CN114042233B - Ventricle bypass system - Google Patents
Ventricle bypass system Download PDFInfo
- Publication number
- CN114042233B CN114042233B CN202111478109.2A CN202111478109A CN114042233B CN 114042233 B CN114042233 B CN 114042233B CN 202111478109 A CN202111478109 A CN 202111478109A CN 114042233 B CN114042233 B CN 114042233B
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- communicating pipe
- joint
- sliding rod
- communicating
- communication
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- 230000002123 temporal effect Effects 0.000 claims abstract description 26
- 238000004891 communication Methods 0.000 claims abstract description 21
- 230000002861 ventricular Effects 0.000 claims abstract description 14
- 238000002627 tracheal intubation Methods 0.000 claims abstract description 7
- 230000002490 cerebral effect Effects 0.000 claims abstract description 3
- 210000004556 brain Anatomy 0.000 claims description 7
- 238000007789 sealing Methods 0.000 claims description 4
- 210000000988 bone and bone Anatomy 0.000 claims description 2
- 230000000149 penetrating effect Effects 0.000 claims description 2
- 210000000216 zygoma Anatomy 0.000 claims description 2
- 210000001175 cerebrospinal fluid Anatomy 0.000 abstract description 10
- 210000004761 scalp Anatomy 0.000 abstract description 3
- 238000000034 method Methods 0.000 description 8
- 210000001503 joint Anatomy 0.000 description 5
- 230000003187 abdominal effect Effects 0.000 description 4
- 210000000133 brain stem Anatomy 0.000 description 3
- 230000007547 defect Effects 0.000 description 3
- 230000009286 beneficial effect Effects 0.000 description 2
- 210000002987 choroid plexus Anatomy 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 208000015181 infectious disease Diseases 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 206010019233 Headaches Diseases 0.000 description 1
- 206010028980 Neoplasm Diseases 0.000 description 1
- 208000002193 Pain Diseases 0.000 description 1
- 208000024248 Vascular System injury Diseases 0.000 description 1
- 208000012339 Vascular injury Diseases 0.000 description 1
- 206010052428 Wound Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 210000000683 abdominal cavity Anatomy 0.000 description 1
- 238000010521 absorption reaction Methods 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 210000001367 artery Anatomy 0.000 description 1
- 230000002146 bilateral effect Effects 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 230000001419 dependent effect Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 230000001037 epileptic effect Effects 0.000 description 1
- 210000000887 face Anatomy 0.000 description 1
- 239000012530 fluid Substances 0.000 description 1
- 210000003128 head Anatomy 0.000 description 1
- 231100000869 headache Toxicity 0.000 description 1
- 230000003993 interaction Effects 0.000 description 1
- 210000003140 lateral ventricle Anatomy 0.000 description 1
- 230000007774 longterm Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000003032 molecular docking Methods 0.000 description 1
- 210000003200 peritoneal cavity Anatomy 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 208000011580 syndromic disease Diseases 0.000 description 1
- 238000003786 synthesis reaction Methods 0.000 description 1
- 210000003582 temporal bone Anatomy 0.000 description 1
- 210000003478 temporal lobe Anatomy 0.000 description 1
- 210000003462 vein Anatomy 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M27/00—Drainage appliance for wounds or the like, i.e. wound drains, implanted drains
- A61M27/002—Implant devices for drainage of body fluids from one part of the body to another
- A61M27/006—Cerebrospinal drainage; Accessories therefor, e.g. valves
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M27/00—Drainage appliance for wounds or the like, i.e. wound drains, implanted drains
- A61M27/002—Implant devices for drainage of body fluids from one part of the body to another
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
- A61M39/10—Tube connectors; Tube couplings
- A61M39/105—Multi-channel connectors or couplings, e.g. for connecting multi-lumen tubes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2210/00—Anatomical parts of the body
- A61M2210/06—Head
- A61M2210/0693—Brain, cerebrum
Landscapes
- Health & Medical Sciences (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Animal Behavior & Ethology (AREA)
- Anesthesiology (AREA)
- Hematology (AREA)
- Life Sciences & Earth Sciences (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Ophthalmology & Optometry (AREA)
- Otolaryngology (AREA)
- Pulmonology (AREA)
- Neurology (AREA)
- External Artificial Organs (AREA)
Abstract
The invention discloses a cerebral ventricular bypass system, comprising: the auxiliary intubation assembly, the first communicating pipe and the second communicating pipe are communicated under the scalp through a communication joint, one end of the first communicating pipe, which is far away from the communication joint, is communicated with the frontal angle position of the human ventricle, and one end of the second communicating pipe, which is far away from the communication joint, is communicated with the temporal angle area of the human ventricle; the auxiliary cannula assembly comprises a supporting rod, a first sliding rod and a second sliding rod are arranged on the supporting rod in a sliding mode, and a first sighting device and a second sighting device which are kept in an aligned state are respectively arranged on the first sliding rod and the second sliding rod. The auxiliary intubation assembly can assist medical staff to accurately grasp that the second communicating pipe penetrates into the temporal angle area, ensure the correct direction and the depth of puncture, and the first communicating pipe and the second communicating pipe can successfully establish an effective bypass from the temporal angle to the frontal angle to reconstruct cerebrospinal fluid circulation.
