CN209091558U - A kind of gall-bladder pressure reducer of acute cholecystectomy - Google Patents
A kind of gall-bladder pressure reducer of acute cholecystectomy Download PDFInfo
- Publication number
- CN209091558U CN209091558U CN201820904754.3U CN201820904754U CN209091558U CN 209091558 U CN209091558 U CN 209091558U CN 201820904754 U CN201820904754 U CN 201820904754U CN 209091558 U CN209091558 U CN 209091558U
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- China
- Prior art keywords
- supervisor
- puncture needle
- gall
- acute
- cholecystectomy
- 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.)
- Expired - Fee Related
Links
- 210000000232 gallbladder Anatomy 0.000 title claims abstract description 46
- 239000003638 chemical reducing agent Substances 0.000 title claims abstract description 17
- 238000002192 cholecystectomy Methods 0.000 title claims abstract description 15
- 230000001154 acute effect Effects 0.000 title claims abstract description 14
- 238000009527 percussion Methods 0.000 claims abstract description 13
- 238000010304 firing Methods 0.000 claims abstract description 10
- 238000007789 sealing Methods 0.000 claims abstract description 6
- 230000001681 protective effect Effects 0.000 claims description 7
- 210000000941 bile Anatomy 0.000 abstract description 8
- 230000006837 decompression Effects 0.000 abstract description 6
- 230000000740 bleeding effect Effects 0.000 abstract description 3
- 201000001352 cholecystitis Diseases 0.000 description 6
- 238000000034 method Methods 0.000 description 4
- 238000001356 surgical procedure Methods 0.000 description 4
- 208000000197 Acute Cholecystitis Diseases 0.000 description 3
- 206010008614 Cholecystitis acute Diseases 0.000 description 3
- CURLTUGMZLYLDI-UHFFFAOYSA-N Carbon dioxide Chemical compound O=C=O CURLTUGMZLYLDI-UHFFFAOYSA-N 0.000 description 2
- 201000010099 disease Diseases 0.000 description 2
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 2
- 238000002224 dissection Methods 0.000 description 2
- 208000015181 infectious disease Diseases 0.000 description 2
- 238000005381 potential energy Methods 0.000 description 2
- 230000008569 process Effects 0.000 description 2
- 208000007743 Acute Abdomen Diseases 0.000 description 1
- 241000272525 Anas platyrhynchos Species 0.000 description 1
- 241000894006 Bacteria Species 0.000 description 1
- 206010056375 Bile duct obstruction Diseases 0.000 description 1
- 241000229175 Calotes Species 0.000 description 1
- 208000004845 Cholecystolithiasis Diseases 0.000 description 1
- 206010008635 Cholestasis Diseases 0.000 description 1
- 208000010496 Heart Arrest Diseases 0.000 description 1
- 210000001015 abdomen Anatomy 0.000 description 1
- 210000000683 abdominal cavity Anatomy 0.000 description 1
- 230000002159 abnormal effect Effects 0.000 description 1
- 210000001367 artery Anatomy 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 229910002092 carbon dioxide Inorganic materials 0.000 description 1
- 239000001569 carbon dioxide Substances 0.000 description 1
- 230000000747 cardiac effect Effects 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 201000001883 cholelithiasis Diseases 0.000 description 1
- 210000001096 cystic duct Anatomy 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 230000007794 irritation Effects 0.000 description 1
- 230000002045 lasting effect Effects 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000002107 myocardial effect Effects 0.000 description 1
- 208000031225 myocardial ischemia Diseases 0.000 description 1
- 230000007830 nerve conduction Effects 0.000 description 1
- 230000036284 oxygen consumption Effects 0.000 description 1
- 230000008506 pathogenesis Effects 0.000 description 1
- 230000035479 physiological effects, processes and functions Effects 0.000 description 1
- 238000005086 pumping Methods 0.000 description 1
- 230000011514 reflex Effects 0.000 description 1
- 229910001220 stainless steel Inorganic materials 0.000 description 1
- 239000010935 stainless steel Substances 0.000 description 1
- 230000000638 stimulation Effects 0.000 description 1
- 239000000126 substance Substances 0.000 description 1
- 230000008961 swelling Effects 0.000 description 1
