CN204073050U - Sacculus uterus support - Google Patents

Sacculus uterus support Download PDF

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Publication number
CN204073050U
CN204073050U CN201420351553.7U CN201420351553U CN204073050U CN 204073050 U CN204073050 U CN 204073050U CN 201420351553 U CN201420351553 U CN 201420351553U CN 204073050 U CN204073050 U CN 204073050U
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balloon
catheter
flow channel
uterine
channel
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CN201420351553.7U
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刘德艳
姜艳华
王涛
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SCW MEDICATH Ltd
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SCW MEDICATH Ltd
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Abstract

一种球囊子宫支架,包括导管,所述导管内形成有输入流道与输出流道,所述导管的远端形成有穿孔与输出流道连通,所述导管上套设有球囊,所述球囊与输入流道连通,所述导管的近端形成排出口与输出流道连通,所述排出口上连接有止逆阀,所述止逆阀与输入流道连通,用于向球囊内注入液体使球囊鼓起防止宫腔粘连,使用时,其远端插入至宫腔内,宫腔通过远端上的穿孔与输出流道连通,当宫腔内有出血等情况发生时,出血会通过穿孔流入到排出口,如此通过观察排出口的液体的情况,可以方便直观地判断子宫内膜腔的止血情况,决定留置时间。

A balloon uterine stent, comprising a catheter, an input flow channel and an output flow channel are formed in the catheter, a perforation is formed at the distal end of the catheter to communicate with the output flow channel, a balloon is sheathed on the catheter, the The balloon is in communication with the input channel, and the proximal end of the catheter forms an outlet to communicate with the output channel, and the outlet is connected with a check valve, and the check valve is in communication with the input channel, and is used for feeding the ball Inject fluid into the capsule to inflate the balloon to prevent intrauterine adhesions. When in use, the distal end is inserted into the uterine cavity, and the uterine cavity communicates with the output channel through the perforation on the distal end. When there is bleeding in the uterine cavity, etc. , the bleeding will flow into the discharge port through the perforation, so by observing the liquid in the discharge port, the hemostasis of the endometrial cavity can be judged conveniently and intuitively, and the indwelling time can be determined.

Description

球囊子宫支架Balloon Uterine Stent

技术领域 technical field

本实用新型涉及医疗器械,尤其涉及一种宫腔术后避免粘连用的球囊子宫支架。 The utility model relates to a medical instrument, in particular to a balloon uterine support for avoiding adhesion after a uterine cavity operation.

背景技术 Background technique

临床上,治疗子宫病变的手术,如宫腔腔镜手术等越来越多,宫腔手术操作或继发性感染会造成子宫内膜损害,引起宫腔壁出现相互粘连的病理症状,宫腔粘连会引起患者极大痛苦,并导致相关并发症的发生。目前临床上通常采用术后放置导尿管或球囊子宫支架来防止宫腔粘连,但是导尿管的球囊由于不适应子宫颈口的形状,所以留置效果有限;当前市场上存在的球囊子宫支架只是起到隔离功能,并不能观察放置后出血或止血的状况,放置效果和支架取出时间全凭医生的个人判断。 Clinically, there are more and more surgeries for the treatment of uterine lesions, such as hysteroscopic surgery, etc. The surgical operation or secondary infection of the uterine cavity will cause endometrial damage, causing the pathological symptoms of mutual adhesion of the uterine cavity wall. Adhesions cause great distress to patients and lead to related complications. At present, postoperative placement of urinary catheter or balloon uterine stent is usually used clinically to prevent intrauterine adhesions, but because the balloon of the catheter does not adapt to the shape of the cervix, the indwelling effect is limited; the balloons currently on the market The uterine stent only serves as an isolation function, and cannot observe the bleeding or hemostasis after placement. The effect of placement and the time of removal of the stent are all based on the personal judgment of the doctor.

发明内容 Contents of the invention

有鉴于此,提供一种球囊子宫支架,不仅能有效防止宫腔粘连,还能方便地观察术后出血情况。 In view of this, a balloon uterine stent is provided, which can not only effectively prevent intrauterine adhesion, but also conveniently observe postoperative bleeding.

一种球囊子宫支架,包括导管,所述导管内形成有输入流道与输出流道,所述导管的远端形成有穿孔与输出流道连通,所述导管上套设有球囊,所述球囊与输入流道连通,所述导管的近端形成排出口与输出流道连通,所述排出口上连接有止逆阀,所述止逆阀与输入流道连通,用于向球囊内注入液体使球囊鼓起防止宫腔粘连。 A balloon uterine stent, comprising a catheter, an input flow channel and an output flow channel are formed in the catheter, a perforation is formed at the distal end of the catheter to communicate with the output flow channel, a balloon is sheathed on the catheter, the The balloon is in communication with the input flow channel, and the proximal end of the catheter forms an outlet to communicate with the output flow channel, and a check valve is connected to the outlet, and the check valve is in communication with the input flow channel, for feeding the ball Fluid is injected into the capsule to inflate the balloon to prevent intrauterine adhesions.

