CN206197985U - Simple therapeutic endoscopy subsidiary conduit device - Google Patents

Simple therapeutic endoscopy subsidiary conduit device Download PDF

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Publication number
CN206197985U
CN206197985U CN201620917218.8U CN201620917218U CN206197985U CN 206197985 U CN206197985 U CN 206197985U CN 201620917218 U CN201620917218 U CN 201620917218U CN 206197985 U CN206197985 U CN 206197985U
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supervisor
hard
shank
short tube
pulling rope
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CN201620917218.8U
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Chinese (zh)
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张强
白杨
王震
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Abstract

The utility model discloses a kind of simple therapeutic endoscopy subsidiary conduit device, including the supervisor of hard short tube, flexible, hard tubule long and pulling rope;Hard short tube is fixed on the side mirror of shank front end bending direction, and hard short tube front end is concordant with mirror front end;Supervisor is fixed on the side mirror of shank front end bending direction and is located at homonymy with hard short tube and is close to hard short tube, and supervisor front end is concordant with mirror front end, and a bit of pipe on front side of supervisor is not fixed with shank, is to separate;Hard tubule long nestles up supervisor and is fixed on shank and by hard short tube side;One pulling rope one end lies in treatment auxiliary accessories head end, and the other end is located at external;Two other pulling rope one end lies in supervisor's head end, and goes out to outside shank through two independent ducts of the hole of hard short tube and hard tubule long.Simple therapeutic endoscopy subsidiary conduit device of the present utility model can realize that " both arms " are operated, treatment that can neatly, rapidly under endoscope.

Description

Simple therapeutic endoscopy subsidiary conduit device
Technical field
The utility model is related to medical instruments field, more particularly to a kind of simple therapeutic endoscopy subsidiary conduit device.
Background technology
As scope minimal invasive techniques develop, some Alimentary tract diseases, such as early stage tumor in digestive tract can be safely and effectively In Endoscopic removal.Relative to surgical operation, scope minimal invasive techniques wound is small and simple and fast, however, there is also certain office It is sex-limited.Scope belongs to soft scope and one channel scope, and the operation of scope doctor is operated similar to single armed.This is less than surgery The flexibility and controllability of operation and laparoscopic surgery under the both arms operation of multi-pore channel.
In order to solve this limitation, dental floss auxiliary law, weight-clip auxiliary law, crooked pincers auxiliary law, Ji Shuanqian roads are auxiliary The methods such as ESD are helped to be studied.These methods pull mucous membrane with endoscope in being mainly used in Endoscopic submucosal dissection (ESD) Lower treatment.These methods similar to serving second effect of hand, by pulling lesion so that the surface of a wound exposes, to contribute to The treatment of ESD.But, these methods are not operationally very flexible.In special diseased region, such as in the disease at excision stomach bottom During change, scope front end is in case of bending, and this causes the operation of these auxiliary pliers to there is certain difficulty;These methods can not be simple Rapidly arbitrarily adjust the position of clamp lesion;In addition, these methods are only used for the auxiliary treatment of ESD arts, using scope compared with Limitation.
Based on above reason, a simple therapeutic endoscopy subsidiary conduit device is designed, and realization neatly, is rapidly aided in Treatment.By the device, it is possible to use various treatment auxiliary accessories carry out the auxiliary treatment of scope, the excellent of respective accessory is played Gesture, such as integral type titanium clip, foreign body forcepses, snare and scope electric knife, carry out clamp under scope, drawing, coagulation etc., and The position for the treatment of auxiliary accessories can be accurately adjusted, plays a part of another " arm ".
Utility model content
The purpose of this utility model is to provide a kind of simple therapeutic endoscopy subsidiary conduit device, realizes " both arms " operation, energy Enough neatly, treatment rapidly under endoscope.
To achieve the above object, the utility model provides a kind of simple therapeutic endoscopy subsidiary conduit device, is fixed on scope On, the device includes:Flexible and flexible supervisor, flexible and flexible hard for installing treatment auxiliary accessories Tubule long, hard short tube, lie in treatment auxiliary accessories front end and accessory can be pulled make it away from the pulling rope of shank, lie in master Pipe front end and can make supervisor near shank front end pulling rope;Described supervisor, hard tubule long and hard short tube are respectively positioned on mirror The same side of body leading portion bending direction;The supervisor is fixed on rear side of shank leading portion bendable portion, is responsible in its bearing Front side be separated with shank leading portion and through lie in supervisor pulling rope pull can be near the segregation section of shank;The hard tubule long Front end be located at shank leading portion bendable portion rear side, be integrally fastened to shank;It is curved that the hard short tube is fixed on shank front end With the side mirror of Qu Fangxiang, hard short tube front end is concordant with shank front end;The drawing for lying in treatment auxiliary accessories front end The other end of rope is the operating side of traction therapeutic auxiliary accessories, and the other end of the pulling rope for lying in supervisor front end is to pass through successively The drawing supervisor of hard short tube and hard tubule long is worn near the operating side of shank.
