CN205759114U - Ultrasound guidance pulmonary stenosis Nephrolithotomy Percutaneous is with guiding conduit - Google Patents
Ultrasound guidance pulmonary stenosis Nephrolithotomy Percutaneous is with guiding conduit Download PDFInfo
- Publication number
- CN205759114U CN205759114U CN201620587640.1U CN201620587640U CN205759114U CN 205759114 U CN205759114 U CN 205759114U CN 201620587640 U CN201620587640 U CN 201620587640U CN 205759114 U CN205759114 U CN 205759114U
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- China
- Prior art keywords
- conduit
- sheet metal
- pressure
- percutaneous
- sacculus
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Abstract
This utility model relates to a kind of ultrasound guidance pulmonary stenosis Nephrolithotomy Percutaneous and guides conduit, including the balloon-expandable arranged outside conduit and conduit, the inlet channel of connection sacculus it is provided with in conduit, inlet channel connection balloon lumen, entering conduit is hollow conduit, silk guide passage it is provided with in it, it is provided with measuring pressure passage in described conduit, two pressure taps it are provided with on conduit, measuring pressure passage connection pressure tap, pressure measurement sheet metal is arranged on the position at described pressure tap place, measuring pressure passage, silk guide passage and inlet channel are separate, one end being provided with sacculus of conduit is provided with termination sheet metal.This utility model is the special conduit with guiding of design one, under the effect of termination sheet metal, ultrasonic technique can the positional information of complete monitoring conduit and flow direction, thus avoid the appearance of " vision dead zone ", avoid surgical injury postcava branch, cardiac ventricles wall, Tricuspid valve and chordae tendineae thereof, shorten operating time simultaneously, improve surgical effect.
Description
Technical field:
This utility model belongs to medical auxiliary apparatus technical field, is specifically related to a kind of ultrasound guidance pulmonary stenosis
Nephrolithotomy Percutaneous is with guiding conduit.
Background technology:
Pulmonary stenosis is owing to a variety of causes causes heart valve of pulmonary trunk structural change, when causing right ventricle to shrink, lung
Arterial valve cannot open completely, causes a series of pathophysiological change of heart.
At present, frequently with percutaneous sacculus 2 dilatation under lonizing radiation, pulmonary stenosis is treated clinically, lonizing radiation
Lower Nephrolithotomy Percutaneous, without opening breast, can avoid extracorporeal circulation, has that wound is little, recover fast, the advantage of determined curative effect, but this
Operation must use lonizing radiation and contrast agent, and this creates bigger injury to patient and medical personnel.
Along with the development of Medical Technology, simple ultrasound guidance pulmonary stenosis Nephrolithotomy Percutaneous is to occur recently
New technique, be the direction of untapped exhibition, this technology had both been avoided that surgical wound, was avoided that again lonizing radiation and contrast agent are to human body
Injury.But, this technology also has certain limitation compared with Nephrolithotomy Percutaneous under lonizing radiation.
First, simple ultrasonic guidance can not guide catheter position and head end direction by whole observation, therefore, when operation, from
Femoral vein is " vision dead zone " to this section of right atrium, and in this " vision dead zone ", medical personnel cannot accurately obtain balloon position
Information and flow direction, therefore, the pulmonary stenosis Nephrolithotomy Percutaneous of existing simple ultrasound guidance was being implemented
, there is catheter end head and enter and the risk of injured patient's venous tributary in Cheng Zhong.
Secondly, the pulmonary stenosis Nephrolithotomy Percutaneous of existing simple ultrasound guidance, when conduit enters patient
After the chambers of the heart, ultrasound cardiogram cannot accurately judge conductor housing end position, injures patient right auricle, causes patient's heart to be bored a hole
Risk.
Again, when carrying out the pulmonary stenosis Nephrolithotomy Percutaneous of simple ultrasound guidance, conduit enters patient
After heart, need to first pass through patient's heart Tricuspid valve and enter right ventricle, adjust conduit angle the most again, make conduit enter pulmonary artery
After, carry out balloon dilatation, but, existing conduit has been difficult to enter pulmonary artery, in most cases medical personnel from Tricuspid valve
Need rotary guide pipe repeatedly, repeatedly attempt entering, operating process damages the risk hindering atrial walls, Tricuspid valve and chordae tendineae thereof.
Finally, pulmonary stenosis expansion before and complete expand Post operation, it is necessary to measurement valve of pulmonary trunk pressure gradient, with
Determining that valve of pulmonary trunk expansion operation is the most successful, existing conduit needs first to stretch into pulmonary artery and carries out pressure measurement, returns to
Right ventricle pressure measurement, then in fall back process, owing to cannot accurately judge the position of catheter end head, therefore, conduit to exit length complete
Complete rely on medical personnel's experiential operating, if to exit length long for conduit, then exit tricuspid risk, if conduit exits three
Cusp, then must enter right ventricle again through Tricuspid valve, increases difficulty to operation, if to exit length shorter for conduit, then surveys
The blood pressure of amount likely or pulmonary artery blood pressure, causes blood pressure measurement inaccurate, it is impossible to accurate response operation whether success.
