CN206044738U - Under a kind of peritoneoscope, peritoneal dialysis tube placing operation is special puts pipe box part bag - Google Patents
Under a kind of peritoneoscope, peritoneal dialysis tube placing operation is special puts pipe box part bag Download PDFInfo
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- CN206044738U CN206044738U CN201620682896.0U CN201620682896U CN206044738U CN 206044738 U CN206044738 U CN 206044738U CN 201620682896 U CN201620682896 U CN 201620682896U CN 206044738 U CN206044738 U CN 206044738U
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- under water
- peritoneal dialysis
- tunnel
- tunnel guide
- peritoneoscope
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Abstract
This utility model is related to that peritoneal dialysis tube placing operation under a kind of peritoneoscope is special to put pipe box part bag, including the tunnel guide that moves under water (10), expansion pipe (20), avulsion sheath (30), seal wire (40) and external member bag (50), external member bag (50) is made up of with lower cover (502) upper lid (501), upper lid (501) is provided with two and tightens band (504), move under water tunnel guide (10) and expansion pipe (20) be fixed on two tighten band (504) on the inside of, avulsion sheath (30) is fixed in the long strip type groove (507) of lower cover (502), seal wire (40) is folded and is placed in the circular groove (506) of lower cover (502).This utility model simple structure, easy to use, the tunnel guide that moves under water is reduced during putting pipe and sets up tunnel difficulty of moving under water, and is shortened operating time, is improve surgical quality, successfully solves the difficulties in operation.
Description
Technical field：
This utility model is related to technical field of medical instruments, puts pipe more specifically to peritoneal dialysis under a kind of peritoneoscope
Art is special to put pipe box part bag.
Background technology：
In recent years, the prevalence of chronic kidney disease (CKD) is in ascendant trend year by year.2012, Epidemiological study result
Show that the prevalence of China CKD has been up to 10.8%, estimate the existing adult CKD patient about 1.2 hundred million of China accordingly, wherein CKD enters
The terminal stage of exhibition is uremia (End-stage renal disease, ESRD), and its prevalence is also up to 0.03%, and as society is sent out
Exhibition and living-pattern preservation, uremic prevalence are also increasing year by year, are having become worldwide public health and ask
Topic, has seriously threatened population health.
Peritoneal dialysis are a kind of effective renal replacement therapies modes for treating End-stage renal disease (ESRD), with respect to valency
It is honest and clean, easy to operate, can home dialysis, the earlier technique survival rate of patient is better than hemodialysis patients, can be the head of ESRD patient
Select Dialysis scheme.Just as hemodialysis path, peritoneal dialysis catheters are patients undergoing peritoneal dialysis " life line ", and foundation is held
Long, safe dialyzing access is that peritoneal dialysis are successfully crucial.But early stage peritoneal dialysis catheters technology mortality is still up to
20%～35%, these patients undergoing peritoneal dialysis also therefore have to proceed to hemodialysis.
Traditional tube placing operation formula has three kinds:Open surgery puts tube method, Direct perforantes or guide wire guided puncture
Put tube method and peritoneoscope puts tube method.In recent years, with the development of less invasive techniques, the underlying pipe mode of peritoneoscope is at home and abroad increasingly
It is taken seriously.Due to greatly reducing the latent position of conduit and the complication such as catheter functions are bad, the underlying pipe of peritoneoscope is increasingly becoming
The modus operandi of pipe prioritizing selection is put in peritoneal dialysis.
