CN206499757U - Orifice of the stomach dilating sacculus can be fixed - Google Patents

Orifice of the stomach dilating sacculus can be fixed Download PDF

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CN206499757U
CN206499757U CN201621078068.2U CN201621078068U CN206499757U CN 206499757 U CN206499757 U CN 206499757U CN 201621078068 U CN201621078068 U CN 201621078068U CN 206499757 U CN206499757 U CN 206499757U
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balloon
cardia
stomach
sacculus
positioning
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CN201621078068.2U
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李静
刘梅娟
李秀梅
夏燕飞
王莉慧
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Nanfang Hospital of Southern Medical University
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Nanfang Hospital of Southern Medical University
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Abstract

本实用新型涉及一种可固定贲门扩张球囊,包括一用于扩张贲门的硬质的贲门球囊和一能通过导丝的导管,贲门球囊安装在导管的一端,与沿导管设置的贲门球囊充气管路相通,贲门扩张球囊还包括一用于定位在胃内、防止贲门扩张球囊移位的定位球囊,定位球囊与贲门球囊安装在导管的同一端,更靠近于导管的端部,沿导管还设有定位球囊充气管路,定位球囊与定位球囊充气管路相通。本实用新型贲门扩张球囊进入人体内的总深度和贲门扩张球囊下端的位置都能固定,所以利用本实用新型进行贲门扩张时,可将贲门球囊准确的定位在贲门处,有利于缩短手术时间,减少手术并发症,减轻病人痛苦。

The utility model relates to a cardia expansion balloon that can be fixed, comprising a hard cardia balloon for expanding the cardia and a catheter that can pass through a guide wire. The inflation pipeline of the balloon is connected, and the cardia dilatation balloon also includes a positioning balloon for positioning in the stomach and preventing the displacement of the cardia dilation balloon. The positioning balloon and the cardia balloon are installed at the same end of the catheter, closer to The end of the catheter is also provided with a positioning balloon inflation pipeline along the catheter, and the positioning balloon communicates with the positioning balloon inflation pipeline. The total depth of the cardia expansion balloon entering the human body and the position of the lower end of the cardia expansion balloon of the utility model can be fixed, so when the utility model is used to expand the cardia, the cardia balloon can be accurately positioned at the cardia, which is conducive to shortening The operation time is reduced, the operation complications are reduced, and the pain of the patient is relieved.

Description

可固定贲门扩张球囊fixable cardiac dilatation balloon

技术领域technical field

本实用新型涉及一种贲门扩张球囊。The utility model relates to a cardia expansion balloon.

背景技术Background technique

贲门是人或动物消化道的一部分,为食道和胃的接口部分,是胃上端的入口,食管中的食物通过贲门进入胃内。The cardia is a part of the digestive tract of humans or animals. It is the interface between the esophagus and the stomach. It is the entrance to the upper end of the stomach. The food in the esophagus enters the stomach through the cardia.

传统的贲门扩张球囊,如图1所示,由一个聚乙烯硬质的贲门球囊11和一根导管12构成,球囊11呈圆柱形,同轴安装在导管12的一端,导管12内可通过内镜的导丝。贲门扩张球囊的放入过程一般都为:在内镜的指引下,将球囊11定位在贲门处(内镜和球囊11一起进入人体),如图1所示,然后逐渐进行充气,直到圆柱形球囊11的细腰狭窄处变平为止。The traditional cardia expansion balloon, as shown in Figure 1, is made of a polyethylene rigid cardia balloon 11 and a catheter 12, the balloon 11 is cylindrical, coaxially installed at one end of the catheter 12, and the catheter 12 Endoscopically passable guide wire. The process of placing the cardia dilatation balloon is generally as follows: under the guidance of the endoscope, the balloon 11 is positioned at the cardia (the endoscope and the balloon 11 enter the human body together), as shown in Figure 1, and then gradually inflated, Until the thin waist stenosis of cylindrical balloon 11 becomes flat.

