CN204709471U - The next ventriculo-peritoneal shunt pipe regulated - Google Patents
The next ventriculo-peritoneal shunt pipe regulated Download PDFInfo
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- CN204709471U CN204709471U CN201520208905.8U CN201520208905U CN204709471U CN 204709471 U CN204709471 U CN 204709471U CN 201520208905 U CN201520208905 U CN 201520208905U CN 204709471 U CN204709471 U CN 204709471U
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- ventriculo
- shunt pipe
- valve
- peritoneal shunt
- isocon
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Abstract
This utility model relates to the ventriculo-peritoneal shunt pipe that a kind of bottom regulates, described isocon comprises ventriculo-peritoneal shunt pipe ventricles of the brain termination, isocon goes out skull end turning device, water pocket, cerebrospinal pressure valve, anti-G-valve, ventriculo-peritoneal shunt pipe abdominal end and is connected drainage line, and described ventriculo-peritoneal shunt pipe ventricles of the brain termination, isocon go out skull end turning device, water pocket, cerebrospinal pressure valve, anti-G-valve and be connected successively with ventriculo-peritoneal shunt pipe abdominal end and be arranged at and be connected on drainage line.Liquid storage pressure valve is placed in the ventriculo-peritoneal shunt pipe of intercostal space, shirtfront by this isocon, solve medical personnel's very stubborn problem for many years, also improve the quality of life after operation in patients, therapeutic effect significantly improves, decrease the misery of patient, save medical resource.
Description
Technical field
This utility model belongs to technical field of medical equipment, relates to a kind of medical apparatus and instruments, especially a kind of easy and simple to handle, fully can ensure patient's freedom of action, observe adjust blood pressure the next (thoracic wall) ventriculo-peritoneal shunt pipe of regulating easily.
Background technology
The ventricles of the brain-peritoneal shunt device is widely used in treating hydrocephalus, and the liquid storage pressure-regulating valve in existing part flow arrangement is positioned at upper, is namely positioned at head.Because head is circular or oval, and existing pressure-regulating valve is accurate in order to pressure, when regulating pressure, require that health and pressure-regulating valve will keep horizontal position, therefore, the problem of existing shunt device of cerebrospinal fluid common following several respects when doctor's practical operation:
1, patient will certainly be caused during adjust blood pressure to stand up, move not only inconvenience but also there is risk particularly to coma patient.
2, be through frontal eminence or cornu occipitale because the length of pressure-regulating valve determines ventricular puncture, so when performing an operation, different isocons will be selected according to site of puncture, and the product quality of different manufacturers, model is all different.Which adds the trouble that doctor selects.
3, postoperative patient often will press reservoir, if reservoir is placed on head, close on cephalic incision, frequent pressing can cause incision pain and infection, larger problem is that patient oneself is difficult to cosily operate adjust blood pressure reservoir, and the inconvenience caused to recognize reservoir position often to move head and risk.
If invent a kind of bottom being convenient to patient oneself operation to regulate ventriculo-peritoneal shunt device, the selection neither allowing doctor be entangled with during impact operation is inserted from frontal eminence or cornu occipitale, patient and freedom of action is moved after not affecting implantation surgery again, more convenient patient oneself can adjust blood pressure at any time, has great clinical meaning.
By retrieval, find following several sections of patent publication us relevant to this utility model patent application:
1, a kind of ventricles of the brain-abdominal cavity shunt device of cerebrospinal fluid (203970988U), this part flow arrangement comprise one for insert the subcutaneous external water capsule of abdominal cavity of patients and one for by ICV drainage of cerebrospinal fluid to the conduit in abdominal cavity, the outer wall of described conduit is arranged with one for water pocket in extruded conduit, interior water pocket is communicated with external water capsule by water injection pipe, and water injection pipe is provided with the check valve for liquid in external water capsule being introduced interior water pocket, described interior water pocket is provided with one for discharging the liquid pumping hole of liquid in its inner chamber, this liquid pumping hole seals for the silica gel sealing pad thrusting liquid pumping needle by one.This part flow arrangement in use, medical personnel are through external extruding external water capsule, can by the water pocket in water injection pipe injects of the liquid in external water capsule, interior water pocket expands and the catheter diameter of its sandwiched is reduced, thus the drainage flow of cerebrospinal fluid in adjustment conduit, there is good clinical safety, meet the circulating pressure needs of cerebrospinal fluid.
