CN2090705U - Apparatus for treatment of cholelithiasis - Google Patents

Apparatus for treatment of cholelithiasis Download PDF

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Publication number
CN2090705U
CN2090705U CN 91206154 CN91206154U CN2090705U CN 2090705 U CN2090705 U CN 2090705U CN 91206154 CN91206154 CN 91206154 CN 91206154 U CN91206154 U CN 91206154U CN 2090705 U CN2090705 U CN 2090705U
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CN
China
Prior art keywords
gallbladder
needle
catheter
puncture needle
intraluminal
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Withdrawn
Application number
CN 91206154
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Chinese (zh)
Inventor
陈省山
李曾年
李�荣
陈卫东
于泽康
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Individual
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Individual
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Publication date
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Priority to CN 91206154 priority Critical patent/CN2090705U/en
Publication of CN2090705U publication Critical patent/CN2090705U/en
Withdrawn legal-status Critical Current

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Abstract

The utility model relates to an apparatus for treatment of cholelithiasis, which is composed of a gallbladder guiding puncture needle, a gallbladder catheter puncture needle and a gallbladder intracavity catheter. The apparatus can directly perfusing litholytics into the gallbladder. After perfusing physic liquor into the gallbladder, a Y-shaped joint and an air bag catheter are additionally arranged in the apparatus for the patients with the cholecystolithiasis which is easy to flow away from the gallbladder tube; The detention in the gallbladder of the physic liquor is ensured, and the treatment of dissolving stone is convenient.

