the opening of the front end of ring cutting conduit; Can be crooked according to its memory characteristic; To make great efforts returning to original degree of crook, play and remove that the ring cutting conduit is suitable for reading, the effect of the paraplasm granulation tissue of end opening.
Such accessory described in this utility model can also be cytology brush 15 or the little brill 16 of lacrimal passage that is used for the hairbrush appearance of lacrimal passage sampling.In this example, the external diameter of cytology brush is 0.35mm, and length is 265mm.
Certainly, the liquid medicine that the such accessory described in this utility model can also be or be used to treat implements the antiinflammatory processing for the lacrimal passage of expansion.
Above-mentionedly only several kinds of specific embodiments in this utility model are explained; But can not be as the protection domain of this utility model; Every equivalence of having done according to the design spirit in this utility model changes or modifies, and all should think the protection domain that falls into this utility model.

Claims (9)

1. the integrated system of examination of lacrimal passages and treatment comprises that conduit visits logical device and visit the tee T that logical device is communicated with said conduit, and said tee T comprises first import, second import and outlet, and said conduit is visited the front end insertion lacrimal passage of logical device, it is characterized in that:
Said conduit is visited logical device and is comprised that a conduit reaches at the sheathed distensible sacculus of the tube wall external seal of said catheter proximal end; The rear end of said conduit is connected with the outlet of said tee T; Two separate first tube chamber and second tube chambers along the duct direction extension are arranged in the said conduit; Said sacculus seals on the tube wall of the conduit that surrounds has micropore, and said micropore is communicated with said first tube chamber; The front end of said first tube chamber is a closed, and the rear end of said first tube chamber further is communicated with first import of said tee T through the outlet of said tee T; The front opening of second tube chamber of said conduit, the rear end of second tube chamber of said conduit further is communicated with second import of said tee T through the outlet of said tee T.
2. the integrated system of examination of lacrimal passages according to claim 1 and treatment is characterized in that: said conduit is the contraction that slightly slopes inwardly of the tube wall of its front end, and its end is the ring cutting conduit of endless belt sword.
3. the integrated system of examination of lacrimal passages according to claim 2 and treatment is characterized in that: the end of said ring cutting conduit is threaded with said tee T or connects and fixes.
4. the integrated system of examination of lacrimal passages according to claim 3 and treatment is characterized in that: first import of said tee T is connected with pressurization pump-up device or fluid infusion apparatus.
5. according to the integrated system of claim 3 or 4 described examination of lacrimal passages and treatment, it is characterized in that: the accessory that is used to check and treat obstructed lacrimal passage is inserted in second import through said tee T in said second tube chamber of said conduit.
6. the integrated system of examination of lacrimal passages according to claim 5 and treatment; It is characterized in that: said accessory comprises the biopsy forceps that is used to take a sample, gets the little brill of thing basket, cytology brush or lacrimal passage; Perhaps be used to the guide wire of dredging, perhaps be used to the infusion liquid and the various medicinal liquid of treating.
7. the integrated system of examination of lacrimal passages according to claim 6 and treatment is characterized in that: the said thing basket of getting is miniature three strands or four strands of telescopic thing baskets of getting.
8. the integrated system of examination of lacrimal passages according to claim 6 and treatment is characterized in that: said cytology brush is hairbrush like cell brush.
9. the integrated system of examination of lacrimal passages according to claim 6 and treatment is characterized in that: said guide wire is the memory steel wire.
CN2011204510876U 2011-11-15 2011-11-15 Integrated system for examining and treating lacrimal passage Expired - Lifetime CN202313919U (en)

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Application Number Priority Date Filing Date Title
CN2011204510876U CN202313919U (en) 2011-11-15 2011-11-15 Integrated system for examining and treating lacrimal passage

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Application Number Priority Date Filing Date Title
CN2011204510876U CN202313919U (en) 2011-11-15 2011-11-15 Integrated system for examining and treating lacrimal passage

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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104814819A (en) * 2015-04-08 2015-08-05 朱宏伟 Biological naso-lacrymal duct support device
CN105105863A (en) * 2015-07-28 2015-12-02 中国医学科学院北京协和医院 Laboratory animal vascular intimal injury experimental facility
CN107468417A (en) * 2017-09-08 2017-12-15 中国医科大学附属第医院 A kind of novel lacrimal dilatation probe
CN110051468A (en) * 2019-03-08 2019-07-26 苏州莱诺医疗器械有限公司 A kind of nasolacrimal duct sacculus dilating catheter
CN111202626A (en) * 2020-03-13 2020-05-29 逄作祥 Lacrimal canaliculus calculus removing device and method for removing lacrimal canaliculus calculus

Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104814819A (en) * 2015-04-08 2015-08-05 朱宏伟 Biological naso-lacrymal duct support device
CN105105863A (en) * 2015-07-28 2015-12-02 中国医学科学院北京协和医院 Laboratory animal vascular intimal injury experimental facility
CN105105863B (en) * 2015-07-28 2017-11-24 中国医学科学院北京协和医院 Experimental animal blood vessel inner film injury experimental provision
CN107468417A (en) * 2017-09-08 2017-12-15 中国医科大学附属第医院 A kind of novel lacrimal dilatation probe
CN107468417B (en) * 2017-09-08 2023-07-18 中国医科大学附属第一医院 Lacrimal passage dilating probe
CN110051468A (en) * 2019-03-08 2019-07-26 苏州莱诺医疗器械有限公司 A kind of nasolacrimal duct sacculus dilating catheter
CN111202626A (en) * 2020-03-13 2020-05-29 逄作祥 Lacrimal canaliculus calculus removing device and method for removing lacrimal canaliculus calculus
CN111202626B (en) * 2020-03-13 2023-11-10 潍坊眼科医院有限责任公司 Lacrimal duct calculus removing device and lacrimal duct calculus removing method

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Granted publication date: 20120711