CN208464175U - A kind of anti-bracket that backflows coincideing for hollow organ - Google Patents

A kind of anti-bracket that backflows coincideing for hollow organ Download PDF

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Publication number
CN208464175U
CN208464175U CN201820091339.0U CN201820091339U CN208464175U CN 208464175 U CN208464175 U CN 208464175U CN 201820091339 U CN201820091339 U CN 201820091339U CN 208464175 U CN208464175 U CN 208464175U
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bracket
inflated
self
hollow organ
metal film
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CN201820091339.0U
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Inventor
胡良硕
吕毅
柴祎超
任冯刚
薛昭
王浩华
马锋
吴荣谦
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Chonghao Technology Co.,Ltd.
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First Affiliated Hospital of Medical College of Xian Jiaotong University
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Abstract

A kind of anti-bracket that backflows coincideing for hollow organ, including the metal film coated bracket of self-inflated and anti-reflux film are barricaded as the column type channel of transparent hollow structure by memorial alloy, and macromolecule membrane, which overlays on, constitutes the metal film coated bracket of self-inflated on the inside of the hollow structure;Holder inlet and support outlet turn up, the nearside hollow organ wall having coincide and distal side hollow organ's wall can be attached at, it prevents the metal film coated bracket of self-inflated mobile or slips, it is fixed on self-inflated metal film coated bracket in previous anastomotic, the macromolecule membrane of the metal film coated bracket of self-inflated extends to form anti-reflux film at support outlet.The utility model can be used for out the operation that hollow organ is identical under abdomen or scope, it is placed in previous anastomotic, it can make tolerant in internal organs proximal chamber body to be drained in distal chamber body by the present apparatus, regardless of pressure size in distal chamber body, it can prevent from being discharged into the intracorporal content of distal chamber and backflow, prevent the generation of all kinds of complication caused by adverse current.