Under peritoneoscope, peritoneal dialysis tube placing operation reduces it is critical only that setting up and move under water on rear side of theca of rectus abdominis muscle tunnel for catheter displacement
Road, makes the saturating conduit portion of abdomen (about 4-5CM) in the tunnel that moves under water, and the saturating conduit inner segment opening of abdomen is located at abdominal cavity, by conduit
Natural tension force and tunnel fixation of moving under water, are located at abdominal cavity extreme lower position all the time, reduce by respiratory movement, enterokinesia and
Abdominal cavity omental organization drawing etc. causes the risk for shifting, it is ensured that the quality of peritoneal dialysis.Therefore, the success of tunnel building of moving under water
Whether it is that peritoneoscope puts pipe successfully key, out of shape, breakthrough peritoneum is punctured on rear side of theca of rectus abdominis muscle by expanding pipe previously, is built
The vertical tunnel that moves under water, but due to expanding pipe self-strength not enough, tunnel difficulty of moving under water is set up in migration, and as catheter tip justifies blunt,
Break through peritoneum more laborious, it is often necessary to aid in by instruments such as elastic separating pliers, be just able to break through peritoneum so that set up the tunnel that moves under water
Resistance is larger, increased the difficult point of operation, extends operating time, puts foundation during pipe if can design one kind and can reduce
The tunnel that moves under water it is difficult, shorten operating time, improve surgical quality, can solve if the device for being not apparent from increasing medical treatment cost
Determine this problem, so the special pipe box part bag of putting of peritoneal dialysis tube placing operation is highly beneficial under a kind of peritoneoscope of design.
Utility model content：
The purpose of this utility model is aiming at the deficiencies in the prior art, and provides peritoneal dialysis under a kind of peritoneoscope and put pipe
Art is special to put pipe box part bag.This utility model has simple structure, easy to use, the tunnel guide that will move under water, expansion pipe, avulsion sheath,
Seal wire is placed in an external member bag, easy to carry, and the tunnel guide that moves under water is reduced during putting pipe and sets up tunnel difficulty of moving under water, and is shortened
Operating time, improves surgical quality, does not increase medical treatment cost, solves the difficulties in operation, with practical value
With the advantage of generalization.
Technology solution of the present utility model is as follows：
Under a kind of peritoneoscope, peritoneal dialysis tube placing operation is special puts pipe box part bag, including the tunnel guide that moves under water, expansion pipe, avulsion
Sheath, seal wire and box body, the box body by it is upper lid constitute with lower cover, upper lid is provided with two and tightens band, tighten with region to
Inner side depression, move under water tunnel guide and expansion pipe are fixed on two and tighten band inner side, tighten for two and be provided with an isolating bar between band,
It is divided into circular groove and long strip type groove inside lower cover, long strip type inside grooves are provided with avulsion sheath, and seal wire is provided with circular groove,
The move under water end of tunnel guide is provided with a banking stop and handle；The front end of expansion pipe is tip shape, and end is provided with a guiding and inserts
Enter head；Avulsion sheath is made up of the positioning head and straight tube of one end.
In above-mentioned technical proposal, the front end of the tunnel guide that moves under water is provided with the sharp section of one section of 1cm.
In above-mentioned technical proposal, the length of the tunnel guide that moves under water expands the length of pipe than avulsion sheath than expansion pipe range 2cm
Long 2cm.
In above-mentioned technical proposal, four angles of the box body are provided with the attracting magnet piece of the corresponding magnetic in four positions.
In above-mentioned technical proposal, the straight tube of the avulsion sheath is stuck in buckle.
The beneficial effects of the utility model are：
This utility model simple structure, easy to use, the tunnel guide that will move under water, expansion pipe, avulsion sheath, seal wire are placed in a set
In part bag, easy to carry, the tunnel guide that moves under water is reduced during putting pipe and sets up tunnel difficulty of moving under water, and is shortened operating time, is carried
High surgical quality, does not increase medical treatment cost, solves the difficulties in operation.
Description of the drawings：
Fig. 1 is this utility model structural representation；
Fig. 2 is the tunnel guide structural representation that moves under water；
Fig. 3 is expansion tubular construction schematic diagram；
Fig. 4 is avulsion sheath structural representation；
Fig. 5 is seal wire extended configuration structural representation.
In figure：10th, move under water tunnel guide；101st, banking stop；102nd, handle；20th, expansion pipe；201st, guiding insertion head；30th, tear
De- sheath；301st, positioning head；302nd, straight tube；40th, seal wire；50th, box body；501st, upper lid；502nd, lower cover；504th, tighten band；505th, every
From bar；506th, circular groove；507th, long strip type groove；508th, buckle；509th, magnet piece.
Specific embodiment：
Described below is only preferred embodiment of the present utility model, and not scope of the present utility model is defined.
