CN109224256A - The nose bile drainage tube of anti-thelorrhagia and its application - Google Patents
The nose bile drainage tube of anti-thelorrhagia and its application Download PDFInfo
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- CN109224256A CN109224256A CN201811400905.2A CN201811400905A CN109224256A CN 109224256 A CN109224256 A CN 109224256A CN 201811400905 A CN201811400905 A CN 201811400905A CN 109224256 A CN109224256 A CN 109224256A
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- pipeline section
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- drainage tube
- thelorrhagia
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- 210000000941 bile Anatomy 0.000 title claims description 49
- 206010029418 Nipple exudate bloody Diseases 0.000 title claims description 46
- 230000002439 hemostatic effect Effects 0.000 claims abstract description 25
- 210000000232 gallbladder Anatomy 0.000 claims description 27
- 238000005452 bending Methods 0.000 claims description 8
- 230000002441 reversible effect Effects 0.000 claims description 6
- 210000002445 nipple Anatomy 0.000 abstract description 9
- 230000000740 bleeding effect Effects 0.000 abstract description 6
- 230000003111 delayed effect Effects 0.000 abstract description 5
- 210000000013 bile duct Anatomy 0.000 description 13
- 239000004575 stone Substances 0.000 description 8
- 238000010586 diagram Methods 0.000 description 5
- 230000000694 effects Effects 0.000 description 5
- 241000283070 Equus zebra Species 0.000 description 4
- 208000003167 cholangitis Diseases 0.000 description 4
- 238000005516 engineering process Methods 0.000 description 4
- 210000004400 mucous membrane Anatomy 0.000 description 4
- 238000007464 sphincterotomy Methods 0.000 description 4
- 230000001154 acute effect Effects 0.000 description 3
- 210000003445 biliary tract Anatomy 0.000 description 3
- 238000007459 endoscopic retrograde cholangiopancreatography Methods 0.000 description 3
- 230000023597 hemostasis Effects 0.000 description 3
- 210000003228 intrahepatic bile duct Anatomy 0.000 description 3
- 210000004185 liver Anatomy 0.000 description 3
- 210000000496 pancreas Anatomy 0.000 description 3
- 239000000243 solution Substances 0.000 description 3
- 230000002269 spontaneous effect Effects 0.000 description 3
- 208000032843 Hemorrhage Diseases 0.000 description 2
- 208000016222 Pancreatic disease Diseases 0.000 description 2
- 206010033645 Pancreatitis Diseases 0.000 description 2
- 208000027418 Wounds and injury Diseases 0.000 description 2
- 201000010312 acute cholangitis Diseases 0.000 description 2
- UCTWMZQNUQWSLP-UHFFFAOYSA-N adrenaline Chemical compound CNCC(O)C1=CC=C(O)C(O)=C1 UCTWMZQNUQWSLP-UHFFFAOYSA-N 0.000 description 2
- 229940030225 antihemorrhagics Drugs 0.000 description 2
- 239000008280 blood Substances 0.000 description 2
- 210000004369 blood Anatomy 0.000 description 2
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- 239000003814 drug Substances 0.000 description 2
- 210000001198 duodenum Anatomy 0.000 description 2
- 230000000025 haemostatic effect Effects 0.000 description 2
- 208000015181 infectious disease Diseases 0.000 description 2
- 210000004347 intestinal mucosa Anatomy 0.000 description 2
- 238000000034 method Methods 0.000 description 2
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- 230000002980 postoperative effect Effects 0.000 description 2
- 230000000638 stimulation Effects 0.000 description 2
- 230000003319 supportive effect Effects 0.000 description 2
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- 206010004637 Bile duct stone Diseases 0.000 description 1
- 201000009331 Choledocholithiasis Diseases 0.000 description 1
- 206010013554 Diverticulum Diseases 0.000 description 1
- 206010072585 Duodenal papillitis Diseases 0.000 description 1
- 102000009123 Fibrin Human genes 0.000 description 1
- 108010073385 Fibrin Proteins 0.000 description 1
- BWGVNKXGVNDBDI-UHFFFAOYSA-N Fibrin monomer Chemical compound CNC(=O)CNC(=O)CN BWGVNKXGVNDBDI-UHFFFAOYSA-N 0.000 description 1
- 208000012671 Gastrointestinal haemorrhages Diseases 0.000 description 1
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- 206010046274 Upper gastrointestinal haemorrhage Diseases 0.000 description 1
- 206010047700 Vomiting Diseases 0.000 description 1
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- 239000003242 anti bacterial agent Substances 0.000 description 1
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- 238000013189 cholangiography Methods 0.000 description 1
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- 230000002183 duodenal effect Effects 0.000 description 1
- 238000007462 endoscopic naso-biliary drainage Methods 0.000 description 1
- 229950003499 fibrin Drugs 0.000 description 1
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Classifications
-
- 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
- A61B17/122—Clamps or clips, e.g. for the umbilical cord
-
- 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
- A61M25/0021—Catheters; Hollow probes characterised by the form of the tubing
- A61M25/0023—Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
-
- 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
