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CN202637201U - Urethral insertion system for biodegradable urethral stent - Google Patents

Urethral insertion system for biodegradable urethral stent Download PDF

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Publication number
CN202637201U
CN202637201U CN 201120432901 CN201120432901U CN202637201U CN 202637201 U CN202637201 U CN 202637201U CN 201120432901 CN201120432901 CN 201120432901 CN 201120432901 U CN201120432901 U CN 201120432901U CN 202637201 U CN202637201 U CN 202637201U
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urethral
biodegradable
stent
push rod
urethral stent
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符伟军
胡堃
甘少磊
李刚
任卫卫
孙圣坤
肖文
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BEIJING BOENKANG BIOTECHNOLOGY Co Ltd
Chinese PLA General Hospital
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BEIJING BOENKANG BIOTECHNOLOGY Co Ltd
Chinese PLA General Hospital
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Abstract

一种用于生物可降解尿道支架的尿道置入系统,由带有闭孔器的膀胱镜鞘作为套管,硬质膀胱镜芯作为中心滑杆,与月牙形硬质薄片,推杆,膜状镜桥和生物可降解尿道支架搭配组成,该置入系统的特点是:①可将生物可降解尿道支架准确置入尿道狭窄部位,②手术时只需一次插入,操作简便,减少病患痛苦,③结构简单,成本低。

Figure 201120432901

A urethral insertion system for a biodegradable urethral stent, consisting of a cystoscope sheath with an obturator as a cannula, a rigid cystoscope core as a central slide, and crescent-shaped rigid sheets, push rods, membranes It is composed of mirror bridge and biodegradable urethral stent. The characteristics of this insertion system are: ①The biodegradable urethral stent can be accurately placed in the stricture of the urethra; , ③ simple structure, low cost.

Figure 201120432901

Description

一种用于生物可降解尿道支架的尿道置入系统Urethral implantation system for biodegradable urethral stent

一、  技术领域 1. Technical field

本实用新型涉及一种用于生物可降解尿道支架的尿道置入系统,属于医疗器械领域。  The utility model relates to a urethral insertion system for a biodegradable urethral support, which belongs to the field of medical instruments. the

二、  背景技术 2. Background technology

尿道狭窄是一种常见的泌尿系统疾病,狭窄可能继发感染,形成尿道憩室,尿道周围炎,前列腺或附睾睾丸炎,如果尿流梗阻长期不能解除,最终可致肾积水,肾功能损害出现尿毒症。尿道狭窄的临床治疗方法可分为非手术治疗和手术治疗,其中尿道支架置入术已经成为治疗各种尿道狭窄梗阻的有效手段,尤其适合因前列腺良性增生导致的尿潴流、尿道梗阻。目前尿道支架按照原材料的不同,可以分为不锈钢尿道支架、合成纤维硅胶尿道支架、镍钛合金尿道支架和生物可降解尿道支架。通常不同的尿道支架,必须配备不同的尿道置入系统。生物可降解尿道支架以聚乳酸为基本材料制作,在使用过程中可以降解,因此无需二次手术取出,大大降低了病患的痛苦,代表了尿道支架的发展方向。但是目前还没有专门用于该类生物可降解尿道支架的尿道置入系统,这是由于可降解尿道支架具有特殊的机械性能,不方便置入尿道。临床上多直接采用膀胱镜和活检钳操作,使用复杂,成功率低,给医患带来很多麻烦和痛苦。  Urethral stricture is a common urinary system disease. The stricture may be secondary to infection, forming urethral diverticulum, periurethral inflammation, prostate or epididymis orchitis. If the urinary flow obstruction cannot be relieved for a long time, it will eventually lead to hydronephrosis and renal function damage. uremia. The clinical treatment of urethral stricture can be divided into non-surgical treatment and surgical treatment, among which urethral stenting has become an effective means for the treatment of various urethral stricture obstruction, especially suitable for urinary retention and urethral obstruction caused by benign prostatic hyperplasia. At present, urethral stents can be divided into stainless steel urethral stents, synthetic fiber silicone urethral stents, nickel-titanium alloy urethral stents and biodegradable urethral stents according to different raw materials. Usually different urethral stents must be equipped with different urethral insertion systems. The biodegradable urethral stent is made of polylactic acid as the basic material and can be degraded during use, so there is no need for secondary surgery to remove it, which greatly reduces the pain of patients and represents the development direction of urethral stents. However, there is currently no urethral implantation system specifically for this type of biodegradable urethral stent, because the biodegradable urethral stent has special mechanical properties and is inconvenient to be placed in the urethra. In clinical practice, cystoscope and biopsy forceps are often used directly, which is complicated to use and has a low success rate, which brings a lot of trouble and pain to doctors and patients. the

