CN213309974U - Built-in micro balloon joint distraction device - Google Patents

Built-in micro balloon joint distraction device Download PDF

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Publication number
CN213309974U
CN213309974U CN202021046217.3U CN202021046217U CN213309974U CN 213309974 U CN213309974 U CN 213309974U CN 202021046217 U CN202021046217 U CN 202021046217U CN 213309974 U CN213309974 U CN 213309974U
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China
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balloon
framework
guide wire
sleeve
catheter body
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CN202021046217.3U
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李海
代振振
于颖
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XinHua Hospital Affiliated To Shanghai JiaoTong University School of Medicine
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XinHua Hospital Affiliated To Shanghai JiaoTong University School of Medicine
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Abstract

The utility model relates to a built-in micro balloon joint distraction device, which comprises a catheter body, a swing component and a balloon; the catheter body and the swinging assembly are of a lumen structure, one end of the swinging assembly is movably connected with one end of the catheter body through a flexible pipeline, and the other end of the swinging assembly can be connected with external equipment; the catheter body is provided with a control handle, and the control handle is provided with a control component for controlling the direction of the swinging component; the balloon comprises a balloon body and a balloon framework; the balloon framework is of a tube cavity structure with an opening at one end, a through hole is formed in the tube wall of the balloon framework, a part of the balloon framework is positioned in the balloon body, the through hole is communicated with the balloon body, and one end of the balloon framework is detachably connected with one end of the swinging assembly; the advantages are that: simple structure, flexibility are high, can effective control cost, increase the operator and operate the field of vision, obtain better operational environment, increase the operation success rate, reduce the arthroscopic surgery degree of difficulty.

Description

Built-in micro balloon joint distraction device
Technical Field
The utility model belongs to the technical field of the medical instrument technique and specifically relates to a built-in miniature sacculus joint distraction device.
Background
Arthroscopic technology originated in japan at the beginning of the 20 th century and was developed in countries such as the united states long after the 70's of the 20 th century. Arthroscopes have revolutionized the diagnosis and treatment of intra-articular diseases over the past decades and are now widely used clinically as a routine diagnostic and treatment means in osteoarticular surgery. The arthroscope can directly observe pathological changes compared with other examinations, has obvious superiority in a motion system, operates in a very small area and a channel under the condition of slightly interfering with the structure and the function of healthy tissues, inspects hidden parts which cannot be observed under the condition of direct vision, has strong direct vision and small wound, avoids the adhesion of a joint sliding device to the maximum extent, and is beneficial to the rapid recovery of the function. Currently, arthroscopic techniques are applied to a plurality of clinical aspects, mainly including diagnosis and treatment of meniscus injury, anterior and posterior cruciate ligament rupture, articular cartilage injury, intra-articular loose bodies, osteoarthritis and other diseases.
The joint cavity is a closed cavity gap formed by connecting joint surfaces at two ends of the joint capsule. The human joint clearance itself is narrow, which brings great operation difficulty to the arthroscopic surgery operator. At present, when the arthroscopic operation is carried out, the joint cavity gap is expanded by the pressure of liquid to obtain an operation space, but a good operation visual field is not obtained. In addition, the joint clearance of children is obviously narrower than that of adults, and becomes one of the biggest technical bottlenecks restricting the arthroscopic surgery of children and teenagers.
At present, various methods are clinically adopted to try to increase the joint clearance, a certain effect is achieved, but more clinical application problems still exist, and effective popularization cannot be achieved. The methods and disadvantages of attempting to increase joint space are mainly: a limb traction apparatus: complicated installation, traction injury, skin crush injury and other complications; (II) manual traction by an assistant: the persistence is difficult, and the labor is consumed; (III) intraoperative body position transformation: frequent transformation is required and the effect is limited.
Therefore, a device which can be used for clinical popularization and use is urgently needed in arthroscopic surgery operation, the operation visual field of an operator is increased as much as possible, a better operation environment is obtained, the success rate of the surgery is increased, the difficulty of the arthroscopic surgery is reduced, and a foundation is laid for further popularization of the arthroscopic surgery.
