Disclosure of Invention
The present invention is directed to solving, at least to some extent, one of the technical problems in the related art. Therefore, the invention aims to provide a pharynx expanding device for gastroscopy of an elderly patient.
To achieve the above object, a pharynx expanding apparatus for gastroscopy of an elderly patient according to an embodiment of the present invention includes:
a flexible deformable tube adapted to allow a gastroscope tube to slide therethrough;
the balloon expansion piece is sleeved outside the near end of the bendable deformable pipe fitting and is provided with a first balloon body and a second balloon body, and the first balloon body and the second balloon body are axially arranged at intervals at the near end of the bendable deformable pipe fitting;
the occlusion piece is arranged at the distal end of the bendable deformation pipe fitting and is used for occluding a patient in the mouth;
an inflation assembly connected to the balloon extender for inflating the first and second bladders.
According to the pharynx expanding device for the gastroscopy of the elderly patient, which is provided by the embodiment of the invention, the bendable deformation pipe fitting can be penetrated by the gastroscopy pipe and penetrates into the stomach of the patient from the mouth of the patient, the air bag expanding piece is utilized to inflate and expand the pharynx of the patient, and the gastroscopy pipe slides downwards.
In addition, the pharynx expanding apparatus for gastroscopy of the elderly patients according to the above embodiment of the present invention may have the following additional technical features:
according to one embodiment of the invention, the balloon extender comprises:
the inner-layer sac membrane is formed into a tubular structure and sleeved outside the near end of the bendable deformable pipe fitting;
the outer-layer bag membrane is positioned outside the inner-layer bag membrane and comprises a first expansion part and a second expansion part which are connected, the first expansion part and the second expansion part are axially arranged at intervals at the proximal end of the bendable deformation pipe fitting, the first expansion bag part is defined between the first expansion part and the inner-layer bag membrane, and the second expansion bag part is defined between the second expansion part and the inner-layer bag membrane;
the binding ring is sleeved at the joint of the first expansion part and the second expansion part so as to limit the expansion of the joint of the first expansion part and the second expansion part;
one end of the first expansion part, which is far away from the second expansion part, is hermetically connected with one end of the inner-layer bag membrane, and one end of the second expansion part, which is far away from the first expansion part, is hermetically connected with the other end of the inner-layer bag membrane.
According to one embodiment of the present invention, the outer layer membrane further includes a first pressure preparation portion connected between the first expansion portion and the one end of the inner layer membrane, and a first pressure preparation balloon body is defined between the first pressure preparation portion and the inner layer membrane; the first pressure preparation capsule is communicated with the first capsule, and the diameter of the first pressure preparation capsule is smaller than that of the first capsule;
according to an embodiment of the present invention, the outer layer membrane further includes a second pressure preparation portion connected between the second inflation portion and the other end of the inner layer membrane, and a second pressure preparation bag body is defined between the second pressure preparation portion and the inner layer membrane; the second pressure-preparation capsule body is communicated with the second capsule body, and the diameter of the second pressure-preparation capsule body is smaller than that of the second capsule body.
According to one embodiment of the invention, the bendable morphable tube comprises:
an inner tube adapted for passage of a gastroscope tube therethrough;
the outer pipe sleeve is sleeved outside the inner pipe in a sliding manner;
the balloon expansion piece is sleeved at one end of the inner tube, the near end of the balloon expansion piece is connected with the inner tube, the far end of the balloon expansion piece is connected with the near end of the outer tube, and when the outer tube slides relative to the inner tube, the balloon expansion piece is extruded from two ends to the middle.
According to one embodiment of the present invention, the proximal end of the inner tube has a first stopper edge projecting radially outward, the distal end of the outer tube has a second stopper edge projecting radially outward, and the balloon-expanding member is interposed between the first stopper edge and the second stopper edge.
