M293750 八、新型說明： 【新型所屬之技術領域】 本創作為一種分流管，特別為一種腦脊髓液分流手術之分流管，可應用 於一種治療水腦症等施行腦脊髓液分流手術使用之分流管者。 【先前技術】 人類腦的内部有腦室系統，在腦室内部及中樞神經系統（腦、脊髓）表面 虫知蛛膜下腔内流動有腦脊髓液，而水腦是由於腦脊髓液的循環通道阻塞，或因 腦脊髓液製造過多形成吸收不良，造成過多的腦脊髓液積存，進而使腦壓增加 ，腦室被動擴張的一種疾病，故水腦症又俗稱為腦積水，假如產生水腦症而不 及時醫治，腦脊髓液就會堆積在腦部，進而引起腦部的傷害甚至死亡，因此水 腦症是一不可輕忽的疾病。 引起水腦症的原因可能包含有：腦出血、感染、外傷、腫瘤、腦i管疾病 、腦本身結構甚至於先天性，因此在診查上需要重複的追蹤放射學檢查，以斷 定腦室之變化，當症狀的診斷確定之後，則必須以外科手術來治療，手術治療 的方式有： 1、 直接切除阻塞部位，重建正常的腦液流通循環的路徑，但此方法只適 用於腦室内阻塞性水腦症。 2、 分流手術：將腦脊藤液加以引導至其它的組織及器官由其吸收，形 成新的循環路徑使其恢復正常，這類手術大體上可分為顱内分流術及顱外分流 術兩種。 以顧内分流手術為例，即可以把腦脊聽液從腦室引流到身體其他俊置，如 5 M293750 . •側細至右心房分流術、側腦室腹膜腔分流術、側腦室胸膜腔分流術等，每種 魏的方式各有不同的優缺點，但目前—般以經由腹腔吸收為主要的方式，當 恥脊腿液引到腹腔板被腸表面吸收後，再被送到血液裏循環製造，此方式對 於水腦症患者則具有一定的療效。 【新型内容】 上述的顱外分流手術在施作時，必須使用分流管導人细，如此方可順利 • 的將腦脊髓液？丨導出顧外，習知技術的引流管於插入顱内後，可利用引流管表 面的側孔(Side Holes)來引導腦脊髓液藉㈣流管流出顱外，再透過連接管連接 流向控制瓣膜及腹腔引流導管組後，則可將腦脊髓液順利引流至腹腔，完成腦 脊髓液分流手術。 _ +當腦脊鑛液分流手術在施作時，引流管在插入顧内之後，必須取其適當的 '置加以截斷，以媒連接管來連接流向控制瓣膜，由於引流管本身並無 固定的效果與作用，所以在截斷與安裝的步驟中，都會讓引流管在顧内之腦 流的效果與作用，甚至於會導致手術失敗，對於患者曰後亦有相當大的影響 故此分流官之改良，實為一亟具思考價值之技術課題。 有μ方、此本創作提出一種新式腦脊鑛液分流手術用之分流管，其目的 〜〜良白知刀*官然法固定的缺點，本創作能於顱内定位後有效的固定分流 $ 1甲在安衣^接&來連接流向接管或貯水器時，不會移動到分流管插入 顧㈣部=。此分流管之管體結構包括有複數個側孔及握持部，進行手術 。用&體、、Ό構來伸入顱内，之後籍由握持部將管體結構向兩側撕裂至所 6 M293750 而的吐膽利用束管結構來將官體結構固定，進而減少分流管不必要的 移動。 乃本創作之另—主要目的在於簡化手術的程序，當分流管在顱内定位並固 幻 =醫師貝部將管體結構向兩側撕開至適當位置，然後直接將連接 ^安震於撕裂處底部，以利流向㈣_的安裝，而後再饋_部位，進而 簡化習知技術需戴斷分流管的繁瑣流程。 有關本創作之詳_容及顺，_配合圖絲明如下： 【實施方式】 本創作為_糊脊髓液分流手術用之引流管，請參照「第1圖」，為本 創作腦脊髓液分流手術用之分流管結構示意圖。 /作月回脊吨液分流手術用之引流管’其廣泛使用於插人於水腦症患 者之顧内而貫穿側腦室’俾藉以分流腦室内過多之腦«液，維持顧内 ^ __$圭 〜療水腦症施行顱外分流手術用之分流管者，其中包含有 :管體結構1G及束管結卿，其中管體結構10為-中空柱體，而末端対 閉5營ά 士 4装1 r\ ,〃 之下*而(插入顱内部分)更設置有複數個側孔11，此側孔11 係用於當管體結構1G在插人患者顧部時，供腦脊髓液流人管體結構10之 …’、。構10的上端則設置有握持部】2，握结構 :在插入顧内時握持之用，同時在管體結— 2利用握持部12將管體結構1G撕開為左右兩半，以利於安裝連接管，束管 則用知住管體結構1Q，並將f體結構1Q固定，以防土猶入顧 M293750 内之部位產生不必要的位移，且於使用者撕開管體結構ι〇時，防止管體結 構10之撕裂部位超過束管結構20。 接下來就本發明前述架構進—步列舉—實施例力叫說明，請參照「第w 圖」，為本創作腦脊髓液分流手術用之分流管剖面實施例示意⑴圖。 如當患者顧部30内因腦脊舰的循環通道阻塞，造成過多的腦脊腾液積 沪需要施作腦脊趙液分流手術時，則必須在患者_部3〇適當的位置上切M293750 VIII. New description: [New technical field] This creation is a shunt tube, especially a shunt for cerebrospinal fluid shunt surgery, which can be applied to a shunt for the treatment of hydrocephalus and other cerebrospinal fluid shunt surgery. Manager. [Prior Art] There is a ventricular system inside the human brain, and cerebrospinal fluid flows in the subarachnoid space in the intraventricular and central nervous system (brain, spinal cord), and the hydrocephalus is blocked by the circulation channel of cerebrospinal fluid. Or because the cerebrospinal fluid is too much to form malabsorption, causing excessive accumulation of cerebrospinal fluid, which in turn increases brain pressure and passively expands the ventricle. Therefore, hydrocephalus is commonly known as hydrocephalus. Healing, the cerebrospinal fluid will accumulate in the brain, causing damage or even death in the brain. Therefore, hydrocephalus is a disease that cannot be ignored. The causes of hydrocephalus may include: cerebral hemorrhage, infection, trauma, tumor, brain i tube disease, brain structure and even congenital, so repeated radiological examinations are needed in the diagnosis to determine changes in the ventricles. After the diagnosis of the symptoms is confirmed, it must be treated by surgery. The surgical treatment methods are as follows: 1. Directly remove the obstruction site and reconstruct the path of normal brain fluid circulation, but this method is only applicable to intraventricular obstructive water. Brain disease. 