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CN1038755A - 诊断和治疗鼻子疾病用的装置 - Google Patents

诊断和治疗鼻子疾病用的装置 Download PDF

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Publication number
CN1038755A
CN1038755A CN89104979.7A CN89104979A CN1038755A CN 1038755 A CN1038755 A CN 1038755A CN 89104979 A CN89104979 A CN 89104979A CN 1038755 A CN1038755 A CN 1038755A
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main body
sleeve
diagnosis
fixed
conduit
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CN1023064C (zh
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夫拉迪米尔·瑟吉维奇·科茨洛夫
根纳迪·伊瓦诺维奇·马科夫
夫拉迪米尔·帕夫洛维奇·布格罗夫
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YAROSLAVSKY MEZHOTRASTEVOI NAUCHNOTEKHNICHESKY TSENTR
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YAROSLAVSKY MEZHOTRASTEVOI NAUCHNOTEKHNICHESKY TSENTR
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Priority claimed from SU884432024A external-priority patent/SU1768141A1/ru
Priority claimed from SU884432025A external-priority patent/RU1768178C/ru
Application filed by YAROSLAVSKY MEZHOTRASTEVOI NAUCHNOTEKHNICHESKY TSENTR filed Critical YAROSLAVSKY MEZHOTRASTEVOI NAUCHNOTEKHNICHESKY TSENTR
Publication of CN1038755A publication Critical patent/CN1038755A/zh
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M25/00—Catheters; Hollow probes
    • A61M25/10—Balloon catheters
    • A61M25/1011—Multiple balloon catheters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12099—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
    • A61B17/12104—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder in an air passage
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
    • A61B17/12136—Balloons
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/24—Surgical instruments, devices or methods for use in the oral cavity, larynx, bronchial passages or nose; Tongue scrapers

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Pulmonology (AREA)
  • Reproductive Health (AREA)
  • Vascular Medicine (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Child & Adolescent Psychology (AREA)
  • Biophysics (AREA)
  • Anesthesiology (AREA)
  • Dentistry (AREA)
  • Hematology (AREA)
  • Otolaryngology (AREA)
  • Surgical Instruments (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Endoscopes (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)
  • Nitrogen And Oxygen Or Sulfur-Condensed Heterocyclic Ring Systems (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)
  • Percussion Or Vibration Massage (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
  • Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
  • Medicinal Preparation (AREA)

Abstract

本装置具有带贯通的纵向管道(2)的扁长主体(1)。主体的两端之间固定有充气套筒(5)，而主体(1)的一端则固定有充气囊(3)，它与管道(2)相通。套筒(5)的安装应有可能在主体(1)上移动，且在其中刚性密闭地固定有用来安置器械的导管(9)。作为诊断用还可包括导管(9)的延伸部分(12)。

