CN201375747Y - Double J-tube cannulation kit - Google Patents
Double J-tube cannulation kit Download PDFInfo
- Publication number
- CN201375747Y CN201375747Y CN200920301381U CN200920301381U CN201375747Y CN 201375747 Y CN201375747 Y CN 201375747Y CN 200920301381 U CN200920301381 U CN 200920301381U CN 200920301381 U CN200920301381 U CN 200920301381U CN 201375747 Y CN201375747 Y CN 201375747Y
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- double
- pipe
- tube
- renal pelvis
- bladder
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Abstract
The utility model discloses a double-J tube cannulation kit for imbedding a double J-tube in laparoscopic surgery and is characterized by convenient operation in operating process. The double J-tube cannulation kit comprises the double J-tube with a pelvis end and a bladder end, and a guiding element which is movably sleeved outside the double J-tube. With the double-J tube which is movably sleeved outside the double J-tube, the double J-tube can be sleeved on the guiding element during the operation so as to lead the guiding element to extend out of human body, and then medical care personnel can push the double J-tube outside the human body and imbed the bladder end of the double J-tube into the bladder of a patient through a ureter. The guiding element acts as an element to extend the pelvis or the ureter out of the human body so as to greatly increase operation space outside the human body for the medical care personnel to smoothly finish the operation; and the operation of the double J-tube cannulation kit is simple and especially suitable for being generalized and applied when embedding the double J-tube in the laparoscopic surgery.
Description
Technical field
This utility model relates to a kind of medical surgical instrument, especially relates to the double J pipe intubate external member of using when inserting double J pipe in a kind of laparoscopic surgery.
Background technology
At present, peritoneoscope is used more and more extensive because of its Wicresoft's advantage in the Urology Surgery field.But laparoscopic technique is strong, has many technological difficulties, has hindered laparoscopic technique popularizing and development at Urology Surgery.Peritoneoscope renal pelvis, ureterolithotomy, pyeloplasty and anastomosis of ureter etc. need be inserted double J pipe, and double J pipe insert be wherein one of difficult point (double J pipe is because the two ends of double J pipe are the shape that curls and are named as English alphabet J under naturalness, there is the maintenance effect at the two ends of this double J pipe, can guarantee that it is not shifted in ureter).At present, the several method of use is as follows:
1, traditional double J pipe is inserted: under the mirror of chamber, double J pipe is put into body cavity, bimanualness apparatus (operating forceps) is inserted double J pipe, owing to curl in the double J pipe two ends, inserts difficulty, wastes time and energy, and requires the patient to be skilled in technique.
2, preset double J pipe under the cystoscope: before the laparoscopic surgery, insert double J pipe in advance at renal pelvis or operation on ureter position with the cystoscope per urethra to the Ipsilateral ureter earlier, again double J pipe is upwards sent in the renal pelvis in the operation.
3, insert support in the double J pipe tube chamber: curling in the double J pipe two ends is to cause the one of the main reasons of inserting difficulty, domestic Zhang Xu, high-new professor adopts epidural anesthesia pipe, plastics collodion silk to insert in the double J pipe respectively, eliminate or reduce the double J pipe two ends and curl, help double J pipe and insert in renal pelvis and the ureter.The double J pipe time of inserting shortens to 5 minutes.But, still have certain difficulty to the abecedarian.
To sum up, double J pipe is inserted needs operating apparatus narrow and small peritoneum rear space operation in patient's body to carry out, and makes the operation technique difficulty strengthen, and what be unfavorable for performing the operation carries out; And double J pipe is when inserting, and its distance of inserting bladder end and renal pelvis end can not accurately be located.
The utility model content
Technical problem to be solved in the utility model provides a kind of double J pipe intubate external member of being convenient to operation technique.
The technical scheme that its technical problem that solves this utility model adopts is: double J pipe intubate external member, comprise double J pipe with renal pelvis end and bladder end, and outside double J pipe, be movably installed with guide.
As the preferred version of technique scheme, described guide adopts the rigid pipe with axially extending bore, and the double J pipe movable set is in the axially extending bore of rigid pipe.
Further be to be provided with sealing cap in the sealing of place, aperture, rigid pipe outer end.
Further be that double J pipe renal pelvis end is provided with range mark spare.
Further be that described range mark spare is the draught line that is socketed on the renal pelvis end.
Further be in double J pipe, to be plugged with seal wire.
Further be outside seal wire, to be set with the ejector sleeve that docks with double J pipe renal pelvis end.
The beneficial effects of the utility model are: by be movably installed with guide outside double J pipe, when operation, double J pipe is sleeved on the guide, guide is stretched out outside the human body, then medical personnel can and be presented to the bladder end of double J pipe patient's intravesical at external promotion double J pipe from ureter, guide has played and has been equivalent to renal pelvis or ureter are extended to external effect, obviously in the external operation technique space that increases, be beneficial to medical personnel and finish operation, and simple to operate, apply when being particluarly suitable for inserting double J pipe in the laparoscopic surgery.