Used as further improvement of the utility model, described supervisor, hard tubule long and hard short tube are by medical Adhesive tape is fixed on shank.
Used as further improvement of the utility model, the pulling rope for lying in supervisor front end is two, and the hard is short The both sides of pipe are provided with four perforates altogether, and four described perforates are relative two-by-two, and the relative perforate of each two lies in master through one The pulling rope of pipe front end.
Used as further improvement of the utility model, two apertures of perforate of described hard short tube side are more than another Two apertures of perforate of side, the large aperture perforate side of hard short tube is with the bending direction of bendable portion conversely, supervisor is located at firmly The perforate side of the large aperture of matter short tube.
Used as further improvement of the utility model, the hard tubule long has two models, and model one is that one channel is thin Pipe, the model tubule is two, every lie in supervisor front end through a duct for tubule;Model two is double hole channel tubule, Through a pulling rope for lying in supervisor front end in each duct.
As further improvement of the utility model, described supervisor, hard short tube, hard tubule long, adhesive tape, pulling rope Use human body medical material.
Further improved as of the present utility model, the length of the supervisor is 75cm-85cm, and internal diameter is 4mm- 4.5mm, using medical grade PVC (polyvinyl chloride) material;The length of the hard short tube is 2-2.5cm, and internal diameter is about 0.4- 0.5cm;The length of the hard tubule long is longer than scope shank, and after installation, its rear end is away from the segment distance of shank one.
As further improvement of the utility model, according to therapeutic endoscopy the need for, can select treat auxiliary it is saturating Bright cap, described hyaline cap is arranged on scope front end, and the hard short tube is fixed in bendable portion on rear side of hyaline cap.
Compared with prior art, simple therapeutic endoscopy subsidiary conduit device of the present utility model has the beneficial effect that:
(1) by the supervisor of flexible, can select to place various flexibles and flexible therapeutic endoscopy auxiliary accessories, Such as biopsy forceps, foreign body forcepses, snare and titanium folder etc. make full use of the effect for the treatment of auxiliary accessories to be controlled to carry out the auxiliary of scope Treat.According to the effect of different treatment auxiliary accessories, clamp under scope can be carried out, pulled, snare and coagulation etc..It is more crucial It is that supervisor's leading portion of the flexible is not affixed on shank, is to separate, be flexible, by hard short tube and leads The auxiliary of drawstring, the operation with shank front end can effectively coordinate, and not interfere with each other again.The pulling rope for lying in supervisor front end is tightened up, is made Must can be appeared in the scope visual field exactly near camera lens by the endoscopic accessory of the supervisor, complete related endoscopic technic;It is lax Lie in the pulling rope of supervisor front end so that neatly separated with shank leading portion by the endoscopic accessory of the supervisor, without leading mutually System.Therefore, the treatment that this device can effectively and rapidly under endoscope, plays a part of second " arm ".
(2) supervisor, hard tubule long and the hard short tube of flexible are fixed on scope using medical adhesive tape, so that simply It is convenient.
(3) supervisor, hard tubule long and hard short tube described in are each attached to the same side of shank leading portion bending direction. This position relationship, contributes to when supervisor is pulled, and supervisor is difficult to deviate, can accurately near shank.
(4) the hard short tube and hard using two pulling ropes for lying in supervisor's head end and two pulling rope processes are long thin Passage on pipe is separate, so as to reduce the resistance of drawing, facilitates the operation of pulling rope, and this is avoided in operating process two from leading Drawstring is interfered, and helps rapidly to adjust the position of supervisor and scope auxiliary accessories, accurately near shank leading portion.
(5) two apertures of perforate of hard short tube side are responsible for and are located at firmly more than two apertures of perforate of opposite side The perforate side of the large aperture of matter short tube, so as to facilitate the operation of pulling rope, makes supervisor tightly to press close to during being pulled Hard short tube.This helps to be responsible in drawing can accurately be close to shank leading portion.