传统的贲门扩张球囊定位后,由于位置不能固定,导致扩张时,球囊的实际扩张位置往往不明确,针对性不够。这种情况对于长期贲门失弛缓的患者,由于他们食管结构改变,较易出现,不利于他们的治疗。After the traditional cardia dilatation balloon is positioned, because the position cannot be fixed, the actual expansion position of the balloon is often unclear during expansion, and the pertinence is not enough. This situation is more likely to occur in patients with long-term achalasia due to structural changes in their esophagus, which is not conducive to their treatment.

三腔二囊管,包括三腔管、胃气囊和食管气囊,胃气囊和食管气囊附在三腔管的一端,三腔管由一个截面是半圆的腔道和两个截面是四分之一圆的腔道构成,胃气囊导管和食管气囊导管分别装在两个四分之一圆腔道内,胃导管装在半圆腔道内。胃导管截面呈半圆形,其外壁与半圆腔道的内壁密封配合,胃导管可在半圆腔道中活动。三腔二囊管主要用于食管、胃底静脉曲张破裂大出血者压迫止血。Three-lumen two-bag tube, including three-lumen tube, gastric balloon and esophageal balloon, the gastric balloon and esophageal balloon are attached to one end of the three-lumen tube, and the three-lumen tube consists of a semicircular lumen and two quarter-section The gastric balloon catheter and the esophageal balloon catheter are respectively installed in two quarter-circular lumens, and the gastric catheter is installed in a semicircular lumen. The cross-section of the gastric catheter is semicircular, and its outer wall is in sealing fit with the inner wall of the semicircular cavity, and the gastric catheter can move in the semicircular cavity. The three-lumen two-capsule catheter is mainly used for compression and hemostasis in patients with massive bleeding from esophageal and gastric fundus varices.

三腔二囊管是一种柔软的乳胶管,使用时,它由患者的鼻腔放入,胃气囊进入胃内,食管气囊位于食道内,胃气囊充气后,顶在胃上端入口下方,可很好的定位食管气囊在食道中的位置。若胃气囊破裂,导管可上滑堵塞咽喉引起严重的呼吸困难,甚至窒息,一旦有上述情况发生,应立即使两个气囊迅速排气,并拔出三腔二囊管。The three-chamber two-capsule tube is a soft latex tube. When in use, it is put into the nasal cavity of the patient, the gastric balloon enters the stomach, and the esophageal balloon is located in the esophagus. Good positioning of the esophageal balloon in the esophagus. If the gastric air bag ruptures, the catheter may slide up and block the throat, causing severe dyspnea or even suffocation. Once the above situation occurs, the two air bags should be quickly deflated and the three-chamber two-bag catheter should be pulled out.

本实用新型将传统的贲门扩张球囊和三腔二囊管结合,旨在提供一种可固定贲门扩张球囊,提供安全保障,以便能够有效准确的对贲门下端括约肌进行扩张,缩短手术时间,减少手术并发症。The utility model combines the traditional cardia expansion balloon with three-chamber two-capsule tube, and aims to provide a fixed cardia expansion balloon to provide safety assurance, so as to effectively and accurately expand the lower cardia sphincter and shorten the operation time. Reduce surgical complications.

实用新型内容Utility model content

本实用新型的发明目的是提供一种可固定贲门扩张球囊,利用本实用新型能够有效准确的对贲门下端括约肌进行扩张,有利于缩短手术时间,减少手术并发症,减轻病人痛苦,利用本实用新型还能实现盲扩。The purpose of the invention of the utility model is to provide a fixed cardia expansion balloon, which can effectively and accurately expand the lower cardia sphincter by using the utility model, which is beneficial to shorten the operation time, reduce surgical complications, and relieve the pain of the patient. The new model can also achieve blind expansion.

