CN211883977U - Device for establishing percutaneous cystostomy channel - Google Patents

Abstract

The utility model discloses a device for establishing percutaneous cystostomy passageway, including the sleeve pipe body and the sleeve pipe outer edge of integrative connection, the sleeve pipe body is cylindric and inside cavity, the sleeve pipe outer edge is located the one end of sleeve pipe body, the sleeve pipe outer edge is cyclic annular, and surround the setting of sleeve pipe body, the trend of sleeve pipe outer edge is mutually perpendicular with the trend of sleeve pipe body, sleeve pipe body and sleeve pipe outer edge are flexible material, the sleeve pipe outer edge is last, be close to sleeve pipe body department fixedly connected with sub-knot, the sleeve pipe body is used for the cover in the manadesma expansion tube outside, stretch into the puncture passageway that the pjncture needle has already punctured together with the manadesma expansion tube and establish cystostomy passageway, still be used for the guide of urethra metal bougie or the endoscope stretches into the bladder to inspect; utilize the utility model discloses can establish bladder fistulization passageway fast, need not the wait of overlength time and can operate, can the emergency call operation or reduce operation latency to clinical urethra fracture or the constrictive patient of back urethra, improved the operation security.

Description

Device for establishing percutaneous cystostomy channel

[ technical field ] A method for producing a semiconductor device

The utility model belongs to the field of medical equipment, especially, relate to a device for establishing percutaneous cystostomy passageway.

[ background of the invention ]

At present, cystostomy is a common method for solving the problem of urine retention caused by urethral stricture in the field of urology surgery, and when the urethra treated by emergency is fractured and anastomosed, the bladder is often required to be opened to find an inner bladder opening and put a urethral metal bougie into the bladder opening to guide the near end of the urethra so as to ensure the safety of emergency repair operation; or performing cystostomy, and performing operation after bladder sinus formation for 1 month; the patient who is suitable for urgent urethra anastomosis under the general condition needs bladder open surgery or surgery with a fistulation tube for more than 1 month, which brings more invariance and pain to the patient.

The percutaneous cystoscope channel-establishing instrument is frequently used for quickly establishing a percutaneous bladder channel in clinical work at present, or a laparoscopic Trocar is used for establishing a channel, which are not devices exclusively used for the percutaneous bladder channel, so that the use of various endoscopes and metal urethral bougies is limited, only lesions in the bladder can be treated, and the intestinal tract and peripheral blood vessels are easily damaged, and thus a special instrument needs to be designed for quickly establishing the percutaneous bladder channel.

[ Utility model ] content

The utility model aims at providing a device for establishing percutaneous cystostomy passageway can establish percutaneous bladder passageway fast, can emergency operation or reduce operation latency to clinical urethra fracture or the narrow patient of back urethra.

The utility model adopts the following technical scheme: the utility model provides a device for establishing percutaneous cystostomy passageway, along outside sleeve pipe body and the sleeve pipe including a body coupling, the sleeve pipe body is cylindric and inside cavity, the sleeve pipe is outer along the one end that is located the sleeve pipe body, the sleeve pipe is outer along being cyclic annular, and encircle the setting of sleeve pipe body, the trend of the outer edge of sleeve pipe and the trend mutually perpendicular of sleeve pipe body, sleeve pipe body and sleeve pipe are outer along being flexible material, the sleeve pipe is outer along last, be close to sleeve pipe body department fixedly connected with son and detain, the sleeve pipe body is used for the cover in the manadesma expansion tube outside, stretch into the puncture channel that the pjncture needle has already punctured together with the manadesma expansion tube and establish cystostomy passageway, still be used for the guide of urethra metal bougie.

