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CN203226804U - Anti-regurgitation spring type endoscopic wrapper - Google Patents

Anti-regurgitation spring type endoscopic wrapper Download PDF

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Publication number
CN203226804U
CN203226804U CN 201320173655 CN201320173655U CN203226804U CN 203226804 U CN203226804 U CN 203226804U CN 201320173655 CN201320173655 CN 201320173655 CN 201320173655 U CN201320173655 U CN 201320173655U CN 203226804 U CN203226804 U CN 203226804U
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main
air bag
catheter
spring
reflux
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王嘉锋
熊源长
许华
杨宇光
包睿
李金宝
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Second Military Medical University SMMU
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Second Military Medical University SMMU
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Abstract

本实用新型涉及医疗器械领域,本实用新型提供了一种防返流弹簧型内镜外套管,包括防咬型口圈(1)、主导管(2)、主导管密封圈(3)、充气气囊(5)、气囊通气管(6)、气囊阀门(7);主导管(2)的管壁中嵌有主导管弹簧圈(8)。患者在接受全身麻醉下行内镜检查和治疗时,使用本实用新型的防返流弹簧型内镜外套管能够预防胃内容物返流误吸导致吸入性肺炎等致命性意外事件,从而提高内镜麻醉的安全性。

The utility model relates to the field of medical equipment. The utility model provides an anti-backflow spring-type endoscopic overtube, which includes an anti-bite mouth ring (1), a main tube (2), a main tube sealing ring (3), an inflatable The airbag (5), the airbag vent tube (6), the airbag valve (7); the main conduit spring coil (8) is embedded in the pipe wall of the main conduit (2). When a patient undergoes endoscopic examination and treatment under general anesthesia, using the anti-reflux spring-type endoscopic overtube of the utility model can prevent fatal accidents such as aspiration pneumonia caused by reflux and aspiration of gastric contents, thereby improving endoscopic Safety of anesthesia.

Description

防返流弹簧型内镜外套管Anti-reflux spring type endoscopic overtube

技术领域technical field

本实用新型涉及医疗器械领域,尤其涉及一种防返流弹簧型内镜外套管。The utility model relates to the field of medical equipment, in particular to an anti-reflux spring type endoscopic overtube.

背景技术Background technique

患者在麻醉状态下接受胃镜等经口消化内镜检查和治疗存在一定的风险。这是由于食管口与气道口在咽喉部位相邻,正常清醒时由于咽喉部位受刺激会引起呛咳等反射,从而防止食管口涌出的胃液等呕吐物流入气道,而麻醉会消除这种反射。因此麻醉状态下接受经口胃镜等消化内镜检查和治疗时,患者可能面临误吸入胃液等消化道内容物从而引起吸入性肺炎等致命性的意外风险。目前临床上预防这一致命风险尚无特殊有效的方法,主要依赖于医生的操作经验和患者的禁食禁水,但这些都不能完全避免胃液和肠液返流误吸这一致命并发症的发生。目前也有利用内镜外套管设计食道封闭套囊来实现防返流的目的,但是存在以下缺点:普通软管设计可能会发生打折或受压从而导致内镜损坏以及套囊封闭不全;而硬性套管又可能导致食道损伤;同时套管无封闭性设计可能在内镜操作时打气时发生气体泄漏而影响操作。针对这些问题目前临床上也没有方便有效的解决措施。There are certain risks in patients undergoing gastroscopy and other oral digestive endoscopy and treatment under anesthesia. This is because the mouth of the esophagus and the mouth of the airway are adjacent to the throat. When the throat is stimulated when awake, it will cause reflexes such as choking and coughing, thereby preventing the vomit such as gastric juice gushing out of the mouth of the esophagus from flowing into the airway, and anesthesia will eliminate this phenomenon. reflection. Therefore, when receiving digestive endoscopic examination and treatment such as oral gastroscopy under anesthesia, patients may face the risk of aspiration pneumonia and other fatal accidents by aspiration of gastric juice and other digestive tract contents. At present, there is no special and effective method to prevent this fatal risk clinically, mainly relying on the doctor's operating experience and the patient's fasting and water deprivation, but these cannot completely avoid the fatal complication of gastric and intestinal fluid reflux and aspiration . At present, there is also an esophageal sealing cuff designed by using the endoscopic overtube to achieve the purpose of preventing reflux, but there are the following disadvantages: the ordinary hose design may be discounted or compressed, resulting in damage to the endoscope and incomplete closure of the cuff; The tube may cause damage to the esophagus; at the same time, the non-sealing design of the sleeve may cause gas leakage during endoscopic operation and affect the operation. At present, there is no convenient and effective solution to these problems clinically.