Description

Apparatus for treatment of cholelithiasis
The utility model relates to a kind of apparatus for the treatment of cholelithiasis.
At present, the method for treatment cholelithiasis is a lot of, as the oral Chinese medicine calculus, uses instrument--the interior shock wave lithotripsy of external or body, and the surgical removal gallbladder etc.But any Therapeutic Method all has limitation.And the oral Chinese medicine calculus, extracorporeal shock-wave lithotomy, curative effect is not ideal enough, the surgical removal gallbladder, unless forced, obviously be worthless in the ordinary course of things.Direct perfusion lithontriptic in gallbladder carries out lithodialysis in gallbladder, be the method for at present emerging in the world treatment cholelithiasis, and it does not excise gallbladder, just lithontriptic is injected in the gallbladder and just can dissolve calculus fully, and patient is healed entirely.
The purpose of this utility model just is to provide a kind of lithontriptic that directly pours into to all kinds cholelithiasis with dissolution therapy indication in gallbladder, with the apparatus of calculus in the treatment gallbladder.By this apparatus, lithontriptic is directly imported in the gallbladder, and, the lithodialysis medicinal liquid all can be detained in gallbladder at all kinds cholelithiasis, give full play to the effect of lithontriptic, cholelithiasis is dissolved fully, excrete, thereby obtain complete.
Another purpose of the present utility model is to utilize this apparatus to carry out gallbladder and puts pipe and do drain, decompression or perfusion antimicrobial drug etc. to treat disease such as suppurative cholecystitis.
The purpose of this utility model is to realize like this, it is by the gallbladder guided puncturing needle, gallbladder conduit puncture needle and gallbladder intraluminal catheter three parts are formed, the gallbladder guided puncturing needle is made up of nook closing member and needle tubing two parts, its tip portion is an inclined-plane, the nose of needle tail part needle core base inserts in the groove of needle tubing seat, just in time make the nook closing member bevel direction of needle point consistent with the bevel direction of needle tubing, the gallbladder conduit puncture needle is a tubulose, become sliding fit to be enclosed within outside the gallbladder guided puncturing needle, its needle point also is the inclined-plane, fixed handle is housed on the backshank, and the external diameter of gallbladder intraluminal catheter is less than the internal diameter of gallbladder conduit puncture needle, and catheter proximal end has interconnected side opening.
Because of the variation of anatomical features such as everyone gallbladder form, size, the somebody is after pouring into the gallbladder medicinal liquid, and medicinal liquid easily flows away from cystic duct, so just can not give full play to the effect of lithontriptic; Again because of everyone calculus shape, size, how much differ, the purpose of this utility model can also realize like this, design a breeches joint and a balloon catheter, breeches joint can be sleeved on the external end of gallbladder intraluminal catheter, balloon catheter can be imported the gallbladder intraluminal catheter along an end of breeches joint, in gallbladder, and the balloon catheter forward end seal, after the inflation, front end can be clavate or T font.
Gallbladder guided puncturing needle and gallbladder conduit puncture needle are made of metal, preferentially select stainless steel material for use; Gallbladder intraluminal catheter and breeches joint can select for use silica gel or non-toxic plastic to make, as polyethylene etc.; Balloon catheter is selected medical silica-gel for use, and air bag selects for use latex or silica gel material to make.
Using method of the present utility model is as follows: earlier a conduit puncture needle is thrust subcutaneously, then guided puncturing needle is inserted in the conduit puncture needle, ultrasonic puncture is needled into the gallbladder intracavity, extracts nook closing member, and checking has not bile, whether to determine to operate accurately.In this way, then hold gallbladder conduit puncture needle handle, make the gallbladder conduit puncture needle be needled into the gallbladder intracavity along the gallbladder ultrasonic puncture, extract the gallbladder guided puncturing needle then: the gallbladder intraluminal catheter is inserted the gallbladder intracavity along gallbladder conduit puncture needle inwall, extract the gallbladder conduit puncture needle, have only the gallbladder intraluminal catheter to be trapped in the gallbladder this moment, for various types of calculus that the lithodialysis indication is arranged, can be in gallbladder through gallbladder intraluminal catheter perfusion lithontriptic, treat that cholelithiasis dissolves fully, extract the gallbladder intraluminal catheter, treatment finishes.For suppurative cholecystitis, gallbladder high pressure patient utilizes this apparatus, can carry out drain, decompression or perfusion antibiotics etc.
Various types of gallstone patients that lithontriptic is difficult for keeping in gallbladder, can be sleeved on the external tail end of gallbladder intraluminal catheter to breeches joint, the end input gallbladder intraluminal catheter of balloon catheter along breeches joint, in gallbladder, regulate the balloon catheter direction, make the termination of balloon catheter be in the cystic duct place, inflation, make the clavate air bag stop up cystic duct, this moment is along the other end perfusion lithontriptic of the breeches joint of the terminal suit of gallbladder intraluminal catheter, treatment finishes, and emits the gas in the air bag, takes out balloon catheter.If the clavate air bag of clavate balloon catheter can be used T shape balloon catheter instead easily in the cystic duct slippage, except that requiring T shape balloon catheter front end to be placed on common bile duct and the cystic duct convergence part, other operation sequence is identical with clavate balloon catheter allocation method.
This utility model is simple in structure, and is easy to use, punctures and puts pipe success rate height, and required time is short, and patient is painful few.
Fig. 1 gallbladder guided puncturing needle and gallbladder conduit puncture needle constitutional diagram
Fig. 2 has balloon catheter, gallbladder intraluminal catheter and the breeches joint constitutional diagram of clavate air bag
Fig. 3 has balloon catheter, gallbladder intraluminal catheter and the breeches joint constitutional diagram of T shape air bag
The balloon catheter that Fig. 4 has the clavate air bag places the interior sketch map of gallbladder
The balloon catheter that Fig. 5 has T shape air bag places the interior sketch map of gallbladder
The A of Fig. 6 Fig. 1 is to view
The B of Fig. 7 Fig. 1 is to view
1. gallbladder guided puncturing needle 1-1. nook closing member 1-1-1. needle core base
1-2. needle tubing 1-2-1. needle tubing seat 1-3. inclined-plane
2. gallbladder conduit puncture needle 2-1. inclined-plane 2-2. handle
3. gallbladder intraluminal catheter 3-1. side opening 4. gallbladders 5. cystic ducts
6.Y type joint 7. balloon catheter 7-1. clavate air bags
7-2.T shape air bag 8. common bile duct
Embodiment 1:
This utility model apparatus is made up of gallbladder guided puncturing needle 1, gallbladder conduit puncture needle 2 and gallbladder intraluminal catheter 3 three parts, the gallbladder guided puncturing needle is made up of nook closing member 1-1 and needle tubing 1-2 two parts, its tip portion is an inclined-plane 1-3, the nose of needle tail part needle core base 1-1-1 inserts among the groove of needle tubing seat 1-2-1, just in time makes the nook closing member bevel direction of needle point consistent with the bevel direction of needle tubing.The gallbladder conduit puncture needle is a tubulose, becomes sliding fit to be enclosed within outside the gallbladder guided puncturing needle, and its tip portion is inclined-plane 2-1 also, is bonded with plastics system handle 2-2 on the backshank; The external diameter of gallbladder intraluminal catheter is less than the internal diameter of gallbladder conduit puncture needle, and the front end of conduit has interconnected side opening 3-1.
The using method of this apparatus is as follows: earlier conduit puncture needle is thrust subcutaneous, then guided puncturing needle is inserted in the conduit puncture needle, ultrasonic puncture is needled into gallbladder 4 intracavity, extract nook closing member, inspection has not bile, to guarantee that operation accurately, in this way, the gallbladder conduit puncture needle handle of then holding with a firm grip is needled into the gallbladder intracavity to the gallbladder conduit puncture needle along the gallbladder ultrasonic puncture, extracts the gallbladder guided puncturing needle, slowly send into the gallbladder intraluminal catheter in the gallbladder along gallbladder conduit puncture needle inwall, extract the gallbladder conduit puncture needle then, have only the gallbladder intraluminal catheter to be trapped in the gallbladder this moment, to all kinds calculus of lithodialysis indication is arranged, can be in gallbladder through gallbladder intraluminal catheter perfusion lithontriptic, treat that calculus dissolves, extract the gallbladder intraluminal catheter, treatment finishes.
Embodiment 2:
After pouring into the lithodialysis medicinal liquid in the gallbladder, the easy gallstone patients that flows away from cystic duct 5, on the used apparatus of embodiment 1, add a breeches joint 6 and a balloon catheter 7, breeches joint is sleeved on the external tail end of gallbladder intraluminal catheter, the end input gallbladder intraluminal catheter of balloon catheter, in gallbladder, regulate the balloon catheter direction along breeches joint, make the termination of balloon catheter be in the cystic duct place, inflation makes clavate air bag 7-1 stop up cystic duct, and this moment is along the other end perfusion lithontriptic of breeches joint, the calculus medicine is detained in the gallbladder, after seance finishes, emit the gas in the air bag, take out balloon catheter, treatment still can repeat once more, dissolve fully until the gallbladder knot, extract the gallbladder intraluminal catheter, treatment finishes.
Embodiment 3:
For the clavate air bag of balloon catheter end easily in the gallstone patients of cystic duct slippage, can adopt the balloon catheter front end is the air bag 7-2 of T shape, T shape air bag is seated in common bile duct 8 and cystic duct junction, and its operation sequence is preceding with balloon catheter to be that clavate air bag person is identical.