- A61M25/0043—Catheters; Hollow probes characterised by structural features
-
- 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
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
-
- 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
- A61B2017/12004—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for haemostasis, for prevention of bleeding
-
- 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
- A61M2025/1043—Balloon catheters with special features or adapted for special applications
- A61M2025/1086—Balloon catheters with special features or adapted for special applications having a special balloon surface topography, e.g. pores, protuberances, spikes or grooves
-
- 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
- A61M2202/00—Special media to be introduced, removed or treated
- A61M2202/04—Liquids
- A61M2202/0403—Gall; Bile
-
- 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
- A61M2210/00—Anatomical parts of the body
- A61M2210/10—Trunk
- A61M2210/1042—Alimentary tract
- A61M2210/1075—Gall bladder
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Engineering & Computer Science (AREA)
- General Health & Medical Sciences (AREA)
- Biomedical Technology (AREA)
- Pulmonology (AREA)
- Hematology (AREA)
- Anesthesiology (AREA)
- Biophysics (AREA)
- Surgery (AREA)
- Child & Adolescent Psychology (AREA)
- Reproductive Health (AREA)
- Vascular Medicine (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- External Artificial Organs (AREA)
- Media Introduction/Drainage Providing Device (AREA)
Abstract
本发明公开了一种防乳头出血的鼻胆引流管及其应用，防乳头出血的鼻胆引流管包括鼻胆外引流管和止血夹；鼻胆外引流管包括管腔依次连通的第一直管、第一引流管段、第二引流管段、第三引流管段、第四引流管段和第二直管；第一直管包括管腔依次连通的头端、第一管段和第二管段；第一管段包括多个以第一管段的轴线为轴均匀分布且向远离第一管段轴线方向凸起的弧形管壁，弧形管壁的两端分别与头端下端和第二管段上端连接；第一引流管段为螺旋弹性管；第二引流管段为直管。本发明的防乳头出血的鼻胆引流管设有球囊，可对切开的乳头产生压迫作用，预防迟发性出血；第一引流管段为螺旋弹性管，通过自身弹性张力及线的张力保持球囊对乳头产生压迫作用。
The invention discloses a nasobiliary drainage tube for preventing nipple bleeding and application thereof. The nasobiliary drainage tube for preventing nipple bleeding comprises an external nasobiliary drainage tube and a hemostatic clip; tube, the first drainage tube section, the second drainage tube section, the third drainage tube section, the fourth drainage tube section and the second straight tube; the first straight tube includes the head end, the first tube section and the second tube section which are communicated with the lumen in sequence; the first The pipe section includes a plurality of arc-shaped pipe walls that are evenly distributed with the axis of the first pipe section as the axis and protrude in a direction away from the axis of the first pipe section, and two ends of the arc-shaped pipe wall are respectively connected with the lower end of the head end and the upper end of the second pipe section; The first drainage pipe section is a spiral elastic pipe; the second drainage pipe section is a straight pipe. The nasobiliary drainage tube for preventing nipple bleeding of the present invention is provided with a balloon, which can compress the incised nipple and prevent delayed bleeding; the first drainage tube segment is a spiral elastic tube, which is maintained by its own elastic tension and thread tension. The balloon compresses the nipple.
Description
Technical field
The present invention relates to a kind of nose bile drainage tube and its application, specifically a kind of nose bile drainage tube of anti-thelorrhagia
And its application.
Background technique
With the continuous development of endoscopic technic and its constantly improve for attachment, duodenoscope technology (ERCP) is already at present
As the important measures for the treatment of hepatobiliary and pancreatic diseases, including choledocholithiasis, bile duct injury, stenosis of bile duct, after liver transplantation biliary tract
Complication etc..The technology has many advantages, such as that wound is small, safety coefficient is high, recovery is fast compared with Tradtional laparotomy.Under it is looked at straight
Observation can realize that conventional liver and gallbladder spleen pancreas CT, ultrasound and magnetic resonance etc. check the not detectable hepatobiliary and pancreatic diseases of institute, carry out simultaneously
Treatment, such as duodenal papillitis, nipple are narrow, nipple side diverticulum, duodenofiberscope is too long, gallbladder pancreas interflow is abnormal.
Endoscopic nipple Sphincterotomy and scope nasobiliary drainage are one of ERCP operation routine techniques, can be direct
Treatment applied to diseases such as obstructive jaundice, acute pyogenic cholangitis, gallbladder leakages；Postoperative indwelling nose bile duct can sufficiently drain gallbladder
Juice reduces pressure of biliary tract, has the probability for reducing postoperative pancreatitis and cholangitis, while can observe Bile character and outflow feelings
Condition；For acute pyogenic cholangitis person, biliary infection can control through nose bile drainage tube injection sensitive antibiotics；Through nose bile duct
The haemostatic medicaments such as instillation adrenaline, fibrin ferment have the function of preventing Delayed onset hematobilia.
