CN209405286U - Jejunum casing discharges system and its releaser - Google Patents

Abstract

The utility model relates to jejunum casing release system and its releasers, the interconnecting piece for being connect with storage shell distal openings that the releaser has main part and extended to form by main part, releaser has inner cavity, releaser outer wall is equipped with the hole A and at least two hole C for being connected to the inner cavity, one or more slot A are equipped on release body sidewall, the slot A connecting hole A and one of hole C, for the cable tray between hole A to hole C, slot B is equipped between adjacent hole C, slot B is used to connect the cable tray between adjacent hole C.The utility model structure is simple, and firm binding wire structure can will be formed by cooperating cable release and fixing line to use between membrane tube, inner tube and the releaser in release system, and the binding wire structure is very easy to unlock.

Description

Jejunum casing discharges system and its releaser

Technical field

The utility model relates to the field of medical instrument technology more particularly to a kind of jejunum casing release system and its releases Body.

Background technique

Diabetes are by the various virulence factor effects such as inherent cause, immunologic function disorder, microorganism infection and its toxin One systems such as sugar, protein, fat, water and the electrolyte that the hypoinsulinism caused by body, insulin resistance etc. two causes Column metabolism disturbance syndrome.Diabetes divide the glycosuria of Type I diabetes and type II diabetes, gestational diabetes mellitus and other specific types Disease.In diabetic, ratio shared by type II diabetes is about 95%.

In the latest 20 years, along with global industry, the illness rate of allegro life, diabetes is sharply increased, sugar Urine disease seriously affects people's lives quality and threatens the health of the mankind.

Type-II diabetes (T2DM) are to keep on a diet, reinforces moving, oral drugs and pancreas in the main treatment method of internal medicine The integration scenarios such as island extract for treating, however above-mentioned medical treatment cannot make glucose restore that normally, glycosuria can not be avoided completely The appearance of sick complication and being further aggravated for the state of an illness.

A small number of hospital are carrying out as treatment diabetes and weight-reducing and are doing stomach turn of tidal stream and perform the operation (GBP) both at home and abroad at present.Stomach turns Stream operation has definite curative effect to T2DM, but due to carry out operation, bigger to the wound of human body, and diabetic Post-operative wound is not easy to heal.Simultaneously there is also surgery cost height, the problem for causing the burden of patient economically big, therefore adopt With the popularization of stomach turn of tidal stream operative treatment diabetes, there is also some obstacles.

Currently, external also have by being implanted into the structure treatments diabetes such as similar stomach air deflector in the gastrointestinal tract.Such as it discloses Number for stomach food diverter disclosed in CN202751415U, wherein one end of ball cable release by one end of membrane tube and is pushed away by slip-knot One end of pipe is sent to connect respectively with film release ball, the other end of ball cable release extends to outside oral cavity, by pulling ball cable release position Slip-knot, which can be opened, in extrabuccal one end separates membrane tube, push pipe and film release ball three.It is fixed using such single line Mode, release film release ball after, it is easy to have it is longer one section enter enteron aisle and membrane tube gap location, enteron aisle squeeze Pressure, ball cable release line is extremely difficult from membrane tube disengaging, is easy to pull membrane tube again back when withdrawing ball cable release, shadow Ring the progress of operation.Also, this binding wire structure is easy to appear and accidentally pulls the feelings that ball cable release prematurely pops out film release ball Condition.

Utility model content

To solve the above-mentioned problems, the purpose of this utility model is to provide a kind of structures to be simple and convenient to operate, convenient for pushing away A kind of jejunum casing release system and its releaser extensively used.

In order to achieve the above purpose, the utility model discloses the releaser of jejunum casing release system, the releases The inner cavity (12) that body (10) has periphery wall (11) and can be connected to inside storage shell, releaser periphery wall (11), which is equipped with, to be connected A hole A (111) and at least two hole C (112) for leading to the inner cavity are equipped with one or more slot A on release body sidewall (113), slot A (113) the connecting hole A (111) and one of hole C (112), between hole A (111) to hole C (112) Cable tray is equipped with slot B (114) between adjacent hole C (112), and slot B (114) is for connecting between adjacent hole C (112) Cable tray.

Preferably, releaser (10) contains developing material.

Preferably, developing material can be also possible to pass through painting directly as a part of raw material of processing releaser Releaser surface is overlayed on, or development mark can be set into, is pasted on releaser by medical glue.