According to an embodiment of the invention, the device further comprises a rotating adjusting piece, wherein the rotating adjusting piece is arranged on the meshing piece in a pivoting way around the axis of the rotating adjusting piece, and the rotating adjusting piece is provided with a threaded hole;
the far end of the inner tube is provided with an external thread matched with the threaded hole, the near end of the rotary adjusting piece is abutted to the far end of the outer tube, and when the rotary adjusting piece rotates, the outer tube and the inner tube are pushed to slide relatively through the rotary adjusting piece.
According to one embodiment of the invention, the bite piece has a pivot hole;
the rotary adjusting part comprises a rod part and a knob part, the rod part is arranged in the pivot hole in a penetrating mode and can pivot around the axis of the rod part, the threaded hole is formed in the rod part, the near end of the rod part abuts against the far end of the outer tube, and the knob part is arranged at the far end of the rod part and abuts against one side, away from the near end of the rod part, of the occlusion part.
According to one embodiment of the invention, the occluding piece comprises an inner tooth blocking piece, an outer tooth blocking piece and a connecting part connected between the inner tooth blocking piece and the outer tooth blocking piece, an occluding gap into which teeth can be clamped is defined between the inner tooth blocking piece and the outer tooth blocking piece, and the pivot hole penetrates through the inner tooth blocking piece after the outer tooth blocking piece passes through the connecting part.
According to one embodiment of the present invention, the inflation assembly comprises an inflation tube and a squeeze inflation ball, one end of the inflation tube is connected to the balloon expansion member, and the other end of the inflation tube is connected to the squeeze inflation ball after passing through the engagement member.
Additional aspects and advantages of the invention will be set forth in part in the description which follows and, in part, will be obvious from the description, or may be learned by practice of the invention.
Detailed Description
Reference will now be made in detail to embodiments of the present invention, examples of which are illustrated in the accompanying drawings, wherein like or similar reference numerals refer to the same or similar elements or elements having the same or similar function throughout. The embodiments described below with reference to the drawings are exemplary and intended to be illustrative of the present invention and should not be construed as limiting the present invention, and all other embodiments that can be obtained by one skilled in the art based on the embodiments of the present invention without inventive efforts shall fall within the scope of protection of the present invention.
In the description of the present invention, it is to be understood that the terms "central," "longitudinal," "lateral," "length," "width," "thickness," "upper," "lower," "front," "rear," "left," "right," "vertical," "horizontal," "top," "bottom," "inner," "outer," "clockwise," "counterclockwise," "axial," "circumferential," "radial," and the like are used in the orientations and positional relationships indicated in the drawings for convenience in describing the present invention and to simplify the description, and are not intended to indicate or imply that the referenced devices or elements must have a particular orientation, be constructed and operated in a particular orientation, and are therefore not to be considered limiting of the present invention.
Furthermore, the terms "first", "second" and "first" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance or implicitly indicating the number of technical features indicated. Thus, a feature defined as "first" or "second" may explicitly or implicitly include one or more of that feature. In the description of the present invention, "a plurality" means two or more unless specifically defined otherwise.
In the present invention, unless otherwise expressly specified or limited, the terms "mounted," "connected," "secured," and the like are to be construed broadly and can, for example, be fixedly connected, detachably connected, or integrally connected; can be mechanically or electrically connected; they may be connected directly or indirectly through intervening media, or they may be interconnected between two elements. The specific meanings of the above terms in the present invention can be understood by those skilled in the art according to specific situations.
In the present invention, unless otherwise expressly stated or limited, "above" or "below" a first feature means that the first and second features are in direct contact, or that the first and second features are not in direct contact but are in contact with each other via another feature therebetween. Also, the first feature being "on," "above" and "over" the second feature includes the first feature being directly on and obliquely above the second feature, or merely indicating that the first feature is at a higher level than the second feature. A first feature being "under," "below," and "beneath" a second feature includes the first feature being directly under and obliquely below the second feature, or simply meaning that the first feature is at a lesser elevation than the second feature.
The pharyngeal dilation device for gastroscopy of an elderly patient according to an embodiment of the present invention will be described in detail below with reference to the accompanying drawings.
