CN209332972U - A kind of stomach that cooperation ultrasound-guided percutaneous stomach stoma uses is interior except airway - Google Patents
A kind of stomach that cooperation ultrasound-guided percutaneous stomach stoma uses is interior except airway Download PDFInfo
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- CN209332972U CN209332972U CN201822098675.0U CN201822098675U CN209332972U CN 209332972 U CN209332972 U CN 209332972U CN 201822098675 U CN201822098675 U CN 201822098675U CN 209332972 U CN209332972 U CN 209332972U
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- water filling
- outer tube
- sacculus
- stomach
- water
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Abstract
Except airway in a kind of stomach that cooperation ultrasound-guided percutaneous stomach stoma uses of the utility model, including catheter main body, sacculus, catheter main body is made of center needle tubing and water filling outer tube, fill the water closed connection between the front end, rear end and center needle tubing outer wall of outer tube, center needle tubing front end is tip, in the front end of the closed downwards formula connection water filling outer tube at center needle tubing tip;Sacculus installing zone is set on the water filling outer tube below the needle tubing tip of center, and sacculus is paperwrapped on the sacculus installing zone on the outside of water filling outer tube, offers fill openings on the water filling outer tube of sacculus and water filling outer tube junction, fill openings are communicated with balloon interior;Setting water filling connector in side below outer tube is filled the water, is connected inside water filling connector and water filling outer tube, is filled the water and also set up auxiliary gripping handle on the center needle tubing of outer tube rear end.The utility model, by the full interference for eliminating gas in stomach later of water, greatly simplifies Ultrasound intervention Guided Percutaneous stomach fistulization by sacculus.
Description
Technical field
The utility model belongs to clinical medicine therapeutic device technical field, particularly relates to a kind of cooperation ultrasound guidance
Except airway in the stomach that percutaneous stomach stoma uses.
Background technique
Stomach fistulization is to treat some serious disease (such as cerebral apoplexy, bulbar palsy, damage of motoneurons nervous systems
Disease, head and neck neoplasm, cancer of the esophagus etc.) need long-term enteral nutrition support main means.The method of nasal feeding is only applicable to short
Phase enteral nutrition, for a long time using can cause rhinitis, esophageal reflux, reflux pneumonia, even asphyxia etc..If needing long-term battalion
It supports and supports, frequently with stomach fistulization, the annual row Percutaneous Endoscopic stomach fistulization patient in the U.S. 200,000 ~ 300,000.Stomach used at present
Fistulization Shortcomings: surgery stomach fistulization wound is larger;Percutaneous endoscopic gastrostomy can not be swollen by completing throat and oesophagus
Tumor causes the stomach fistulization seriously blocked;DSA guidance may cause since X space of lines resolution ratio is low and accidentally wear liver and transverse colon
Deng;CT surgical procedure is complicated, needs Multiple-Scan and radiation is more.Ultrasound intervention method is convenient, can operate by bed, entire to grasp
The process of work can carry out under ultrasound real time monitoring, however the total reflection that stomach intracavity gas generates influences surgical field of view and operation, right
Operator's technical level requires height, limits its clinical application.
Summary of the invention
The utility model makes up the deficiencies in the prior art aiming at the above problem, provides a kind of cooperation ultrasound guidance
Except airway in the stomach that percutaneous stomach stoma uses;The utility model eliminated the dry of gas in stomach by water is full by sacculus later
It disturbs, greatly simplifies Ultrasound intervention Guided Percutaneous stomach fistulization, while by sacculus by the full work for playing fixed stomach wall of water
With, have also been removed it is image-guided under the fixed stomach wall of puncture needle operation, i.e. reduction wound reduces operating time again, makes stomach
The clinical application of fistula art is more convenient.
To achieve the above object, the utility model adopts the following technical solution.
Except airway, including conduit master in a kind of stomach that cooperation ultrasound-guided percutaneous stomach stoma uses of the utility model
Body, sacculus, it is characterised in that: the catheter main body is made of center needle tubing and water filling outer tube, the water filling outer tube
Closed connection between front end, rear end and center needle tubing outer wall, the center needle tubing front end is tip, at center needle tubing tip
Closed downwards formula connection water filling outer tube front end;Sacculus peace is provided on the water filling outer tube below the needle tubing tip of center
Area is filled, the sacculus is paperwrapped on the sacculus installing zone on the outside of water filling outer tube, the sacculus and water filling outer tube junction
Water filling outer tube on offer fill openings, the fill openings are communicated with balloon interior;Under the water filling outer tube
Square side is provided with water filling connector, is connected inside the water filling connector and water filling outer tube, after the water filling outer tube
Auxiliary gripping handle is additionally provided on the center needle tubing at end.
