CN219089245U

CN219089245U - Novel endoscope sleeve with guide wire drainage tube for guiding

Info

Publication number: CN219089245U
Application number: CN202222862937.2U
Authority: CN
Inventors: 强京灵
Original assignee: Individual
Current assignee: Individual
Priority date: 2022-10-28
Filing date: 2022-10-28
Publication date: 2023-05-30
Anticipated expiration: 2032-10-28

Abstract

The utility model discloses a novel endoscope sleeve guided by a guide wire drainage tube, which comprises a first expansion sleeve, wherein a drainage tube is arranged in the first expansion sleeve, a guide wire is arranged in the drainage tube, the guide wire extends out of the drainage tube, a drainage port is arranged at the front end of the drainage tube, a second expansion sleeve is sleeved outside the first expansion sleeve, a third expansion sleeve is sleeved outside the second expansion sleeve, and a working sleeve is sleeved outside the third expansion sleeve. According to the utility model, the drainage tube with the guide wire is arranged, so that the drainage tube can be smoothly placed into a specified puncture position and a puncture point, whether the puncture is performed to a hematoma position can be judged according to the color of blood extracted by the syringe, the tube placement position can be more accurate, and the size of a cut can be reduced by arranging the first expansion sleeve, the second expansion sleeve and the third expansion sleeve, so that additional injury to a patient is avoided.

Description

Novel endoscope sleeve with guide wire drainage tube for guiding

Technical Field

The utility model belongs to the technical field of endoscope auxiliary tools, and particularly relates to a novel endoscope sleeve guided by a drainage tube with a guide wire.

Background

The neuroendoscope is a tool for observation and operation in neurosurgery, has the characteristics of small wound, good operation effect and few complications, is most commonly used for a hypertensive cerebral hemorrhage endoscope hematoma removal operation, namely, a minimally invasive operation performed by using a sleeve technology, is performed by expanding brain tissue after positioning the brain tissue hematoma and placing the brain tissue hematoma into a sleeve with proper length to reach a hematoma area, stretches the neuroendoscope into the sleeve to clearly display hematoma and bleeding points, and removes hematoma and hemostasis by using an operation instrument through the sleeve to complete the operation. In the operation process, the key point is the positioning before operation and the placement of the sleeve, the current sleeve is generally placed directly through the incision, whether the sleeve is placed to a proper position cannot be known, if the sleeve is placed too deeply, the damage is caused to a patient, if the sleeve is placed too shallowly, the examination of an endoscope is not facilitated, in addition, in the placement process, if the incision is too small, the sleeve is inconvenient to place, so that the diameter of the general incision is much larger than that of the sleeve, the sleeve can be placed, but the incision is too large to cause additional damage to the patient, and the sleeve cannot be tightly attached to tissues around the incision after the sleeve is placed, so that the sleeve is loose and shakes, and the normal examination and operation of the endoscope are affected.

Disclosure of Invention

The utility model mainly aims to provide a novel endoscope sleeve guided by a guide wire drainage tube, and solves the problem that a proper position cannot be determined when the existing endoscope sleeve is placed.

In order to achieve the above purpose, the technical scheme adopted by the utility model is as follows: the novel endoscope sleeve with the guide wire drainage tube guiding function comprises a first expansion sleeve, a drainage tube is arranged in the first expansion sleeve, a guide wire is arranged in the drainage tube, the guide wire extends out of the drainage tube, a drainage port is arranged at the front end of the drainage tube, a second expansion sleeve is sleeved outside the first expansion sleeve, a third expansion sleeve is sleeved outside the second expansion sleeve, and a working sleeve is sleeved outside the third expansion sleeve.

Further, the length of the first expansion sleeve is 12 cm, the outer diameter of the first expansion sleeve is 6 mm, the inner diameter of the first expansion sleeve is 5 mm, the pipe wall thickness of the first expansion sleeve is 0.5 mm, an opening is formed in the front end of the first expansion sleeve, and the inner diameter of the opening is 4.5 mm.

Further, the length of the second expansion sleeve is 11 cm, the outer diameter of the second expansion sleeve is 9 mm, the inner diameter of the second expansion sleeve is 8 mm, the pipe wall thickness of the second expansion sleeve is 0.5 mm, an opening is also formed in the front end of the second expansion sleeve, and the inner diameter of the opening is 7 mm.

Further, the length of the third expansion sleeve is 10 cm, the outer diameter of the third expansion sleeve is 12 mm, the inner diameter of the third expansion sleeve is 11 mm, the pipe wall thickness of the third expansion sleeve is 0.5 mm, an opening is also formed in the front end of the third expansion sleeve, and the inner diameter of the opening is 10 mm.

Further, a fixing clamp is further arranged on the drainage tube and used for fixing the position of the drainage tube.

Further, the drainage tube is also connected with a silk thread.

Further, scale values are arranged on the pipe walls of the first expansion sleeve, the second expansion sleeve and the third expansion sleeve.