By following description and with reference to accompanying drawing, the utility model will become more fully apparent, and these accompanying drawings are used to explain this The embodiment of utility model.
Brief description of the drawings
Fig. 1 is scope handle and therapeutic endoscopy subsidiary conduit device aft section schematic diagram.
Fig. 2 is simple therapeutic endoscopy subsidiary conduit device overall schematic, and the device front end wears hyaline cap.
Fig. 3 is simple therapeutic endoscopy subsidiary conduit device overall schematic, and hyaline cap is not worn in the device front end.
Fig. 4 is the schematic diagram of hard short tube.
Fig. 5 is the partial schematic diagram of double hole channel tubule.
Fig. 6 is the partial schematic diagram of one channel tubule.
Fig. 7 is the side schematic view that hard short tube is fixed on shank front end.
Fig. 8 is the front schematic view that hard short tube is fixed on shank front end.
Fig. 9 is the side schematic view that supervisor is fixed on shank.
Figure 10 is the front schematic view that supervisor is fixed on shank.
Figure 11 is the schematic rear view that supervisor is fixed on shank.
Figure 12 is the schematic diagram that hard tubule long is fixed on shank.
Figure 13 is pulling rope (by the bracing wire of hard tubule long), and hard short tube, supervisor treats auxiliary accessories, and shank The position relationship schematic diagram of leading portion.
For scope front end bending section and therapeutic endoscopy subsidiary conduit device previous section, (supervisor does not bend Figure 14, pulling rope Be relaxed state) schematic diagram.
Figure 15 is scope front end bending section and therapeutic endoscopy subsidiary conduit device previous section (before supervisor's bending is close to shank Section, pulling rope is tightening state) schematic diagram.
Figure 16 is the schematic diagram for cutting off the big curved mucosa infection of body of stomach.
Figure 17 is the schematic diagram for cutting off gastric mucosa lesion.
Specific embodiment
With reference now to Description of Drawings embodiment of the present utility model, the element numbers being similar in accompanying drawing represent similar unit Part.
Fig. 1-17 are refer to, described simple therapeutic endoscopy subsidiary conduit device is fixed on scope 1, the shank of scope 1 Leading portion swelling part is bendable portion 1a (as shown in Figure 2 and Figure 3);Described simple therapeutic endoscopy subsidiary conduit device includes hard Matter short tube 4, supervisor 2, the hard tubule 3 long of flexible for installing treatment auxiliary accessories a, treatment auxiliary accessories a can be made remote From shank 1 pulling rope 5 and can make supervisor 2 near shank 1 bendable portion 1a pulling rope 6;The hard short tube 4 is located at With the side mirror of the bendable portion 1a leading portions of shank front end bending direction, the front end of hard short tube 4 is concordant with shank front end (as schemed 7th, shown in Fig. 8);The supervisor 2 is located at the same side (as shown in Fig. 9, Figure 10, Figure 11) of deflection hard short tube 4, so as to pass through During drawing 2 front end of supervisor of pulling rope 6, supervisor 2 can exactly near bendable portion 1a, it is not easy to deviates, is responsible for 2 front ends and mirror The front end of body 1 is concordant, and supervisor 2 is starting to fix at the bendable portion 1a of shank 1, from the supervisor of the inner mirror handle side of bearing 2 are both secured to shank 1, are segregation section 2a from section of a pipe before the supervisor 2 of the inner lens head side of bearing, not solid with shank Determine (as shown in Fig. 9, Figure 10, Figure 11), so as to after pulling rope 6 is unclamped, be responsible for the phase of the 2 and bendable portion 1a of the leading portion of shank 1 Motion will not be pind down, flexibility is good;The segregation section 2a of the supervisor 2 be adjacent to hard short tube 4 and with hard short tube 4 In the same side of the bending direction of shank 1, so that by pulling rope 6 at drawing 2 front end of supervisor, segregation section 2a can be along mirror The bendable portion 1a of the leading portion of body 1 is exactly near hard short tube 4, and is adjacent to shank 1, so that the treatment auxiliary accessories a being responsible in 2 Appear in the visual field of scope 1;The section start of the hard front end abutment shank leading portion bulging bendable portion 1a of tubule 3 long, and Shank 1 (as shown in figure 12) is fixed on against supervisor 2;One end of the pulling rope 5 is integrally fixed at and stretches out in controlling for 2 front ends of supervisor The traction fixing end on auxiliary accessories a is treated, the other end is the draw operations end of traction therapeutic auxiliary accessories;The pulling rope 6 One end is integrally fixed at the drawing fixing end of segregation section 2a leading portions, and the other end sequentially passes through hard short tube 4 and hard tubule 3 long Drawing operating side (as shown in figure 13);The need for according to therapeutic endoscopy, the hyaline cap 8 is arranged on the front end of scope 1 (such as Fig. 2, figure 16th, Figure 17), after hyaline cap is installed, the hard short tube 4 is fixed on bendable portion 1a against the rear side of hyaline cap 8, described The front end of supervisor 2 is concordant with the front end of hyaline cap 8.
