WO2021179775A1 - Ureteral stent tube - Google Patents

Ureteral stent tube Download PDF

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Publication number
WO2021179775A1
WO2021179775A1 PCT/CN2021/000086 CN2021000086W WO2021179775A1 WO 2021179775 A1 WO2021179775 A1 WO 2021179775A1 CN 2021000086 W CN2021000086 W CN 2021000086W WO 2021179775 A1 WO2021179775 A1 WO 2021179775A1
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Prior art keywords
wire
ureteral stent
fixed
pulling wire
stent tube
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PCT/CN2021/000086
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French (fr)
Chinese (zh)
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郭振宇
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郭振宇
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Publication of WO2021179775A1 publication Critical patent/WO2021179775A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M27/00Drainage appliance for wounds or the like, i.e. wound drains, implanted drains
    • A61M27/002Implant devices for drainage of body fluids from one part of the body to another
    • A61M27/008Implant devices for drainage of body fluids from one part of the body to another pre-shaped, for use in the urethral or ureteral tract
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/0067Catheters; Hollow probes characterised by the distal end, e.g. tips
    • A61M25/0082Catheter tip comprising a tool
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/09Guide wires

Definitions

  • the invention relates to the technical field of medical devices, in particular to a ureteral stent tube.
  • the ureteral stent tube is a long thin tube that leads from the kidney to the bladder. When the ureter is obstructed, the ureteral stent tube can support the ureter so that urine can drain from the kidney to the bladder.
  • Ureteral stent tubes are very commonly used in urological surgery. There is currently no ureteral stent tube that can be permanently indwelled in the body. The existing ureteral stent tube needs to be pulled out with the help of a rigid cystoscope, which is painful, damaged, takes a long time, and is inconvenient to pull out.
  • the technical problem to be solved by the present invention is to provide a ureteral stent tube that is time-controllable and easy to pull out.
  • the present invention provides a ureteral stent tube, which comprises a body with a tubular structure and a pulling wire.
  • the body has a first end and a second end that are arranged oppositely.
  • the first end of the body is bent into an arc shape, and the second end is bent
  • the bending direction of the second end of the main body is opposite to the bending direction of the first end of the main body;
  • One end of the pulling wire is a fixed end, and the other end is a free end.
  • the fixed end of the pulling wire is fixed to the end of the first end of the body.
  • the fixed end of the pulling wire is sutured and fixed to the end of the first end of the body.
  • the free end of the pulling wire is folded toward the first end of the body.
  • the fixing thread is sutured on the tube wall of the main body, and the pulling wire is fixed on the tube wall of the main body by tying two ends of the fixing thread.
  • the length between the position where the fixing wire is connected to the pulling wire and the end of the first end of the body occupies one third of the total length of the body.
  • the fixed line is a fast micro-Qiao line.
  • the present invention also provides another ureteral stent tube, which includes a body with a tubular structure and a pulling wire.
  • the body has a first end and a second end that are arranged oppositely. The end is bent into an arc shape, and the bending direction of the second end of the body is opposite to the bending direction of the first end of the body; one end of the pulling wire is a fixed end, and the other end is a free end.
  • a wire loop is connected to the fixed end of the wire, the pulling wire is sutured on the pipe wall of the body, the free end of the pulling wire passes through the wire loop on the fixed end of the pulling wire, and the body
  • the free extension of the traction line on the tube wall is folded in multiple sections.
  • the multi-segment folded pulling wire is tightly connected by a fixing wire.
  • the fixed line is a fast micro-Qiao line.
  • the traction line is folded in three sections.
  • the ureteral stent tube provided by the present invention can automatically release the traction line after being placed in the body for a period of time.
  • the ureteral stent tube can be removed by pulling the traction line outside the body, thereby avoiding recurrence.
  • the removal of the cystoscope reduces the pain caused to the patient by the operation of the cystoscope and the damage caused to the patient during the removal, and has the advantages of controllable time and convenient removal.
  • Fig. 1 is a schematic diagram of the three-dimensional structure of the ureteral stent tube in embodiment 1 of the present invention
  • Fig. 2 is a partial enlarged schematic diagram of A in Fig. 1.
  • FIG. 3 is a schematic diagram of the connection between the pulling wire and the fixing wire of the ureteral stent tube in Embodiment 1 of the present invention.