进一步地,所述导管为双腔导管或多腔导管。 Further, the catheter is a double-lumen catheter or a multi-lumen catheter.

相较于现有技术,本实用新型球囊子宫支架使用时,其远端插入至宫腔内,宫腔通过远端上的穿孔与输出流道连通,当宫腔内有出血等情况发生时,出血会通过穿孔流入到排出口,如此通过观察排出口的液体的情况,可以方便直观地判断子宫内膜腔的止血情况,决定留置时间。 Compared with the prior art, when the balloon uterine stent of the utility model is used, its distal end is inserted into the uterine cavity, and the uterine cavity communicates with the output channel through the perforation on the distal end. When there is bleeding in the uterine cavity, etc. , the bleeding will flow into the discharge port through the perforation, so by observing the liquid in the discharge port, the hemostasis of the endometrial cavity can be judged conveniently and intuitively, and the indwelling time can be determined.

附图说明 Description of drawings

图1为本实用新型球囊子宫支架结构示意图。 Fig. 1 is a schematic diagram of the structure of the balloon uterine stent of the present invention.

图2为本实用新型球囊子宫支架使用状态示意图。 Fig. 2 is a schematic diagram of the usage state of the balloon uterine stent of the present invention.

具体实施方式 Detailed ways

以下将结合附图及具体实施方式对本实用新型进行详细说明。 The utility model will be described in detail below in conjunction with the accompanying drawings and specific embodiments.

如图1所示,本实用新型球囊子宫支架用于宫腔手术后防止宫腔粘连,全长约为230mm,包括双腔导管10、以及连接于双腔导管10上的球囊20及止逆阀30。 As shown in Figure 1, the balloon uterine stent of the present invention is used to prevent intrauterine adhesions after uterine cavity surgery. Inverse valve 30.

所述双腔导管10外径约为3mm,内部形成有平行的输入流道11以及输出流道13,所述输入流道11与输出流道13完全分离,分别用于液体的输入与输出。本实施例中,所述输入流道11的横截面远小于输出流道13的横截面。可以理解地,所述双腔导管10也可为其它类型的多腔导管,如三腔导管等。 The outer diameter of the double-lumen catheter 10 is about 3mm, and a parallel input flow channel 11 and an output flow channel 13 are formed inside. The input flow channel 11 and the output flow channel 13 are completely separated for the input and output of liquid respectively. In this embodiment, the cross section of the input flow channel 11 is much smaller than the cross section of the output flow channel 13 . It can be understood that the double-lumen catheter 10 can also be other types of multi-lumen catheters, such as triple-lumen catheters.

所述双腔导管10的远端形成尖端15,便于插入至人体内,靠近所述尖端15,双腔导管10的管壁上形成有贯穿的穿孔17,所述穿孔17与双腔导管10内的输出流道13相连通,用于将人体内的液体吸入至双腔导管10的输出流道13。双腔导管10的近端形成有排出口19,所述排出口19与双腔导管10内的输出流道13相连通。 The distal end of the double-lumen catheter 10 forms a tip 15, which is convenient for insertion into the human body. Near the tip 15, a through-hole 17 is formed on the wall of the double-lumen catheter 10. The output flow channel 13 of the dual-lumen catheter 10 is connected to the output flow channel 13 for sucking the liquid in the human body. A discharge port 19 is formed at the proximal end of the double-lumen catheter 10 , and the discharge port 19 communicates with the output channel 13 in the double-lumen catheter 10 .

所述止逆阀30连接于排出口19的侧壁上,并与双腔导管10内的输入流道11相连通,用于将液体,如生理盐水等,注入至双腔导管10的输入流道11内,并可防止注入的液体回流。所述球囊20套接于双腔导管10上并靠近双腔导管10的尖端15,容积可以是6ml、12ml等,所述球囊20与双腔导管10内的输入流道11相连通,从而通过所述止逆阀30可以向球囊20内注入液体。 The check valve 30 is connected to the side wall of the discharge port 19, and communicates with the input channel 11 in the double-lumen catheter 10, and is used to inject liquid, such as physiological saline, into the input flow of the double-lumen catheter 10. In the channel 11, it can prevent the injected liquid from flowing back. The balloon 20 is sleeved on the double-lumen catheter 10 and is close to the tip 15 of the double-lumen catheter 10, the volume may be 6ml, 12ml, etc., and the balloon 20 communicates with the input channel 11 in the double-lumen catheter 10, Therefore, liquid can be injected into the balloon 20 through the check valve 30 .