Description
Technical Field
The invention relates to the technical field of ventricular bypass surgery, in particular to a ventricular bypass surgery bypass system.
Background
Isolated temporal angle synthesis is a common complication after neurosurgery brain indoor tumor operation, and the treatment is very difficult because the isolated expansion of the temporal angle caused by ponding causes disability and even death of patients. The current treatment principle is to drain the temporo-hydraulic fluid into absorbable areas (such as abdominal cavity, anterior bridge pool and lateral ventricle), including ventricular and abdominal shunt, endoscopic venation split fistulization and diversion, with poor effect and many complications.
The cerebral ventricle-abdominal shunt operation is used for draining cerebrospinal fluid in the temporal angle to the peritoneal cavity for absorption, and has the defects of long pipeline path, breaking of cerebrospinal fluid physiological circulation, shunt tube blockage and infection frequently occur, shunt tube dependent headache and abdominal complications occur in a long term, shunt tubes need to be adjusted again in an operation, and the cost is high and the pain of patients is increased. Endoscopic choroidal split fistulization is through the inside choroidal split fistulization drainage temporo-horn cerebrospinal fluid of temporo-horn to the front axle pond, and is very high to the technical requirement of art person, and anatomy structure is complicated, easily appears complication such as brain stem and vascular injury, has certain failure rate, need the operation once more, is difficult to popularize. The diversion technique leads cerebrospinal fluid in the temporal angle to the frontal angle of the normal circulation of the cerebrospinal fluid through a communicating pipe bypass, and compared with the ventricular and abdominal shunt technique, the diversion technique has the advantages of short pipeline path, difficult blockage and infection, no abdominal complications, short operation time and low cost; compared with endoscopic venation, the method has the advantages of simple technology and easy popularization. However, conventional current transfer has few applications because of defects in ventricular temporal puncture points and access: the puncture point of the temporal angle is positioned on the temporal bone, and the temporal lobe cortex is subjected to the meridian, so that epileptic complications are easy to occur; the path is near to the side fissure, is transversely punctured and faces to the brainstem, and is easy to cause damage to the side fissure vein, middle artery and brainstem; the transverse diameter of the temporal angle is short, so that the ventricle end with enough length can not be ensured to be positioned in the temporal angle, and the ventricle end is easy to deviate along with the shrinkage of the temporal angle, thereby affecting the treatment effect; the tube end is close to the choroid plexus, the tube end side hole is easily wrapped and blocked by the temporal choroid plexus, and the drainage tube is required to be adjusted by a secondary operation.
Disclosure of Invention
Aiming at the defects in the prior art, the invention provides a ventricular transfer bypass system, which is used for treating isolated temporal syndrome based on ventricular temporal-frontal transfer of a top occipital access (Frazier puncture point), is convenient to operate and improves the success rate of reconstructing cerebrospinal fluid circulation.
The invention provides a technical scheme that: a ventricular bypass system, comprising: the auxiliary intubation assembly, the first communicating pipe and the second communicating pipe are communicated through a communicating joint, one end of the first communicating pipe, which is far away from the communicating joint, is communicated with the frontal angle position of the human ventricle, and one end of the second communicating pipe, which is far away from the communicating joint, is communicated with the temporal angle area of the human ventricle;
The auxiliary cannula assembly comprises a supporting rod, a first sliding rod and a second sliding rod are arranged on the supporting rod in a sliding mode, and a first sighting device and a second sighting device which are in alignment are respectively arranged on the first sliding rod and the second sliding rod and are on the same straight line.
The beneficial effects of the technical scheme are as follows: the auxiliary cannula assembly that sets up can assist medical personnel to accurately grasp that the second communicating pipe penetrates temporal angle region, guarantees the correct direction and the degree of depth of puncture, and the bypass of temporal angle to frontal angle can be established with the second communicating pipe to the first communicating pipe that sets up, effectively rebuilds cerebrospinal fluid circulation.
Further, the first sight is a sleeve, the second sight is a positioning column, and the end part of the positioning column is in a blunt cone shape.
Further, the communication joint comprises a middle section, one end of the middle section is provided with a first joint in butt joint with the first communication pipe, and the other end of the middle section, which corresponds to the first communication pipe, is provided with a second joint in butt joint with the second communication pipe.