Specifically, described supervisor 2, hard tubule 3 long and hard short tube 4 are fixed on shank by medical adhesive tape 7 On;Described supervisor 2, hard short tube 4, hard tubule 3 long, adhesive tape 7, pulling rope 6 and pulling rope 5 use the medical material of human body Material;The pulling rope 5 is one, and the pulling rope 6 is two;The pulling rope 5 and pulling rope 6 can use operation Line 1, Operation Line 1 easily winds, therefore, selection rope shows smooth, and flexible, and the line not wound is optimal, the pulling rope 5 It is used to be drawn through the treatment auxiliary accessories a of supervisor 2 away from shank 1;The pulling rope 6 is through hard short tube 4 and through hard To external, the drawing operating side of pulling rope 6 needs away from the certain distance of shank 1 tubule long 3, so that scope assistant passes through pulling rope Shank of the 6 drawing supervisors 2 near scope 1;If the drawing operating side of pulling rope 6 is near shank 1, before so limiting shank After move, influence endoscopic technic.
2 flexibles of the supervisor, it is flexible, it is unlikely to deform;2 length are responsible for for 75-85cm, internal diameter is 4mm-4.5mm, its The size of internal diameter can be passed freely through with treating auxiliary accessories a and is advisable, using medical grade PVC (polyvinyl chloride) material.
The length of the hard short tube 4 is 2-2.5cm (as shown in Figure 4), and internal diameter is 0.4-0.5cm, the hard short tube 4 Both sides be provided with four perforate 4a altogether, four described perforate 4a are relative two-by-two, and the relative perforate 4a of each two leads through one Drawstring 6.Two apertures of perforate 4a of the side of hard short tube 4 are more than two apertures of perforate 4a of opposite side, and hard is short The large aperture perforate side of pipe 3 is with the bending direction of bendable portion 1a conversely, supervisor 2 is located at opening for the large aperture of the short auxiliary pipe 3 of hard Hole side.
The hard tubule 3 long may be selected one channel tubule (as shown in Figure 6), and one channel tubule is along hard tubule 3 long Length direction is set, and described hard tubule 3 long has two and is both secured to shank, worn in the duct of each hard tubule 3 long Cross a pulling rope 6.Or, the hard tubule 3 long selects diplopore deferent (as shown in Figure 5), and double hole channel is along hard tubule 3 long Length direction set, each duct passes through a pulling rope 6, so as to be conducive to drawing, and only needs a hard tubule 3 long It is fixed on shank.The length of the hard tubule 3 long is longer than the shank of scope 1, after installation, the rear end of hard tubule 3 long Leaving shank should have certain distance, and so that assistant operates, hard tubule 3 long has certain degree of hardness, and external diameter is thinner, its internal diameter size with Pass freely through pulling rope 6, the hard tubule 3 long also flexible can bend, and be unlikely to deform.
The adhesive tape 7 is nonelastic, is difficult to relax, and can be fixedly secured supervisor 2, hard tubule 3 long, hard short tube 4 in scope 1 Shank, tape surface is smooth, with mucous membrane of esophagus without big friction, it is to avoid causes Esophageal mucosa injury and reduces when mirror is moved Resistance;In order to hard short tube 4 is securely fixed on shank 1, hard short tube 4 all surely can be tied up in mirror with adhesive tape 7 first With, then, the adhesive tape 7 above 4 four holes of hard short tube is exposed with syringe needle, the perforate 4a of the both sides of hard short tube 4 is communicated, with Just pulling rope 6 passes through.