Preferably, releaser (10) is equipped with seal wire fast exchange channel (116), seal wire fast exchange channel (116) It is to be formed by the directly conducting of two access portals (1161) on releaser, the two access portals are respectively positioned on periphery wall exposure In on the outer surface of storage shell.

Preferably, inner cavity of the seal wire fast exchange channel without releaser.

Preferably, releaser (11) is equipped with for the seal wire slot mating with push-and-pull seal wire in external push component (115)。

The invention also discloses it is a kind of include the jejunum casing release system with described in any item releasers as above System.

The releaser of above structure, structure is simple, cooperate cable release and fixing line using can by release system membrane tube, Firm binding wire structure is formed between inner tube and releaser, and the binding wire structure is very easy to unlock.

Detailed description of the invention

Fig. 1 is the structural schematic diagram of Tthe utility model system.

Fig. 2 is the cross-sectional view in Fig. 1 at A.

Fig. 3 is the cross-sectional view in Fig. 1 at B.

Fig. 4 is the sectional view of N-N in Fig. 1.

Fig. 5 is membrane tube and one of the fixed structure schematic diagram for discharging ball.

Fig. 6 is the top structure schematic diagram for discharging ball.

Fig. 7 is the two of the fixed structure schematic diagram of membrane tube and release ball.

Fig. 8 is the binding wire structure schematic diagram for discharging cable release and fixing line on ball.

The attachment structure schematic diagram of Fig. 9 inner tube and cable release.

Figure 10 is the attachment structure schematic diagram of fixing line and membrane tube.

Wherein: 10, releaser, 11, periphery wall, 111, hole A, 112, hole C, 113, slot A, 114, slot B, 115, seal wire slot, 116, seal wire fast exchange channel, 1161, access portal, 12, inner cavity, 20, membrane tube, 201, hole B, 30, fixing line, 40, storage Shell, 401, connector sleeve, 41, pushing block, 50, cable release, 60, bracket, 71, outer tube, 72, middle pipe, 73, inner tube, 74, push-and-pull lead Silk, 81, middle tube winding apparatus, 811, shell, 8111, limited step, 812, adjusting knob, 8121, elongated end, 813, sealing Circle, 814, heat-shrinkable T bush, 815, bracing wire knob, 82, interior tube winding apparatus, 83, seal wire locking device, 84, female Luer

Specific embodiment

It elaborates below in conjunction with attached drawing to the embodiments of the present invention.It wherein, is close by one end of proximal operator End, one end far from operator are distal end, are proximally front end towards the direction of distal end, otherwise are proximal end.

Jejunum pipe built in a kind of duodenum as shown in Figs. 1-3 discharges system, including implanted device, push component, solid Alignment 30 and cable release 50.

Implanted device is for being implanted to human body by the oral cavity of human body by gastroscope and referring to close to gastropyloric 12 in human body Intestines and/or stomach pylorus top.Implanted device includes that storage shell 40, releaser 10, membrane tube 20 and bracket 60, storage case 40 are Tubulose, storage shell 40 have a proximal openings and a distal openings, and membrane tube 20 to be released and bracket 60 are set in folded state It sets in storage case 40,20 proximal end of membrane tube is distally connect with bracket 60.

Releaser 10 is arranged at the distal openings of storage shell 40 distally to be connect with membrane tube 20, and releaser 10 is by can be by Human body intestinal canal is digested and assimilated or the material of dissolution is made.Releaser 10 has periphery wall 11 and can be connected to inside storage shell Inner cavity 12, releaser periphery wall is equipped with a hole A111 for being connected to the inner cavity and at least two hole C112, hole A111 are located at The top of releaser 10 is arranged close to the top of releaser, and the top refers to the separate operation of releaser on its axis Distalmost end on person direction, multiple hole C112 are equally spaced in releaser outer peripheral surface centered on the axis of releaser 10, are being released It puts body sidewall and is equipped with one or more slot A113, the slot A113 connecting hole A111 and one of hole C112, be used for hole A 111 arrive the cable tray between the C112 of hole, slot B114 are equipped between adjacent hole C112, slot B114 is for connecting adjacent hole Cable tray between C112；Periphery wall is generally in spherical form or the arcuate structure of dome-type, prevents releaser from scratching enteron aisle.