Utility model content:
In sum, in order to overcome the deficiency of prior art problem, this utility model provides a kind of ultrasound guidance lung
The narrow Nephrolithotomy Percutaneous of arterial valve guides conduit, and it is the special conduit with guiding of design one, and this catheter head sets
Putting termination sheet metal, under the effect of termination sheet metal, ultrasonic technique can the positional information of complete monitoring conduit and flowing side
To, thus avoid the appearance of " vision dead zone ", it is to avoid surgical injury postcava branch, cardiac ventricles wall, Tricuspid valve and tendon thereof
Rope, shortens operating time simultaneously, improves surgical effect.
For solving above-mentioned technical problem, the technical solution of the utility model is achieved in that
A kind of ultrasound guidance pulmonary stenosis Nephrolithotomy Percutaneous is with guiding conduit, wherein: include conduit and lead
The outer balloon-expandable arranged of pipe, sacculus is sleeved on one end of conduit, is provided with the inlet channel of connection sacculus, air inlet in conduit
Passage end is by the air inlet connection balloon lumen being arranged on catheter wall, and the other end of inlet channel is provided with intake valve,
Described conduit is hollow conduit, is provided with silk guide passage in it, is provided with measuring pressure passage, described conduit in described conduit
On be provided with two pressure taps, one end of described measuring pressure passage connection pressure tap, the other end of measuring pressure passage is provided with pressure measurement
Valve, on described conduit, parcel is provided with pressure measurement sheet metal, and described pressure measurement sheet metal is arranged on the position at described pressure tap place
Putting, measuring pressure passage, silk guide passage and inlet channel are separate, and one end being provided with sacculus of described conduit is provided with termination
Sheet metal.
Further, described balloon diameter is 0.5 ~ 1.5cm.
Further, a length of 0.5 ~ 1cm of described pressure measurement sheet metal, pressure measurement sheet metal and conduit be provided with sacculus
Distance between the end face of one end is 5-10cm.
Further, the described conduit under pressure measurement sheet metal being provided with graduation mark, described graduation mark is outside conduit
The sheet metal that spacing is 10cm arranged.
Further, described catheter length is 100-120cm, and catheter outer diameter is 5 ~ 6mm, the silk guide passage in conduit interior
Footpath is suitable to be passed through by the seal wire of 0.035 inch.
The beneficial effects of the utility model are:
1, this utility model is the special conduit with guiding of design one, and this catheter head arranges termination sheet metal, at end
Under the effect of head sheet metal, ultrasonic technique can the positional information of complete monitoring conduit and flow direction, thus avoid that " vision is blind
District " appearance, it is to avoid surgical injury postcava branch, cardiac ventricles wall, Tricuspid valve and chordae tendineae thereof, when shortening operation simultaneously
Between, improve surgical effect.
2, in conduit of the present utility model, measuring pressure passage is set, conduit arranges the pressure tap connected with measuring pressure passage, logical
Cross measuring pressure passage and pressure tap can measure the blood pressure of patient's right ventricle, pulmonary artery blood pressure can be measured by silk guide passage, from
And realize measuring individual with pulmonary's blood pressure and right ventricle blood pressure simultaneously, it is not necessary to retreat catheter manipulation, it is to avoid existing retrogressing conduit
Pressure testing method infringement that patient is caused.
3, this utility model simple in construction, easy to use, with low cost, lightweight, expandable sacculus only plays guiding and makees
With, the sacculus antegrade blood flow direction after expansion, enter right atrium by femoral vein, pass through Tricuspid valve and enter right ventricle arrival lung
Tremulous pulse, and when conduit head end is in pulmonary artery, supravasal pressure tap is located just in right ventricle.
Accompanying drawing explanation
Fig. 1 is structural representation of the present utility model；
Fig. 2 is use view of the present utility model.
Detailed description of the invention
The utility model is described in further detail below in conjunction with the accompanying drawings.