  • FIG. 4 is a schematic diagram of the three-dimensional structure of the ureteral stent tube in Embodiment 2 of the present invention.
  • FIG. 5 is a schematic diagram of the connection between the pulling wire and the fixing wire of the ureteral stent tube in Embodiment 2 of the present invention.
  • this embodiment provides a ureteral stent tube, including a tubular body 10 and a pull line 20.
  • the body 10 is made of medical polymer materials, such as polyethylene, silicone, and silicone-based inserts. Segment copolymers and so on.
  • the main body 10 has a first end 11 and a second end 12 opposite to each other.
  • the first end 11 of the main body 10 is bent into an arc shape
  • the second end 12 is bent into an arc shape
  • the direction in which the second end 12 of the main body 10 is bent
  • the direction in which the first end 11 of the main body 10 is bent is opposite;
  • the pulling wire 20 is fixed to the pipe wall of the main body 10 by a degradable fixing wire 30.
  • One end of the pulling wire 20 is a fixed end 21 and the other end is a free end 22,
  • the fixed end 21 of the wire 20 is fixed to the end of the first end 11 of the body 10.
  • Several urinary holes 40 are provided on the wall of the main body 10.
  • the fixed end 21 of the pulling wire 20 is sutured and fixed to the end of the first end 11 of the main body 10.
  • the material of the pulling wire 20 in the present application is preferably a material with biocompatibility, such as silk thread.
  • the length of the pulling wire 20 is 22 cm; when used by women, the length of the pulling wire 20 is 12 cm.
  • the material of the fixing thread 30 may be a degradable material, such as starch or polysaccharide.
  • the fixed line 30 in this embodiment is a fast micro-Qiao line.
  • the free end of the pulling wire 20 is folded toward the first end 11 of the body 10.
  • the fixing wire 30 is sewn on the pipe wall of the main body 10, and the pulling wire 20 is fixed on the pipe wall of the main body 10 by tying the two ends of the fixing wire 30.
  • the specific operation is: connect a suture needle at one end of the fixing thread 30, and the suture needle penetrates into the tube wall of the body 10 and passes through the tube wall of the body 10 to sew the fixing thread 30 to the body 10
  • the other end of the fixing thread 30 and the end of the fixing thread 30 with the suture needle are tied to fix the pulling thread 20 on the pipe wall of the main body 10, and then the suture needles can be cut off.
  • the length between the connection position of the fixing wire 30 and the pulling wire 20 and the end of the first end 11 of the body 10 accounts for one third of the total length of the body 10.
  • the first end 11 of the main body 10 and the free end 22 of the pulling wire 20 are both located in the bladder, so that the pulling wire 20 is easily discharged into the body with urine after the pulling wire 20 falls off.
  • the function of the fixing wire 30 is to fix the traction wire 20 on the one hand to give a restraining effect to the traction wire 20; After 30 is hydrolyzed, the pulling wire 20 will gradually fall off and will be discharged into the body with urine, and the pulling wire 20 can be pulled outside the body to pull the ureteral stent tube out of the body.
  • the urine can slowly hydrolyze the fixation thread 30, and it takes 4 weeks (ie, about 28 days) to pass.
  • the fixing thread 30 is hydrolyzed, the pulling thread 20 will gradually fall off and will be discharged out of the body with urine.
  • the pulling thread 20 can be pulled from the urethral orifice.
  • the ureteral stent tube implanted in the body is pulled out of the body.
  • the ureteral stent tube of this embodiment can automatically release the pulling wire 20 after being inserted into the body for a period of time, and the ureteral stent tube can be removed by pulling the pulling wire 20 outside the body, thereby avoiding performing cystoscopy.
  • the removal reduces the pain caused to the patient by the operation of the cystoscope and the damage to the patient during the removal, and has the advantages of time controllable and convenient removal.
  • this embodiment provides a ureteral stent tube, including a tubular body 10 and a pull line 20.
  • the body 10 is made of medical polymer materials, such as polyethylene, silicone resin, and silicone-based block copolymers. Wait.
  • the main body 10 has a first end 11 and a second end 12 opposite to each other.
