CN106073835A - Support of tunnel device under a kind of endoscopic mucosal - Google Patents

Support of tunnel device under a kind of endoscopic mucosal Download PDF

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Publication number
CN106073835A
CN106073835A CN201610391526.6A CN201610391526A CN106073835A CN 106073835 A CN106073835 A CN 106073835A CN 201610391526 A CN201610391526 A CN 201610391526A CN 106073835 A CN106073835 A CN 106073835A
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China
Prior art keywords
epitheca
support
device under
push rod
eyelid retractor
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CN201610391526.6A
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Chinese (zh)
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CN106073835B (en
Inventor
刘岩
闵敏
黎洁
张忠民
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Leo Medical Co ltd
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Changzhou Leo Medical Co Ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/0218Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

Support of tunnel device under a kind of endoscopic mucosal, it is characterised in that include head, skeleton, insulating barrier, afterbody, exhausting line, push rod, epitheca, epitheca handle, push pipe handle;Described head, skeleton, insulating barrier, afterbody constitute eyelid retractor body;Described exhausting line passes in by caudal skeleton silk gap;Described push rod, epitheca, epitheca handle, push pipe handle composition carrier;Described push rod is positioned at epitheca can be along axial-movement;Described eyelid retractor body is held in epitheca by pressure in advance, discharges the rear support completely out epitheca of device body, and eyelid retractor body returns back to original space multistory geometry;Described eyelid retractor body can be dragged tractive exhausting line by hook and withdraw from.Under endoscopic mucosal in decollement, when tunnel wall is cut, tunnel can effectively be supported by eyelid retractor, reduces the generation of the complication such as perforation, muscularis propria damage, improves excision efficiency.

