CN214342540U

CN214342540U - Stomach foreign matter remove device based on gastroscope

Info

Publication number: CN214342540U
Application number: CN202023050479.XU
Authority: CN
Inventors: 刘寿行
Original assignee: Individual
Current assignee: Individual
Priority date: 2020-12-17
Filing date: 2020-12-17
Publication date: 2021-10-08
Anticipated expiration: 2030-12-17

Abstract

The utility model discloses a gastroscope-based device for taking out foreign matters in stomach, which comprises a gastroscope, a foreign matter clamping device, a protective outer sleeve and a gastroscope treatment channel port collecting bag; the protective outer sleeve comprises a tightening part, a wrapping part and a tying belt, the tightening part is fixedly hooped at the front end of the insertion part, the tying belt is convenient for carrying out secondary fixation on the tightening part, the tying belt is retracted into the protective outer sleeve after a foreign body is clamped by the foreign body clamping device, when the foreign body is pulled out together with the gastroscope, edges and corners of the foreign body cannot scratch the esophagus to cause secondary damage, the pain of a patient is relieved, and the risk and the economic burden of the patient are relieved; the gastroscope treatment passage opening collecting bag comprises a collecting bag hanging hole and a collecting bag operating hole, the collecting bag hanging hole is used for fixedly fixing the collecting bag on the inlet end of the gastroscope treatment passage tube, outflow or sprayed secretions can be fully shielded and collected, the secretions are prevented from flowing onto or being sprayed onto the body or the face of an operating doctor or a patient, and the secretions can be conveniently collected to facilitate subsequent centralized treatment.

Description

Stomach foreign matter remove device based on gastroscope

The technical field is as follows:

the utility model relates to the technical field of medical equipment, concretely relates to foreign matter remove device in stomach based on gastroscope.

Background art:

gastroscope is a medical examination method, also refers to an apparatus used for the examination, and is inserted into the stomach by a thin and soft tube, so that doctors can directly observe the pathological changes of esophagus, stomach and duodenum, especially for tiny pathological changes, the real situation of the examined part can be directly observed by the gastroscope examination, pathological biopsy and cytology examination can be carried out on the suspicious diseased part, and foreign matters can be taken out by the gastroscope; as shown in fig. 1, the conventional gastroscope 1 generally includes an optical connector 11, an optical connecting wire 12, an operating portion 13, a gastroscope treatment channel 14 and an insertion portion 15; as shown in fig. 2, the gastroscope treatment passage 14 comprises a gastroscope treatment passage tube 141 and a gastroscope treatment passage tube sealing plug 142, the inlet end of the gastroscope treatment passage tube 141 is mounted on the mounting boss 131 at the lower part of the operation part 13, and the gastroscope treatment passage tube sealing plug 142 seals the gastroscope treatment passage tube 141; when the foreign body is swallowed carelessly, the doctor can directly observe the position of the foreign body by extending the gastroscope into the esophagus through the slender and flexible insertion part 15, extend the foreign body clamping device 2 from the inlet end of the gastroscope treatment channel tube 141 on the gastroscope to extend to the front end of the insertion part 15, and withdraw the foreign body together with the gastroscope after the foreign body is clamped by the foreign body clamping device 2 to realize the removal of the foreign body.

However, in actual clinical work, the foreign matters swallowed by mistake are various, and some foreign matters with edges or sharp corners are not sufficient, when the foreign matter is grabbed by the foreign matter grabbing device and then pulled out, the edges or the sharp corners can scratch the esophagus to cause secondary damage, even cause esophageal perforation in serious cases, require surgical intervention, bring pain to patients, and increase risks and additional economic burden; meanwhile, in the process of taking the foreign matter, the foreign matter clamping device is inserted into the gastroscope treatment channel tube 141, and the sealing plug 142 of the gastroscope treatment channel tube is in a non-closed state, so that a channel is established between the esophagus of a patient and the external environment, the operation time is relatively long, secretion in the esophagus can possibly flow out along the channel, and in the inflation observation and operation processes, when the pressure in the esophagus is high, the secretion can be sprayed out, so that an operation table and the surrounding environment are polluted, an operator and the patient have risks of pollution and infection, and the smooth proceeding of treatment is also influenced.

The invention content is as follows:

the utility model aims to solve the problems mentioned above and provide a device for taking out foreign matters in stomach based on gastroscope.

