CN105232194A - Remover for pulling double-J catheter out of male body - Google Patents
Remover for pulling double-J catheter out of male body Download PDFInfo
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- CN105232194A CN105232194A CN201510663602.XA CN201510663602A CN105232194A CN 105232194 A CN105232194 A CN 105232194A CN 201510663602 A CN201510663602 A CN 201510663602A CN 105232194 A CN105232194 A CN 105232194A
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- flexible pipe
- seal wire
- pliers
- pipe
- inner sleeve
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Abstract
The invention discloses a remover for pulling a double-J catheter out of a male body. The remover comprises a meshed basket, openable forceps, an outer silicon rubber hose, an inner silicon rubber hose, a bendable elastic guide wire, operating handles and a tail-end operating rod. The forceps are mounted at the front end of the outer hose and in linkage with the operating handles, the inner hose is embedded in the outer hose, the rear section of the inner hose is exposed outside, the meshed basket is arranged at the front end of the inner hose, and the tail-end operating rod is plugged to the tail end of the inner hose. The bendable elastic guide wire is arranged in the inner hose, one end of the bendable elastic guide wire is connected with a guide wire of the meshed basket, and the other end of the bendable elastic guide wire is connected with the tail-end operating rod. The remover for pulling the double-J catheter out of the male body has the advantages of structural ingenuity, convenience in operation and easiness in popularization and utilization.
Description
Technical field
The invention belongs to clinical medicine medical instruments field, relate to a kind of extractor being applicable to pull out double J pipe in males.
Background technology
Double J pipe has another name called ureter rack tube, double pigtail catheter or D-J pipe, applies very extensive in urological surgery.Be applicable in the therapeutic process such as expansion of the Upper urinary tract operation such as renal calculus, ureteral calculus, hydronephrosis, renal transplantation, kidney and ureter benign tumor and lithotrite rubble, stricture of ureter.It can play drainage of urine after implanting ureter, prevent the important function of stricture of ureter and adhesion blocking.The double J pipe of all indwellings all needs to pull out after certain time limit, pull out double J pipe method at present and be mainly cystoscope, but cystoscope operating condition is higher, section office need special Cystoscopy Room, and operating theater instruments, operation table, sterilizing equipment decontaminating apparatus will be equipped with, and the doctor that need operate and nurse.A lot of civilian hospital does not possess special Cystoscopy Room.In addition, for patient, under cystoscope, tube drawing costly.
Summary of the invention
technical problem:the invention provides a kind of construct exquisiteness, easy to operate, reduce double J pipe extractor in cost, convenient and safe males.
technical scheme:double J pipe extractor in males of the present invention, comprise mesh basket, can the pliers of opening and closing, the overcoat flexible pipe of silica gel matter, the inner sleeve flexible pipe of silica gel matter, flexible elasticity seal wire, operating grip and tail end action bars, described pliers is arranged on the front end of overcoat flexible pipe, and link with operating grip, described inner sleeve flexible pipe is nested in overcoat flexible pipe, the back segment of inner sleeve flexible pipe is outside exposed, mesh basket is arranged on the front end of inner sleeve flexible pipe, tail end action bars plug is at the tail end of inner sleeve flexible pipe, described elastic bendable seal wire is arranged in inner sleeve flexible pipe, elastic bendable seal wire one end is connected with the seal wire of mesh basket, the other end is connected with tail end action bars.
Further, in apparatus of the present invention, described overcoat flexible pipe inside middle portion is provided with annular projection, and the front end outer side of described inner sleeve flexible pipe is provided with the rounded tabs corresponding with annular projection, can locate after inner sleeve flexible pipe suction overcoat flexible pipe.
Further, in apparatus of the present invention, described pliers and operating grip are respectively by being pivotally mounted on overcoat flexible pipe, operating grip is connected by bifilar seal wire and controls pliers, the inside edge of described overcoat flexible pipe is provided with duct, and bifilar seal wire is all laid in duct, and wherein external control seal wire one end passes from overcoat flexible pipe front end one aperture, outside pliers, tractive makes it open, and internal control seal wire makes it close in inner tractive pliers; The external control seal wire other end is to arrange around thorny handle wheel shaft counterclockwise, the internal control seal wire other end is to arrange around thorny handle wheel shaft clockwise, during handle abduction, external control seal wire tightens tractive, and internal control seal wire loosens, and pliers is opened, time receiving in handle, internal control seal wire tightens tractive, and external control seal wire loosens, and pliers is drawn in.
Further, in apparatus of the present invention, described pliers is two semi-cylindricals, in cylindric after closing up, the built-in latch of pliers, when entirety is closed up, latch can not touch mesh basket, and when mesh basket is with double J pipe, then pliers can firm grip mesh basket together with seal wire.