Description

Support of tunnel device under a kind of endoscopic mucosal
Technical field
The present invention relates to a kind of medical apparatus and instruments, especially for the support of tunnel device peeled off under endoscopic mucosal.
Background technology
Under endoscopic mucosal, lift-off technology is by Gastrointestinal endoscope complete resection gastrointestinal, the important technology of esophagus early carcinomatous change.Its Technology ultimate principle is under Gastrointestinal Endoscopes guides, and injects liquid by entry needle in tela submucosa, makes mucosa and muscle layer separately, then Progressively separate tela submucosa by multiple electric knife, make the mucosa on surface completely strip from muscle layer.Tunneling technique is to peel off Technology conventional in art.Its method is to set up tunnel face respectively in the anus side of pathological changes and mouth side, then from mouth lateral anus side electric knife Progressively separating tela submucosa, and last and anus side opening is formed through tunnel, phased separation excises the tunnel wall of both sides the most again. The difficult point of this technology is that tunnel wall is subsided because of excision when the tunnel wall of last excision both sides;Simultaneously because of the table on top, tunnel Layer mucosa shrinks, and increases the weight of subsiding of tunnel, causes surgical field of view limited and affect excision efficiency, and some patients even results in muscle layer Damage and the complication such as perforation occur.
Summary of the invention
It is desirable to provide a kind of support of tunnel device peeled off under endoscopic mucosal.Decollement under endoscopic mucosal In, when tunnel wall is cut, tunnel can effectively be supported by eyelid retractor, reduces perforation, muscularis propria damage etc. concurrent The generation of disease, improves excision efficiency.
To achieve these goals, the technical solution adopted in the present invention is:
Support of tunnel device under a kind of endoscopic mucosal, by head, skeleton, insulating barrier, afterbody, exhausting line, push rod, epitheca, epitheca hands The part composition such as handle, push pipe handle.Wherein, head, skeleton, insulating barrier, afterbody constitute eyelid retractor body, eyelid retractor body profile There is the solid geometry body of inner hollow form for spheroidal or cylindric or diamond shaped etc..Several thread skeletons are from head Send to afterbody and terminate, and arrange radially press certain angle.Insulating barrier is coated on outside skeleton.Exhausting line is thread, is leaning on Caudal skeleton silk gap passes, and head and the tail connect formation one closed-loop structure.Push rod, epitheca, epitheca handle, push pipe handle Composition carrier.Wherein push rod is connected with push rod handle, and epitheca is connected with epitheca handle.Push rod is positioned at epitheca, push rod handle Drive push rod so that push rod in epitheca along axial-movement.
Eyelid retractor body is held in epitheca by pressure in advance, and partial head exposes epitheca, afterbody and push rod end contact, reclaims Line is accommodated in epitheca the most simultaneously.After release, the completely out epitheca of eyelid retractor body, eyelid retractor body launches, returns back to original Space multistory geometric shape.
Eyelid retractor body, after hours, uses the assistive device such as nipper, hook, drags tractive exhausting line by hook, will Eyelid retractor body is withdrawn from.
Described insulating layer material is that one or more in politef, polyethylene, nylon, pottery are combined.Performed the operation Needing in journey to use various types of electric knife, electric knife inevitably contacts with skeleton.Insulant it is coated with on skeleton, permissible Prevent tissue by accidental shock.Operation process electric knife can produce certain heat simultaneously, and the existence of insulating barrier can also be avoided Heat is delivered to tissue by skeleton, tissue thus the risk burnt.
Described skeleton quantity is 3,4,5,6.Skeleton quantity is the most, and support strength is the strongest, but operative space is the most aobvious simultaneously Not enough.So that set rational skeleton quantity.
Described framework material is that one or more in Nitinol, rustless steel, cobalt-base alloys are combined, and form is single Silk, or homogenous material multiply braided wires, or composite multiply braided wires.Skeleton needs to ensure certain support strength, simultaneously Need possess shape memory and recovery function.
Described exhausting line by head and the tail section tie a knot hot melt or glued joint connect into closed loop shape, material be polyethylene or Nylon or cotton or real silk or the monofilament of politef material or multiply braided wires.Exhausting line is thread, with propping up before using Support device body is incorporated in carrier, discharges carrier with eyelid retractor body in operation process.After operation terminates, permissible Use the assistive device such as nipper, hook to catch on exhausting line, eyelid retractor body is extracted.Thus exhausting line is the wire of closed-loop structure Thing, made of soft, simultaneously need to possess some strength.
Described skeleton and head and afterbody connected mode be weld, rivet, crimp, glued joint in one.Head and afterbody Being the two ends junction point of several thread skeleton, it is desirable to it is firm that each several part connects, method of attachment is easy.
Described push rod cross sectional shape be cylinder, annular, petal, petal tubular in one;When cross sectional shape is Petal or time petal is tubular, petal quantity is 2-8.Push rod material is politef or nylon or polyethylene or not The monofilament of rust steel matter or multiply braided wires.Push pipe is positioned in epitheca, and diameter is less;Simultaneously need to possess certain rigidity, can Eyelid retractor body is released epitheca.
Described head exposes sheath portion and has ball head profile or cylindrical head profile with rounded corners.Head is Big external diameter is 0-1mm with epitheca external diameter difference.Head portion is positioned at epitheca, part is positioned at outside epitheca.Head maximum outside diameter and Epitheca external diameter is consistent or slightly greater than it, it is ensured that after entering human body, epitheca edge will not highlight formation sharp edge scratch tissue.Enter When entering human body, for avoiding tissue to be scraped off, and for increasing steering capability, be positioned at apparatus front portion exposes head, also needs to be designed as Cylindrical outer shape spherical or with rounded corners.