Embodiment：As shown in Fig. 1, Fig. 2, Fig. 3, Fig. 4 and Fig. 5, under a kind of peritoneoscope, peritoneal dialysis tube placing operation is special puts pipe
External member bag, including the tunnel guide 10 that moves under water, expansion pipe 20, avulsion sheath 30, seal wire 40 and box body 50, the box body 50 is by upper lid 501
Constitute with lower cover 502, upper lid 501 is provided with two and tightens band 504, tighten 504 regions of band and be recessed to inner side, move under water tunnel
Pin 10 and expansion pipe 20 are fixed on two and tighten on the inside of band 504, tighten for two and be provided with an isolating bar 505, lower cover between band 504
It is divided into circular groove 506 and long strip type groove 507 inside 502, inside long strip type groove 507, is provided with avulsion sheath 30, circular groove
Seal wire 40 is provided with 506, the end of the tunnel guide 10 that moves under water is provided with a banking stop 101 and handle 102；The front end of expansion pipe 20 is
Tip shape, end are provided with a guiding insertion 201；Avulsion sheath 30 is made up of the positioning head 301 and straight tube 302 of one end.
The front end for moving under water tunnel guide 10 is provided with the sharp section of one section of 1cm.
The length of the tunnel guide 10 that moves under water expands the length of pipe 20 than 30 long 1- of avulsion sheath than expansion 20 long 2cm of pipe
2cm。
Four angles of the box body 50 are provided with the attracting magnet piece 509 of the corresponding magnetic in four positions.
The straight tube 302 of the avulsion sheath 30 is stuck in buckle 508.
Operation principle：
Under a kind of peritoneoscope, peritoneal dialysis tube placing operation is special puts pipe box part bag, and box body 50 is by 502 groups of upper lid 501 and lower cover
Into upper lid 501 is provided with two and tightens band 504, tightens 504 regions of band and is recessed to inner side, move under water tunnel guide 10 and expansion
Pipe 20 is fixed on two and tightens on the inside of band 504, tightens for two and be provided with an isolating bar 505,502 interior part of lower cover between band 504
For circular groove 506 and long strip type groove 507, avulsion sheath 30 is provided with inside long strip type groove 507, is provided with circular groove 506
Seal wire 40, the end of the tunnel guide 10 that moves under water are provided with a banking stop 101 and handle 102；The front end of expansion pipe 20 is tip shape, last
End is provided with a guiding insertion 201；Avulsion sheath 30 is made up of the positioning head 301 and straight tube 302 of one end, and move under water tunnel guide 10
Front end is provided with the sharp section of one section of 1cm, and than expansion 20 long 2cm of pipe, the length ratio for expanding pipe 20 tears the length of the tunnel guide 10 that moves under water
30 long 2cm of de- sheath, four angles of box body 50 are provided with the attracting magnet piece 509 of the corresponding magnetic in four positions, avulsion sheath 30
Straight tube 302 is stuck in buckle 508, and seal wire 40 is placed in circular groove 506, the tunnel guide 10 that will move under water, expansion pipe 20, avulsion sheath
30th, seal wire 40 is placed in an external member bag 50, easy to carry, and when tunnel is moved under water in foundation, the tunnel guide 10 that will move under water is inserted in expansion
Pipe 20, but do not expose tip, using the intensity of the tunnel guide 10 that moves under water, enhances the hardness of whole expansion pipe 20 so as to can be compared with
Easily move under water after theca of rectus abdominis muscle, chorista sets up the sufficiently long tunnel that moves under water, in tunnel exit, will be improved
Move under water 10 tip ejection expansion pipe 20 of tunnel guide, and 10 tip of tunnel guide of moving under water is more sharp keen, can easily break through last peritoneal layer,
After wearing out peritoneal layer, expansion pipe 20 can be easier to enter abdominal cavity, then extract the tunnel guide 10 that moves under water, and send into along expansion pipe 20 and lead
Silk 40, extracts expansion pipe 20, seal wire 40 is stayed in intraperitoneal, avulsion sheath 30 is enclosed within expansion pipe 20, is inserted along seal wire 40 again
Enter to expand pipe 20 and avulsion sheath 30, exit seal wire 40 and expansion pipe 20, avulsion sheath 30 is stayed in into abdominal cavity, peritoneal dialysis catheters pass through
Avulsion sheath 30 enters abdominal cavity, adjustment position, extracts avulsion sheath 30, fixed peritoneal dialysis catheters, peritoneal dialysis catheters Function detection,
Complete peritoneoscope conduit to insert.