2, shunt surgery: the cerebrospinal fluid is guided to other tissues and organs to absorb it, forming a new circulation path to restore normal, such surgery can be roughly divided into intracranial shunt and extracranial shunt Kind. For example, in the intragastric shunt surgery, the cerebrospinal fluid can be drained from the ventricle to other body settings, such as 5 M293750. • Side to right atrial shunt, lateral ventriculo-peritoneal shunt, lateral ventricle pleural shunt Etc., each type of Wei has its own advantages and disadvantages, but at present, the main way is to absorb through the abdominal cavity. When the pubic sinus fluid is absorbed into the abdominal cavity and absorbed by the intestinal surface, it is sent to the blood for circulation. This method has a certain effect on patients with hydrocephalus. [New content] When the above-mentioned extracranial shunt surgery is performed, it is necessary to use a shunt to guide the person, so that the cerebrospinal fluid can be smoothly?丨Exporting, the conventional technique of the drainage tube can be used to insert the cranial canal (Side Holes) on the surface of the drainage tube to guide the cerebrospinal fluid through the (four) flow tube out of the extracranial, and then connect to the control valve through the connecting tube After the abdominal drainage tube group, the cerebrospinal fluid can be smoothly drained to the abdominal cavity to complete the cerebrospinal fluid shunt operation. _ + When the cerebrospinal ore shunt surgery is applied, the drainage tube must be properly cut off after insertion into the patient. The media connection tube is used to connect the flow to the control valve. Since the drainage tube itself is not fixed. The effect and effect, so in the steps of truncation and installation, the effect and effect of the drainage tube in the brain flow will be caused, and even the surgery will fail, which will have a considerable impact on the patient's post-mortem. It is a technical issue with a value of thinking. There is a μ Fang, this creation proposes a new type of shunt tube for shunting ore shunt surgery, the purpose of which is ~ ~ Liang Baizhi knife * officially fixed the shortcomings, this creation can effectively fix the shunt after intracranial positioning $ 1A will not move to the shunt to insert the (four) part = when connecting to the nozzle or the water reservoir. The tube body structure of the shunt tube includes a plurality of side holes and a grip portion for performing surgery. Use & body, Ό structure to reach into the skull, then the body structure is torn to the sides by the grip to 6 M293750 and the tuber structure is used to fix the body structure, thereby reducing The shunt tube moves unnecessarily. The main purpose of this creation is to simplify the procedure of the operation. When the shunt is positioned in the skull and the solid phantom = the doctor's shell will tear the tube structure to the appropriate position, and then directly connect the connection to the tear. The bottom of the crack is used to facilitate the installation of (4) _, and then feed the _ part, thereby simplifying the cumbersome process of the conventional technology to wear the shunt. The details of this creation are as follows: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Schematic diagram of the shunt tube for surgery. /The drainage tube for the turf-flow turf shunt surgery is widely used for inserting into the side of the cerebral ventricle in the patients with hydrocephalus, so as to divert the excessive brain in the cerebral cerebral fluid «Liquid, maintain Gu Inner ^ __$圭~ The treatment of hydrocephalus is performed by the shunt for extracranial shunt surgery, which includes: tube structure 1G and bundle tube junction, wherein the tube structure 10 is a hollow cylinder, and the end closure is 5 battalions. 