The utility model adopts the following technical scheme to realize the purpose of the invention: an intragastric foreign matter taking device based on a gastroscope comprises the gastroscope, a foreign matter clamping device and a protective outer sleeve; the part of the gastroscope extending into the esophagus is an insertion part; the foreign matter clamping device reaches the front end of the insertion part along a gastroscope treatment channel tube arranged inside the insertion part; the protective outer sleeve comprises a tightening part, a wrapping part, a first lacing and a second lacing; the wrapping part is in a hollow bell mouth shape, and the narrow end of the wrapping part is fixedly connected with the front end of the tightening part; the clamping part is cylindrical, the front end of the outer surface of the insertion part is sleeved with the clamping part in a clamping manner, and the front end surface of the insertion part is positioned on the rear side of the wide end of the wrapping part; first frenulum and second frenulum are located the rear end and the front end of overcoat respectively, and two head ends of first frenulum and second frenulum can encircle the overcoat and tie tightly each other.

Preferably, the first and second tethers are surgical sutures.

Preferably, the tightening part is made of latex material; the wrapping part is made of transparent silica gel, latex or hydrogel materials.

Furthermore, the foreign body taking-out device also comprises a gastroscope treatment passage port collecting bag which is a hollow closed bag body, and a collecting bag hanging hole and a collecting bag operating hole are arranged on the collecting bag hanging hole; the collecting bag hanging hole is arranged on one side surface of the collecting bag at the gastroscope treatment passage port; the collecting bag operation hole is arranged on the side surface opposite to the collecting bag hanging hole or the top surface of the collecting bag at the gastroscope treatment passage opening.

Preferably, the gastroscope treatment passage port collecting bag is made of transparent polyethylene PE soft materials.

Preferably, the collecting bag hanging hole and/or the collecting bag operating hole are elastic holes.

Further, the foreign body clamping device is a foreign body clamp or a biopsy clamp.

Due to the adoption of the technical scheme, the utility model discloses better realization its invention purpose: the protective outer sleeve on the foreign matter taking-out device is fixedly hooped at the front end of the insertion part, so that the front end of the insertion part is positioned in the protective outer sleeve, the foreign matter is clamped by the foreign matter clamping device and then is retracted into the protective outer sleeve, the foreign matter is wrapped by the protective outer sleeve, and when the foreign matter is pulled out together with a gastroscope, edges and corners of the foreign matter cannot scratch esophagus or even cause perforation to cause secondary damage, so that the risk is increased for a patient, and pain and extra economic burden are brought; the collecting bag of the gastroscope treatment passage opening is fixedly sleeved on the inlet end of the gastroscope treatment passage pipe through the collecting bag hanging hole, so that the flowing or sprayed secretion can be fully shielded and collected, the secretion is prevented from flowing or being sprayed on the body or the face of an operating doctor or a patient to influence the operation of the doctor, the pollution of the surrounding environment and the risk of cross infection among people is prevented, and the secretion is conveniently collected to be convenient for subsequent centralized treatment; meanwhile, the provided operation hole of the collecting bag is convenient for the foreign matter clamping device to extend into the collecting bag at the opening of the gastroscope treatment channel and extend into the inlet end of the gastroscope treatment channel tube.

Description of the drawings:

fig. 1 is a schematic diagram of the overall structure of the gastroscope of the present invention.

Fig. 2 is a schematic sectional view of a connection structure between the operating unit 13 and the gastroscope treatment channel 14 according to the present invention.

Fig. 3 is a schematic view of the installation position of the protective outer sleeve 3 on the gastroscope 1.

Fig. 4 is a schematic sectional structure diagram of the protective outer jacket 3 of the present invention.

Fig. 5 is a schematic sectional structure view of the middle gastroscope treatment passage port collecting bag 4 of the present invention.

The reference numbers are illustrated in the following table:

number of mark	Name of label	Number of mark	Name of label
				1	Gastroscope 1	3	Protective outer cover 3
11	Light guide joint 11	31	Tightening part 31
				12	Light guide connecting line 12	32	Wrapping part 32
13	Operation unit 13	33	First lace 33
				131	Mounting boss 131	34	Second lace 34
14	Gastroscopic treatment channel 14	4	Gastroscope treatment access port collection bag 4
				141	Gastroscope treatment channel tube 141	41	Collecting bag hanging hole 41
142	Gastroscope treatment passage tube sealing plug 142	42	Collecting bag access hole 42
				15	Insertion portion 15