Further, the first connector and the second connector are both tapered, and clamping grooves are formed between the first connector and the second connector and between the first connector and the middle section. The first connector and the second connector are convenient to be in butt joint with the corresponding first communicating pipe or second communicating pipe.
Further, the first communicating pipe and the second communicating pipe are all rubber hoses, and sealing convex rings are arranged at the contact positions of the first communicating pipe and the second communicating pipe with the corresponding clamping grooves. The cooperation of joint recess and sealed bulge loop can improve temporal angle to the leakproofness of the bypass of frontal angle.
Further, the second communicating pipe is provided with a scale for marking the length of the second communicating pipe.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below. Like elements or portions are generally identified by like reference numerals throughout the several figures. In the drawings, elements or portions thereof are not necessarily drawn to scale.
FIG. 1 is a schematic illustration of the use of an embodiment of the present invention;
FIG. 2 is a schematic view of a communication joint according to an embodiment of the present invention;
FIG. 3 is a schematic illustration of the use of an auxiliary cannula assembly according to an embodiment of the present invention; .
Reference numerals: the first communicating pipe 1, the second communicating pipe 2, the communicating joint 3, the middle section 301, the first joint 302, the clamping groove 303, the second joint 304, the supporting rod 4, the first sliding rod 410, the second sliding rod 420, the first sight 411 and the second sight 421.
Detailed Description
Embodiments of the technical scheme of the present invention will be described in detail below with reference to the accompanying drawings. The following examples are only for more clearly illustrating the technical aspects of the present invention, and thus are merely examples, and are not intended to limit the scope of the present invention.
It is noted that unless otherwise indicated, technical or scientific terms used herein should be given the ordinary meaning as understood by one of ordinary skill in the art to which this application belongs.
As shown in fig. 1-3, the present embodiment provides a ventricular bypass system comprising: the auxiliary intubation assembly, the first communicating pipe 1 and the second communicating pipe 2 are communicated through a communicating joint 3, one end of the first communicating pipe 1, which is far away from the communicating joint 3, is communicated with the frontal angle position of the human ventricle, and one end of the second communicating pipe 2, which is far away from the communicating joint 3, is communicated with the temporal angle area of the human ventricle;
The auxiliary cannula assembly comprises a supporting rod 4, a first sliding rod 410 and a second sliding rod 420 are slidably arranged on the supporting rod 4, sliding blocks matched with the supporting rod 4 are arranged on the first sliding rod 410 and the second sliding rod 420, and a first sight 411 and a second sight 421 which are kept in an aligned state are respectively arranged on the first sliding rod 410 and the second sliding rod 420.
The beneficial effects of the technical scheme are as follows: the auxiliary cannula assembly that sets up can assist medical personnel to accurately grasp that the second communicating pipe penetrates temporal angle region, guarantees the correct direction and the degree of depth of puncture, and the bypass of temporal angle to frontal angle can be established with the second communicating pipe to the first communicating pipe that sets up, effectively rebuilds cerebrospinal fluid circulation.
The first sight 411 is a sleeve, the second sight 421 is a positioning column, and the end of the positioning column is in a blunt cone shape, i.e. the end is in a cone shape, and meanwhile, the tip is passivated, so that the stabbing of the face of the human body is avoided. The second communicating pipe is provided with a scale for marking the length of the second communicating pipe. When in intubation, the first sighting device 411 is aligned with a bone hole punched on the top pillow part, the second sighting device 421 is aligned with the cheekbone position below the eyes of a patient, the second communicating pipe is inserted through the sleeve to assist the second communicating pipe to enter the brain chamber at a correct angle, the depth of the second communicating pipe penetrating into the brain chamber can be displayed through scales on the second communicating pipe, and the second communicating pipe is ensured to be inserted in place.
The communication joint 3 comprises an intermediate section 301, one end of the intermediate section 301 is provided with a first joint 302 which is in butt joint with the first communication pipe 1, and the other end corresponding to the intermediate section 301 is provided with a second joint 304 which is in butt joint with the second communication pipe 2.
The first joint 302 and the second joint 304 are tapered, and clamping grooves 303 are formed between the first joint 302 and the second joint 304 and between the first joint and the middle section 301. The first joint 302 and the second joint 304 facilitate docking with the corresponding first communication pipe 1 or second communication pipe 2.
The first communicating pipe 1 and the second communicating pipe 2 are all rubber hoses, and sealing convex rings are arranged at the contact positions of the first communicating pipe 1 and the second communicating pipe 2 and the corresponding clamping grooves 303. The cooperation of the clamping groove 303 and the sealing convex ring can improve the tightness of the temporal-to-frontal bypass.
