A kind of integral type support inserter
Technical field
This utility model relates to a kind of medical apparatus and instruments, especially a kind of inserter that can penetrate wall of the lumen, and a kind of combination puncture is specifically made mouth and is inserted the support inserter that function is one.
Background technology
Stent is to utilize puncture, conduit, inferior vena cava balloon dilation to form and internal metal rack such as inserts at technology, makes narrow, inaccessible blood vessel or tract expansion, logical again, solves a kind of technology of traditional operation blind area.At present, stent endoprosthesis generally has been used for clinical by domestic hospital, and its effectiveness has obtained general approval, and Stent has operation risk low, invasive, advantage such as patient's misery is little, and operating time is short, and expense is low.Perniciously optimumly blocking, use arranged in the operation such as fistulation, anastomosis.
When human body official jargon passage blocked, the doctor often need remove with modus operandi blocked, or rebuilds the physiology passage, also can carry out operations such as necrosis or infectious agent removing under the situation of conditions permit, and this method success rate is higher and post-operative complication is less.But present normally used inserter has only the effect that support is delivered to the human body target position.Coincide and the body passageway of operation such as gastroenterostomy is built in the process again in pancreatic pseudocyst, digestive tract gallbladder, before placing rack, just must be under the EUS guiding, at first rebuild with puncture needle, incision knife or laser break-through focus organ walls or body passageway, and expanding channel, after above-mentioned apparatus withdrawed from, more corresponding apparatus is put into the position that penetrates and carried out constant drainage.And expansion is in a single day released with the apparatus of rebuilding passage in above-mentioned operation process, just may cause rapid outflow, the organ of organ content to dwindle, and makes subsequent operation become difficult, even might pollute the abdominal cavity.If can not smoothly drainage equipment be implanted in the capsule, not only do not reach therapeutic effect, also can cause severe complications such as abdominal cavity infection.
The utility model content
The utility model purpose: technical problem to be solved in the utility model is at the deficiencies in the prior art, and a kind of integral type support inserter is provided.
In order to solve the problems of the technologies described above, the utility model discloses a kind of integral type support inserter, comprise front hand grip and back handle, described front hand grip front end is provided with outer tube, outer tube top butt one cutting head, pipe and support in being provided with in the outer tube; Back handle comprises that fixedly connected with cutting head in interior pipe top for the stainless steel tube that supports and the pipe that is positioned at stainless steel tube;
One end of middle pipe and the mutual butt of an end of support, the other end of middle pipe is connected with described stainless steel tube is mutually nested, and an end and the cutting head of support are close, leave certain interval;
When front hand grip was dropped back along stainless steel tube, outer tube was dropped back simultaneously and is separated with cutting head, and middle pipe and back handle holding position are constant, and support discharges automatically.
In this utility model, the position of the position of middle pipe and support butt and cutting head and support butt respectively is provided with the ring that develops.Thereby can under image instrument, demonstrate the position of support, be used for more accurately location.
In this utility model, described front hand grip rear end is provided with locking nut, is used for stainless steel tube and front hand grip locking.The sealing ring that locking nut can be made by an elastomeric material and front and back clamp the working of plastics of usefulness and form, center-aisle is used for passing stainless steel tube, the working of plastics of one end and front hand grip rear end threaded engagement, in locking nut locking process, elastomeric material in the middle of the working of plastics compression, to its distortion, compress stainless steel tube, thereby reach the purpose of locking positioning.
In this utility model, the outer surface of described cutting head is provided with screw thread.
When this utility model used, at first locking nut behind the expansion perforate road, was opened locking nut, keeps back handle motionless, returns and removes front hand grip, discharges support.
This utility model can realize expansion, again build the fistula road and insert in drainage stent one step finish.
Beneficial effect: the beneficial effects of the utility model:
A. this utility model adopts the helical metal cutting head, is conducive to cut the focus organ, is convenient to apparatus and inserts;
B. this utility model can directly be inserted support after the focus organ cuts, set up the passage of focus organ with the external world, can continue to use other apparatuses to carry out other operation techniques such as infectious agent or necrotic tissue cleaning, increased the comprehensive of operation, made patient can avoid bearing again the operation misery of secondary or three times.
Description of drawings
Below in conjunction with the drawings and specific embodiments this utility model is done further to specify, above-mentioned and/or otherwise advantage of the present utility model will become apparent.
Fig. 1 is inserter external structure sketch map.
Fig. 2 is the inserter cutaway view.
Fig. 3 is the cutting head sketch map of inserter.
Fig. 4 is the back handle partial sectional view.
Fig. 5 is partial enlarged drawing among Fig. 2.