- 230000000007 visual effect Effects 0.000 description 1
Landscapes
- Surgical Instruments (AREA)
- External Artificial Organs (AREA)
Abstract
The utility model discloses a kind of gall-bladder pressure reducers of acute cholecystectomy, comprising: the round supervisor of single-side sealing;In supervisor, and the mobilizable hollow puncture needle axially arranged along supervisor, the front end of supervisor is equipped with limit plate, vacuum suction and relief tube are communicated on supervisor, outer tube, percussion lock and rubber ring are additionally provided on supervisor, outer tube pushes forward the rubber ring for being set to supervisor front end by percussion lock, is tied in rubber ring sleeve on gallbladder wall;The length of the puncture needle is greater than supervisor's length, and the initial position front end of puncture needle is set to after the limit plate of supervisor front end, and when puncture is pushed forward by puncture needle tail end, and puncture needle tail end connects negative-pressure suction pipe;The percussion lock, comprising: firing device, the spring in firing device, and the safety device to holddown spring.The utility model can once complete gall-bladder puncture decompression, and puncturing hole set pricks closing, prevents seepage of bile, gallbladder wall bleeding.
Description
Technical field
The utility model relates to surgery assistor tools, more specifically to a kind of gall-bladder of acute cholecystectomy
Pressure reducer.
Background technique
Acute cholecystitis is surgery common disease, and disease incidence occupies acute abdomen second, wherein 90%~95% urgency
Property cholecystitis is caused by cholecystolithiasis, and pathogenesis mainly has obstruction of bile duct, chemical irritation and bacterium infection etc..Generally
Slight cholecystitis is smaller to the change of patient's organism physiology environment, but serious gallbladder inflammation can be it is fatefulue.It is scorching
The property lasting stimulation of medium and the presence of cholecyst cardiac reflex, may cause myocardial oxygen consumption increase, myocardial ischemia, abnormal nerve conduction
Even induce cardiac arrest.Therefore, how to properly process acute cholecystitis is that each general surgeon must conscientious face
Pair problem.At present for the processing mode of acute cholecystitis, clinic is mainly taken based on gallbladder removal.Laparoscopic cholecystectomy
Art (LC) is to inject cavum peritoneale with a kind of special conduit, reinjects about 2~5 liters of carbon dioxide, exists again after reaching certain pressure
Abdomen opens the duck eye of 4 0.5~1.5cm, dissects calot's triangle plot structure, and detachment simultaneously presss from both sides and closes cystic duct, cystic artery, then cuts
Except the entire gall-bladder including calculus.
But in acute cholecystectomy under carrying out laparoscope, often be difficult to clamp because gallbladder tension is excessively high, it influences to perform the operation
Operation needs row gall-bladder to depressurize.Currently used pressure reducer is a hollow stainless steel puncture needle, and tail end connects vacuum suction, with head end
Sharp portion punctures gall-bladder and aspirates bile, plays gall-bladder depressurization.
It finds in actual use, because gallbladder wall is relatively thin, pin hole is necessarily left after puncture, remaining bile can be through pin hole
Outflow pollutes visual area, or even causes abdominal cavity infection, it some times happens that bleeding at puncture, increases unnecessary surgical procedure.It depressurized
Though degree can reduce seepage of bile but gall-bladder loses the normal dissection appearance for keeping some tension, also it is not easy to perform the operation.
Utility model content
In view of the above defects of the prior art, the purpose of the utility model is to provide a kind of acute cholecystectomies
Gall-bladder pressure reducer, can once complete gall-bladder puncture decompression, and puncturing hole set pricks closing, prevents seepage of bile, gallbladder wall from going out
Blood, at the same gall-bladder can be kept good convenient for surgical procedure dissection appearance.
