CN205126377U - Ware is pulled out to internal pair of J pipe of women - Google Patents

Ware is pulled out to internal pair of J pipe of women Download PDF

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Publication number
CN205126377U
CN205126377U CN201520809788.0U CN201520809788U CN205126377U CN 205126377 U CN205126377 U CN 205126377U CN 201520809788 U CN201520809788 U CN 201520809788U CN 205126377 U CN205126377 U CN 205126377U
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China
Prior art keywords
seal wire
pliers
inner sleeve
trocar sheath
pipe
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CN201520809788.0U
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Chinese (zh)
Inventor
秦超
李潇
成功
华立新
汪骏
汤井源
潘永昇
黄源
蔡宏宙
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Jiangsu Province Hospital
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Jiangsu Province Hospital
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Abstract

The utility model discloses a ware is pulled out to internal pair of J pipe of women, including netted basket, expandable pliers, the outer tube of stereoplasm, interior sleeve pipe, stereoplasm seal wire, operating handle and the tail end action bars of stereoplasm, the front end at the outer tube is installed to the pliers to link with operating handle, interior sleeve pipe nestification is in the outer tube, and interior sheathed tube back end exposes outside, sheathed tube front end including netted basket sets up, and sheathed tube tail end including the tail end action bars stopper, in the sleeve pipe, stereoplasm seal wire one end was connected with the seal wire of netted basket including the stereoplasm seal wire set up, and the other end is connected with the tail end action bars. The utility model discloses the structure is exquisite, and convenient operation easily popularizes and uses.

