CN202654270U - Noninvasive pipe extractor for support pipe in ureter - Google Patents

Noninvasive pipe extractor for support pipe in ureter Download PDF

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Publication number
CN202654270U
CN202654270U CN 201220127349 CN201220127349U CN202654270U CN 202654270 U CN202654270 U CN 202654270U CN 201220127349 CN201220127349 CN 201220127349 CN 201220127349 U CN201220127349 U CN 201220127349U CN 202654270 U CN202654270 U CN 202654270U
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China
Prior art keywords
wire guide
protection sheath
fish mouth
tube
mouth groove
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Expired - Fee Related
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CN 201220127349
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Chinese (zh)
Inventor
景德善
景泰乐
张超
王养民
周逢海
常德辉
董永超
蓝天
杨琦
宋灵敏
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Individual
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Individual
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Priority to CN 201220127349 priority Critical patent/CN202654270U/en
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Publication of CN202654270U publication Critical patent/CN202654270U/en
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Abstract

The utility model discloses a noninvasive pipe extractor for a support pipe in a ureter; the noninvasive pipe extractor comprises a protective sheath which is made of rubber and is in a tubular shape; one end of the protective sheath is provided with a drainage port and an airbag inflation port, and the other end of the protective sheath is provided with an airbag which can be inflated and deflated, a side hole and a support pipe positioning fish mouth groove; a metal guide wire lumen is arranged in the protective sheath; the side of the protective sheath which is close to one end of the support pipe positioning fish mouth groove is provided with a through hole which is communicated with the metal guide wire lumen; an ultrasonic visible metal guide wire is arranged in the metal guide wire lumen; and one end of the ultrasonic visible metal guide wire extends outside the metal guide wire lumen, and the other end of the ultrasonic visible metal guide wire freely extends from the through hole on one side of the support pipe positioning fish mouth, goes around the support pipe positioning fish mouth groove and is fixedly arranged on the other side of the support pipe positioning fish mouth groove. The noninvasive pipe extractor for the support pipe in the ureter has the advantages of the supporting noninvasive placement, no need of manual filling into the bladder, no requirement on the body position of a patient, little pain, high safety, and low production and use cost.

