CN210933375U - Multifunctional ventricles of brain abdominal cavity shunt tubes - Google Patents

Multifunctional ventricles of brain abdominal cavity shunt tubes Download PDF

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Publication number
CN210933375U
CN210933375U CN201920786950.XU CN201920786950U CN210933375U CN 210933375 U CN210933375 U CN 210933375U CN 201920786950 U CN201920786950 U CN 201920786950U CN 210933375 U CN210933375 U CN 210933375U
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CN
China
Prior art keywords
drainage tube
brain
ventricles
end drainage
abdominal cavity
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Expired - Fee Related
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CN201920786950.XU
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Chinese (zh)
Inventor
李洁莉
陈劲草
孙慧敏
章剑剑
吴小林
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Zhongnan Hospital of Wuhan University
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Zhongnan Hospital of Wuhan University
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Abstract

The utility model relates to a multi-functional ventricles of brain peritoneal shunt tubes, bury tub, abdominal cavity end drainage tube and tee bend underground including ventricles of brain end drainage tube, scalp end drainage tube, outer drainage tube, subcutaneous, the one end of ventricles of brain end drainage tube is placed in the side ventricles of brain, ventricles of brain end drainage tube other end with the connection can be dismantled to three-way first interface, scalp end drainage tube one end with the connection can be dismantled to three-way second interface, scalp end drainage tube other end pass the hole that forms in the patient skull with outer drainage tube one end can be dismantled the connection, the beneficial effects of the utility model are that: can once only accomplish ventricle external drainage and ventricle abdominal cavity reposition of redundant personnel operation, reduce patient's operation number of times, reduce the risk of patient's infection, when finding that ventricle end drainage tube or abdominal cavity end drainage tube are blockked up, can directly change ventricle end drainage tube or abdominal cavity end drainage tube, need not carry out whole change to the shunt tubes.