Description

Double J pipe extractor in women's body
Technical field
This utility model belongs to clinical medicine medical instruments field, relates to a kind of extractor being applicable to pull out double J pipe in women's body.
Background technology
Double J pipe has another name called ureter rack tube, double pigtail catheter or D-J pipe, applies very extensive in urological surgery.Be applicable in the therapeutic process such as expansion of the Upper urinary tract operation such as renal calculus, ureteral calculus, hydronephrosis, renal transplantation, kidney and ureter benign tumor and lithotrite rubble, stricture of ureter.It can play drainage of urine after implanting ureter, prevent the important function of stricture of ureter and adhesion blocking.The double J pipe of all indwellings all needs to pull out after certain time limit, pull out double J pipe method at present and be mainly cystoscope, but cystoscope operating condition is higher, section office need special Cystoscopy Room, and operating theater instruments, operation table, sterilizing equipment decontaminating apparatus will be equipped with, and the doctor that need operate and nurse.In addition, for patient, under cystoscope, tube drawing costly.
It is the same with male that tradition double J pipe pulls out female patient, but female patient urethra is shorter, and operating apparatus easily enters bladder.Thus, do not possess the civilian hospital of Cystoscopy Room at some, enter female bladder pull out double J pipe by curved hemostatic forceps under local anaesthesia, success rate is also higher.But there is following drawback in the method: 1. curved hemostatic forceps is not for pulling out double J pipe design, is difficult to meet tube drawing requirement in degree of disinfection, operation convenience etc.; 2. curved hemostatic forceps is comparatively thick, enters when bladder is dehisced and may have stimulation to urethra; 3. curved hemostatic forceps head end is comparatively sharp-pointed, and is metal, operates bad meeting and clips to mucous membrane of urinary bladder.Therefore, this utility model pin is the extractor that the female patient designed above situation pulls out double J pipe, can effectively avoid above-mentioned drawback, convenient and safe.
Summary of the invention
technical problem:this utility model provides a kind of and constructs double J pipe extractor in exquisiteness, easy to operate, women's body of reducing cost.
technical scheme:double J pipe extractor in women's body of the present utility model, comprise mesh basket, can the pliers of opening and closing, the trocar sheath of hard, the inner sleeve of hard, hard seal wire, operating grip and tail end action bars, described pliers is arranged on the front end of trocar sheath, and link with operating grip, described inner sleeve is nested in trocar sheath, the back segment of inner sleeve is outside exposed, mesh basket is arranged on the front end of inner sleeve, tail end action bars plug is at the tail end of inner sleeve, described hard seal wire is arranged in inner sleeve, hard seal wire one end is connected with the seal wire of mesh basket, the other end is connected with tail end action bars.
Further, in this utility model device, described trocar sheath inside middle portion is provided with annular projection, and the front end outer side of described inner sleeve is provided with the rounded tabs corresponding with annular projection, can locate after inner sleeve suction trocar sheath.
Further, in this utility model device, described pliers and operating grip are respectively by being pivotally mounted on trocar sheath, operating grip is connected by bifilar seal wire and controls pliers, described bifilar seal wire is all laid in trocar sheath, wherein external control seal wire one end passes from trocar sheath front end one aperture, and outside pliers, tractive makes it open, and internal control seal wire makes it close in inner tractive pliers; The external control seal wire other end is arranged with counterclockwise thorny handle wheel shaft, and the internal control seal wire other end is arranged with clockwise thorny handle wheel shaft, and during handle abduction, external control seal wire tightens tractive, internal control seal wire loosens, and pliers is opened, the time receiving in handle, internal control seal wire tightens tractive, and external control seal wire loosens, and pliers is drawn in.
Further, in this utility model device, described pliers is two semi-cylindricals, and in cylindric after closing up, the built-in latch of pliers, when entirety is closed up, latch can not touch mesh basket, and when mesh basket is with double J pipe, then pliers can firm grip mesh basket
This apparatus can replace double J pipe in traditional cystoscope gripping women body, does not need in Cystoscopy Room operation, can people's complete independently, easy to operate.Disposable or Reusability can be made.If disposable, most of available plastic production, reduces production cost; If Reusability, available metal makes, and uses rear strict sterilization.
In this women's body, the operating procedure of double J pipe extractor is:
(1) operate identical with cystoscope before operation, allow patient take plain abdominal radiograph, determine double J pipe position, get rid of double J pipe and slip into the medium special circumstances of ureter.
(2) during operation, patient lies low, both legs flexing abduction, and routine disinfection also, behind female urine road junction of sterilizing, spreads aseptic towel.
(3) pipe extractor is inserted urethra and enter bladder (the similar routine of process plugs in catheter), with reference to 5cm place graduation mark, when seeing that urine flows out from two side handles, 2cm can be entered again.
(4) after entering, by promoting tail handle, the clamping apparatus of activity is ejected, and promote gently until there is obvious resistance (because there is rubber head end mesh basket front end, can not tissue be injured).
(5) with two side handle opening clamp.
(6) pull tail end handle after fixing inner sleeve, open mesh basket.
(7) a little after left rotation and right rotation mesh basket, tighten up mesh basket, then fix two side handles and to pull back inner sleeve, until obvious resistance.
(8) close pliers and clamp, pipe extractor entirety is taken out.
beneficial effect:compared with prior art, this utility model has the following advantages:
(1) tradition uses cystoscope to pull out female patient double J pipe and need to be equipped with special Cystoscopy Room, and need special doctor, nurse operates, also need a whole set of disinfection apparatus, cystoscope apparatus and display device etc., require higher to operating condition; In addition, the cystoscope operating time is long, needs a whole set of cystoscope to operate, and as mirror of sterilizing, get, anesthesia, slotting mirror, look for double J pipe, tube drawing etc., and centre constantly needs nurse to assist, operating procedure is many, the time is longer.But with after this utility model, can simplify the operation step greatly, medical personnel at more than ten minutes end of operations, can effectively avoid the waste of medical resource, cystoscope are used for the real cystoscopic patient of needs;
(2) described above, tradition cystoscope tube drawing is higher to conditional request, a lot of civilian hospital there is no cystoscope condition, thus often curved hemostatic forceps tube drawing can be used, rule of thumb blind effect of pulling out still can, but pull out with curved hemostatic forceps is blind the risk existing and cause urinary tract infection, bladder or ureter tissue injury or infection, easily cause related complication;
(3) this utility model is easy to operate, is convenient to popularize, especially basic unit not possess hospital's demand of Cystoscopy Room large;
(4) this utility model structure is exquisite, and cost reduces greatly relative to cystoscope, traditional cystoscope tube drawing three or four hundred yuan easily, and uses this utility model to decrease the cost of patient.
Accompanying drawing explanation
Structural representation when Fig. 1 is this practicality newly work.
Fig. 2 is the plan structure schematic diagram of this utility model when closing up.
Fig. 3 is the structural representation of this utility model when closing up.
Fig. 4 is this utility model head end pliers regulation and control figure.
Have in figure: 1. mesh basket, 2. rubber head end, 3. rounded tabs, 4. pliers, 5. latch, 6. hard seal wire, 7. annular projection, 8. inner sleeve, 9. operating grip, 10. tail end action bars, trocar sheath 11.
Detailed description of the invention
Below in conjunction with Figure of description and embodiment, the utility model is described in further detail.
As shown in Figure 1, in embodiment of the present utility model, in women's body, double J pipe extractor mainly comprises as lower component:
1. mesh basket, is similar to " calculus catching net-like means " of getting calculus, collapsible in strip, total length 5cm during contraction, the shortest about 3cm when opening.After be compiled in seal wire, seal wire is placed in tubule, and capillary diameter is about 1.5mm, and seal wire leading portion connects netted net silk, and is connected with tail end action bars, and the handle by afterbody regulates.
2. rubber head end is taper shape, is positioned at mesh basket front end, can prevent from entering damaged tissue after bladder; And when entirety is closed up, the head of rubber head end and pincers coincide, and is beneficial to insertion urethra.
3. rounded tabs, be positioned at mesh basket back segment and inner sleeve 8 connecting place, diameter is about 3mm, when entirety is closed up, can be blocked, can not skid off backward by the annular projection 7 of trocar sheath inside.
4. pliers, in two semi-cylindricals, in cylindric after closing up, length is about 2cm.The built-in latch of pliers, can not contact mesh basket, and when mesh basket is with double J pipe, then pliers can firm grip mesh basket when entirety is closed up.The handle of leading portion sleeve pipe two sides of tail regulates the opening and closing of pliers 4 by the hard seal wire 6 arranged in trocar sheath.
5. latch, is positioned at inside pliers, can increase insert frictional force.
6. hard seal wire, the handle of leading portion sleeve pipe two sides of tail regulates the opening and closing of pliers by the hard seal wire that sleeve pipe is built-in.
7. annular projection, for blocking the catch of mesh basket back segment.Be positioned at distance trocar sheath 11 head end 5cm place herein, outside trocar sheath 11, have labelling, reference during for entering urethra.
8. inner sleeve, connects the tubule of built-in seal wire.
9. operating grip, controls the opening and closing of pliers by hard seal wire 6.
10. tail end action bars, connect the seal wire that netted net silk is compiled in, afterbody has operating grip.
Main body of the present utility model is made up of three sections of sleeve pipes, and head end has pliers 4, and afterbody has three place's ring-type handles, built-in adjustable mesh basket.When it draws in, leading portion is cylindric, and total length is about 22cm, and diameter is about 6mm.Sleeve pipe is divided into three parts, having scale on the tube wall of head end 5cm place (i.e. annular projection 7 place outer wall) outside, inserts female urethra reference herein for during operation.The built-in mobilizable clamping apparatus of sleeve pipe, anterior mesh basket 1 is similar to " calculus catching net-like means " of getting calculus, in netted, collapsible in strip, total length 5cm during contraction, the shortest about 3cm when opening.Its front end, by a conical rubber head end 2, can prevent from entering damaged tissue after bladder; And when entirety is closed up, rubber head end 2 coincide with the head of pliers 4, is beneficial to insertion urethra.Mesh basket 1 back segment and self-regulation sleeve pipe connecting place have a rounded tabs 3, and diameter is about 3mm, when entirety is closed up, can be blocked, can not skid off backward by ring-type bossing 7 in leading portion sleeve pipe.Head end pliers rear portion is the inner sleeve 8 of built-in hard seal wire 6, and inner sleeve 8 diameter is about 1.5mm, and hard seal wire 6 leading portion connects the twine of mesh basket 1, and is connected with tail end action bars 10, and the operating grip by afterbody regulates the opening and closing of mesh basket 1; Mesh basket 1 moving forward and backward in trocar sheath 11 is realized by regulating inner sleeve 8.Pliers 4 is in two semi-cylindricals, and in cylindric after closing up, length is about 2cm, and trocar sheath 11 two sides of tail has the opening and closing of operating grip 9 scalable pliers.The built-in latch 5 of pliers, just can not touch mesh basket 1, and when mesh basket 1 is with double J pipe, then pliers 4 can firm grip mesh basket 1 when entirety is closed up.The operating grip 9 of trocar sheath 11 two sides of tail regulates the opening and closing of pliers 4 by hard seal wire 6.
Above-described embodiment is only preferred implementation of the present utility model; be noted that for those skilled in the art; under the prerequisite not departing from this utility model principle; some improvement and equivalent replacement can also be made; these improve this utility model claim and are equal to the technical scheme after replacing, and all fall into protection domain of the present utility model.