As it is shown in figure 1, a kind of ultrasound guidance pulmonary stenosis Nephrolithotomy Percutaneous is with guiding conduit, including conduit
1 and the outer balloon-expandable 2 arranged of conduit 1, a length of 110cm of conduit 1, sacculus 2 is sleeved on one end of conduit 1, sacculus 2 diameter
Being 0.5 ~ 1.5cm, be provided with the inlet channel 3 of connection sacculus 2 in conduit 1, inlet channel 3 one end is by being arranged on conduit 1 wall
On air inlet 4 connect sacculus 2 inner chamber, the other end of inlet channel 3 is provided with intake valve 5, and described conduit 1 is hollow conduit
1, it is provided with silk guide passage 6 in it, the internal diameter of silk guide passage 6 is suitable to be passed through by the seal wire of 0.035 inch, described conduit 1
Inside being provided with measuring pressure passage 7, described conduit 1 is provided with two pressure taps 8, one end connection of described measuring pressure passage 7 is surveyed
Pressure hole 8, the other end of measuring pressure passage 7 is provided with pressure valve 9, and on described conduit 1, parcel is provided with pressure measurement sheet metal 10, described
Pressure measurement sheet metal 10 be arranged on the position at described pressure tap 8 place, a length of 0.5 ~ 1cm of pressure measurement sheet metal 10, pressure measurement gold
Distance between the end face of the one end being provided with sacculus 2 belonging to sheet 10 and conduit 1 is 5-10cm, measuring pressure passage 7, silk guide passage 6
And inlet channel 3 is separate, one end being provided with sacculus 2 of described conduit 1 is provided with termination sheet metal 11.Described survey
Being provided with graduation mark 12 on conduit 1 under pressure sheet metal 10, described graduation mark 12 is that outside conduit 1, the spacing of setting is 10cm
Sheet metal.Conduit 1 external diameter is 6mm.
During as in figure 2 it is shown, use, puncturing patient's femoral vein indwelling sheath of femoral vein pipe, application guides the graduated scale on conduit 1
Note line measures femoral venous puncture point to the body surface distance of left border of sternum the second intercostal.
Then, after this utility model is sent into the most about 10cm by the sheath of femoral vein pipe of indwelling, by valve to
Sacculus 2 is inflated, and continues to be fed into conduit 1, under the drive of conduit 1 meeting air bag upon inflation, enters trouble smoothly along blood flow direction
Person's right atrium, owing to the head end of conduit 1 is held by air bag, it is to avoid ultrasoundcardiogram " vision dead zone " conduit 1 head end injures down
The risk of caval vein branch, also avoids injuring right atrium wall, and this conduit 1 has certain pliability, along with it continue insert,
This utility model can pass through Tricuspid valve under the drive of air bag and enter right ventricle to pulmonary artery, arrives art when guiding conduit 1
Front mensuration body surface distance after, reapply ultrasoundcardiogram judge guiding conduit 1 head end whether in pulmonary artery, due to this practicality
Novel end is provided with termination sheet metal 11, and under the effect of termination sheet metal 11, ultrasoundcardiogram can more accurately judge
Head-end location of the present utility model, after confirming that head end of the present utility model is positioned at pulmonary artery, is led stiffened by silk guide passage 6
Silk is passed through pulmonary artery, retains seal wire, is vented by gas in air bag, exits this utility model and sheath of femoral vein pipe, then along seal wire,
Insert suitable size dilating sacculus, under Echocardiography when dilating sacculus centre position is positioned at pulmonary artery annulus, use
Normal saline quickly fills dilating sacculus, expands narrow valve of pulmonary trunk, after completing expansion, releases dilating sacculus, then by this reality
With novel feeding pulmonary artery, this utility model head end is positioned at pulmonary artery, and now, pressure tap 8 of the present utility model is located just at
In right ventricle, pressure in pressure and right ventricle can be recorded in pulmonary artery by conduit 1 tail end, it is thus achieved that valve of pulmonary trunk is across lobe pressure simultaneously
Difference, evaluates surgical effect, if effect is unsatisfied with replaceable bigger dilating sacculus 2, repeats aforesaid operations.After having expanded, pull out
Going out this utility model and seal wire, hemostasis by compression, wrapping is fixing, completes operation.
Being noted that above-described embodiment is illustrative not limiting to technical solutions of the utility model, affiliated technology is led
The equivalent of territory those of ordinary skill or other amendment made according to prior art, as long as not exceeding this utility model skill
The thinking of art scheme and scope, within should be included in the interest field required by this utility model.
Claims (5)
1. a ultrasound guidance pulmonary stenosis Nephrolithotomy Percutaneous is with guiding conduit, it is characterised in that: include conduit
(1) and the balloon-expandable (2) that arranges outward of conduit (1), sacculus (2) is sleeved on one end of conduit (1), and conduit is provided with in (1)
The inlet channel (3) of connection sacculus (2), inlet channel (3) one end is connected by the air inlet (4) being arranged on conduit (1) wall
Sacculus (2) inner chamber, the other end of inlet channel (3) is provided with intake valve (5), and described conduit (1) is hollow conduit (1), its
Inside it is provided with silk guide passage (6), is provided with measuring pressure passage (7) in described conduit (1), described conduit (1) is provided with two
Individual pressure tap (8), one end connection pressure tap (8) of described measuring pressure passage (7), the other end of measuring pressure passage (7) is provided with survey
Pressure valve (9), the upper parcel of described conduit (1) is provided with pressure measurement sheet metal (10), and described pressure measurement sheet metal (10) is arranged on institute
State the position at pressure tap (8) place, the conduit that measuring pressure passage (7), silk guide passage (6) and inlet channel (3) are separate, described
(1) one end being provided with sacculus (2) is provided with termination sheet metal (11).