Description

Multifunctional ventricles of brain abdominal cavity shunt tubes
Technical Field
The utility model relates to a ventricles of brain abdominal cavity shunt tubes especially relates to a multi-functional ventricles of brain abdominal cavity shunt tubes.
Background
Ventricular-abdominal bypass (V-P bypass) is a bypass operation in which a set of bypass devices with one-way valves are placed in the body to bypass the cerebrospinal fluid from the ventricles to the abdominal cavity for absorption, which is the most common bypass operation at present. The V-P shunt operation indications comprise communicating hydrocephalus, congenital hydrocephalus, Normal Pressure Hydrocephalus (NPH), hydrocephalus caused by space occupation of the posterior cranial fossa, and the hydrocephalus is not released and the shunt is reset after tumor resection.
A large portion of these shunt devices become clogged in a relatively short period of time. It is reported in the literature that approximately 40% of surgical procedures associated with ventricular shunts are correcting problems caused by previous procedures. This problem is particularly prevalent in children, where proximal catheter blockage is common in small ventricles as brain and skull growth causes shunt location changes within the brain over time. Once the catheter is blocked, the entire shunt needs to be removed, and a new shunt is implanted as needed after the patient has rested. The shunt tubes are designed integrally at present, are not split-packed or assembled, and are seriously damaged and expensive for patients when being re-implanted.
SUMMERY OF THE UTILITY MODEL
The utility model aims to solve the technical problem that a multifunctional shunt tube for ventriculoperitoneal cavity is provided, which solves the defects of the prior art.
The utility model provides an above-mentioned technical problem's technical scheme as follows: the utility model provides a multi-functional ventricles of brain peritoneal shunt tubes, includes ventricles of brain end drainage tube, scalp end drainage tube, outer drainage tube, buries tub, peritoneal cavity end drainage tube and tee bend underground, the one end of ventricles of brain end drainage tube is placed in the side ventricle of brain, ventricles of brain end drainage tube other end with the connection can be dismantled to three-way first interface, scalp end drainage tube one end with the connection can be dismantled to three-way second interface, scalp end drainage tube other end pass the hole that forms in the patient skull with outer drainage tube one end can be dismantled and be connected, bury tub one end underground with the connection can be dismantled to three-way third interface, bury the tub other end underground under the skin with peritoneal cavity end drainage tube one end can be dismantled and be connected, the peritoneal cavity end drainage tube other end.
The utility model has the advantages that: can once only accomplish ventricle external drainage and ventricle abdominal cavity reposition of redundant personnel operation, reduce patient's operation number of times, reduce the risk of patient's infection, when finding that ventricle end drainage tube or abdominal cavity end drainage tube are blockked up, can directly change ventricle end drainage tube or abdominal cavity end drainage tube, need not carry out whole change to the shunt tubes.
Further: the ventricle end drainage tube, the outer drainage tube, the subcutaneous embedding tube and the abdominal cavity end drainage tube are all internally provided with anti-reflux one-way valves.
The beneficial effects of the further scheme are as follows: the one-way valve can prevent the cerebrospinal fluid in the ventricular end drainage tube, the scalp end drainage tube, the external drainage tube, the subcutaneous embedding tube and the abdominal cavity end drainage tube from flowing reversely, and can prevent intracranial infection.
Further: the outer surface of the scalp end drainage tube is provided with an antibacterial coating.
The beneficial effects of the further scheme are as follows: the outer surface of the scalp end drainage tube is provided with an antibacterial coating which can prevent intracranial infection.
Further: the detachable connection is socket joint or plug joint.
The beneficial effects of the further scheme are as follows: the shunt tube is convenient to disassemble and assemble by adopting a sleeving or inserting mode.
Further: the tee joint is made of disposable medical plastics.
The beneficial effects of the further scheme are as follows: the tee joint is made of disposable medical plastic, and can prevent intracranial infection.
Drawings
FIG. 1 is a schematic diagram of a prior art silicone ventricular shunt system;
fig. 2 is a schematic structural view of a multifunctional ventricular and abdominal shunt tube of the present invention;
in the figure: 1. a ventricular end drainage tube; 2. a scalp end drainage tube; 3. an outer drainage tube; 4. burying a pipe under skin; 5. an abdominal cavity end drainage tube; 6. a tee joint; 7. a brain; 8. a lateral ventricle; 9. a cerebral catheter device; 10. A one-way valve; 11. a tube.
Detailed Description
The principles and features of the present invention are described below in conjunction with the following drawings, the examples given are only intended to illustrate the present invention and are not intended to limit the scope of the present invention.
Referring to fig. 1, a prior art ventricular shunt device is shown. The ventricular shunt device comprises a cerebral catheter means the cerebral catheter means 9 takes the form of a section of resilient silicone tubing. The distal end of the cerebral catheter device 9 is placed within the lateral ventricle 8 of the brain 7 and includes a plurality of orifices in its side wall (not shown) for collecting CSF.
A typical procedure for implanting the catheter device 9 involves making an incision in the scalp and forming a bore (typically 10mm to 15mm in diameter) through the skull. An elongated rod or probe is then manually inserted into the brain by the surgeon and guided into the lateral ventricle using external anatomical markers for guidance. The probe is then withdrawn and the distal end of the brain catheter device 9 is pushed along the pathway that has been formed in the brain tissue until its distal end reaches the lateral ventricle.
The proximal end of the catheter means 9 protrudes through a bore formed in the head and is connected to the one-way valve 10 by a bayonet connector. The proximal portion of the catheter device is also sutured to the bayonet connector to ensure a robust physical connection. Another length of tubing 11 extends from the one-way valve 10 to the peritoneal cavity or right atrium of the heart.
The above described ventricular shunt devices can become occluded in a relatively short period of time. Once the catheter is blocked, the entire shunt needs to be removed, and a new shunt is implanted as needed after the patient has rested. The shunt tubes are designed integrally at present, are not split-packed or assembled, and are seriously damaged and expensive for patients when being re-implanted.