The head end of the nose bile drainage tube of clinical application can be illegally occupied voluntarily in bile duct, which has the disadvantage that 1,
Drainage tube head end natural torsion plays the role of anti-slip, but such support force by tension of the drainage tube head end to bile duct wall
It is smaller, due to duodenal nipple, it is easy to happen drainage tube abjection phenomenon；2, stimulation of the head end of drainage tube to bile duct mucous membrane
It can lead to local mucous membrane reactive hyperplasia；3, during injecting haemostatic medicament through ENBD pipe, infectious bile is lost and is drawn
Stream effect, and pressure of biliary tract can be caused to increase, lead to gallbladder blood reflux, aggravates cholangitis；4, cholangiography, which determines, has residual small
Residual stone when, the secondary ERCP that need to go takes stone to treat；5, during tube drawing, drainage tube head end can cause bile duct and intestinal mucosa
Damage, or even the complication such as acute cholangitis, acute pancreatitis, upper gastrointestinal bleeding can be induced；6, the curved head of drainage tube
The stimulation to bottleneck throat is held, the serious nausea of patient or even symptoms of emesis are often led to.
Summary of the invention
Drainage tube abjection is easy to happen according to the prior art set forth above, the Delayed onset of incision duodenofiberscope goes out
Blood, residual stone, and cause to stimulate and cause complication and the support force technical problems such as not enough to bile duct and intestinal mucosa,
And provide nose bile drainage tube and its application of a kind of anti-thelorrhagia.The technological means that the present invention uses is as follows:
A kind of nose bile drainage tube of anti-thelorrhagia, including nose gallbladder drainage tube and hemostatic clamp；
The nose gallbladder drainage tube include lumen be sequentially communicated the first straight tube, first drainage pipeline section, second drainage pipeline section,
Third drains pipeline section, the 4th drainage pipeline section and the second straight tube；
First straight tube includes head end, the first pipeline section and the second pipeline section that lumen is sequentially communicated；
The head end open upper end, lower end have first through hole；
First pipeline section includes that multiple axis using first pipeline section are uniformly distributed and to far from described first as axis
The arc tube wall of pipeline section axis direction protrusion, the both ends of the arc tube wall respectively with the head end lower end and second pipeline section
Upper end connection；
The second pipeline section lumen runs through the top and bottom of second pipeline section and diameter is greater than the first through hole, institute
The side wall for stating the second pipeline section has the drainage through-hole that be connected to the second pipeline section lumen, second pipeline section lower end and described the
One drainage pipeline section connection；
The first drainage pipeline section is spiral elastic pipes；
The second drainage pipeline section is straight tube, and outer wall is equipped with multiple protrusions；
The third drainage pipeline section is in bending, and whole with the first drainage pipeline section endpiece and the second drainage pipeline section
Body constitutes " σ " shape；
The 4th drainage pipeline section is in arc-shaped, and circular arc is open towards first pipeline section；
The head end lumen wall is equipped with line, and the other end of the line is successively by a straight tube, first drainage
Pipeline section, the second drainage pipeline section, third drainage pipeline section, the described 4th drain pipeline section and the second straight tube lumen from institute
The second straight tube tail end side wall is stated to be pierced by；
The hemostatic clamp includes cylindricality casing, and the cylindricality sleeve upper end is equipped with multiple equally distributed as axis using its axis
Flank, multiple flanks are located on the side wall of same reverse frustoconic；
The cylindricality casing is located at by the protrusion and the second drainage pipeline section socket, the flank close to described the
Two pipeline section sides.
The nose bile drainage tube of the anti-thelorrhagia meets duodenum bending (third drainage tube paragraph header section), antrum bending
(third drains pipeline section endpiece) and greater curvature bending (the 4th drainage pipeline section) state, has good comfort.
The head end (divides) in class semielliptical shape by perpendicular to ellipsoid long axis, and the upper end place of opening wide is equipped with and the head end
The consistent head end opening of lumen diameter；
The big end of the head end is connect with the arc tube wall；
The head end lumen diameter is consistent with the first through hole.
A plurality of lateral projection is equipped in central region on the outside of the arc tube wall.
The nose bile drainage tube outer diameter of the anti-thelorrhagia is 7-10Fr；
The head end lumen diameter is 3Fr smaller than the nose bile drainage tube outer diameter of the anti-thelorrhagia, first pipeline section, institute
State the second pipeline section, the first drainage pipeline section, the second drainage pipeline section, the third drainage pipeline section, the 4th drainage tube
The lumen diameter of section and second straight tube is 2Fr bigger than the head end lumen diameter；
A length of 2.2m of the nose bile drainage tube of the anti-thelorrhagia.
Spacing under the both ends straight condition of the arc tube wall is 2cm, and the number of the arc tube wall is four.