As a kind of preferred embodiment of the utility model, the tip length of the center needle tubing is 1cm.
As another preferred embodiment of the utility model, the sacculus installation section length is 2cm.
As another preferred embodiment of the utility model, the rear end of the water filling outer tube and center needle tubing outer wall connect
It is stifled that the place of connecing is provided with preventing water leakage sealant.
As another preferred embodiment of the utility model, the water filling connector includes water filling water inlet pipe, water inlet pipe envelope
Head, end socket glue are stifled, are connected inside described water filling water inlet pipe one end and water filling outer tube, the water filling water inlet pipe other end
On be sheathed with into water channel closure, it is stifled filled with end socket glue between the water inlet channel closure and water filling water inlet tube end, in end socket
Glue blocks the position opposite with the water filling water inlet of water inlet pipe and offers syringe needle insertion groove.
As another preferred embodiment of the utility model, sacculus fastening is provided on the outside of the sacculus top and bottom
Clip, the sacculus top and bottom are fixedly connected on the sacculus installing zone of water filling outer tube by the sacculus fastening clamp
On.
As another preferred embodiment of the utility model, quarter is provided on the outer surface of the water filling outer tube
Degree.
As another preferred embodiment of the utility model, modeling is additionally provided on the outer surface of the water filling outer tube
Expect protective film.
As another preferred embodiment of the utility model, the sacculus fills diameter for 6cm, before the sacculus after filling
Portion exceeds center needle tubing tip 1cm, and the sacculus rear portion after filling can strut the gap that length is 3cm.
The beneficial effects of the utility model.
Exhaust manifolds in a kind of stomach that cooperation ultrasound-guided percutaneous stomach stoma uses provided by the utility model, lead to
The sacculus that catheter main body front end is set is crossed by the full interference for eliminating gas in stomach later of water, greatly simplifies Ultrasound intervention and draws
Lead lower percutaneous stomach fistulization;Meanwhile the utility model is filled by water by sacculus and plays the role of fixed stomach wall, has also been removed shadow
As the operation of the fixed stomach wall of puncture needle under guidance, i.e. reduction wound reduces operating time again, answers the clinic of stomach fistulization
With more convenient.
Detailed description of the invention
The technical issues of in order to keep the utility model solved, technical solution and beneficial effect are more clearly understood, below
In conjunction with the drawings and the specific embodiments, the present invention will be further described in detail.It should be appreciated that tool described herein
Body embodiment is only used to explain the utility model, is not used to limit the utility model.
Fig. 1 is the solid that airway is removed in a kind of stomach that cooperation ultrasound-guided percutaneous stomach stoma uses of the utility model
Structural schematic diagram.
Fig. 2 is the overlooking structure diagram of Fig. 1.
Fig. 3 is the A-A schematic cross-sectional view of Fig. 2.
Fig. 4 is the sacculus that airway is removed in a kind of stomach that cooperation ultrasound-guided percutaneous stomach stoma uses of the utility model
Structural schematic diagram under expanded state.
Fig. 5 is the overlooking structure diagram of Fig. 4.
Fig. 6 is the B-B schematic cross-sectional view of Fig. 5.
Fig. 7 is the enlarged structure schematic diagram of the top half of Fig. 6.
Fig. 8 is the enlarged structure schematic diagram of the lower half portion of Fig. 6.
Marked in the figure: 1 is tip, 2 be sacculus, and 3 be sacculus fastening clamp, and 4 be water filling outer tube, and 5 be scale, and 6 be note
Water swivel, 7 be auxiliary gripping handle, and 8 be center needle tubing, and 9 be sacculus installing zone, and 10 be fill openings, and 11 be water filling water inlet pipe,
12 is stifled for end socket glue for water inlet channel closure, 13, and 14 are inserted into groove for syringe needle, and 15 is stifled for preventing water leakage sealant.
Specific embodiment
In conjunction with shown in attached drawing, except conductance in a kind of stomach that cooperation ultrasound-guided percutaneous stomach stoma uses of the utility model
Pipe, including catheter main body, sacculus 2, it is characterised in that: the catheter main body is made of center needle tubing 8 and water filling outer tube 4,
Closed connection between 8 outer wall of front end, rear end and center needle tubing of the water filling outer tube 4,8 front end of center needle tubing is
Tip 1, the front end of the closed downwards formula connection water filling outer tube 4 at 8 tip 1 of needle tubing at center;Below 8 tip 1 of center needle tubing
Water filling outer tube 4 on be provided with sacculus installing zone 9, the sacculus 2 is paperwrapped in the sacculus installing zone in 4 outside of water filling outer tube
On 9, fill openings 10 are offered on the sacculus 2 and the water filling outer tube 4 of water filling 4 junction of outer tube, the water filling is opened
Mouthfuls 10 with communicated inside sacculus 2;The 4 lower section side of water filling outer tube is provided with water filling connector 6, the water filling connector 6
It is connected with inside water filling outer tube 4, auxiliary is additionally provided on the center needle tubing 8 of 4 rear end of water filling outer tube and holds hand
Handle 7.