Referring to fig. 1 to 4, a pharynx expanding apparatus for gastroscopy of an elderly patient according to an embodiment of the present invention includes a bendable deformable tube 10, a balloon expander 20, a bite piece 30, and an inflating assembly 40.
Specifically, the flexibly deformable tube member 10 is adapted to allow the gastroscope tube 60 to slide therethrough, and the flexibly deformable tube member 10 may be a plastic tube having a certain hardness or a metal tube member capable of being bent and deformed. The flexibly deformable tube 10 can be inserted into the patient's eye through the patient's mouth.
The balloon expander 20 is sleeved outside the proximal end of the flexibly deformable tube 10, the balloon expander 20 has a first balloon H21 and a second balloon H22, and the first balloon H21 and the second balloon H22 are axially spaced at the proximal end of the flexibly deformable tube 10. That is, the balloon-expanding member 20 can be inserted into the pharynx of the patient along with the flexibly deformable tube member 10, and the balloon-expanding member 20 is inflated by the inflation module 40, so that the first balloon H21 and the second balloon H22 can be inflated and expanded, and the expanded first balloon H21 and second balloon H22 can expand the pharynx of the patient. In addition, the first balloon H21 and the second balloon H22 which are spaced are adopted, and the first balloon H21 and the second balloon H22 abut against the pharynx at two different positions, so that opening of the pharynx can be ensured to be more sufficient, two-point positioning of the balloon extender 20 can be ensured, and the balloon extender 20 can be positioned and fixed on the eyes of a patient more reliably.
A bite piece 30 is provided at the distal end of the flexibly deformable tube member 10 for the patient to bite into the mouth. The engaging member 30 is adapted to be engaged by a patient in the mouth, and on the one hand, assists the patient in keeping the mouth open, and on the other hand, the engaging member 30 is coupled to the flexibly deformable tube member 10 to keep the gastroscopic pharynx expanding apparatus for elderly patients fixed in the mouth.
The inflation module 40 is connected to the balloon-expander 20 for inflating the first balloon H21 and the second balloon H22, and when the balloon-expander 20 is inserted into the pharynx, the inflation module 40 can be used to inflate the balloon-expander 20, so that the pharynx of the patient can be expanded by the first balloon H21 and the second balloon H22.
According to the pharynx expanding device for the gastroscopy of the elderly patients, which is provided by the embodiment of the invention, the bendable deformable pipe fitting 10 can be used for the gastroscopy pipe 60 to pass through and penetrate into the stomach of the patients from the mouths of the patients, the air bag expanding piece 20 is used for inflating and expanding to expand the pharynx of the patients, and the gastroscopy pipe 60 slides downwards again, so that on one hand, the insertion of the gastric tube is facilitated after the pharynx is expanded, on the other hand, the gastric tube passes through the bendable deformable pipe fitting 10 and cannot be rubbed with the pharynx to cause stimulation, the nausea and vomiting are not easy to cause, the gastroscopy can be performed more smoothly under the condition of no anesthesia, and the pharynx expanding device is more friendly and comfortable for the patients.
It should be noted that in this application, the term "proximal" refers to the end that is closer to the human body in use, and "distal" refers to the end that is further away from the human body in use.
Further, the balloon-expanding member 20 is extended to a depth of 10cm to 15cm, and the balloon-expanding member 20 is expanded to the pharynx with a width that allows the gastroscope tube to smoothly pass therethrough, and the width of the gastroscope tube is generally 8.9 to 13.5 mm.
In one embodiment of the present invention, the balloon dilator 20 comprises an inner balloon 201, an outer balloon 202 and a collar, wherein the inner balloon 201 is formed into a tubular structure and is sleeved on the proximal end of the bendable deformable tube 10.