三、  发明内容 3. Contents of the invention

本实用新型的目的在于提供一种用于生物可降解尿道支架的尿 道置入系统,该实用新型能够安全方便地将可降解尿道支架放置于准确的尿道狭窄处。  The purpose of the utility model is to provide a urethral implantation system for a biodegradable urethral stent, which can safely and conveniently place the degradable urethral stent in an accurate urethral stricture. the

为实现上述目的,本实用新型所采用的技术方案是:设计制作月牙形硬质薄片和推杆,推杆上带有刻度,月牙形硬质薄挡板固定在推杆前端,与推杆方向垂直,该推杆和月牙形硬质薄片用于推动或拖动生物可降解尿道支架;以膀胱镜为中心滑杆,将生物可降解尿道支架套在中心滑杆上;设计制作膜状镜桥,通过膜状镜桥将中心滑杆和推杆安装套配在一起,从而月牙形硬质薄挡板与中心滑杆能够贴合在一起;推杆可沿着中心滑杆轴向滑移,便于将生物可降解尿道支架在尿道狭窄处释放,并且方便调节定位;以膀胱镜鞘为套管,手术前,将上述推杆、中心滑杆、生物可降解尿道支架和膜状镜桥同时插入膀胱镜鞘中。  In order to achieve the above purpose, the technical solution adopted by the utility model is: design and manufacture crescent-shaped hard sheet and push rod, with scales on the push rod, crescent-shaped hard thin baffle plate fixed on the front end of the push rod, and push rod direction Vertical, the push rod and the crescent-shaped hard sheet are used to push or drag the biodegradable urethral stent; take the cystoscope as the center slide bar, and put the biodegradable urethra stent on the center slide bar; design and manufacture a membranous mirror bridge , the center sliding rod and the push rod are installed together through the membrane mirror bridge, so that the crescent-shaped hard thin baffle and the center sliding rod can fit together; the push rod can slide axially along the center sliding rod, It is convenient to release the biodegradable urethral stent at the urethral stricture, and it is convenient to adjust the positioning; the cystoscope sheath is used as the cannula, and the above-mentioned push rod, center sliding rod, biodegradable urethral stent and membranous mirror bridge are inserted at the same time before the operation in the cystoscope sheath. the

具体的讲,本实用新型是一种用于生物可降解尿道支架的尿道置入系统,由套管,中心滑杆,月牙形硬质薄片,推杆,膜状镜桥和生物可降解尿道支架组成,其中所述的套管为带有闭孔器的膀胱镜鞘,可以避免损伤尿道组织,所述的中心滑杆为硬质膀胱镜芯,既可用于准确寻找尿道狭窄部位,又可将生物可降解尿道支架固定在中心滑杆上,所述的月牙形硬质薄片为硬质金属薄片,强度高,不变形,一方面用于和中心滑杆侧面紧密接触,一方面可以通过旋转,进入生物可降解尿道螺旋结构内部,用于将生物可降解尿道沿中心滑杆方向轴向移动,所述的推杆为高强度金属丝,并采用类似活检钳结构,便于操作,杆部同时带有刻度,用于准确定位,所述的膜状镜桥采用TPU材 料制成,韧性高,弹性好,外径与所用膀胱镜鞘内径相等,膜状镜桥上带有两个孔,通透贯穿,分别用于固定推杆和中心滑杆,所述的生物可降解尿道支架为具有螺旋结构的聚乳酸尿道支架。  Specifically, the utility model is a urethral implantation system for a biodegradable urethral stent, which consists of a sleeve, a central sliding rod, a crescent-shaped hard sheet, a push rod, a membranous mirror bridge and a biodegradable urethral stent Composition, wherein the sleeve is a cystoscope sheath with an obturator, which can avoid damage to the urethral tissue, and the central sliding rod is a hard cystoscope core, which can be used to accurately find the urethral stricture and place the The biodegradable urethral stent is fixed on the central sliding rod. The crescent-shaped hard sheet is a hard metal sheet with high strength and no deformation. On the one hand, it is used for close contact with the side of the central sliding rod. Entering into the biodegradable urethra spiral structure, it is used to move the biodegradable urethra axially along the direction of the central sliding rod. The push rod is a high-strength metal wire, and adopts a structure similar to a biopsy forceps, which is easy to operate. There are scales for accurate positioning. The membranous mirror bridge is made of TPU material with high toughness and good elasticity. The outer diameter is equal to the inner diameter of the cystoscope sheath used. There are two holes on the membranous mirror bridge through which Penetrating through, respectively used to fix the push rod and the central sliding rod, the biodegradable urethral stent is a polylactic acid urethral stent with a helical structure. the