The specific embodiment
The utility model discloses a kind of integral type support inserter, comprise front hand grip and back handle, described front hand grip front end is provided with outer tube, outer tube top butt one cutting head, pipe and support in being provided with in the outer tube; Back handle comprises that fixedly connected with cutting head in interior pipe top for the stainless steel tube that supports and the pipe that is positioned at stainless steel tube; One end of middle pipe and the mutual butt of an end of support, the other end of middle pipe and described stainless steel tube interconnect, and an end and the cutting head of support are close, leave certain interval; When front hand grip was dropped back along stainless steel tube, outer tube was dropped back simultaneously and is separated with cutting head, and middle pipe and back handle holding position are constant, and support discharges automatically.The close position of the position of middle pipe and support butt and cutting head and support respectively is provided with the ring that develops.Described front hand grip rear end is provided with locking nut, is used for stainless steel tube and front hand grip locking.
This utility model, the outer surface of described cutting head is provided with screw thread.
This utility model is made puncture mouth and is inserted the conveyer device that the support operation is combined as a whole.The helicoidal structure of the cutting head of inserter for making with metal material, this metal material can be the medical metal of any kind.Inserter carries out puncture procedure by cutting head, then discharges support, need not to change apparatus; Its shape of the cutting head of described inserter can be multiple helical structures such as cylinder, circular cone, round platform; The interior pipe of described inserter is the pliability made by medical metal material elastic tube preferably.
Embodiment
Present embodiment is concrete example with the support inserter through scope pancreas pseudocyst, but this utility model integral type support inserter can be applied to multiple focus organ under the constant situation of structure, not only be defined as the pancreas pseudocyst.
In the present embodiment accompanying drawing: 1, cutting head; 2, far-end development ring; 3, interior pipe; 4, support; 5, near-end development ring; 6, middle pipe; 7, outer tube; 8, nut; 9, connector; 10, front hand grip; 11, locking nut; 12, stainless steel tube; 13, decoction cap; 14, back handle; 15, conductive plug; 16, cushion block; 17, female Luer.
As Fig. 1~shown in Figure 4, in the present embodiment, middle pipe 6 is enclosed within and stainless steel tube 12 glueds joint, and rustless steel pipe box and middle pipe 6 are outside interior pipe 3, and outer tube 7 is enclosed within outside the stainless steel tube, and outer tube links to each other with nut 8, and the junction of nut 8 and front hand grip 10 is provided with connector 9.The tail end of front hand grip 10 is equipped with locking nut 11, fixedly the relative position of front hand grip 10 and middle pipe 6 and stainless steel tube 12.The front end of front hand grip 10 is provided with bypass duct 18.Interior pipe far-end is connected with cutting head 1, and cutting head 1 outside is provided with helicitic texture 1a.When carrying support 4, middle pipe 6 far-ends and support offset, and stainless steel tube passes front hand grip and back handle 14, and the near-end of stainless steel tube props up cushion block 16, and the near-end of interior pipe passes cushion block, pushes down from the upper end by conductive plug 15.Back handle 14 ends are provided with female Luer 17.Far-end development ring 2 can develop under X-ray shines with near-end development ring 5.Nut 8 is connected with front hand grip with connector 9, plays protection tubing, convenient hand-held effect. and decoction cap 13 is connected with back handle, plays convenient hand-held effect.
When present embodiment uses, install each parts at first successively, with locking nut 11 lockings, fixedly front hand grip, stainless steel tube and interior pipe position in the seal wire guiding, are transported to the pathological changes assigned address with inserter under the auxiliary supervision effect of X line or endoscope.The electrically conductive socket at inserter back handle place is switched on, penetrate the cyst wall by charged helical cut head.Deenergization inserts cyst with inserter.After arriving ideal position, unclamp locking nut 11, with front hand grip 10 recession, back handle 14 holding positions are constant, this moment, outer tube 7 was with front hand grip 10 recession, interior pipe and middle pipe 6 invariant positions, this moment, resilient support 4 did not have the coating of outer tube 7, freely expand the release support that trails, after support 4 expansions trail, interior pipe and cutting head can return from the space of carriage center to be removed, and guarantees that drain is unobstructed thereby realize withdrawing from inserter, can carry out other Minimally Invasive Surgerys such as follow-up removing slough if necessary.
Present embodiment is embodiment preferably, in other embodiments, can not adopt the mechanism of electrically conductive socket.
This utility model provides a kind of integral type support inserter; method and the approach of this technical scheme of specific implementation are a lot; the above only is preferred implementation of the present utility model; should be understood that; for those skilled in the art; under the prerequisite that does not break away from this utility model principle, can also make some improvements and modifications, these improvements and modifications also should be considered as protection domain of the present utility model.In the present embodiment not clear and definite each ingredient all available prior art realized.