Chinese patent application CN204106168U discloses a passageway is put into to joint synovial cavity sacculus expanding, including the passageway body, the front end of passageway body is equipped with a sacculus, be equipped with the gas tube in the pipe wall of passageway body and attract the pipe, the end of gas tube is equipped with a sacculus inflation valve, the front end of attracting the pipe stretches out outside the passageway body, the end of attracting the pipe is equipped with one and attracts the interface. The patent application literature obtains beneficial effects that: (1) the pain of the patient and the injury to the joint of the patient are reduced; (2) the operation visual field is enlarged, and the operation is convenient; (3) the front end surface of the suction tube is a cambered surface, and the top of the suction tube is provided with a plurality of suction holes, so that blood and smoke generated in the operation can be sucked out of the suction tube in time without causing wound to joint tissues; the scheme provided by the patent application is that the saccule and the suction tube are arranged in the wall of the channel tube to play roles of supporting, expanding and sucking; it is obvious that it is extremely inflexible in its relatively fixed position and that it is integral with the channel walls, which also increases the cost of replacement.
Chinese patent application CN204181584U discloses a joint synovial cavity endoscope device, which comprises a lens cone, wherein the top of the lens cone is provided with a CCD camera and an LED light source, the tail end of the lens cone is provided with a handle, the wall of the lens cone is internally provided with a video line and a light source line, one end of the video line is connected with the CCD camera, the other end of the video line extends out of the inner cavity of the handle and is connected with a display, one end of the light source line is connected with the LED light source, the other end of the light source line extends out of the inner cavity of the handle and is connected with an LED light source generator, the outer wall of the lens cone is bundled with a three-cavity tube, the three-cavity tube is internally provided with a suction tube, a water injection tube and an inflation tube, the; the beneficial effects are as follows: (1) the pain of the patient is relieved; (2) the operation visual field is effectively enlarged; (3) the operation is convenient; (4) is convenient for flushing; (5) the holding is convenient; but the same structure is complex, the flexibility is low, the adaptability adjustment and selection can not be carried out according to the operation requirement, and the replacement cost is high.
In conclusion, a need exists for a built-in micro balloon joint distraction device which has a simple structure and high flexibility, can effectively control the cost, increase the operating visual field of an operator, obtain a better operating environment, increase the success rate of the operation and reduce the difficulty of the arthroscopic operation.
Disclosure of Invention
The utility model aims at providing a simple structure, flexibility are high, can the effective control cost, increase the art person and operate the field of vision, obtain better operational environment, increase the success rate of operation, reduce the built-in miniature sacculus joint distraction device of the arthroscope operation degree of difficulty.
In order to achieve the purpose, the utility model adopts the technical proposal that:
a built-in micro balloon joint distraction device comprises a catheter body, a swinging component and a balloon; the catheter body and the swinging assembly are of a lumen structure, one end of the swinging assembly is movably connected with one end of the catheter body through a flexible pipeline, and the other end of the swinging assembly can be connected with external equipment; the catheter body is provided with a control handle, the control handle is provided with a control component, and the control component can control the direction of the swinging component; the balloon comprises a balloon body and a balloon framework; the balloon framework is of a tube cavity structure with an opening at one end, a plurality of through holes are formed in the tube wall of the balloon framework, one part of the balloon framework is located inside the balloon body, the through holes are communicated with the balloon body, and one end of the balloon framework is detachably connected with one end of the swing assembly.
As a preferred technical solution, the control assembly includes a first guide wire, a second guide wire; the first guide wire and the second guide wire are symmetrically arranged in the pipe wall of the catheter body and are movably connected, one end of the first guide wire and one end of the second guide wire are fixedly connected with the swing assembly, and the other end of the first guide wire and the other end of the second guide wire are provided with slide block operation ends.
As a preferable technical solution, the operating handle is provided with an operating slot, and the operating end of the slider is arranged in the operating slot.
As a preferred technical solution, the flexible pipe is a corrugated hose structure.
As a preferred technical scheme, the end part and the other end of one end of the saccule framework are provided with developing rings.
As a preferable technical solution, the balloon body is disposed between the two developing rings.
As a preferable technical scheme, the swing assembly is detachably connected with the balloon framework through a thread structure.
As a preferred technical scheme, a first sleeve is further arranged in the catheter body, the first sleeve is of a hose structure, one end of the first sleeve is arranged at the center of the swinging assembly, and the other end of the first sleeve penetrates out of the wall of the catheter body and can be connected with external equipment.