Fig. 2 shows a multifunctional ventricles of brain and abdominal cavity shunt tube of the utility model, which comprises a ventricles of brain end drainage tube 1, a scalp end drainage tube 2, an external drainage tube 3, a subcutaneous embedding tube 4, an abdominal cavity end drainage tube 5 and a tee joint 6, one end of the ventricular end drainage tube 1 is placed in a lateral ventricle 8 of a brain 7, the other end of the ventricular end drainage tube 1 is detachably connected with a first interface of the tee joint 6, one end of the scalp end drainage tube 2 is detachably connected with the second interface of the tee joint 6, the other end of the scalp end drainage tube 2 passes through a hole formed in the skull of the patient and is detachably connected with one end of the outer drainage tube 3, one end of the subcutaneous embedding tube 4 is detachably connected with a third interface of the tee joint 6, the other end of the subcutaneous embedding tube 4 is detachably connected with one end of the abdominal cavity end drainage tube 5, and the other end of the abdominal cavity end drainage tube 5 is placed in the peritoneal cavity.
When the drainage device is used, when only ventriculoperitoneal shunt operation is needed, the ventriculoperitoneal drainage tube 1, the subcutaneous embedded tube 4 and the abdominal cavity end drainage tube 5 are implanted, and the implanted ventriculoperitoneal drainage tube 1, the subcutaneous embedded tube 4 and the abdominal cavity end drainage tube 5 are sequentially connected to conduct ventriculoperitoneal drainage. When the tip of the ventricular end drainage tube 1 or the abdominal cavity end drainage tube 5 is blocked, the whole catheter system does not need to be replaced according to the traditional method, and the ventricular end drainage tube 1 or the abdominal cavity end drainage tube 5 is simply replaced.
When a patient is suspected to have intracranial infection, the ventriculoperitoneal shunt operation can not be directly carried out, at the moment, the ventriculoperitoneal drainage operation is required to be firstly carried out, and a ventriculoperitoneal drainage tube 1, a scalp end drainage tube 2, an external drainage tube 3, a subcutaneous embedding tube 4 and an abdominal cavity end drainage tube 5 are implanted in one operation, and the ventricular end drainage tube 1, the scalp end drainage tube 2 and the subcutaneous embedding tube 4 are connected through a tee joint 6, the ventricular end drainage tube 1 is communicated with the scalp end drainage tube 2 through the tee joint 6, the ventricular end drainage tube 1, the scalp end drainage tube 2 and the external drainage tube 3 are used for carrying out ventricular external drainage, when the infection index is recovered to be normal, the scalp end drainage tube 2 and the external drainage tube 3 are removed, then the ventricular end drainage tube 1 is communicated with the subcutaneous embedded tube 4 through the tee joint 6, and ventricular abdominal drainage is carried out through the ventricular end drainage tube 1, the subcutaneous embedded tube 4 and the abdominal cavity end drainage tube 5. When the blockage of the tip of the ventricular end drainage tube 1 or the abdominal cavity end drainage tube 5 is found, the ventricular end drainage tube 1 or the abdominal cavity end drainage tube 5 can be directly replaced.
In order to further optimize the technical scheme, anti-reflux one-way valves are arranged in the ventricular end drainage tube 1, the scalp end drainage tube 2, the outer drainage tube 3, the subcutaneous embedding tube 4 and the abdominal cavity end drainage tube 5. The one-way valve can prevent the cerebrospinal fluid in the ventricular end drainage tube 1, the scalp end drainage tube 2, the external drainage tube 3, the subcutaneous embedded tube 4 and the abdominal cavity end drainage tube 5 from flowing reversely, and can prevent intracranial infection.
In order to further optimize the technical scheme, the outer surface of the scalp end drainage tube 2 is provided with an antibacterial coating. The bacteriostatic coating can prevent intracranial infection.
Wherein, the detachable connection is socket joint or plug-in connection. The shunt tube is convenient to disassemble and assemble by adopting a sleeving or inserting mode.
Wherein, the tee joint 6 is made of disposable medical plastic. Can prevent intracranial infection.
In the description of the present invention, it is to be understood that the terms "center", "longitudinal", "lateral", "length", "width", "thickness", "upper", "lower", "front", "rear", "left", "right", "vertical", "horizontal", "top", "bottom", "inner", "outer", "clockwise", "counterclockwise", "axial", "radial", "circumferential", and the like, indicate the orientation or positional relationship indicated based on the drawings, and are only for convenience of description and simplicity of description, and do not indicate or imply that the device or element referred to must have a particular orientation, be constructed and operated in a particular orientation, and therefore, should not be construed as limiting the present invention.
Furthermore, the terms "first", "second" and "first" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance or implicitly indicating the number of technical features indicated. Thus, a feature defined as "first" or "second" may explicitly or implicitly include at least one such feature. In the description of the present invention, "a plurality" means at least two, e.g., two, three, etc., unless specifically limited otherwise.
In the present invention, unless otherwise expressly stated or limited, the terms "mounted," "connected," and "fixed" are to be construed broadly and may, for example, be fixedly connected, detachably connected, or integrally formed; can be mechanically or electrically connected; they may be directly connected or indirectly connected through intervening media, or they may be connected internally or in any other suitable relationship, unless expressly stated otherwise. The specific meaning of the above terms in the present invention can be understood according to specific situations by those skilled in the art.
In the present application, unless expressly stated or limited otherwise, the first feature may be directly on or directly under the second feature or indirectly via intermediate members. Also, a first feature "on," "over," and "above" a second feature may be directly or diagonally above the second feature, or may simply indicate that the first feature is at a higher level than the second feature. A first feature being "under," "below," and "beneath" a second feature may be directly under or obliquely under the first feature, or may simply mean that the first feature is at a lesser elevation than the second feature.
In the description herein, references to the description of the term "one embodiment," "some embodiments," "an example," "a specific example," or "some examples," etc., mean that a particular feature, structure, material, or characteristic described in connection with the embodiment or example is included in at least one embodiment or example of the invention. In this specification, the schematic representations of the terms used above are not necessarily intended to refer to the same embodiment or example. Furthermore, the particular features, structures, materials, or characteristics described may be combined in any suitable manner in any one or more embodiments or examples. Furthermore, various embodiments or examples and features of different embodiments or examples described in this specification can be combined and combined by one skilled in the art without contradiction.
Although embodiments of the present invention have been shown and described, it is understood that the above embodiments are exemplary and should not be construed as limiting the present invention, and that variations, modifications, substitutions and alterations can be made to the above embodiments by those of ordinary skill in the art without departing from the scope of the present invention.