Further, still including collection urine switching portion, collection urine switching portion is including collection urine ball and connector, collection urine ball is hemispherical, and its border fixedly connected with detains the matched with box with the son, collection urine ball is used for detaining through the son and the box mutually supports with the sleeve pipe body and forms a confined collection urine region, collection urine ball is connected with the adapter through the drainage tube, the drainage tube is used for urine drainage to outside urine bag in the collection urine region, drainage tube and collection urine ball body coupling, with adapter threaded connection, the adapter is horn mouth shape, and it is provided with the internal thread, the internal thread of adapter is used for the pipe head threaded connection with outside urine bag.

Furthermore, the son is detained for the annular, and with the coaxial setting of sleeve pipe body, and the box is also annular to detain mutually supporting with the son and link together sleeve pipe body and urine switching portion interconnect.

Furthermore, a regulating valve and a check valve are installed on the drainage tube.

Furthermore, scales are arranged on the outer wall of the sleeve body.

Further, the length of the sleeve body is smaller than that of the fascia expansion pipe, the length of the fascia expansion pipe is 12cm, and the length of the sleeve body is 4cm or 6 cm.

Further, two through holes are formed in the outer edge of the sleeve in a penetrating mode, the two through holes are symmetrically arranged, and the two through holes are used for enabling an operation line to penetrate through the outer edge of the sleeve and be fixed with the skin in a sewing mode.

The utility model has the advantages that: the utility model can be used for quickly establishing the cystostomy channel, can perform the operation without waiting for a long time, can perform the emergency operation or reduce the operation waiting time aiming at the patients with clinical urethral fracture or posterior urethral stricture, and improves the operation safety; because the sleeve body and the outer edge of the sleeve are made of flexible materials, the metal urethral probe can be placed into the sleeve, can easily probe into the internal orifice of the urethra, is convenient for use during emergency operation, can lead the metal urethral probe to enter the urethra after entering and lead the endoscope to enter the bladder for observation, and is not limited in the back-and-forth rotation; reducing the risk of damage to the intestinal tract and surrounding blood vessels; the outer edge of the sleeve is also provided with a sub-button, and the sub-button is mutually connected with the female button of the urine collection switching part, so that a urine collection ball can be sleeved on the sleeve to serve as a temporary urination channel, a urinary catheter is not used, the bladder irritation symptom is reduced, and the sleeve is safe and convenient.

[ description of the drawings ]

Fig. 1 is a schematic structural view of a middle sleeve of the present invention;

fig. 2 is a schematic structural view of the urine collecting adapter of the present invention.

Wherein: 1. a sleeve body; 2. the outer edge of the sleeve; 3. a sub-buckle; 4. collecting urine balls; 5. an adapter; 6. a female buckle; 7. a drainage tube.

[ detailed description ] embodiments

The present invention will be described in detail with reference to the accompanying drawings and specific embodiments.

The utility model discloses a device for percutaneous cystostomy passageway, as shown in figure 1, including a body coupling and inside hollow sleeve pipe body 1 with encircle and follow 2 outside the sleeve pipe of sleeve pipe body 1 one end, the sleeve pipe is outer along 2 along keeping away from 1 axis direction setting of sleeve pipe body, its trend is to move towards mutually perpendicular with sleeve pipe body 1, along 2 body couplings outside sleeve pipe body 1 and the sleeve pipe promptly, sleeve pipe body 1 is cylindric and inside cavity, the sleeve pipe is outer along 2 one end that is located sleeve pipe body 1, the sleeve pipe is outer along 2 for cyclic annular, and encircle sleeve pipe body 1 and set up, the sleeve pipe is outer along 2 trend and sleeve pipe body 1 move towards mutually perpendicular.

The sleeve pipe body 1 and the sleeve pipe are outer along 2 and are flexible material, the sleeve pipe is outer along 2 go up fixedly connected with and detain 3, the sub-knot 3 is cyclic annular, and encircle and be close to sleeve pipe body 1 setting, sleeve pipe body 1 is used for the cover in the manadesma expansion tube outside, the external diameter of sleeve pipe body 1 cooperatees with the internal diameter of manadesma expansion tube promptly, stretch into the puncture channel that the pjncture needle has already punctured together with the manadesma expansion tube and establish cystostomy passageway, still be used for the guide of urethra metal bougie or the endoscope stretches into the bladder and inspects.