When the system is applied to operation, the method specifically comprises the following steps:
Firstly, when a patient looks on the upper side of the prone position, the head rotates to the opposite side for 60-70 degrees, and the arrow shows that the common electrode slice marks key anatomical marks comprise bilateral internal auditory meatus, zygomatic process and arch midpoint; the scalp of the patient was incised by determining the puncture area, and the puncture points of the frontal and temporal areas were perforated (diameter about 1 cm) using a perforation tool. The first communicating pipe 1 is connected to the frontal area of the brain along the opening of the frontal area, and the second communicating pipe 2 is connected to the temporal area of the brain along the opening of the temporal area; the next operation is to bring the extracranial segments of the first and second communication tubes 1,2 through the subscalp tunnel to the relay incision where they are connected by the communication joint 3 so that the cerebrospinal fluid in the frontal and temporal areas can realize an subscalp bypass circulation. Finally, the puncture part and the scalp of the relay incision are sewn and corresponding wound treatment is carried out.
In the present application, unless explicitly specified and limited otherwise, the terms "connected," "fixed," and the like are to be construed broadly and may be, for example, fixedly connected, detachably connected, or integrally formed; may be an electrical connection; can be directly connected or indirectly connected through an intermediate medium, and can be communicated with the inside of two elements or the interaction relationship of the two elements. The specific meaning of the above terms in the present application can be understood by those of ordinary skill in the art according to the specific circumstances.
In the description of the present invention, numerous specific details are set forth. However, it is understood that embodiments of the invention may be practiced without these specific details. In some instances, well-known methods, systems, and techniques have not been shown in detail in order not to obscure an understanding of this description.
Finally, it should be noted that: the above embodiments are only for illustrating the technical solution of the present invention, and not for limiting the same; although the invention has been described in detail with reference to the foregoing embodiments, it will be understood by those of ordinary skill in the art that: the technical scheme described in the foregoing embodiments can be modified or some or all of the technical features thereof can be replaced by equivalents; such modifications and substitutions do not depart from the spirit of the invention, and are intended to be included within the scope of the appended claims and description.
Claims (4)
1. A ventricular bypass system, comprising: the auxiliary intubation assembly, the first communicating pipe (1) and the second communicating pipe (2), wherein the first communicating pipe (1) and the second communicating pipe (2) are communicated through a communication joint (3), one end, away from the communication joint (3), of the first communicating pipe (1) is communicated with the frontal angle position of the human ventricle, and one end, away from the communication joint (3), of the second communicating pipe (2) is communicated with the temporal angle area of the human ventricle;
The auxiliary intubation assembly comprises a support rod (4), a first sliding rod (410) and a second sliding rod (420) are arranged on the support rod (4) in a sliding mode, and a first sight (411) and a second sight (421) which are kept in an aligned state are respectively arranged on the first sliding rod (410) and the second sliding rod (420);
The first sighting device (411) is a sleeve, the second sighting device (421) is a positioning column, and the end part of the positioning column is in a blunt cone shape and is used for passivating the tip;
The second communicating pipe (2) is provided with a scale for marking the length of the second communicating pipe (2); when the cannula is inserted, the first sighting device is aligned to a bone hole punched in the top pillow part, the second sighting device is aligned to the cheekbone position below the eyes of a patient, the second communicating pipe is inserted through the sleeve, the second communicating pipe is assisted to enter the brain chamber at a correct angle, and the depth of the second communicating pipe penetrating into the brain chamber can be displayed through scales on the second communicating pipe.
2. A ventricular bypass system according to claim 1, characterized in that the communication joint (3) comprises an intermediate section (301), one end of the intermediate section (301) being provided with a first joint (302) abutting the first communication tube (1), the other end of the intermediate section (301) corresponding to the intermediate section being provided with a second joint (304) abutting the second communication tube (2).
3. The ventricular bypass system according to claim 2, wherein the first joint (302) and the second joint (304) are tapered, and a clamping groove (303) is provided between the first joint (302) and the second joint (304) and the middle section (301).
4. A cerebral ventricular bypass system according to claim 3, wherein the first communicating tube (1) and the second communicating tube (2) are rubber hoses, and sealing convex rings are arranged at the contact positions of the first communicating tube (1) and the second communicating tube (2) with the corresponding clamping grooves (303).
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN202111478109.2A CN114042233B (en) | 2021-12-06 | 2021-12-06 | Ventricle bypass system |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
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CN202111478109.2A CN114042233B (en) | 2021-12-06 | 2021-12-06 | Ventricle bypass system |
Publications (2)
Publication Number | Publication Date |
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CN114042233A CN114042233A (en) | 2022-02-15 |
CN114042233B true CN114042233B (en) | 2024-05-17 |
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CN202111478109.2A Active CN114042233B (en) | 2021-12-06 | 2021-12-06 | Ventricle bypass system |
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Publication number | Publication date |
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CN114042233A (en) | 2022-02-15 |
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