The outer-layer balloon membrane 202 is located outside the inner-layer balloon membrane 201, the outer-layer balloon membrane 202 comprises a first inflation portion 2021 and a second inflation portion 2022 which are connected, the first inflation portion 2021 and the second inflation portion 2022 are axially arranged at intervals at the proximal end of the bendable deformation pipe 10, the first inflation portion 2021 and the inner-layer balloon membrane 201 define therebetween the first inflation portion, and the second inflation portion 2022 and the inner-layer balloon membrane 201 define therebetween the second inflation portion.
And the binding ring is sleeved at the joint of the first expansion part 2021 and the second expansion part 2022 to limit the expansion of the joint of the first expansion part 2021 and the second expansion part 2022.
One end of the first expansion portion 2021, which is far away from the second expansion portion 2022, is hermetically connected with one end of the inner layer balloon 201, and one end of the second expansion portion 2022, which is far away from the first expansion portion 2021, is hermetically connected with the other end of the inner layer balloon 201.
That is, the balloon dilator 20 mainly comprises an inner balloon 201 and an outer balloon 202, the inner balloon 201 is sleeved on the proximal end of the inner tube 101, the outer balloon 202 is located outside the inner balloon 201, and two ends of the outer balloon 202 are sealed with two ends of the inner balloon 201, so that an inflation space can be formed between the inner balloon 201 and the outer balloon 202. In addition, the outer-layer bag 202 has the first inflation part 2021 and the second inflation part 2022 which are axially arranged at intervals, when the inflation space is inflated, the first inflation part 2021 and the second inflation part 2022 are inflated outwards, and the connection part between the first inflation part 2021 and the second inflation part 2022 cannot be inflated due to the restriction of the bundle ring, so that the first inflation part 2021 and the second inflation part 2022 can be made to abut against the inner wall of the pharynx after being inflated respectively, and thus, by adopting the structure, the first bag H21 and the second bag H22 can be easily formed, the structure is simple, and when the inflation space is inflated, the first bag H21 and the second bag H22 can be ensured to be inflated.
In some embodiments of the present invention, the bendable deformation tube 10 comprises an inner tube 101 and an outer tube 102, wherein the inner tube 101 is adapted for passing the gastroscope tube 60 therethrough, and the outer tube 102 is slidably sleeved on the outer tube 101. The balloon expansion member 20 is sleeved on one end of the inner tube 101, the proximal end of the balloon expansion member 20 is connected with the inner tube 101, the distal end of the balloon expansion member 20 is connected with the proximal end of the outer tube 102, and when the outer tube 102 slides relative to the inner tube 101, the balloon expansion member 20 is pressed from two ends to the middle.
In the pharyngeal dilation process by using the pharyngeal dilation apparatus for gastroscopy of the elderly patient, after the proximal end of the bendable deformation tube 10 is inserted into the pharyngeal portion of the patient, the balloon dilator 20 is inflated by the inflation assembly 40, so that the first balloon H21 and the second balloon H22 on the balloon dilator 20 are inflated, and the first balloon H21 and the second balloon H22 are abutted against the inner wall of the pharyngeal portion. Since the inflation amount of the inflation assembly 40 is difficult to be accurately controlled when the inflation assembly is inflated, and accordingly, it is difficult to control the first balloon H21 and the second balloon H22 to be further inflated to a smaller extent after the first balloon H21 and the second balloon H22 are inflated to a certain extent to abut against the inner wall of the pharynx, and in this case, the first balloon H21 and the second balloon H22 are not suitable for being inflated to a large extent, which is likely to cause discomfort to the patient and even damage to the pharynx due to an excessive pressure, in order to control the inflation of the first balloon H21 and the second balloon H22 to a small extent, in the present embodiment, the proximal end of the balloon dilator 20 is connected to the inner tube 101, the distal end of the balloon dilator 20 is connected to the proximal end of the outer tube 102, and the inner tube 101 and the outer tube 102 can slide relative to each other, so that after the first balloon H21 and the second balloon H22 are inflated to a certain extent to abut against the inner wall of the pharynx, can promote outer tube 102 and inner tube 101 relative slip, and then make gasbag extension piece 20 extrude to the centre from both ends, so, first utricule H21 and second utricule H22 can be at extrusion in-process radial expansion, further support and hold the inner wall at the pharynx, this kind of regulative mode, only need control inner tube 101 and outer tube 102 between the distance of relative motion can, control accuracy is high, can realize the regulation of small range, and with the help of the regulation of small range, both can ensure that gasbag extension piece supports with the pharynx and holds fixedly reliable, can avoid too big the patient that causes of pressure not or cause the damage scheduling problem to the pharynx again.