The drainage through-hole is oval, and long axis is parallel with the axis of second pipeline section.
The a length of 1.5cm of flank；
The free end of the flank has arc surface, wears out tissue for preventing；
The protrusion is skewed protrusion, and the skewed protrusion is high-end to be located at close to first drainage pipeline section side,
Low side, which is located at, drains pipeline section side close to the third, and high-end and low side is the height for being relatively distant from the second drainage pipeline section outer wall
For degree, the inclined-plane of the skewed protrusion is triangle, and it is high-end that vertex is located at the skewed protrusion, described skewed
Protrusion move the hemostatic clamp can unidirectionally, prevent the hemostatic clamp from moving back.
The invention also discloses a kind of nose bile drainage tube embedded devices of anti-thelorrhagia, including inner core；
The outer wall of the inner core is socketed with nose gallbladder drainage tube as described above；
The outer wall of the nose gallbladder drainage tube is successively socketed with hemostatic clamp and propeller；
The inner core includes the first core pipe, the second core pipe and the inner core handle that lumen is sequentially communicated；
First core pipe is pierced by by the first through hole from the head end upper end and outer diameter is less than the first through hole,
The outer diameter of second core pipe is less than the second pipeline section lumen and is greater than the diameter of the first through hole；
The inner core handle is harder than the material of first core pipe and second core pipe.
The hemostatic clamp includes cylindricality casing, and the cylindricality sleeve upper end is equipped with multiple equally distributed as axis using its axis
Flank, multiple flanks are located on the side wall of same reverse frustoconic；
The hemostatic clamp is socketed on the nose gallbladder drainage tube outer wall by the cylindrical sleeve pipe, and the flank is located at remote
From the second straight tube tail end side.
The first core pipe outer diameter is 1Fr smaller than the head end lumen diameter；
The second core pipe outer diameter is 1Fr smaller than the second pipeline section lumen diameter；
The inner core lumen diameter is 1mm；
The a length of 2.35m of inner core.
The a length of 1.5cm of flank；
The free end of the flank has arc surface, wears out tissue for preventing.
The nose bile drainage tube embedded device of anti-thelorrhagia is placed to liver liner through duodenofiberscope under seal wire guidance
In pipe, extract whole spherical in shape after multiple arcs tube wall Spontaneous release after inner core, tightening line can adjust the big of arc tube wall release
It is small, prevent the nose bile drainage tube of anti-thelorrhagia from shifting and generating pressure to bile duct wall；Hemostatic clamp is pushed away by propeller
Enter outside duodenofiberscope, the first drainage pipeline section (spiral elastic pipes) keeps drawing hemostasis by the tension of own resilient and line
Folder can prevent Delayed onset thelorrhagia to contention effect is generated at sphincterotomy.In the nose for extracting anti-thelorrhagia
During gallbladder drainage tube, whole arc tube wall spherical in shape can deviate from residual stone in choledochus, and to bile duct mucous membrane,
Duodenofiberscope, gastrointestinal tract mucous and bottleneck throat mucous membrane are non-stimulated, will not cause acute cholangitis, acute pancreas, on disappear
Change the complication such as gastrointestinal hemorrhage；During tube drawing, patient's is not to reflect also substantially reduce.
Compared with prior art, the invention has the following advantages that
1. the first pipeline section includes multiple arcs tube wall, entirety is spherical in shape after Spontaneous release, by generating to surrounding bile duct wall
Elasticity tension and play anti-displacement effect；
2. being equipped with a plurality of lateral projection in the central region on the outside of arc tube wall, reinforce the nose bile drainage tube of anti-thelorrhagia
Anti-displacement effect；
3. the nose bile drainage tube of anti-thelorrhagia can adjust the size of arc tube wall release by tightening line, and keep whole
Body form spherical in shape is constant, increases arc tube wall to the pressure of bile duct wall, prevents the nose bile drainage tube of anti-thelorrhagia from shifting；
4. the second core pipe plays a supportive role to head end, can keep arc tube wall is in closed state before releasing, is easy to anti-cream
The nose bile drainage tube of head bleeding is placed to stones in intrahepatic bile duct；
5. the second core pipe plays a supportive role to head end, when the nose bile drainage tube position of anti-thelorrhagia places bad, pass through
Inner core is pushed ahead, reenters inner core in the nose bile drainage tube of anti-thelorrhagia, arc tube wall becomes linear type, can be again
Place the nose bile drainage tube of anti-thelorrhagia；
6. the nose bile drainage tube of anti-thelorrhagia is equipped with hemostatic clamp, the first drainage pipeline section (spiral elastic pipes) passes through itself bullet
Power and traction line tension keep drawing hemostatic clamp, to contention effect is generated at sphincterotomy, can prevent Delayed onset cream
Head bleeding；
7. the nose bile drainage tube of anti-thelorrhagia is equipped with skewed protrusion, hemostatic clamp can be moved unidirectionally, prevent hemostatic clamp to
Return is dynamic.