The treatment auxiliary accessories a can select existing biopsy forceps, haemostatic clamp, foreign body forcepses, integral type titanium folder etc..These The characteristics for the treatment of auxiliary accessories a is flexible, flexible, can be bent and indeformable.
Operating procedure example, by taking " the endoscopic mucosal decollement " of the descending gastric mucosal lesions of scope as an example, including body of stomach is curved greatly (treatment auxiliary accessories select " one to the endoscopic mucosal decollement (as shown in Figure 16 and Figure 17) of mucosa infection and gastric mucosa lesion Body formula titanium is pressed from both sides ";Wear hyaline cap in the treatment, camera lens front end;The scope for using is QF-260J), comprise the following steps that:
(1) hyaline cap 8 is put on, each parts such as supervisor 2, hard tubule 3 long, hard short tube 4, pulling rope 6, adhesive tape 7 is pressed It is assembled on shank described in preceding.
(2) selection " integral type titanium folder " is used as treatment auxiliary accessories a.Integral type titanium is pinched in supervisor 2, in integral type titanium The titanium chuck end of folder fastens a pulling rope 5.
(3) in the metal holder income supervisor 2 integral type titanium pressed from both sides, being entered in stomach with will pass through pars oralis pharyngis and oesophagus, kept away Exempt to damage mucous membrane.
(4) pulling rope 6 tied up on supervisor 2 is tensed, it is tightly pressed close to shank front end.Can smear medical in shank front end Lubricating oil.
(5) scope is delivered in stomach.
(6) after gastric mucosal lesions periphery submucosal injections and ring week cut, by pulling pulling rope 6, make with one The supervisor 2 of formula titanium folder presses close to shank, so as to treat auxiliary accessories integral type titanium folder appear in the scope visual field, clamp mucous membrane is leading Draw lesion, its key points for operation is as follows:
(6.1) prepare before drawing " pulling rope 6 ":When " pulling rope 6 " is pulled, the treatment auxiliary accessories a (such as in supervisor 2 Body formula titanium is pressed from both sides) front end should not stretch out that supervisor 2 is too many, in order to avoid the segregation section 2a before supervisor 2 under the gravity for the treatment of auxiliary accessories a Bending causes 2 front-end positions of supervisor to deviate so that supervisor's leading portion segregation section 2a can not exactly near shank.For example, if one Body formula titanium folder stretches out supervisor 2 too much, it is necessary to retract integral type titanium folder near 2 head ends of supervisor (reset condition position), can be one Body formula titanium folder does a mark by handle section, to recognize reset condition position.
(6.2) after being ready to, assistant's dragline drawstring 6 makes the front end of supervisor 2 press close to bendable portion 1a, so as to drive integral type Titanium folder is near bendable portion 1a.Note a bit, the hard that pulling rope 6 is passed through tubule 3 long needs certain length, make hard long thin The afterbody of pipe 3 leaves shank certain distance, in order to not disturb movable (such as Fig. 1 of scope shank 1 when assistant pulls It is shown).
(6.3) according to the position of lesion, the position of adjustment titanium folder, so that titanium clamp pincers press from both sides suitable lesion locations:Treatment is auxiliary Helping accessory a can move freely under the external force of very little in supervisor 2, and endoscopic surgery doctor is pressed from both sides by movable integral type titanium To adjust the front and back position of titanium folder.Require emphasis a bit, because 2 materials of supervisor are not hard materials, have pliability, in firmly quilt During drawing, 2 front ends of supervisor are easily flattened, so that the folder movement of integral type titanium has resistance, and now, assistant can coordinate somewhat Lax lower pulling rope 6, the position of titanium folder is adjusted so that titanium folder is freely moved forward and backward in supervisor 2.
(6.4) after titanium clamp pincers clamp suitable mucosa infection, assistant unclamp pulling rope 6, allow supervisor 2 segregation section 2a with The bendable portion 1a of shank leading portion is separated.
(6.5) pulling rope 5 that titanium presss from both sides front end is tied up to, before treatment auxiliary accessories a (e.g., integral type titanium folder) and the shank of scope 1 End, this three coordinates can allow the position of excision lesion thoroughly to expose and allow lesion near scope electric knife, in order to scope Lower treatment.Three coordinates:After pincers clamp lesion mucous membrane, can be by resilient Integral type titanium is clipped in supervisor 2 to move forward and backward and raises and the mucosa infection b that furthers, meanwhile, the traction force of pulling rope 5 can be adjusted To adjust the position of integral type titanium folder.After the segregation section 2a of supervisor 2 is separated with the bendable portion 1a of shank leading portion, scope shank Bendable portion 1a in itself can freely adjustment position, contribute to Endoscopic Treatment.This efficiency for greatly improving treatment and mitigation The difficulty of operation.