  • the first end 11 of the main body 10 is bent into an arc shape
  • the second end 12 is bent into an arc shape
  • the direction in which the second end 12 of the main body 10 is bent is opposite; compared with Embodiment 1, the difference is that one end of the pulling wire 20 is a fixed end 21, the other end is a free end 22, and the fixed end 21 of the pulling wire 20 is A wire loop 23 is connected, the pulling wire 20 is sewn on the tube wall of the main body 10, and the free end of the pulling wire 20 passes through the wire loop 23 on the fixed end 21 of the pulling wire 20.
  • the specific operation is: connect a suture needle at the free end of the pull line 20, the suture needle penetrates into the tube wall of the main body 10 and passes through the tube wall of the main body 10 to sew the pull line 20 to the tube wall of the main body 10
  • the sewing needle passes through the thread loop 23 on the fixed end 21 of the pulling thread 20, and then the sewing needle is cut off.
  • the pulling thread 20 is fixed on the tube wall of the main body 1.
  • the traction line 20 that extends freely on the tube wall of the body 1 is folded in multiple sections, and the traction line 20 of the multi-segment folding is fastened and connected by a fixed line 30 (quick and micro-Qiao line in this embodiment).
  • the traction line 20 is divided into It is folded in three sections. When used by men, the length of the pulling line 20 is 29 cm; each section is about 8 cm; when used for women, the length of the pulling line 20 is 23 cm, and each section is about 6 cm.
  • the function of the fixing wire 30 in this embodiment is to prevent the traction wire 20 from being too long and affecting the implantation of the ureteral stent, which may cause inconvenience. After 30 is hydrolyzed, the pulling wire 20 will gradually fall off and will be discharged into the body with urine, and the pulling wire 20 can be pulled outside the body to pull the ureteral stent tube out of the body.

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  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
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Abstract

A ureteral stent tube, comprising a body (10) having a tubular structure and a traction thread (20); the body (10) is provided with a first end (11) and a second end (12) which are provided oppositely, the first end (11) of the body (10) is bent into an arc shape, the second end (12) of the body (10) is bent into an arc shape, and the bending direction of the second end (12) of the body (10) is opposite to the bending direction of the first end (11) of the body (10); the traction thread (20) is fixed on the tube wall of the body (10) by means of a degradable fixing thread (30), one end of the traction thread (20) is a fixed end (21) and the other end of the traction thread is a free end (22), and the fixed end (21) of the traction thread (20) is fixed to the end portion of the first end (11) of the body (10). Compared with the prior art, the ureteral stent tube can automatically release the traction thread (20) after being placed in the body for a period of time, and the ureteral stent tube can be pulled out simply by pulling the traction thread (20) outside the body, relieving the pain caused to a patient due to a cystoscope operation and reducing the damage caused to a patient during pulling. The ureteral stent tube has the advantages of being controllable in a timely manner and convenient to pull out.

Description

输尿管支架管Ureteral stent tube 技术领域Technical field
本发明涉及医疗器械技术领域,特别是涉及一种输尿管支架管。The invention relates to the technical field of medical devices, in particular to a ureteral stent tube.
背景技术Background technique
输尿管支架管是一根细长的软管,从肾脏通到膀胱。当输尿管有梗阻时,输尿管支架管可以支撑输尿管从而使尿液能够从肾脏引流到膀胱。The ureteral stent tube is a long thin tube that leads from the kidney to the bladder. When the ureter is obstructed, the ureteral stent tube can support the ureter so that urine can drain from the kidney to the bladder.
输尿管支架管在泌尿外科手术中使用非常普遍,目前没有任何一种可以永久留置体内的输尿管支架管。现有输尿管支架管需借助硬性膀胱镜拔除体内的输尿管支架管,痛苦大,有损伤,时间长,拔出不方便。Ureteral stent tubes are very commonly used in urological surgery. There is currently no ureteral stent tube that can be permanently indwelled in the body. The existing ureteral stent tube needs to be pulled out with the help of a rigid cystoscope, which is painful, damaged, takes a long time, and is inconvenient to pull out.
发明内容Summary of the invention
本发明所要解决的技术问题在于,提供一种时间可控且拔出方便的输尿管支架管。The technical problem to be solved by the present invention is to provide a ureteral stent tube that is time-controllable and easy to pull out.
