CN209075516U - Jejunum casing discharges system built in a kind of duodenum - Google Patents
Jejunum casing discharges system built in a kind of duodenum Download PDFInfo
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- CN209075516U CN209075516U CN201820654899.2U CN201820654899U CN209075516U CN 209075516 U CN209075516 U CN 209075516U CN 201820654899 U CN201820654899 U CN 201820654899U CN 209075516 U CN209075516 U CN 209075516U
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Abstract
The utility model relates to jejunum casing release system and its application methods built in a kind of duodenum, the system includes: implanted device, push component, fixing line and cable release, it is characterized in that, implanted device includes storage shell, releaser, membrane tube and bracket, storage case is tubulose, storing shell has a proximal openings and a distal openings, membrane tube and bracket to be released is arranged in storage case in folded state, pushing component includes by the interior push-and-pull seal wire being successively arranged outward and be capable of relative motion between each other, inner tube, middle pipe and outer tube, cable release one end is fixed on inner pipe, the other end of cable release is free end;Fixing line one end is fixed on middle pipe, and the free end of the fixing line other end and cable release cooperatively forms after knot that can be undone by a pull connection membrane tube, releaser and inner tube that therefrom pipe is drawn and is fixed on bracing wire knob.The utility model has the advantages that structure is simple, easy to operate.
Description
Technical field
It is flow backwards the utility model relates to the food after the field of medical instrument technology more particularly to a kind of pair of peptic digest
Jejunum casing built in duodenum discharges system.
Background technique
Diabetes are by the various virulence factor effects such as inherent cause, immunologic function disorder, microorganism infection and its toxin
One systems such as sugar, protein, fat, water and the electrolyte that the hypoinsulinism caused by body, insulin resistance etc. two causes
Column metabolism disturbance syndrome.Diabetes divide the glycosuria of Type I diabetes and type II diabetes, gestational diabetes mellitus and other specific types
Disease.In diabetic, ratio shared by type II diabetes is about 95%.
In the latest 20 years, along with global industry, the illness rate of allegro life, diabetes is sharply increased, sugar
Urine disease seriously affects people's lives quality and threatens the health of the mankind.
Type-II diabetes (T2DM) are to keep on a diet, reinforces moving, oral drugs and pancreas in the main treatment method of internal medicine
The integration scenarios such as island extract for treating, however above-mentioned medical treatment cannot make glucose restore that normally, glycosuria can not be avoided completely
The appearance of sick complication and being further aggravated for the state of an illness.
A small number of hospital are carrying out as treatment diabetes and weight-reducing and are doing stomach turn of tidal stream and perform the operation (GBP) both at home and abroad at present.Stomach turns
Stream operation has definite curative effect to T2DM, but due to carry out operation, bigger to the wound of human body, and diabetic
Post-operative wound is not easy to heal.Simultaneously there is also surgery cost height, the problem for causing the burden of patient economically big, therefore adopt
With the popularization of stomach turn of tidal stream operative treatment diabetes, there is also some obstacles.
Currently, external also have by being implanted into the structure treatments diabetes such as similar stomach air deflector in the gastrointestinal tract.Such as it discloses
Number for stomach food diverter disclosed in CN202751415U, wherein one end of ball cable release by one end of membrane tube and is pushed away by slip-knot
One end of pipe is sent to connect respectively with film release ball, the other end of ball cable release extends to outside oral cavity, by pulling ball cable release position
Slip-knot, which can be opened, in extrabuccal one end separates membrane tube, push pipe and film release ball three.It is fixed using such single line
Mode, release film release ball after, it is easy to have it is longer one section enter enteron aisle and membrane tube gap location, enteron aisle squeeze
Pressure, ball cable release line is extremely difficult from membrane tube disengaging, is easy to pull membrane tube again back when withdrawing ball cable release, shadow
Ring the progress of operation.Also, this binding wire structure is easy to appear and accidentally pulls the feelings that ball cable release prematurely pops out film release ball
Condition.
Utility model content
To solve the above-mentioned problems, the purpose of this utility model is to provide a kind of structures to be simple and convenient to operate, convenient for pushing away
Jejunum casing built in the duodenum extensively used discharges system.