In one embodiment of the present invention, the outer layer membrane 202 further comprises a first pressure standby portion 203, the first pressure standby portion 203 is connected between the first expansion portion 2021 and the one end of the inner layer membrane 201, and a first pressure standby capsule body H23 is defined between the first pressure standby portion 203 and the inner layer membrane 201; the first pre-pressurized balloon H23 communicates with the first balloon H21, and the diameter of the first pre-pressurized balloon H23 is smaller than the diameter of the first balloon H21.
Correspondingly, the outer-layer membrane 202 further comprises a second pressure-preparing part 204, the second pressure-preparing part 204 is connected between the second expansion part 2022 and the other end of the inner-layer membrane 201, and a second pressure-preparing capsule body H24 is defined between the second pressure-preparing part 204 and the inner-layer membrane 201; the second pre-pressurized balloon H24 communicates with the second balloon H22, and the diameter of the second pre-pressurized balloon H24 is smaller than the diameter of the second balloon H22.
That is, the balloon-expanding member 20 has a first pressure-preparing portion 203 and a second pressure-preparing portion 204 at both ends thereof, and a first pressure-preparing balloon H23 and a second pressure-preparing balloon H24 inside thereof, respectively, the first pressure-preparing balloon H23 communicating with the first balloon H21, and the second pressure-preparing balloon H24 communicating with the second balloon H22.
When outer tube 102 and inner tube 101 slide relatively, first pressure-preparation balloon H23 and second pressure-preparation balloon H24 are compressed, and the gas inside flows into first balloon H21 and second balloon H22 in the middle, so that first balloon H21 and second balloon H22 are inflated, in other words, by using first pressure-preparation balloon H23 and second pressure-preparation balloon H24, it is ensured that first balloon H21 and second balloon H22 can be inflated stably and reliably during small-amplitude inflation adjustment, and the shapes of first balloon H21 and second balloon H22 in the axial direction become small, so that the contact area between first balloon H21 and second balloon H22 and the pharynx does not change greatly due to axial deformation.
In one embodiment of the present invention, the proximal end of the inner tube 101 has a first stop edge 1011 protruding radially outward, the distal end of the outer tube 102 has a second stop edge 1021 protruding radially outward, and the balloon extender 20 is sandwiched between the first stop edge 1011 and the second stop edge 1021.
In this embodiment, the balloon-expanding member 20 is disposed between the first blocking edge 1011 and the second blocking edge 1021, the first blocking edge 1011 is located at the proximal end of the inner tube 101, the second blocking edge 1021 is located at the proximal end of the outer tube 102, when the inner tube 101 slides relative to the outer tube 102, the first blocking edge 1011 and the second blocking edge 1021 slide relative to each other, and when the first blocking edge 1011 and the second blocking edge 1021 approach each other, both ends of the balloon-expanding member 20 can be squeezed, so that the gas in the first pressure-prepared balloon H23 and the second pressure-prepared balloon H24 flows into the first balloon H21 and the second balloon H22, thereby achieving micro-adjustment of the expansion of the first balloon H21 and the second balloon H22, which is a manner of squeezing the balloon-expanding member 20 by using the relative movement of the first blocking edge 1011 and the second blocking edge 1021, wherein the squeezing is stable and reliable, linear, and is favorable for adjustment control.