本发明提供一种输尿管支架管,包括管状结构的本体和牵引线,所述本体具有相对设置的第一端和第二端,所述本体的第一端弯曲成圆弧形,第二端弯曲成圆弧形,且所述本体的第二端弯曲的方向与所述本体的第一端弯曲的方向相反;所述牵引线通过可降解的固定线固定于所述本体的管壁上,所述牵引线的一端为固定端,另一端为自由端,所述牵引线的固定端与所述本体的第一端的端部相固定。The present invention provides a ureteral stent tube, which comprises a body with a tubular structure and a pulling wire. The body has a first end and a second end that are arranged oppositely. The first end of the body is bent into an arc shape, and the second end is bent The bending direction of the second end of the main body is opposite to the bending direction of the first end of the main body; One end of the pulling wire is a fixed end, and the other end is a free end. The fixed end of the pulling wire is fixed to the end of the first end of the body.
进一步地,所述牵引线的固定端缝合固定于所述本体的第一端的端部。Further, the fixed end of the pulling wire is sutured and fixed to the end of the first end of the body.
进一步地,所述牵引线的自由端折向所述本体的第一端。Further, the free end of the pulling wire is folded toward the first end of the body.
进一步地,所述固定线缝合在本体的管壁上,通过所述固定线两端打结将所述牵引线固定于所述本体的管壁上。Further, the fixing thread is sutured on the tube wall of the main body, and the pulling wire is fixed on the tube wall of the main body by tying two ends of the fixing thread.
进一步地,所述固定线与所述牵引线连接的位置和所述本体的第一端的端部之间的长度占所述本体的总长度的三分之一。Further, the length between the position where the fixing wire is connected to the pulling wire and the end of the first end of the body occupies one third of the total length of the body.
进一步地,所述固定线为快微乔线。Further, the fixed line is a fast micro-Qiao line.
本发明还提供另一种输尿管支架管,包括管状结构的本体和牵引线,所述 本体具有相对设置的第一端和第二端,所述本体的第一端弯曲成圆弧形,第二端弯曲成圆弧形,且所述本体的第二端弯曲的方向与所述本体的第一端弯曲的方向相反;所述牵引线的一端为固定端,另一端为自由端,所述牵引线的固定端上连接一线环,所述牵引线缝合在所述本体的管壁上,所述牵引线的自由端穿过所述牵引线的固定端上的所述线环,在所述本体的管壁上自由延伸的牵引线多段折叠。The present invention also provides another ureteral stent tube, which includes a body with a tubular structure and a pulling wire. The body has a first end and a second end that are arranged oppositely. The end is bent into an arc shape, and the bending direction of the second end of the body is opposite to the bending direction of the first end of the body; one end of the pulling wire is a fixed end, and the other end is a free end. A wire loop is connected to the fixed end of the wire, the pulling wire is sutured on the pipe wall of the body, the free end of the pulling wire passes through the wire loop on the fixed end of the pulling wire, and the body The free extension of the traction line on the tube wall is folded in multiple sections.
进一步地,多段折叠的牵引线通过固定线系紧连接。Further, the multi-segment folded pulling wire is tightly connected by a fixing wire.
进一步地,所述固定线为快微乔线。Further, the fixed line is a fast micro-Qiao line.
进一步地,所述牵引线分成三段折叠。Further, the traction line is folded in three sections.
与现有技术相比,采用本发明提供的输尿管支架管,能够在置入体内一段时间后可以自动释放牵引线,通过在体外牵拉该牵引线即可拔除该输尿管支架管,从而可以避免再进行膀胱镜拔除,减轻了膀胱镜操作对患者造成的痛苦以及拔出时对患者造成的损伤,具有时间可控,拔出方便等优点。Compared with the prior art, the ureteral stent tube provided by the present invention can automatically release the traction line after being placed in the body for a period of time. The ureteral stent tube can be removed by pulling the traction line outside the body, thereby avoiding recurrence. The removal of the cystoscope reduces the pain caused to the patient by the operation of the cystoscope and the damage caused to the patient during the removal, and has the advantages of controllable time and convenient removal.
附图说明Description of the drawings
图1为本发明实施例1中的输尿管支架管的立体结构示意图;Fig. 1 is a schematic diagram of the three-dimensional structure of the ureteral stent tube in embodiment 1 of the present invention;
图2为图1中A处的局部放大示意图。Fig. 2 is a partial enlarged schematic diagram of A in Fig. 1.
