CN202568401U - Percutaneous cystic puncture ostomy suite - Google Patents

Percutaneous cystic puncture ostomy suite Download PDF

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Publication number
CN202568401U
CN202568401U CN 201220251017 CN201220251017U CN202568401U CN 202568401 U CN202568401 U CN 202568401U CN 201220251017 CN201220251017 CN 201220251017 CN 201220251017 U CN201220251017 U CN 201220251017U CN 202568401 U CN202568401 U CN 202568401U
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CN
China
Prior art keywords
puncture
puncture needle
sheath
sheath pipe
percutaneous
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Expired - Fee Related
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CN 201220251017
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Chinese (zh)
Inventor
汪涛
江宗兴
骆助林
鲁亚玲
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Individual
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Individual
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Priority to CN 201220251017 priority Critical patent/CN202568401U/en
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Publication of CN202568401U publication Critical patent/CN202568401U/en
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Expired - Fee Related legal-status Critical Current

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Abstract

The utility model relates to a percutaneous cystic puncture ostomy suite which can effectively solve the problems that the existing device is complex and complicated in operational program, long in operational time and big in risk. The percutaneous cystic puncture ostomy suite is characterized by comprising sheath tubes and a puncture needle, wherein a first sheath tube, a second sheath tube, a third sheath tube, a fourth sheath tube and a fifth sheath tube are sequentially arranged outside the puncture needle in a layering and sleeved mode, end caps are arranged at tail ends of the puncture needle and the sheath tubes, and the centre of a circle of the puncture needle and the sheath tubes are in the same axle wire. The percutaneous cystic puncture ostomy suite is simple in structure and ingenious and unique, the puncture needle and each expansion sheath tube are integrated together to puncture in one shot and enter into the cholecyst and gradually expand, cumbersome procedures that the puncture needle and each expansion sheath tube reenter the next level expansion tube after the puncture needle and each expansion sheath tube need quitting the previous level expansion tube when a general puncture expansion is carried out are avoided, the operational program is simplified, the operational time is reduced, and operational risks are reduced.