Releaser 10 is connect with 20 distal end of membrane tube by cable release 50 and fixing line 30, right on the periphery wall of 20 distal end of membrane tube Hole C112 is answered to be equipped with hole B201.

As shown in Figure 1, Figure 2, shown in Fig. 4 and Fig. 8-10, push component includes successively being arranged outward and mutual energy by interior Push-and-pull seal wire 74, inner tube 73, middle pipe 72 and the outer tube 71 of enough relative motions.Withstand releaser in the distal end of the push-and-pull seal wire 74 10；73 a part of said inner tube is located in the storage shell 40 and connect with the releaser 10；50 one end of cable release is fixed In the distal end of inner tube 73,50 other end of cable release enters the inner cavity of releaser 10 and draws from the hole A111 on releaser top, according to It is secondary to be wrapped in 10 lateral wall of releaser along the circumferentially distributed direction of hole C112 by slot A113 and slot B114.One end of fixing line 30 It is fixed on pipe, is generally fixed to middle Guan Yuanduan, the fixing line other end is free end, which wears from the inner cavity of membrane tube 20 It crosses, through hole C112 corresponding on the hole B201 and releaser 10 on filmed passing tube 20, around cable release 50 using the hole C112 and hole B201 wears go back to 20 inner cavity of membrane tube, then repeats the above process this end of fixing line sequentially passing through remaining hole in membrane tube Corresponding hole C112 on B201 and releaser.By fixing line 30 and cable release mating connection releaser and membrane tube, discharging After line release, fixing line 30 only has the coil of several very littles to expose from the C of hole, in this way, walking when fixing line is recalled from membrane tube inner cavity Line, will not outlet the case where taking back membrane tube.Further, due to the free end of fixing line 30 connecting hole C two-by-two in form of a coil After the B of hole, the end of a thread of the free end does not have any connection structure vacantly, in this way it is possible that part is already connected to hole C and hole B In coil disengage, on the one hand will affect the stability of connection structure between releaser 10 and membrane tube 20 in this way, on the other hand may be used One section of longer the end of a thread can be had to enter between membrane tube and intestines body, thus membrane tube may be taken back together when retracting fixing line, It is therefore preferable that setting, which can guarantee, in this way recalls admittedly will to draw in the free end of fixing line therefrom pipe 72 with the gap location of inner tube When alignment, fixing line 30 is all recalled from 20 inner cavity of membrane tube.And preferably the free end is fixed on bracing wire knob 815, so as to In retracting fixing line 50.

One end of the middle pipe 72 is protruded into the storage shell 40 through storing the proximal openings of shell, and the middle pipe The end is fixed with the pushing block for being used to push against the bracket 60 in the storage shell.Specifically, pushing block 41 and bracket 60 proximal ends offset, and 60 distal end of bracket is connect with 20 proximal end of membrane tube, and pushing block 41 pushes bracket 60 and membrane tube 20 to move together.Outer tube 71 Outside the storage shell 40 and one end is directly or indirectly fixedly connected in the proximal openings of storage shell 40；This implementation Example in, outer tube 71 pass through be connected to storage 40 proximal openings of shell connector sleeve 401 be fixed on storage shell 40 on and with storage The connection of shell inner cavity, stores and is threadedly coupled between shell 40 and connector sleeve 401.

It pushes in component, the proximal end of middle pipe 72 is stretched out from the proximal end of outer tube 71, is connected in the proximal end of outer tube 71 for locking Middle tube winding apparatus 71 of the pipe relative to outer tube position in fixed or unlock；The proximal end of inner tube 73 therefrom pipe 72 proximal end stretch out, The proximal end of middle pipe 72 is connected with the interior tube winding apparatus 82 for locking or unlocking inner tube relative to middle pipe position；Push and pull conducting wire 74 Proximal end from the proximal end of inner tube stretch out, the proximal end of inner tube be connected with for lock or unlock push-and-pull seal wire relative to inner tube position Seal wire locking device 83.Middle tube winding apparatus 81, interior tube winding apparatus 82 and seal wire locking device 83 can be using same Structure realizes the function of locking or unlocking.The structure includes shell 811, and shell one end, which is shunk, is fixed on outer tube, middle pipe or inner tube Proximal end, the interior channel having from its proximal openings to its distal openings of shell, shell are equipped with adjusting knob 812, adjusting knob It is equipped with to be squeezed by the elongated end 8121 of adjusting knob with elongated end 8121, in channel and compress from the middle pipe passed through in channel 72, the sealing ring 813 of inner tube 73 or push-and-pull seal wire 74, wherein the sealing ring in middle tube winding apparatus 81 is set in middle pipe periphery, The sealing ring of interior tube winding apparatus 82 is set in inner tube periphery, and the sealing ring in seal wire locking device 83 is set in outside push-and-pull seal wire Week.811 inner wall of shell forms the limited step 8111 of restricted sealing ring position inside the shell, is can guarantee in this way by adjusting rotation During the elongated end 8121 of button squeezes sealing ring 813, sealing ring 813 is directed at elongated end 8121 always, to realize sealing The frictional force being squeezed between increase and middle pipe, inner tube or push-and-pull seal wire is enclosed, to realize locking；Conversely, reducing adjusting knob Frictional force between sealing ring and middle pipe, inner tube or push-and-pull seal wire can be reduced to the pressure between sealing ring, to realize unlock.