实用新型内容Utility model content

本实用新型的目的在于提供一种防返流弹簧型内镜外套管,来解决现有技术中提及的患者在内镜检查和治疗时会发生返流误吸、套管受压、食道损伤和气体泄漏等问题。The purpose of this utility model is to provide an anti-reflux spring-type endoscopic overtube to solve the problems mentioned in the prior art that reflux aspiration, sleeve compression, and esophageal damage may occur during endoscopic examination and treatment. and gas leaks.

为实现上述目的,本实用新型提供的技术方案是:In order to achieve the above object, the technical solution provided by the utility model is:

一种防返流弹簧型内镜外套管,包括防咬型口圈、主导管、主导管密封圈、充气气囊、气囊通气管、气囊阀门;An anti-reflux spring-type endoscopic overtube, including an anti-bite mouth ring, a main duct, a main duct sealing ring, an inflatable air bag, an air bag ventilation tube, and an air bag valve;

主导管密封圈位于主导管的远心端开口处;The sealing ring of the main pipe is located at the opening of the distal end of the main pipe;

充气气囊位于主导管的近心端开口上方,通过气囊通气管与主导管远心端的气囊阀门相连;The inflatable air bag is located above the opening of the proximal end of the main catheter, and is connected to the air bag valve at the distal end of the main catheter through the air bag ventilation tube;

主导管的管壁中嵌有主导管弹簧圈,长度为从主导管远心端开口至充气气囊处;A main catheter spring coil is embedded in the wall of the main catheter, and the length is from the opening of the distal end of the main catheter to the inflatable air bag;

主导管弹簧圈以硬质弹簧为宜,作用是避免充气气囊充气时压迫主导管或都主导管打折。It is advisable that the spring ring of the main guide tube is a hard spring, and the effect is to prevent the main guide tube from being pressed or folded when the inflatable air bag is inflated.

主导管的远心端开口处设置一个主导管口圈卡口,使主导管固定于防咬型口圈上。The opening of the distal end of the main conduit is provided with a bayonet ring for the main conduit, so that the main conduit is fixed on the anti-bite ring.

主导管为一软性套管,长度为19-22cm,内径15mm,外径18mm。The main catheter is a flexible sleeve with a length of 19-22cm, an inner diameter of 15mm, and an outer diameter of 18mm.

主导管密封圈为一可旋式结构,主导管密封圈的外径与主导管的内径相匹配,通过旋转螺纹固定于主导管上;The main pipe sealing ring is a rotatable structure, the outer diameter of the main pipe sealing ring matches the inner diameter of the main pipe, and is fixed on the main pipe by rotating threads;

主导管密封圈的中心开口约5mm为宜;较佳地开口处选用硬性橡胶。It is advisable that the central opening of the main pipe sealing ring is about 5 mm; preferably hard rubber is used for the opening.

本实用新型可根据胃镜规格和患者年龄与身材的不同制作不同的规格型号,以满足临床的需求。The utility model can produce different specifications and models according to the specifications of the gastroscope and the age and stature of patients, so as to meet the clinical needs.

本文中,提及的近端或近心端,为进入食管内的一端。提及的远端或远心端,为靠近口腔的一端。Herein, the proximal end or proximal end referred to is the end that enters the esophagus. The distal end or distal end referred to is the end near the oral cavity.

本实用新型的优点在于:患者在接受全身麻醉下进行内镜操作时,充气气囊充气后可避免胃内容物返流误吸;主导管弹簧圈的设置可避免导管打折或气囊充气时压迫导管引起导管内狭窄以及套囊封闭不全;主导管远端卡口有利于固定外套管于口圈上,避免外套管随胃镜进退而移位;主导管密封圈有利于减少胃镜操作充气时向上方泄露的气体量,以减少气体充入量,而需要吸引胃内容物时又可旋下主导管密封圈,从内镜外进行吸引,从而发挥防返流误吸、防导管移位、打折或狭窄以及防漏气等优势。The utility model has the advantages that: when the patient is undergoing endoscopic operation under general anesthesia, the inflatable air bag can avoid gastric content reflux and aspiration; Catheter inner stenosis and incomplete closure of the cuff; the bayonet at the distal end of the main catheter is conducive to fixing the outer cannula on the mouth ring, preventing the outer cannula from shifting with the advancement and retreat of the gastroscope; the sealing ring of the main catheter is conducive to reducing the upward leakage when the gastroscope is inflated Gas volume, in order to reduce the amount of gas filling, and when it is necessary to suck the contents of the stomach, the sealing ring of the main catheter can be unscrewed, and the suction can be performed from the outside of the endoscope, so as to prevent reflux and aspiration, prevent catheter displacement, discount or stenosis and Advantages such as anti-leakage.

