CN207679505U - A kind of puncture antral expander - Google Patents

A kind of puncture antral expander Download PDF

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Publication number
CN207679505U
CN207679505U CN201720763024.1U CN201720763024U CN207679505U CN 207679505 U CN207679505 U CN 207679505U CN 201720763024 U CN201720763024 U CN 201720763024U CN 207679505 U CN207679505 U CN 207679505U
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China
Prior art keywords
expansion
maxillary sinus
outer sleeve
channel
puncture
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Expired - Fee Related
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CN201720763024.1U
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Chinese (zh)
Inventor
胡炯炯
崔佳文
应丽韫
张建琴
黄伟琴
顾佳妹
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Shanghai East Hospital
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Shanghai East Hospital
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Abstract

本实用新型为一种上颌窦穿刺扩张器。它包括外套管、穿刺针管芯,所述外套管的内部设有用于放置穿刺针管芯的针芯通道,所述外套管的尾端设有软管接口,所述外套管的前部侧壁上设有扩张囊体,所述外套管的侧壁内设有扩张通道,所述扩张通道的一端与所述扩张囊体内部连通,所述扩张管道的另一端位于所述外套管尾端的软管接口内,所述软管接口通过软管与充气阀或注液器相连。本实用新型所述外套管上的扩张囊体在微创条件下实现对上颌窦内侧壁开窗和扩张,可满足在内窥镜直视下清除上颌窦病变,相对于传统的柯陆式进路或上颌窦自然开口联合下鼻道穿刺上颌窦根治术,本实用新型在使用时具有手术创伤小,时间短,直视下病变清除彻底等优点。

The utility model relates to a maxillary sinus puncture dilator. It includes an outer sleeve and a puncture needle core. The inside of the outer sleeve is provided with a needle core channel for placing the puncture needle core. The tail end of the outer sleeve is provided with a hose interface. An expansion balloon is provided, and an expansion channel is provided in the side wall of the outer sleeve, one end of the expansion channel communicates with the inside of the expansion bladder, and the other end of the expansion channel is located at the flexible tube at the tail end of the outer sleeve. In the interface, the hose interface is connected with the inflation valve or the liquid injector through the hose. The expansion capsule on the overtube described in the utility model realizes fenestration and expansion of the medial wall of the maxillary sinus under minimally invasive conditions, which can satisfy the removal of maxillary sinus lesions under direct vision of the endoscope. The natural opening of the maxillary sinus combined with the radical maxillary sinus puncture of the lower nasal passage, the utility model has the advantages of small surgical trauma, short time, and thorough removal of lesions under direct vision.

Description

一种上颌窦穿刺扩张器A maxillary sinus puncture dilator

技术领域technical field

本实用新型涉及一种手术用穿刺器械,特别是公开一种上颌窦穿刺扩张器。The utility model relates to a puncture instrument for surgery, in particular to a maxillary sinus puncture dilator.

背景技术Background technique

上颌窦是位于鼻腔两侧上颌骨内的骨性空腔,有自然开口通向鼻腔中鼻道。The maxillary sinus is a bony cavity located in the maxilla on both sides of the nasal cavity, with a natural opening leading to the middle meatus of the nasal cavity.

目前,上颌窦病变如上颌窦囊肿,上颌窦息肉,上颌窦真菌及异物等由于无法直视,很难通过上颌窦自然开口和单纯下鼻道穿刺彻底清除,而可直视操作的柯陆氏径路上颌窦根治术,由于要翻起患侧上唇,凿开上颌窦前壁骨质等操作,创伤较大,也费时费力。At present, maxillary sinus lesions such as maxillary sinus cysts, maxillary sinus polyps, maxillary sinus fungi and foreign bodies, etc. cannot be completely removed through the natural opening of the maxillary sinus and simple lower nasal passage puncture. Radical maxillary sinus resection by approach involves large trauma, time-consuming and labor-intensive operations, such as turning up the upper lip on the affected side and cutting open the bone in the anterior wall of the maxillary sinus.

发明内容Contents of the invention

本实用新型的目的在于克服现有技术中存在的缺陷,提供一种结构简单、实用、在相对微创的前提下彻底清除上颌窦病变的上颌窦穿刺扩张器。The purpose of the utility model is to overcome the defects in the prior art, and provide a maxillary sinus puncture dilator which is simple in structure, practical, and can completely remove maxillary sinus lesions on the premise of relatively minimally invasive.

本实用新型是这样实现的:一种上颌窦穿刺扩张器,包括外套管、穿刺针管芯,所述外套管的内部设有用于放置穿刺针管芯的针芯通道,其特征在于:所述外套管的尾端设有软管接口,所述外套管的前部侧壁上设有扩张囊体,所述外套管的侧壁内设有扩张通道,所述扩张通道的一端与所述扩张囊体内部连通,所述扩张管道的另一端位于所述外套管尾端的软管接口内,所述软管接口通过软管与充气阀或注液器相连。The utility model is achieved in the following way: a maxillary sinus puncture dilator, comprising an outer sleeve and a puncture needle core, the inside of the outer sleeve is provided with a needle core channel for placing the puncture needle core, characterized in that: the outer sleeve The tail end of the outer tube is provided with a hose interface, the front side wall of the outer sleeve is provided with an expansion capsule, the side wall of the outer sleeve is provided with an expansion channel, and one end of the expansion channel is connected to the expansion bladder Internal communication, the other end of the expansion pipe is located in the hose interface at the tail end of the outer sleeve, and the hose interface is connected with the inflation valve or the liquid injector through the hose.