本实用新型的发明目的通过如下技术方案实现:一种可固定贲门扩张球囊,包括一用于扩张贲门的硬质的贲门球囊和一能通过导丝的导管,所述贲门球囊安装在所述导管的一端,与沿所述导管设置的贲门球囊充气管路相通,其特征在于,所述贲门扩张球囊还包括一用于定位在胃内、防止贲门扩张球囊移位的定位球囊,所述定位球囊与所述贲门球囊安装在所述导管的同一端,更靠近于所述导管的端部,沿所述导管还设有定位球囊充气管路,所述定位球囊与所述定位球囊充气管路相通。The purpose of the invention of the utility model is achieved through the following technical scheme: a kind of fixed cardia expansion balloon, including a hard cardia balloon for expanding the cardia and a catheter that can pass through the guide wire, and the cardia balloon is installed on the One end of the catheter communicates with the cardiac balloon inflation pipeline arranged along the catheter, and it is characterized in that the cardiac dilation balloon also includes a location for positioning in the stomach and preventing the cardiac dilation balloon from shifting. A balloon, the positioning balloon and the cardia balloon are installed at the same end of the catheter, closer to the end of the catheter, and a positioning balloon inflation pipeline is also provided along the catheter, the positioning The balloon communicates with the positioning balloon inflation pipeline.

通过内镜完成导丝的定位后取出内镜,然后借助导丝的引导,将本实用新型贲门扩张球囊放置到相应位置,给本实用新型的定位球囊和贲门球囊充气,使定位球囊顶在胃上端入口下方,以固定贲门扩张球囊的下端位置,此时,贲门球囊刚好位于贲门处,由于贲门扩张球囊上端也被定位,所以贲门球囊可准确的对食管下段括约肌进行扩张。After completing the positioning of the guide wire through the endoscope, the endoscope is taken out, and then guided by the guide wire, the cardia expansion balloon of the present utility model is placed in the corresponding position, and the positioning balloon and the cardia balloon of the present utility model are inflated to make the positioning ball The top of the capsule is below the entrance of the upper end of the stomach to fix the lower end of the cardia balloon. At this time, the cardia balloon is just positioned at the cardia. Since the upper end of the cardia balloon is also positioned, the cardia balloon can accurately target the lower esophageal sphincter. to expand.

作为本实用新型的改进:As improvement of the utility model:

所述定位球囊为自爆球囊,所述自爆球囊在鼓胀状态下通过贲门发生压力改变时会发生自爆。The positioning balloon is a self-explosive balloon, and the self-explosive balloon will self-explode when pressure changes through the cardia in an inflated state.

作为本实用新型的较佳实施方式:As a preferred embodiment of the present utility model:

所述自爆球囊的容积推荐为200~250ml。The recommended volume of the self-exploding balloon is 200-250ml.

相对于现有技术,本实用新型具有如下有益效果:Compared with the prior art, the utility model has the following beneficial effects:

1)本实用新型贲门扩张球囊进入人体内的总深度和贲门扩张球囊下端的位置都能固定,所以利用本实用新型进行贲门扩张时,可将贲门球囊准确的定位在贲门处,避免了传统的贲门扩张球囊定位后,由于位置不能固定,导致扩张时,球囊的实际扩张位置往往不明确,导致针对性不够强的问题,有利于缩短手术时间,减少手术并发症,减轻病人痛苦;1) The total depth of the cardia expansion balloon entering the human body and the position of the lower end of the cardia expansion balloon of the utility model can be fixed, so when the utility model is used for cardia expansion, the cardia balloon can be accurately positioned at the cardia to avoid After traditional cardia expansion balloon positioning, because the position cannot be fixed, the actual expansion position of the balloon is often unclear during expansion, which leads to the problem of insufficient pertinence, which is beneficial to shorten the operation time, reduce surgical complications, and relieve the patient's pain;

2)由于本实用新型贲门扩张球囊进入人体内的总深度和贲门扩张球囊头端的位置都能固定,所以可以在通过内镜完成导丝的定位后,取出内镜,实现盲扩,这是传统的贲门扩张球囊所不能实现的,本实用新型能避免人同时吞咽内镜和贲门扩张球囊的困难,减少术后咽喉部的水中及出血;2) Since the total depth of the cardia dilation balloon entering the human body and the position of the head end of the cardia dilation balloon of the utility model can be fixed, the endoscope can be taken out after the guide wire is positioned through the endoscope to realize blind expansion. It cannot be realized by the traditional cardia dilation balloon. The utility model can avoid the difficulty of swallowing the endoscope and the cardia dilation balloon at the same time, and reduce postoperative water and bleeding in the throat;

3)本实用新型定位球囊为自爆球囊,自爆球囊在鼓胀状态下通过贲门时,会发生自爆,防止贲门或食道撕裂,能有效避免对患者的二次伤害,使用起来更加安全。3) The positioning balloon of the utility model is a self-explosive balloon. When the self-explosive balloon passes through the cardia in a bulging state, it will self-explode to prevent tearing of the cardia or esophagus, which can effectively avoid secondary injury to the patient and is safer to use.