Description

Ureteral stent tube noinvasive pipe extractor
Technical field
This utility model relates to medical instruments field, is specifically related to a kind of Ureteral stent tube noinvasive pipe extractor.
Background technology
Existing Ureteral stent tube pipe drawing device all is to insert under the intravesical direct-view by rigid cystoscope per urethra to pull out Ureteral stent tube by foreign body forceps.
Rigid cystoscope is metallicity endoscope, mirror sheath specification Fr17-24 (the about 2.71-3.82cm of radius r), in pulling out the Ureteral stent tube process, the patient gets calculi position, the per urethra topical anesthesia, the direct-view per urethra is inserted intravesical under the guide of cold light source, confirms to use foreign body forceps to pull out the inner support pipe behind the Ureteral stent tube position.But adopt metallicity endoscope to have following shortcoming: special posture requires to cause many gerontal patients or the rational patient of change of coxarthropathy to cooperate difficulty; Metallic foreign body is inserted and is caused pain, though per urethra surface anesthesia before the art, because the cystoscope caliber is thicker, the expansion of being forced to property of urethra is obvious, and the pain that causes thus can't effectively be alleviated; Because of physiology or pathologic factors such as patient's urethral stricture, foreign body obstruction, prostatic hyperplasia, deformity of urethras, cause the cystoscope visual field unclear, insert difficulty, via damage, urethra perforation, the secondary damage of the operation such as mucous membrane of urethra avulsion; Insert in the process at cystoscope, the mirror sheath causes the damage of the repressive ischemia of mucous membrane of urethra and mucous membrane of urethra, thereby causes mucosal bleeding serious in the art or the generation of the complication such as the urinary system infection of severe postoperative, urethral stricture; May cause the damage of mucous membrane of urinary bladder on every side in the foreign body forceps gripping endoureteral stent process in the art; In order to keep the visual area clear, need to pour into about 200ml normal saline through cystoscope to urethra and intravesical in the art, cause the strong irritation sign of bladder of patient to be difficult to cooperate, thereby increased operating difficulty and art risk; The misery that causes in preparation and the tube drawing process before the complicated art causes the strong anxiety of patient; Cystoscope is costly, disinfects the process complexity.
In addition, also have research that Ureteral stent tube is designed to Biodegradable material, the several months degrades voluntarily after Ureteral stent tube is inserted, and need not manually to pull out.But this technical scheme has following shortcoming: the uncertainty of degraded position causes the transposition of ureter rack tube stub, can cause lasting iatrogenic renal colic in the renal pelvis as moving on the stub, deviate to affect the trigone of urinary bladder to intravesical and can cause obvious irritation sign of bladder such as stub; The uncertainty of degraded time started causes Ureteral stent tube to support and the urine drainage effect by the good effective ureter of performance within the time that requires; The persistence of the degradation process fragment that causes coming off serves as the formation that core causes urinary system calculus in urine; The relatively poor controllability of degradation process causes local mucous membrane of ureter Ischemia Time long, causes that easily stricture of ureter affects one-sided renal function; Residual fragment stops up support tube or ureter easily in the degradation process, causes urine drainage to be obstructed, and damages one-sided renal function, is unfavorable for simultaneously the ureteral recovery of pathological changes side; Catabolite may cause the pathologic impact to ureter, bladder or mucous membrane of urethra, causes the generation of urinary system aseptic inflammation or tumor; Degradable material is costly.
The utility model content
The technical problems to be solved in the utility model provides and a kind ofly supports that noinvasive is inserted, the intravesical perfusion less, to patient body position's no requirement (NR), safe, generation and the low Ureteral stent tube noinvasive pipe extractor of use cost.
For solving the problems of the technologies described above, the technical solution adopted in the utility model is:
A kind of Ureteral stent tube noinvasive pipe extractor; comprise and adopt rubber to make and protection sheath in a tubular form; one end of described protection sheath is provided with draining hole and air bag inflation inlet; but the other end of described protection sheath is provided with charge-discharge air bag; side opening and support tube location fish mouth groove; be provided with the wire guide tube chamber that is arranged in parallel along the protection sheath in the described protection sheath; described protection sheath is provided with the through hole that is communicated with the wire guide tube chamber by the sidepiece of an end of support tube location fish mouth groove; be provided with the ultrasonic visible wire guide for sheathed support tube in the described wire guide tube chamber; stretch out outside the wire guide tube chamber end of described ultrasonic visible wire guide, and the opposite side of walking around support tube location fish mouth groove and being fixed in support tube location fish mouth groove is freely stretched out in another end of described ultrasonic visible wire guide from the through hole of support tube location fish mouth groove one side.
As further improvement in the technical proposal:
Be provided with the inflation piston in the described airbag aeration mouth.
Comprise also that be used to the operation capstan winch of taking in ultrasonic visible wire guide described ultrasonic visible wire guide stretches out in the outer end of draining hole and is wound on the described operation capstan winch, described operation capstan winch is provided with the operating grip for the rotating operation capstan winch.
The length of described protection sheath is 44cm, and the diameter of described protection sheath is 0.8cm, and the thickness of described protection sheath is 0.3cm.
The diameter of described wire guide tube chamber is 1mm, and the diameter of ultrasonic visible wire guide is 0.8mm.
