CN212547910U - Special catheter for drainage of radical prostate cancer surgery - Google Patents

Special catheter for drainage of radical prostate cancer surgery Download PDF

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Publication number
CN212547910U
CN212547910U CN202020368152.8U CN202020368152U CN212547910U CN 212547910 U CN212547910 U CN 212547910U CN 202020368152 U CN202020368152 U CN 202020368152U CN 212547910 U CN212547910 U CN 212547910U
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drainage
water inlet
flushing
channel
hole
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CN202020368152.8U
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熊国兵
马志伟
李利军
龚百生
冯强
廖勇
邱明星
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Sichuan Provincial Peoples Hospital
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Sichuan Provincial Peoples Hospital
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Abstract

The utility model relates to the technical field of medical equipment, in particular to a special catheter for drainage in radical prostate cancer surgery, which comprises a tubular body, wherein a drainage channel and a water inlet channel are arranged in the tubular body; the body is provided with a balloon, and the balloon is close to the front end of the body; a first drainage hole and a second drainage hole are formed in the body, and are respectively positioned on two sides of the balloon; the rear end of the body is provided with a urethral catheterization opening and a water inlet; the first drainage hole, the second drainage hole and the urethral catheterization opening are communicated through the drainage channel; the balloon is communicated with the water inlet through the water inlet channel. Urine, hematocele, effusion or secretion at the bladder-urethra anastomotic site is guided into the drainage channel by arranging the second drainage hole and then is discharged through the urethral catheterization opening.