In order to achieve the above purpose, the utility model discloses jejunum casings built in a kind of duodenum to discharge system,
The system includes: including implanted device, push component, fixing line (30) and cable release (50), which is characterized in that implanted device packet
Including storage shell (40), releaser (10), membrane tube (20) and bracket (60), storage case is tubulose, and storage shell is close with one
End opening and a distal openings, membrane tube to be released (20) and bracket (60) are arranged in storage case (40) in folded state,
Membrane tube (20) proximal end is connect with bracket (60) distal end, and releaser (10) is arranged at the distal openings of storage shell (40) and membrane tube
(20) distal end connects;Pushing component includes by the interior push-and-pull seal wire being successively arranged outward and be capable of relative motion between each other
(74), releaser (10) are withstood in the distal end of inner tube (73), middle pipe (72) and outer tube (71), push-and-pull seal wire (74);In described
Pipe (73) a part is located in the storage shell (40) and connect with the releaser (10);One end of the middle pipe (72) passes through
The proximal openings of storage shell (40) protrude into the storage shell (40), and the end of the middle pipe is fixed with positioned at described
The pushing block (41) for being used to push against the bracket in storage shell;Outer tube (71) is located at the storage shell (40) outside and one end
It is directly or indirectly fixedly connected in the proximal openings of storage shell;Cable release (50) one end is fixed on inner tube (73), release
The other end of line (50) is free end;Fixing line (30) one end is fixed on middle pipe (72), fixing line (30) other end and release
The free end of line (50) cooperatively forms knot that can be undone by a pull connection membrane tube (20) and releaser (10).
The application is fixed on inner tube by cable release and fixing line mating connection membrane tube and releaser, one end of cable release
On, it is detached from as long as opposite releaser recession inner tube can drive between the free end of cable release and fixing line, it is easy to operate, and
It, can be as far as possible from membrane tube inner cavity cabling when cable release and fixing line are recalled due to being connected jointly by cable release and fixing line
It reduces releaser and is detached from the length of cable release and fixing line in intestines body and membrane tube gap after storage shell, avoid recalling cable release
Membrane tube is retracted with when fixing line.Also, after the completion of implanted device implantation, the both ends of above-mentioned cable release are all hidden to operator
Hiding, and the inner tube for being fixed with cable release can maintain the lock status and can not be subjected to displacement relative to releaser, so as to reduce by
Releaser is set to prematurely pop out storage shell in the fault of operator.
Preferably, one end of fixing line connection membrane tube and releaser is therefrom managed in (72) and is pierced by with the gap location of inner tube.
It can be reduced the case where fixing line free end disengages before cable release release with cable release in this way, keep the firm of binding wire structure.
It is fixed on bracing wire knob (815) preferably, therefrom managing the fixing line being pierced by with inner tube gap location.Pass through bracing wire
Knob is convenient for withdrawal fixing line.
Preferably, releaser (10) has inner cavity, releaser (10) periphery wall is equipped with one of the connection inner cavity
Hole A (111) and at least two hole C (112) is equipped with one or more slot A (113), the slot A (113) on release body sidewall
Connecting hole A (111) and one of hole C (112), for the cable tray between hole A (111) to hole C (112), adjacent hole C
(112) slot B (114) are equipped between, slot B (114) is used to connect the cable tray between adjacent hole C (112);Cable release (50)
One end is fixed on the distal end of inner tube (73), and cable release (50) other end enters the inner cavity of releaser and the hole A from releaser top
(111) it draws, successively the circumferentially distributed direction after slot A (113) and slot B (114) along multiple hole C (112) is wrapped in release
Body (10) lateral wall;Corresponding aperture C (112) is equipped with hole B (201) on the periphery wall of membrane tube (20) distal end, one end of fixing line (30)
It is passed through from the inner cavity of membrane tube (20), through hole C (112) corresponding on the hole B (201) and releaser on filmed passing tube, around releasing
Unwrapping wire wears go back to membrane tube (20) inner cavity using hole C and hole B, then repeats the above process this end of fixing line sequentially passing through film
Corresponding hole C on remaining hole B and releaser on pipe.