The present invention can be widely popularized in fields such as medical apparatus based on the above reasons.
Detailed description of the invention
In order to more clearly explain the embodiment of the invention or the technical proposal in the existing technology, to embodiment or will show below
There is attached drawing needed in technical description to do simply to introduce, it should be apparent that, the accompanying drawings in the following description is this hair
Bright some embodiments for those of ordinary skill in the art without any creative labor, can be with
It obtains other drawings based on these drawings.
Fig. 1 is the structural schematic diagram (curved pipe of the nose bile drainage tube of anti-thelorrhagia in a specific embodiment of the invention
Wall release).
Fig. 2 is hemostasis clamping structure schematic diagram in a specific embodiment of the invention.
Fig. 3 is inner core in a specific embodiment of the invention, nose gallbladder drainage tube, hemostatic clamp and propeller assembly signal
Figure.
Fig. 4 is the structural schematic diagram of inner core in a specific embodiment of the invention.
Fig. 5 is position letter when nose gallbladder drainage tube and inner core are in operating position in a specific embodiment of the invention
Figure.
Fig. 6 is that the nose bile drainage tube embedded device of anti-thelorrhagia in a specific embodiment of the invention is in operating position
When location diagram (inner core of pulling back, arc tube wall release).
Fig. 7 is the position when nose bile drainage tube of anti-thelorrhagia in a specific embodiment of the invention is in operating position
Schematic diagram (release of arc tube wall).
Specific embodiment
In order to make the object, technical scheme and advantages of the embodiment of the invention clearer, below in conjunction with the embodiment of the present invention
In attached drawing, technical scheme in the embodiment of the invention is clearly and completely described, it is clear that described embodiment is
A part of the embodiment of the present invention, instead of all the embodiments.Based on the embodiments of the present invention, those of ordinary skill in the art
Every other embodiment obtained without making creative work, shall fall within the protection scope of the present invention.
Embodiment 1
As shown in Figure 1, Figure 2 and Figure 7, a kind of nose bile drainage tube of anti-thelorrhagia, including nose gallbladder drainage tube and hemostasis
Folder 15；
The nose gallbladder drainage tube includes the first straight tube 1, first the drainage pipeline section 2, the second drainage tube that lumen is sequentially communicated
Section 3, third drainage pipeline section the 4, the 4th drain pipeline section 5 and the second straight tube 6；
First straight tube 1 includes head end 7, the first pipeline section 8 and the second pipeline section 9 that lumen is sequentially communicated；
7 open upper end of head end, lower end have first through hole 10；
First pipeline section 8 includes that multiple axis using first pipeline section 8 are uniformly distributed and to separate described the as axis
The arc tube wall 11 of one pipeline section, 8 axis direction protrusion, the both ends of the arc tube wall 11 respectively with 7 lower end of head end and described
The connection of second pipeline section, 9 upper end；
Second pipeline section, 9 lumen runs through the top and bottom of second pipeline section 9 and diameter is greater than the first through hole
10, the side wall of second pipeline section 9 has a drainage through-hole 12 being connected to 9 lumen of the second pipeline section, under second pipeline section 9
End is connected to the first drainage pipeline section 2；
The first drainage pipeline section 2 is spiral elastic pipes；
The second drainage pipeline section 3 is straight tube, and outer wall is equipped with multiple raised 13；
The third drainage pipeline section 4 is in bending, and drains pipeline section with first drainage 2 endpiece of pipeline section and described second
3 overall structure " σ " shapes；
The 4th drainage pipeline section 5 is in arc-shaped, and circular arc is open towards first pipeline section 8；
7 lumen wall of head end is equipped with line 14, and the other end of the line 14 successively passes through a straight tube 1, described the
One drainage pipeline section 2, the second drainage pipeline section 3, third drainage pipeline section 4, the 4th drainage pipeline section 5 and described second are directly
6 lumen of pipe is pierced by from the 6 tail end side wall of the second straight tube；
The hemostatic clamp 15 includes cylindricality casing 22, and 22 upper end of cylindricality casing is equipped with multiple uniform as axis using its axis
The flank 23 of distribution, multiple flanks 23 are located on the side wall of same reverse frustoconic；
The cylindricality casing 22 is socketed by described raised 13 with the second drainage pipeline section 3, and the flank 23, which is located at, to be leaned on
Nearly second pipeline section, 9 side.
The head end 7 is in class semielliptical shape, and the upper end place of opening wide is equipped with the head end consistent with 7 lumen diameter of head end
Opening 16；
The big end of the head end 7 is connect with the arc tube wall 11；
7 lumen diameter of head end is consistent with the first through hole 10.
A plurality of lateral projection 17 is equipped in the central region in 11 outside of arc tube wall.
