CN209074711U - It protects gallbladder and takes stone/polyp choledochoscope sheath - Google Patents
It protects gallbladder and takes stone/polyp choledochoscope sheath Download PDFInfo
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- CN209074711U CN209074711U CN201821201645.1U CN201821201645U CN209074711U CN 209074711 U CN209074711 U CN 209074711U CN 201821201645 U CN201821201645 U CN 201821201645U CN 209074711 U CN209074711 U CN 209074711U
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Abstract
The utility model discloses a kind of guarantor's gallbladders to take stone/polyp choledochoscope sheath, and head to tail portion is successively arranged the drainage pipeline section I of interconnection, drainage pipeline section II, drainage pipeline section III and drainage pipeline section IV；It drains and is equipped in pipeline section I from the channel that sheath tube head is pierced by I, drain I outer wall of pipeline section and be successively arranged sacculus and lower sacculus；It is equipped with the channel II being connected to channel I in drainage pipeline section II, is equipped with the channel IV that one end extends to channel I and the channel III being connected to upper sacculus and one end extend to channel I and be connected to lower sacculus in channel II；The channel V being connected to channel II is equipped in drainage pipeline section III, drainage III outer wall of pipeline section is equipped with gas-charging connection I, gas-charging connection II and the water outlet connector being connected to channel V；The channel VI being connected to channel V is equipped in drainage pipeline section IV.After full upper sacculus and lower sacculus, upper sacculus and lower sacculus generate elastic pressure to gall-bladder notch, have hemostasis by compression and avoid gall bladder bile and gallbladder sludge-polluted abdominal cavity.
Description
Technical field
The utility model relates to a kind of choledochoscope sheath, specifically a kind of guarantor's gallbladder takes stone/polyp choledochoscope sheath.
Background technique
Cholecystolithiasis and gallbladder polyps are the common disease and frequently-occurring disease in China, and Laparoscopic Cholecystectomy is treatment gall-bladder knot
The traditional operation scheme of stone and gallbladder polyps, with the development of minimal invasive techniques and gradually going deep into gallbladder function understanding, abdominal cavity
It is another mainstream scheme of current treatment cholecystolithiasis and gallbladder polyps that mirror, which protects gallbladder and takes stone/polyp art,.
Currently, being first placed in laparoscope stamp during taking laparoscope and choledochoscopy in treatment cholecystolithiasis and gallbladder polyps
Card, then choledochoscope is placed in from stamp card outer tube, choledochoscope enters in gall-bladder through gall-bladder notch take stone or extracts polyp, should
There are shortcomings for mode: it is both needed to establish pneumoperitoneum in 1. entire surgical procedures, and prolonged pneumoperitoneum is easy to influence the pendulum of diaphram
It is dynamic, it influences to breathe and recycle, acid poisoning and ion imbalances can occur for the absorption of great amount of carbon dioxide, and the carbon dioxide of high pressure is through quiet
Arteries and veins reflux, or even gas embolism occurs, jeopardize patient vitals；A large amount of to infect during 2. choledochoscope takes cholecystolithiasis and polyp
Property bile, rubble, gallbladder mud and choledochoscope flushing liquor flow into intraperitoneal through notch, are easy to cause abdominal cavity infection, peritoneal abscess, and broken
After stone and gallbladder mud enter abdominal cavity, it is difficult to remove completely, lead to the residual stone in abdominal cavity, abdominal cavity adhesion, intestinal obstruction, internal fistula, peritoneal abscess etc.
Complication；3. Gallbladder Pressure is reduced and is collapsed, and increases the difficulty that choledochoscope enters gall-bladder after gall-bladder is cut；4. choledochoscope passes through
After stamp card outer tube enters gall-bladder, since choledochoscope shank lacks support, choledochoscope is easy to be bent in abdominal cavity and gall-bladder, increases
Choledochoscope detects the difficulty of cystic duct；5. stamp card outer tube is rigid plastics, choledochoscope, choledochoscope shank rubber are passed in and out repeatedly
It is easy to be open by stamp and scratch, choledochoscope is caused to occur leaking outside and damaging its electric elements；5. choledochoscope passes in and out gall-bladder repeatedly, hold
Easily lead to gall-bladder notch bleeding.