Claims (5)

1. The utility model provides a multi-functional ventricles of brain peritoneal shunt tubes, its characterized in that includes ventricles of brain end drainage tube (1), scalp end drainage tube (2), outer drainage tube (3), bury pipe (4) underground, peritoneal cavity end drainage tube (5) and tee bend (6), the one end of ventricles of brain end drainage tube (1) is placed in the side ventricles of brain (7) room (8), ventricles of brain end drainage tube (1) other end with the first interface of tee bend (6) can be dismantled and is connected, scalp end drainage tube (2) one end with the second interface of tee bend (6) can be dismantled and is connected, scalp end drainage tube (2) other end pass the hole that forms in the patient's skull with outer drainage tube (3) one end can be dismantled and be connected, bury pipe (4) one end underground with the third interface of tee bend (6) can be dismantled and be connected, bury pipe (4) other end underground and peritoneal cavity end drainage tube (5) one end, the other end of the abdominal cavity end drainage tube (5) is placed in the peritoneal cavity.
2. The multifunctional ventricular-abdominal shunt tube according to claim 1, wherein a one-way valve for anti-reflux is arranged in the ventricular end drainage tube (1), the scalp end drainage tube (2), the external drainage tube (3), the subcutaneous embedding tube (4) and the abdominal cavity end drainage tube (5).
3. The multifunctional ventricular and abdominal cavity shunt tube as claimed in claim 1, wherein the scalp end drainage tube (2) is provided with a bacteriostatic coating on its outer surface.
4. The multifunctional ventricular-abdominal shunt according to claim 1, wherein said detachable connection is a socket or a plug.
5. The multifunctional ventricular-abdominal shunt according to claim 1, wherein the said tee (6) is made of disposable medical plastic.
CN201920786950.XU 2019-05-28 2019-05-28 Multifunctional ventricles of brain abdominal cavity shunt tubes Expired - Fee Related CN210933375U (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN115068712A (en) * 2022-08-23 2022-09-20 中国人民解放军总医院第六医学中心 Long-range shunt guiding set for patients with ventricular inflammation
CN115400332A (en) * 2022-09-16 2022-11-29 吉林大学第一医院 External anti-infection device for abdominal wall of abdominal catheter at abdominal end of V-P shunt operation

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN115068712A (en) * 2022-08-23 2022-09-20 中国人民解放军总医院第六医学中心 Long-range shunt guiding set for patients with ventricular inflammation
CN115068712B (en) * 2022-08-23 2022-12-06 中国人民解放军总医院第六医学中心 Long-range shunt guiding set for patients with ventricular inflammation
CN115400332A (en) * 2022-09-16 2022-11-29 吉林大学第一医院 External anti-infection device for abdominal wall of abdominal catheter at abdominal end of V-P shunt operation
CN115400332B (en) * 2022-09-16 2024-03-12 吉林大学第一医院 External anti-infection device for abdominal wall of abdominal end catheter of V-P shunt operation

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Granted publication date: 20200707