The nose bile drainage tube outer diameter of the anti-thelorrhagia is 7-10Fr；
7 lumen diameter of head end is 3Fr smaller than the nose bile drainage tube outer diameter of the anti-thelorrhagia, first pipeline section 8,
Second pipeline section 9, the first drainage pipeline section 2, the second drainage pipeline section 3, the third drain pipeline section 4, the described 4th
The lumen diameter for draining pipeline section 5 and second straight tube 6 is 2Fr bigger than 7 lumen diameter of head end；
A length of 2.2m of the nose bile drainage tube of the anti-thelorrhagia.
Spacing under the both ends straight condition of the arc tube wall 11 is 2cm, and the number of the arc tube wall 11 is four.
The drainage through-hole 12 is oval, and long axis is parallel with the axis of second pipeline section 9.
The a length of 1.5cm of the flank 23；
The free end of the flank 23 has arc surface 24；
Described raised 13 be skewed protrusion, and the skewed protrusion is high-end to be located at close to the first drainage pipeline section 2 one
Side, low side, which is located at, drains 4 side of pipeline section close to the third.
It is curved that the nose bile drainage tube of the anti-thelorrhagia meets duodenum bending (third drainage tube paragraph header section 25), antrum
Bent (third drains pipeline section endpiece 26) and greater curvature bending (the 4th drainage pipeline section 5) state, has good comfort.
Embodiment 2
As shown in Fig. 1-Fig. 7, a kind of nose bile drainage tube embedded device of anti-thelorrhagia, including inner core 18；
The outer wall of the inner core 18 is socketed with nose gallbladder drainage tube as described in Example 1；
The outer wall of the nose gallbladder drainage tube is successively socketed with hemostatic clamp 15 and propeller 27；
The inner core 18 includes the first core pipe 19, the second core pipe 20 and the inner core handle 21 that lumen is sequentially communicated；
First core pipe 19 is pierced by by the first through hole 10 from 7 upper end of head end and outer diameter is less than described first
The outer diameter of through-hole 10, second core pipe 20 is less than 20 lumen of the second pipeline section and is greater than the diameter of the first through hole 10；
The hemostatic clamp 15 includes cylindricality casing 22, and 22 upper end of cylindricality casing is equipped with multiple uniform as axis using its axis
The flank 23 of distribution, multiple flanks 23 are located on the side wall of same reverse frustoconic；
The hemostatic clamp 15 is socketed on the nose gallbladder drainage tube outer wall by the cylindricality casing 22, the flank 23
It is located remotely from the 6 tail end side of the second straight tube.
First core pipe, 19 outer diameter is 1Fr smaller than 7 lumen diameter of head end；
Second core pipe, 20 outer diameter is 1Fr smaller than 9 lumen diameter of the second pipeline section；
18 lumen diameter of inner core is 1mm；
The a length of 2.35m of the inner core 18.
The a length of 1.5cm of the flank 23；
The free end of the flank 23 has arc surface 24`.
Oral merging duodenoscope, cystic duct cannula, sphincterotomy and after taking stone success set zebra guide wire 28
Enter into stones in intrahepatic bile duct.
28 tail end of zebra guide wire is placed in through 18 head end of inner core, fixed inner core 18 and nose gallbladder drainage tube, in zebra guide wire
The nose bile drainage tube embedded device of anti-thelorrhagia is placed in stones in intrahepatic bile duct under 28 guidance.
Fixed nose gallbladder drainage tube, inner core handle 21 of pulling back, after inner core 18 is separated with four arc tube walls 11, four arcs
It is whole spherical in shape after 11 Spontaneous release of tube wall.
Fixed nose gallbladder drainage tube continues to be placed in propeller 27, hemostatic clamp 15 is pushed into duodenofiberscope, and make first
It drains pipeline section 2 and keeps moderate tension, so that hemostatic clamp 15 is close to duodenofiberscope.
Propeller 27, inner core 18, zebra guide wire 28 are successively exited, duodenoscope is finally exited.
Line 14 is tightened, keeps the whole form spherical in shape of arc tube wall 11 constant, the nose bile drainage tube head of anti-thelorrhagia
Portion is fixed by whole four arc tube walls 11 spherical in shape, and the first drainage (spiral elastic pipes) tension of pipeline section 2 increases, and makes to stop blooding
Folder 15 is close to duodenofiberscope notch.
Finally, it should be noted that the above embodiments are only used to illustrate the technical solution of the present invention., rather than its limitations；To the greatest extent
Pipe present invention has been described in detail with reference to the aforementioned embodiments, those skilled in the art should understand that: its according to
So be possible to modify the technical solutions described in the foregoing embodiments, or to some or all of the technical features into
Row equivalent replacement；And these are modified or replaceed, various embodiments of the present invention technology that it does not separate the essence of the corresponding technical solution
The range of scheme.