Description

Special catheter for drainage of radical prostate cancer surgery
Technical Field
The utility model relates to the technical field of medical equipment, concretely relates to special catheter of prostatic cancer radical operation drainage.
Background
Prostate Cancer (PCA) is the most common malignancy in men >50 years of age, with radical resection being the primary treatment modality for localized PCA, with a post-operative 10-year cancer-specific survival of up to 99%. PCA radical surgery requires anastomosis of the bladder urethra to reestablish urethral continuity, with intraurethral catheter retention for 2-3 weeks as a routine procedure with the aim of: 1. draining urine before healing of the anastomotic stoma, reducing urine leakage, hematocele leakage and inflammation of the anastomotic stoma, 2 supporting the anastomotic stoma to promote healing of the urethra, 3 preventing urethral stricture of the anastomotic stoma, 4 and flushing the bladder.
However, as the whole prostate is removed when PCA is radically cured, the original morphological structure is lost to a certain extent, the proximal bladder neck and the distal urethra are both rebuilt, the bladder-urethra anastomotic orifice is naturally closed, the ureteral opening in the proximal triangular region is pressed by the ureteral balloon to be closer to the anastomotic orifice, in addition, secretions or inflammation can occur in the healing process of the anastomotic orifice, the conventional ureter only has drainage holes at the tip of the balloon, and urine, hematocele, effusion or secretion is not drained thoroughly and remains after a considerable part of cases occur. The literature reports that the incidence rate of anastomotic leakage is up to 33%, which finally causes the accumulation of liquid at the anastomotic opening, the overflow leakage from the anastomotic opening to the pelvic cavity, the secondary inflammation of urinary tract and pelvic operation area, the occurrence of urinary fistula and anastomotic stenosis, and the influence on the urinary control function of a patient after the operation. Further surgical treatment is required, which increases the pain and cost of the patient, and causes urinary fistula or stenosis, which seriously impairs the long-term quality of life of the patient and reduces the effect of the PCA radical treatment.
SUMMERY OF THE UTILITY MODEL
The utility model aims to provide a: aiming at the problems that when the existing catheter in the prior art is used for drainage of radical prostate cancer, urine and secretion are accumulated at the anastomotic opening of the connection of the bladder and the urethra and can not be completely discharged, the special catheter for drainage of radical prostate cancer is provided. This catheter sets up the drainage hole through the position that corresponds the anastomotic stoma at the catheter, and urine and secretion can get into the drainage hole and discharge through water conservancy diversion passageway, have promoted the therapeutic effect of prostatic cancer radical operation.
In order to realize the purpose, the utility model discloses a technical scheme be:
a special catheter for drainage in radical prostate cancer surgery comprises a tubular body, wherein a drainage channel and a water inlet channel are arranged in the tubular body;
the body is provided with a balloon, and the balloon is close to the front end of the body;
a first drainage hole and a second drainage hole are formed in the body, and are respectively positioned on two sides of the balloon;
the rear end of the body is provided with a urethral catheterization opening and a water inlet;
the first drainage hole, the second drainage hole and the urethral catheterization opening are communicated through the drainage channel; the balloon is communicated with the water inlet through the water inlet channel.
The urine or secretion at the bladder-urethra anastomotic opening is guided into the drainage channel by arranging the second drainage hole and then is discharged through the urethral catheterization opening. Avoids urinary tract and pelvic surgery area inflammation caused by urine and secretion, and improves the effect of radical prostate cancer surgery.
As a preferred scheme of the utility model, the drainage channel comprises a first drainage channel and a second drainage channel; the first drainage hole is communicated with the urethral catheterization opening through the first drainage channel; the second drainage hole is communicated with the urethral catheterization opening through the second drainage channel.
Under the general condition, the catheterization mouth is located patient position below, and the urine in first drainage hole and second drainage hole is all water conservancy diversion to the catheterization mouth under the effect of gravity, nevertheless to some patients, because of reasons such as bed, the urine in first drainage hole can be leading-in to the discharge of second drainage hole, through setting up two independent first drainage channel and second drainage channel respectively with the urine water conservancy diversion in first drainage hole and second drainage hole to the catheterization mouth, can avoid this condition to take place. However, the inner diameters of the two drainage channels are affected, so that two catheters are selected according to the actual condition of the patient.
As the utility model discloses a preferred scheme, the water inlet is connected with into water sealing connecting piece, it is used for connecting outside water injection device to advance water sealing connecting piece.
And injecting physiological saline or sterile water into the balloon by using an external water injection device to realize water filling of the balloon.
