Through the anti-reflux plugging device of the natural tract internal diameter operation of stomach, esophagus approach
Technical field
This utility model relates to technical field of medical instruments, specifically a kind of anti-reflux device for the natural tract endoscopic surgery (NOTES) through stomach, esophagus approach.
Background technology
Through natural tract endoscopic surgery (naturalorificetransluminalendoscopicsurgery, NOTES) refer to that the natural tracts such as scope direct oral cavity, esophagus, stomach, colon, vagina, bladder enter thoracic cavity, vertical diaphragm, abdominal cavity etc., carry out a kind of modus operandi of operation of diagnosis and treatment under various scope.Comprise abdominal exploration, peritoneal biopsy, liver biopsy, gastrointestinal and intestinal Surgical healing, appendectomy, gallbladder removal etc.The object of conventional surgical, peritoneoscope and NOTES operation is all process focus, i.e. Diagnosis and Treat, and the surgical pathway of three is different.Conventional surgical is that all tissue dissection in focus front are arrived target, and wound is larger; Peritoneoscope knowledge is punched in the multilayer tissue in focus front, significantly reduces wound; And NOTES utilizes the natural tract of human body to arrive from the nearest position of focus, opened by tube wall and can arrive focus, wound is minimum.Therefore the natural tract of human body can regard a natural service conduits as.Because NOTES operation key reduces intra-abdominal contamination, thus keep the aseptic condition of operation inner chamber most important, at present through esophagus, the NOTES hands art of stomach approach, the antetheca of body of stomach end during optimal puncture position, scope can be made to insert pipe keep straight line at intraperitoneal like this, so need a kind ofly anti-to terminate in the contaminated operation inner chamber that backflows that bulboduodenal anti-reflux device prevents bile and intestinal juice in operation process, also can reduce because in operation process, gas injection too much causes stomachache, abdominal distention, the postoperative complication that perforation etc. are potential, therefore urgent clinical needs exploitation one safely and effectively apparatus meet this type of operation.
Utility model content
The purpose of this utility model is to overcome the deficiencies in the prior art, provides a kind of device that can be anti-reflux in operation process.
For achieving the above object, provide a kind of anti-reflux plugging device of the natural tract internal diameter operation through stomach, esophagus approach, comprise trocar sheath and stopper, trocar sheath is connected by connecting line with stopper; Have passage in the middle part of described stopper, passage exit connects air bag, has the partition of one-way ventilating between passage and air bag; Have gas tube to be socketed on trocar sheath inside, gas tube can move axially relative to trocar sheath, and gas tube gas outlet is corresponding with described passage air inlet; The connecting line fixed with stopper is inner to trocar sheath through the through hole on the end casing wall of gas tube gas outlet, and described connecting line end outside inside pipe casing forms cover, the gas outlet end of socket gas tube.
Stopper blocks intestinal bulb by the air bag heaved can play effect anti-reflux in operation process, the one-way ventilating partition of stopper inside makes gas replenishment process unidirectionally carry out, trocar sheath then helps stopper is placed in appropriate location and inflates, trocar sheath is connected by connecting line with stopper, the gas tube of trocar sheath inside is inflated the air bag in stopper, and connecting line ensures the disengaging of trocar sheath after gas tube can being made to complete aerification function through the design of trocar sheath socket gas tube.
Described cover, can be a connecting line outside inside pipe casing be formed by knots tied, also can be two with connecting line loop connecting at trocar sheath.Described one-way ventilating partition can, with reference to partition in inflator, be the partition playing check valve effect that this area is commonly used.
Preferably, described stopper comprises shutoff outer tube and shutoff core, and shutoff core retainer plate connects shutoff outer tube inlet end, has described passage in the middle part of shutoff core.
Preferably, described rear end refers to airintake direction.
Preferably, described stopper gas outlet end, surrounds cavity by shutoff outer tube and shutoff wicking surface, compartment improving inspiration by invigorating kidney-QI capsule.
Preferably, also comprise by releasing the inflation push-and-pull assembly overlapping and release bracelet and form, described release cover is socketed in gas tube entrance point.
Preferably, trocar sheath tail end is fixed with handle.
Preferably, described stopper is fixed traction line also.
The anti-reflux plugging device of the natural tract internal diameter operation through stomach, esophagus approach of the present utility model, by carrying out the mode of air inlet to air bag in stopper, makes air bag snap in appropriate location, stops liquid reflux in hands.Stopper and trocar sheath carry out coordinating air bag air inlet, and detach by ensure that trocar sheath can leave stopper after completing gas injection function with the line wiring of cover.The beneficial effects of the utility model are that structure is simple, easy to use, efficiently solve the problem that operation inner chamber pollutes.