Ultrasound guidance pulmonary stenosis Nephrolithotomy Percutaneous the most according to claim 1 guides conduit, and it is special
Levy and be: described sacculus (2) a diameter of 0.5 ~ 1.5cm.
Ultrasound guidance pulmonary stenosis Nephrolithotomy Percutaneous the most according to claim 1 guides conduit, and it is special
Levying and be: a length of 0.5 ~ 1cm of described pressure measurement sheet metal (10), pressure measurement sheet metal (10) is provided with ball with conduit (1)
Distance between the end face of one end of capsule (2) is 5-10cm.
Ultrasound guidance pulmonary stenosis Nephrolithotomy Percutaneous the most according to claim 1 guides conduit, and it is special
Levying and be: be provided with graduation mark (12) on the described conduit (1) under pressure measurement sheet metal (10), described graduation mark (12) is
The sheet metal that spacing is 10cm that conduit (1) is arranged outward.
Ultrasound guidance pulmonary stenosis Nephrolithotomy Percutaneous the most according to claim 1 guides conduit, and it is special
Levying and be: described conduit (1) a length of 100-120cm, conduit (1) external diameter is 5 ~ 6mm, the silk guide passage (6) in conduit (1)
Internal diameter be suitable to be passed through by the seal wire of 0.035 inch.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201620587640.1U CN205759114U (en) | 2016-06-17 | 2016-06-17 | Ultrasound guidance pulmonary stenosis Nephrolithotomy Percutaneous is with guiding conduit |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201620587640.1U CN205759114U (en) | 2016-06-17 | 2016-06-17 | Ultrasound guidance pulmonary stenosis Nephrolithotomy Percutaneous is with guiding conduit |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN205759114U true CN205759114U (en) | 2016-12-07 |
Family
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201620587640.1U Expired - Fee Related CN205759114U (en) | 2016-06-17 | 2016-06-17 | Ultrasound guidance pulmonary stenosis Nephrolithotomy Percutaneous is with guiding conduit |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN205759114U (en) |
Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107441614A (en) * | 2017-01-18 | 2017-12-08 | 四川大学华西医院 | A kind of slidably multi-cavity drainage tube |
| CN108283758A (en) * | 2018-01-24 | 2018-07-17 | 张海军 | It is a kind of that there is broken, thrombolysis Biochemical analyzer function medicine eluting balloon catheter |
| CN108836419A (en) * | 2018-06-28 | 2018-11-20 | 上海长海医院 | A kind of first aid aorta and its branch vessel temporary blocking device |
| CN109954199A (en) * | 2019-05-08 | 2019-07-02 | 山东百多安医疗器械有限公司 | A kind of prostate expansion of ultrasonically controlled-release carries medicine ball bag system and preparation method thereof |
-
2016
- 2016-06-17 CN CN201620587640.1U patent/CN205759114U/en not_active Expired - Fee Related
Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107441614A (en) * | 2017-01-18 | 2017-12-08 | 四川大学华西医院 | A kind of slidably multi-cavity drainage tube |
| WO2018133175A1 (en) * | 2017-01-18 | 2018-07-26 | 四川大学华西医院 | Slidable multi-lumen drainage tube |
| CN108283758A (en) * | 2018-01-24 | 2018-07-17 | 张海军 | It is a kind of that there is broken, thrombolysis Biochemical analyzer function medicine eluting balloon catheter |
| CN108836419A (en) * | 2018-06-28 | 2018-11-20 | 上海长海医院 | A kind of first aid aorta and its branch vessel temporary blocking device |
| CN108836419B (en) * | 2018-06-28 | 2023-08-29 | 上海长海医院 | Temporary plugging device for first-aid aorta and branch blood vessel thereof |
| CN109954199A (en) * | 2019-05-08 | 2019-07-02 | 山东百多安医疗器械有限公司 | A kind of prostate expansion of ultrasonically controlled-release carries medicine ball bag system and preparation method thereof |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C14 | Grant of patent or utility model | ||
| GR01 | Patent grant | ||
| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20161207 Termination date: 20200617 |
|
| CF01 | Termination of patent right due to non-payment of annual fee |