Description of drawings
Fig. 1 is a structural representation of the present utility model.
Be labeled as among the figure: renal pelvis end 1, bladder end 2, guide 3, sealing cap 4, range mark spare 5, seal wire 6, ejector sleeve 7.
The specific embodiment
Below in conjunction with drawings and Examples this utility model is further specified.
As shown in Figure 1, double J pipe intubate external member of the present utility model comprises the double J pipe with renal pelvis end 1 and bladder end 2, is movably installed with guide 3 outside double J pipe.During operation, double J pipe is sleeved on the guide 3, the inner of guide 3 extend into intravital operation on ureter mouth place, the outer end extend out to external, at this moment, medical personnel promote double J pipe at manipulation in vitro, make bladder end 2 enter bladder downwards from the operation on ureter mouth, this guide 3 is equivalent to ureter has been extended to external, can be convenient to medical personnel's operation technique.
In the above-described embodiment, guide 3 be so long as can play the double J pipe suit, and double J pipe moved freely get final product, as adopting a long lath, on this long lath lasso is set in guide 3, and double J pipe inserts from this lasso and gets final product.As optimal way, described guide 3 adopts the rigid pipe with axially extending bore, and the double J pipe movable set is in the axially extending bore of rigid pipe.This rigid pipe can adopt making such as metal tube, plastic tube.
When operation, the inner of rigid pipe extend into body inner close fitting ureter, is not easy to operation technique for preventing gas leakage, is provided with sealing cap 4 in the sealing of place, aperture, rigid pipe outer end.When then performing the operation, the bladder end 2 of double J pipe is passed sealing cap 4, pass from the inner of rigid pipe axially extending bore and get final product.Exist because whole laparoscopic surgery operating process all needs the space in posterior peritoneum chamber, and keep the CO that this space just needs certain pressure
2Gas is realized, needs the pressure of 12-15mmHg usually, and all laparoscopic surgical instruments (Trocar) precision equipments such as medicated cap of all holding one's breath are air tight when guaranteeing operation technique.And this sealing cap that adopts in the present embodiment can play the effect that prevents rigid pipe gas leakage, and the mode that this sealing cap 4 can adopt a rubber gloves finger to be enclosed within the rigid pipe outer end realizes.
In order to improve the accuracy that double J pipe is inserted in the operation, double J pipe renal pelvis end 1 is provided with range mark spare 5.Before operation, draw the distance of calculus by apparatus measures apart from renal pelvis, based on this distance that measures, on double J pipe renal pelvis end 1, range mark spare 5 is set.Then the bladder end 2 of double J pipe is inserted in the process of bladder, when the position of this range mark spare 5 arrives ureteral operation mouth, then show bladder end 2 be presented to fully the patient intravesical and the distance moderate, continue to insert double J pipe toward the bladder direction, when the end of double J pipe renal pelvis end 1 moves to ureteral operation mouth place, and then renal pelvis end 1 moved upward from ureteral operation mouth extend in patient's the renal pelvis, when range mark spare 5 upwards moves to ureteral operation mouth place again, represent that then the placement of double J pipe finishes, obviously range mark spare 5 can prevent that the double J pipe placement is not in place or place excessively, reduce operating difficulty, improve the success rate of operation, reduce the activity duration of operation.
In the above-described embodiment, range mark spare 5 can be fastened in appropriate location on the renal pelvis end 1 with clamp, or directly a gauge point realization is done in the appropriate location on renal pelvis end 1, and as optimal way, described range mark spare 5 is for being socketed in the draught line on the renal pelvis end 1.Then the bladder end 2 of double J pipe is inserted in the process of bladder, when the position of this draught line arrives ureteral operation mouth, continuation is inserted into the bladder end 2 of double J pipe patient's intravesical, when the end of double J pipe renal pelvis end 1 moves to ureteral operation mouth place, mention draught line, the renal pelvis end 1 of double J pipe is moved upward enter in patient's the renal pelvis, when the draught line socket place moves to ureteral operation mouthful again, inserting of double J pipe finished in shut-down operation.Therefore, the setting of this draught line can also be played the renal pelvis end 1 that drives double J pipe and move upward and enter effect in patient's renal pelvis except the accuracy that can guarantee double J pipe and insert.
Because the two ends of double J pipe are rolled state under naturalness, it is difficult for inserting in inserting patient's body the time, therefore, can be in double J pipe grafting seal wire 6, like this, the two ends of double J pipe (being renal pelvis end 1, bladder end 2) can stretch inserting seal wire 6, be beneficial to inserting of double J pipe, insert after bladder finishes when the bladder end 2 of double J pipe, take off seal wire 6, enter renal pelvis at the renal pelvis end 1 that makes double J pipe then and get final product.Under the situation that is provided with seal wire 6, insert intravesical for making things convenient for bladder end 2, outside seal wire 6, be set with the ejector sleeve 7 that docks with double J pipe renal pelvis end 1.When then performing the operation, outside seal wire 6, promote ejector sleeve 7, can make ejector sleeve 7 promote the double J pipe motion, be more conducive to operation of medical workers.
