CN108635003A - A kind of stricture of esophageal anastomosis combination cutter device - Google Patents

A kind of stricture of esophageal anastomosis combination cutter device Download PDF

Info

Publication number
CN108635003A
CN108635003A CN201810461146.4A CN201810461146A CN108635003A CN 108635003 A CN108635003 A CN 108635003A CN 201810461146 A CN201810461146 A CN 201810461146A CN 108635003 A CN108635003 A CN 108635003A
Authority
CN
China
Prior art keywords
iron ring
stricture
ring
outer diameter
cutter device
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201810461146.4A
Other languages
Chinese (zh)
Inventor
周银斌
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Third Affiliated Hospital of PLA Army Medical University
Original Assignee
Third Affiliated Hospital of PLA Army Medical University
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Third Affiliated Hospital of PLA Army Medical University filed Critical Third Affiliated Hospital of PLA Army Medical University
Priority to CN201810461146.4A priority Critical patent/CN108635003A/en
Publication of CN108635003A publication Critical patent/CN108635003A/en
Pending legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12009Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/3205Excision instruments
    • A61B17/32056Surgical snare instruments

Landscapes

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

Abstract

The invention discloses a kind of stricture of esophageal anastomosis to combine cutter device, including iron ring, magnet ring and push pipe, the outer diameter of the iron ring is less than oesophagus and is more than previous anastomotic, the outer diameter of the magnet ring is identical as the outer diameter of iron ring and magnet ring and iron ring can face be attracted, it is connected with draught line on the iron ring, the push pipe is the hollow tube of both ends open, and the outer diameter of the push pipe is less than previous anastomotic, and the iron ring has in compressible elasticity and compressible loading push pipe.The present invention can be placed in oesophagus and carry out cutting treatment to anastomotic stricture, avoid surgical operation, and simple to operate.