(6.6) lime light:When the position of integral type titanium folder is adjusted, notice that gas injection is to keep sky appropriate in stomach in stomach Between, to there is certain space to operate and to avoid integral type titanium from pressing from both sides front end loss gastric mucosa.
(7) endoscopic surgery personnel and the operation division of labor.
(7.1) endoscopic surgery doctor, is main operator.It is responsible for operative treatment, control ties up to treatment auxiliary accessories head The pulling rope 5 at end, and the front and rear movement in supervisor 2 for the treatment of auxiliary accessories.
(7.2) endoscopic surgery coordinates nurse, is mainly to coordinate personnel.The endoscopic accessory control in main responsible endoscopic biopsy duct System.Alternatively, it is also possible to other auxiliary operations of assistant endoscopic surgery doctor.
(7.3) assistant of pulling rope 6 is pulled, is secondary cooperation personnel.Professional scope personnel can not be needed, can be student Deng the drawing of pulling rope 6 of responsible two root systems on supervisor 2.If necessary, it is also possible to which nurse serves as with endoscopic surgery The role.
Simple therapeutic endoscopy subsidiary conduit device of the present utility model can utilize various endoscopic accessories, such as biopsy Pincers, foreign body forcepses, and titanium folder etc., make full use of the effect of these accessories, are treated with endoscope.More it is essential that the master Pipe 2 can effectively coordinate with the operation of shank front end, not interfere with each other.Can exactly near mirror by the endoscopic accessory of the supervisor 2 Head, appears in the scope visual field, completes related endoscopic technic;By the endoscopic accessory of the supervisor 2, can neatly with shank leading portion Separate, without influenceing mutual operation.In this simple therapeutic endoscopy subsidiary conduit device is smoothly completed on experimental animal pig Demucosation under mirror, treatment that can effectively and rapidly under endoscope.
It is below animal experimental data:
1. therapeutic endoscopy subsidiary conduit device making material (is gathered materials on the spot, makes full use of digestive endoscopy center existing interior Mirror fitment material).Indicate a bit, to complete zoopery, the device has been made using current material.If applying to human body In, to make operation more simple and effective safer, it is necessary to customize some parts.
A. hard short tube:Use " packing tube " of nose bile drainage tube, model 8.5F (2.8mm) X of nose bile drainage tube 250cm (Bostom scientific companies);
B. the supervisor of flexible:The sputum aspirator tube of single use two, model 4mm X (12F) X 500mm (upper Haikangs Dove);
C. hard tubule long:" outer tube " of disposable electricity snare, the model SD-221L-25 of disposable electricity snare (Olympus);
D. hyaline cap:QF-260J gastroscopes are with hyaline cap (Olympus);
E. adhesive tape:TransporeTM reticulate pattern easy tear tapes, model 1527C-0,1.2cm width;
F. pulling rope:Surgical operation Line 1.
2. the position of gastric mucosal lesion, size and time are cut off.
Experiment pig Lesion part cutting Lesion size (centimetre) The time (minute) that submucosa is peeled off
No. 1 swine disease becomes 1 Stomach bottom wall to the rear 6.0×5.0 72
No. 1 swine disease becomes 2 Antrum body has a common boundary big curved 4.5×3.0 28
No. 2 swine diseases become 1 Stomach bottom wall to the rear 3.5×2.5 5
No. 2 swine diseases become 2 The small curved rear wall of body of stomach leans on stomach angle 4.5×3.55 17
Explanation:1. the process of excision lesion includes " injection ", " mucous membrane ring week cuts " and " being peeled off under mucous membrane ".Here, only There is " being peeled off under mucous membrane " to use therapeutic endoscopy servicing unit, therefore, only calculate the time of " submucosa stripping ";
2. there is one to be familiar with process using the device.No. 1 pig is first cooked, and the time of lesion excision is slightly long, basic ripe After knowing, the excision of No. 2 swine disease change is substantially accelerated.