2, volume control type Ventriculo peritoneal shunt pipe (203724609U), a kind of medical apparatus implanted used when this utility model is neurosurgery hydrocephalic operative treatment.When hydrocephalic falls ill, need cerebrospinal fluid shunt too much for intracranial to go to abdominal cavity, alleviate intracranial hypertension and the untoward reaction that causes, make intracranial maintain the pressure being suitable for patient, thus reach therapeutic effect.Volume control type Ventriculo peritoneal shunt pipe, it has a reservoir adopting elastomeric material to make, and two identical check valves of direction are equipped with at these reservoir two ends, and reservoir volume is at 2-6ml.At hydrocephalic's Post operation, can carry out suitable compression number every day as required, the suitable cerebrospinal fluid of drain, to abdominal cavity, controls clinical symptoms, reaches clinical cure.
3, a kind of ventricles of the brain-abdominal cavity shunt device of cerebrospinal fluid (104107460A), a kind of ventricles of the brain-abdominal cavity shunt device of cerebrospinal fluid, this part flow arrangement comprise one for insert the subcutaneous external water capsule of abdominal cavity of patients and one for by ICV drainage of cerebrospinal fluid to the conduit in abdominal cavity, the outer wall of described conduit is arranged with one for water pocket in extruded conduit, interior water pocket is communicated with external water capsule by water injection pipe, and water injection pipe is provided with the check valve for liquid in external water capsule being introduced interior water pocket, described interior water pocket is provided with one for discharging the liquid pumping hole of liquid in its inner chamber, this liquid pumping hole seals for the silica gel sealing pad thrusting liquid pumping needle by one.This part flow arrangement in use, medical personnel are through external extruding external water capsule, can by the water pocket in water injection pipe injects of the liquid in external water capsule, interior water pocket expands and the catheter diameter of its sandwiched is reduced, thus the drainage flow of cerebrospinal fluid in adjustment conduit, there is good clinical safety, meet the circulating pressure needs of cerebrospinal fluid.
4, Ventriculo peritoneal shunt installed capacity control method and volume control type Ventriculo peritoneal shunt pipe (103800992A), a kind of medical apparatus implanted used when the present invention is neurosurgery hydrocephalic operative treatment.When hydrocephalic falls ill, cerebrospinal fluid shunt too much for intracranial need be gone to abdominal cavity, alleviate the untoward reaction that intracranial hypertension causes, make intracranial maintain the pressure being suitable for patient, thus reach therapeutic effect.Ventriculo peritoneal shunt installed capacity control method, it adopts elastomeric material to make stress-free reservoir, and two one-way cocks are established at reservoir two ends, makes csf flow control cerebrospinal fluid capacity in reservoir to abdominal end by manually pressing reservoir.Realize the volume control type Ventriculo peritoneal shunt pipe of described Ventriculo peritoneal shunt installed capacity control method, it has a reservoir adopting elastomeric material to make, and two identical check valves of direction are equipped with at these reservoir two ends, and reservoir volume is at 2-6ml.At hydrocephalic's Post operation, can carry out suitable compression number every day as required, the suitable cerebrospinal fluid of drain, to abdominal cavity, reaches clinical cure.
Being contrasted by technical characteristic, there are the different of essence in this utility model patent application and above-mentioned patent publication us.
Summary of the invention
The purpose of this utility model is the weak point overcoming the inconvenience caused due to the unreasonable of liquid storage pressure valve position when existing product uses, there is provided a kind of can arbitrarily insert from cornu occipitale, frontal eminence and facilitate ventricles of the brain end and the cranium outer end of fixing pipeline, and the ventriculo-peritoneal shunt pipe that the bottom being convenient to postoperative adjustment pressure regulates.
For achieving the above object, this utility model realizes by the following technical solutions:
The ventriculo-peritoneal shunt pipe that a kind of bottom regulates, described isocon comprises ventriculo-peritoneal shunt pipe ventricles of the brain termination, isocon goes out skull end turning device, water pocket, cerebrospinal pressure valve, anti-G-valve, ventriculo-peritoneal shunt pipe abdominal end be connected drainage line, described ventriculo-peritoneal shunt pipe ventricles of the brain termination, isocon goes out skull end turning device, water pocket, cerebrospinal pressure valve, anti-G-valve is connected successively with ventriculo-peritoneal shunt pipe abdominal end and is arranged at and is connected on drainage line, in operation process, the cerebrospinal pressure force regulating valve of this isocon and the water pocket position that is fixed is intercostal space, described ventriculo-peritoneal shunt pipe abdominal end is arranged at intraperitoneal.