As a preferred technical scheme, a second sleeve is arranged in the balloon framework, one end of the second sleeve is fixedly connected with one of the through holes in the tube wall of the balloon framework, and the other end of the second sleeve is arranged at the center of the port of the balloon framework and can be detachably connected with the first sleeve.
As a preferred technical solution, the balloon has several different specification forms; the external connection equipment is air supply or liquid supply equipment.
The utility model has the advantages that:
1. the utility model relates to a built-in miniature sacculus joint distraction device is equipped with control assembly, its flexible pipeline that can cooperate the swing subassembly and be used for connecting on its pipe body, and it is right to realize the angle control of sacculus, simple structure, convenient operation makes medical personnel can be according to the operation needs, its angular position of adjustment that suits, going on of the operation of being convenient for.
2. The balloon of the built-in micro balloon joint distraction device comprises a balloon framework and a balloon body, wherein the balloon body is wrapped on the surface of the balloon framework, and the balloon framework is detachably connected with the swinging component, so that the cost for replacing the balloon is controlled; the balloon framework can effectively drive the whole balloon body to deflect, and the developing ring is further arranged on the balloon framework and can display and reflect the position of the balloon in real time in the operation adjusting process.
3. The sacculus has a plurality of different specification forms, and corresponding its state after filling of sacculus body can be for wedge, circular, ellipse, spindle, interior concavity etc. its length also has different specifications to according to the operation needs, the anatomical structure in better agreeing with joint chamber, effectively avoids causing too big destruction to joint chamber when it is full.
4. The balloon is provided with a plurality of filling modes, and can be used for filling gas, liquid or mixed filling, namely filling liquid and gas simultaneously, and controlling the rigidity of the balloon after filling; the liquid-filled balloon deforms little under external force, the inflatable balloon deforms greatly under external force, and the deformation degree of the balloon can be controlled by controlling the mixing input proportion of the liquid-filled balloon and the inflatable balloon, so that the damage of the balloon to joints is reduced.
Drawings
Fig. 1 is a three-dimensional schematic view of a built-in micro balloon joint distraction device of the utility model.
Fig. 2 is a schematic view of the built-in micro balloon joint distraction device of the utility model of the control handle.
Fig. 3 is a schematic view of the balloon of the built-in micro balloon joint distraction device of the present invention.
Fig. 4 is a schematic view of the balloon body contracting state of the built-in micro balloon joint distraction device of the utility model.
Fig. 5 is a partially sectional schematic view of another built-in micro balloon joint distraction device of the utility model.
Fig. 6 is a schematic view of the balloon partial section of another built-in micro balloon joint distraction device of the utility model.
Detailed Description
The present invention will be further described with reference to the following detailed description. It should be understood that these examples are for illustrative purposes only and are not intended to limit the scope of the present invention. Furthermore, it should be understood that various changes and modifications can be made by those skilled in the art after reading the disclosure of the present invention, and such equivalents also fall within the scope of the appended claims.