Description

A kind of stricture of esophageal anastomosis combination cutter device
Technical field
The invention belongs to the field of medical instrument technology, and cutter device is combined more particularly to a kind of stricture of esophageal anastomosis.
Background technology
The cancer of the esophagus is the most common malignant tumor of digestive tract in China, and incidence and case fatality rate occupy first place in the world, operation Treatment is preferred option.Anastomotic stricture is common after esophagocardial carcinoma resection and serious complication.Occur at no distant date Anastomotic stricture and surgical stapling mouth indwelling be too small, metal anastomotic device improper use, previous anastomotic mucous membrane Poor fitness, anastomotic leakage With identical embedding or be inserted in etc. that factors are related, and it is then often related with tumor recurrence that anastomotic stricture occurs for long term.
Long-term dysphagia caused by stricture of esophageal anastomosis can lead to patient's malnutrition, become thin and anaemia and psychology Change, generate anxiety and depressive emotion, late period, which may occur in which, dislikes night matter, seriously affects patients ' life quality.
Therapy mainly has operation, Sharpe dilatable bougie at present, through gastroscope oesophagus balloon dilatation and through gastroscope oesophagus Stent endoprosthesis.Big, costly, the repeatable difference of operation wound, it is not easy for patients to accept;It need to be in oesophagus with metal bougienage It is carried out under mirror, not only operating difficulties, patient's pain is big, and easily causes identical mucous membrane tearing, there is the danger for causing esophageal perforation;And Sacculus can slide up and down when implementing balloon dilatation, it is difficult to identical oral area is placed in, when need to adjust position every now and then and extend operation Between;Stent Implantation one is costly, moreover after expansion narrow positions, holder may slip, and existing esophageal stoma is higher Patient's foreign body sensation is strong after (away from front tooth 20cm) Stent Implantation, tends not to be resistant to.
Invention content
In view of this, the purpose of the present invention is to provide a kind of stricture of esophageal anastomosis to combine cutter device, food can be placed in Pipe carries out cutting treatment to anastomotic stricture, avoids surgical operation, and simple to operate.
The present invention is achieved through the following technical solutions above-mentioned purpose:
A kind of stricture of esophageal anastomosis combination cutter device, including iron ring, magnet ring and push pipe, the outer diameter of the iron ring are small In oesophagus and be more than previous anastomotic, the outer diameter of the magnet ring is identical as the outer diameter of iron ring and magnet ring and iron ring can face be attracted, it is described Draught line is connected on iron ring, the push pipe is the hollow tube of both ends open, and the outer diameter of the push pipe is less than previous anastomotic, institute Stating iron ring has in compressible elasticity and compressible loading push pipe.
It is equipped with the shirt rim that a circle extends downwardly along the circumference of the iron ring as a preferred technical solution, the shirt rim is Compressible elasticity shirt rim.
The shirt rim is compressible elastoplastic shirt rim as a preferred technical solution,.
The width of the shirt rim is 1~3cm as a preferred technical solution,.
The draught line is 2~4 and is evenly arranged along iron ring circumferencial direction as a preferred technical solution,.
The outer diameter of the iron ring and magnet ring is 15~20mm as a preferred technical solution,.
The beneficial effects of the invention are as follows:
The present invention, which compresses iron ring, to be packed into push pipe, then iron ring is sent into below previous anastomotic using push pipe, then will Magnet ring is put into above previous anastomotic, and iron ring and magnet ring are mutually attracted under the magnetic force, and the tissue at anastomotic stricture position is pressed from both sides Hold between iron ring and magnet ring, compression tissue due to the squeeze force of iron ring and magnet ring and gradually ischemic, necrosis, fall off, surrounding not The group of compression is repaired under the action of being woven in inflammation, to reach the chronic cutting of tissue progress to anastomotic stricture position The purpose for the treatment of, and surgical operation is avoided, it is simple to operate.
Description of the drawings
Fig. 1 is that the stricture of esophageal anastomosis of the present invention combines the structural schematic diagram of iron ring in cutter device;
Fig. 2 is that the stricture of esophageal anastomosis of the present invention combines the structural schematic diagram of cutter device middle magnetic ring;
Fig. 3 is the structural schematic diagram that iron ring compression is packed into push pipe;
Fig. 4 is that the stricture of esophageal anastomosis of the present invention combines the use state diagram of cutter device.
In figure:1, iron ring;2, magnet ring;3, push pipe;4, oesophagus;5, previous anastomotic;6, draught line;7, shirt rim.
Specific implementation mode
Present invention is described below in conjunction with the accompanying drawings, although it is understood that the invention is not limited in the description, The person skilled in the art of this field still falls within the protection of the present invention according to some nonessential modifications and adaptations that the description is made Range.
As shown in Figures 1 to 4, a kind of stricture of esophageal anastomosis combines cutter device, including iron ring 1, magnet ring 2 and push pipe 3, the outer diameter of the iron ring 1 is less than oesophagus 4 and is more than previous anastomotic 5, and the outer diameter of the magnet ring 2 is identical as the outer diameter of iron ring 1 and magnetic Ring 2 and iron ring 1 can face be attracted, draught line 6 is connected on the iron ring 1, the push pipe 3 is the hollow tube of both ends open, The outer diameter of the push pipe 3 is less than previous anastomotic 5, and the iron ring 1 has in compressible elasticity and compressible loading push pipe 3.
It is packed into push pipe 3 in use, iron ring 1 is compressed, after push pipe 3 is then inserted into oesophagus 4 by previous anastomotic 5, So that iron ring 1 is dropped out out of push pipe 3, iron ring 1 is sent into 5 lower section of previous anastomotic, while draught line 6 being drawn from nose, is hung on ear On prevent iron ring 1 from falling off;Magnet ring 2 is put into oesophagus 45 top of previous anastomotic again, iron ring 1 and magnet ring 2 phase under the magnetic force It is mutually attracted, the tissue at anastomotic stricture position is clamped between iron ring and magnet ring, compression tissue is due to iron ring 1 and magnet ring 2 Squeeze force and gradually ischemic, necrosis, fall off, the group that is not pressurized of surrounding is repaired under the action of being woven in inflammation, to reach The purpose of chronic cutting treatment is carried out to the tissue at anastomotic stricture position.
The tissue cut in order to prevent adhesion again is equipped with the shirt rim 7 that a circle extends downwardly along the circumference of the iron ring 1, The shirt rim 7 is compressible elastic shirt rim, and preferential flexible plastics shirt rim, shirt rim 7 can continue the tissue cut open Keep apart, until tissue repair is completed, occurs again narrow to prevent the surface of a wound after cutting from sticking together;The shirt rim 7 Width be preferably 1~3cm.
In order to keep stablizing for iron ring 1 to fix, the draught line 6 is 2~4 and is evenly arranged along 1 circumferencial direction of iron ring.
The iron ring 1 is identical with the outer diameter of magnet ring 2, and need to be less than oesophagus 4 and be more than previous anastomotic 5, therefore, the iron ring 1 Outer diameter with magnet ring 2 is 15~20mm.
The basic principles, main features and advantages of the present invention have been shown and described above.The technology of the industry Personnel are it should be appreciated that the present invention is not limited to the above embodiments, and the above embodiments and description only describe this The principle of invention, without departing from the spirit and scope of the present invention, various changes and improvements may be made to the invention, these changes Change and improvement all fall within the protetion scope of the claimed invention.The claimed scope of the invention by appended claims and its Equivalent thereof.