To achieve the above objectives, the present invention adopts the following technical solutions:
A kind of gall-bladder pressure reducer of acute cholecystectomy, comprising: the round supervisor of single-side sealing;In supervisor,
And the mobilizable hollow puncture needle axially arranged along supervisor, the front end of supervisor are equipped with limit plate, are communicated with negative pressure on supervisor
Attract and relief tube, outer tube, percussion lock and rubber ring is additionally provided on supervisor, outer tube is pushed forward by percussion lock and set
Rubber ring in supervisor front end, is tied in rubber ring sleeve on gallbladder wall;
The length of the puncture needle is greater than supervisor's length, and the initial position front end of puncture needle is set to the limit of supervisor front end
After plate, when puncture, is pushed forward by puncture needle tail end, and puncture needle tail end connects negative-pressure suction pipe;
The percussion lock, comprising: firing device, the spring in firing device, and the safety device to holddown spring.
The rear end of the supervisor is cased with sealing ring.
Rubber cap is cased on the relief tube.
The vacuum suction, comprising: check valve and connect syringe suction interface.
It is additionally provided with protective device on the supervisor rear end, removes and push puncture needle to forward end after protective device.
In the above technical solution, a kind of gall-bladder decompression of acute cholecystectomy provided by the utility model
Device can complete gall-bladder puncture decompression by once-through operation, and puncturing hole set pricks closing, to prevent seepage of bile and gallbladder wall
Bleeding.And structure is simple, dexterous, is easy to make, it is low in cost.
Detailed description of the invention
Fig. 1 is the structural schematic diagram of the gall-bladder pressure reducer of the utility model.
Specific embodiment
The technical solution of the utility model is further illustrated with reference to the accompanying drawings and examples.
Incorporated by reference to shown in Fig. 1, a kind of gall-bladder pressure reducer of acute cholecystectomy provided by the utility model is wrapped
Include: the puncture needle 2 that supervisor 1 is set in supervisor 1, and is axially arranged along supervisor 1, it is long that the length of the puncture needle 2 is greater than supervisor 1
Degree makes the tip of 2 front end of puncture needle be located at the inside of 1 front end limit plate 14 of supervisor, offers one through puncture on puncture needle 2
The through-hole of 2 front and rear end of needle makes the hollow setting of puncture needle 2, and vacuum suction and relief tube 3, supervisor 1 are communicated on supervisor 1
On be additionally provided with outer tube 4, percussion lock and rubber ring 9, outer tube 4 pushes forward rubber ring 9 by percussion lock, makes rubber ring
9 can cover and be tied on gallbladder wall.
Preferably, the percussion lock, comprising: firing device 6, the spring 7 in firing device 6, and to holddown spring 7
Safety device 8.After taking out safety device 8, so that it may release spring 7, it will by firing device 6 using the potential energy that spring 7 discharges
Outer tube 4 fires forward, pushes rubber ring 9 that can cover and is tied on gallbladder wall.
Preferably, being cased with rubber cap 10 on the relief tube 3, after the completion of decompression, rubber cap 10 is opened, so that it may release
The negative pressure state of supervisor 1.
Preferably, the vacuum suction, comprising: check valve 11 and connect syringe suction interface 12, be connected to using syringe
Connect the pumping negative pressure operation that syringe suction interface 12 carries out supervisor 1.
Preferably, being also connected with protective case 13 on 1 rear end of supervisor, removed before puncture procedure, removes protective device
Puncture needle 2 is pushed to forward end afterwards.
Preferably, the rear end of the supervisor 1 is cased with sealing ring 5.
The gall-bladder pressure reducer of the utility model use process is as follows:
1) by filling device, 9 sets of the rubber ring heads in this gall-bladder pressure reducer supervisor 1;
2) 1 leading head of supervisor of this gall-bladder pressure reducer is bonded with the gallbladder wall of swelling, passes through syringe suction interface 12
Air is aspirated, check valve 11 makes to keep negative pressure state in supervisor 1.Gallbladder wall and 1 head of supervisor fit closely fixation, and gallbladder wall
Part sucking supervisor 1;
3) 2 tail portion of puncture needle links negative-pressure suction pipe, and the protective case 13 removed on puncture needle 2 makes to puncture needle 2 is pushed forward
2 forward tip of puncture needle is pierced into gallbladder wall, aspirates bile by vacuum suction.