Claims (10)
1. a kind of nose bile drainage tube of anti-thelorrhagia, which is characterized in that including nose gallbladder drainage tube and hemostatic clamp；
The nose gallbladder drainage tube includes the first straight tube, the first drainage pipeline section, the second the drainage pipeline section, third that lumen is sequentially communicated
Drain pipeline section, the 4th drainage pipeline section and the second straight tube；
First straight tube includes head end, the first pipeline section and the second pipeline section that lumen is sequentially communicated；
The head end open upper end, lower end have first through hole；
First pipeline section includes that multiple axis using first pipeline section are uniformly distributed and to far from first pipeline section as axis
The arc tube wall of axis direction protrusion, the both ends of the arc tube wall respectively with the head end lower end and second pipeline section upper end
Connection；
The second pipeline section lumen through second pipeline section top and bottom and diameter be greater than the first through hole, described the
The side wall of two pipeline sections has the drainage through-hole being connected to the second pipeline section lumen, and second pipeline section lower end is drawn with described first
The connection of flow tube section；
The first drainage pipeline section is spiral elastic pipes；
The second drainage pipeline section is straight tube, and outer wall is equipped with multiple protrusions；
The third drainage pipeline section is in bending, and drains pipeline section entirety structure with the first drainage pipeline section endpiece and described second
At " σ " shape；
The 4th drainage pipeline section is in arc-shaped, and circular arc is open towards first pipeline section；
The head end lumen wall be equipped with line, the other end of the line successively by a straight tube, it is described first drainage pipeline section,
The second drainage pipeline section, third drainage pipeline section, the 4th drainage pipeline section and the second straight tube lumen are from described the
Two straight tube tail end side walls are pierced by；
The hemostatic clamp includes cylindricality casing, and the cylindricality sleeve upper end is equipped with multiple using its axis as the equally distributed side of axis
The wing, multiple flanks are located on the side wall of same reverse frustoconic；
The cylindricality casing is located at by the protrusion and the second drainage pipeline section socket, the flank close to second pipe
Section side.
2. the nose bile drainage tube of anti-thelorrhagia according to claim 1, which is characterized in that the head end is in class semielliptical
Shape, the upper end place of opening wide are equipped with the head end consistent with the head end lumen diameter and are open；
The big end of the head end is connect with the arc tube wall；
The head end lumen diameter is consistent with the first through hole.
3. the nose bile drainage tube of anti-thelorrhagia according to claim 1, which is characterized in that on the outside of the arc tube wall
A plurality of lateral projection is equipped in central region.
4. the nose bile drainage tube of anti-thelorrhagia according to claim 1, which is characterized in that the nose of the anti-thelorrhagia
It is 7-10Fr that gallbladder, which drains pipe outside diameter,；
The head end lumen diameter is 3Fr smaller than the nose bile drainage tube outer diameter of the anti-thelorrhagia, first pipeline section, described
Two pipeline sections, it is described first drainage pipeline section, it is described second drainage pipeline section, the third drainage pipeline section, it is described 4th drainage pipeline section and
The lumen diameter of second straight tube is 2Fr bigger than the head end lumen diameter；
A length of 2.2m of the nose bile drainage tube of the anti-thelorrhagia.
5. the nose bile drainage tube of anti-thelorrhagia according to claim 1, which is characterized in that the both ends of the arc tube wall
Spacing under straight condition is 2cm, and the number of the arc tube wall is four.
6. the nose bile drainage tube of anti-thelorrhagia according to claim 1, which is characterized in that the drainage through-hole is in ellipse
Shape, long axis are parallel with the axis of second pipeline section.
7. the nose bile drainage tube of anti-thelorrhagia according to claim 1, which is characterized in that a length of 1.5cm of flank；
The free end of the flank has arc surface；
The protrusion is skewed protrusion, and the skewed protrusion is high-end to be located at close to first drainage pipeline section side, low side
Pipeline section side is drained positioned at close to the third.
8. a kind of nose bile drainage tube embedded device of anti-thelorrhagia, which is characterized in that including inner core；
The outer wall of the inner core is socketed just like nose gallbladder drainage tube as claimed in any one of claims 1 to 7；
The outer wall of the nose gallbladder drainage tube is successively socketed with hemostatic clamp and propeller；
The inner core includes the first core pipe, the second core pipe and the inner core handle that lumen is sequentially communicated；
First core pipe is pierced by by the first through hole from the head end upper end and outer diameter is less than the first through hole, described
The outer diameter of second core pipe is less than the second pipeline section lumen and is greater than the diameter of the first through hole；
The hemostatic clamp includes cylindricality casing, and the cylindricality sleeve upper end is equipped with multiple using its axis as the equally distributed side of axis
The wing, multiple flanks are located on the side wall of same reverse frustoconic；
The hemostatic clamp is socketed on the nose gallbladder drainage tube outer wall by the cylindrical sleeve pipe, and the flank is located remotely from institute
State the second straight tube tail end side.