图3为本发明实施例1中的输尿管支架管的牵引线与固定线的连接示意图;3 is a schematic diagram of the connection between the pulling wire and the fixing wire of the ureteral stent tube in Embodiment 1 of the present invention;
图4为本发明实施例2中的输尿管支架管的立体结构示意图;4 is a schematic diagram of the three-dimensional structure of the ureteral stent tube in Embodiment 2 of the present invention;
图5为本发明实施例2中的输尿管支架管的牵引线与固定线的连接示意图。5 is a schematic diagram of the connection between the pulling wire and the fixing wire of the ureteral stent tube in Embodiment 2 of the present invention.
具体实施方式Detailed ways
下面参考附图并结合实施例对本发明进行详细说明。需要说明的是,在不冲突的情况下,以下各实施例及实施例中的特征可以相互组合。Hereinafter, the present invention will be described in detail with reference to the drawings and in conjunction with the embodiments. It should be noted that, in the case of no conflict, the following embodiments and the features in the embodiments can be combined with each other.
实施例1Example 1
参见图1和图2,本实施例提供一种输尿管支架管,包括管状结构的本体10和牵引线20,本体10采用医用高分子材料,例如:聚乙烯、硅树脂、硅酮为基础的嵌段共聚物等。本体10具有相对设置的第一端11和第二端12,本体10的第一端11弯曲成圆弧形,第二端12弯曲成圆弧形,且本体10的第二端12弯曲的方向与本体10的第一端11弯曲的方向相反;牵引线20通过可降解的 固定线30固定于本体10的管壁上,牵引线20的一端为固定端21,另一端为自由端22,牵引线20的固定端21与本体10的第一端11的端部相固定。在本体10的管壁上设置有若干个导尿孔40。1 and 2, this embodiment provides a ureteral stent tube, including a tubular body 10 and a pull line 20. The body 10 is made of medical polymer materials, such as polyethylene, silicone, and silicone-based inserts. Segment copolymers and so on. The main body 10 has a first end 11 and a second end 12 opposite to each other. The first end 11 of the main body 10 is bent into an arc shape, the second end 12 is bent into an arc shape, and the direction in which the second end 12 of the main body 10 is bent The direction in which the first end 11 of the main body 10 is bent is opposite; the pulling wire 20 is fixed to the pipe wall of the main body 10 by a degradable fixing wire 30. One end of the pulling wire 20 is a fixed end 21 and the other end is a free end 22, The fixed end 21 of the wire 20 is fixed to the end of the first end 11 of the body 10. Several urinary holes 40 are provided on the wall of the main body 10.
优选的,牵引线20的固定端21缝合固定于本体10的第一端11的端部。为了避免该输尿管支架管植入人体后,牵引线20引起过敏,在本申请中牵引线20的材料优选为具有生物相容性的材料,例如:丝线。此外,用于男性使用时,牵引线20的长度为22cm;用于女性使用时,牵引线20的长度为12cm。而固定线30的材料可为降解材料,例如:淀粉或多糖。本实施例中的固定线30为快微乔线。Preferably, the fixed end 21 of the pulling wire 20 is sutured and fixed to the end of the first end 11 of the main body 10. In order to prevent the pulling wire 20 from causing allergies after the ureteral stent is implanted in the human body, the material of the pulling wire 20 in the present application is preferably a material with biocompatibility, such as silk thread. In addition, when used by men, the length of the pulling wire 20 is 22 cm; when used by women, the length of the pulling wire 20 is 12 cm. The material of the fixing thread 30 may be a degradable material, such as starch or polysaccharide. The fixed line 30 in this embodiment is a fast micro-Qiao line.
优选的,牵引线20的自由端折向本体10的第一端11。固定线30缝合在本体10的管壁上,通过固定线30两端打结将牵引线20固定于本体10的管壁上。如图3所示,具体的操作为:在固定线30的其中一端连接缝针,缝针穿入本体10的管壁且从本体10的管壁穿出从而将固定线30缝合在本体10的管壁上,固定线30的另外一端与固定线30具有缝针的一端打结将牵引线20固定于本体10的管壁上,然后将缝针剪掉即可。Preferably, the free end of the pulling wire 20 is folded toward the first end 11 of the body 10. The fixing wire 30 is sewn on the pipe wall of the main body 10, and the pulling wire 20 is fixed on the pipe wall of the main body 10 by tying the two ends of the fixing wire 30. As shown in FIG. 3, the specific operation is: connect a suture needle at one end of the fixing thread 30, and the suture needle penetrates into the tube wall of the body 10 and passes through the tube wall of the body 10 to sew the fixing thread 30 to the body 10 On the pipe wall, the other end of the fixing thread 30 and the end of the fixing thread 30 with the suture needle are tied to fix the pulling thread 20 on the pipe wall of the main body 10, and then the suture needles can be cut off.