The reference numerals and components referred to in the drawings are as follows:
1. catheter body 2, swing component 3 and sacculus
4. Control assembly 5, flexible pipeline 11 and control handle
12. Operation groove 31, sacculus skeleton 32, sacculus body
41. First guide wire 42, second guide wire 43, slider operating end
121. Guide slot 311, through hole 312 and developing ring
13. First sleeve 313 and second sleeve 131. cross support rod
Example 1
Referring to fig. 1, fig. 1 is a schematic perspective view of a built-in micro balloon joint distraction device of the present invention; a built-in micro balloon joint distraction device comprises a catheter body 1, a swinging component 2 and a balloon 3; please refer to fig. 2, fig. 2 is a schematic view of the control handle of the built-in micro balloon joint distraction device of the present invention; the catheter body 1 is of a tubular structure with two open ends, a control handle 11 is sleeved on the tube wall of the catheter body 1, one end of the catheter body 1 is exposed out of the control handle 11, two symmetrically arranged operation grooves 12 are formed in the side edge of the control handle 11, a guide groove 121 is formed in each operation groove 12, a control assembly 4 is connected to each operation groove 121, and each control assembly 4 comprises a first guide wire 41 and a second guide wire 42; the first guide wire 41 and the second guide wire 42 are symmetrically arranged in the tube wall of the catheter body 1, one end of each of the first guide wire 41 and the second guide wire 42 is fixedly connected with the swinging component 2, the other end of each of the first guide wire 41 and the second guide wire 42 is provided with a slider operating end 43, the slider operating ends 43 are matched with the guide grooves 121 in the operating groove 12, the slider operating ends 43 can slide in the operating groove 12 along the guide grooves 121, the first guide wire 41 and the second guide wire 42 are retracted and released to realize the angle adjustment of the swinging component 2, and a certain friction force is formed between the guide grooves 121 and the slider operating ends 43 to overcome the recovery resistance of the flexible tube 5 in a bending state and keep the stability; the swing assembly 2 is of a tube cavity structure with openings at two ends, one end of the swing assembly is movably connected with one end of the catheter body 1 through a flexible pipeline 5, the pipeline of the swing assembly is communicated with the flexible pipeline 5, the flexible pipeline 5 is of a corrugated hose structure, the outer diameter of the flexible pipeline 5 is smaller than that of the catheter body 1 and the swing assembly 2, and the first guide wire 41 and the second guide wire 42 are fixedly connected with the swing assembly 2 through the outer part of the flexible pipeline 5; please refer to fig. 3, fig. 3 is a schematic view of the balloon of the built-in micro balloon joint distraction device of the present invention; the balloon 3 comprises a balloon framework 31 and a balloon body 32; the balloon framework 31 is of a lumen structure with an opening at one end, a plurality of through holes 311 are arranged on the tube wall of the balloon framework, developing rings 312 are arranged at one end part and the other end of the balloon framework, the balloon body 32 is arranged between the two developing rings 312, the balloon body 32 covers the through holes 311 on the balloon framework 31, and the through holes 311 are communicated with the balloon body 32; one end of the balloon framework 31 is detachably connected with one end of the swing assembly 2 through a thread structure; the sacculus 3 has a plurality of different specification forms, and is specific the state of its full back of sacculus body 32 can be for wedge, circular, oval, spindle, indent etc., its length of sacculus skeleton 31 also has different specifications, its other end opening of pipe body 1 can be connected with external equipment is detachable, external connection equipment is air feed and or supplies liquid equipment.
The utility model discloses a use: according to the operation requirement, the balloon 3 which is suitable for the operation is selected to be matched with the anatomical structure in the joint cavity, the minimum damage effect is achieved when the joint cavity is full, and the shape of the balloon is wedge-shaped, circular, oval, spindle, concave and the like; the balloon framework 31 and one end of the swing assembly 2 are connected together through threads, and the surface of the balloon body 32 for supporting is parallel to the plane where the first guide wire 41 and the second guide wire 42 are located; please refer to fig. 4, fig. 4 is a schematic view of a balloon body of a built-in micro balloon joint distraction device of the present invention in a contracted state; in the initial state, the balloon body 32 is in an unfilled state, and is contracted on the tube wall of the balloon framework 31, and the slider operating ends 43 on both sides are in the middle position of the operating slot 12; the position needing arthroscopic surgery is operated according to a conventional method, an arthroscopic channel is constructed, the control handle 11 is held by hand, the sacculus 3, the swing component 2 and the catheter body 1 enter the joint cavity, the two groups of developing rings 312 containing barium agent development on the sacculus framework 31 can clearly display the position of the sacculus 3 in a picture taking image, medical personnel can control the rotation of the sacculus framework 31, namely the sacculus 3, through the sliding of the control component 4, namely the slide block operation end 43, when the left slide block operation end 43 slides backwards along the guide groove 121, the first guide wire 41 (or the second guide wire 42) is driven by the drawing of the left slide block operation end 43, at the moment, the right slide block operation end 43 slides forwards along the guide groove 121, the second guide wire 42 (or the first guide wire 41) is released, and the flexible pipeline 5 is bent and compressed towards the left side, thereby realizing the left side offset of the balloon 3, and the right side offset operation mode is the same and the direction is opposite; the angle direction of the balloon 3 can be effectively adjusted and controlled; the other end of the catheter body 1 is connected with external connection equipment such as air supply or liquid supply equipment, and is connected with the balloon 3 through controlling the equipment, and the balloon 3 is inflated or filled with liquid, and the gas or liquid of the balloon passes through the inner cavity channel of the catheter body 1, the flexible pipeline 5 and the balloon framework 31 and then passes through the through hole 311 to be filled inside the balloon body 32, so that the balloon body can be used for opening a corresponding joint cavity, thereby facilitating the operation of the operation, and after the operation is finished, the negative pressure suction device is connected to one end of the catheter body 1 to suck the filled medium in the balloon 3, and then the catheter body is taken out.