Described sheath materials is the one in politef, nylon, polyethylene.Sheath materials requirement surface lubrication, Hot strength, bend resistance, non-deformability are good, require possess good biocompatibility simultaneously.
The invention has the beneficial effects as follows: the present invention is under endoscopic mucosal in decollement, when tunnel wall is cut, eyelid retractor Tunnel effectively can be supported, reduce the generation of the complication such as perforation, muscularis propria damage, improve excision efficiency.
Accompanying drawing explanation
In order to be illustrated more clearly that the embodiment of the present invention or technical scheme of the prior art, below will be to embodiment or existing In having technology to describe, the required accompanying drawing used is briefly described, it should be apparent that, the accompanying drawing in describing below is only this Some embodiments of invention, for those of ordinary skill in the art, on the premise of not paying creative work, it is also possible to Other accompanying drawing is obtained according to these accompanying drawings.
The present invention is further described with embodiment below in conjunction with the accompanying drawings.
Fig. 1 is population structure schematic diagram.
Fig. 2 is eyelid retractor body construction schematic diagram.
Fig. 3 is conveyer construction schematic diagram.
Fig. 4 is that eyelid retractor body is compressed the schematic diagram being filled in advance in carrier.
Fig. 5 is that eyelid retractor body is compressed head and epitheca position partial enlarged drawing when being filled in carrier in advance.
Fig. 6 is the schematic diagram of the completely out epitheca of eyelid retractor body.
Fig. 7 is skeleton quantity radial view when being 3 and 4.
Fig. 8 is push pipe cross sectional shape schematic diagram.
In figure: 1. head, 2. skeleton, 3. insulating barrier, 4. afterbody, 5. exhausting line, 6. push rod, 7. epitheca, 8. epitheca handle, 9. push rod handle, 10. eyelid retractor body.
Detailed description of the invention
Referring now to accompanying drawing, the invention will be further described.
As shown in figures 1 to 6, support of tunnel device under a kind of endoscopic mucosal, by head 1, skeleton 2, insulating barrier 3, afterbody 4, reclaims The part composition such as line 5, push rod 6, epitheca 7, epitheca handle 8, push pipe handle 9.Wherein, head 1, skeleton 2, insulating barrier 3, afterbody 4 Constituting eyelid retractor body 10, eyelid retractor body 10 profile is that spheroidal or cylindric or diamond shaped etc. have inner hollow shape The solid geometry body of state.Several thread skeletons 2 send to afterbody 4 from head 1 and terminate, and arrange radially press certain angle.Absolutely Edge layer 3 is coated on outside skeleton 2.Exhausting line 5 is thread, is passing in 2 gaps of skeleton of afterbody 4, and by head and the tail The mode of section knotting or hot melt or splicing forms a closed-loop structure.Push rod 6, epitheca 7, epitheca handle 8, push pipe handle 9 form Carrier, wherein push rod 6 is connected with push rod handle 9, and epitheca 7 is connected with epitheca handle 8.Push rod 6 is positioned at epitheca 7, push rod hands Handle 9 drives push rod 6 so that push rod 6 in epitheca 7 along axial-movement.
Eyelid retractor body 10 is held in epitheca 7 by pressure in advance, and head 1 part exposes epitheca 7, and afterbody 4 connects with push rod 6 end face Touching, exhausting line 5 is accommodated in epitheca 7 the most simultaneously.Delivery mode has two kinds.One is that fixed mandril handle 9 is motionless, epitheca hands of dropping back Handle 8 is until the completely out epitheca of eyelid retractor body 10 7;Two is that fixing epitheca handle 8 is motionless, promotes push rod handle 9 forward, until The completely out epitheca of eyelid retractor body 10.After release, eyelid retractor body 10 is opened, and returns back to original space multistory geometric form State.
As it is shown in figure 5, when eyelid retractor body 10 is compressed into carrier, head 1 part is positioned at outside epitheca 7, and head Portion 1 largest portion external diameter and epitheca 7 external diameter difference are at 0-1mm.Head 1 exposed parts is shaped as cylinder spherical or with rounded corners Shape.
As it is shown in fig. 7, skeleton 2 quantity is radial direction schematic diagram when 3 and 4.Thread skeleton is in radial directions by one Determine angular displacement.
As shown in Figure 8, for the cross sectional shape of push rod 6.Push rod 6 cross sectional shape is cylinder, annular, petal, petal One in tubular;When cross sectional shape is petal or petal is tubular, petal quantity is 2-8.
Before using, eyelid retractor body 10 is held to carrier epitheca 7 by pressure in advance, and head 1 part exposes epitheca 7, afterbody 4 With push rod 6 end contact, exhausting line 5 synchronizes to include in epitheca 7.The carrier being preinstalled with eyelid retractor body 10 passes through endoscopic forceps channel Enter target site.Carrier head end inserts tunnel opening appropriate location, discharges eyelid retractor body 10, until outside it is completely out Sheath 7, exhausting line 5 is also taken out of by synchronization.Eyelid retractor body 10 is launched by compressive state, recovers to original space multistory geometric form Shape, is supported tunnel.Hereafter carrier entirety is withdrawn from, and doctor will carry out follow-up operation technique.
After operation technique completes, use the assistive device such as nipper or hook, directly catch on exhausting line 5, by eyelid retractor body 10 pull out human body.Taking-up process can regard practical situation, uses or inapplicable scope.
Present configuration is simple and convenient to operate.Under endoscopic mucosal in decollement, when tunnel wall is cut, eyelid retractor Tunnel effectively can be supported, reduce the generation of the complication such as perforation, muscularis propria damage, improve excision efficiency.
Described above to the disclosed embodiments, makes professional and technical personnel in the field be capable of or uses the present invention. Multiple amendment to these embodiments will be apparent from for those skilled in the art, as defined herein General Principle can realize without departing from the spirit or scope of the present invention in other embodiments.Therefore, the present invention It is not intended to be limited to the embodiments shown herein, and is to fit to and principles disclosed herein and features of novelty phase one The widest scope caused.