As a kind of preferred embodiment of the utility model, 1 length of tip is 1cm.
As another preferred embodiment of the utility model, 9 length of sacculus installing zone is 2cm.
As another preferred embodiment of the utility model, the rear end of the water filling outer tube 4 and 8 outer wall of center needle tubing
Between be provided with preventing water leakage sealant stifled 15.
As another preferred embodiment of the utility model, the water filling connector 6 includes water filling water inlet pipe 11, water inlet pipe
End socket 12, end socket glue stifled 13, described 11 one end of water filling water inlet pipe are connected with filling the water inside outer tube 4, the water filling into
It is sheathed on 11 other end of water pipe into water channel closure 12, is filled between the water inlet channel closure 12 and water filling 11 end of water inlet pipe
There is end socket glue stifled 13, the position opposite with the water filling water inlet of water inlet pipe 11 offers syringe needle and insert on end socket glue stifled 13
Enter groove 14.
It is tight that sacculus is provided with as another preferred embodiment of the utility model, on the outside of 2 top and bottom of sacculus
Gu clip 3,2 top and bottom of sacculus are fixedly connected on the sacculus of water filling outer tube 4 by the sacculus fastening clamp 3
On installing zone 9.
As another preferred embodiment of the utility model, quarter is provided on the outer surface of the water filling outer tube 4
Degree 5.
As another preferred embodiment of the utility model, modeling is additionally provided on the outer surface of the water filling outer tube
Expect protective film.
As another preferred embodiment of the utility model, it is 6cm that the sacculus 2, which fills diameter, the sacculus 2 after filling
Front exceeds 8 tip 1cm of center needle tubing, and 2 rear portion of sacculus after filling can strut the gap that length is 3cm.
Specifically, about 110ml distilled water is injected using the syringe needle insertion groove 14 that syringe is filled the water connector 6
Afterwards, it is 6cm that sacculus 2, which fills diameter, and 2 front of sacculus after filling exceeds 8 tip 1cm of center needle tubing, to prevent center needle tubing 8 sharp
End 1 is pierced into paries posterior gastricus, and 2 rear portion of sacculus after filling can strut the gap that length is 3cm.
The utility model, which passes through, to be arranged in the sacculus 2 of catheter main body front end and eliminated the dry of gas in stomach later by water is full
It disturbs, greatly simplifies Ultrasound intervention Guided Percutaneous stomach fistulization;Meanwhile the utility model is filled by water by sacculus 2 and is played
The effect of fixed stomach wall, has also been removed the operation of the fixed stomach wall of image-guided lower puncture needle, that is, reduces wound and reduce operation again
Time will keep the clinical application of stomach fistulization more convenient.
Use the operating procedure that airway is removed in the utility model stomach: (1) puncture needle is pierced into gastral cavity through ultrasound guidance;
(2) is along puncture needle merging seal wire in gastral cavity;(3) pulls out puncture needle, and indwelling seal wire is in gastral cavity;(4) this is practical along seal wire merging by
Airway is removed in novel stomach, according to the scale 5 and common confirmation sacculus 2 of ultrasound display filled the water on 4 outer surface of outer tube
It sets, the protective film on water filling 4 surface of outer tube is gradually exited under ultrasonic real-time monitoring and by filling the water gradually Filled Balloon 2 of connector 6;
(5) ultrasound reaffirms that sacculus 2 is full good, and by the appropriate conduit of lifting outward of auxiliary gripping handle 7 to fix stomach wall;
(6) along the stomach of the utility model except airway is placed in stomach stoma, according on stomach stoma scale and ultrasound display it is common
Confirm that stomach stoma position is good;(7) protective film of stomach fistulization pipe surface is gradually exited under ultrasound real-time monitoring and is gradually filled the water
The sacculus of full stomach stoma front end;(8) ultrasound reaffirms that stomach stoma position is good, exits in the stomach of the utility model
Except airway;(9) suitably lifts stomach stoma, and ultrasound confirmation, pulls out seal wire again, and indwelling stomach stoma is in stomach, connector
Outer nutrient canal.
It is understood that being merely to illustrate the utility model above with respect to the specific descriptions of the utility model and not being
It is limited to technical solution described in the utility model embodiment, those skilled in the art should understand that, it still can be with
It modifies to the utility model or equivalent replacement, to reach identical technical effect;Needs are used as long as meeting, all in this reality
Within novel protection scope.