Claims (2)

1, a kind of therapeutic device of cholelithiasis, it is characterized in that it is made up of gallbladder guided puncturing needle, gallbladder conduit puncture needle and gallbladder intraluminal catheter three parts, the gallbladder guided puncturing needle is made up of nook closing member and needle tubing two parts, needle point is an inclined-plane, the nose of needle tail part needle core base inserts in the groove of needle tubing seat, makes the nook closing member bevel direction of tip portion consistent with the bevel direction of needle tubing; The gallbladder conduit puncture needle is a tubulose, becomes sliding fit to be enclosed within outside the gallbladder guided puncturing needle, and its tip portion is the inclined-plane also, and fixed handle is housed on the backshank; The external diameter of gallbladder intraluminal catheter is less than the internal diameter of gallbladder conduit puncture needle, and catheter proximal end has staggered side opening.
2, according to the therapeutic device of the described a kind of cholelithiasis of claim 1, it is characterized in that a breeches joint can be sleeved on the tail end of gallbladder intraluminal catheter, balloon catheter can be along the end input gallbladder intraluminal catheter of breeches joint, the balloon catheter forward end seal, after the inflation, front end can be clavate or T font.
CN 91206154 1991-04-19 1991-04-19 Apparatus for treatment of cholelithiasis Withdrawn CN2090705U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN 91206154 CN2090705U (en) 1991-04-19 1991-04-19 Apparatus for treatment of cholelithiasis

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN 91206154 CN2090705U (en) 1991-04-19 1991-04-19 Apparatus for treatment of cholelithiasis

Publications (1)

Publication Number Publication Date
CN2090705U true CN2090705U (en) 1991-12-18

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Application Number Title Priority Date Filing Date
CN 91206154 Withdrawn CN2090705U (en) 1991-04-19 1991-04-19 Apparatus for treatment of cholelithiasis

Country Status (1)

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CN (1) CN2090705U (en)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107708783A (en) * 2015-06-12 2018-02-16 柯惠有限合伙公司 Conduit with the preform geometry for entering body cavity
CN108815683A (en) * 2018-04-11 2018-11-16 深圳希思凯科技有限公司 A kind of device that treating gall stone and its application method and application

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107708783A (en) * 2015-06-12 2018-02-16 柯惠有限合伙公司 Conduit with the preform geometry for entering body cavity
CN108815683A (en) * 2018-04-11 2018-11-16 深圳希思凯科技有限公司 A kind of device that treating gall stone and its application method and application

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