The specific implementation mode is as follows:

in order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings needed to be used in the description of the embodiments or the prior art will be briefly described below, it is obvious that the drawings in the following description are only some embodiments of the present invention, and for those skilled in the art, other drawings can be obtained according to these drawings without creative effort, and the contents of the present invention will be further described below with reference to the drawings:

example 1:

referring to the attached figures 1, 2, 3 and 4, the device for taking out foreign matters in the stomach based on the gastroscope comprises the gastroscope 1, a foreign matter clamping device 2 and a protective outer sleeve 3, wherein the foreign matter clamping device 2 is a foreign matter clamp or a biopsy clamp; the gastroscope 1 comprises a light guide connector 11, a light guide connecting wire 12, an operating part 13, a gastroscope treatment channel 14 and an inserting part 15; the gastroscope treatment channel 14 comprises a gastroscope treatment channel tube 141 and a gastroscope treatment channel tube sealing plug 142, the inlet end of the gastroscope treatment channel tube 141 is installed on the installation boss 131 at the lower part of the operation part 13, the gastroscope treatment channel tube sealing plug 142 seals the gastroscope treatment channel tube 141, and the gastroscope treatment channel tube sealing plug 142 can be opened and then extend into the foreign matter clamping device 2 from the inlet end of the gastroscope treatment channel tube 141 on the gastroscope 1 and extend to the front end of the insertion part 15; the protective outer sleeve 3 comprises a tightening part 31, a wrapping part 32, a first lacing 33 and a second lacing 34; the wrapping part 32 is in a hollow bell mouth shape, and the narrow end of the wrapping part is fixedly connected with the front end of the tightening part 31; the clamping part 31 is cylindrical, the front end of the outer surface of the insertion part 15 is clamped by the clamping part 31, and the front end surface of the insertion part 15 is positioned at the rear side of the wide end of the wrapping part 32; first frenulum 33 and second frenulum 34 are located the rear end and the front end of overcoat 3 respectively, and two head ends of first frenulum 33 and second frenulum 34 can encircle overcoat 3 and tie tightly each other, avoid getting the foreign matter in-process overcoat and drop, cause unnecessary foreign matter to persist.

In one embodiment, the tightening part 31 is made of latex; the wrapping part 32 is made of transparent silica gel, latex or hydrogel materials, and the transparent wrapping part 32 cannot shield the visual field of the optical lens at the front end of the insertion part 15, so that observation is facilitated; the latex material has high elasticity and ductility, and can firmly clamp the clamping part 31 on the outer surface of the insertion part 15, such as: the rubber tube used as the tourniquet is made of latex materials, is soft and has high elasticity; similarly, the silica gel has high elasticity, extensibility and softness as the hydrogel material, and after the foreign body is wrapped, the esophagus can be prevented from being scratched for the second time as long as a layer of soft cushion is arranged between the esophagus and the foreign body.

It should be noted that: when the inserting part 15 enters the esophagus, the frictional force between the protective coat 3 and the esophagus wall (the outer diameter of the gastroscope inserting part 15 is about 1cm, the inner diameter of the human esophagus is 2-3cm, and the narrow part is about 1.5 cm) can enable the wrapping part 32 to be turned backwards towards the end of the tightening part 31 (or before the inserting part 15 enters the esophagus, the wrapping part 32 is manually turned backwards towards the end of the tightening part 31 to enable the visual field of the front end of the inserting part 15 to be wider, so that the inserting part 15 can be conveniently inserted), when the inserting part 15 enters the stomach, the wrapping part 32 is possibly in a backward turning state, the wide visual field of the front end of the inserting part 15 can clearly see the position and the form of the foreign matter, when the foreign matter clamping device 2 clamps the foreign matter in the stomach, in the process of going outwards along with the gastroscope, when the inserting part is returned to the esophagus, the stomach cavity is far larger than the esophagus cavity, the connecting part of the esophagus and the cardia (the cardia connecting part is a narrow part), the backward-turned wrapping part 32 can be restored to the original position due to the friction force of the connecting narrow part of the protective outer sleeve 3 and the esophagus cardia and the elasticity of the wrapping part 32, so that the wrapping part 32 wraps the front end of the insertion part 15 to wrap the foreign body, and the foreign body exits along with the gastroscope under the protection of the elastic protective sleeve, thereby realizing the safe taking out of the foreign body and avoiding the damage of the esophagus wall.

In one embodiment, referring to fig. 3 and 4, the first and

second laces

33 and 34 are surgical sutures; the operation suture is used for fastening the banding part 31 for the second time, and prevents the protective outer sleeve 3 from sliding or even falling off due to the friction between the protective outer sleeve 3 and the esophagus wall and passing through the physiological narrow part when the gastroscope goes in and out.