固定线30与牵引线20连接的位置和本体10的第一端11的端部之间的长度占本体10的总长度的三分之一。The length between the connection position of the fixing wire 30 and the pulling wire 20 and the end of the first end 11 of the body 10 accounts for one third of the total length of the body 10.
在实际操作中,该输尿管支架管植入输尿管内后,本体10的第一端11与牵引线20的自由端22均位于膀胱内,便于牵引线20脱落后顺利随着尿液排出到体外。In actual operation, after the ureteral stent tube is implanted in the ureter, the first end 11 of the main body 10 and the free end 22 of the pulling wire 20 are both located in the bladder, so that the pulling wire 20 is easily discharged into the body with urine after the pulling wire 20 falls off.
固定线30的作用一方面是固定牵引线20,用于给予牵引线20一个约束作用,另一方面,当该输尿管支架管植入人体后,固定线30可在尿液中缓慢水解,固定线30水解后,牵引线20将逐渐脱落,并会随尿液排出到体外,进而可以在体外牵拉牵引线20将该输尿管支架管拔出体外。The function of the fixing wire 30 is to fix the traction wire 20 on the one hand to give a restraining effect to the traction wire 20; After 30 is hydrolyzed, the pulling wire 20 will gradually fall off and will be discharged into the body with urine, and the pulling wire 20 can be pulled outside the body to pull the ureteral stent tube out of the body.
由以上技术方案可见,采用本本发明实施例提供的输尿管支架管,该输尿管支架管植入人体后,尿液可以将固定线30缓慢水解,通过为4周时间(即28天左右)。当固定线30被水解后,牵引线20将逐渐脱落,并且会随着尿液排出到体外,此时如果达到输尿管支架管的拔出时间,即可从尿道口牵拉牵引线20, 进而可以将植入体内的该输尿管支架管拔出体外。It can be seen from the above technical solutions that using the ureteral stent provided by the embodiment of the present invention, after the ureteral stent is implanted in the human body, the urine can slowly hydrolyze the fixation thread 30, and it takes 4 weeks (ie, about 28 days) to pass. When the fixing thread 30 is hydrolyzed, the pulling thread 20 will gradually fall off and will be discharged out of the body with urine. At this time, if the time to pull out the ureteral stent tube is reached, the pulling thread 20 can be pulled from the urethral orifice. The ureteral stent tube implanted in the body is pulled out of the body.
由此可见,本实施例的输尿管支架管能够在置入体内一段时间后可以自动释放牵引线20,通过在体外牵拉该牵引线20即可拔除该输尿管支架管,从而可以避免再进行膀胱镜拔除,减轻了膀胱镜操作对患者造成的痛苦以及拔出时对患者造成的损伤,具有时间可控,拔出方便等优点。It can be seen that the ureteral stent tube of this embodiment can automatically release the pulling wire 20 after being inserted into the body for a period of time, and the ureteral stent tube can be removed by pulling the pulling wire 20 outside the body, thereby avoiding performing cystoscopy. The removal reduces the pain caused to the patient by the operation of the cystoscope and the damage to the patient during the removal, and has the advantages of time controllable and convenient removal.