Claims (9)
1. airway, including catheter main body, sacculus (2) are removed in a kind of stomach that cooperation ultrasound-guided percutaneous stomach stoma uses,
It is characterized by: the catheter main body is made of center needle tubing (8) and water filling outer tube (4), water filling outer tube (4)
Closed connection between front end, rear end and center needle tubing (8) outer wall, center needle tubing (8) front end is tip (1), in
The front end of closed downwards formula connection water filling outer tube (4) at heart needle tubing (8) tip (1);At center below needle tubing (8) tip (1)
Water filling outer tube (4) on be provided with sacculus installing zone (9), the sacculus (2) be paperwrapped in water filling outer tube (4) on the outside of ball
On capsule installing zone (9), fill openings are offered on the water filling outer tube (4) of the sacculus (2) and water filling outer tube (4) junction
(10), it is communicated inside the fill openings (10) and sacculus (2);Side is provided with note below the water filling outer tube (4)
It is connected inside water swivel (6), the water filling connector (6) and water filling outer tube (4), described water filling outer tube (4) rear end
Center needle tubing (8) on be additionally provided with auxiliary gripping handle (7).
2. airway is removed in a kind of stomach that cooperation ultrasound-guided percutaneous stomach stoma uses according to claim 1,
Be characterized in that: tip (1) length of the center needle tubing (8) is 1cm.
3. airway is removed in a kind of stomach that cooperation ultrasound-guided percutaneous stomach stoma uses according to claim 1,
Be characterized in that: sacculus installing zone (9) length is 2cm.
4. airway is removed in a kind of stomach that cooperation ultrasound-guided percutaneous stomach stoma uses according to claim 1,
Be characterized in that: it is stifled that the rear end and center needle tubing (8) outer wall junction of the water filling outer tube (4) are provided with preventing water leakage sealant
(15).
5. airway is removed in a kind of stomach that cooperation ultrasound-guided percutaneous stomach stoma uses according to claim 1,
Be characterized in that: the water filling connector (6) blocks up (13) including water filling water inlet pipe (11), water inlet channel closure (12), end socket glue, described
Water filling water inlet pipe (11) one end and water filling outer tube (4) inside be connected, wrapped on described water filling water inlet pipe (11) other end
It is cased with into water channel closure (12), it is stifled filled with end socket glue between the water inlet channel closure (12) and water filling water inlet pipe (11) end
(13), it is recessed to offer syringe needle insertion for position opposite with the water filling water inlet of water inlet pipe (11) on end socket glue stifled (13)
Slot (14).
6. airway is removed in a kind of stomach that cooperation ultrasound-guided percutaneous stomach stoma uses according to claim 1,
It is characterized in that: being provided with sacculus fastening clamp (3) on the outside of described sacculus (2) top and bottom, sacculus (2) upper end is under
End is fixedly connected on the sacculus installing zone (9) of water filling outer tube (4) by the sacculus fastening clamp (3).
7. airway is removed in a kind of stomach that cooperation ultrasound-guided percutaneous stomach stoma uses according to claim 1,
It is characterized in that: being provided with scale (5) on the outer surface of the water filling outer tube (4).
8. airway is removed in a kind of stomach that cooperation ultrasound-guided percutaneous stomach stoma uses according to claim 1,
It is characterized in that: being additionally provided with plastic protective film for plastics on the outer surface of the water filling outer tube (4).
9. airway is removed in a kind of stomach that cooperation ultrasound-guided percutaneous stomach stoma uses according to claim 1,
Be characterized in that: it is 6cm that the sacculus (2), which fills diameter, and sacculus (2) front after filling exceeds center needle tubing (8) tip (1)
1cm, sacculus (2) rear portion after filling can strut the gap that length is 3cm.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN201822098675.0U CN209332972U (en) | 2018-12-14 | 2018-12-14 | A kind of stomach that cooperation ultrasound-guided percutaneous stomach stoma uses is interior except airway |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
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CN201822098675.0U CN209332972U (en) | 2018-12-14 | 2018-12-14 | A kind of stomach that cooperation ultrasound-guided percutaneous stomach stoma uses is interior except airway |
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Publication Number | Publication Date |
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CN209332972U true CN209332972U (en) | 2019-09-03 |
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CN201822098675.0U Active CN209332972U (en) | 2018-12-14 | 2018-12-14 | A kind of stomach that cooperation ultrasound-guided percutaneous stomach stoma uses is interior except airway |
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CN (1) | CN209332972U (en) |
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2018
- 2018-12-14 CN CN201822098675.0U patent/CN209332972U/en active Active
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