CN202920256U - Intervention device for fallopian tube recanalization - Google Patents
Intervention device for fallopian tube recanalization Download PDFInfo
- Publication number
- CN202920256U CN202920256U CN 201220442965 CN201220442965U CN202920256U CN 202920256 U CN202920256 U CN 202920256U CN 201220442965 CN201220442965 CN 201220442965 CN 201220442965 U CN201220442965 U CN 201220442965U CN 202920256 U CN202920256 U CN 202920256U
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- Prior art keywords
- tube
- intervention device
- bending section
- fallopian tube
- salpingostomy
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Abstract
The utility model relates to the medical instrument field, in particular to an intervention device for fallopian tube recanalization. The intervention device for the fallopian tube recanalization is characterized by comprising a guiding tube, an angiography tube and guide wires. The guiding tube comprises a first hand holding part, a first body connected with the first hand holding part and a first bending part which is naturally communicated with the first body and used for inserting into a uterine cavity, and the bending degree of the first bending part is adjustable. The angiography tube comprises a second hand holding part, a second body connected with the second hand holding part and a second bending part which is naturally communicated with the second body and used for infusing contrast media into a fallopian tube. The guide wires run through the guiding tube or the fallopian tube, and by being matching with the first bending part or the second bending part, the guiding tube or the fallopian tube is guided to reach the destination. The intervention device for fallopian tube recanalization is mainly used in the process of uterus fallopian tube angiography and uterus fallopian tube recanalization, is capable of completing the angiography and the interventional recanalization of the uterus fallopian tube at one time, low in cost, convenient to use and capable of relieving pains, brought about in the surgery process, of patients.
Description
Technical field
This utility model relates to medical instruments field, is specifically related to a kind of Salpingography and leads to the art intervention device again.
Background technology
So-called Salpingostomy, namely under digital X-ray machine, the doctor looks at down by television screen the coaxial pipe system of adopting straight, transvaginal, cervix uteri, uterus, cornua uteri insert the fallopian tube conduit to fallopian tube, carry out fallopian tube selectivity radiography, insert fallopian tube seal wire through the fallopian tube conduit to fallopian tube according to oviducal concrete block part and concrete condition again, by the conduit silk for the fallopian tube that stops up carry out the multiple reduction of fractions to a common denominator from therapeutic process.
Find out thus, carry out the process of Salpingostomy, comprise hysterosalpingography, namely inject the high specific gravity material iodine preparation that is consisted of by high atomic number by cervical canal in cavity of uterus, take the photograph under sheet at x-ray and form significantly artificial contrast with surrounding tissue, tube chamber is developed, thereby understand uterus and fallopian tube tract inside information condition.Whether radiography not only can point out fallopian tube unobstructed, the position of blocking can also be observed the cavity of uterus form, but do at present hysterosalpingography and Salpingostomy, all to pass through clamp cervix uteri, tractive uterus, the process such as supercharging in utero, cause larger misery to patient; When adopting iodine water contrast agent to make hysterosalpingography, want the interval to repeat the X-ray photographic sheet in 20 minutes, and when making hysterosalpingography with iodipin, want the interval to repeat x-ray in 24 hours and take the photograph the sheet observation, traditional hysterosalpingography is wanted the interval certain hour to repeat to take the photograph sheet to observe contrast agent and whether enter the abdominal cavity and judge whether fallopian tube is unobstructed, bring very big inconvenience to patient, increased again the infringement of radiation to human body; Directly do not see simultaneously contrast agent by fallopian tube and the logical umbrella end opening status of fallopian tube, not accurate enough to the judgement of tubal patency degree; The intervention device that adopts at present comprises the coaxial 3F microtubular of import or 5F catheter coude and 0.018 micro-wire, and because conduit whole process is flexible pipe, handling relatively poor, price is also very expensive.
Therefore, a kind of easy to use, radiation is little, price is low and can reduce the Salpingostomy intervention device of the misery that operation process brings to patient, become the salpingemphraxis patient in the urgent need to.
The utility model content
For the deficiencies in the prior art, this utility model provides a kind of Salpingostomy intervention device, it can make hysterosalpingography see that directly contrast agent is by fallopian tube and the logical umbrella end opening status of fallopian tube, patient implements Interventional Salpingography to salpingemphraxis, and this device can make the Salpingography diagnosis and get involved the extensively treating treatment again and once complete.
A kind of Salpingostomy intervention device, it is characterized in that, comprise guiding tube, angiography tube and seal wire, the first noumenon that described guiding tube comprises the first Handheld Division, be connected with the first Handheld Division and with naturally communicate the first bending section of capable of regulating degree of crook of the first noumenon, for the insertion of uterine cavity; The second body that described angiography tube comprises the second Handheld Division, be connected with the second Handheld Division and the second bending section that naturally communicates with the second body are used for to fallopian tube injection contrast agent; Described seal wire is through guiding tube or angiography tube, by with the coordinating of the first bending section or the second bending section, guiding guiding tube or angiography tube arrive destination.Described seal wire can be dredged again the fallopian tube that inflammatory blocks.
Described Salpingostomy intervention device also comprises the short handle vaginal dilator.