It should be noted that: the built-in micro balloon joint distraction device comprises a catheter body 1, a swinging component 2 and a balloon 3, wherein the catheter body 1 is provided with an operating handle 11, the operating handle 11 is provided with a control component 4, and the angle of the swinging component 2 and the balloon 3 connected with the swinging component can be controlled and adjusted, so that the swinging component can better adapt to the requirement of the operation process; the control component 4 comprises a first guide wire 41 and a second guide wire 42 which are symmetrically arranged in the tube wall of the catheter body 1 and movably connected, one end of each of the first guide wire 41 and the second guide wire 42 is fixedly connected with the swing component 2, the other end of each of the first guide wire 41 and the second guide wire 42 is provided with a slider operation end 43, and the slider operation ends 43 are matched with the first guide wire 41 and the second guide wire 42, so that the catheter is simple in structure, convenient to operate, beneficial to clinical application of medical staff and high in reliability; the operating handle 11 is provided with an operating slot 12, and the slider operating end 43 is arranged in the operating slot 12, so as to provide an operating place for the slider operating end 43 and facilitate sliding operation; the flexible pipeline 5 is of a corrugated hose structure, has good flexibility and stable structure, and can realize a bending adjusting function under the control of the control component 4 when angle adjustment operation is carried out; the end part and the other end of the balloon framework 31 are both provided with the developing rings 312, the balloon body 32 is arranged between the two developing rings 312, and the developing rings 312 can be clearly displayed in a photographic image, so that the position of the balloon 3 can be conveniently determined and the subsequent angle adjustment is facilitated; the swing assembly 2 is detachably connected with the balloon framework 31 through a thread structure, so that the structure is simple, the connection is reliable, and the stable operation is facilitated; the saccule 3 has a plurality of different specification forms, including wedge shape, round shape, oval shape, spindle, concave shape and the like, can be matched with the saccule 3 of the anatomical structure in the joint cavity during operation, and can avoid causing overlarge damage to the joint cavity when the saccule is full; the external connecting equipment is air supply or liquid supply equipment, and the conventional components for operations such as the air supply and liquid supply equipment, the negative pressure suction apparatus arthroscope and the like are all in the prior art and can be obtained from the market.
Example 2
Please refer to fig. 5 and fig. 6, fig. 5 is a partial sectional schematic view of another built-in micro balloon joint distraction device of the present invention; fig. 6 is a schematic view of the balloon partial section of another built-in micro balloon joint distraction device of the utility model. The embodiment is basically the same as embodiment 1, except that a first sleeve 13 is further arranged in the catheter body 1, the first sleeve 13 is of a hose structure, one end of the first sleeve 13 is arranged at the center of the swing assembly 2, and the other end of the first sleeve penetrates out of the wall of the catheter body 1 and can be connected with external equipment; a second sleeve 313 is arranged in the balloon framework 31, one end of the second sleeve 313 is fixedly connected with one through hole 311 on the wall of the balloon framework 31, and the other end of the second sleeve 313 is arranged at the center of the port of the balloon framework 31 and can be detachably connected with the first sleeve 13; it forms a double-channel conduit structure; when the catheter is used, the second sleeve 313 is butted with the first sleeve 13, the swing assembly 2 is connected with the balloon framework 31 through a thread structure, another pipeline passage from the first sleeve 13 to the second sleeve 313 and the through hole 311 connected with the second sleeve 313 is formed at the moment, when one end of the first sleeve 13 is connected with a gas supply device and one end of the catheter body 1 is connected with a liquid supply device, gas and liquid can be simultaneously introduced into the balloon body 32 for controlling the rigidity of the balloon 3 after filling; because the liquid-filled balloon 3 is deformed little by external force, the inflatable balloon 3 is deformed greatly by external force, and the deformation degree of the balloon 3 can be controlled by controlling the input proportion, so that the damage of the balloon 3 to joints is reduced, and the complications caused by supporting and expanding joint cavities can be effectively reduced; after the operation, general cooperation negative pressure suction device discharges simultaneously from one of them pipeline or two pipelines and is sufficient medium, takes out the utility model discloses, and it should be understood that, first sleeve 13 reaches it is located second sleeve 313 it swing subassembly 2 with the butt joint position of the junction of sacculus skeleton 31 is the hard tube structure, just first sleeve 12 reaches second sleeve 313 respectively through cross bracing piece 131 with swing subassembly 2 sacculus skeleton 32 inner wall is fixed mutually, guarantees the stability of its butt joint process, just the external diameter of second sleeve 313 with first sleeve 13's internal diameter is the same, and the sacculus body 32 that this embodiment used is hammer-shaped.