实施例2Example 2
参照图4,本实施例提供一种输尿管支架管,包括管状结构的本体10和牵引线20,本体10采用医用高分子材料,例如:聚乙烯、硅树脂、硅酮为基础的嵌段共聚物等。本体10具有相对设置的第一端11和第二端12,本体10的第一端11弯曲成圆弧形,第二端12弯曲成圆弧形,且本体10的第二端12弯曲的方向与本体10的第一端11弯曲的方向相反;与实施例1相比,不同之处在于,牵引线20的一端为固定端21,另一端为自由端22,牵引线20的固定端21上连接一线环23,牵引线20缝合在本体10的管壁上,牵引线20的自由端穿过牵引线20的固定端21上的线环23。参照图5,具体的操作为:在牵引线20的自由端连接缝针,缝针穿入本体10的管壁且从本体10的管壁穿出从而将牵引线20缝合在本体10的管壁上,缝针穿过牵引线20的固定端21上的线环23,然后将缝针剪掉,此时牵引线20固定于本体1的管壁上。4, this embodiment provides a ureteral stent tube, including a tubular body 10 and a pull line 20. The body 10 is made of medical polymer materials, such as polyethylene, silicone resin, and silicone-based block copolymers. Wait. The main body 10 has a first end 11 and a second end 12 opposite to each other. The first end 11 of the main body 10 is bent into an arc shape, the second end 12 is bent into an arc shape, and the direction in which the second end 12 of the main body 10 is bent The direction in which the first end 11 of the main body 10 is bent is opposite; compared with Embodiment 1, the difference is that one end of the pulling wire 20 is a fixed end 21, the other end is a free end 22, and the fixed end 21 of the pulling wire 20 is A wire loop 23 is connected, the pulling wire 20 is sewn on the tube wall of the main body 10, and the free end of the pulling wire 20 passes through the wire loop 23 on the fixed end 21 of the pulling wire 20. 5, the specific operation is: connect a suture needle at the free end of the pull line 20, the suture needle penetrates into the tube wall of the main body 10 and passes through the tube wall of the main body 10 to sew the pull line 20 to the tube wall of the main body 10 In the upper part, the sewing needle passes through the thread loop 23 on the fixed end 21 of the pulling thread 20, and then the sewing needle is cut off. At this time, the pulling thread 20 is fixed on the tube wall of the main body 1.
在本体1的管壁上自由延伸的牵引线20多段折叠,多段折叠的牵引线20通过固定线30(本实施例为快微乔线)系紧连接,在本实施例中,牵引线20分成三段折叠,用于男性使用时,牵引线20的长度为29cm;每段约8cm;用于女性使用时,牵引线20的长度为23cm,每段约6cm。The traction line 20 that extends freely on the tube wall of the body 1 is folded in multiple sections, and the traction line 20 of the multi-segment folding is fastened and connected by a fixed line 30 (quick and micro-Qiao line in this embodiment). In this embodiment, the traction line 20 is divided into It is folded in three sections. When used by men, the length of the pulling line 20 is 29 cm; each section is about 8 cm; when used for women, the length of the pulling line 20 is 23 cm, and each section is about 6 cm.
固定线30在本实施例中的作用是避免牵引线20过长影响输尿管支架管的植入造成不便,当该输尿管支架管植入人体后,固定线30可在尿液中缓慢水解,固定线30水解后,牵引线20将逐渐脱落,并会随尿液排出到体外,进而可以在体外牵拉牵引线20将该输尿管支架管拔出体外。The function of the fixing wire 30 in this embodiment is to prevent the traction wire 20 from being too long and affecting the implantation of the ureteral stent, which may cause inconvenience. After 30 is hydrolyzed, the pulling wire 20 will gradually fall off and will be discharged into the body with urine, and the pulling wire 20 can be pulled outside the body to pull the ureteral stent tube out of the body.
以上所述实施例仅表达了本发明的优选实施方式,其描述较为具体和详细,但并不能因此而理解为对本发明专利范围的限制。应当指出的是,对于本领域的普通技术人员来说,在不脱离本发明构思的前提下,还可以做出若干变形和 改进,这些都属于本发明的保护范围。The above-mentioned embodiments only express the preferred embodiments of the present invention, and their descriptions are more specific and detailed, but they should not be understood as limiting the patent scope of the present invention. It should be pointed out that for those of ordinary skill in the art, without departing from the concept of the present invention, several modifications and improvements can be made, and these all fall within the protection scope of the present invention.