4 installed 1 r\, 〃 under * and (inserted into the intracranial part) is further provided with a plurality of side holes 11, which are used for cerebrospinal fluid when the body structure 1G is inserted into the patient's part Flowing human body structure 10...',. The upper end of the structure 10 is provided with a grip portion 2, the grip structure is used for gripping when inserted into the inside, and at the same time, the tube body structure 1G is torn into the left and right halves by the grip portion 12, In order to facilitate the installation of the connecting pipe, the beam tube is used to know the pipe structure 1Q, and the f body structure 1Q is fixed, so as to prevent the soil from entering the part of the M293750, causing unnecessary displacement, and the user tears the pipe structure. At the time of 〇, the tearing portion of the tubular structure 10 is prevented from exceeding the bundle structure 20. Next, the foregoing structure of the present invention will be further described as an example. Please refer to the "wth diagram" for a schematic diagram (1) of the shunt profile of the cerebrospinal fluid shunt. For example, when the patient's Gu Department 30 is blocked by the circulation channel of the cranial ship, causing excessive cerebrospinal fluid accumulation in the brain, it is necessary to perform the operation on the cerebrospinal fluid.
割出-個大小適度的傷口，再經由鑽孔完成後即可藉由握持部I〕握持管體結 構10插入患部定位。 —當管體結構職人定位後，針略於餅3G使蝴結構加換繞 著管體結構ω，來將f體結構_定，綱構2〇此時軸將管體址構 職定於患者的顱㈣，以防止顱部3G _體結構1〇因不必要的位移， 而產生側孔U(SideHG丨es)堵塞，影響分流果，並降低手術_，請炎 照「第2,」，為本創作腦脊髓液分流手術用之分流管剖面實施例示^ 圖。 接下來請繼續參照「第2_3圖」，為本創作腦㈣液分流手術用之分流管 剖面實施例示意(3)圖。 當管體結構1G於_錢，咖__和辭體結構10 撕開，此綱的方式係由管體結構1G上端向魏部％的方向，並將管體結 構向左右_綱，為了使_㈣絲鱗並且砂㈣麟構 顧内3㈣定位狀態，所以在管體結構1Q上更可設計有—條垂直的撕裂線η ，以方便醫生運用握持部：[2撕開管體結構1〇。 在管體結構1〇撕開的過程中，束管結構如則發揮了另-個作用，即為防 8 M293750 止管體結構ίο之撕裂部位超過束管社 α冓〜〇,由於束管結構20係設置於顱 邠30外側，所以管體結構1〇最 即可將連接 的撕開長度不會超過顱部3G外側(亦即 顱部30内之管體結構1〇可保掊6 一 /'、心蹩）’ §撕裂動作完成後， 官40安裝於撕裂處的底部，請泉昭「 〜、'、弟〜-4圖」，為本創作腦脊髓液分流爭 術用之分流管剖面實施例示意(4)圖。 請參照「第2-5圖」 例示意(5)圖。 為本創作腦魏液分流手·之分流管剖面實施 當連接管Μ裝完錢，醫_____錄於連接管如 上後再_錢除，輸植$以成連 接，即可完成-組完整的腦脊链液分流手術用之分流系統，請來昭「第2 6 圖」’為本創作腦脊髓液分流手術用之分流管剖面實施例示意⑹圖，由以上 貫施說明中可以清楚的了解，本創作可將管體結構ι〇有效的固定，並免不 要的位移造_U1(SideH(㈣聰，進而可大巾_传的絲，同時^ 體結構U)運贴右·的方式，可職習知_分流管方式的不歡性^ 時可減少手術的日摘，至於本創作之分辭更使料姆式之環保材質來° 加以製作，其尺寸亦可視需求製作為各種不同的口徑。 雖然本創作以_之較佳實施例揭露如上，然其並非用以限定本創作，飪 何熟習此㈣者，在不脫離本創作之精神和鋪内，當可作麵之更動與獨 飾，因此本發明之保護範圍當視後附之申請專利範圍所界定者為準。 [圖示簡單說明】 第1圖為本創作腦脊髓液分流手術用之分流管結構示意圖； M293750 第2-1圖為本創作腦脊體液分流手術用之分流管剖面實施例示思（丨)圖， 第2-2圖為本創作腦脊髓液分流手術用之分流管剖面實施例示意(2)圖； 第2-3圖為本創作腦脊髄液分流手術用之分流管剖面實施例示意(3)圖， 第2 4圖為本創作腦脊髓液分流手術用之分流管剖面實施例示意(4)圖； 第2-5圖為本創作腦脊髓液分流手術用之分流管剖面實施例示意(5)圖；及 第2-6圖為本創作腦脊髓液分流手術用之分流管剖面實施例示意⑹圖。 _ 【主要元件符號說明】 10 管體結構 11 側孔 12 握持部 13 撕裂線 20 束官結構 30 顱部 40 連接管 50 流向控制瓣膜 60 腹腔引流導管組 10A moderately sized wound is cut out, and after completion of the drilling, the tube structure 10 can be inserted into the affected part by the grip portion I]. - When the body structure is positioned, the needle is slightly smaller than the cake 3G to make the butterfly structure change around the pipe structure ω, so that the f body structure _, the structure 2 〇 at this time, the axis body structure is fixed to the patient The cranial (four), in order to prevent the 3G _ body structure 1 in the cranial part due to unnecessary displacement, resulting in side hole U (SideHG丨es) blockage, affecting the diversion fruit, and reduce the operation _, please Yanzhao "2nd," This is a schematic diagram of the shunt tube profile for the creation of cerebrospinal fluid shunt surgery. Next, please continue to refer to "2_3", which is a schematic (3) diagram of a cross-sectional view of a shunt tube for brain (four) fluid bypass surgery. When the pipe structure 1G is torn in the _ money, the coffee __ and the grammatical structure 10, the mode of this pipe is from the upper end of the pipe body