Apparatus of the present invention can replace double J pipe in traditional cystoscope gripping males, does not need in Cystoscopy Room operation, can people's complete independently, easy to operate.
In this males, the operating procedure of double J pipe extractor is:
(1) operate identical with cystoscope before operation, allow patient take plain abdominal radiograph, determine double J pipe position, get rid of double J pipe and slip into the medium special circumstances of ureter.
(2) during operation, patient lies low, both legs flexing abduction, and routine disinfection also, after penis of sterilizing, spreads aseptic towel.
(3) pipe extractor is smeared paraffin oil, insert urethra and enter bladder (the similar routine of process plugs in catheter), with reference to 20cm place graduation mark, when seeing that urine flows out from two side handles, continue to enter 3-5cm.
(4), after entering, with two side handle opening clamp, and pipe extractor of drawing back is obstructed to gently drawing, and now pliers is stuck in urethra and bladder joint.
(5) by promoting tail handle, the clamping apparatus of activity is ejected, and promote gently until there is obvious resistance (because there is rubber head end mesh basket front end, can not tissue be injured).
(6) pull tail end handle after fixing inner sleeve flexible pipe, open mesh basket.
(7) a little after left rotation and right rotation mesh basket, tighten up mesh basket, then fix two side handles and to pull back inner sleeve flexible pipe, until obvious resistance.
(8) close pliers and clamp, pipe extractor entirety is taken out.
beneficial effect:compared with prior art, the present invention has the following advantages:
(1) tradition uses cystoscope to pull out patient's double J pipe and need to be equipped with special Cystoscopy Room, and need special doctor, nurse operates, also need a whole set of disinfection apparatus, cystoscope apparatus and display device etc., require higher to operating condition; In addition, the cystoscope operating time is long, needs a whole set of cystoscope to operate, and as mirror of sterilizing, get, anesthesia, slotting mirror, look for double J pipe, tube drawing etc., and centre constantly needs nurse to assist, operating procedure is many, the time is longer.But with after the present invention, can simplify the operation step greatly, medical personnel at more than ten minutes end of operations, can effectively avoid the waste of medical resource, cystoscope are used for the real cystoscopic patient of needs;
(2) traditional cystoscope tube drawing is higher to conditional request, and a lot of civilian hospital there is no cystoscope condition, and thus a lot of needs of patients is gone to a doctor to relative large hospital, and increase large hospital is gone to a doctor pressure;
(3) the present invention is easy to operate, is convenient to popularize, especially basic unit not possess hospital's demand of Cystoscopy Room large;
(4) the present invention constructs exquisiteness, and cost reduces greatly relative to cystoscope, traditional cystoscope tube drawing four or five hundred yuan easily, and uses the cost that The present invention reduces patient.
Accompanying drawing explanation
Fig. 1 is the structural representation of the present invention when working.
Fig. 2 is the plan structure schematic diagram of the present invention when closing up.
Fig. 3 is the structural representation of the present invention when closing up.
Fig. 4 is head end pliers regulation and control figure of the present invention.
Have in figure: 1. mesh basket, 2. rubber head end, 3. rounded tabs, 4. pliers, 5. latch, 6. elasticity seal wire, 7. annular projection, 8. inner sleeve flexible pipe, 9. operating grip, 10. tail end action bars, overcoat flexible pipe 11.
Detailed description of the invention
Below in conjunction with Figure of description and embodiment, the invention will be further described.
As shown in Figure 1, in embodiments of the invention, in males, double J pipe extractor mainly comprises as lower component:
1. mesh basket, is similar to " calculus catching net-like means " of getting calculus, collapsible in strip, total length 5cm during contraction, the shortest about 3cm when opening.After be compiled in seal wire, seal wire is placed in tubule (inner sleeve flexible pipe leading portion), and capillary diameter is about 1.5mm, and seal wire leading portion connects netted net silk, and is connected with tail end action bars, and the handle by afterbody regulates.
2. rubber head end is taper shape, is positioned at mesh basket front end, can prevent from entering damaged tissue after bladder; And when entirety is closed up, the head of rubber head end and pincers coincide, and is beneficial to insertion urethra.
3. rounded tabs, be positioned at mesh basket back segment and inner sleeve flexible pipe 8 connecting place, diameter is about 3mm, when entirety is closed up, can be blocked, can not skid off backward by the annular projection 7 of overcoat flexible pipe 11 inside.
4. pliers, in two semi-cylindricals, in cylindric after closing up, length is about 2cm.The built-in latch of pliers, can not contact mesh basket when entirety is closed up, and when mesh basket is with double J pipe, then pliers can firm grip mesh basket together with double J pipe.The handle of leading portion sleeve pipe two sides of tail regulates the opening and closing of pliers 4 by the hard seal wire 6 arranged in overcoat flexible pipe.