Description

A kind of percutaneous gallbladder puncture fistula-building external member
Technical field
This utility model relates to medical instruments field, particularly a kind of percutaneous gallbladder puncture fistula-building external member.
Background technology
Cholelithiasis is commonly encountered diseases, frequently-occurring disease, and prevalence accounts for normal population more than 10%, the clinical cholecystectomy treatments of adopting more.Because gallbladder contraction function is still sound during part patient gallbladder removal, dyspepsia can appear in excision back patient, and post-cholecystectomy syndrome such as abdominal distention, diarrhoea, bile reflux gastritis, esophagitis directly influence patients ' life quality even threat to life.In addition; The enterohepatic circulation of postcholecystectomy bile acid is accelerated; The secondary bile acid content increases in the intestinal; Secondary bile acid has cytotoxicity to colonic epithelium, causes the sickness rate of colorectal cancer to increase, bile duct injury in the time of also can causing 0. 18% ~ 2. 30% corrective surgery because of reasons such as calot's triangle blurred anatomy and cystic duct variations.The guarantor of Wicresoft of the percutaneous gallbladder of development puncture at present gallbladder is got the stone operation and is had the following advantages: keeps the gallbladder physiological function, keeps the biliary tract integrity, and the recent and long term complication of avoiding postcholecystectomy to occur, modus operandi meets modern surgery Wicresoft viewpoint; Easy and simple to handle, safety, the bile duct injury of avoiding gallbladder removal to cause; Eliminated a factor of colon cancer morbidity.
But percutaneous is got stone through the liver puncture choledochoscope at present; The choledochoscope passage is set up complicated, employing be to set up passage after with common lancet puncture gallbladder in that the B ultrasonic guiding is first down, adopt cook fascia dilator external member (external diameter 10F-24F) expanding channel gradually then; The fascia convergent divergent channel of the thick model of every employing; Need to take out the convergent divergent channel of previous model, when wherein not having pipeline and supporting puncture channel, bile is prone to flow out under the peritoneum and causes biliary peritonitis.
In order to overcome the deficiency of existing cook fascia dilator external member, this utility model provides a kind of percutaneous gallbladder puncture fistula-building external member.The utility model has the advantages that puncture needle and each expansion sheath pipe are integrated; Guide property puncture next time to get into gallbladder and expansion gradually at B ultrasonic; Need withdraw from the complicated procedures that the upper level convergent divergent channel gets into the next stage convergent divergent channel again when having avoided conventional puncture to expand, practice thrift the operating time.
Summary of the invention
To above-mentioned situation, for solving the defective of prior art, the purpose of this utility model just provides a kind of percutaneous gallbladder puncture fistula-building external member, and it is loaded down with trivial details effectively to solve existing equipment operation sequence complicacy, and the operating time is long, the problem that has a big risk.
The technical scheme of this utility model is; Comprise sheath pipe and puncture needle; The outer layering of described puncture needle is set with the first sheath pipe, the second sheath pipe, the 3rd sheath pipe, the 4th sheath pipe and the 5th sheath pipe successively, and the end of puncture needle and sheath pipe all has end cap, and the center of circle of puncture needle and sheath pipe is on same axis.
This utility model is simple in structure; Novel unique, puncture needle and each expansion sheath pipe are integrated, disposable puncture gets into gallbladder and expansion gradually; Need withdraw from the complicated procedures that the upper level convergent divergent channel gets into the next stage convergent divergent channel again when having avoided conventional puncture to expand; Simplify operation sequence, practiced thrift the operating time, reduced operational risk.
Description of drawings
Fig. 1 is the structural representation of this utility model.
Fig. 2 is the puncture needle of this utility model and the structural representation of each sheath pipe.
The specific embodiment
Below in conjunction with accompanying drawing the specific embodiment of this utility model is done further explain.
Shown in Fig. 1-2; The described puncture needle 1 outer layering of this utility model is set with the first sheath pipe 2, the second sheath pipe 3, the 3rd sheath pipe 4, the 4th sheath pipe 5 and the 5th sheath pipe 6 successively; The end of puncture needle and sheath pipe all has end cap 7, and the center of circle of puncture needle and sheath pipe is on same axis.
Described puncture needle 1 is the solid puncture needle of 2mm for long 240mm, diameter of section, and the puncture needle syringe needle is a Three Diamond.
The attenuation and be close to each sheath tube body section wall thickness 0.5mm gradually of said sheath pipe end tube wall with the sheath pipe outer wall surface in it.
Described each sheath length of tube shortens from inside to outside one by one.
This utility model is used for after the dirty puncture of skin regulating liver-QI gets into gallbladder, utilizes choledochoscope to observe and take out calculus.
This utility model is made up of five sheath pipes and a puncture needle, and the centre is the solid puncture needle of a long 240mm, diameter 2mm, puncture needle overcoat sheath pipe; Its internal diameter is equivalent to puncture needle external diameter 2mm, its external diameter 3mm, and so continuous 5 sheath pipe boxes are on puncture needle; Outmost sheath bore 6mm; External diameter 7mm, and each sheath Guan Jun is shorter than its interior sheath pipe, and all external member centers of circle are on same axis.Piercing needle is a Three Diamond skin penetrating syringe needle, and the attenuation and be close to its next-door neighbour's sheath pipe outer wall surface gradually of each sheath pipe end tube wall seamlessly transits each cannula end.Each sheath tube body section wall thickness 0.5mm.All external members adopt titanium alloy high rigidity metal material.
This utility model in use, with after the external member combination, the puncture needle percutaneous is gone in the gallbladder through liver puncture under the B ultrasonic guiding; Puncture needle in the middle of withdrawing from earlier advances next sheath pipe to get into gallbladder again, withdraws from the centrotheca pipe then one by one and next stage sheath pipe is advanced into gallbladder; At last outermost layer sheath pipe is advanced in the gallbladder; Through the sheath pipe choledochoscope is inserted and to observe and to get stone in the gallbladder, exhaust after the calculus indwelling drainage tube according to circumstances, extracted in postoperative 3-7 days.
The utility model has the advantages that puncture needle and each expansion sheath pipe are integrated; Disposable puncture gets into gallbladder and expansion gradually; Need withdraw from the complicated procedures that the upper level convergent divergent channel gets into the next stage convergent divergent channel again when having avoided conventional puncture to expand; Simplify operation sequence, practiced thrift the operating time, reduced operational risk.

