CN207693624U - A kind of lower common bile duct occluding device - Google Patents
A kind of lower common bile duct occluding device Download PDFInfo
- Publication number
- CN207693624U CN207693624U CN201720677860.8U CN201720677860U CN207693624U CN 207693624 U CN207693624 U CN 207693624U CN 201720677860 U CN201720677860 U CN 201720677860U CN 207693624 U CN207693624 U CN 207693624U
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- CN
- China
- Prior art keywords
- bile duct
- common bile
- lower common
- occluding device
- conduit
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
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- Infusion, Injection, And Reservoir Apparatuses (AREA)
- Surgical Instruments (AREA)
Abstract
The utility model discloses a kind of lower common bile duct occluding devices, belong to surgical operation auxiliary appliance technical field.Occluding device includes conduit and sacculus portion, tube at one end is equipped with fluid injection end, the conduit other end is connected to sacculus portion, the sacculus portion includes straightway and tilting section, and straightway connecting tube, the lower common bile duct occluding device further includes liquid injection pipe and thread eye, the liquid injection pipe is passed through from conduit, liquid injection pipe one end connects fluid injection end, and the liquid injection pipe other end extends to inside sacculus portion, and the thread eye is arranged inside sacculus portion.It using the device of the utility model, can reduce to corrective surgery wound, reduce patient and complication occurs, reduce length of patient stay, there is very high application value in clinical practice.
Description
Technical field
The utility model discloses a kind of lower common bile duct occluding devices, belong to surgical operation auxiliary appliance technical field.
A kind of achievable lower common bile duct flow blocking is referred specifically to, a large amount of flows in complexity calculus of intrahepatic duct patient with operation art are reduced
Into in art caused by enteron aisle and the device of postoperative complications.
Background technology
Complexity calculus of intrahepatic duct is China's common disease frequently-occurring disease, Chang Jifa infection of biliary tract repeatedly, liver function damage, more
Severe patient needs row orthotopic liver transplantation.Biliary tract stone extraction be at present it is main for complexity treating hepatolithiasis method it
One.
It is found in biliary tract stone extraction operation is clinical, the usual state of an illness of stones in intrahepatic bile duct Calculus patient is complicated, through biliary tract fistula
It takes stone often to need to perform the operation several times and can just exhaust calculus in pipe, and needs expansion bile ducts of largely washing by water during taking stone, and it is a large amount of
A series of complication of patient can be led into intestinal tube by washing by water.Such as 1. the hypertonia of bath in art enter ductus pancreaticus and lead to pancreatitis;2. suffering from
Person's abdominal distension has to terminate operation in advance;3. diaphram raises the influence to respiratory system, cardiac function;Continue 4. water flows through stomach tube
Outflow causes accidentally to inhale possible;5. hypothermia leads to fever even general infection of shivering.Patient it is postoperative influence include:1. pain,
Diarrhea increases the ailing sense of operation and fear;2. nipple muscular function is impaired, intestinal juice, which backflows, causes biliary tract retrograde infection;3. irritability
Wound increases;4. bacterial translocation from gut, imbalance caused by a large amount of water-filling expansions of intestinal tube;5. water intoxication, electrolyte disturbance.And for pre-
The case where preventing such complication, there is no effective solution method.
Utility model content
For the above-mentioned deficiency of the prior art, the purpose of this utility model is intended to provide a kind of lower common bile duct blocking dress
It sets, including conduit and sacculus portion, tube at one end is equipped with fluid injection end, and the conduit other end is connected to sacculus portion, and the sacculus portion includes
Straightway and tilting section, straightway connecting tube, the lower common bile duct occluding device further include liquid injection pipe and thread eye, described
Liquid injection pipe is passed through from conduit, and liquid injection pipe one end connects fluid injection end, and the liquid injection pipe other end extends to inside sacculus portion, described to lead
Wire hole is arranged inside sacculus portion.
Further, the conduit cross section is ellipse, is about 30cm.
Further, the thread eye is arranged along sacculus portion length direction and thread eye is arranged at sacculus cross section center
Position.
Wherein, a diameter of 0.5mm of the thread eye.