5. latch, is positioned at inside pliers, can increase insert frictional force.
6. elasticity seal wire, the handle of leading portion sleeve pipe two sides of tail regulates the opening and closing of pliers by the seal wire that sleeve side walls hole is built-in.
7. annular projection, for blocking the catch of mesh basket back segment.Be positioned at distance overcoat flexible pipe 11 head end 5cm place herein, outside overcoat flexible pipe 11, have labelling, reference during for entering urethra.
8. inner sleeve flexible pipe, connects the tubule of built-in seal wire.
9. operating grip, controls the opening and closing of pliers by flexible elasticity seal wire 6.
10. tail end action bars, connect the seal wire that netted net silk is compiled in, afterbody has operating grip.
Main body of the present invention is made up of three sections of sleeve pipes, and head end has pliers 4, and afterbody has three place's ring-type handles, built-in adjustable mesh basket.When it draws in, leading portion is cylindric, and total length is about 32cm, and diameter is about 6mm.Sleeve pipe is divided into three parts, on head end 20cm place facial canal wall, having scale, inserts male urethra reference herein for during operation.The built-in mobilizable clamping apparatus of sleeve pipe, anterior mesh basket 1 is similar to " calculus catching net-like means " of getting calculus, in netted, collapsible in strip, total length 5cm during contraction, the shortest about 3cm when opening.Its front end, by a conical rubber head end 2, can prevent from entering damaged tissue after bladder; And when entirety is closed up, rubber head end 2 coincide with the head of pliers 4, is beneficial to insertion urethra.Mesh basket 1 back segment and self-regulation sleeve pipe connecting place have a rounded tabs 3, and diameter is about 3mm, when entirety is closed up, can be blocked, can not skid off backward by ring-type bossing 7 in leading portion sleeve pipe.Head end pliers rear portion is the inner sleeve flexible pipe 8 of built-in elastic seal wire 6, and inner sleeve flexible pipe 8 diameter is about 1.5mm, and elasticity seal wire 6 leading portion connects the twine of mesh basket 1, and is connected with tail end action bars 10, and the operating grip by afterbody regulates the opening and closing of mesh basket 1; Mesh basket 1 moving forward and backward in overcoat flexible pipe 11 is realized by regulating inner sleeve flexible pipe 8.Pliers 4 is in two semi-cylindricals, and in cylindric after closing up, length is about 2cm, and overcoat flexible pipe 11 two sides of tail has the opening and closing of operating grip 9 scalable pliers.The built-in latch 5 of pliers, just can not touch mesh basket 1, and when mesh basket 1 is with double J pipe, then pliers 4 can firm grip mesh basket 1 when entirety is closed up.The operating grip 9 of overcoat flexible pipe 11 two sides of tail regulates the opening and closing of pliers 4 by elastic bendable seal wire 6.
Above-described embodiment is only the preferred embodiment of the present invention; be noted that for those skilled in the art; under the premise without departing from the principles of the invention; some improvement and equivalent replacement can also be made; these improve the claims in the present invention and are equal to the technical scheme after replacing, and all fall into protection scope of the present invention.
Claims (4)
1. double J pipe extractor in a males, it is characterized in that, this extractor comprises mesh basket (1), can the pliers (4) of opening and closing, the overcoat flexible pipe (11) of silica gel matter, the inner sleeve flexible pipe (8) of silica gel matter, flexible elasticity seal wire (6), operating grip (9) and tail end action bars (10), described pliers (4) is arranged on the front end of overcoat flexible pipe (11), and link with operating grip (9), described inner sleeve flexible pipe (8) is nested in overcoat flexible pipe (11), the back segment of inner sleeve flexible pipe (8) is outside exposed, mesh basket (1) is arranged on the front end of inner sleeve flexible pipe (8), the tail end of tail end action bars (10) plug in inner sleeve flexible pipe (8), described elasticity seal wire (6) is arranged in inner sleeve flexible pipe (8), elasticity seal wire (6) one end is connected with the seal wire of mesh basket (1), the other end is connected with tail end action bars (10).
2. double J pipe extractor in males according to claim 1, it is characterized in that, described overcoat flexible pipe (11) inside middle portion is provided with annular projection (7), the front end outer side of described inner sleeve flexible pipe (8) is provided with the rounded tabs (3) corresponding with annular projection (7), can locate afterwards at inner sleeve flexible pipe (8) suction overcoat flexible pipe (11).