Such binding wire structure, binding wire structure is simple, when recalling cable release, cable release due to expose releaser length compared with
It is short and due to its form of pulling back, it is not easy into the gap location of intestines body and membrane tube, it is easy to it recalls, and after cable release is recalled,
Fixing line only has several very short coils in membrane tube, even if there is the extruding of enteron aisle, fixing line is easier to enter membrane tube instead
Inside can not occur pullling membrane tube back in fixing line separation process to realize the separation of fixing line and membrane tube
Situation.Also, it is connected in such a way that multiple spot is fixed between releaser and membrane tube, drive membrane tube that can be stable is unfolded, and discharges
The above-mentioned fit system of line and fixing line, and can very easily realize the separation of release ball and membrane tube.
Preferably, hole A (111) is located at the top of releaser or is arranged close to the top of releaser;Multiple hole C (112)
It is equally spaced on releaser periphery wall centered on the mounting axis of releaser.
Preferably, the proximal end of middle pipe (72) is stretched out from the proximal end of outer tube (71), in the close of outer tube (71) in push component
End is connected with the middle tube winding apparatus (71) for locking or unlocking middle pipe relative to outer tube position;The proximal end of inner tube (73) is therefrom
The proximal end for managing (72) is stretched out, and is connected with the inner tube for locking or unlocking inner tube relative to middle pipe position in the proximal end of middle pipe (72)
Locking device (82);Push and pull conducting wire (74) proximal end from the proximal end of inner tube stretch out, the proximal end of inner tube be connected with for lock or
Seal wire locking device (83) of the unlock push-and-pull seal wire relative to inner tube position.
Tube winding apparatus, interior tube winding apparatus and seal wire locking device are convenient for control push component to push among the above for setting
The orderly manipulation of process.
Preferably, middle tube winding apparatus (81), interior tube winding apparatus (82) and seal wire locking device (83) realize locking
Or the structure of unlock is identical, including shell (811), shell one end, which is shunk, is fixed on outer tube, middle pipe or inner tube proximal end, tool in shell
There is the channel from its proximal openings to its distal openings, shell is equipped with adjusting knob (812), and adjusting knob has elongated end
(8121), the middle pipe (72), interior compressed from passing through in channel can be squeezed by the elongated end (8121) of adjusting knob by being equipped in channel
It manages (73) or pushes and pulls the sealing ring (813) of seal wire (74).
Since sealing ring itself has elasticity, it can be controlled to adjust by adjusting knob and be pushed away in sealing ring and corresponding push component
The tightness between seal wire, inner tube or middle pipe is drawn, controls whether it is locked by regulating friction force.
Preferably, shell (811) inner wall forms the limited step (8111) of restricted sealing ring position inside the shell.It is logical
Crossing setting limited step keeps sealing ring corresponding with the elongated end of adjusting knob always.
Preferably, seal wire locking device (83) includes the female Luer (84) being connected to inner tube, for controlling whether energy
The adjusting knob of bracing wire seal wire is pushed to be detachably connected in female Luer, adjusting knob is equipped with to be led to for what push-and-pull seal wire passed through
Road.In this way, membrane tube expansion can be accelerated by female Luer to inner tube injecting normal saline.
Preferably, the inner cavity (12) that releaser (10) has periphery wall (11) and can be connected to inside storage shell, is released
Body is put equipped with seal wire fast exchange channel (116), seal wire fast exchange channel (116) is opened by two channels on releaser
Mouth (1161) directly conducting is formed, the two access portals are respectively positioned on periphery wall and are exposed on the outer surface of storage shell.
Seal wire fast exchange channel is set, connection can easily be formed between implanted device to guide implantation dress in early period
It sets and enters predetermined position, also, after releaser and storage shell disengage, can also continue to continue deeper into releaser along seal wire
The operation difficulty of operator is reduced so that operation is rapidly completed to enteron aisle depths, also mitigates the pain of patient.
Preferably, inner cavity of the seal wire fast exchange channel without releaser.To realize and push keeping away for inter-module
It allows.