Described guiding tube is double lumen tube, and wherein a chamber passes for seal wire, and another chamber is located in the guiding tube tube wall; Described guiding tube integral body is plastic material, and the leading portion of its first bending section is round end;
As the improvement to above-mentioned guiding tube, the front end of described the first noumenon is with air bag, the rear end is provided with the trachea for airbag aeration, described trachea communicates with air bag by the chamber in the guiding tube tube wall, under inflated condition, in case contrast agent leaks outside, be conducive to the full cavity of uterus of contrast agent, can use as the Double-cavity contrast pipe.
Described the second body part is the rigid plastics material, and the second bending section is the flexible plastic material, and the second body and the second bending section length ratio are 2:1; The rear end of described the second bending section to leading portion is tapered, and it is corresponding with the seal wire diameter that leading portion is reduced to;
Further, the flexible plastic material of described the second bending section can be divided into again " soft, in, hard " three types, can select as required the second bending section of different hardness.
Described seal wire front end is gradually hard to the rear end, and its leading portion is round metal cylindricality material soft and that can develop under X ray; Its surface scribbles hydrophilic film; Its front end is round end.
Described short handle vaginal dilator is characterized in that " long duckbilled " shape.
The beneficial effects of the utility model are as follows:
1) Salpingostomy intervention device described in the utility model can make hysterosalpingography and Interventional Salpingography once complete, and effectively reduces patient's pain;
2) included guiding tube, angiography tube and the seal wire leading portion of Salpingostomy intervention device described in the utility model is round end, reduces in therapeutic process the infringement to uterus and endosalpinx;
3) Salpingostomy intervention device described in the utility model makes patient avoid the clamp cervix uteri, tractive uterus, the in utero misery of supercharging;
4) Salpingostomy intervention device price described in the utility model is low, puts in place accurately, and successful intubation is high, and can shorten intubation time, reduces the radiation of X ray.
Provide this utility model preferred embodiment below in conjunction with accompanying drawing, with the explanation the technical solution of the utility model.
Description of drawings
Fig. 1 is guiding tube exemplary plot described in the utility model;
Fig. 2 is the guiding tube exemplary plot with air bag described in the utility model;
Fig. 3 is angiography tube exemplary plot described in the utility model;
Fig. 4 is seal wire exemplary plot described in the utility model;
Fig. 5 is short handle vaginal dilator exemplary plot.
Description of reference numerals:
Guiding tube, 2-angiography tube, 3-seal wire, 11-the first Handheld Division, 12-the first noumenon, 13 first bending sections, 14-trachea, 15-air bag, 21-the second Handheld Division, 22-the second body, 23-the second bending section.
The specific embodiment
Described guiding tube 1 is double lumen tube, and wherein a chamber passes through for seal wire 3, and another chamber is located in the tube wall of guiding tube; Described guiding tube 1 integral body is plastic material, and the leading portion of its first bending section is round end;
As the improvement to above-mentioned guiding tube, the front end of described the first noumenon is with air bag 15, the rear end is provided with the trachea 14 for airbag aeration, described trachea 14 communicates with air bag 15 by the chamber in the tube wall of guiding tube 1, under inflated condition, in case contrast agent leaks outside, be conducive to the full cavity of uterus of contrast agent, can use as the Double-cavity contrast pipe.
Further, as described in Figure 5, described Salpingostomy intervention device also comprises the short handle vaginal dilator.
Preferably, described guiding tube external diameter 8F, internal diameter 0.35 〃 (Max:0.90mm);
Preferably, described angiography tube external diameter 5-6F, internal diameter 0.35 〃 (Max:0.90mm), conduit total length 30-40CM, the leading portion shrinking is to 4F;
Preferably, described seal wire diameter can be: 0.35 〃 (Max:0.90mm), length 50-60CM;
The operating process of preferred embodiment is as follows:
1) hysterosalpingography process
Patient is lain on the back on DSA machine catheter bed, put into the short handle vaginal dilator in the sterilization situation, degrees of expansion gets final product to see the cervix uteri collar extension; The first bending section of guiding tube 1 is inserted the cervix uteri mouth, inject a small amount of iodine water contrast agent at the other end of guiding tube in pipe, make and to see cervical canal under X ray clearly and move towards; Adjust the first bending section of cervix uteri guiding tube 1, make its bending direction consistent with the cervical canal traveling, slowly insert; If meet resistance, be that soft section is inserted guiding tube 1 with the leading portion of seal wire 3, guiding guiding tube 1 inserts uterine cavity smoothly; Withdraw from after a while seal wire 3, namely show cavity of uterus form and part fallopian tube situation to the interior injection iodine of guiding tube 1 water contrast agent (as iohexol).
Preferably, as described in Figure 2, the front end of described the first noumenon 12 is with air bag 15, the rear end is provided with the trachea 14 for airbag aeration, described trachea 14 communicates with air bag 15 by the chamber in the tube wall of guiding tube 1, under inflated condition, in case contrast agent leaks outside, be conducive to the full cavity of uterus of contrast agent, can use as the Double-cavity contrast pipe.