Accompanying drawing explanation
Fig. 1 is partial cutaway schematic of the present utility model;
Fig. 2 is the profile of stopper in this utility model;
Wherein:
1-stopper 11-shutoff core 12-air bag
The partition 14-passage 15-shutoff outer tube of 13-one-way ventilating
2-trocar sheath 3-connecting line 4-gas tube
5-inflates push-and-pull assembly 51-and releases cover 52-release bracelet
6-handle 7-draught line
Detailed description of the invention
Below in conjunction with the drawings and specific embodiments, this utility model is described further.
Embodiment 1:
The anti-reflux plugging device of a kind of natural tract internal diameter operation through stomach, esophagus approach according to Fig. 1, Fig. 2, comprises trocar sheath 2, inflation push-and-pull assembly 5, gas tube 4, connecting line 3, stopper 1, handle 6 and draught line 7.Inflation push-and-pull assembly 5 is made up of release cover 51 and release bracelet 52, and release the tail end that cover 51 is connected to gas tube 4, described tail end represents one end of air inlet.Gas tube 4 is placed in the inside of trocar sheath 2, releases bracelet 52 and is connected on release cover 51, pull and release bracelet 52, can make gas tube 4 trocar sheath 2 axially-movable relatively.Described stopper 1 inside is shutoff core 11, and shutoff core 11 main body is cylinder, outside encirclement shutoff outer tube 15, passage 14 logical during shutoff core 11 has.Shutoff core 11 one end is concordant with shutoff outer tube 15 air inlet pipe one end, chamber is formed between the other end and shutoff outer tube 15, intracavity is by air bag 12 and be connected on passage 14 end face, the partition 13 of one-way ventilating is had between passage 14 and air bag 12, one-way ventilating is generally that passage 14 arrival end to port of export air inlet, otherwise can then can not.The port of export of blow vent 14 is connected with air bag 12, and the air bag 12 after air inlet can constantly be heaved.Described gas tube 4 can insert in passage 14 in an initial condition, in intake process, keeps gas tube 4 corresponding with passage 14 position always.Stopper 1 is fixed with connecting line 3, the casing wall of the port of export of trocar sheath 2 has through hole, connecting line 3 is inner to trocar sheath 2 through through hole, forms cover in inside, socket gas tube 4.When gas tube 4 inserts passage 14 inside, stopper 1 and trocar sheath 2 position also can be relative fixing, and when gas tube 4 is drawn back to the through hole back-end of trocar sheath 2, depart from cover, then stopper 1 also can be separated with trocar sheath 2.The rear end surface of trocar sheath 2 there is handle 6, pulls handle, trocar sheath 2 can be made to extract out.Stopper 1 is fixedly connected with draught line 7.
Embodiment 2:
A kind of anti-reflux plugging device of the natural tract internal diameter operation through stomach, esophagus approach, stopper 1 is connected with trocar sheath 2 is closed, described closed connection refers to compact siro spinning technology between stopper 1 and trocar sheath 2, and gas tube 4 end of trocar sheath 2 inside inserts passage 14 inside of stopper 1.Promote bracelet 52 and stopper 1 is placed in pyloric cap, pump-up device is carried out gas injection by gas tube 4 to inside, gas is by aerating pipe and passage 14, because the reason of one-way ventilating partition 13, make can only constantly heave in air bag 12 gas injection process, air bag 12 after heaving is fixed on bulb, and such stopper 1 just can be fixed on pyloric cap.Pull back inflation push-and-pull assembly 5, gas tube 4 is axially return backward, when returning to trocar sheath 2 and being inner, depart from the line cover of connecting line 3, connecting line 3 detaches along trocar sheath 2 through hole, makes trocar sheath 2 lose with before stopper 1 restriction be connected, can extract trocar sheath smoothly out and perform the operation.After operation terminates, can air bag 12 be poked with Special surgical utensil and clamp connecting line 3 with biopsy forceps, plugging device is taken out from internal diameter biopsy duct or by draught line 7, stopper 1 is taken out.
Below the preferred embodiment that this utility model is created is illustrated, but this utility model is created and is not limited to described embodiment, those of ordinary skill in the art can also make all equivalent modification or replacement under the prerequisite without prejudice to this utility model creative spirit, and these equivalent modifications or replacement are all included in the application's claim limited range.