The beneficial effects of the utility model are:A kind of lower common bile duct occluding device of the utility model, takes in biliary tract
It is used in stone operation, the device of the utility model is placed in water-filling dilating sacculus after lower common bile duct, makes choledochus epimere flow
Enteric cavity will not be flowed downwardly into, reduces the interference to enteron aisle, while avoiding the generation of abdominal distension.
Using the device of the utility model, advantageous effect is apparent:
1. keep upper digestive tract because hydrochloric acid in gastric juice there are due to the opposite germ-free condition that keeps.Avoiding a large amount of flows from entering intestinal tube causes
Bacterial translocation from gut caused by dilatation of intestine, flora imbalance.
2. mitigating the reflux infection caused due to the hepatocytes secrete pressure caused by flow is excessive is damaged.
3. for the case where there are infection of biliary tract in the case of Biliary Calculi most patients, the method, which can be reduced, will infect bile
And cholelith pours the further infection caused by intestinal tube.
4. reducing the Common openings of immense pressure impact lower common bile duct and ductus pancreaticus, the generation of pancreatitis is avoided.
5. reducing postoperative antibiotic usage.
6. water dispenser flow velocity can be reduced, it can achieve the purpose that expanding stones in intrahepatic bile duct takes stone using lower perfusion water flow velocity,
Reduce water waste.
7. applying distal common bile duct flow interrupter technique, the generation of intraoperative compliaction is reduced, can be that stone is taken to strive for more
Time.
8. minimum guiding theory is interfered to patient body with operation method, by minimally invasive surgery Idea, Promote a to new peak
Degree.
It using the device of the utility model, can reduce to corrective surgery wound, reduce patient and complication occurs, reduce patient
Hospital stays has very high application value in clinical practice.
Description of the drawings
Fig. 1 is the overall structure diagram of the utility model lower common bile duct occluding device;
Fig. 2 is the structural schematic diagram in sacculus portion in Fig. 1;
Fig. 3 is the structural schematic diagram of Section A-A in Fig. 1;
Fig. 4 is the structural schematic diagram of section B-B in Fig. 2;
Fig. 5 is the status diagram after the utility model lower common bile duct occluding device water filling;
Fig. 6 is the use state diagram of the utility model lower common bile duct occluding device.
Reference numeral is as follows:
1, conduit, 2, sacculus portion, 3, fluid injection end, 4, liquid injection pipe, 5, thread eye, 6, straightway, 7, tilting section;
21, ductuli hepaticus communis, 22, choledochus, 23, ductus pancreaticus, 24, stones in intrahepatic bile duct, 25, duodenum, 26, the multiple knot of stones in intrahepatic bile duct
Stone, 27, biliary tract fistula position, 28, choledochoscope channel, 29, occluding device entrance, 30, sacculus portion in-position.
Specific implementation mode
In the following, in conjunction with attached drawing and specific implementation mode, the utility model is described further:
Lower common bile duct occluding device provided by the utility model, as shown in Figure 1 and Figure 2
In the present embodiment, a kind of lower common bile duct occluding device is provided, used in taking stone to perform the operation in through biliary tract fistula,
It is expanded by water-filling and blocks choledochus epimere flow, choledochus epimere flow is made not flow downwardly into enteric cavity, reduce surgical procedure
In interference to enteron aisle, while avoiding the generation of abdominal distension, reduce the generation of complication for patients.
Specifically, lower common bile duct occluding device, including the be interconnected conduit 1 of length 30cm and the sacculus of length 3cm
Portion 2, sacculus portion 2 include straightway 6 and tilting section 7 in the longitudinal direction, and straightway connecting tube 1, tilting section 7 is as sacculus portion
2 end is set as skewed, is adapted with the physiological structure of lower common bile duct.In one end of conduit 1, fluid injection end 3 is set,
Fluid injection end 3 can refer to conventional catheter balloon design, including liquid injection port and one-way cock, and the injection that can be lived by water filling is other
Liquid beats sacculus portion 2 of rising.The other end of conduit 1 extends to inside sacculus portion 2.