In the present embodiment, the distal end of middle tube winding apparatus, interior tube winding apparatus and/or seal wire locking device passes through thermal shrinkable sleeve Pipe 814 is connected in outer tube 71, middle pipe 72 and/or inner tube 74, in order to inner tube, middle pipe in above-mentioned locking device and push component Assembling between the push pipe such as outer tube.

Preferably, bracing wire knob 815 is arranged on the shell of middle tube winding apparatus 81 or interior tube winding apparatus 82.

Built in above-mentioned duodenum jejunum cover release system, application method the following steps are included:

1, seal wire is held in place to set by seal wire after endoscopic forceps channel penetrates human body intestinal canal and withdraws from scope；

2, implanted device is guided to enter duodenum by seal wire；

3, in unlock tube winding apparatus 81 push in pipe 73, make middle pipe 73 that pushing block 41 be driven to advance, inner tube 74 and push away at this time Draw seal wire 75 due to pushing ahead in the case of the locking of interior tube winding apparatus 82 and seal wire locking device 83, to make releaser 10 With storage shell 40 disengage, inner tube 74 due to not being subjected to displacement with releaser 10, so cable release 50 will not easily with release Put body disengaging；

4, it continues to press on that middle pipe 72 to releaser 10 and membrane tube 20 enters enteron aisle and bracket 60 is still located in storage shell, stops Pipe 72 during thrust is dynamic, the step for be to prepare for expansion of the membrane tube 20 in enteron aisle；

5, tube winding apparatus 82 in unlocking pushes inner tube 73 that releaser 10 is made to advance and membrane tube 20 is driven to be unfolded, pushes and pulls simultaneously Seal wire 74 in the case of the locking of seal wire locking device 83 due to pushing ahead；The step in, push inner tube 73 until can not be after After continuous promotion releaser 10, stops pushing inner tube 73, illustrate that membrane tube 20 has been fully deployed in its longitudinal direction at this time；

6, unlock seal wire locks 83 devices, is movable in the axial direction to each other inner tube 73 and push-and-pull seal wire 74, is withstood with push-and-pull seal wire 74 Releaser 10, slowly toward recession inner tube 73 and releaser 10 will not be retracted with inner tube 73, keep cable release 50 and releaser 10 de- It opens；

7, operation bracing wire knob 815 pulls fixing line 30 completely into middle pipe 72, and releaser 10 and membrane tube 20 are divided at this time From；Therefrom pipe 72 and the gap location of inner tube 73 pass through fixing line 30；

8, push-and-pull seal wire 74 is withdrawn from；

9, the advance of pipe 72 makes pushing block 41 push bracket 60 in pushing, or keeps bracket 60 by the pushing block 41 of middle 72 distal end of pipe Position, while post-tensioning outer tube 71 makes bracket 60 be detached from storage shell 40；

10, inner tube 73, middle pipe 72 and outer tube 71 are withdrawn from.

Preferably, built in above-mentioned duodenum in jejunum set release system, middle tube winding apparatus 81, interior tube winding apparatus 82 and the structure of seal wire locking device 83 can be identical, different structure can also be used, as long as being able to achieve above-mentioned locking and unlocking Function.Wherein, seal wire locking device 83 may include the female Luer 84 being connected to inner tube, can push for controlling whether The adjusting knob of bracing wire seal wire is detachably connected in female Luer, and adjusting knob is equipped with the channel passed through for push-and-pull seal wire. In this way, before bracket 60 is detached from storage shell 40, push-and-pull seal wire can be first withdrawn from the application method of above-mentioned release system, The adjusting knob on seal wire locking device is unloaded, then through the female Luer injecting normal saline on seal wire locking device in Pipe 73, to help that membrane tube 20 is unfolded as far as possible.