Preferably, releaser (10) is equipped with the seal wire slot (115) mating with push-and-pull seal wire.It can prevent inner tube from removing
During rewinding dynamic cable release release, push-and-pull seal wire and releaser are detached from and scratch enteron aisle, guarantee the safety of operation.
Preferably, releaser contains developing material, can develop under X-ray.Convenient for observing releaser in surgical procedure
In the intracorporal position of people.In this way, the position of releaser can be shown, accurately under X-ray in order to observe after the completion of operation
Whether releaser excretes.
Jejunum casing built in above-mentioned duodenum discharges system, has the advantages that
(1) by cable release and fixing line mating connection inner tube, membrane tube and releaser, the inner tube as long as opposite releaser is dropped back
It can drive between the free end of cable release and fixing line and be detached from, it is easy to operate, and due to total by cable release and fixing line
With connection, releaser can be reduced as far as possible and is detached from the length of cable release and fixing line in intestines body and membrane tube gap after storage shell
Degree, avoids retracting membrane tube when recalling cable release and fixing line.
(2) after the completion of implanted device is implanted into, the both ends of above-mentioned cable release all hide operator, and are fixed with release
The inner tube of line, which can maintain the lock status, to be subjected to displacement relative to releaser, and the fault so as to reduce due to operator makes
Releaser prematurely pops out storage shell.
Detailed description of the invention
Fig. 1 is the structural schematic diagram in the utility model.
Fig. 2 is the cross-sectional view in Fig. 1 at A.
Fig. 3 is the cross-sectional view in Fig. 1 at B.
Fig. 4 is the sectional view of N-N in Fig. 1.
Fig. 5 is membrane tube and one of the fixed structure schematic diagram for discharging ball.
Fig. 6 is the top structure schematic diagram for discharging ball.
Fig. 7 is the two of the fixed structure schematic diagram of membrane tube and release ball.
Fig. 8 is the binding wire structure schematic diagram for discharging cable release and fixing line on ball.
The attachment structure schematic diagram of Fig. 9 inner tube and cable release.
Figure 10 is the attachment structure schematic diagram of fixing line and membrane tube.
Wherein: 10, releaser, 11, periphery wall, 111, hole A, 112, hole C, 113, slot A, 114, slot B, 115, seal wire slot,
116, seal wire fast exchange channel, 1161, access portal, 12, inner cavity, 20, membrane tube, 201, hole B, 30, fixing line, 40, storage
Shell, 401, connector sleeve, 41, pushing block, 50, cable release, 60, bracket, 71, outer tube, 72, middle pipe, 73, inner tube, 74, push-and-pull lead
Silk, 81, middle tube winding apparatus, 811, shell, 8111, limited step, 812, adjusting knob, 8121, elongated end, 813, sealing
Circle, 814, heat-shrinkable T bush, 815, bracing wire knob, 82, interior tube winding apparatus, 83, seal wire locking device, 84, female Luer
Specific embodiment
It elaborates below in conjunction with attached drawing to the embodiments of the present invention.It wherein, is close by one end of proximal operator
End, one end far from operator are distal end, are proximally front end towards the direction of distal end, otherwise are proximal end.
Jejunum pipe built in a kind of duodenum as shown in Figs. 1-3 discharges system, including implanted device, push component, solid
Alignment 30 and cable release 50.
Implanted device is for being implanted to human body by the oral cavity of human body by gastroscope and referring to close to gastropyloric 12 in human body
Intestines and/or stomach pylorus top.Implanted device includes that storage shell 40, releaser 10, membrane tube 20 and bracket 60, storage case 40 are
Tubulose, storage shell 40 have a proximal openings and a distal openings, and membrane tube 20 to be released and bracket 60 are set in folded state
It sets in storage case 40,20 proximal end of membrane tube is distally connect with bracket 60.