As the preferable proposal of the utility model, the water inlet sealing connecting piece is connected with a water inlet sealing cap; the sealing cap is connected with the water inlet sealing connecting piece in a matching way. The water inlet sealing cap is provided with an internal thread, the water inlet sealing connecting piece is provided with an external thread, and the internal thread is matched with the external thread.
Before and after water injection of the sacculus, the water inlet sealing connecting piece is covered by the sealing cap, so that pollution is avoided.
As the preferred proposal of the utility model, the second drainage hole is positioned in the 3-7mm range of one side of the balloon away from the front end of the body.
When the catheter is used, the position of the bladder-urethra anastomotic stoma is within 3-7mm of the distance between the saccule and the front end of the body, and the second drainage hole is arranged at the position, so that effusion is easier to be discharged.
As the preferred scheme of the utility model, the diameter of second drainage hole is 2-4 mm.
As the preferred scheme of the utility model, the second drainage hole is two or four, and the bilateral symmetry that the body is relative sets up. When the second drainage hole is two, the two opposite sides of the body are respectively provided with a second drainage hole. When the second drainage hole is four, two second drainage holes are respectively arranged on two opposite sides of the body.
As the preferable proposal of the utility model, a flushing channel is also arranged in the body; the body is provided with a flushing hole which is positioned between the saccule and the front end of the body; the rear end of the body is provided with a flushing port, and the flushing hole is communicated with the flushing port through the flushing channel.
By arranging the flushing hole, the flushing channel and the flushing port, the bladder can be conveniently flushed by using the medicine. Meanwhile, the flushing port can also be used as an additional urethral catheterization port.
As a preferred scheme of the utility model, the flushing port is connected with a flushing sealing connecting piece which is used for connecting an external flushing device; the flushing sealing connecting piece is connected with a flushing sealing cap.
As a preferable scheme of the utility model, the length of the body is 250-450 mm.
To sum up, owing to adopted above-mentioned technical scheme, the beneficial effects of the utility model are that:
1. the utility model discloses a special catheter of prostatic cancer radical operation drainage sets up first drainage hole and second drainage hole respectively through both sides around lieing in the sacculus on the body, and the urine can be derived through first drainage hole, and the urine that infiltrates bladder-urethra anastomotic stoma and the secretion of anastomotic stoma can be derived through second drainage hole, has avoided urinary tract and pelvic surgery district inflammation that urine and secretion caused, has promoted the effect of prostatic cancer radical operation.
2. The utility model discloses a special catheter of prostatic cancer radical operation drainage through leading urine, hematocele, hydrops and/or secretion with first drainage hole and second drainage hole respectively to the catheterization mouth with two independent first drainage channel and second drainage channel, has realized drainage respectively, and the urine of having avoided first drainage hole passes through drainage channel and gets into second drainage hole, has avoided cross infection's risk.
3. The utility model discloses a special catheter of prostatic cancer radical operation drainage is through setting up second drainage hole the body front end one side 3-7mm within range is kept away from to the sacculus for the secretion of coincide mouth changes the discharge.
4. The utility model discloses a special catheter of prostatic cancer radical operation drainage through setting up two or four second drainage holes relatively in the both sides of body, make full use of the catheter space, guarantee the water conservancy diversion effect, and guaranteed the intensity of catheter.
Drawings
Fig. 1 is a schematic structural view of the special catheter for radical prostate cancer surgery drainage of the present invention.
Fig. 2 is a schematic cross-sectional view at B-B of fig. 1.
Fig. 3 is a schematic structural view of the using state of the special catheter for radical prostate cancer surgery drainage of the present invention.
Fig. 4 is an enlarged view of fig. 2 at circle a.
Fig. 5 is a schematic structural view of a urinary catheter according to example 2 of the present invention.
Fig. 6 is a schematic cross-sectional view of the connection relationship of the internal structures in embodiment 2 of the present invention.
Fig. 7 is a schematic cross-sectional view at C-C of fig. 5.
Icon: 101-bladder; 102-a urinary catheter; 103-anastomotic stoma; 1-body; 11-front end; 12-a drainage channel; 121-a first drainage channel; 122-a second drainage channel; 13-a water inlet channel; 14-a flush channel; 2-a balloon; 21-a water inlet; 22-water inlet sealing connecting piece; 23-water inlet sealing cap; 3-a first drainage hole; 31-a urethral catheterization opening; 4-flushing the hole; 41-flushing port; 42-flushing the sealing connection; 43-flushing the sealing cap; and 5-a second drainage hole.
Detailed Description
The present invention will be described in detail with reference to the accompanying drawings.
In order to make the objects, technical solutions and advantages of the present invention more clearly understood, the present invention is further described in detail below with reference to the accompanying drawings and embodiments. It should be understood that the specific embodiments described herein are for purposes of illustration only and are not intended to limit the invention.
In the specification, the front end refers to the end of the catheter which enters the bladder when in use, the end of the catheter which is positioned outside the body is the rear end,