The utility model discloses can use together with other devices, for example collection urine switching portion, as shown in fig. 2, collection urine switching portion is including collection urine ball 4 and connector, collection urine ball 4 is hemispherical, and its border fixedly connected with detains 3 matched with box 6 with the sleeve pipe is outer along the son on 2, collection urine ball 4 is used for detaining 3 and box 6 and sleeve pipe body 1 mutually supports through the son and forms a confined collection urine region, collection urine ball 4 is connected with adapter 5 through drainage tube 7, drainage tube 7 is used for the urine drainage to outside urine bag in the urine region of will gathering, drainage tube 7 and collection urine ball 4 an organic whole connection, with adapter 5 threaded connection, adapter 5 is the horn mouth shape, and it is provided with the internal thread, adapter 5's internal thread is used for the pipe head threaded connection with outside urine bag.

The sub buckle 3 is annular and is coaxially arranged with the sleeve body 1, and the female buckle 6 is also annular and is matched with the sub buckle 3 to connect the sleeve body 1 and the urine transfer part together. The shape of being connected of son knot 3 and box 6 only need guarantee sleeve pipe body 1 and urine switching portion interconnect can, for example paste the snap fastener, perhaps lean on the snap fastener that S type spring combines all can, the structure of the snap fastener that leans on S type spring to combine is: a round point is protruded in the middle of the sub-buckle 3, and patterns can be carved on the wide edge or other matched shapes can be formed; the middle of the female buckle 6 is provided with a hole position concave point, and the edge is provided with two parallel springs. The round points are pressed into the holes of the female buckle 6 and then clamped by the spring to generate opening and closing force for fixing; or when the material of the male buckle 3 and the material of the female buckle 6 are both plastic, the plastic buckle connection can be selected.

The drainage tube 7 is used for draining urine in the urine collection area to an external urine bag, the drainage tube 7 is provided with an adjusting valve and a check valve, the adjusting valve is used for adjusting the flow speed of the urine in the drainage tube 7, and the check valve is used for preventing the urine in the drainage tube 7 from flowing so as to replace the external urine bag or connect other medical devices.

Be provided with the scale on the outer wall of sleeve pipe body 1, in the in-process of establishing percutaneous cystostomy passageway, the length of sleeve pipe body 1 will be stretched into according to patient's state decision, if patient's subcutaneous fat is thicker, just need select the sleeve pipe body 1 of a bit of length, need stretch into the more a bit sleeve pipe body 1 of bladder promptly, if patient's subcutaneous fat is thinner, just need select the sleeve pipe body 1 of a bit of shortness, need stretch into the less a bit sleeve pipe body 1 of bladder promptly, consequently set up the scale on the outer wall of sleeve pipe body 1, the doctor of being convenient for observes the in-process that sleeve pipe body 1 stretched into percutaneous cystostomy passageway.

The length of the cannula body 1 is less than that of the fascia dilatation tube, the length of the fascia dilatation tube is 12cm, and the length of the cannula body 1 is 4cm or 6 cm. Because the fascia dilatation tube requires the operator to hold the outer end, and then extend the inner end of the fascia dilatation tube into the patient's bladder along the location where the puncture needle has been punctured, therefore, the length of the fascia dilatation tube is long, a position which is held by an operator needs to be reserved, the sleeve body 1 needs to be reserved in the cystostomy passage, namely, the fascia dilatation tube utilizes the inner end to establish a channel for the sleeve body 1, because the other end of the sleeve body 1 is not conical and is hollow and annular, the fascia dilatation tube is not beneficial to extending into a narrower cystostomy channel, if the other end of the sleeve body 1 is forcibly inserted, it is easy to cause trauma to the skin around the cystostomy pathway of a patient, so that it is required to fit the fascia-expanding tube and the sleeve body 1 to each other, namely, the fascia dilatation tube is sleeved into the sleeve body 1 and enters the bladder fistulization channel together, so that the skin of a patient is prevented from being damaged.