9. the nose bile drainage tube embedded device of anti-thelorrhagia according to claim 8, which is characterized in that first core
Pipe outside diameter is 1Fr smaller than the head end lumen diameter；
The second core pipe outer diameter is 1Fr smaller than the second pipeline section lumen diameter；
The inner core lumen diameter is 1mm；
The a length of 2.35m of inner core.
10. the nose bile drainage tube embedded device of anti-thelorrhagia according to claim 8, which is characterized in that the flank
A length of 1.5cm；
The free end of the flank has arc surface.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811400905.2A CN109224256A (en) | 2018-11-22 | 2018-11-22 | The nose bile drainage tube of anti-thelorrhagia and its application |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811400905.2A CN109224256A (en) | 2018-11-22 | 2018-11-22 | The nose bile drainage tube of anti-thelorrhagia and its application |
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| Publication Number | Publication Date |
|---|---|
| CN109224256A true CN109224256A (en) | 2019-01-18 |
Family
ID=65075919
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201811400905.2A Pending CN109224256A (en) | 2018-11-22 | 2018-11-22 | The nose bile drainage tube of anti-thelorrhagia and its application |
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| CN (1) | CN109224256A (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN114053554A (en) * | 2021-12-20 | 2022-02-18 | 中南大学湘雅二医院 | An ultrasound drainage tube |
Citations (11)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4808163A (en) * | 1987-07-29 | 1989-02-28 | Laub Glenn W | Percutaneous venous cannula for cardiopulmonary bypass |
| JPH1176412A (en) * | 1997-09-12 | 1999-03-23 | Olympus Optical Co Ltd | Drainage tube |
| US20080051911A1 (en) * | 2006-08-23 | 2008-02-28 | Wilson-Cook Medical Inc. | Stent with antimicrobial drainage lumen surface |
| CN102125717A (en) * | 2011-04-07 | 2011-07-20 | 大连大学 | Biliary tract internal drainage tube carrying radioactive particles |
| US7993411B2 (en) * | 2007-08-31 | 2011-08-09 | Cook Medical Technologies Llc | Medical implant having improved drug eluting features |
| CN202409791U (en) * | 2012-02-08 | 2012-09-05 | 孙世杰 | Hepatobiliary drainage tube |
| CN202776451U (en) * | 2012-09-18 | 2013-03-13 | 张国栋 | Elastic compression hemostatic clip for nasal cavity |
| CN202843684U (en) * | 2012-10-10 | 2013-04-03 | 王士美 | Nasal cavity compressing hemostasis device |
| CN203075439U (en) * | 2013-02-18 | 2013-07-24 | 邹晓平 | Balloon nasobiliary drainage tube |
| CN204017094U (en) * | 2013-12-17 | 2014-12-17 | 常州乐奥医疗科技有限公司 | A kind of novel T-type drainage tube |
| CN108325045A (en) * | 2018-02-09 | 2018-07-27 | 大连大学 | Multi-functional nose bile drainage tube |
-
2018
- 2018-11-22 CN CN201811400905.2A patent/CN109224256A/en active Pending
Patent Citations (11)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4808163A (en) * | 1987-07-29 | 1989-02-28 | Laub Glenn W | Percutaneous venous cannula for cardiopulmonary bypass |
| JPH1176412A (en) * | 1997-09-12 | 1999-03-23 | Olympus Optical Co Ltd | Drainage tube |
| US20080051911A1 (en) * | 2006-08-23 | 2008-02-28 | Wilson-Cook Medical Inc. | Stent with antimicrobial drainage lumen surface |
| US7993411B2 (en) * | 2007-08-31 | 2011-08-09 | Cook Medical Technologies Llc | Medical implant having improved drug eluting features |
| CN102125717A (en) * | 2011-04-07 | 2011-07-20 | 大连大学 | Biliary tract internal drainage tube carrying radioactive particles |
| CN202409791U (en) * | 2012-02-08 | 2012-09-05 | 孙世杰 | Hepatobiliary drainage tube |
| CN202776451U (en) * | 2012-09-18 | 2013-03-13 | 张国栋 | Elastic compression hemostatic clip for nasal cavity |
| CN202843684U (en) * | 2012-10-10 | 2013-04-03 | 王士美 | Nasal cavity compressing hemostasis device |
| CN203075439U (en) * | 2013-02-18 | 2013-07-24 | 邹晓平 | Balloon nasobiliary drainage tube |
| CN204017094U (en) * | 2013-12-17 | 2014-12-17 | 常州乐奥医疗科技有限公司 | A kind of novel T-type drainage tube |
| CN108325045A (en) * | 2018-02-09 | 2018-07-27 | 大连大学 | Multi-functional nose bile drainage tube |
Non-Patent Citations (1)
| Title |
|---|
| 石景森等: "《外科黄疸疾病诊断治疗学》", 30 January 2003, 人民军医出版社 * |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN114053554A (en) * | 2021-12-20 | 2022-02-18 | 中南大学湘雅二医院 | An ultrasound drainage tube |
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