Compared with the prior art, the utility model has the following beneficial effects:

1. by arranging the drainage tube with the guide wire, the designed puncture position and puncture point can be smoothly entered, whether the puncture is performed to the hematoma position can be judged according to the color of blood extracted by the syringe, the position of the tube can be more accurate, and the additional injury to a patient caused by repeated placement can be prevented;

2. through setting up first expansion sleeve, second expansion sleeve, third expansion sleeve, after the rotatory implantation of third expansion sleeve, the third expansion sleeve can laminate with patient's incision, and rotatory entering can reduce notched area, reduces patient's unnecessary misery.

Drawings

FIG. 1 is a schematic view of the structure of the novel endoscope sleeve guided by the drainage tube with the guide wire of the utility model.

In the figure: 1. a drainage tube; 2. a first expansion sleeve; 3. a second expansion sleeve; 4. a third expansion sleeve; 5. a working sleeve; 6. a guide wire; 7. a silk thread; 8. and a drainage port.

Detailed Description

The following description of the embodiments of the present utility model will be made clearly and completely with reference to the accompanying drawings, in which it is apparent that the embodiments described are only some embodiments of the present utility model, but not all embodiments. All other embodiments, which can be made by those skilled in the art based on the embodiments of the utility model without making any inventive effort, are intended to be within the scope of the utility model.

Referring to fig. 1, the utility model discloses a novel endoscope sleeve guided by a drainage tube with a guide wire, which comprises a first expansion sleeve 2, wherein a drainage tube 1 is arranged in the first expansion sleeve 2, preferably, the length of the first expansion sleeve 2 is 12 cm, the outer diameter of the first expansion sleeve 2 is 6 mm, the inner diameter of the first expansion sleeve 2 is 5 mm, the wall thickness of the first expansion sleeve 2 is 0.5 mm, preferably, the front end of the first expansion sleeve 2 is provided with an opening, the inner diameter of the opening is 4.5 mm, further, the front end of the drainage tube 1 is provided with a drainage port 8, after the front end of the drainage tube 1 is contacted with a hematoma part of a patient, blood can be extracted through the drainage port 8 so as to judge whether a designated position is reached, further, a guide wire 6 is arranged in the drainage tube 1, extends out of the drainage tube 1, the guide wire 6 plays a guiding role, and the drainage tube 1 can smoothly enter the designated position.

Preferably, the drainage tube 1 is further provided with a fixing clamp, the fixing clamp plays a role in fixing, and after the drainage tube 1 passes through the first expansion sleeve 2, the drainage tube 1 can be clamped and fixed on the tube wall of the first expansion sleeve 2 by using the fixing clamp. Further, the wire 7 is fixedly connected to the wall of the drainage tube 1, after the drainage tube 1 passes through the front end opening of the first expansion sleeve 2, the drainage tube 1 can be wound on the first expansion sleeve 2 by using the wire 7, so that the position of the drainage tube 1 can be further fixed, and the drainage tube 1 is prevented from slipping.

Further, the first expansion sleeve 2 is sleeved with a second expansion sleeve 3, preferably, the length of the second expansion sleeve 3 is 11 cm, the outer diameter of the second expansion sleeve 3 is 9 mm, the inner diameter of the second expansion sleeve 3 is 8 mm, the wall thickness of the second expansion sleeve 3 is 0.5 mm, preferably, the front end of the second expansion sleeve 3 is also provided with an opening, and the inner diameter of the opening is 7 mm. Further, the outer part of the second expansion sleeve 3 is sleeved with a third expansion sleeve 4, preferably, the length of the third expansion sleeve 4 is 10 cm, the outer diameter of the third expansion sleeve 4 is 12 mm, the inner diameter of the third expansion sleeve 4 is 11 mm, and the pipe wall thickness of the third expansion sleeve 4 is 0.5 mm. Preferably, the front end of the third expansion sleeve 4 is also provided with an opening, the inner diameter of which is 10 mm.

Preferably, the tube walls of the first expansion sleeve 2, the second expansion sleeve 3 and the third expansion sleeve 4 are all provided with scale values, and the implantation depth can be intuitively and clearly known through the scale values on the tube walls.

Further, the outside cover of third expansion sleeve 4 is equipped with work sleeve 5, and the position of work sleeve 5 can be fixed a position to third expansion sleeve 4, and after work sleeve 5 was put into, the outer wall of work sleeve 5 and the incision laminating of patient, and first expansion sleeve 2, second expansion sleeve 3 and third expansion sleeve 4 are all rotatory mode of putting into, can reduce patient's incision area, are favorable to reducing patient's misery, and after work sleeve 5 put into the position suitable, then take out first expansion sleeve 2, second expansion sleeve 3, third expansion sleeve 4 in proper order, then through work sleeve 5, can establish the scope passageway.