所述扩张囊体的前端与所述外套管的前端相距1.2~1.5cm,所述扩张囊体扩张后呈直径为1~1.5cm 的圆柱体,所述扩张囊体的长度为1~2cm。The distance between the front end of the expansion balloon and the front end of the overtube is 1.2-1.5 cm, and the expansion balloon is a cylinder with a diameter of 1-1.5 cm after expansion, and the length of the expansion balloon is 1-2 cm.

所述穿刺针管芯置入所述针芯通道后,所述穿刺针管芯的前端伸出所述外套管前端0.5~1cm。所述扩张囊体内的外套管管壁上设有1~6个与所述扩张通道联通的气孔。After the puncture needle core is placed in the needle core channel, the front end of the puncture needle core protrudes 0.5-1 cm from the front end of the outer cannula. There are 1 to 6 air holes communicating with the expansion channel on the wall of the overtube in the expansion balloon.

本实用新型的有益效果是:所述外套管上的扩张囊体在微创条件下实现对上颌窦内侧壁开窗和扩张,可满足在内窥镜直视下清除上颌窦病变,相对于传统的柯陆式进路或上颌窦自然开口联合下鼻道穿刺上颌窦根治术,本实用新型在使用时具有手术创伤小,时间短,直视下病变清除彻底等优点。The beneficial effect of the utility model is that: the expansion capsule on the outer sleeve realizes fenestration and expansion of the medial wall of the maxillary sinus under minimally invasive conditions, which can satisfy the removal of maxillary sinus lesions under direct vision of the endoscope. The Ke Lu type approach or the natural opening of the maxillary sinus combined with the lower nasal passage puncture maxillary sinus radical surgery, the utility model has the advantages of small surgical trauma, short time, and complete removal of lesions under direct vision.

附图说明Description of drawings

图1是本实用新型结构示意图。Fig. 1 is the structural representation of the utility model.

图2是本实用新型外套管的结构示意图。Fig. 2 is a schematic structural view of the outer casing of the present invention.

其中:1、外套管;2、穿刺针管芯;3、针芯通道;4、软管接口;5、扩张囊体;6、扩张通道;7、气孔;8、软管;9、充气阀。Among them: 1. Outer casing; 2. Puncture needle core; 3. Needle core channel; 4. Hose interface; 5. Expansion capsule; 6. Expansion channel; 7. Stoma; 8. Hose;

具体实施方式Detailed ways

根据图1、图2,本实用新型包括外套管1、穿刺针管芯2,所述外套管1的内部设有用于放置穿刺针管芯2的针芯通道3,所述外套管1的尾端设有软管接口4,所述外套管1的前部侧壁上设有扩张囊体5,所述扩张囊体5为气囊或水囊,所述外套管1的侧壁内设有扩张通道6,所述扩张通道6的一端通过设置在所述扩张囊体5内的外套管1管壁上的1~6个气孔7与所述扩张囊体5内部连通。所述扩张管道6的另一端位于所述外套管1尾端的软管接口4内,所述软管接口4通过软管8与充气阀9或注液器相连。所述扩张囊体5的前端与所述外套管1的前端相距1.2~1.5cm,所述扩张囊体5扩张后呈直径为1~1.5cm 的圆柱体,所述扩张囊体5的长度为1~2cm。所述穿刺针管芯2置入所述针芯通道3后,所述穿刺针管芯2的前端伸出所述外套管1前端0.5~1cm。According to Fig. 1, Fig. 2, the utility model comprises outer casing 1, puncture needle stylet 2, and the interior of described outer casing 1 is provided with the needle core channel 3 that is used to place puncture needle stylet 2, and the tail end of described outer casing 1 is provided with There is a hose interface 4, and the front side wall of the outer tube 1 is provided with an expansion capsule 5, the expansion capsule 5 is an air bag or a water bag, and the side wall of the outer tube 1 is provided with an expansion channel 6 One end of the expansion channel 6 communicates with the inside of the expansion bladder 5 through 1 to 6 air holes 7 arranged on the wall of the outer tube 1 in the expansion bladder 5 . The other end of the expansion pipe 6 is located in the hose interface 4 at the tail end of the outer sleeve 1 , and the hose interface 4 is connected with the inflation valve 9 or the injector through the hose 8 . The front end of the expansion capsule 5 is 1.2 to 1.5 cm away from the front end of the overtube 1, and the expansion capsule 5 is a cylinder with a diameter of 1 to 1.5 cm after expansion, and the length of the expansion capsule 5 is 1~2cm. After the puncture needle core 2 is inserted into the needle core channel 3, the front end of the puncture needle core 2 protrudes from the front end of the outer sleeve 1 by 0.5-1 cm.