患者在接受全身麻醉下行内镜检查和治疗时,使用本实用新型的防返流弹簧型内镜外套管能够预防胃内容物返流误吸导致吸入性肺炎等致命性意外事件,从而提高内镜麻醉的安全性。When patients undergo endoscopic examination and treatment under general anesthesia, using the anti-reflux spring-type endoscopic overtube of the present invention can prevent fatal accidents such as aspiration pneumonia caused by reflux and aspiration of gastric contents, thereby improving endoscopic Safety of anesthesia.

附图说明Description of drawings

图1为本实用新型结构示意图;Fig. 1 is the structural representation of the utility model;

其中:1防咬型口圈;2主导管;3主导管密封圈;4内镜;5充气气囊;6气囊通气管;7气囊阀门;8主导管弹簧圈;9主导管口圈卡口。Among them: 1 anti-bite mouth ring; 2 main tube; 3 main tube sealing ring; 4 endoscope; 5 inflatable air bag; 6 air bag vent tube; 7 air bag valve; 8 main tube spring ring;

具体实施方式Detailed ways

现结合实施例和附图,对本实用新型作进一步描述,但本实用新型的实施并不仅限于此。Now in conjunction with embodiment and accompanying drawing, the utility model is further described, but the implementation of the utility model is not limited thereto.

实施例1:Example 1:

如图1所示,一种防返流弹簧型内镜外套管,包括防咬型口圈1、主导管2、主导管密封圈3、充气气囊5、气囊通气管6、气囊阀门7;As shown in Figure 1, an anti-reflux spring-type endoscopic overtube includes an anti-bite mouth ring 1, a main duct 2, a main duct sealing ring 3, an inflatable air bag 5, an air bag ventilation tube 6, and an air bag valve 7;

主导管密封圈3位于主导管2的远心端开口处;The main conduit sealing ring 3 is located at the opening of the distal end of the main conduit 2;

充气气囊5位于主导管2的近心端开口上方,通过气囊通气管6与主导管远心端的气囊阀门7相连;The inflatable air bag 5 is located above the opening of the proximal end of the main catheter 2, and is connected to the air bag valve 7 at the distal end of the main catheter through the air bag ventilation tube 6;

主导管2的管壁中嵌有主导管弹簧圈8,长度为从主导管的远心端开口至充气气囊处;A main catheter coil 8 is embedded in the tube wall of the main catheter 2, and the length is from the opening of the distal end of the main catheter to the inflatable air bag;

主导管2的远心端开口处设置一个主导管口圈卡口9,使主导管2固定于防咬型口圈1上。The opening of the distal end of the main conduit 2 is provided with a main conduit collar bayonet 9 so that the main conduit 2 is fixed on the anti-bite collar 1 .

主导管2为一软性套管,长度设置为20cm,内径15mm,外径18mm。The main conduit 2 is a flexible sleeve with a length of 20 cm, an inner diameter of 15 mm, and an outer diameter of 18 mm.

实施例2:Example 2:

使用时,患者在接受全身麻醉前咬住防咬型口圈1,主导管2套在胃镜4外,将胃镜4从防咬型口圈1中置入口腔并沿口腔、咽部和食管进入胃,然后将主导管2沿胃镜4送入食管,利用主导管口圈卡口9将主导管2固定于防咬型口圈1上,以避免本实用新型的外套管随胃镜进退移位。When in use, the patient bites the anti-bite collar 1 before receiving general anesthesia, the main catheter 2 is set outside the gastroscope 4, and the gastroscope 4 is inserted into the oral cavity from the anti-bite collar 1 and enters along the oral cavity, pharynx and esophagus Stomach, then the main catheter 2 is sent into the esophagus along the gastroscope 4, and the main catheter 2 is fixed on the anti-bite type mouth ring 1 by using the main catheter collar bayonet 9, so as to avoid the outer tube of the present utility model from moving forward and backward with the gastroscope.

随后从气囊阀门7沿气囊通气管6充入气体至充气气囊5,从而封闭食管,防止胃内容物向上返流。Subsequently, gas is inflated from the balloon valve 7 along the balloon ventilation tube 6 to the inflatable balloon 5, thereby closing the esophagus and preventing upward reflux of gastric contents.

如有胃内容物向上返流可旋下主导管密封圈3,然后从主导管2内吸引胃内容物以避免返流物过多涌出或影响胃镜视野。If there is upward reflux of gastric content, the main catheter sealing ring 3 can be unscrewed, and then the gastric content can be sucked from the main catheter 2 to avoid excessive gushing of reflux or affecting the field of view of the gastroscope.