When the utility model is used, general anesthesia is firstly carried out on a patient, anatomical positioning is carried out before operation, puncture points, puncture directions and puncture depths are determined through CT reconstruction, conduction beams are avoided as far as possible, a long shaft cannula of blood clots is inserted to minimize transverse white matter fibers, after a puncture channel is determined, 4cm straight cuts or arc cuts are taken, craniotomy is carried out, about 1cm x 1cm of dura mater is firstly cut in a cross manner, the arachnoid is torn through bipolar electrocoagulation, cerebral vessels are avoided as puncture points, then a drainage tube 1 is penetrated through an opening at the front end of a first expansion sleeve 2, the front end of the drainage tube 1 exceeds the front end of the first expansion sleeve by 1cm, then a silk thread 7 is used for winding and knotting the drainage tube 1 and the first expansion sleeve 2 together, the position of the drainage tube 1 is fixed, and then the first expansion sleeve 2 and the drainage tube 1 are placed into puncture targets according to the puncture points, the puncture directions and the puncture depths which are designed, then the guide wire 6 is pulled out, a 10ml syringe is used for slowly withdrawing the dark black blood clot, the puncture to the position of the hematoma cavity is confirmed, then 10-20ml dark black blood is continuously withdrawn slowly, then the drainage tube 1 is pulled out, the first expansion sleeve 2 is left, the second expansion sleeve 3 is rotationally placed along the first expansion sleeve 2 while water is pumped, the third expansion sleeve 4 is rotationally placed along the outer wall of the second expansion sleeve 3 while water is pumped, finally the working sleeve 5 is rotationally placed along the third expansion sleeve 4 while water is pumped, after the working sleeve 5 is placed at a proper position, the first expansion sleeve 2, the second expansion sleeve 3 and the third expansion sleeve 4 are respectively pulled out, only the working sleeve 5 is left, finally the neuroendoscope and the aspirator are placed along the working sleeve 5 to remove hematoma, after hematoma is removed, the liquid is drained from the affected part along the working sleeve 5, and finally the working sleeve 5 is pulled out, so that the whole device is used.

It is noted that relational terms such as first and second, and the like are used solely to distinguish one entity or action from another entity or action without necessarily requiring or implying any actual such relationship or order between such entities or actions. Moreover, the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus.

Although embodiments of the present utility model have been shown and described, it will be understood by those skilled in the art that various changes, modifications, substitutions and alterations can be made therein without departing from the principles and spirit of the utility model, the scope of which is defined in the appended claims and their equivalents.

Claims

1. Take novel scope sleeve of seal wire drainage tube guide, a serial communication port, including first expansion sleeve (2), be provided with drainage tube (1) in first expansion sleeve (2), be provided with seal wire (6) in drainage tube (1), seal wire (6) extend outside drainage tube (1), drainage tube (1) front end is provided with drainage mouth (8), first expansion sleeve (2) overcoat is equipped with second expansion sleeve (3), second expansion sleeve (3) overcoat is equipped with third expansion sleeve (4), third expansion sleeve (4) outer wall cover is equipped with work sleeve (5).

2. The novel endoscope sleeve guided by the drainage tube with guide wire according to claim 1, wherein the length of the first expansion sleeve (2) is 12 cm, the outer diameter of the first expansion sleeve (2) is 6 mm, the inner diameter of the first expansion sleeve (2) is 5 mm, the pipe wall thickness of the first expansion sleeve (2) is 0.5 mm, and an opening is arranged at the front end of the first expansion sleeve (2), and the inner diameter of the opening is 4.5 mm.

3. The novel endoscope sleeve guided by the drainage tube with guide wire according to claim 1, wherein the length of the second expansion sleeve (3) is 11 cm, the outer diameter of the second expansion sleeve (3) is 9 mm, the inner diameter of the second expansion sleeve (3) is 8 mm, the pipe wall thickness of the second expansion sleeve (3) is 0.5 mm, and the front end of the second expansion sleeve (3) is also provided with an opening, and the inner diameter of the opening is 7 mm.

4. The novel endoscope sleeve guided by the drainage tube with guide wire according to claim 1, wherein the length of the third expansion sleeve (4) is 10 cm, the outer diameter of the third expansion sleeve (4) is 12 mm, the inner diameter of the third expansion sleeve (4) is 11 mm, the pipe wall thickness of the third expansion sleeve (4) is 0.5 mm, and the front end of the third expansion sleeve (4) is also provided with an opening, and the inner diameter of the opening is 10 mm.

5. The novel endoscopic sleeve guided by the drainage tube with guide wire according to claim 1, wherein a fixing clamp is further arranged on the drainage tube (1), and the fixing clamp is used for fixing the position of the drainage tube (1).

6. The novel endoscope sleeve guided by the drainage tube with the guide wire according to claim 1, wherein the drainage tube (1) is also connected with a wire (7).

7. The novel endoscope sleeve guided by the guide wire drainage tube according to claim 1, wherein the first expansion sleeve (2), the second expansion sleeve (3) and the third expansion sleeve (4) are provided with scale values on the tube wall.