Two through holes are formed in the outer edge 2 of the sleeve and are symmetrically arranged, and the two through holes are used for enabling an operation line to penetrate through the outer edge 2 of the sleeve to be sewn and fixed with skin. When the other end of the sleeve body 1 extends into the bladder, the outer end of the sleeve body 1 needs to be fixed, so that a metal urethral probe or an endoscope at the later stage enters the bladder through the hollow inner cavity of the sleeve body 1 to observe or perform an operation, and the sleeve is prevented from being taken out during the operation.

The wall thickness of the sleeve of sleeve pipe body 1 is less than 2mm, the sheathed tube length can be divided into two kinds of models of 4cm and 6cm, and sleeve pipe body 1 and sleeve pipe are outer along 2 materials and are the flexible material, can warp, when needs establish percutaneous cystostomy passageway, the supporting hollow sleeve pipe body 1 with it is established to the cover on the manadesma expansion tube, sleeve pipe body 1 can with the laminating of manadesma expansion tube, select conventional puncture needle and the metal seal wire of wearing 18G to 22G in actual operation.

The utility model discloses puncture under the supersound guide or direct puncture under the abundant circumstances of bladder, see and put into the metal seal wire behind the urine, select the sleeve pipe body 1 of different length according to the depth of penetration, it has sleeve pipe body 1's manadesma expansion percutaneous passage to overlap, see that the urine shows the manadesma expansion pipe and has got into the bladder after flowing from the inner of manadesma expansion pipe, the other end of sleeve pipe body 1 impresses the passageway depths again, until sleeve pipe body 1 submerges completely, 2 cards outside the passageway are followed to the sleeve pipe outward, and laminate with the skin, it is fixed with the operation line when needs remain for a long time. Can put into urethra metal bougie through this passageway and look for the urethra near-end behind the urethra fracture as the guide, also can carry out soft speculum or hard endoscopy, need not wait for behind the cystostomy passageway formation, also need not open the operation and open the bladder, it is very convenient, improve the operation security.

The utility model discloses can the emergency call operation or reduce operation latency to clinical urethra fracture or the narrow patient of back urethra. The urethral canal can be guided to find the proximal end of the urethra by rapidly establishing a bladder puncture fistulization channel in the operation process, or the examination of a soft endoscope or a hard endoscope is carried out.

The utility model discloses at first utilize the fine needle puncture can reduce vice damage as far as, use the guide wire guide after the clear pjncture needle gets into the bladder have the manadesma expansion duct puncture of sleeve pipe body 1 to get into the bladder, according to the definite scale of pjncture needle before, with manadesma expansion duct expansion entering bladder, again with sleeve pipe body 1 along the manadesma expansion duct push in the bladder until all immerse. Because the fascia dilatation tube inner is the tip, sleeve pipe body 1 cooperatees with the fascia dilatation tube, and the material of sleeve pipe body 1 is the flexible material that can be cut out, specifically, sleeve pipe body 1 can be the silica gel material.

The existing puncture needle for cystostomy is thicker, is a one-step puncture fistula making method, and is implanted into a urinary catheter through a puncture channel, the puncture method has the risk of damaging the intestinal tract and peripheral blood vessels, the method of the utility model is that firstly, the puncture is carried out by a thin needle, the damage to the peripheral tissues is smaller by the puncture of the thin needle, after the urinary catheter is clearly punctured and urine is extracted, a metal guide wire is put in, which is equivalent to the positioning in the urinary bladder, the fascia dilatation tube sleeved with the sleeve tube body 1 is used for expanding the channel along the guide wire, the other end of the sleeve tube body 1 can be placed at the inner end of the fascia dilatation tube, the outer end of the fascia dilatation tube is exposed, the outer end of the fascia dilatation tube is held by hand to puncture into the urinary bladder, the urinary catheter can clearly enter the urinary bladder according to the scale of the sleeve tube body 1 and the overflow of the urine at the tail end of the, the fascia dilatation tube is removed, and the indwelling guide wire is used as a safe guide wire or removed.