Claims (5)
1. under a kind of peritoneoscope, peritoneal dialysis tube placing operation is special puts pipe box part bag, including the tunnel guide that moves under water (10), expansion pipe (20),
Avulsion sheath (30), seal wire (40) and external member bag (50), it is characterised in that：The external member bag (50) is by upper lid (501) and lower cover
(502) constitute, upper lid (501) is provided with two and tightens band (504), tighten band (504) region and be recessed to inner side, move under water tunnel
Road pin (10) and expansion pipe (20) are fixed on two and tighten on the inside of band (504), tighten for two and be provided with an isolation between band (504)
It is divided into inside bar (505), lower cover (502) inside circular groove (506) and long strip type groove (507), long strip type groove (507) and sets
Have in avulsion sheath (30), circular groove (506) and be provided with seal wire (40), the end of the tunnel guide that moves under water (10) is provided with a banking stop
And handle (102) (101)；The front end of expansion pipe (20) is tip shape, and end is provided with guiding insertion head (201)；Avulsion sheath
(30) it is made up of the positioning head (301) and straight tube (302) of one end.
2. under a kind of peritoneoscope according to claim 1, peritoneal dialysis tube placing operation is special puts pipe box part bag, it is characterised in that：
The front end of the tunnel guide that moves under water (10) is provided with the sharp section of one section of 1cm.
3. under a kind of peritoneoscope according to claim 1, peritoneal dialysis tube placing operation is special puts pipe box part bag, it is characterised in that：
The length of the tunnel guide that moves under water (10) 2cm longer than expansion pipe (20), the end banking stop (101) of the tunnel guide that moves under water (10) and handss
Handle (102), the tunnel guide that moves under water (10) can pass expansion pipe (20) tip about 0.3cm；The length of expansion pipe (20) is than avulsion sheath
(30) long 2cm.
4. under a kind of peritoneoscope according to claim 1, peritoneal dialysis tube placing operation is special puts pipe box part bag, it is characterised in that：
Four angles of the external member bag (50) are provided with the attracting magnet piece (509) of the corresponding magnetic in four positions.
5. under a kind of peritoneoscope according to claim 1, peritoneal dialysis tube placing operation is special puts pipe box part bag, it is characterised in that：
The straight tube (302) of the avulsion sheath (30) is stuck in buckle (508).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201620682896.0U CN206044738U (en) | 2016-06-27 | 2016-06-27 | Under a kind of peritoneoscope, peritoneal dialysis tube placing operation is special puts pipe box part bag |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201620682896.0U CN206044738U (en) | 2016-06-27 | 2016-06-27 | Under a kind of peritoneoscope, peritoneal dialysis tube placing operation is special puts pipe box part bag |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN206044738U true CN206044738U (en) | 2017-03-29 |
Family
ID=58375773
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201620682896.0U Active CN206044738U (en) | 2016-06-27 | 2016-06-27 | Under a kind of peritoneoscope, peritoneal dialysis tube placing operation is special puts pipe box part bag |
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| Country | Link |
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| CN (1) | CN206044738U (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105943165A (en) * | 2016-06-27 | 2016-09-21 | 浙江省人民医院 | Special catheterization kit package for laparoscopic peritoneal dialysis catheterization |
-
2016
- 2016-06-27 CN CN201620682896.0U patent/CN206044738U/en active Active
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105943165A (en) * | 2016-06-27 | 2016-09-21 | 浙江省人民医院 | Special catheterization kit package for laparoscopic peritoneal dialysis catheterization |
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| Date | Code | Title | Description |
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| GR01 | Patent grant | ||
| GR01 | Patent grant | ||
| CB03 | Change of inventor or designer information | ||
| CB03 | Change of inventor or designer information |
Inventor after: Lin Bo Inventor after: Jiang Xinxin Inventor after: He Qiang Inventor before: Lin Bo Inventor before: Jiang Xinxin |