The utlity model has following advantage: the utlity model has the non-invasive of tube drawing equipment and insert, reduce intravesical and pour into to strengthen patient's tolerance degree, eliminate the tube drawing operation to patient body position's specific (special) requirements, the foreign body forceps improvement of safety, reduce the effects such as high making and maintenance cost, so that in the clinical position Ureteral stent tube pull out safer, the easier patient of allowing accepts and is good fit, also the easier clinician of allowing grasps noinvasive tube drawing skill, handling safety, tube drawing is simple and easy, make simple and convenient, economical and practical, simple in structure, have the noinvasive of support and insert, bladder need not artificial, to patient body position's no requirement (NR), painful little, safe, produce and the low advantage of use cost.
Description of drawings
In order to be illustrated more clearly in this utility model embodiment or technical scheme of the prior art, the below will do to introduce simply to the accompanying drawing of required use in embodiment or the description of the Prior Art, apparently, accompanying drawing in the following describes only is embodiment more of the present utility model, for those of ordinary skills, under the prerequisite of not paying creative work, can also obtain according to these accompanying drawings other accompanying drawing.
Fig. 1 is the structural representation of this utility model embodiment.
Fig. 2 is the broken section structural representation of this utility model embodiment.
Marginal data: 1, protection sheath; 11, draining hole; 12, airbag aeration mouth; But 13 charge-discharge air bags; 14, side opening; 15, support tube location fish mouth groove; 2, inflation piston; 3, ultrasonic visible wire guide; 31, wire guide tube chamber; 32, through hole; 4, operation capstan winch; 41, operating grip.
The specific embodiment
Below in conjunction with accompanying drawing the preferred embodiments of the present invention are described in detail, thereby so that advantages and features of the invention can be easier to be it will be appreciated by those skilled in the art that protection scope of the present invention are made more explicit defining.
As depicted in figs. 1 and 2; the Ureteral stent tube noinvasive pipe extractor of present embodiment comprises and adopts rubber to make and protection sheath 1 in a tubular form; one end of protection sheath 1 is provided with draining hole 11 and air bag inflation inlet 12; but the other end of protection sheath 1 is provided with charge-discharge air bag 13; side opening 14 and support tube location fish mouth groove 15; be provided with the wire guide tube chamber 31 that is arranged in parallel along protection sheath 1 in the protection sheath 1; protection sheath 1 is provided with the through hole 32 that is communicated with wire guide tube chamber 31 by the sidepiece of an end of support tube location fish mouth groove 15; be provided with the ultrasonic visible wire guide 3 for sheathed support tube in the wire guide tube chamber 31; stretch out outside the wire guide tube chamber 31 end of ultrasonic visible wire guide 3, and the opposite side of walking around support tube location fish mouth groove 15 and being fixed in support tube location fish mouth groove 15 is freely stretched out in another end of ultrasonic visible wire guide 3 from the through hole 32 of support tube location fish mouth groove 15 1 sides.
Be provided with inflation piston 2 in the airbag aeration mouth 12 of present embodiment, the diameter 0.5cm of the airbag aeration mouth 12 of present embodiment.
Present embodiment comprises also that be used to the operation capstan winch 4 of taking in ultrasonic visible wire guide 3 ultrasonic visible wire guide 3 stretches out in draining hole 11 outer ends and is wound on the operation capstan winch 4, and operation capstan winch 4 is provided with the operating grip 41 for rotating operation capstan winch 4.
In the present embodiment, the length of protection sheath 1 is 44cm, and the diameter of protection sheath 1 is 0.8cm, and the thickness of protection sheath 1 is 0.3cm; The diameter of wire guide tube chamber 31 is 1mm, and the diameter of ultrasonic visible wire guide 3 is 0.8mm.In addition, the side opening size is 0.35cm 2But charge-discharge air bag 13 can carry the about 65cm of total length of 15-35ml air or the ultrasonic visible wire guide 3 of normal saline.
The use procedure of present embodiment is as follows:
1) suppresses voluntarily urine before the Extubation in Patients, abdominal ultrasound filling of bladder degree (about 70~100ml), patient's clinostatism of making even, both legs are rolled up abduction, draining hole 11 folders are closed, ultrasonic visible wire guide 3 tightens up outside the working hole of support tube location fish mouth groove 15 sides, thereby an end and the ultrasonic visible wire guide of support tube location fish mouth groove 15 are fitted tightly.
2) aseptic sterilization patient perineal position; to protect sheath 1 to insert along urethra to draining hole 11 and the terminal junction of air bag inflation inlet 12 according to the catheter intubate essential of exercise; open draining hole 11 this moment and observe the urine flow artificial situation to be confirmed whether correctly to insert bladder; folder closes draining hole 11 after confirming; inject 15-35ml air or physiological saline solution through airbag aeration mouth 12; thereby but charge-discharge air bag 13 stressed change senior general present embodiments are fixed; under the B ultrasonic guiding, observe Ureteral stent tube bladder fragment position feature; wire guide operation capstan winch 4 backward rotation with ultrasonic visible wire guide 3; make the ultrasonic visible wire guide 3 of fish mouth groove 15 ends, location be semi-circular protuberance; then be inserted on the Ureteral stent tube, thereby support tube is inserted in and firmly embed in the location fish mouth groove 15.B ultrasonic is opened draining hole 11 drain intravesical urines after confirming Ureteral stent tube cover implantation site, slowly washes away protection sheath 1 extracted together with the Ureteral stent tube per urethra with urine to get final product in the drain process.
The above only is preferred implementation of the present utility model, and protection domain of the present utility model is not limited in above-mentioned embodiment, and every technical scheme that belongs to this utility model principle all belongs to protection domain of the present utility model.For a person skilled in the art, some improvements and modifications of under the prerequisite that does not break away from principle of the present utility model, carrying out, these improvements and modifications also should be considered as protection domain of the present utility model.