本实用新型使用时,将穿刺针管芯2置入外套管1中,从患者下鼻道外侧壁穿刺进入上颌窦腔后,抽出穿刺针管芯2,鼻内窥镜进入外套管1确认外套管1进入上颌窦腔内,给外套管1前段的扩张囊体5充气或注水,以扩张原穿刺口,形成下鼻道上颌窦内侧壁开窗,放空扩张囊体5,取出外套管1后经上颌窦内侧壁开窗通道鼻内窥镜直视下彻底清除上颌窦病变。When the utility model is used, the puncture needle core 2 is put into the overtube 1, and after puncturing from the lateral wall of the patient's lower nasal passage into the maxillary sinus cavity, the puncture needle core 2 is pulled out, and the nasal endoscope enters the overtube 1 to confirm the overtube 1 Enter the maxillary sinus cavity, inflate or inject water into the expansion capsule 5 at the front part of the overtube 1 to expand the original puncture port, form a window on the medial wall of the inferior nasal passage and maxillary sinus, empty the expansion capsule 5, take out the overtube 1 and pass through the maxillary The fenestration channel on the medial wall of the sinus was used to completely remove the maxillary sinus lesions under direct vision of the nasal endoscope.

本实用新型结构简单、实用,手术创伤小,使用方便,适合于直视下快速彻底清除息肉,真菌,囊肿,异物等各种上颌窦病变,提高工作效率,减少了患者的痛苦。The utility model has the advantages of simple structure and practicality, small surgical trauma, convenient use, and is suitable for rapid and thorough removal of various maxillary sinus lesions such as polyps, fungi, cysts, and foreign bodies under direct vision, improves work efficiency, and reduces pain of patients.

Claims (4)

1.一种上颌窦穿刺扩张器,包括外套管、穿刺针管芯,所述外套管的内部设有用于放置穿刺针管芯的针芯通道,其特征在于:所述外套管的尾端设有软管接口,所述外套管的前部侧壁上设有扩张囊体,所述外套管的侧壁内设有扩张通道,所述扩张通道的一端与所述扩张囊体内部连通,所述扩张通道的另一端位于所述外套管尾端的软管接口内,所述软管接口通过软管与充气阀或注液器相连。1. A maxillary sinus puncture dilator, comprising an outer sleeve and a puncture needle stylet, the inside of the outer sleeve is provided with a needle core channel for placing the puncture needle stylet, it is characterized in that: the tail end of the outer sleeve is provided with a soft Tube interface, the front side wall of the outer sleeve is provided with an expansion capsule, the side wall of the outer sleeve is provided with an expansion channel, one end of the expansion channel communicates with the inside of the expansion bladder, and the expansion The other end of the channel is located in the hose interface at the tail end of the outer casing, and the hose interface is connected with the inflation valve or the liquid injector through the hose. 2.根据权利要求 1 所述的上颌窦穿刺扩张器,其特征在于:所述扩张囊体的前端与所述外套管的前端相距1.2~1.5cm,所述扩张囊体扩张后呈直径为1~1.5cm 的圆柱体,所述扩张囊体的长度为1~2cm。2. The maxillary sinus puncture dilator according to claim 1, characterized in that: the front end of the expansion capsule is 1.2 to 1.5 cm away from the front end of the outer cannula, and the diameter of the expansion capsule is 1 cm after expansion. ~1.5cm cylinder, the length of the expansion balloon is 1~2cm. 3.根据权利要求 1 所述的上颌窦穿刺扩张器,其特征在于:所述穿刺针管芯置入所述针芯通道后,所述穿刺针管芯的前端伸出所述外套管前端0.5~1cm。3. The maxillary sinus puncture dilator according to claim 1, characterized in that: after the puncture needle core is inserted into the needle core channel, the front end of the puncture needle core protrudes from the front end of the outer cannula by 0.5-1 cm . 4.根据权利要求 1 所述的上颌窦穿刺扩张器,其特征在于:所述扩张囊体内的外套管管壁上设有1~6个与所述扩张通道联通的气孔。4. The maxillary sinus puncture dilator according to claim 1, characterized in that: 1 to 6 air holes communicating with the expansion channel are provided on the wall of the outer tube in the expansion capsule.
CN201720763024.1U 2017-06-28 2017-06-28 A kind of puncture antral expander Expired - Fee Related CN207679505U (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110448364A (en) * 2019-09-11 2019-11-15 广州启骏生物科技有限公司 Puncturing hole auxiliary expanding equipment and puncturing operation system
CN112155683A (en) * 2020-09-14 2021-01-01 珠海原妙医学科技股份有限公司 Puncture expanding device

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110448364A (en) * 2019-09-11 2019-11-15 广州启骏生物科技有限公司 Puncturing hole auxiliary expanding equipment and puncturing operation system
CN112155683A (en) * 2020-09-14 2021-01-01 珠海原妙医学科技股份有限公司 Puncture expanding device

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