example 1
A special catheter for drainage in radical prostate cancer surgery is shown in figures 1 and 2 and comprises a tubular body 1, wherein a drainage channel 12, a water inlet channel 13 and an irrigation channel 14 are arranged in the body 1; the body 1 is provided with a balloon 2, and the balloon 2 is close to the front end 11 of the body; a first drainage hole 3, a flushing hole 4 and a second drainage hole 4 are formed in the body 1, and the first drainage hole 3 and the flushing hole 4 are located between the balloon 2 and the front end 11 of the body; the second drainage hole 5 is positioned on one side of the balloon 2 far away from the front end 11 of the body; the first drainage hole 3 and the second drainage hole 4 are located on both sides of the balloon 2. The rear end of the body is provided with a urethral orifice 31, a water inlet 21 and a flushing port 41;
the first drainage hole 3 is communicated with the urethral catheterization opening 31 through a drainage channel 12; the second drainage hole 5 and the urethral catheterization opening 31 are communicated through the drainage channel 12; the balloon 2 and the water inlet 21 are communicated through the water inlet channel 13. The flushing hole 4 and the flushing port 41 communicate through the flushing channel 14.
The water inlet 21 is connected with a water inlet sealing connecting piece 22, and the water inlet sealing connecting piece 22 is used for connecting an external water injection device. The water inlet sealing connecting piece 22 is connected with a water inlet sealing cap 23; the sealing cap 23 is provided with an internal thread, the water inlet sealing connecting piece 22 is provided with an external thread, and the internal thread is matched with the external thread. The flushing port 41 is connected with a flushing sealing connecting piece 42, and the flushing sealing connecting piece 42 is used for connecting an external flushing device; a flushing sealing cap 43 is connected to the flushing sealing connection 42.
The length of the body is 400 mm.
The number of the second drainage holes 5 is four, and the second drainage holes are evenly distributed on two opposite sides of the body 1. Each side is provided with two second drainage holes 5. The diameter of the second drainage hole 5 is 3 mm. The center of the second drainage hole 5 is positioned in the range of 5mm on one side of the balloon away from the front end of the body. That is, the distance between the center of the two second drainage holes 5 and the balloon is 3mm, and the distance between the center of the two second drainage holes 5 and the balloon is 5 mm.
As shown in figures 3 and 4, when in use, the front end 11 of the catheter body is inserted into the bladder 101, the water inlet sealing cap 23 is taken off, the external water injection device is connected with the water inlet sealing connecting piece 22, and the sterilized injection water or normal saline is injected into the balloon 2 through the water inlet 21. Realize the positioning and fixing of the catheter. The first drainage holes 3 are located in the bladder, and the second drainage holes 5 are located at the anastomotic stoma 103 of the bladder 101 and the urethra 102. Urine collects in the bladder 101 and is discharged from the first drainage hole 3. During the movement of the patient and the like, if the position of the balloon 2 moves, part of urine flows from the clearance between the balloon 2 and the bladder 101 to the anastomotic orifice 103 of the bladder 101 and the urethra 102, enters the drainage pipeline 12 through the second drainage hole 5 and is discharged from the urethral orifice. The secretion secreted by the anastomotic orifice 103 can enter the drainage pipeline 12 through the drainage hole 5 at any time and is discharged from the urethral orifice. Avoids urinary tract and pelvic surgery area inflammation caused by urine and secretion, and improves the effect of radical prostate cancer surgery.
Example 2
This embodiment is different from embodiment 1 in that, as shown in fig. 5, a flushing hole, a flushing passage and a flushing port are not included. As shown in fig. 6 and 7, the drainage channel 12 includes a first drainage channel 121 and a second drainage channel 122 which are independent from each other; the first drainage hole 3 and the urethral catheterization opening 31 are communicated through the first drainage channel 121; the second drainage hole 5 and the urethral catheterization opening 31 are communicated through the second drainage channel 122. Wherein, the number of the first drainage holes 3 is two. Two first drainage holes 3 are respectively positioned at two opposite sides of the body 1. Through leading the urine and/or the secretion of first drainage hole 3 and second drainage hole 5 respectively to catheterization mouth 31 with two independent first drainage channels 121 and second drainage channel 122, realized the drainage respectively, the urine of having avoided first drainage hole 3 passes through drainage channel and gets into second drainage hole 5, has avoided cross infection's risk.
The catheter of this structure can be according to the different volume of adjusting the sacculus of specification, and the specific corresponding relation can refer to the following table:
TABLE 1 urinary catheter Specification and saccule volume comparison table
Specification of Balloon capacity Length (mm)
14Fr 5ml/5-10ml/15ml 400
16Fr 5ml/5-10ml/20ml/30ml 400
18Fr 5ml/5-10ml/20ml/30ml 400
20Fr 10ml/30ml 400
22Fr 10ml/30ml 400
As a preferred embodiment of the present invention, the above description is only a preferred embodiment of the present invention, and should not be construed as limiting the present invention, and any modifications, equivalent replacements, and improvements made within the spirit and principle of the present invention should be included within the protection scope of the present invention.