And the skull position that goes out of described connection drainage line arranges isocon and goes out skull end turning device, and this isocon goes out Qi Weiyi turning, skull end turning groove, and the recess width of this turning groove and the degree of depth match with the caliber being connected drainage line.
And, described cerebrospinal pressure valve is one for regulating the one-way cock of drainage of cerebrospinal fluid speed, this valve can open and close voluntarily with pressure, when cerebrospinal pressure is higher than valve meeting open drainage during normal value, when cerebrospinal pressure closedown can prevent excessive drain automatically lower than valve during normal value, during operation, this valve is positioned between clavicle and the first rib.
And described water pocket is the cystic chamber storing cerebrospinal fluid, cyst wall intensity is suitable with the intensity being connected drainage line, and its length is 10-20 millimeter, and diameter is 2-6 times of the caliber connecting drainage line.
And, described anti-G-valve is a kind of device alleviating drainage of cerebrospinal fluid drain rapidly, described anti-G-valve comprises valve body, unhurried current sieve and pore, middle and lower part in described valve body is connected with valve interior wall, arrange in the horizontal direction one to lower convexity arc unhurried current sieve, this unhurried current sieve on along the circumferential direction uniform interval be shaped with several pore.
And, described ventriculo-peritoneal shunt pipe ventricles of the brain termination and isocon go out the uniform interval of 0.3-6.0 centimeters, distance ventriculo-peritoneal shunt pipe ventricles of the brain termination on the connection drainage line between the device of skull end turning and are shaped with several drain circular hole, the diameter of this drain circular hole is 0.5-1.5 millimeter, and circular hole spacing is 0.5-1.5 millimeter.
And described connection drainage line adopts high-quality medical silica-gel material to make, and aperture is the diameter of F6-F12 pipeline, is 0.5-2.0 millimeter.
Advantage of the present utility model and good effect are:
1, liquid storage pressure valve is placed in the ventriculo-peritoneal shunt pipe of intercostal space, shirtfront by this isocon, solve medical personnel's very stubborn problem for many years, also improve the quality of life after operation in patients, therapeutic effect significantly improves, decrease the misery of patient, save medical resource.
2, the cerebrospinal pressure force regulating valve of this isocon and the water pocket of the connection position that is fixed is intercostal space, that one allows doctor can arbitrarily from cornu occipitale, frontal eminence inserts the ventricles of the brain, because the pressure-regulating valve of traditional ventriculo-peritoneal shunt pipe is close to being connected to ventricles of the brain end, it is through frontal eminence or cornu occipitale that its length determines ventricular puncture, so when performing an operation, different isocons to be selected according to site of puncture, and the product quality of different manufacturers, model is all different, considerably increase the trouble of surgical like this, this isocon brings great convenience to operation, improve procedure efficiency.
3, the cerebrospinal pressure force regulating valve of this isocon and the water pocket of the connection position that is fixed is intercostal space, be convenient to very much postoperative adjustment cerebrospinal pressure, patient and freedom of action is moved after not affecting implantation surgery, under normal circumstances, patient can oneself operate, facilitate patient oneself can adjust blood pressure at any time, avoid and to fail the accident obtained in time when medical personnel assist due to cerebrospinal pressure Iterim Change and occur, also improve the quality of life after operation in patients, therapeutic effect significantly improves, decrease the misery of patient, save medical resource, there is great clinical meaning.
4, the drain caused when the anti-G-valve of this isocon is and prevents patient body position's flip-flop is excessive or not smooth, plays the effect of stable cerebrospinal pressure, decreases the generation of relevant risk and complication.
Accompanying drawing explanation
Fig. 1 is anatomical connectivity schematic diagram and the using state connection diagram of this isocon;
Fig. 2 is the anatomical connectivity schematic diagram of the anti-G-valve in Fig. 1.
Detailed description of the invention
For content of the present utility model, Characteristic can be understood further, hereby exemplify following examples, and coordinate accompanying drawing to describe in detail.It should be noted that, the present embodiment is descriptive, is not determinate, can not limit protection domain of the present utility model thus.
The design of clinical experience for many years that this utility model accumulates in the operative treatment of ventriculo-peritoneal shunt according to inventor, liquid storage pressure valve is placed in the ventriculo-peritoneal shunt pipe of intercostal space, shirtfront, solve medical personnel's very stubborn problem for many years, also improve the quality of life after operation in patients, therapeutic effect significantly improves, decrease the misery of patient, save medical resource.
In this utility model, not concrete disclosed content all can be understood as the known technology in this area.