Description

A kind of anti-bracket that backflows coincideing for hollow organ
Technical field
The invention belongs to the field of medical instrument technology, in particular to a kind of anti-bracket that backflows coincideing for hollow organ.
Background technique
It is the common art formula of general surgery that hollow organ, which coincide, and common includes gastrointestinal anastomosis, and intestines Surgical healing is other also to wrap Include Cholangio- jejunostomy, gall-bladder bowel anastomosis etc..Previous anastomosis operation, which needs to open again in abdomen or laparoscopic surgery, to carry out, with scope The advantages that development of technology is punctured under scope and coincide because its wound is small, restores fast, be not necessarily to general anesthesia is clinically carried out rapidly Come.But since hollow organ is adjusted by vegetative nerve, there is the phenomenon that Rythmic contractions characteristic, previous anastomotic tissue around can draw when shrinking It plays cavity pressure to change, while pressure is different in different organs, these can lead to should be from previous anastomotic one-directional flow in imagination Content adverse current, cause all kinds of complication;Since inflammatory stimulus can lead to hyperblastosis at previous anastomotic, the narrow contracting of previous anastomotic is even Locking, causes anastomosis operation to fail.
Summary of the invention
In order to overcome the disadvantages of the above prior art, the purpose of the present invention is to provide it is a kind of for hollow organ coincide The anti-bracket that backflows, is mainly made of the metal film coated bracket of self-inflated and anti-reflux film, and having after hollow organ coincide prevents The inverse operation returned function, can be used for out that hollow organ is identical under abdomen or scope of internal organs content, is placed in previous anastomotic, can make internal organs It is tolerant in proximal chamber body to be drained in distal chamber body by the present apparatus, it, can the row of preventing regardless of pressure size in distal chamber body Enter the intracorporal content of distal chamber to backflow, finally prevents the generation of all kinds of complication caused by adverse current.
The present invention proposes to be used for cavity according to the metal film coated bracket of self-inflated built in vascular anastomosis, Cholangio- jejunostomy, biliary tract Internal organs anastomosis bracket can not only make previous anastomotic be formed, it is often more important that have the function of to prevent backflowing, be able to solve both of the aforesaid technology Problem.
To achieve the goals above, the technical solution adopted by the present invention is that:
A kind of anti-bracket that backflows coincideing for hollow organ, which is characterized in that including metal film coated 1 He of bracket of self-inflated Anti-reflux film 2, wherein the metal film coated bracket 1 of self-inflated is made of memorial alloy and macromolecule membrane, on memorial alloy is barricaded as Under penetrating hollow structure column type channel 3, macromolecule membrane overlays on the inside of the hollow structure;The metal film coated bracket 1 of self-inflated Holder inlet 4 and support outlet 7 turn up, the nearside hollow organ wall 11 and distal side hollow organ's wall having coincide can be attached at 12, it prevents the metal film coated bracket 1 of self-inflated mobile or slips, be fixed on self-inflated metal film coated bracket 1 in previous anastomotic 10, institute The macromolecule membrane for stating the metal film coated bracket 1 of self-inflated extends to form anti-reflux film 2 at support outlet 7.
The metal film coated bracket 1 of self-inflated has the specification of sizes diameter and length combination.For example, column type channel 3 diameter 9 has 10mm, 12mm, 14mm, 16mm, 18mm equal-specification, and longitudinal length has 1cm, 2cm, 3cm equal-specification.
The memorial alloy is to have been used for that clinical to meet being placed in for a long time for human-body biological compatibility safety intracorporal at present Memorial alloy.
The holder inlet 4 and support outlet 7 of the metal film coated bracket 1 of self-inflated turn up to form umbrella or mushroom head. For example, 4 exapnsion of holder inlet turns up to form nearside wing mushroom head 5,7 exapnsion of support outlet turns up to form distal side wing mushroom head 6.
The macromolecule membrane and 2 material of anti-reflux film are consistent, be macromolecule superhydrophobic film, gastric juice, intestinal juice, The content of the components such as bile is easy to pass through, and is not easy to adhere to, and microorganism is difficult to growth of inversely creeping.
Anti-reflux film 2 is natural extension of the macromolecule membrane at support outlet 7, and answers folding and form sleeve tubular structure, In nature fit-state or natural adsorbed state at 2 distal opening of anti-reflux film.
Anti-reflux film 2 can be bonded naturally when the liquid for having aqueous ingredients flows through, and under fit-state, fitting is horizontal The width of exhibition is the major diameter of the anti-reflux film 2 of sleeve shape, is turned up umbrella or mushroom equal to holder inlet 4 and support outlet 7 The width 8 of head, the minor axis of anti-reflux film 2 are not less than the diameter 9 in column type channel 3.The anti-reflux film 2 of sleeve shape has major diameter And minor axis, it is more advantageous to double film fittings under natural conditions.
Maximum width is equal or slightly larger than metal film coated 1 exapnsion of bracket of self-inflated at 2 distal opening of anti-reflux film The pi/2 of internal diameter times afterwards is greater than the opening maximum width along the axial vertical length of the metal film coated bracket 1 of self-inflated, anti-to return The stream installation of film 2 is placed on afterwards in vivo in identical distal chamber body.