Claims (4)

1. percutaneous gallbladder puncture fistula-building external member; Comprise sheath pipe and puncture needle; It is characterized in that; The outer layering of described puncture needle (1) is set with the first sheath pipe (2), the second sheath pipe (3), the 3rd sheath pipe (4), the 4th sheath pipe (5) and the 5th sheath pipe (6) successively, and the end of puncture needle and sheath pipe all has end cap (7), and the center of circle of puncture needle and sheath pipe is on same axis.
2. percutaneous gallbladder puncture fistula-building external member according to claim 1 is characterized in that described puncture needle (1) is that long 240mm, diameter of section are the solid puncture needle of 2mm, and the puncture needle syringe needle is a Three Diamond.
3. percutaneous gallbladder puncture fistula-building external member according to claim 1 is characterized in that, the attenuation and be close to each sheath tube body section wall thickness 0.5mm with the sheath pipe outer wall surface in it gradually of said sheath pipe end tube wall.
4. percutaneous gallbladder puncture fistula-building external member according to claim 1 is characterized in that described each sheath length of tube shortens from inside to outside one by one.
CN 201220251017 2012-05-31 2012-05-31 Percutaneous cystic puncture ostomy suite Expired - Fee Related CN202568401U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN 201220251017 CN202568401U (en) 2012-05-31 2012-05-31 Percutaneous cystic puncture ostomy suite

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN 201220251017 CN202568401U (en) 2012-05-31 2012-05-31 Percutaneous cystic puncture ostomy suite

Publications (1)

Publication Number Publication Date
CN202568401U true CN202568401U (en) 2012-12-05

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CN 201220251017 Expired - Fee Related CN202568401U (en) 2012-05-31 2012-05-31 Percutaneous cystic puncture ostomy suite

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Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103622770A (en) * 2013-09-03 2014-03-12 陈琪 Disposable fistulization system with external sheath catheter
CN103735297A (en) * 2013-11-29 2014-04-23 冯清亮 Grading expansion percutaneous tracheotomy device
CN104146742A (en) * 2014-09-12 2014-11-19 中南大学湘雅医院 Percutaneous bile duct puncture sinus tract expander
CN108309521A (en) * 2018-02-11 2018-07-24 郑州大学第附属医院 A kind of novel ascitic vena hepatica turn of tidal stream controllable check valve preventing thrombosis holder device
CN108992144A (en) * 2018-08-23 2018-12-14 武汉佑康科技有限公司 A kind of expansion sheath and the endoscope with expansion sheath
CN110192910A (en) * 2018-02-25 2019-09-03 鄂有国 Separation adjacent tissue type percutaneous puncture ablation device can be protected

Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103622770A (en) * 2013-09-03 2014-03-12 陈琪 Disposable fistulization system with external sheath catheter
CN103735297A (en) * 2013-11-29 2014-04-23 冯清亮 Grading expansion percutaneous tracheotomy device
CN103735297B (en) * 2013-11-29 2016-06-01 冯清亮 A kind of classification expansion through skin trachea incising apparatus
CN104146742A (en) * 2014-09-12 2014-11-19 中南大学湘雅医院 Percutaneous bile duct puncture sinus tract expander
CN108309521A (en) * 2018-02-11 2018-07-24 郑州大学第附属医院 A kind of novel ascitic vena hepatica turn of tidal stream controllable check valve preventing thrombosis holder device
CN108309521B (en) * 2018-02-11 2024-04-12 郑州大学第一附属医院 Thrombus-preventing bracket device of ascites hepatic vein diversion controllable one-way valve
CN110192910A (en) * 2018-02-25 2019-09-03 鄂有国 Separation adjacent tissue type percutaneous puncture ablation device can be protected
CN108992144A (en) * 2018-08-23 2018-12-14 武汉佑康科技有限公司 A kind of expansion sheath and the endoscope with expansion sheath

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GR01 Patent grant
C17 Cessation of patent right
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20121205

Termination date: 20130531