2) fallopian tube recanalization process
After carrying out the hysterosalpingography process, seal wire 3 is inserted guiding tube 1 to uterine cavity, escape leading pipe 1 is stayed in uterine cavity an end of seal wire 3, introduces salpingography 2; Advance seal wire 3, seal wire 3 leading portion soft section bend towards a side cornua uteri in uterus naturally, and salpingography 2 was taken advantage of a situation and entered cornua uteri along the soft section of seal wire 3 this moment; Rotate gently the other end of salpingography 2, make salpingography 2 leading portions slip into fallopian tube uterus side opening, due to salpingography 2 head end shrinking 4F, conduit can withstand fallopian tube uterus side opening; Bolus administration of contrast agent can see intuitively that at the x-ray display screen contrast agent passes through fallopian tube, and umbrella end spurting flows into the abdominal cavity, and disperse is in pelvic cavity rapidly;
Through said process, if umbrella end contrast agent " shape drips " " thread shape " enters the abdominal cavity, illustrate that the umbrella end leads to and adhesion freely do not arranged; If contrast agent gathers in the pelvic cavity inner region, the prompting pelvic adhesion; If the contrast agent cryptomere is gathered pelvic cavity and is pointed out hydrosalpinx without disperse; If contrast agent can't be large by fallopian tube and resistance, illustrate that fallopian tube seriously blocks; If contrast agent passes through on a small quantity, namely point out uterine tube stegnosis, the seal wire slow circumvolve advances, and good dredging effect is namely arranged.When fallopian tube seriously blocks, seal wire 3 can be pushed ahead, if seal wire 3 can not advance, can make angiography tube 2 withdraw and hold fallopian tube uterus side opening due to underbraced, seal wire 3 is in the front distortion of angiography tube 2, and can change soft section harder conduit of angiography tube 2 and come the reinforced tube support force this moment, favourable seal wire moves ahead, can also use flexible catheter, be close to the oppose side wall in uterus as the strong point, the favourable seal wire dredging oviduct that moves ahead.When the fallopian tube recanalization success, inject the logical liquid in uterus of antiinflammatory tissue adhesion at once.
The above is only preferred implementation of the present utility model; should be pointed out that to those skilled in the art, under the prerequisite that does not break away from this utility model principle; can also make some improvement and replacement, these improvement and replacement also should be considered as protection domain of the present utility model.
Claims (6)
1. a Salpingostomy intervention device, comprise guiding tube, angiography tube and seal wire, described guiding tube comprise the first Handheld Division, the first noumenon and with naturally communicate the first bending section of capable of regulating degree of crook of body, for the insertion of uterine cavity; Described angiography tube comprises the second Handheld Division, the second body and the second bending section that naturally communicates with body, is used for injecting contrast agent to fallopian tube; Described seal wire is through guiding tube or angiography tube, by with the coordinating of the first bending section or the second bending section, guiding guiding tube or angiography tube arrive destination, it is characterized in that, the second body and the second bending section length ratio are 2:1.
2. Salpingostomy intervention device as claimed in claim 1, is characterized in that, described Salpingostomy intervention device also comprises vaginal dilator.
3. as claim 1 or Salpingostomy intervention device claimed in claim 2, it is characterized in that, described guiding tube integral body is plastic material, and the leading portion of its bending section is round end.
4. Salpingostomy intervention device as claimed in claim 1, is characterized in that, the front end of described the first noumenon is with air bag, and the rear end is provided with the trachea for airbag aeration, and described air bag communicates with air bag by the guiding tube body.
5. Salpingostomy intervention device as claimed in claim 1, is characterized in that, described the second body is the rigid plastics material, and the second bending section is the flexible plastic material.
6. as claim 1 or Salpingostomy intervention device claimed in claim 5, it is characterized in that, the rear end of the second bending section to leading portion is tapered.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN 201220442965 CN202920256U (en) | 2012-08-31 | 2012-08-31 | Intervention device for fallopian tube recanalization |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN 201220442965 CN202920256U (en) | 2012-08-31 | 2012-08-31 | Intervention device for fallopian tube recanalization |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN202920256U true CN202920256U (en) | 2013-05-08 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN 201220442965 Expired - Fee Related CN202920256U (en) | 2012-08-31 | 2012-08-31 | Intervention device for fallopian tube recanalization |
Country Status (1)
| Country | Link |
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| CN (1) | CN202920256U (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106264641A (en) * | 2016-08-31 | 2017-01-04 | 中国人民解放军第三军医大学第附属医院 | Tubal branch stay tube |
-
2012
- 2012-08-31 CN CN 201220442965 patent/CN202920256U/en not_active Expired - Fee Related
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106264641A (en) * | 2016-08-31 | 2017-01-04 | 中国人民解放军第三军医大学第附属医院 | Tubal branch stay tube |
| CN106264641B (en) * | 2016-08-31 | 2018-11-06 | 中国人民解放军第三军医大学第一附属医院 | Tubal branch stay tube |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C14 | Grant of patent or utility model | ||
| GR01 | Patent grant | ||
| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20130508 Termination date: 20150831 |
|
| EXPY | Termination of patent right or utility model |