如图2所示,本实用新型球囊子宫支架临床使用时,首先卷滚球囊20至尽可能最小的直径,并用无齿钳抓住卷滚球囊20的顶端,将带有球囊20的钳头通过宫颈管插入宫颈内口上方的子宫腔;然后即可通过止逆阀30向球囊20内注入生理盐水等液体,直至产品标签上标注的最大充盈体积,如此球囊20鼓起将球囊20外侧的宫腔撑开,避免宫腔粘连;之后轻轻回拉无齿钳,将鼓起的球囊20留在原位,并将双腔导管10的近端贴在患者的大腿内侧固定,即完成球囊子宫支架的放置。 As shown in Figure 2, when the balloon uterine stent of the present invention is used clinically, first roll the balloon 20 to the smallest possible diameter, and grasp the top of the rolled balloon 20 with toothless pliers, and place the balloon 20 The forceps head is inserted into the uterine cavity above the internal os of the cervix through the cervical canal; then liquids such as normal saline can be injected into the balloon 20 through the check valve 30 until the maximum filling volume marked on the product label, so that the balloon 20 bulges Stretch the uterine cavity on the outside of the balloon 20 to avoid intrauterine adhesions; then gently pull back the toothless forceps to keep the bulging balloon 20 in place, and stick the proximal end of the double-lumen catheter 10 on the patient's Immobilization of the inner thigh completes the placement of the balloon uterine stent.

在本实用新型球囊子宫支架使用时,其双腔导管10的远端插入至宫腔内,宫腔通过双腔导管10的远端上的穿孔17与输出流道13连通,宫腔内的液体通过穿孔17进入至输出流道13并沿输出流道13向外流动,最终经由排出口19排出,当宫腔内有出血等情况发生时,出血会通过穿孔17流入到排出口19,如此通过观察排出的液体的情况,可以方便直观地判断子宫内膜腔的止血情况,决定留置时间,最长置入时间不超过24小时。当排出口19长时间没有渗血流出,如超过3个小时,说明球囊子宫支架放置成功,通过止逆阀30或者剪断导管放出球囊20中的盐水,取出球囊子宫支架。 When the balloon uterine stent of the present invention is used, the distal end of the double-lumen catheter 10 is inserted into the uterine cavity, and the uterine cavity communicates with the output channel 13 through the perforation 17 on the distal end of the double-lumen catheter 10. The liquid enters the output flow channel 13 through the perforation 17 and flows outward along the output flow channel 13, and is finally discharged through the discharge port 19. When bleeding occurs in the uterine cavity, the bleeding will flow into the discharge port 19 through the perforation 17, so By observing the condition of the discharged liquid, the hemostasis of the endometrial cavity can be judged conveniently and intuitively, and the indwelling time can be determined. The longest indwelling time should not exceed 24 hours. When the discharge port 19 does not ooze out for a long time, such as more than 3 hours, it indicates that the balloon uterine stent has been placed successfully, and the saline in the balloon 20 is discharged through the check valve 30 or the catheter is cut, and the balloon uterine stent is taken out.

需要说明的是,本实用新型并不局限于上述实施方式,根据本实用新型的创造精神,本领域技术人员还可以做出其他变化,这些依据本实用新型的创造精神所做的变化,都应包含在本实用新型所要求保护的范围之内。 It should be noted that the utility model is not limited to the above-mentioned embodiments, and those skilled in the art can make other changes according to the inventive spirit of the utility model, and these changes made according to the inventive spirit of the utility model should all be Included within the scope of protection required by the utility model.

Claims (2)

1.一种球囊子宫支架,包括导管,所述导管内形成有输入流道与输出流道,所述导管的远端形成有穿孔与输出流道连通,其特征在于:所述导管上套设有球囊,所述球囊与输入流道连通,所述导管的近端形成排出口与输出流道连通,所述排出口上连接有止逆阀,所述止逆阀与输入流道连通,用于向球囊内注入液体使球囊鼓起防止宫腔粘连。 1. A balloon uterine stent, comprising a catheter, an input flow channel and an output flow channel are formed in the catheter, and the distal end of the catheter is formed with a perforation to communicate with the output flow channel, it is characterized in that: the catheter is covered A balloon is provided, and the balloon communicates with the input flow channel, and the proximal end of the catheter forms a discharge port to communicate with the output flow channel. The discharge port is connected with a check valve, and the check valve is connected to the input flow channel. Connected, used to inject liquid into the balloon to inflate the balloon to prevent intrauterine adhesions. 2.如权利要求1所述的球囊子宫支架,其特征在于,所述导管为双腔导管或多腔导管。 2. The balloon uterine stent according to claim 1, wherein the catheter is a double-lumen catheter or a multi-lumen catheter.
CN201420351553.7U 2014-06-27 2014-06-27 Sacculus uterus support Expired - Lifetime CN204073050U (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105268090A (en) * 2015-09-01 2016-01-27 北京中科盛康科技有限公司 Medicine application device for controlling intrauterine adhesion
CN111714757A (en) * 2020-07-16 2020-09-29 浙江大学 A palace-shaped uterine cavity physical barrier device integrating support and drainage

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105268090A (en) * 2015-09-01 2016-01-27 北京中科盛康科技有限公司 Medicine application device for controlling intrauterine adhesion
CN111714757A (en) * 2020-07-16 2020-09-29 浙江大学 A palace-shaped uterine cavity physical barrier device integrating support and drainage

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