更进一步来讲,一种用于生物可降解尿道支架的尿道置入系统,其特征在于所述的膜状镜桥与所述的中心滑杆和推杆配合,固定在所述的套管内壁,所述的中心滑杆和推杆能够相互滑动,所述的月牙形硬质薄片勾住所述的生物可降解尿道支架,并能够随推杆滑动。  Furthermore, a urethral implantation system for a biodegradable urethral stent is characterized in that the membranous mirror bridge cooperates with the central sliding rod and push rod, and is fixed on the inner wall of the sleeve , the central sliding rod and the push rod can slide mutually, and the crescent-shaped hard sheet hooks the biodegradable urethral stent and can slide with the push rod. the

本实用新型具有以下特点:  The utility model has the following characteristics:

①专门用于将生物可降解尿道支架准确置入尿道狭窄部位。  ① It is specially used to accurately place the biodegradable urethral stent into the stricture of the urethra. the

②手术时只需一次插入,操作简便,减少病患痛苦。  ②It only needs to be inserted once during the operation, which is easy to operate and reduces the pain of patients. the

③结构简单,成本低。  ③Simple structure and low cost. the

四、  附图说明 4. Description of drawings

图 1是本实用新型的结构示意图;  Fig. 1 is a structural representation of the utility model;

图2是膜状镜桥的俯视图;  Fig. 2 is the top view of membranous mirror bridge;

图3 是中心滑杆和月牙形硬质薄片的俯视图。  Figure 3 is a top view of the center slider and the crescent-shaped hard sheet. the

五、  具体实施方式 5. Specific implementation

下面结合附图和实施例来进一步说明。  Further description will be given below in conjunction with the accompanying drawings and embodiments. the

参照图1,一种用于生物可降解尿道支架的尿道置入系统,采用单层套管的结构形式,组件包括套管5,中心滑杆3,月牙形硬质薄片1,推杆2,膜状镜桥4和生物可降解尿道支架6,其中套管5为带有闭孔器的膀胱镜鞘,中心滑杆3为硬质膀胱镜芯,既可用于准确寻找尿道狭窄部位,又可将生物可降解尿道支架固定在中心滑杆5 上,月牙形硬质薄片1和中心滑杆3侧面紧密接触,可以通过旋转,进入生物可降解尿道螺旋结构内部,用于将生物可降解尿道沿中心滑杆方向轴向移动,推杆2为高强度金属丝,采用类似活检钳结构,便于操作,推杆2同时带有刻度,用于准确定位,膜状镜桥4采用TPU材料制成,韧性高,弹性好,外径与套管5内径相等,膜状镜桥4上带有两个孔,通透贯穿,分别用于固定推杆2和中心滑杆3,生物可降解尿道支架6为具有螺旋结构的聚乳酸尿道支架。进行尿道支架置入术前,常规消毒生物可降解尿道支架的尿道置入系统,对患者进行局部或硬膜外麻醉,用膀胱镜检查狭窄情况,根据测量结果,选择适当规格的生物可降解尿道支架6。退出中心滑杆3,将生物可降解尿道支架6套在中心滑杆3上,然后与推杆2一起固定在膜状镜桥4上,其中月牙形硬质薄片1紧贴在中心滑杆3上,将该套件一起插入套管5内孔中,并在直视下放置生物可降解尿道支架并调整位置。  Referring to Figure 1, a urethral implantation system for a biodegradable urethral stent adopts the structure of a single-layer sleeve, and the assembly includes a sleeve 5, a central sliding rod 3, a crescent-shaped hard sheet 1, a push rod 2, The membranous mirror bridge 4 and the biodegradable urethral stent 6, wherein the sleeve 5 is a cystoscope sheath with an obturator, and the central sliding rod 3 is a hard cystoscope core, which can be used to accurately find the urethral stricture and The biodegradable urethral stent is fixed on the central sliding rod 5, the crescent-shaped hard sheet 1 is in close contact with the side of the central sliding rod 3, and can be rotated to enter the interior of the biodegradable urethral helical structure, and is used to place the biodegradable urethra along the The center slide bar moves axially. The push rod 2 is a high-strength metal wire, which adopts a structure similar to biopsy forceps, which is easy to operate. The push rod 2 also has a scale for accurate positioning. The membrane-shaped mirror bridge 4 is made of TPU material. High toughness, good elasticity, the outer diameter is equal to the inner diameter of the casing 5, and the membranous mirror bridge 4 has two holes, penetrating through, respectively used to fix the push rod 2 and the center sliding rod 3, biodegradable urethral stent 6 It is a polylactic acid urethral scaffold with a helical structure. Before the urethral stent implantation, the urethral implantation system of the biodegradable urethral stent is routinely disinfected, the patient is given local or epidural anesthesia, and the stricture is checked with a cystoscope. According to the measurement results, a biodegradable urethra with appropriate specifications is selected bracket6. Exit the center slide bar 3, put the biodegradable urethral stent 6 on the center slide bar 3, and then fix it together with the push rod 2 on the membranous mirror bridge 4, wherein the crescent-shaped hard sheet 1 is closely attached to the center slide bar 3 , insert the kit together into the inner hole of sleeve 5, and place the biodegradable urethral stent under direct vision and adjust the position. the