Claims (14)

1. support of tunnel device under an endoscopic mucosal, it is characterised in that include head, skeleton, insulating barrier, afterbody, exhausting line, top Bar, epitheca, epitheca handle, push pipe handle, described head, skeleton, insulating barrier, afterbody constitute spheroidal or cylindric or brill The eyelid retractor body with space multistory geometry of stone shape, several thread skeletons send to afterbody from head and terminate and in footpath To angularly arranging, insulating barrier is coated on outside skeleton, and described wire exhausting line passes in by caudal skeleton silk gap, institute Stating push rod, epitheca, epitheca handle, push pipe handle composition carrier, described push rod is connected with push rod handle, described epitheca and epitheca Handle connects, and described push rod is positioned at epitheca can be along axial-movement;Described eyelid retractor body is held in epitheca by pressure in advance, portion Portion is positioned at outside epitheca separately, and afterbody and push rod end contact, exhausting line is positioned at epitheca simultaneously;After release, eyelid retractor body takes off Going out epitheca, eyelid retractor body returns back to original space multistory geometry;Described eyelid retractor body, after hours, passes through Tractive exhausting line dragged by hook, is withdrawn from by eyelid retractor body.
2. support of tunnel device under a kind of endoscopic mucosal as claimed in claim 1, it is characterised in that described insulating layer material is poly- One or more in tetrafluoroethene, polyethylene, nylon, pottery are combined.
3. support of tunnel device under endoscopic mucosal as claimed in claim 1 a kind of, it is characterised in that described skeleton quantity is 3,4, 5,6.
4. support of tunnel device under a kind of endoscopic mucosal as claimed in claim 1, it is characterised in that described framework material is NiTi One or more in alloy, rustless steel, cobalt-base alloys are combined.
5. support of tunnel device under a kind of endoscopic mucosal as claimed in claim 1, it is characterised in that described skeleton is monofilament, or Homogenous material multiply braided wires, or composite multiply braided wires.
6. support of tunnel device under a kind of endoscopic mucosal as claimed in claim 1, it is characterised in that described exhausting line is by head and the tail Section knotting or hot melt or splicing connect into closed loop shape.
7. support of tunnel device under a kind of endoscopic mucosal as claimed in claim 1, it is characterised in that described exhausting line is poly-second Alkene or nylon or cotton or real silk or the monofilament of politef material or multiply braided wires.
8. support of tunnel device under a kind of endoscopic mucosal as claimed in claim 1, it is characterised in that described skeleton and head and tail Portion's connected mode be weld, rivet, crimp, glued joint in one.
9. support of tunnel device under a kind of endoscopic mucosal as claimed in claim 1, it is characterised in that described push rod cross sectional shape is One during cylinder, annular, petal, petal are tubular.
10. push rod as claimed in claim 9, it is characterised in that when described cross section is petal or petal is tubular, petal quantity For 2-8.
Support of tunnel device under 11. a kind of endoscopic mucosals as claimed in claim 1, it is characterised in that described push rod is polytetrafluoro Ethylene or nylon or polyethylene or the monofilament of stainless steel or multiply braided wires.
Support of tunnel device under 12. a kind of endoscopic mucosals as claimed in claim 1, it is characterised in that outside the maximum of described head Footpath and epitheca external diameter difference are 0-1mm.
Support of tunnel device under 13. a kind of endoscopic mucosals as claimed in claim 1, it is characterised in that described head exposes epitheca Part has ball head or cylindrical head with rounded corners.
Support of tunnel device under 14. a kind of endoscopic mucosals as claimed in claim 1, it is characterised in that described sheath materials is poly- One in tetrafluoroethene, nylon, polyethylene.
CN201610391526.6A 2016-06-06 2016-06-06 Support of tunnel device under a kind of endoscopic mucosal Active CN106073835B (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110974355A (en) * 2019-12-12 2020-04-10 郑由周 ESD surgical tool
CN114081615A (en) * 2020-10-21 2022-02-25 常州乐奥医疗科技股份有限公司 Novel medical electrotome and tool bit assembly thereof