附图说明Description of drawings

图1为传统的贲门扩张球囊的使用状态参考图;Fig. 1 is the reference diagram of the use state of the traditional cardia expansion balloon;

图2为本实用新型实施例一的贲门扩张球囊的结构示意图;Fig. 2 is a schematic structural view of the cardia dilatation balloon according to Embodiment 1 of the present invention;

图3为图2中贲门扩张球囊的使用状态参考图。Fig. 3 is a reference diagram of the use state of the cardia expansion balloon in Fig. 2 .

具体实施方式detailed description

实施例一Embodiment one

如图2、3所示,实施例一的可固定贲门扩张球囊包括一用于扩张贲门的贲门球囊11,一能通过导丝的导管12,一用于定位在胃内、防止贲门扩张球囊移位的定位球囊13。导管12自头端起至尾端35cm处开始每5cm有一处长度标记。As shown in Figures 2 and 3, the fixable cardia expansion balloon of Embodiment 1 includes a cardia balloon 11 for expanding the cardia, a catheter 12 that can pass through a guide wire, and a catheter 12 for positioning in the stomach to prevent cardia from expanding. Positioning balloon 13 for balloon displacement. The catheter 12 has a length mark every 5 cm from the head end to the tail end at 35 cm.

贲门球囊11鼓胀时为一圆柱形球囊,定位球囊13鼓胀时呈球形,它们同轴设置在导管12的一端,其中,定位球囊13更靠近于导管12的端部。导管12内沿其轴向方向还设有贲门球囊充气管路15和定位球囊充气管路14,它们的一端分别与贲门球囊11、定位球囊13相通,另一端均引出导管12,以便与充气设备、灌水设备等相连。如图2所示,贲门球囊充气管路15的引出端连接一三通。The cardia balloon 11 is a cylindrical balloon when inflated, and the positioning balloon 13 is spherical when inflated. They are coaxially arranged at one end of the catheter 12 , wherein the positioning balloon 13 is closer to the end of the catheter 12 . The catheter 12 is also provided with a cardia balloon inflation pipeline 15 and a positioning balloon inflation pipeline 14 along its axial direction. In order to connect with inflatable equipment, irrigation equipment, etc. As shown in FIG. 2 , the leading end of the cardia balloon inflation pipeline 15 is connected with a tee.

参考三腔二囊管,本实用新型中定位球囊13的容积推荐为200~250ml。Referring to the three-chamber two-capsule tube, the volume of the positioning balloon 13 in the present invention is recommended to be 200-250ml.

通过内镜完成导丝的定位后取出内镜,然后借助导丝的引导,将实施例一的贲门扩张球囊放置到相应位置,给实施例一的定位球囊13充气,如图3所示,使定位球囊13顶在胃上端入口下方,固定贲门扩张球囊的下端,防止整个贲门扩张球囊上窜到食道内,此时,贲门球囊11刚好位于食管下段及贲门处,根据患者的主观感受给贲门球囊11逐渐充气,可对贲门及食管下端括约肌进行有效扩张。由于本实用新型用于贲门扩张的贲门球囊进入人体内的总深度和贲门球囊下端的位置都能固定,所以利用本实用新型进行扩张时,可将贲门球囊11准确的定位在食管下段及贲门处。After completing the positioning of the guide wire through the endoscope, the endoscope is taken out, and then guided by the guide wire, the cardiac dilatation balloon of Example 1 is placed in the corresponding position, and the positioning balloon 13 of Example 1 is inflated, as shown in Figure 3 , so that the positioning balloon 13 is positioned below the entrance of the upper end of the stomach, and the lower end of the cardia expansion balloon is fixed to prevent the entire cardia expansion balloon from jumping up into the esophagus. The cardia balloon 11 is gradually inflated according to the subjective feeling, which can effectively expand the cardia and the lower esophageal sphincter. Since the total depth of the cardia balloon used for cardia expansion in the present invention and the position of the lower end of the cardia balloon can be fixed, so when the utility model is used for expansion, the cardia balloon 11 can be accurately positioned in the lower esophagus and cardia.