When the metal film coated 1 non-exapnsion of bracket of the self-inflated, it can be compressed to and clinical pushed away with common 10.8Fr equal-specification bracket It send in the stent pushing device outer sheath 13 in the conveying lead sheath of device and pusher between sheath 14.
The metal film coated bracket 1 of self-inflated can be used for out the operation that hollow organ is identical under abdomen or scope;It is in biology Intracorporal mounting means is similar with clinical common all kinds of brackets, and the guidance of seal wire 16, professional device can be used in the installation under scope intervention Tool pushes, can voluntarily exapnsion and fixation behind the designated position in arrival previous anastomotic 10.
According to the present invention, it is unidirectionally flowed out by holder inlet 4 and distal end anti-reflux film 2, but when remote pressure is high, resisted 2 inner surface of film that backflows fits closely under hyperbaric environment, and remote content object proximally countercurrently, can not realize anti-reflux function in direction Energy.
Compared with prior art, the beneficial effects of the present invention are:
1, the present invention is a kind of functional previous anastomotic holder device of tool, is coincide suitable for opening hollow organ under abdomen or scope Operation (including gastrointestinal anastomosis, intestines Surgical healing, Cholangio- jejunostomy, gall-bladder bowel anastomosis etc.), be placed at previous anastomotic, structure is simple, Clear principle can fundamentally prevent hollow organ previous anastomotic and inversely backflow all kinds of complication of initiation, clinical at present temporarily without answering It is the technological gap in presently relevant field with the bracket that can be used for hollow organ anastomosis with anti-reflux function;
2, the present invention has different model, can select the model of suitable dimension is different with to coincide from operative doctor Mouthful.
Detailed description of the invention
Fig. 1 is the anti-bracket appearance diagram of backflowing that the present invention coincide for hollow organ.
Fig. 2 is that the anti-bracket that backflows that the present invention coincide for hollow organ shows that signal is seen in anti-reflux film the widest part front Figure.
Fig. 3 is that signal is seen in the anti-most narrow place front of bracket displaying anti-reflux film of backflowing that the present invention coincide for hollow organ Figure.
Fig. 4 is that signal is seen and (observed from holder inlet direction) to the anti-cradle top surface of backflowing that the present invention coincide for hollow organ Figure.
Fig. 5 is that the anti-cradle bottom surface sight of backflowing (observing from anti-reflux film direction) that the present invention coincide for hollow organ is shown It is intended to.
Fig. 6 is the anti-bracket release distal side wing mushroom head scheme of installation that backflows that the present invention coincide for hollow organ.
Fig. 7 is that the anti-bracket that backflows that the present invention coincide for hollow organ is installed schematic diagram.
Specific embodiment
Purpose, technical solution and its effect to facilitate the understanding of the present invention, now will in conjunction with the embodiments to the present invention do into One step elaborates.
A kind of anti-bracket that backflows coincideing for hollow organ of the present invention, can be placed in previous anastomotic in the course of surgery, due to Design feature voluntarily exapnsion can be fixed on previous anastomotic and prevent from moving after coincideing, and position is fixed, and can support previous anastomotic form for a long time, It keeps previous anastomotic unobstructed and plays anti-reflux function.
The present invention is suitable for opening the operation that hollow organ is identical under abdomen or scope, is placed in previous anastomotic, can make internal organs proximal end Device is drained in distal chamber body cavity content through the invention, can be prevented from being discharged into the intracorporal content of distal chamber and be backflowed, and is prevented The generation of all kinds of complication only caused by adverse current.
Specific structure of the present invention as shown in Figure 1, Figure 2, shown in Fig. 3, Fig. 4, Fig. 5, Fig. 6 and Fig. 7, including the metal film coated branch of self-inflated 2 two large divisions of frame 1 and anti-reflux film.
Wherein, the metal film coated bracket 1 of self-inflated meets growing for human-body biological compatibility safety by having been used for clinic at present Phase is placed in intracorporal memorial alloy and macromolecule membrane is constituted, and memorial alloy is barricaded as the column type channel 3 of transparent hollow structure, Macromolecule membrane overlays on the inside of the hollow structure;4 exapnsion of holder inlet of the metal film coated bracket 1 of self-inflated turns up to form nearside Wing mushroom head 5,7 exapnsion of support outlet turn up to form distal side wing mushroom head 6.The nearside hollow organ wall 11 having coincide can be attached at With distal side hollow organ's wall 12, prevents the metal film coated bracket 1 of self-inflated mobile or slip, keep the metal film coated bracket 1 of self-inflated solid Due in previous anastomotic 10.