structure 1G to the direction of the Wei part, and the pipe body structure is directed to the left and right _ class, in order to _ (four) silk scales and sand (four) lin structure Gu 3 (four) positioning state, so the tube structure 1Q can be designed with a vertical tear line η, in order to facilitate the doctor to use the grip: [2 tear open tube structure 1〇. In the process of tearing the tubular structure 1〇, the bundle tube structure plays another role, that is, the 8 M293750 stop body structure ίο the tearing part exceeds the bundle tube α冓~〇, due to the bundle tube The structure 20 is arranged outside the cranial sac 30, so that the tubular structure 1 〇 can cut the length of the connection beyond the outside of the cranial 3G (that is, the tubular structure in the cranial 30 can be protected) /', heart 蹩)' § After the tearing action is completed, the official 40 is installed at the bottom of the tearing place, please Quanzhao "~, ', brother ~ -4 map", for the creation of cerebrospinal fluid shunting The shunt tube cross-section embodiment is illustrated in (4). Please refer to "Figure 2-5" for an example (5). For the creation of the brain-divided fluid splitter, the shunt tube profile is implemented. When the connecting tube is loaded with money, the doctor _____ is recorded in the connecting tube as above and then _ money is removed, and the transplanted $ is connected to complete the complete-group complete For the shunt system for cerebrospinal fluid-splitting surgery, please see "Figure 2 6" for the schematic diagram of the shunt tube profile for the creation of cerebrospinal fluid shunt surgery (6), which can be clearly seen from the above description. Understand that this creation can effectively fix the pipe structure ι〇, and avoid the displacement of the _U1 (SideH ((4) Cong, and then can be a large towel _ pass the wire, while the body structure U) to the right way , the job-related knowledge _ the distraction of the shunting method ^ can reduce the daily excerpt of the surgery, as the wording of this creation makes the m-type environmentally friendly material to be produced, the size can also be made into various needs according to the needs Although the present invention is disclosed above in the preferred embodiment of the present invention, it is not intended to limit the creation of the present invention, and those who are familiar with this (four) may not change from the spirit of the creation and the shop. Exclusively, so the scope of protection of the present invention is attached to the patent application The definition is correct. [Simplified illustration] Figure 1 is a schematic diagram of the shunt tube structure for the cerebrospinal fluid shunt surgery; M293750 Figure 2-1 shows the implementation of the shunt tube profile for the cranial fluid shunt surgery Example (思) diagram, Figure 2-2 shows the schematic diagram of the shunt tube section for creating cerebrospinal fluid shunt surgery (2); Figure 2-3 shows the shunt tube for cerebrospinal fluid shunt surgery The cross-sectional embodiment is illustrated in (3), and the second figure is a schematic diagram (4) of the shunt tube cross-section for creating cerebrospinal fluid shunt surgery; the second to fifth figures are the shunt for the cerebrospinal fluid shunt operation. The tube cross-section embodiment is illustrated in (5); and the second to sixth figures are schematic (6) diagrams of the shunt tube cross-section for creating cerebrospinal fluid shunt surgery. _ [Main component symbol description] 10 tubular structure 11 side hole 12 Grip 13 tear line 20 bundle structure 30 craniofa 40 connection tube 50 flow to control valve 60 abdominal drainage tube set 10