Claims (10)

1. A special catheter for drainage in radical prostate cancer surgery is characterized by comprising a body (1), wherein the body (1) is tubular, and a drainage channel (12) and a water inlet channel (13) are arranged in the body (1);
the body (1) is provided with a sacculus (2), and the sacculus (2) is close to the front end (11) of the body;
a first drainage hole (3) and a second drainage hole (5) are formed in the body (1), and the first drainage hole (3) and the second drainage hole (5) are respectively located on two sides of the balloon (2);
the rear end of the body (1) is provided with a urethral orifice (31) and a water inlet (21);
the first drainage hole (3), the second drainage hole (5) and the urethral orifice (31) are communicated through the drainage channel (12); the balloon (2) and the water inlet (21) are communicated through the water inlet channel (13).
2. The catheter special for radical prostate cancer surgery drainage according to claim 1, characterized in that the drainage channel (12) comprises a first drainage channel (121) and a second drainage channel (122); the first drainage hole (3) and the urethral catheterization opening (31) are communicated through the first drainage channel (121); the second drainage hole (5) and the urethral catheterization opening (31) are communicated through the second drainage channel (122).
3. The special catheter for radical prostate cancer surgery drainage according to claim 1, characterized in that the water inlet (21) is connected with a water inlet sealing connector (22), and the water inlet sealing connector (22) is used for connecting with an external water injection device.
4. The special catheter for radical prostate cancer surgery drainage according to claim 3, characterized in that the water inlet sealing connector (22) is connected with a water inlet sealing cap (23); the water inlet sealing cap (23) is connected with the water inlet sealing connecting piece (22) in a matching way.
5. The special catheter for radical prostate cancer surgery drainage according to claim 1, characterized in that the second drainage hole (5) is located in the range of 3-7mm on the side of the balloon (2) far away from the front end of the body.
6. The special catheter for radical prostate cancer surgery drainage according to claim 1, characterized in that the diameter of the second drainage hole (5) is 2-4 mm.
7. The special catheter for radical prostate cancer surgery drainage according to claim 1, characterized in that the number of the second drainage holes (5) is two or four, and the second drainage holes are symmetrically arranged on two opposite sides of the body (1).
8. The special catheter for radical prostate cancer surgery drainage according to any one of claims 1-7, characterized in that the body (1) is also provided with an irrigation channel (14); a flushing hole (4) is formed in the body (1), and the flushing hole (4) is located between the balloon (2) and the front end (11) of the body; the rear end of the body (1) is provided with a flushing port (41), and the flushing hole (4) is communicated with the flushing port (41) through the flushing channel (14).
9. The special catheter for radical prostate cancer surgery drainage according to claim 8, characterized in that the flushing port (41) is connected with a flushing sealing connector (42), and the flushing sealing connector (42) is used for connecting an external flushing device; the flushing sealing connecting piece (42) is connected with a flushing sealing cap (43).
10. The special catheter for radical prostate cancer surgery drainage according to any one of claims 1-7, characterized in that the length of the body (1) is 250-450 mm.
CN202020368152.8U 2020-03-20 2020-03-20 Special catheter for drainage of radical prostate cancer surgery Active CN212547910U (en)

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Application Number Priority Date Filing Date Title
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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114404780A (en) * 2022-01-24 2022-04-29 成都维宁生物技术有限公司 Non-sac leak-proof indwelling catheter and manufacturing method and application thereof
CN115337490A (en) * 2022-04-29 2022-11-15 四川省医学科学院·四川省人民医院 Support type urinary catheter

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114404780A (en) * 2022-01-24 2022-04-29 成都维宁生物技术有限公司 Non-sac leak-proof indwelling catheter and manufacturing method and application thereof
CN115337490A (en) * 2022-04-29 2022-11-15 四川省医学科学院·四川省人民医院 Support type urinary catheter

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