Sacculus portion 2 is due to the position of sacculus to be retained, so diameter is wider, conduit 1 takes stone due to space to be saved
Operation, therefore design flat ellipse.The changeover portion between conduit 1 in sacculus portion 2 be 45 ° of inclined-planes, convenient for operation after take out
Sacculus, while not damaging biliary tract.
As shown in figure 3, to keep device durable, while smaller sinus space is occupied, take stone to operate conducive to subsequent,
In the present embodiment, the cross section of conduit 1 is preferably arranged to ellipse.
It is led in the present embodiment as shown in figure 4, being provided in the center in sacculus portion 2 for penetrating the thread eye 5 of seal wire
A diameter of 0.5cm of wire hole 5, operating room can often be passed through with the zebra guide wire of diameter 0.38cm.
State after the water filling of the lower common bile duct occluding device of the utility model is as shown in figure 5, use state such as Fig. 6 institutes
Show, in figure 6, the physiological structure of human body includes:Ductuli hepaticus communis 21, choledochus 22, ductus pancreaticus 23, stones in intrahepatic bile duct 24, duodenum 25,
Reference numeral 26 is stones in intrahepatic bile duct Calculus, and 27 be choledochoscope channel.
Specifically used method is in taking stone to perform the operation in through biliary tract fistula, to pass through 27 leading choledochoscope of biliary tract fistula position
Detect lower common bile duct and be placed into seal wire, by the lower common bile duct occluding device of the utility model through at occluding device entrance 29 by
It is put under seal wire guiding, until sacculus portion 2 reaches sacculus portion in-position 30, the liquid injection port at fluid injection end 3 injects water, makes
The 2 water-filling expansion of sacculus portion, the flow on choledochus top is blocked, flow is prevented to enter enteric cavity i.e. duodenum 25.In this way
Method, reduce interference to enteron aisle in surgical procedure, while avoiding the generation of abdominal distension, reduce the generation of complication for patients.
It will be apparent to those skilled in the art that technical solution that can be as described above and design, make various other
Corresponding change and deformation, and all these changes and deformation should all belong to the protection of the utility model claims
Within the scope of.
Claims (4)
1. a kind of lower common bile duct occluding device, including conduit and sacculus portion, tube at one end is equipped with fluid injection end, the conduit other end
It is connected to sacculus portion, which is characterized in that the sacculus portion includes straightway and tilting section, straightway connecting tube, the choledochus
Hypomere occluding device further includes liquid injection pipe and thread eye, and the liquid injection pipe is passed through from conduit, and liquid injection pipe one end connects fluid injection end
Head, the liquid injection pipe other end extend to inside sacculus portion, and the thread eye is arranged inside sacculus portion.
2. lower common bile duct occluding device as described in claim 1, which is characterized in that the conduit cross section is ellipse,
Length is 30cm.
3. lower common bile duct occluding device as described in claim 1, which is characterized in that the thread eye is along sacculus minister degree side
To setting and thread eye setting is in sacculus cross section center.
4. lower common bile duct occluding device as claimed in claim 3, which is characterized in that a diameter of 0.5cm of the thread eye.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN201720677860.8U CN207693624U (en) | 2017-06-12 | 2017-06-12 | A kind of lower common bile duct occluding device |
Applications Claiming Priority (1)
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CN201720677860.8U CN207693624U (en) | 2017-06-12 | 2017-06-12 | A kind of lower common bile duct occluding device |
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Publication Number | Publication Date |
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CN207693624U true CN207693624U (en) | 2018-08-07 |
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CN201720677860.8U Expired - Fee Related CN207693624U (en) | 2017-06-12 | 2017-06-12 | A kind of lower common bile duct occluding device |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN107049405A (en) * | 2017-06-12 | 2017-08-18 | 广州医科大学附属第医院 | A kind of lower common bile duct occluding device |
-
2017
- 2017-06-12 CN CN201720677860.8U patent/CN207693624U/en not_active Expired - Fee Related
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN107049405A (en) * | 2017-06-12 | 2017-08-18 | 广州医科大学附属第医院 | A kind of lower common bile duct occluding device |
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Date | Code | Title | Description |
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GR01 | Patent grant | ||
GR01 | Patent grant | ||
CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20180807 Termination date: 20190612 |
|
CF01 | Termination of patent right due to non-payment of annual fee |