Preferably, releaser 10 contains developing material, such as barium sulfate, waltherite or tungsten etc., can develop under X-ray, The position of releaser can be accurately shown under X-ray.In order to observe whether releaser excretes after the completion of operation.It should Developing material can directly as processing releaser a part of raw material, be also possible to by be coated in releaser surface, or Development mark can be set into person, is pasted on releaser by medical glue.Also, storage shell 40 can use transparent material Matter is made, in this way, operator can observe the position of the bracket 60 and pushing block 41 that are located in storage shell in real time, convenient for manipulating Middle pipe pushes the stop position that pushing block is more intuitively determined when pushing block.

In the present embodiment, during recalling drive cable release release due to inner tube, needs to push and pull seal wire and withstand releaser To limit the position of releaser, therefore, seal wire is pushed and pulled during this in order to prevent and falls off from releaser and scratches enteron aisle, is discharged Body 10 is equipped with the seal wire slot 115 mating with push-and-pull seal wire, and the distal end of push-and-pull seal wire 74 is plugged in the seal wire slot 115.

In above-mentioned steps 2, seal wire guidance implanted device, which enters duodenal structure, to be equipped with and release on releaser The hole of intracoelomic cavity connection, the hole are located on the central axes of releaser, and seal wire successively penetrates release intracoelomic cavity from the hole, then from interior Pipe distal end is pierced by after entering inner tube from inner tube proximal end, guides implanted device to enter predetermined position by seal wire to realize, in this way Structure, operation duration it is longer.For this problem, in the application, seal wire fast exchange channel 116 is set on releaser 10 Seal wire fast exchange channel 116 is to be connected to be formed by two 1161 straight lines of access portal on releaser, the two channels are opened Mouth be respectively positioned on periphery wall be exposed to storage shell outer surface on, seal wire fast exchange channel without releaser inner cavity, from And it can realize and avoid with the push inter-module for protruding into inner cavity.In the present embodiment, seal wire fast exchange channel 116 is obliquely installed, excellent It is in a certain angle with the central axes of releaser 10 to be selected as seal wire fast exchange channel 116.Seal wire fast exchange channel 116 is set, Connection can easily be formed between implanted device to enter predetermined position in guidance early period implanted device, also, in releaser After 10 disengage with storage shell 40, it can also continue to that releaser is made to continue deeper into enteron aisle depths along seal wire, hand is rapidly completed Art reduces the operation difficulty of operator, also mitigates the pain of patient.

Claims (7)

1. the releaser of jejunum casing release system, which is characterized in that the releaser (10) has periphery wall (11) and energy Inner cavity (12) inside connection storage shell, releaser periphery wall (11) be equipped with a hole A (111) for being connected to the inner cavity and At least two hole C (112) are equipped with one or more slot A (113), slot A (113) the connecting hole A on release body sidewall (111) and one of hole C (112), for the cable tray between hole A (111) to hole C (112), adjacent hole C (112) it Between be equipped with slot B (114), slot B (114) is used to connect cable tray between adjacent hole C (112).

2. the releaser of jejunum casing release system according to claim 1, which is characterized in that releaser (10) is containing aobvious Shadow material.

3. the releaser of jejunum casing according to claim 2 release system, which is characterized in that developing material directly as Process releaser a part of raw material, or by be coated in releaser surface, or be arranged to development mark, pass through doctor It fastens with glue on releaser.

4. the releaser of jejunum casing release system according to claim 1, which is characterized in that releaser (10) is equipped with Seal wire fast exchange channel (116), seal wire fast exchange channel (116) are straight by two access portals (1161) on releaser Connect what conducting was formed, the two access portals are respectively positioned on periphery wall and are exposed on the outer surface of storage shell.

5. the releaser of jejunum casing release system according to claim 4, which is characterized in that seal wire fast exchange channel Without the inner cavity of releaser.

6. the releaser of jejunum casing release system according to claim 1, which is characterized in that releaser (10) is equipped with For the seal wire slot (115) mating with push-and-pull seal wire in external push component.

7. jejunum covers release system, which is characterized in that including releaser such as of any of claims 1-6.