Description

本发明属于医学领域，即诊断和治疗鼻子疾病用的装置。
公知的譬如用于诊视近鼻窦出口的内窥镜，靠它的帮助可以察看开在鼻腔中的鼻窦出口，并从中排出病理学内含物以诊断鼻窦炎。然而当鼻窦未被病理学分泌物完全充满时，以及当浓稠的病理学分泌物不能经出口排泄到鼻腔时，就不可能借助内窥镜来诊断鼻窦炎。
同样公知的装置，包括以塑料杆来加固的带有充气囊、套筒（манжета）以及三个管道的导管，其中的两个管道分别与气囊和套筒相连，而第三个管道具有排出口，该排出口与套筒和气囊之间的导管表面相通。套筒和气囊刚性地固定在柔韧的导管之上。第三个管道具有转接器，用以联接注射器（参见SU，A，1，311，714）。
在利用该装置时，要将加固了的导管放到鼻腔中，通过把套筒和气囊充气而使鼻腔从鼻孔一侧同鼻咽部隔开。再将这样分隔开形成了的鼻腔施以真空，结果就能取出鼻窦里面的东西。不过使用这种装置不能确定分泌物具体是由怎样的鼻窦排出的，因而也就不能保证对鼻窦炎作局部诊断。
作为本发明基础提出的任务，在于要制成诊断和治疗鼻子疾病用的装置，由它保证能够可靠及准确地将器械放置到鼻腔中。
所提出的任务是这样解决的，在诊断和治疗鼻子疾病用的装置中，装有扁长的柔韧主体，主体的两端之间装有充气的套筒，其中的一端固定有充气囊，与主体中制作的贯通的管道相通，按照本发明，此套筒的安装应有可能在主体上作纵向移动，而且配备有刚性固定在其上的导管，藉以安放器械。
这种结构保证了可以把装在导管上的器械，譬如耳鼻喉纤维镜引入待检验鼻窦的口中，并且在形成隔开鼻腔以对其使用真空的同时来作精细检查。从而也就保证了可以不用穿刺而对鼻窦炎作局部诊断。
根据情况也可在导管中安放注射器，以抽吸鼻窦里面的东西，或者设置耳鼻喉纤维镜。
在诊断鼻窦炎时，要穿过固定在套筒上的导管而将耳鼻喉纤维镜引入被隔离开的鼻腔，并观察鼻窦的口，其结果就能保证准确的局部诊断。
以下将通过对具体实施方案的描述及附图来说明本发明，其中
图1表示按照本发明制成的治疗鼻窦炎用的装置的纵剖面;
图2是根据本发明制成的装置的另一方案，主要是供诊断鼻窦炎用的。
在以下的描述中，两图里的相同另件均用相同的附注号码来表示。
我们首先来看图1。从这里可以看出，治疗鼻子和近鼻窦疾病用的装置，它包括一个柔韧的扁长管状主体1，系由橡胶乳液制成。主体1中有贯通的管道2，用来向固定于主体端部的充气囊3供给空气。该主体由杆4来加固，而在它的外面，在主体的两个端部之间装有充气的套筒5。此套筒5靠管道6与阀门7相通。管道2上还有一个阀门8。套筒5中刚性地固定有导管9，在其嵌入套筒的地方加以密封，为的是在套筒充气时不让空气由套筒中逸出。导管9上装有转接注射器（图中未表示）用的转接器10和管塞11。
所描述的装置可按以下方式用来治疗鼻窦炎。在用相应的方式施行麻醉和“贫血”（анемизачия）之后，用譬如擤出鼻涕的方法清洁鼻腔。沿着整个鼻子通道的下部将主体从带充气囊3的一端送入鼻咽腔，以使该气囊到达内鼻孔。在此之后通过沿着主体1移动套筒5，而根据整个鼻通道的特定尺寸将其置于鼻子前庭，以使该套筒位于下鼻甲端部之前。将注射器插入阀门8，在盖住鼻咽部的同时借助阀门8通过管道2给气囊3充气。其结果是建立了一个封闭空间，它包括鼻腔及近鼻窦。然后借助注射器通过导管9的管道及转接器10，以公知的方式抽空里面的东西、洗涤并放入药物。
图2表示的装置就其实质而言基本上与图1所示的相似，其差别仅在于它增加了具有波纹管12形式的附加延伸部分，波纹管的尾部是密封件13，此密封件13譬如是带有压缩空气的气球，通过阀门14供给空气。这种装置可供诊断鼻窦炎用，其工作原理与上面所说的相似，但是在形成封闭腔之后取代注射器的是，通过密封件13、波纹管12以及导管9的管道引进耳鼻喉纤维镜，将其引到需诊视的鼻窦上。通过耳鼻喉纤维镜中的口部抽出空气，而在鼻腔中造成负压。这时里面的病理学内含物开始通过自然出口排出，还可通过耳鼻喉纤维镜的光学系统来观察。此后，靠着拉长波纹管12依次将纤维镜引进待查鼻子另一半的其余鼻窦。将鼻窦中所注意到的病理学内含物，通过纤维镜的抽吸孔提取并进行分析。
如此就可保证获得无须穿刺的高精度局部诊断和治疗，大大缩短检查及治疗的期限。
所提出的诊断和治疗鼻窦炎用的装置，可由橡胶乳液或其它柔韧材料制成。它可用于鼻窦炎的治疗，也可用于诸如止血等其它目的。