It should be noted that: the surgical suture may be fixedly connected with the cinch portion 31 or may be separate from the cinch portion 31; when the operation suture is fixedly connected with the banding part 31, the middle end of the operation suture is fixedly connected with the middle part of the banding part 31, and the two head ends of the two ends of the operation suture encircle the banding part 31 and are mutually fastened; when the surgical suture is separated from the clamping part 31, one end of the surgical suture is directly wound around the clamping part 31 for a circle and then is mutually fastened with the other end; after tying, the ends of the two ends of the surgical suture need to be cut off.

The use method of the foreign matter removing device in the embodiment comprises the following steps: firstly, sequentially sleeving the insertion part 15 of the gastroscope 1 into the tightening part 31, unfolding the whole protective outer sleeve 3, enabling the front end of the insertion part 15 to be positioned at the rear side of the wide end of the wrapping part 32, respectively winding the rear end of the tightening part 31 and the front end of the first lacing 33 and the second lacing 34, then tightening for the second time, and cutting off redundant thread ends at two head ends; the front end of the insertion part 15 wrapped with the protection outer sleeve 3 is inserted from the oral cavity of a patient, the esophagus and the stomach are observed through the entrance of the esophagus, when a doctor observes the position of a foreign body, the sealing plug 142 of the gastroscope treatment channel tube is opened, the clamping head end of the foreign body clamping device 2 extends into the entrance end of the gastroscope treatment channel tube 141 and reaches the front end of the insertion part 15 to extend out, the doctor operates the foreign body clamping device 2 to clamp the foreign body and retreat back to the front end of the insertion part 15, finally the foreign body clamping device 2 with the clamped foreign body together with the gastroscope 1 withdraws together, in the process of outward endoscope withdrawal, when the foreign body is retreated to the esophagus, the stomach cavity is far larger than the esophagus cavity, the wrapping part 32 is wrapped at the front end of the insertion part 15 through the connection part of the esophagus and the cardia (the connection part of the esophagus is the physiological stenosis), the backward wrapping part 32 can be restored to the original position due to the friction force of the connection part of the protection outer sleeve 3 and the esophagus and the cardia and the elasticity of the wrapping part 32, live the foreign matter parcel, the foreign matter withdraws from along with the gastroscope under having elastic protective sheath protection, realizes taking out safely of foreign matter, and overcoat 3 is disposable, throws away medical waste recycling bin with overcoat 3 after using.

Example 2:

referring to fig. 5, the foreign matter removing apparatus according to embodiment 1 further includes a gastroscope treatment passage port collection bag 4 which is a hollow closed bag body provided with a collection bag hanging hole 41 and a collection bag operation hole 42; the collecting bag hanging hole 41 is arranged on one side surface of the collecting bag 4 at the gastroscope treatment passage port; the collecting bag operation hole 42 is provided on the side opposite to the collecting bag hanging hole 41 or the top surface of the collecting bag 4 at the gastroscopic treatment passage port; the gastroscope treatment passage port collecting bag 4 is made of transparent polyethylene PE soft materials, so that doctors can conveniently perform preliminary judgment on the state of an illness and visually see the amount of secretion by observing the color of secretion of patients; the collection bag hanging hole 41 and/or the collection bag operation hole 42 are elastic holes, the design of the elastic holes is convenient for enlarging the aperture of the collection bag hanging hole 41 and/or the collection bag operation hole 42 through pulling, the original aperture of the collection bag hanging hole 41 and/or the collection bag operation hole 42 can be restored after the pulling is stopped, the gastroscope treatment channel opening collection bag 4 can be hung and hooped on the gastroscope treatment channel 14 through the collection bag hanging hole 41, and meanwhile, the relevant operation can be performed through the collection bag operation hole 42.