The utility model discloses a use method:

the position of percutaneous puncture needing to be established is determined, the puncture needle of 18G is utilized for puncture, the needle core is pulled out and placed into the guide wire, the needle body is pulled out, the sleeve body 1 is combined with the fascia expansion tube, the inner end of the fascia expansion tube is expanded into the bladder along the guide wire, the puncture is determined to be in place according to the puncture depth of the puncture needle and the urine overflow at the tail end of the fascia expansion tube, the other end of the sleeve body 1 is sent into the bladder along the fascia expansion tube, one end of the sleeve body 1 is clamped outside a cystostomy channel, namely, the outer edge 2 of the sleeve is attached to the skin of a patient, and the sleeve is sutured and.

Claims (7)

1. A device for establishing a percutaneous cystostomy passage is characterized by comprising a sleeve body (1) and a sleeve outer edge (2) which are integrally connected, the sleeve body (1) is cylindrical and hollow, the outer edge (2) of the sleeve is positioned at one end of the sleeve body (1), the outer edge (2) of the sleeve is annular and is arranged around the sleeve body (1), the trend of the outer edge (2) of the sleeve is mutually vertical to the trend of the sleeve body (1), the sleeve body (1) and the sleeve outer edge (2) are both made of flexible materials, a sub-buckle (3) is fixedly connected on the sleeve outer edge (2) and close to the sleeve body (1), the sleeve body (1) is used for being sleeved outside the fascia expansion tube, extending into a puncture channel which is punctured by the puncture needle together with the fascia expansion tube to establish a cystostomy channel, and is also used for guiding a urethral metal bougie or extending an endoscope into a bladder to carry out examination.

2. The device for establishing the percutaneous cystostomy passageway according to claim 1, further comprising a urine collection transfer part, wherein the urine collection transfer part comprises a urine collection ball (4) and a connector, the urine collection ball (4) is hemispherical, and the edge of the urine collection ball is fixedly connected with a female buckle (6) matched with the male buckle (3), the urine collection ball (4) is used for forming a closed urine collection area through the mutual matching of the male buckle (3) and the female buckle (6) with the sleeve body (1), the urine collection ball (4) is connected with an adapter (5) through a drainage tube (7), the drainage tube (7) is used for draining urine in the urine collection area to an external urine bag, the drainage tube (7) is integrally connected with the urine collection ball (4) and is in threaded connection with the adapter (5), the adapter (5) is in a horn mouth shape, and an internal thread of the adapter is arranged, the internal thread of the adapter (5) is used for being in threaded connection with a catheter head of an external urine bag.

3. A device for establishing a percutaneous cystostomy pathway according to claim 2, characterised in that the sub-button (3) is ring-shaped and arranged coaxially with the sleeve body (1), and the female button (6) is also ring-shaped and cooperates with the sub-button (3) to interconnect the sleeve body (1) and the urine transfer section.

4. A device for establishing a percutaneous cystostomy pathway according to claim 3, characterised in that the drainage tube (7) is fitted with a regulating valve and a non-return valve.

5. A device for establishing a percutaneous cystostomy pathway according to any of claims 1-4, characterised in that the outer wall of the sleeve body (1) is provided with graduations.

6. A device for establishing a percutaneous cystostomy pathway according to claim 5, characterised in that the length of the sleeve body (1) is less than the length of the fascia dilatation tube, which is 12cm in length, the length of the sleeve body (1) being 4cm or 6 cm.

7. The device for establishing the percutaneous cystostomy passageway according to claim 6, wherein two through holes are formed through the outer edge (2) of the sleeve, the two through holes are symmetrically arranged, and the two through holes are used for passing a surgical thread to suture and fix the outer edge (2) of the sleeve and the skin.

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