以上显示和描述了本实用新型的基本原理、主要特征和本实用新型的优点。本行业的技术人员应该了解,本实用新型不受上述实施例的限制,上述实施例和说明书中描述的只是说明本实用新型的原理,在不脱离本实用新型精神和范围的前提下本实用新型还会有各种变化和改进,这些变化和改进都落入要求保护的本实用新型范围内。本实用新型要求保护范围由所附的权利要求书及其等同物界定。The basic principles, main features and advantages of the present utility model have been shown and described above. Those skilled in the industry should understand that the utility model is not limited by the above-mentioned embodiments. The above-mentioned embodiments and descriptions only illustrate the principle of the utility model. The utility model does not depart from the spirit and scope of the utility model There will also be various changes and improvements, and these changes and improvements all fall within the scope of the claimed utility model. The scope of protection required by the utility model is defined by the appended claims and their equivalents.

Claims (3)

1.一种防返流弹簧型内镜外套管,其特征在于,它包括防咬型口圈(1)、主导管(2)、主导管密封圈(3)、充气气囊(5)、气囊通气管(6)、气囊阀门(7);1. An anti-reflux spring-type endoscopic overtube, characterized in that it includes an anti-bite mouth ring (1), a main catheter (2), a main catheter sealing ring (3), an inflatable air bag (5), an air bag Air pipe (6), air bag valve (7); 主导管密封圈(3)位于主导管(2)的远心端开口处;The main conduit sealing ring (3) is located at the opening of the distal end of the main conduit (2); 充气气囊(5)位于主导管2的近心端开口上方,通过气囊通气管(6)与主导管远心端的气囊阀门(7)相连;The inflatable air bag (5) is located above the opening of the proximal end of the main catheter 2, and is connected to the air bag valve (7) at the distal end of the main catheter through the air bag ventilation tube (6); 主导管(2)的管壁中嵌有主导管弹簧圈(8),长度为从主导管的远心端开口至充气气囊处;A main catheter spring coil (8) is embedded in the tube wall of the main catheter (2), and the length is from the opening of the distal end of the main catheter to the inflatable air bag; 主导管(2)的远心端开口处设置一个主导管口圈卡口(9),使主导管(2)固定于防咬型口圈(1)上。The opening of the distal end of the main conduit (2) is provided with a main conduit collar bayonet (9), so that the main conduit (2) is fixed on the anti-bite collar (1). 2.根据权利要求1所述的一种防返流弹簧型内镜外套管,其特征在于,主导管(2)为一软性套管,长度为19-22cm,内径15mm,外径18mm。2 . The anti-reflux spring-type endoscopic overtube according to claim 1 , wherein the main catheter ( 2 ) is a flexible sleeve with a length of 19-22 cm, an inner diameter of 15 mm, and an outer diameter of 18 mm. 3.根据权利要求1或2所述的一种防返流弹簧型内镜外套管,其特征在于,主导管密封圈(3)为一可旋式结构,主导管密封圈的外径与主导管(2)的内径相匹配,通过旋转螺纹固定于主导管上。3. An anti-reflux spring-type endoscopic overtube according to claim 1 or 2, characterized in that the main conduit sealing ring (3) is a rotatable structure, and the outer diameter of the main conduit sealing ring is the same as the main The inner diameter of the pipe (2) matches and is fixed on the main pipe by rotating the screw thread.
CN 201320173655 2013-04-09 2013-04-09 Anti-regurgitation spring type endoscopic wrapper Expired - Fee Related CN203226804U (en)

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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104998338A (en) * 2015-07-13 2015-10-28 张敏 Auxiliary air bag sleeve for gastroscopy
CN106073687A (en) * 2016-08-16 2016-11-09 江苏瑞上医疗器械有限公司 Anorectal intubates
CN110680263A (en) * 2019-11-08 2020-01-14 张强 Anti-drop, anti-leakage, anti-reflux, fixing and protecting device for endoscope
CN113349728A (en) * 2021-07-20 2021-09-07 中国人民解放军陆军特色医学中心 Universal adapter for urethra and bladder

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104998338A (en) * 2015-07-13 2015-10-28 张敏 Auxiliary air bag sleeve for gastroscopy
CN106073687A (en) * 2016-08-16 2016-11-09 江苏瑞上医疗器械有限公司 Anorectal intubates
CN110680263A (en) * 2019-11-08 2020-01-14 张强 Anti-drop, anti-leakage, anti-reflux, fixing and protecting device for endoscope
CN113349728A (en) * 2021-07-20 2021-09-07 中国人民解放军陆军特色医学中心 Universal adapter for urethra and bladder
CN113349728B (en) * 2021-07-20 2022-11-08 中国人民解放军陆军特色医学中心 Universal adapter for urethrocystoscope

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Granted publication date: 20131009

Termination date: 20160409