Utility model content
According to technical problem set forth above, and a kind of guarantor's gallbladder is provided and takes stone/polyp choledochoscope sheath.The utility model
The technological means of use is as follows:
A kind of guarantor's gallbladder takes stone/polyp choledochoscope sheath, and head to tail portion is successively arranged the drainage pipeline section of interconnection
I, pipeline section II, drainage pipeline section III and drainage pipeline section IV are drained；
It is equipped in the drainage pipeline section I from the channel I that the sheath tube head is pierced by, I outer wall of drainage pipeline section is successively set
There are upper sacculus and lower sacculus；
It is equipped with the channel II being connected to the channel I in the drainage pipeline section II, is equipped with one end in the channel II and extends
To the channel I and the channel III being connected to the upper sacculus and one end extend to the channel I and are connected to the lower sacculus
Channel IV；
It is equipped with the channel V being connected to the channel II in the drainage pipeline section III, III outer wall of drainage pipeline section is equipped with
Gas-charging connection I, gas-charging connection II and the water outlet connector being connected to the channel V；
The other end in the channel III is connected to the gas-charging connection I；
The other end in the channel IV is connected to the gas-charging connection II；
The channel VI being connected to the channel V is equipped in the drainage pipeline section IV, IV outer wall of drainage pipeline section, which has, to be used
In hand-held rough surface；
VI inner wall of channel is equipped with antireflux pad；
The material of the antireflux pad is silica gel；
The antireflux pad is equipped with the springhole passed through for choledochoscope, after the choledochoscope passes through the springhole,
The springhole is bonded the choledochoscope, constitutes sealing, antireflux.
The upper sacculus and the lower sacculus are 5mm along the length of drainage I axis direction of pipeline section；
When the upper sacculus and the lower sacculus are full, the maximum gauge of the upper sacculus and the lower sacculus is 1~
3cm。
The upper sacculus upper and lower ends and the lower sacculus upper and lower ends pass through becket and the drainage pipeline section I respectively
It is fixed.
The material of the drainage pipeline section I and the drainage pipeline section II is silica gel, has good elasticity；
The material of the drainage pipeline section III is polyethylene；
The material of the drainage pipeline section IV is polyethylene；
The outer diameter of the drainage pipeline section I, the drainage pipeline section II and the drainage pipeline section III is 0.9cm；
The outer diameter of the drainage pipeline section IV is 1.5cm；
The wall thickness of the drainage pipeline section I, the drainage pipeline section II and the drainage pipeline section III is 1mm, has preferable branch
Support；
A length of 30~the 60cm of entirety of the drainage pipeline section I and the drainage pipeline section II, the gall-bladder that can go directly through stomach wall are intracavitary.
Compared with prior art, the utility model has the advantage that
1. draining pipeline section I and drainage pipeline section II is silica gel material, avoids during choledochoscope takes stone and stab card housing tube wall
Damage to choledochoscope；
2. after full upper sacculus and lower sacculus, upper sacculus and lower sacculus generate elastic pressure to gall-bladder notch, there is compressing
The effect of hemostasis avoids gall-bladder notch bleeding in stone-extraction operation；
3. after full upper sacculus and lower sacculus, upper sacculus and lower sacculus generate elastic pressure to gall-bladder notch, sheath can avoid
The displacement of pipe；
4. after full upper sacculus and lower sacculus, upper sacculus and lower sacculus close gall-bladder notch, infectivity bile, punching can avoid
Washing lotion, muddy stone and gallbladder mud etc. enter abdominal cavity；
5. after sheath enters gall-bladder, pneumoperitoneum and laparoscope video can be closed, the complication that long-term pneumoperitoneum generates is avoided
And the loss of laparoscope system；
6. water outlet connector connects negative-pressure suction pipe, infectious bile, flushing liquor, muddy stone and gallbladder mud etc. can be discharged
In vitro, it reduces above-mentioned substance and enters complication caused by abdominal cavity；
7. sheath has good supporting role to choledochoscope, choledochoscope is avoided to detect gall-bladder and cystic duct；
Sacculus and lower sacculus can control its full size respectively on 8., and use is more flexible.
The utility model can be widely popularized in fields such as medical apparatus based on the above reasons.
Detailed description of the invention
In order to illustrate the embodiment of the utility model or the technical proposal in the existing technology more clearly, below will be to embodiment
Or attached drawing needed to be used in the description of the prior art is done simply to introduce, it should be apparent that, the accompanying drawings in the following description is
Some embodiments of the utility model, for those of ordinary skill in the art, in the premise of not making the creative labor property
Under, it is also possible to obtain other drawings based on these drawings.
Fig. 1 is to protect gallbladder in specific embodiment of the present utility model to take stone/polyp choledochoscope sheath structural schematic diagram.
Fig. 2 is to protect gallbladder in specific embodiment of the present utility model to take stone/polyp choledochoscope sheath in running order
Under schematic diagram (upper sacculus and lower sacculus full).