During operation, the operating process of double J pipe intubate external member of the present utility model is: handle guide 3 (metal tube, plastic tube), make the bladder end 2 of double J pipe aim at renal pelvis or operation on ureter mouth, make bladder end 2 insert bladder downwards, guide 3 should be close to ureter during insertion, and the bladder end 2 that only allows double J pipe moves to the bladder direction is moving.After the bladder end 2 of double J pipe entered bladder, guide 3 suitably withdrawed from, and continued to insert double J pipe, appeared at operation on ureter mouth place until double J pipe and ejector sleeve 7 connecting portions.Extract seal wire 6 and ejector sleeve 7 out, double J pipe renal pelvis end 1 is sent into the ureter top, upwards mention draught line, drive double J pipe and move to renal pelvis with curved elastic separating plier.When the draught line socket place on the double J pipe reaches the operation on ureter position, show that double J pipe reaches the precalculated position, remove draught line, finish inserting of double J pipe.
Claims (7)
1. double J pipe intubate external member comprises the double J pipe with renal pelvis end (1) and bladder end (2), it is characterized in that: be movably installed with guide (3) outside double J pipe.
2. double J pipe intubate external member as claimed in claim 1 is characterized in that: described guide (3) adopts the rigid pipe with axially extending bore, and the double J pipe movable set is in the axially extending bore of rigid pipe.
3. double J pipe intubate external member as claimed in claim 2 is characterized in that: be provided with sealing cap (4) in the sealing of place, aperture, rigid pipe outer end.
4. as claim 1,2 or 3 described double J pipe intubate external members, it is characterized in that: double J pipe renal pelvis end (1) is provided with range mark spare (5).
5. double J pipe intubate external member as claimed in claim 4 is characterized in that: described range mark spare (5) is for being socketed in the draught line on the renal pelvis end (1).
6. double J pipe intubate external member as claimed in claim 4 is characterized in that: be plugged with seal wire (6) in double J pipe.
7. double J pipe intubate external member as claimed in claim 6 is characterized in that: be set with the ejector sleeve (7) that docks with double J pipe renal pelvis end (1) outside seal wire (6).
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN200920301381U CN201375747Y (en) | 2009-03-18 | 2009-03-18 | Double J-tube cannulation kit |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN200920301381U CN201375747Y (en) | 2009-03-18 | 2009-03-18 | Double J-tube cannulation kit |
Publications (1)
Publication Number | Publication Date |
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CN201375747Y true CN201375747Y (en) | 2010-01-06 |
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CN200920301381U Expired - Fee Related CN201375747Y (en) | 2009-03-18 | 2009-03-18 | Double J-tube cannulation kit |
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Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN102198302A (en) * | 2011-05-25 | 2011-09-28 | 宋体松 | Double J tube inserter for laparoscope |
CN111012556A (en) * | 2020-03-02 | 2020-04-17 | 姜辉 | Ejaculatory duct support double-J tube |
CN114176732A (en) * | 2021-12-27 | 2022-03-15 | 郑州大学第三附属医院(河南省妇幼保健院) | Injection device for ureteral reflux treatment and use method thereof |
CN115317762A (en) * | 2022-09-05 | 2022-11-11 | 中国人民解放军联勤保障部队第九二八医院 | double-J-tube introducer under laparoscope and using method thereof |
-
2009
- 2009-03-18 CN CN200920301381U patent/CN201375747Y/en not_active Expired - Fee Related
Cited By (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN102198302A (en) * | 2011-05-25 | 2011-09-28 | 宋体松 | Double J tube inserter for laparoscope |
CN111012556A (en) * | 2020-03-02 | 2020-04-17 | 姜辉 | Ejaculatory duct support double-J tube |
CN114176732A (en) * | 2021-12-27 | 2022-03-15 | 郑州大学第三附属医院(河南省妇幼保健院) | Injection device for ureteral reflux treatment and use method thereof |
CN114176732B (en) * | 2021-12-27 | 2023-09-29 | 郑州大学第三附属医院(河南省妇幼保健院) | Injection device for ureteral reflux treatment and use method thereof |
CN115317762A (en) * | 2022-09-05 | 2022-11-11 | 中国人民解放军联勤保障部队第九二八医院 | double-J-tube introducer under laparoscope and using method thereof |
CN115317762B (en) * | 2022-09-05 | 2024-01-26 | 中国人民解放军联勤保障部队第九二八医院 | Double J tube imbedding device under laparoscope |
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Legal Events
Date | Code | Title | Description |
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C14 | Grant of patent or utility model | ||
GR01 | Patent grant | ||
C17 | Cessation of patent right | ||
CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20100106 Termination date: 20140318 |