The foregoing is only a preferred embodiment of the present invention, and it should be noted that, for those skilled in the art, a plurality of improvements and additions can be made without departing from the principles of the present invention, and these improvements and additions should also be regarded as the protection scope of the present invention.

Claims (10)

1. A built-in micro balloon joint distraction device is characterized by comprising a catheter body, a swinging component and a balloon; the catheter body and the swinging assembly are of a lumen structure, one end of the swinging assembly is movably connected with one end of the catheter body through a flexible pipeline, and the other end of the swinging assembly can be connected with external equipment; the catheter body is provided with a control handle, the control handle is provided with a control component, and the control component can control the direction of the swinging component; the balloon comprises a balloon body and a balloon framework; the balloon framework is of a tube cavity structure with an opening at one end, a plurality of through holes are formed in the tube wall of the balloon framework, one part of the balloon framework is located inside the balloon body, the through holes are communicated with the balloon body, and one end of the balloon framework is detachably connected with one end of the swing assembly.
2. The endo-miniature balloon joint distractor device of claim 1, wherein the control assembly comprises a first guide wire, a second guide wire; the first guide wire and the second guide wire are symmetrically arranged in the pipe wall of the catheter body and are movably connected, one end of the first guide wire and one end of the second guide wire are fixedly connected with the swing assembly, and the other end of the first guide wire and the other end of the second guide wire are provided with slide block operation ends.
3. The built-in micro balloon joint distraction device according to claim 2, wherein the operating handle is provided with an operating groove, and the operating end of the sliding block is arranged in the operating groove.
4. The endo-micro balloon joint distractor device of claim 1, wherein the flexible conduit is of a bellows construction.
5. The built-in micro balloon joint distraction device according to claim 1, wherein the balloon framework is provided with a developing ring at one end and at the other end.
6. The in-situ micro balloon joint distraction device of claim 5, wherein the balloon body is disposed between the two visualization rings.
7. The in-situ micro balloon joint distraction device of claim 1, wherein the swinging assembly is detachably connected with the balloon framework through a threaded structure.
8. The built-in micro balloon joint distraction device according to claim 1, wherein a first sleeve is further arranged in the catheter body, the first sleeve is of a hose structure, one end of the first sleeve is arranged at the central position of the swinging assembly, and the other end of the first sleeve penetrates out of the wall of the catheter body and can be connected with external equipment.
9. The built-in micro balloon joint distraction device according to claim 8, wherein a second sleeve is arranged in the balloon framework, one end of the second sleeve is fixedly connected with one of the through holes on the tube wall of the balloon framework, and the other end of the second sleeve is arranged at the center of the port of the balloon framework and can be detachably connected with the first sleeve.
10. The endo-micro balloon joint distraction device of claim 1, wherein the balloon has a number of different gauge forms; the external equipment is air supply or liquid supply equipment.
CN202021046217.3U 2020-06-09 2020-06-09 Built-in micro balloon joint distraction device Active CN213309974U (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113768556A (en) * 2020-06-09 2021-12-10 上海交通大学医学院附属新华医院 Built-in micro balloon joint distraction device

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113768556A (en) * 2020-06-09 2021-12-10 上海交通大学医学院附属新华医院 Built-in micro balloon joint distraction device

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