The macromolecule membrane of the metal film coated bracket 1 of self-inflated extends naturally at support outlet 7, and answers folding and form sleeve shape The anti-reflux film 2 of structure is in nature fit-state at 2 distal opening of anti-reflux film.In the liquid for having aqueous ingredients Can be bonded naturally when flowing through, under fit-state, be bonded horizontal exhibition width be sleeve shape anti-reflux film 2 major diameter, etc. It turns up the width 8 of umbrella or mushroom head in holder inlet 4 and support outlet 7, the minor axis of anti-reflux film 2 is logical not less than column type The diameter 9 in road 3.The anti-reflux film 2 of sleeve shape has major diameter and minor axis, is more advantageous to double film fittings under natural conditions.
In maximum width is equal or slightly larger than after metal film coated 1 exapnsion of bracket of self-inflated at 2 distal opening of anti-reflux film The pi/2 of diameter times is greater than the opening maximum width along the axial vertical length of the metal film coated bracket 1 of self-inflated, and anti-reflux is thin The installation of film 2 is placed on afterwards in vivo in identical distal chamber body.
In the present invention, macromolecule membrane and 2 material of anti-reflux film are consistent, be macromolecule superhydrophobic film, gastric juice, The content of the components such as intestinal juice, bile is easy to pass through, and is not easy to adhere to, and microorganism is difficult to growth of inversely creeping.
The materials such as macromolecule superhydrophobic film such as polyurethane film, are widely used in clinic, and such material has safety Biocompatibility in the presence of having the liquid of moisture content between double-layer films, can produce between two membranes due to its super-hydrophobicity Electrostatic adsorption force, when liquid flows between film, fitting trend is presented in two films always, therefore feature can be made into the valve of one-way Film.Mutually clinically have for the metal film coated bracket of self-inflated built in vascular anastomosis, Cholangio- jejunostomy, biliary tract at present, can prevent Lumen narrow contracting Hypertrophic or repressively, the metal film coated bracket 1 of self-inflated of the present invention can be used for coincideing for hollow organ, bracket Distal openings have the sleeve shape macromolecule superhydrophobic film of specific form feature, when film inner wall has the liquid object containing moisture The characteristics of mass flow is out-of-date, and soft film can be bonded to each other, ensure that one-way flow.It can not only make the hollow organ's after coincideing Previous anastomotic keeps clear, and has the function of preventing backflowing, fundamentally solves the defect of such anastomosis operation, fills up technology sky It is white.
In the present invention, the metal film coated bracket 1 of self-inflated has the specification of sizes diameter and length combination.For example, column The diameter 9 in type channel 3 has 10mm, 12mm, 14mm, 16mm, 18mm equal-specification, and longitudinal length has 1cm, 2cm, 3cm equal-specification.
The mounting means of the present invention in vivo is similar with clinical common all kinds of brackets, and the installation under scope intervention can adopt It is guided with seal wire 16, professional instrument push, installs, can be compressed to by endoscopic ultrasonography service aisle clinical common under scope It 10.8Fr and is not limited in the conveying lead sheath of stent pushing device of 10.8Fr, is hidden in stent pushing device outer sheath 13 and pusher It between interior sheath 14, is drawn and is conveyed by seal wire 16 under the traction of interior sheath probe 15, until entering distal end by previous anastomotic 10 In tissue lumen body;After confirming suitable position, stent pushing device outer sheath 13, the compressed stent of the non-exapnsion of exposure, solution are slowly exited 15 traction functions of sheath probe, stent pushing device outer sheath 13 continue slowly to exit in locking, distal side wing mushroom head 6, column type channel 3, nearside wing mushroom head 5 successively discharges;Distal side wing mushroom head 6, which turns up, is attached at distal side hollow organ's inner wall 12;Column type channel 3 is certainly Exapnsion maximizes the inside for being attached at previous anastomotic 10, and generates tension;Nearside wing mushroom head 5, which turns up, is attached at nearside hollow organ Inner wall 11;After the metal film coated bracket 1 of self-inflated is partially completed movement from exapnsion, bracket can be prevented mobile.
As wing mushroom head 6 exapnsion in distal side turns up, the expansion of anti-reflux film 2 of former compressive state is suspended in distal end cavity It is interior;It is to be confirmed be installed in place after, withdraw from remaining stent pushing system, the probe 15 including sheath 14 in pusher and its end with And its internal seal wire 16 passed through, complete entire installation steps.
Even if causing anti-reflux film 2 into column type channel 3 in the process for exiting interior sheath 14 or probe 15 or seal wire 16 The anti-reflux film 2 of fold back can be extruded bracket and gone out by portion's fold back after the inflow by holder inlet 4 tolerant in proximal chamber body Mouth 7, and it is bonded 2 inner wall of anti-reflux film, unidirectional valve is formed, it is intracorporal to flow into distal chamber for the instant intracavitary high pressure of distal body Substance can not flow into bracket the anti-reflux function that bracket is realized (in previous anastomotic 10) again.
Further narration is done to the present invention above in conjunction with embodiment, but present invention is not limited to the embodiments described above, Within the knowledge of one of ordinary skill in the art, it can also make without departing from the purpose of the present invention Various change, such as the drainage of Pancreatic Psoudocyst.