4) as bile is gradually extracted, Gallbladder Pressure lowers, and more gallbladder walls suck 1 head of supervisor (such as by negative pressure
Negative pressure can be not enough evacuated by syringe suction interface 12 again in supervisor 1), until enough gallbladder walls are inhaled into, reach 1 tail portion of supervisor
Limiter 14 near;
5) safety device 8 in percussion lock is removed, firing device 6 is fired, discharges the potential energy of spring 7, pushes outer tube 4
Forward, make to cover and be pricked on gallbladder wall in 9 sets of rubber ring for being responsible for 1 head;
6) puncture needle 2 is exited, the rubber cap 10 on relief tube 3 is opened, releases negative pressure in supervisor 1, exits the decompression of this gall-bladder
Device, operation are completed.
Those of ordinary skill in the art it should be appreciated that more than embodiment be intended merely to illustrate that this is practical new
Type, and be not used as the restriction to the utility model, as long as in the spirit of the utility model, to the above
Variation, the modification of embodiment will all be fallen in the Claims scope of the utility model.
Claims (5)
1. a kind of gall-bladder pressure reducer of acute cholecystectomy characterized by comprising the round supervisor of single-side sealing;If
In supervisor Yu, and the mobilizable hollow puncture needle axially arranged along supervisor, the front end of supervisor are equipped with limit plate, connect on supervisor
Be connected with vacuum suction and relief tube, be additionally provided with outer tube, percussion lock and rubber ring on supervisor, outer tube by percussion lock to
It is preceding to push the rubber ring for being set to supervisor front end, it is tied in rubber ring sleeve on gallbladder wall;
The length of the puncture needle be greater than supervisor length, the initial position front end of puncture needle be set to supervisor front end limit plate it
Afterwards, it is pushed forward when puncture by puncture needle tail end, puncture needle tail end connects negative-pressure suction pipe;
The percussion lock, comprising: firing device, the spring in firing device, and the safety device to holddown spring.
2. a kind of gall-bladder pressure reducer of acute cholecystectomy as described in claim 1, it is characterised in that: the supervisor
Rear end be cased with sealing ring.
3. a kind of gall-bladder pressure reducer of acute cholecystectomy as described in claim 1, it is characterised in that: the pressure release
Rubber cap is cased on pipe.
4. a kind of gall-bladder pressure reducer of acute cholecystectomy as described in claim 1, it is characterised in that: the negative pressure
Attract, comprising: check valve and connect syringe suction interface.
5. a kind of gall-bladder pressure reducer of acute cholecystectomy as described in claim 1, it is characterised in that: the supervisor
It is additionally provided with protective device on rear end, removes and push puncture needle to forward end after protective device.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201820904754.3U CN209091558U (en) | 2018-06-12 | 2018-06-12 | A kind of gall-bladder pressure reducer of acute cholecystectomy |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201820904754.3U CN209091558U (en) | 2018-06-12 | 2018-06-12 | A kind of gall-bladder pressure reducer of acute cholecystectomy |
Publications (1)
Publication Number | Publication Date |
---|---|
CN209091558U true CN209091558U (en) | 2019-07-12 |
Family
ID=67148737
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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CN201820904754.3U Expired - Fee Related CN209091558U (en) | 2018-06-12 | 2018-06-12 | A kind of gall-bladder pressure reducer of acute cholecystectomy |
Country Status (1)
Country | Link |
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CN (1) | CN209091558U (en) |
-
2018
- 2018-06-12 CN CN201820904754.3U patent/CN209091558U/en not_active Expired - Fee Related
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Legal Events
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: 20190712 |
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CF01 | Termination of patent right due to non-payment of annual fee |