The ventriculo-peritoneal shunt pipe that a kind of bottom regulates, as shown in Figure 1, described isocon comprises ventriculo-peritoneal shunt pipe ventricles of the brain termination 10, isocon goes out skull end turning device 1, water pocket 2, cerebrospinal pressure valve 9, anti-G-valve 5, ventriculo-peritoneal shunt pipe abdominal end 8 be connected drainage line 6, described ventriculo-peritoneal shunt pipe ventricles of the brain termination, isocon goes out skull end turning device, water pocket, cerebrospinal pressure valve, anti-G-valve is connected successively with ventriculo-peritoneal shunt pipe abdominal end and is arranged at and is connected on drainage line, in operation process, the cerebrospinal pressure force regulating valve of this isocon and the water pocket position that is fixed is intercostal space (in figure concrete label), can allow doctor can arbitrarily from cornu occipitale, frontal eminence inserts the ventricles of the brain 11, described ventriculo-peritoneal shunt pipe abdominal end is arranged in abdominal cavity 7.
The skull position that goes out of described connection drainage line arranges isocon and goes out skull end turning device, this isocon goes out Qi Weiyi turning groove, skull end turning (not specifically illustrating in figure), the recess width of this turning groove and the degree of depth match with the caliber being connected drainage line, be convenient to connection drainage line is embedded and is fixed in groove, make it crawl in subcutaneous, avoid pipeline warpage or local to heave.
Described cerebrospinal pressure valve is one for regulating the one-way cock of drainage of cerebrospinal fluid speed, this valve can open and close voluntarily with pressure, when cerebrospinal pressure is higher than valve meeting open drainage during normal value, when cerebrospinal pressure closedown can prevent excessive drain automatically lower than valve during normal value.This valve is positioned between clavicle 3 and the first rib 4 during operation.
Described water pocket is the cystic chamber storing cerebrospinal fluid, cyst wall intensity is suitable with the intensity being connected drainage line, be directly connected in cerebrospinal pressure valve, during use, this water pocket is arranged at the top of cerebrospinal pressure valve, its length is 10-20 millimeter, diameter is 2-6 times of the caliber connecting drainage line, effect is that while feeling to have high cranium to press symptom (normally due to patient) patient or other people can regulate pressure by the drainage speed of squeeze adjustments cerebrospinal fluid where necessary, and during operation, water pocket is fixed in clavicle outer rim correct position.
Described anti-G-valve is a kind of device alleviating drainage of cerebrospinal fluid drain rapidly, the drain caused when being and preventing patient body position's flip-flop is excessive or not smooth, play the effect of stable cerebrospinal pressure, decrease the generation of relevant risk and complication, be directly connected in the below of cerebrospinal pressure valve, as shown in Figure 2, in the present embodiment, described anti-G-valve comprises valve body 12, unhurried current sieve 13 and pore 14, middle and lower part in described valve body is connected with valve interior wall, arrange in the horizontal direction one to lower convexity arc unhurried current sieve, on this unhurried current sieve, along the circumferential direction uniform interval is shaped with several pore, this uniform system punctulate arc unhurried current sieve makes the flow velocity of cerebrospinal fluid become more slow, thus decrease dangerous generation.
In the present embodiment, described ventriculo-peritoneal shunt pipe ventricles of the brain termination and isocon go out the uniform interval of 0.3-6.0 centimeters, distance ventriculo-peritoneal shunt pipe ventricles of the brain termination on the connection drainage line between the device of skull end turning and are shaped with several drain circular hole (not specifically illustrating in figure), the diameter of this drain circular hole is 0.5-1.5 millimeter, circular hole spacing is 0.5-1.5 millimeter, is convenient to cerebrospinal fluid effective drainage.
In the present embodiment, described connection drainage line adopts high-quality medical silica-gel material to make, and aperture is the diameter of F6-F12 pipeline, about 0.5-2.0 millimeter, and material compliance is good, and histocompatibility is good, is meet the long-term medical material implanted.
Claims (7)
1. the next ventriculo-peritoneal shunt pipe regulated, it is characterized in that: described isocon comprises ventriculo-peritoneal shunt pipe ventricles of the brain termination, isocon goes out skull end turning device, water pocket, cerebrospinal pressure valve, anti-G-valve, ventriculo-peritoneal shunt pipe abdominal end be connected drainage line, described ventriculo-peritoneal shunt pipe ventricles of the brain termination, isocon goes out skull end turning device, water pocket, cerebrospinal pressure valve, anti-G-valve is connected successively with ventriculo-peritoneal shunt pipe abdominal end and is arranged at and is connected on drainage line, in operation process, the cerebrospinal pressure force regulating valve of this isocon and the water pocket position that is fixed is intercostal space, described ventriculo-peritoneal shunt pipe abdominal end is arranged at intraperitoneal.