Claims (9)

1. a kind of anti-bracket that backflows coincideing for hollow organ, which is characterized in that including the metal film coated bracket of self-inflated (1) and Anti-reflux film (2), wherein the metal film coated bracket of self-inflated (1) is made of memorial alloy and macromolecule membrane, and memorial alloy is taken At the column type channel (3) of transparent hollow structure, macromolecule membrane overlays on the inside of the hollow structure;Self-inflated is metal film coated The holder inlet (4) and support outlet (7) of bracket (1) turn up, and to be attached at two hollow organ inner walls having coincide, prevent certainly The swollen metal film coated bracket of formula (1) is mobile or slips, and is fixed on the metal film coated bracket of self-inflated (1) in previous anastomotic (10), described The macromolecule membrane of the metal film coated bracket of self-inflated (1) extends to form anti-reflux film (2) at support outlet (7).
2. the anti-bracket that backflows coincideing according to claim 1 for hollow organ, which is characterized in that the self-inflated metal Overlay film frame (1) has the specification of sizes diameter and length combination.
3. the anti-bracket that backflows coincideing according to claim 1 for hollow organ, which is characterized in that the self-inflated metal The holder inlet (4) and support outlet (7) of overlay film frame (1) turn up to form umbrella or mushroom head.
4. the anti-bracket that backflows coincideing according to claim 1 for hollow organ, which is characterized in that the self-inflated metal After overlay film frame (1) exapnsion, holder inlet (4) exapnsion turns up to form nearside wing mushroom head (5), outside support outlet (7) exapnsion It turns over to form distal side wing mushroom head (6).
5. the anti-bracket that backflows coincideing according to claim 1 for hollow organ, which is characterized in that the macromolecule membrane For macromolecule superhydrophobic film.
6. the anti-bracket that backflows coincideing according to claim 1 for hollow organ, which is characterized in that the macromolecule membrane Extend and answer the anti-reflux film (2) that folding forms sleeve shape at support outlet (7), is at anti-reflux film (2) distal opening Natural fit-state.
7. the anti-bracket that backflows coincideing according to claim 6 for hollow organ, which is characterized in that the fit-state Under, be bonded horizontal exhibition width be sleeve shape anti-reflux film (2) major diameter, be equal to holder inlet (4) and support outlet (7) The width (8) of umbrella of turning up or mushroom head, the minor axis of anti-reflux film (2) are not less than the diameter (9) of column type channel (3).
8. the anti-bracket that backflows coincideing according to claim 1 for hollow organ, which is characterized in that the anti-reflux film (2) maximum width is equal or slightly larger than the pi/2 times of internal diameter after the metal film coated bracket of self-inflated (1) exapnsion at distal opening, along from The vertical length of the swollen metal film coated bracket of formula (1) axial direction is greater than the opening maximum width, and anti-reflux film (2) is mounted on life It is placed in identical distal chamber body after in object.
9. the anti-bracket that backflows coincideing according to claim 1 for hollow organ, which is characterized in that the self-inflated metal When overlay film frame (1) non-exapnsion, the stent pushing device outer sheath in the clinical conveying lead sheath with stent pushing device can be compressed to (13) and in pusher between sheath (14).
CN201820091339.0U 2018-01-19 2018-01-19 A kind of anti-bracket that backflows coincideing for hollow organ Active CN208464175U (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108186072A (en) * 2018-01-19 2018-06-22 西安交通大学医学院第附属医院 A kind of anti-stent that backflows coincideing for hollow organ

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108186072A (en) * 2018-01-19 2018-06-22 西安交通大学医学院第附属医院 A kind of anti-stent that backflows coincideing for hollow organ

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