Fig. 3 is to protect gallbladder in specific embodiment of the present utility model to take stone/polyp choledochoscope sheath in running order
Under schematic diagram (insertion choledochoscope).
Specific embodiment
It is practical new below in conjunction with this to keep the objectives, technical solutions, and advantages of the embodiments of the present invention clearer
Attached drawing in type embodiment, the technical scheme in the utility model embodiment is clearly and completely described, it is clear that is retouched
The embodiment stated is the utility model a part of the embodiment, instead of all the embodiments.Based on the implementation in the utility model
Example, every other embodiment obtained by those of ordinary skill in the art without making creative efforts belong to
The range of the utility model protection.
As shown in Figure 1-Figure 3, a kind of guarantor's gallbladder takes stone/polyp choledochoscope sheath, and head to tail portion is successively arranged mutually
Drainage pipeline section I 1, drainage pipeline section II 2, drainage pipeline section III 3 and the drainage pipeline section IV 4 of connection；
It is equipped in the drainage pipeline section I 1 from the channel I 5 that the sheath tube head is pierced by, I 1 outer wall of drainage pipeline section is successively
Equipped with upper sacculus 6 and lower sacculus 7；
It is equipped with the channel II 8 being connected to the channel I 5 in the drainage pipeline section II 2, is equipped with one end in the channel II 8
Extend to the channel I 5 and the channel III 9 being connected to the upper sacculus 6 and one end extend to the channel I 5 and with it is described under
The channel IV 10 that sacculus 7 is connected to；
The channel V 11 being connected to the channel II 8, III 3 outer wall of drainage pipeline section are equipped in the drainage pipeline section III 3
It is equipped with gas-charging connection I 12, gas-charging connection II 13 and the water outlet connector 14 being connected to the channel V 11；
The other end in the channel III 9 is connected to the gas-charging connection I 12；
The other end in the channel IV 10 is connected to the gas-charging connection II 13；
The channel VI 15 being connected to the channel V 11, IV 4 outer wall of drainage pipeline section are equipped in the drainage pipeline section IV 4
With for hand-held rough surface；
VI 15 inner wall of channel is equipped with antireflux pad 16；
The antireflux pad 16 is equipped with the springhole 18 passed through for choledochoscope 17.
The upper sacculus 6 and the lower sacculus 7 are 5mm along the length of drainage I 1 axis direction of pipeline section；
When the upper sacculus 6 and the lower sacculus 7 fill, the maximum gauge of the upper sacculus 6 and the lower sacculus 7 is
1~3cm.
6 upper and lower ends of upper sacculus and 7 upper and lower ends of lower sacculus pass through becket 19 and the drainage respectively
Pipeline section I 1 is fixed.
The material of the drainage pipeline section I 1 and the drainage pipeline section II 2 is silica gel；
The material of the drainage pipeline section III 3 is polyethylene；
The material of the drainage pipeline section IV 4 is polyethylene；
The outer diameter of the drainage pipeline section I 1, the drainage pipeline section II 2 and the drainage pipeline section III 3 is 0.9cm；
The outer diameter of the drainage pipeline section IV 4 is 1.5cm
The wall thickness of the drainage pipeline section I 1, the drainage pipeline section II 2 and the drainage pipeline section III 3 is 1mm；
A length of 30~the 60cm of entirety of the drainage pipeline section I 1 and the drainage pipeline section II 2.
It establishes pneumoperitoneum and is placed in stamp card 21 through stomach wall 20, take out stamp 21 pushing rams of card, water outlet connector 14 connects vacuum suction
Pipe, is connected to gall-bladder 22, channel I 5, channel II 6, channel V 11 with negative-pressure suction pipe；
Through the stamp card 21 outer tubes merging sheath and gradually close to 22 notch of gall-bladder, sheath is entered through 22 notch of gall-bladder
Into gall-bladder 22, air or physiological saline are injected through gas-charging connection I 12 and fills the upper sacculus 6, the sheath of pulling back to institute
It states sacculus 6 to be affixed with 22 wall of gall-bladder, then injects air or physiological saline through gas-charging connection II 13 and fill the lower sacculus 7.
The vacuum suction pressure for adjusting negative-pressure suction pipe, makes negative pressure water yield and 17 inflow of choledochoscope and Amount of Bile phase
Together, gall-bladder 22 is avoided to collapse.