Claims (4)

1. double J pipe extractor in women's body, it is characterized in that, this extractor comprises mesh basket (1), can the pliers (4) of opening and closing, the trocar sheath (11) of hard, the inner sleeve (8) of hard, hard seal wire (6), operating grip (9) and tail end action bars (10), described pliers (4) is arranged on the front end of trocar sheath (11), and link with operating grip (9), described inner sleeve (8) is nested in trocar sheath (11), the back segment of inner sleeve (8) is outside exposed, mesh basket (1) is arranged on the front end of inner sleeve (8), the tail end of tail end action bars (10) plug in inner sleeve (8), described hard seal wire (6) is arranged in inner sleeve (8), hard seal wire (6) one end is connected with the seal wire of mesh basket (1), the other end is connected with tail end action bars (10).
2. double J pipe extractor in women's body according to claim 1, it is characterized in that, described trocar sheath (11) inside middle portion is provided with annular projection (7), the front end outer side of described inner sleeve (8) is provided with the rounded tabs (3) corresponding with annular projection (7), can locate afterwards at inner sleeve (8) suction trocar sheath (11).
3. double J pipe extractor in women's body according to claim 1, it is characterized in that, described pliers (4) and operating grip (9) are respectively by being pivotally mounted on trocar sheath (11), operating grip (9) is connected by bifilar seal wire and controls pliers (4), described bifilar seal wire is all laid in trocar sheath (11), wherein external control seal wire (12) one end passes from trocar sheath (11) front end one aperture, in pliers (4) outside, tractive makes it open, and internal control seal wire (13) makes it close in inner tractive pliers; External control seal wire (12) other end is arranged with counterclockwise thorny handle wheel shaft, internal control seal wire (13) other end is arranged with clockwise thorny handle wheel shaft, during handle abduction, external control seal wire (12) tightens tractive, and internal control seal wire (13) loosens, and pliers (4) is opened, time receiving in handle, internal control seal wire (13) tightens tractive, and external control seal wire (12) loosens, and pliers (4) is drawn in.
4. double J pipe extractor in the women's body according to claim 1,2 or 3, it is characterized in that, described pliers (4) is in two semi-cylindricals, in cylindric after closing up, pliers (4) built-in latch (5), when entirety is closed up, latch (5) can not touch mesh basket, and when mesh basket is with double J pipe, then pliers (4) can firm grip mesh basket.
CN201520809788.0U 2015-10-20 2015-10-20 Ware is pulled out to internal pair of J pipe of women Active CN205126377U (en)

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Application Number Priority Date Filing Date Title
CN201520809788.0U CN205126377U (en) 2015-10-20 2015-10-20 Ware is pulled out to internal pair of J pipe of women

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105147372A (en) * 2015-10-20 2015-12-16 江苏省人民医院 Removing device for double-J pipe in body of woman
CN113144410A (en) * 2021-06-07 2021-07-23 哈尔滨理工大学 Radioactive particle taking-out device

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105147372A (en) * 2015-10-20 2015-12-16 江苏省人民医院 Removing device for double-J pipe in body of woman
CN105147372B (en) * 2015-10-20 2017-10-13 江苏省人民医院 Double J pipe extractor in a kind of women body
CN113144410A (en) * 2021-06-07 2021-07-23 哈尔滨理工大学 Radioactive particle taking-out device

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