Claims (10)

  1. 一种输尿管支架管,包括管状结构的本体和牵引线,所述本体具有相对设置的第一端和第二端,所述本体的第一端弯曲成圆弧形,第二端弯曲成圆弧形,且所述本体的第二端弯曲的方向与所述本体的第一端弯曲的方向相反;其特征在于,所述牵引线通过可降解的固定线固定于所述本体的管壁上,所述牵引线的一端为固定端,另一端为自由端,所述牵引线的固定端与所述本体的第一端的端部相固定。A ureteral stent tube includes a body with a tubular structure and a traction line. The body has a first end and a second end that are arranged oppositely. The first end of the body is bent into an arc shape, and the second end is bent into an arc shape. The bending direction of the second end of the main body is opposite to the bending direction of the first end of the main body; it is characterized in that the pulling wire is fixed on the pipe wall of the main body by a degradable fixing wire, One end of the pulling wire is a fixed end, and the other end is a free end. The fixed end of the pulling wire is fixed to the end of the first end of the body.
  2. 如权利要求1所述的输尿管支架管,其特征在于,所述牵引线的固定端缝合固定于所述本体的第一端的端部。The ureteral stent tube according to claim 1, wherein the fixed end of the pulling wire is sutured and fixed to the end of the first end of the body.
  3. 如权利要求1或2所述的输尿管支架管,其特征在于,所述牵引线的自由端折向所述本体的第一端。The ureteral stent tube according to claim 1 or 2, wherein the free end of the pulling wire is folded toward the first end of the body.
  4. 如权利要求1所述的输尿管支架管,其特征在于,所述固定线缝合在本体的管壁上,通过所述固定线两端打结将所述牵引线固定于所述本体的管壁上。The ureteral stent tube according to claim 1, wherein the fixing thread is sutured on the wall of the main body, and the pulling wire is fixed on the wall of the main body by knotting both ends of the fixing wire .
  5. 如权利要求1或2或4所述的输尿管支架管,其特征在于,所述固定线与所述牵引线连接的位置和所述本体的第一端的端部之间的长度占所述本体的总长度的三分之一。The ureteral stent tube according to claim 1 or 2 or 4, wherein the length between the position where the fixing wire is connected to the pulling wire and the end of the first end of the body occupies the length of the body. One-third of the total length.
  6. 根据权利要求5所述的输尿管支架管,其特征在于,所述固定线为快微乔线。The ureteral stent tube according to claim 5, wherein the fixing wire is a quick micro-Qiao wire.
  7. 一种输尿管支架管,包括管状结构的本体和牵引线,所述本体具有相对设置的第一端和第二端,所述本体的第一端弯曲成圆弧形,第二端弯曲成圆弧形,且所述本体的第二端弯曲的方向与所述本体的第一端弯曲的方向相反;其特征在于,所述牵引线的一端为固定端,另一端为自由端,所述牵引线的固定端上连接一线环,所述牵引线缝合在所述本体的管壁上,所述牵引线的自由端穿过所述牵引线的固定端上的所述线环,在所述本体的管壁上自由延伸的牵引线多段折叠。A ureteral stent tube includes a body with a tubular structure and a traction line. The body has a first end and a second end that are arranged oppositely. The first end of the body is bent into an arc shape, and the second end is bent into an arc shape. The bending direction of the second end of the body is opposite to the bending direction of the first end of the body; it is characterized in that one end of the pulling wire is a fixed end and the other end is a free end. A wire loop is connected to the fixed end of the pulling wire, the pulling wire is sutured on the tube wall of the body, the free end of the pulling wire passes through the wire loop on the fixed end of the pulling wire, and the pulling wire The freely extending traction line on the tube wall is folded in multiple sections.
  8. 如权利要求7所述的输尿管支架管,其特征在于,多段折叠的牵引线通过固定线系紧连接。8. The ureteral stent tube according to claim 7, wherein the multi-segment folded pulling wire is fastened and connected by a fixing wire.
  9. 如权利要求8所述的输尿管支架管,其特征在于,所述固定线为快微乔线。8. The ureteral stent tube according to claim 8, wherein the fixing wire is a quick micro-Qiao wire.
  10. 如权利要求7或8或9所述的输尿管支架管,其特征在于,所述牵引线分成三段折叠。The ureteral stent tube according to claim 7 or 8 or 9, wherein the traction line is folded into three sections.
PCT/CN2021/000086 2020-03-11 2021-04-13 Ureteral stent tube WO2021179775A1 (en)

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WO2022193428A1 (en) * 2021-03-19 2022-09-22 金家浩 Removal time-controllable ureteral stent removable without surgery
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