Claims (5)

1. Ureteral stent tube noinvasive pipe extractor; it is characterized in that: comprise and adopt rubber to make and protection sheath (1) in a tubular form; one end of described protection sheath (1) is provided with draining hole (11) and air bag inflation inlet (12); described protection sheath (1) but the other end be provided with charge-discharge air bag (13); side opening (14) and support tube location fish mouth groove (15); be provided with the wire guide tube chamber (31) that is arranged in parallel along protection sheath (1) in the described protection sheath (1); described protection sheath (1) is provided with the through hole (32) that is communicated with wire guide tube chamber (31) by the sidepiece of an end of support tube location fish mouth groove (15); be provided with the ultrasonic visible wire guide (3) for sheathed support tube in the described wire guide tube chamber (31); stretch out outside the wire guide tube chamber (31) end of described ultrasonic visible wire guide (3), and the opposite side of walking around support tube location fish mouth groove (15) and being fixed in support tube location fish mouth groove (15) is freely stretched out in another end of described ultrasonic visible wire guide (3) from the through hole (32) of support tube location fish mouth groove (15) one sides.
2. Ureteral stent tube noinvasive pipe extractor according to claim 1 is characterized in that: be provided with inflation piston (2) in the described airbag aeration mouth (12).
3. Ureteral stent tube noinvasive pipe extractor according to claim 1 and 2, it is characterized in that: also comprise be used to the operation capstan winch (4) of taking in ultrasonic visible wire guide (3), described ultrasonic visible wire guide (3) stretches out in the outer end of draining hole (11) and is wound on the described operation capstan winch (4), and described operation capstan winch (4) is provided with the operating grip (41) for rotating operation capstan winch (4).
4. Ureteral stent tube noinvasive pipe extractor according to claim 3, it is characterized in that: the length of described protection sheath (1) is 44cm, and the diameter of described protection sheath (1) is 0.8cm, and the thickness of described protection sheath (1) is 0.3cm.
5. Ureteral stent tube noinvasive pipe extractor according to claim 4, it is characterized in that: the diameter of described wire guide tube chamber (31) is 1mm, the diameter of ultrasonic visible wire guide (3) is 0.8mm.
CN 201220127349 2012-03-30 2012-03-30 Noninvasive pipe extractor for support pipe in ureter Expired - Fee Related CN202654270U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
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Application Number Priority Date Filing Date Title
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Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103800104A (en) * 2014-01-28 2014-05-21 河南科技大学第一附属医院 Ureter internal stent placement device
CN104207868A (en) * 2014-09-01 2014-12-17 上海交通大学医学院附属新华医院 Ureteral stent puller
CN105147372A (en) * 2015-10-20 2015-12-16 江苏省人民医院 Removing device for double-J pipe in body of woman
CN105232194A (en) * 2015-10-15 2016-01-13 江苏省肿瘤医院 Remover for pulling double-J catheter out of male body
CN107744615A (en) * 2017-12-06 2018-03-02 陈佳 Women DJ pipes take out Simple assisting device
CN107982631A (en) * 2018-01-16 2018-05-04 华中科技大学同济医学院附属协和医院 Second generation double J pipe plucking device and second generation double J pipe pull out suit

Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103800104A (en) * 2014-01-28 2014-05-21 河南科技大学第一附属医院 Ureter internal stent placement device
CN104207868A (en) * 2014-09-01 2014-12-17 上海交通大学医学院附属新华医院 Ureteral stent puller
CN105232194A (en) * 2015-10-15 2016-01-13 江苏省肿瘤医院 Remover for pulling double-J catheter out of male body
CN105232194B (en) * 2015-10-15 2018-06-29 江苏省肿瘤医院 Double J pipe extractor in a kind of males
CN105147372A (en) * 2015-10-20 2015-12-16 江苏省人民医院 Removing device for double-J pipe in body of woman
CN105147372B (en) * 2015-10-20 2017-10-13 江苏省人民医院 Double J pipe extractor in a kind of women body
CN107744615A (en) * 2017-12-06 2018-03-02 陈佳 Women DJ pipes take out Simple assisting device
CN107982631A (en) * 2018-01-16 2018-05-04 华中科技大学同济医学院附属协和医院 Second generation double J pipe plucking device and second generation double J pipe pull out suit

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C14 Grant of patent or utility model
GR01 Patent grant
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20130109

Termination date: 20150330

EXPY Termination of patent right or utility model