3. double J pipe extractor in women's body according to claim 1, it is characterized in that, described pliers (4) and operating grip (9) are respectively by being pivotally mounted on overcoat flexible pipe (11), operating grip (9) is connected by bifilar seal wire and controls pliers (4), the inside edge of described overcoat flexible pipe (11) is provided with duct, described bifilar seal wire is all laid in duct, wherein external control seal wire (12) one end passes from overcoat flexible pipe (11) front end one aperture, in pliers (4) outside, tractive makes it open, internal control seal wire (13) makes it close in inner tractive pliers, external control seal wire (12) other end is to arrange around thorny handle wheel shaft counterclockwise, internal control seal wire (13) other end is to arrange around thorny handle wheel shaft clockwise, during handle abduction, external control seal wire (12) tightens tractive, and internal control seal wire (13) loosens, and pliers (4) is opened, time receiving in handle, internal control seal wire (13) tightens tractive, and external control seal wire (12) loosens, and pliers (4) is drawn in.
4. double J pipe extractor in the women's body according to claim 1,2 or 3, it is characterized in that, described pliers (4) is in two semi-cylindricals, in cylindric after closing up, pliers (4) built-in latch (5), when entirety is closed up, latch (5) can not touch mesh basket, and when mesh basket is with double J pipe, then pliers (4) can firm grip mesh basket.
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CN201510663602.XA CN105232194B (en) | 2015-10-15 | 2015-10-15 | Double J pipe extractor in a kind of males |
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CN201510663602.XA CN105232194B (en) | 2015-10-15 | 2015-10-15 | Double J pipe extractor in a kind of males |
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CN105232194A true CN105232194A (en) | 2016-01-13 |
CN105232194B CN105232194B (en) | 2018-06-29 |
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Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN108836587A (en) * | 2018-05-16 | 2018-11-20 | 张晨辉 | A kind of dedicated extractor of ureter rack tube |
CN110974499A (en) * | 2019-12-31 | 2020-04-10 | 孙祯 | Expandable ureteral stent |
Citations (8)
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US20090018523A1 (en) * | 2005-05-20 | 2009-01-15 | Neotract, Inc. | Devices, systems and methods for treating benign prostatic hyperplasia and other conditions |
CN201642264U (en) * | 2010-05-19 | 2010-11-24 | 郐占波 | Bronchus foreign body clamp |
CN202060921U (en) * | 2011-05-16 | 2011-12-07 | 上海市杨浦区中心医院 | Loop type remover for double J-shaped pipes |
CN202437950U (en) * | 2012-02-10 | 2012-09-19 | 夏生俊 | Double-cannula double-J tube |
CN202654270U (en) * | 2012-03-30 | 2013-01-09 | 景德善 | Noninvasive pipe extractor for support pipe in ureter |
CN203749527U (en) * | 2014-03-10 | 2014-08-06 | 谷军飞 | Ring sleeve type double-J pipe removing device |
CN204520868U (en) * | 2015-01-29 | 2015-08-05 | 深圳市康医博科技发展有限公司 | A kind of Wicresoft expansion two-chamber ureter guiding sheath external member |
CN205073482U (en) * | 2015-10-15 | 2016-03-09 | 江苏省肿瘤医院 | Ware is pulled out to internal pair of J pipe of male sex |
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2015
- 2015-10-15 CN CN201510663602.XA patent/CN105232194B/en active Active
Patent Citations (8)
Publication number | Priority date | Publication date | Assignee | Title |
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US20090018523A1 (en) * | 2005-05-20 | 2009-01-15 | Neotract, Inc. | Devices, systems and methods for treating benign prostatic hyperplasia and other conditions |
CN201642264U (en) * | 2010-05-19 | 2010-11-24 | 郐占波 | Bronchus foreign body clamp |
CN202060921U (en) * | 2011-05-16 | 2011-12-07 | 上海市杨浦区中心医院 | Loop type remover for double J-shaped pipes |
CN202437950U (en) * | 2012-02-10 | 2012-09-19 | 夏生俊 | Double-cannula double-J tube |
CN202654270U (en) * | 2012-03-30 | 2013-01-09 | 景德善 | Noninvasive pipe extractor for support pipe in ureter |
CN203749527U (en) * | 2014-03-10 | 2014-08-06 | 谷军飞 | Ring sleeve type double-J pipe removing device |
CN204520868U (en) * | 2015-01-29 | 2015-08-05 | 深圳市康医博科技发展有限公司 | A kind of Wicresoft expansion two-chamber ureter guiding sheath external member |
CN205073482U (en) * | 2015-10-15 | 2016-03-09 | 江苏省肿瘤医院 | Ware is pulled out to internal pair of J pipe of male sex |
Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN108836587A (en) * | 2018-05-16 | 2018-11-20 | 张晨辉 | A kind of dedicated extractor of ureter rack tube |
CN110974499A (en) * | 2019-12-31 | 2020-04-10 | 孙祯 | Expandable ureteral stent |
CN110974499B (en) * | 2019-12-31 | 2021-07-09 | 孙祯 | Expandable ureteral stent |
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