In one embodiment of the present invention, a rotation adjusting member 50 is further included, the rotation adjusting member 50 is pivotally disposed on the engaging member 30 about its axis, and the rotation adjusting member 50 has a threaded hole.
The distal end of the inner tube 101 has an external thread 1012 matching with the threaded hole, the proximal end of the rotation adjusting member 50 is abutted against the distal end of the outer tube 102, and when the rotation adjusting member 50 rotates, the outer tube 102 is pushed by the rotation adjusting member 50 to slide relative to the inner tube 101.
In this embodiment, the knob adjusting member is in threaded fit with the distal end of the inner tube 101, and the proximal end of the knob adjusting member abuts against the distal end of the outer appearance, and by rotating the knob adjusting member, the knob adjusting member can move axially along the inner tube 101, and when the knob adjusting member moves, thrust can be generated at the distal end of the outer tube 102, so that the outer tube 102 and the inner tube 101 are forced to slide relatively, and thus, the balloon expansion member 20 can be adjusted in a small range. The rotary adjustment mode of the knob adjusting piece is adopted, so that the adjustment precision is high, the range is wide, and the operation is convenient.
In one example of the present invention, bite piece 30 has a pivot hole. The rotation adjusting member 50 includes a rod portion 501 and a knob portion 502, the rod portion 501 is inserted into the pivot hole and can pivot around its axis, the threaded hole is formed in the rod portion 501, the proximal end of the rod portion 501 abuts against the distal end of the outer tube 102, and the knob portion 502 is disposed at the distal end of the rod portion 501 and abuts against one side of the engaging member 30 away from the proximal end of the rod portion 501.
During adjustment operation, the knob portion 502 is only required to be held to rotate, the knob portion 502 can drive the rod portion 501 to rotate, the rod portion 501 is in threaded fit with the distal end of the inner tube 101, and when the rod portion 501 is in threaded fit with the distal end of the inner tube 101, the outer tube 102 and the inner tube 101 are pushed by the rod portion 501 to slide relatively when the rod portion is rotated, so that operation is very convenient.
In one embodiment of the present invention, the engaging member 30 includes an inner tooth blocking plate 301, an outer tooth blocking plate 302 and a connecting portion 303 connected between the inner tooth blocking plate 301 and the outer tooth blocking plate 302, wherein an engaging gap X30 for teeth to be engaged is defined between the inner tooth blocking plate 301 and the outer tooth blocking plate 302, and the pivot hole penetrates through the inner tooth blocking plate 301 after the outer tooth blocking plate 302 passes through the connecting portion 303. When the tooth-fixing device is used, teeth are occluded in an occlusion gap X30 between the tooth inner barrier 301 and the tooth outer barrier 302, occlusion is convenient, and fixation is reliable after occlusion.
In one embodiment of the present invention, the inflation assembly 40 comprises an inflation tube 402 and a squeeze inflation ball 401, wherein one end of the inflation tube 402 is connected to the balloon-expanding member 20, and the other end of the inflation tube 402 is connected to the squeeze inflation ball 401 after passing through the engagement member 30, so that the balloon-expanding member 20 can be inflated by manually squeezing the squeeze inflation ball 401, and the operation is convenient.
In the description herein, references to the description of the term "one embodiment," "some embodiments," "an example," "a specific example," or "some examples," etc., mean that a particular feature, structure, material, or characteristic described in connection with the embodiment or example is included in at least one embodiment or example of the invention. In this specification, the schematic representations of the terms used above are not necessarily intended to refer to the same embodiment or example. Furthermore, the particular features, structures, materials, or characteristics described may be combined in any suitable manner in any one or more embodiments or examples. Furthermore, various embodiments or examples and features of different embodiments or examples described in this specification can be combined and combined by one skilled in the art without contradiction.
The above description is only a preferred embodiment of the present invention, and is not intended to limit the scope of the present invention, and all modifications and equivalents of the present invention, which are made by the contents of the present specification and the accompanying drawings, or directly/indirectly applied to other related technical fields, are included in the scope of the present invention.