2. the ventriculo-peritoneal shunt pipe of bottom according to claim 1 adjustment, it is characterized in that: the skull position that goes out of described connection drainage line arranges isocon and goes out skull end turning device, this isocon goes out Qi Weiyi turning, skull end turning groove, and the recess width of this turning groove and the degree of depth match with the caliber being connected drainage line.
3. the ventriculo-peritoneal shunt pipe of bottom according to claim 1 adjustment, it is characterized in that: described cerebrospinal pressure valve is one for regulating the one-way cock of drainage of cerebrospinal fluid speed, this valve can open and close voluntarily with pressure, when cerebrospinal pressure is higher than valve meeting open drainage during normal value, when cerebrospinal pressure closedown can prevent excessive drain automatically lower than valve during normal value, during operation, this valve is positioned between clavicle and the first rib.
4. the ventriculo-peritoneal shunt pipe of bottom according to claim 1 adjustment, it is characterized in that: described water pocket is the cystic chamber storing cerebrospinal fluid, cyst wall intensity is suitable with the intensity being connected drainage line, and its length is 10-20 millimeter, and diameter is 2-6 times of the caliber connecting drainage line.
5. the ventriculo-peritoneal shunt pipe of bottom according to claim 1 adjustment, it is characterized in that: described anti-G-valve is a kind of device alleviating drainage of cerebrospinal fluid drain rapidly, described anti-G-valve comprises valve body, unhurried current sieve and pore, middle and lower part in described valve body is connected with valve interior wall, arrange in the horizontal direction one to lower convexity arc unhurried current sieve, this unhurried current sieve on along the circumferential direction uniform interval be shaped with several pore.
6. the ventriculo-peritoneal shunt pipe that the bottom according to any one of claim 1 to 5 regulates, it is characterized in that: described ventriculo-peritoneal shunt pipe ventricles of the brain termination and isocon go out the uniform interval of 0.3-6.0 centimeters, distance ventriculo-peritoneal shunt pipe ventricles of the brain termination on the connection drainage line between the device of skull end turning and be shaped with several drain circular hole, the diameter of this drain circular hole is 0.5-1.5 millimeter, and circular hole spacing is 0.5-1.5 millimeter.
7. the ventriculo-peritoneal shunt pipe that the bottom according to any one of claim 1 to 5 regulates, is characterized in that: described connection drainage line adopts high-quality medical silica-gel material to make, and aperture is the diameter of F6-F12 pipeline, is 0.5-2.0 millimeter.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201520208905.8U CN204709471U (en) | 2015-04-09 | 2015-04-09 | The next ventriculo-peritoneal shunt pipe regulated |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201520208905.8U CN204709471U (en) | 2015-04-09 | 2015-04-09 | The next ventriculo-peritoneal shunt pipe regulated |
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| CN204709471U true CN204709471U (en) | 2015-10-21 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN201520208905.8U Withdrawn - After Issue CN204709471U (en) | 2015-04-09 | 2015-04-09 | The next ventriculo-peritoneal shunt pipe regulated |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104758988A (en) * | 2015-04-09 | 2015-07-08 | 北京市神经外科研究所 | Inferior regulation ventriculo-peritoneal shunt pipe |
| CN108096686A (en) * | 2017-12-28 | 2018-06-01 | 中南大学 | Pleural/abdominal cavity drainage tube |
-
2015
- 2015-04-09 CN CN201520208905.8U patent/CN204709471U/en not_active Withdrawn - After Issue
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104758988A (en) * | 2015-04-09 | 2015-07-08 | 北京市神经外科研究所 | Inferior regulation ventriculo-peritoneal shunt pipe |
| CN104758988B (en) * | 2015-04-09 | 2017-03-08 | 北京市神经外科研究所 | A kind of the next Ventriculo peritoneal shunt pipe for adjusting |
| CN108096686A (en) * | 2017-12-28 | 2018-06-01 | 中南大学 | Pleural/abdominal cavity drainage tube |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C14 | Grant of patent or utility model | ||
| GR01 | Patent grant | ||
| AV01 | Patent right actively abandoned | ||
| AV01 | Patent right actively abandoned |
Granted publication date: 20151021 Effective date of abandoning: 20171114 |