Claims (6)

1. a kind of stricture of esophageal anastomosis combines cutter device, it is characterised in that:Including iron ring, magnet ring and push pipe, the iron The outer diameter of circle is less than oesophagus and is more than previous anastomotic, and the outer diameter of the magnet ring is identical as the outer diameter of iron ring and magnet ring can face with iron ring It is attracted, draught line is connected on the iron ring, the push pipe is the hollow tube of both ends open, and the outer diameter of the push pipe is less than Previous anastomotic, the iron ring have in compressible elasticity and compressible loading push pipe.
2. stricture of esophageal anastomosis according to claim 1 combines cutter device, it is characterised in that:Along the circle of the iron ring It is equipped with the shirt rim that a circle extends downwardly week, the shirt rim is compressible elastic shirt rim.
3. stricture of esophageal anastomosis according to claim 2 combines cutter device, it is characterised in that:The shirt rim is that can press The elastoplastic shirt rim of contracting.
4. stricture of esophageal anastomosis according to claim 2 combines cutter device, it is characterised in that:The width of the shirt rim For 1~3cm.
5. stricture of esophageal anastomosis according to claim 1 combines cutter device, it is characterised in that:The draught line is 2 It~4 and is evenly arranged along iron ring circumferencial direction.
6. the stricture of esophageal anastomosis according to claim 1 to 5 any one combines cutter device, it is characterised in that:Institute The outer diameter for stating iron ring and magnet ring is 15~20mm.
CN201810461146.4A 2018-05-15 2018-05-15 A kind of stricture of esophageal anastomosis combination cutter device Pending CN108635003A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201810461146.4A CN108635003A (en) 2018-05-15 2018-05-15 A kind of stricture of esophageal anastomosis combination cutter device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201810461146.4A CN108635003A (en) 2018-05-15 2018-05-15 A kind of stricture of esophageal anastomosis combination cutter device

Publications (1)

Publication Number Publication Date
CN108635003A true CN108635003A (en) 2018-10-12

Family

ID=63755611

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201810461146.4A Pending CN108635003A (en) 2018-05-15 2018-05-15 A kind of stricture of esophageal anastomosis combination cutter device

Country Status (1)

Country Link
CN (1) CN108635003A (en)

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5690656A (en) * 1995-06-27 1997-11-25 Cook Incorporated Method and apparatus for creating abdominal visceral anastomoses
CN2863031Y (en) * 2006-01-11 2007-01-31 赵俊谋 Magnetic fistulization apparatus
CN102551829A (en) * 2012-02-06 2012-07-11 徐忠法 Magnetic compression anastomosis ball
CN105496487A (en) * 2016-01-15 2016-04-20 江苏特普优微创医疗科技有限公司 Gastrointestinal minimally-invasive anastomat and gastrointestinal minimally-invasive anastomosing method
CN106999188A (en) * 2014-07-23 2017-08-01 Gi视窗公司 Magnetic stapling apparatus and delivering method
CN107889454A (en) * 2015-03-12 2018-04-06 Gi视窗公司 There is the magnetic stapling apparatus of variable magnetic force at a certain distance from
CN107874802A (en) * 2017-12-13 2018-04-06 山东省医学科学院附属医院 A kind of magnetic force stapler and its application method