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CN2640421Y (en) * 2003-09-23 2004-09-15 北京有色金属研究总院 Supporting reclaimable inferior caval vein filter
CN1572258A (en) * 2003-05-23 2005-02-02 泷本行延 Therapeutic device for EMR and EMR apparatus
CN102038564A (en) * 2009-10-14 2011-05-04 周星 Supporting frame capable of being taken out
US20140142393A1 (en) * 2009-12-16 2014-05-22 Macroplata, Inc. Multi-lumen-catheter retractor system for a minimally-invasive, operative gastrointestinal treatment
CN104490430A (en) * 2015-01-05 2015-04-08 四川大学华西医院 Tunnel support device for endoscopic submucosal dissection
CN204766053U (en) * 2015-04-27 2015-11-18 浦易(上海)生物技术有限公司 Nasal sinus support and conveying system

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1572258A (en) * 2003-05-23 2005-02-02 泷本行延 Therapeutic device for EMR and EMR apparatus
CN2640421Y (en) * 2003-09-23 2004-09-15 北京有色金属研究总院 Supporting reclaimable inferior caval vein filter
CN102038564A (en) * 2009-10-14 2011-05-04 周星 Supporting frame capable of being taken out
US20140142393A1 (en) * 2009-12-16 2014-05-22 Macroplata, Inc. Multi-lumen-catheter retractor system for a minimally-invasive, operative gastrointestinal treatment
CN104490430A (en) * 2015-01-05 2015-04-08 四川大学华西医院 Tunnel support device for endoscopic submucosal dissection
CN204766053U (en) * 2015-04-27 2015-11-18 浦易(上海)生物技术有限公司 Nasal sinus support and conveying system

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110974355A (en) * 2019-12-12 2020-04-10 郑由周 ESD surgical tool
CN114081615A (en) * 2020-10-21 2022-02-25 常州乐奥医疗科技股份有限公司 Novel medical electrotome and tool bit assembly thereof
CN114081615B (en) * 2020-10-21 2022-08-05 常州乐奥医疗科技股份有限公司 Novel medical electrotome and tool bit assembly thereof

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Address after: Building 10, No. 23 Huashan Middle Road, Xinbei District, Changzhou City, Jiangsu Province, 213022

Patentee after: LEO MEDICAL CO.,LTD.

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Address before: 213022 floor 2, building 10, No. 18, Huashan Middle Road, Xinbei District, Changzhou City, Jiangsu Province

Patentee before: LEO MEDICAL CO.,LTD.

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