The use method of the foreign matter removing device in the embodiment comprises the following steps: firstly, sequentially sleeving the insertion part 15 of the gastroscope 1 into the tightening part 31, unfolding the whole protective outer sleeve 3, enabling the front end of the insertion part 15 to be positioned at the rear side of the wide end of the wrapping part 32, respectively winding the rear end of the tightening part 31 and the front end of the first lacing 33 and the second lacing 34 for a circle, then tightening for the second time, and cutting off redundant thread ends at two head ends; the gastroscope treatment passage port collecting bag 4 is hung and clamped on the gastroscope treatment passage 14 (which can be a gastroscope treatment passage tube 141 or a gastroscope treatment passage tube sealing plug 142) through the collecting bag hanging hole 41; the front end of the insertion part 15 wrapped with the protective outer sleeve 3 is inserted from the oral cavity of a patient, passes through the entrance of the esophagus and reaches the esophagus and the stomach, when a doctor observes the position of a foreign body, the sealing plug 142 of the gastroscope treatment channel tube is opened through the collection bag operation hole 42, the clamping head end of the foreign body clamping device 2 extends into the collection bag operation hole 42 and then is inserted from the entrance end of the gastroscope treatment channel tube 141 and extends out from the orifice of the front end of the insertion part 15, the doctor operates the foreign body clamping device 2 to clamp the foreign body and retreat back to the front end of the insertion part 15, finally the foreign body clamping device 2 with the clamped foreign body is retreated together with the gastroscope 1, in the process of retreating the endoscope, when the esophagus is retreated, the stomach cavity is far larger than the esophagus cavity, passes through the esophagus cardia connection part (the esophagus cardia connection part is a physiological stenosis part), the backward-overturning wrapping part 32 can be restored to the original position due to the friction force of the esophagus cardia connection stenosis part and the self elasticity of the wrapping part 32, make parcel portion 32 wrap at the 15 front ends of insertion portion, live the foreign matter parcel, the foreign matter withdraws from along with the gastroscope under having elastic protective sheath protection, realizes taking out safely of foreign matter, and the discharge or spun secretion are all collected in gastroscope treatment passway mouth collection bag 4 in the operation process, and protective sheath 3 and gastroscope treatment passway mouth collection bag 4 are disposable, throws away the medical waste recycling bin with protective sheath 3 after using and gastroscope treatment passway mouth collection bag 4.

It is clear that modifications and/or additions of parts may be made to the gastric foreign body extraction device based on gastroscope and corresponding method as described heretofore, without departing from the field and scope of the present invention.

It is also clear that, although the present invention has been described in detail with reference to this device for removing foreign bodies in the stomach based on gastroscope, a person of skill in the art shall certainly be able to achieve many other equivalent forms of assembly of a device for removing foreign bodies in the stomach based on gastroscope and corresponding method, having the characteristics as set forth in the claims and hence all coming within the field of protection defined thereby.

Claims

1. An intragastric foreign matter extraction device based on gastroscope which characterized in that: comprises a gastroscope (1), a foreign body clamping device (2) and a protective outer sleeve (3); the part of the gastroscope (1) extending into the esophagus is an insertion part (15); the foreign matter clamping device (2) reaches the front end of the insertion part (15) along a gastroscope treatment channel tube (141) arranged inside the insertion part (15); the protective outer sleeve (3) comprises a tightening part (31), a wrapping part (32), a first lacing (33) and a second lacing (34); the wrapping part (32) is in a hollow bell mouth shape, and the narrow end of the wrapping part is fixedly connected with the front end of the tightening part (31); the clamping part (31) is cylindrical, the front end of the outer surface of the insertion part (15) is clamped by the clamping part (31), and the front end surface of the insertion part (15) is positioned on the rear side of the wide end of the wrapping part (32); the first lace (33) and the second lace (34) are respectively arranged at the rear end and the front end of the protective outer sleeve (3), and two head ends of the first lace (33) and the second lace (34) can encircle the protective outer sleeve (3) and are mutually tightened.

2. The gastroscope-based intragastric foreign object retrieval device of claim 1, wherein: the first lace (33) and the second lace (34) are surgical sutures.

3. The gastroscope-based intragastric foreign object retrieval device of claim 1, wherein: the tightening part (31) is made of latex material; the wrapping part (32) is made of transparent silica gel, latex or hydrogel materials.

4. The gastroscope-based intragastric foreign object retrieval device of claim 1, wherein: the foreign matter taking-out device also comprises a gastroscope treatment passage port collecting bag (4) which is a hollow closed bag body, and a collecting bag hanging hole (41) and a collecting bag operating hole (42) are arranged on the collecting bag; the collecting bag hanging hole (41) is arranged on one side surface of the collecting bag (4) at the gastroscope treatment passage port; the collecting bag operation hole (42) is arranged on the side surface opposite to the collecting bag hanging hole (41) or the top surface of the collecting bag (4) at the gastroscope treatment passage port.

5. The gastroscope-based intragastric foreign object retrieval device of claim 4, wherein: the gastroscope treatment passage port collecting bag (4) is made of transparent polyethylene PE soft material.

6. The gastroscope-based intragastric foreign object retrieval device of claim 4, wherein: the collecting bag hanging hole (41) and/or the collecting bag operating hole (42) are elastic holes.

7. The gastroscope-based intragastric foreign object retrieval device of claim 1, wherein: the foreign matter clamping device (2) is foreign matter forceps or biopsy forceps.