为了防止定位球囊13在用力过猛时,挤入贲门或食道而撕裂贲门或食道,实施例中的定位球囊13为自爆球囊,即在鼓胀状态下通过贲门时,会发生自爆,以避免对患者的二次伤害。In order to prevent the positioning balloon 13 from being squeezed into the cardia or esophagus and tearing the cardia or esophagus when the force is too strong, the positioning balloon 13 in the embodiment is a self-explosive balloon, that is, when it passes through the cardia in an inflated state, it will self-explode. To avoid secondary harm to the patient.

Claims (3)

1. one kind can fix orifice of the stomach dilating sacculus, including the orifice of the stomach sacculus and one of a hard for expanding orifice of the stomach can be by seal wire Conduit, the orifice of the stomach sacculus be arranged on the conduit one end, with the orifice of the stomach inflated pipeline phase set along the conduit It is logical, it is characterised in that the orifice of the stomach dilating sacculus, which also includes one, to be used to be positioned in stomach, prevent determining for orifice of the stomach dilating sacculus displacement Position sacculus, the positioning sacculus is arranged on same one end of the conduit with the orifice of the stomach sacculus, is closer to the end of the conduit Portion, positioning sacculus loading line is additionally provided with along the conduit, and the positioning sacculus is communicated with the positioning sacculus loading line.
2. according to claim 1 fix orifice of the stomach dilating sacculus, it is characterised in that the positioning sacculus is self-destruction ball Capsule, the self-destruction sacculus can be revealed when occurring pressure change by orifice of the stomach under bulging state.
3. according to claim 2 fix orifice of the stomach dilating sacculus, it is characterised in that the volume of the self-destruction sacculus is recommended For 200 ~ 250ml.
CN201621078068.2U 2016-09-26 2016-09-26 Orifice of the stomach dilating sacculus can be fixed Expired - Fee Related CN206499757U (en)

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Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108852448A (en) * 2018-06-12 2018-11-23 无锡圣诺亚科技有限公司 The stomach tube device of suspension traction compressing
CN111420243A (en) * 2020-03-29 2020-07-17 南京市儿童医院 A Novel Esophageal Dilation Balloon Catheter
CN112932400A (en) * 2021-01-27 2021-06-11 上海市第一人民医院 Continuous expansion device for esophageal entrance stenosis
CN113289209A (en) * 2021-05-28 2021-08-24 鹰潭荣嘉集团医疗器械实业有限公司 Balloon dilatation catheter
CN114504410A (en) * 2022-03-09 2022-05-17 烟台光华医院有限公司 Adjustable esophagus cardia particle support and stomach tube comprising same
CN114748768A (en) * 2021-09-13 2022-07-15 王江河 Air sac type dilating catheter

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108852448A (en) * 2018-06-12 2018-11-23 无锡圣诺亚科技有限公司 The stomach tube device of suspension traction compressing
CN111420243A (en) * 2020-03-29 2020-07-17 南京市儿童医院 A Novel Esophageal Dilation Balloon Catheter
CN112932400A (en) * 2021-01-27 2021-06-11 上海市第一人民医院 Continuous expansion device for esophageal entrance stenosis
CN113289209A (en) * 2021-05-28 2021-08-24 鹰潭荣嘉集团医疗器械实业有限公司 Balloon dilatation catheter
CN114748768A (en) * 2021-09-13 2022-07-15 王江河 Air sac type dilating catheter
CN114504410A (en) * 2022-03-09 2022-05-17 烟台光华医院有限公司 Adjustable esophagus cardia particle support and stomach tube comprising same

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