Claims (2)

1.一种用于生物可降解尿道支架的尿道置入系统,其特征在于由套管,中心滑杆,月牙形硬质薄片,推杆,膜状镜桥和生物可降解尿道支架组成,所述的套管为带有闭孔器的膀胱镜鞘,所述的中心滑杆为硬质膀胱镜芯,所述的月牙形硬质薄片为硬质金属片,所述的推杆为高强度金属丝,所述的膜状镜桥采用TPU材料制成,坚韧高弹,所述的生物可降解尿道支架为螺旋结构的聚乳酸尿道支架。 1. A urethral implantation system for a biodegradable urethral stent, characterized in that it consists of a sleeve, a central slide bar, a crescent-shaped hard sheet, a push rod, a membranous mirror bridge and a biodegradable urethral stent, the The cannula is a cystoscope sheath with an obturator, the central sliding rod is a hard cystoscope core, the crescent-shaped hard sheet is a hard metal sheet, and the push rod is a high-strength The metal wire, the membranous mirror bridge is made of TPU material, which is tough and highly elastic, and the biodegradable urethral stent is a helical polylactic acid urethral stent. 2.如权利要求1所述的用于生物可降解尿道支架的尿道置入系统,其特征在于所述的膜状镜桥与所述的中心滑杆和推杆配合,固定在所述的套管内壁,所述的中心滑杆和推杆能够相互滑动,所述的月牙形硬质薄片勾住所述的生物可降解尿道支架,并能够随推杆滑动。  2. The urethral implantation system for biodegradable urethral stents as claimed in claim 1, wherein said membranous mirror bridge cooperates with said central sliding rod and push rod, and is fixed on said sleeve. The inner wall of the tube, the central sliding rod and the push rod can slide against each other, and the crescent-shaped hard sheet hooks the biodegradable urethral stent and can slide with the push rod. the
CN 201120432901 2011-11-04 2011-11-04 Urethral insertion system for biodegradable urethral stent Expired - Lifetime CN202637201U (en)

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Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106714730A (en) * 2014-08-12 2017-05-24 布赖特沃特医疗公司 Systems and methods for coupling and decoupling a catheter
CN107684480A (en) * 2017-09-24 2018-02-13 江苏诺瑞思医疗器械有限公司 A kind of urethra rack and imbedding system
US9956100B2 (en) 2009-09-15 2018-05-01 Brightwater Medical, Inc. Systems and methods for coupling and decoupling a catheter
CN110691564A (en) * 2017-04-04 2020-01-14 马德琳·拉姆斯泰特 urethral device
US10695161B2 (en) 2008-09-15 2020-06-30 Merit Medical Systems, Inc. Convertible nephroureteral catheter
US12226327B2 (en) 2020-04-15 2025-02-18 Merit Medical Systems, Inc. Systems and methods for coupling and decoupling a catheter

Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10695161B2 (en) 2008-09-15 2020-06-30 Merit Medical Systems, Inc. Convertible nephroureteral catheter
US11439493B2 (en) 2008-09-15 2022-09-13 Merit Medical Systems, Inc. Convertible nephroureteral catheter
US9956100B2 (en) 2009-09-15 2018-05-01 Brightwater Medical, Inc. Systems and methods for coupling and decoupling a catheter
CN106714730A (en) * 2014-08-12 2017-05-24 布赖特沃特医疗公司 Systems and methods for coupling and decoupling a catheter
CN106714730B (en) * 2014-08-12 2019-04-16 布赖特沃特医疗公司 System and method for coupling and decoupling conduit
US10722391B2 (en) 2014-08-12 2020-07-28 Merit Medical Systems, Inc. Systems and methods for coupling and decoupling a catheter
US11931275B2 (en) 2014-08-12 2024-03-19 Merit Medical Systems, Inc. Systems and methods for coupling and decoupling a catheter
CN110691564A (en) * 2017-04-04 2020-01-14 马德琳·拉姆斯泰特 urethral device
CN107684480A (en) * 2017-09-24 2018-02-13 江苏诺瑞思医疗器械有限公司 A kind of urethra rack and imbedding system
US12226327B2 (en) 2020-04-15 2025-02-18 Merit Medical Systems, Inc. Systems and methods for coupling and decoupling a catheter

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