Claims (3)

1、一种诊断和治疗鼻子疾病用的装置，包括扁长的柔韧主体(1)，该主体的两端之间固定有充气的套筒(5)，而主体的一端则固定有充气囊(3)，它与主体(1)中制作的纵向贯通管道(2)相通，其特征在于：套筒(5)的安装应有可能在主体(1)上作纵向移动，并且配备有刚性地固定在其上的导管(9)，用来安放器械。
2、如权利要求1所述的装置，其特征在于：套筒中在其与气囊（3）相反方向一侧固定的导管（9），配备有中空的可拆下的延伸部分（12）。
3、如权利要求2所述的装置，其特征在于，延伸部分（12）做成波纹管的形式。
CN89104979.7A 1988-06-13 1989-06-13 诊断和治疗鼻子疾病用的装置 Expired - Fee Related CN1023064C (zh)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
SU4432024 1988-06-13
SU884432024A SU1768141A1 (ru) 1988-06-13 1988-06-13 УСТРОЙСТВО ДЛЯ ЛЕЧЕНИЯ синуитов
SU4432025 1988-06-13
SU884432025A RU1768178C (ru) 1988-06-13 1988-06-13 Способ диагностики синуитов и устройство дл его осуществлени

Publications (2)

Publication Number Publication Date
CN1038755A true CN1038755A (zh) 1990-01-17
CN1023064C CN1023064C (zh) 1993-12-15

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US (1) US5024658A (zh)
EP (1) EP0372093B1 (zh)
JP (1) JPH03503011A (zh)
KR (1) KR0125921B1 (zh)
CN (1) CN1023064C (zh)
AU (1) AU618613B2 (zh)
BG (1) BG51439A3 (zh)
CA (1) CA1311976C (zh)
CZ (1) CZ279633B6 (zh)
DE (1) DE58906894D1 (zh)
DK (1) DK170983B1 (zh)
FI (1) FI94028C (zh)
HU (1) HUT51906A (zh)
PL (1) PL162228B1 (zh)
SK (1) SK278316B6 (zh)
WO (1) WO1989012477A1 (zh)
YU (1) YU47320B (zh)

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CN104783857A (zh) * 2015-05-09 2015-07-22 无锡市人民医院 鼻腔双囊可调泵
CN104905957A (zh) * 2015-06-30 2015-09-16 福州创方医药科技有限公司 鼻窦扩张冲洗器及其使用方法
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CA1311976C (en) 1992-12-29
FI94028B (fi) 1995-03-31
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KR0125921B1 (en) 1997-12-19
EP0372093A1 (de) 1990-06-13
AU618613B2 (en) 1992-01-02
EP0372093A4 (en) 1990-12-12
FI94028C (fi) 1995-07-10
DK170983B1 (da) 1996-04-15
DE58906894D1 (de) 1994-03-17
CS8903585A2 (en) 1991-10-15
FI900678A0 (fi) 1990-02-12
EP0372093B1 (de) 1994-02-02
CZ279633B6 (cs) 1995-05-17
JPH03503011A (ja) 1991-07-11
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DK36190A (da) 1990-04-10
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US5024658A (en) 1991-06-18
JPH0575418B2 (zh) 1993-10-20
BG51439A3 (en) 1993-05-14
WO1989012477A1 (en) 1989-12-28
CN1023064C (zh) 1993-12-15
YU47320B (sh) 1995-01-31
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HU894712D0 (en) 1990-05-28

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