This zoopery illustrates that therapeutic endoscopy subsidiary conduit device can play a part of therapeutic endoscopy second " arm ", Concrete practice is feasible.This zoopery, does not carry out the comparative study of conventional treatment and device auxiliary treatment, but It is to do the experience of such lesion from scope doctor to assess, for the lesion of these large-sizes, with the device auxiliary treatment, Substantially reduce operating time.In zoopery, the small curved rear wall of stomach bottom wall to the rear and body of stomach of selection is to treat very by stomach angle Two difficult positions, using the device, can effectively and rapidly complete the operation at the two positions, greatly reduce the difficulty of operation Degree.
The utility model is described above in association with most preferred embodiment, but the utility model is not limited to the above and takes off The embodiment shown, and various modification, the equivalent combinations carried out according to essence of the present utility model should be covered.

Claims (8)

1. a kind of simple therapeutic endoscopy subsidiary conduit device, is fixed on scope, and the device includes:Match somebody with somebody for installing treatment auxiliary The flexible of part and flexible supervisor, flexible and flexible hard tubule long, hard short tube, lie in treatment auxiliary accessories Front end and accessory can be pulled make it away from the pulling rope of shank, lie in supervisor front end and supervisor can be made to be led near shank front end Drawstring;Described supervisor, hard tubule long and hard short tube are respectively positioned on the same side of shank leading portion bending direction;The supervisor Fixed on rear side of shank leading portion bendable portion, supervisor on front side of its bearing is separated with shank leading portion and through lying in supervisor Pulling rope drawing can be near the segregation section of shank;The front end of the hard tubule long is located at the rear side of shank leading portion bendable portion, It is integrally fastened to shank;The hard short tube is fixed on the side mirror of shank front end bending direction, hard short tube front end with Shank front end is concordant;The other end of the pulling rope for lying in treatment auxiliary accessories front end is the operation of traction therapeutic auxiliary accessories End, the other end of the pulling rope for lying in supervisor front end is that the drawing supervisor for sequentially passing through hard short tube and hard tubule long leans on The operating side of nearly shank.
2. therapeutic endoscopy subsidiary conduit device as claimed in claim 1 simple, it is characterised in that:Described supervisor, hard are long Tubule and hard short tube are fixed on shank by medical adhesive tape.
3. therapeutic endoscopy subsidiary conduit device as claimed in claim 2 simple, it is characterised in that:Described lying in is responsible for front end Pulling rope is two, and the both sides of the hard short tube are provided with four perforates altogether, and four described perforates are relative two-by-two, each two phase To perforate through one lie in supervisor front end pulling rope.
4. therapeutic endoscopy subsidiary conduit device as claimed in claim 3 simple, it is characterised in that:The hard short tube side Two apertures of perforate are more than two apertures of perforate of opposite side, and the large aperture perforate side of hard short tube is curved with bendable portion It is bent in opposite direction, perforate side of the supervisor positioned at the large aperture of hard short tube.
5. the simple therapeutic endoscopy subsidiary conduit device as described in claim 3 or 4, it is characterised in that:The hard tubule long There are two models, model one is one channel tubule, and the model tubule is two, and every pulling rope for lying in supervisor front end passes through one The duct of root tubule;Model two is double hole channel tubule, through a pulling rope for lying in supervisor front end in each duct.
6. therapeutic endoscopy subsidiary conduit device as claimed in claim 2 simple, it is characterised in that:Described supervisor, hard are short Pipe, hard tubule long, adhesive tape and pulling rope use human body medical material.
7. therapeutic endoscopy subsidiary conduit device as claimed in claim 6 simple, it is characterised in that:The length of the supervisor is 75cm-85cm, internal diameter is 4mm-4.5mm, using medical grade PVC material;The length of the hard short tube is 2-2.5cm, internal diameter It is 0.4-0.5cm;The hard capillary length long is longer than scope shank, and after installation, its rear end is away from the segment distance of shank one.
8. therapeutic endoscopy subsidiary conduit device as claimed in claim 1 simple, it is characterised in that:Also include treatment auxiliary Hyaline cap, the hyaline cap is arranged on scope front end, and the hard short tube is fixed in bendable portion on rear side of hyaline cap.
CN201620917218.8U 2016-08-22 2016-08-22 Simple therapeutic endoscopy subsidiary conduit device Withdrawn - After Issue CN206197985U (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106037838A (en) * 2016-08-22 2016-10-26 张强 Simple auxiliary tube device for endoscopic treatment

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106037838A (en) * 2016-08-22 2016-10-26 张强 Simple auxiliary tube device for endoscopic treatment

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