Pneumoperitoneum is closed, stops laparoscope video system, through sheath (channel I 5, channel II 6, channel V 11 and channel VI 15)
Interior injection atoleine is placed in choledochoscope 17 from springhole 18, and choledochoscope 17 enters that gall-bladder 22 is intracavitary to be detected, take through sheath
Stone/polyp.
It takes in net gall-bladder 22 and cystic duct after calculus/polyp, establishes pneumoperitoneum again and open laparoscope system, ball in release
Capsule 6 and lower sacculus 7 take out sheath and suture 22 notch of gall-bladder.
Finally, it should be noted that the above various embodiments is only to illustrate the technical solution of the utility model, rather than it is limited
System；Although the present invention has been described in detail with reference to the aforementioned embodiments, those skilled in the art should
Understand: it is still possible to modify the technical solutions described in the foregoing embodiments, or to some or all of
Technical characteristic is equivalently replaced；And these are modified or replaceed, it does not separate the essence of the corresponding technical solution, and this is practical new
The range of each embodiment technical solution of type.
Claims (4)
1. a kind of guarantor's gallbladder takes stone/polyp choledochoscope sheath, head to tail portion be successively arranged interconnection drainage pipeline section I,
Drain pipeline section II, drainage pipeline section III and drainage pipeline section IV, it is characterised in that:
It is equipped in the drainage pipeline section I from the channel I that the sheath tube head is pierced by, I outer wall of drainage pipeline section is successively arranged
Sacculus and lower sacculus；
It is equipped with the channel II being connected to the channel I in the drainage pipeline section II, is equipped with one end in the channel II and extends to institute
It states channel I and the channel III being connected to the upper sacculus and one end extends to the channel I and be connected to the lower sacculus logical
Road IV；
It is equipped with the channel V being connected to the channel II in the drainage pipeline section III, III outer wall of drainage pipeline section is equipped with inflation
Connector I, gas-charging connection II and the water outlet connector being connected to the channel V；
The other end in the channel III is connected to the gas-charging connection I；
The other end in the channel IV is connected to the gas-charging connection II；
The channel VI being connected to the channel V is equipped in the drainage pipeline section IV, IV outer wall of drainage pipeline section, which has, is used for hand
The rough surface held；
VI inner wall of channel is equipped with antireflux pad；
The antireflux pad is equipped with the springhole passed through for choledochoscope.
2. guarantor's gallbladder according to claim 1 takes stone/polyp choledochoscope sheath, it is characterised in that: the upper sacculus and institute
The length that lower sacculus is stated along drainage I axis direction of pipeline section is 5mm；
When the upper sacculus and the full lower sacculus, the maximum gauge of the upper sacculus and the lower sacculus is 1~3cm.
3. guarantor's gallbladder according to claim 1 takes stone/polyp choledochoscope sheath, it is characterised in that:
The upper sacculus upper and lower ends and the lower sacculus upper and lower ends are solid by becket and the drainage pipeline section I respectively
It is fixed.
4. guarantor's gallbladder according to claim 1 takes stone/polyp choledochoscope sheath, it is characterised in that:
The material of the drainage pipeline section I and the drainage pipeline section II is silica gel；
The material of the drainage pipeline section III is polyethylene；
The material of the drainage pipeline section IV is polyethylene；
The outer diameter of the drainage pipeline section I, the drainage pipeline section II and the drainage pipeline section III is 0.9cm；
The outer diameter of the drainage pipeline section IV is 1.5cm；
The wall thickness of the drainage pipeline section I, the drainage pipeline section II and the drainage pipeline section III is 1mm；
A length of 30~the 60cm of entirety of the drainage pipeline section I and the drainage pipeline section II.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201821201645.1U CN209074711U (en) | 2018-07-27 | 2018-07-27 | It protects gallbladder and takes stone/polyp choledochoscope sheath |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201821201645.1U CN209074711U (en) | 2018-07-27 | 2018-07-27 | It protects gallbladder and takes stone/polyp choledochoscope sheath |
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| Publication Number | Publication Date |
|---|---|
| CN209074711U true CN209074711U (en) | 2019-07-09 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201821201645.1U Active CN209074711U (en) | 2018-07-27 | 2018-07-27 | It protects gallbladder and takes stone/polyp choledochoscope sheath |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109091176A (en) * | 2018-07-27 | 2018-12-28 | 上海市东方医院 | It protects gallbladder and takes stone/polyp choledochoscope sheath |
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2018
- 2018-07-27 CN CN201821201645.1U patent/CN209074711U/en active Active
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109091176A (en) * | 2018-07-27 | 2018-12-28 | 上海市东方医院 | It protects gallbladder and takes stone/polyp choledochoscope sheath |
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