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5690656A (en) * 1995-06-27 1997-11-25 Cook Incorporated Method and apparatus for creating abdominal visceral anastomoses
CN2863031Y (en) * 2006-01-11 2007-01-31 赵俊谋 Magnetic fistulization apparatus
CN102551829A (en) * 2012-02-06 2012-07-11 徐忠法 Magnetic compression anastomosis ball
CN106999188A (en) * 2014-07-23 2017-08-01 Gi视窗公司 Magnetic stapling apparatus and delivering method
CN107889454A (en) * 2015-03-12 2018-04-06 Gi视窗公司 There is the magnetic stapling apparatus of variable magnetic force at a certain distance from
CN105496487A (en) * 2016-01-15 2016-04-20 江苏特普优微创医疗科技有限公司 Gastrointestinal minimally-invasive anastomat and gastrointestinal minimally-invasive anastomosing method
CN107874802A (en) * 2017-12-13 2018-04-06 山东省医学科学院附属医院 A kind of magnetic force stapler and its application method

Similar Documents

Publication Publication Date Title
Itabashi et al. Self-expanding stainless steel stent application in rectosigmoid stricture
Bethge et al. A prospective trial of a new self-expanding plastic stent for malignant esophageal obstruction
Saranovic et al. Fluoroscopically guided insertion of self-expandable metal esophageal stents for palliative treatment of patients with malignant stenosis of esophagus and cardia: comparison of uncovered and covered stent types
Theile et al. Free jejunal interposition reconstruction after pharyngolaryngectomy: 201 consecutive cases
CN201879873U (en) Recyclable esophageal stent of nickel titanium memory alloy full-membrane exceeding opening
WO2016082481A1 (en) Primary-secondary type surgical anastomosis magnetic ring
CN203154559U (en) Gastrointestinal decompression tube for preventing anastomotic stoma fistulas and stenoses after operations of esophageal carcinomas or cardiac carcinomas
Profili et al. Self-expandable metal stents in the management of cervical oesophageal and/or hypopharyngeal strictures
CN106955176A (en) Stomach beaded support
JPH0824717B2 (en) Tracheal stent
CN108635003A (en) A kind of stricture of esophageal anastomosis combination cutter device
Puestow Conservative treatment of stenosing diseases of the esophagus
CN207970119U (en) Liver and gall surgical department's ball-bag dilation tube
Wassermann et al. Emergency stenting of malignant obstruction of the upper airways: long-term follow-up with two types of silicone prostheses
Bleach et al. Surgical voice restoration with the Blom-Singer prosthesis following laryngopharyngoesophagectomy and pharyngogastric anastomosis
Xinopoulos et al. Self-expanding plastic stents for inoperable malignant strictures of the cervical esophagus
CN202235528U (en) Gastric gastrojejunostomy device
CN204379493U (en) Recyclable Medical rack
Repici et al. Expandable stents for malignant dysphagia
CN111467076A (en) Transplantation stent and transplantation stent delivery system
Javaid et al. An instant rare complication: a fractured metallic pyloric stent
El-Sharnobya et al. Voice rehabilitation after total laryngectomy
CN206198105U (en) Spray door benign and malignant stenosis patient's Esophageal Stent
CN100387316C (en) Meatus acusticus dilator
CN220327550U (en) Esophageal stenosis treatment device

Legal Events

Date Code Title Description
PB01 Publication
PB01 Publication
SE01 Entry into force of request for substantive examination
SE01 Entry into force of request for substantive examination
RJ01 Rejection of invention patent application after publication

Application publication date: 20181012

RJ01 Rejection of invention patent application after publication