Releaser 10 is arranged at the distal openings of storage shell 40 distally to be connect with membrane tube 20, and releaser 10 is by can be by
Human body intestinal canal is digested and assimilated or the material of dissolution is made.Releaser 10 has periphery wall 11 and can be connected to inside storage shell
Inner cavity 12, releaser periphery wall is equipped with a hole A111 for being connected to the inner cavity and at least two hole C112, hole A111 are located at
The top of releaser 10 is arranged close to the top of releaser, and the top refers to the separate operation of releaser on its axis
Distalmost end on person direction, multiple hole C112 are equally spaced in releaser outer peripheral surface centered on the axis of releaser 10, are being released
It puts body sidewall and is equipped with one or more slot A113, the slot A113 connecting hole A111 and one of hole C112, be used for hole A
111 arrive the cable tray between the C112 of hole, slot B114 are equipped between adjacent hole C112, slot B114 is for connecting adjacent hole
Cable tray between C112;Periphery wall is generally in spherical form or the arcuate structure of dome-type, prevents releaser from scratching enteron aisle.
Releaser 10 is connect with 20 distal end of membrane tube by cable release 50 and fixing line 30, right on the periphery wall of 20 distal end of membrane tube
Hole C112 is answered to be equipped with hole B201.
As shown in Figure 1, Figure 2, shown in Fig. 4 and Fig. 8-10, push component includes successively being arranged outward and mutual energy by interior
Push-and-pull seal wire 74, inner tube 73, middle pipe 72 and the outer tube 71 of enough relative motions.Withstand releaser in the distal end of the push-and-pull seal wire 74
10;73 a part of said inner tube is located in the storage shell 40 and connect with the releaser 10;50 one end of cable release is fixed
In the distal end of inner tube 73,50 other end of cable release enters the inner cavity of releaser 10 and draws from the hole A111 on releaser top, according to
It is secondary to be wrapped in 10 lateral wall of releaser along the circumferentially distributed direction of hole C112 by slot A113 and slot B114.One end of fixing line 30
It is fixed on pipe, is generally fixed to middle Guan Yuanduan, the fixing line other end is free end, which wears from the inner cavity of membrane tube 20
It crosses, through hole C112 corresponding on the hole B201 and releaser 10 on filmed passing tube 20, around cable release 50 using the hole
C112 and hole B201 wears go back to 20 inner cavity of membrane tube, then repeats the above process this end of fixing line sequentially passing through remaining hole in membrane tube
Corresponding hole C112 on B201 and releaser.By fixing line 30 and cable release mating connection releaser and membrane tube, discharging
After line release, fixing line 30 only has the coil of several very littles to expose from the C of hole, in this way, walking when fixing line is recalled from membrane tube inner cavity
Line, will not outlet the case where taking back membrane tube.Further, due to the free end of fixing line 30 connecting hole C two-by-two in form of a coil
After the B of hole, the end of a thread of the free end does not have any connection structure vacantly, in this way it is possible that part is already connected to hole C and hole B
In coil disengage, on the one hand will affect the stability of connection structure between releaser 10 and membrane tube 20 in this way, on the other hand may be used
One section of longer the end of a thread can be had to enter between membrane tube and intestines body, thus membrane tube may be taken back together when retracting fixing line,
It is therefore preferable that setting, which can guarantee, in this way recalls admittedly will to draw in the free end of fixing line therefrom pipe 72 with the gap location of inner tube
When alignment, fixing line 30 is all recalled from 20 inner cavity of membrane tube.And preferably the free end is fixed on bracing wire knob 815, so as to
In retracting fixing line 50.
One end of the middle pipe 72 is protruded into the storage shell 40 through storing the proximal openings of shell, and the middle pipe
The end is fixed with the pushing block for being used to push against the bracket 60 in the storage shell.Specifically, pushing block 41 and bracket
60 proximal ends offset, and 60 distal end of bracket is connect with 20 proximal end of membrane tube, and pushing block 41 pushes bracket 60 and membrane tube 20 to move together.Outer tube 71
Outside the storage shell 40 and one end is directly or indirectly fixedly connected in the proximal openings of storage shell 40;This implementation
Example in, outer tube 71 pass through be connected to storage 40 proximal openings of shell connector sleeve 401 be fixed on storage shell 40 on and with storage
The connection of shell inner cavity, stores and is threadedly coupled between shell 40 and connector sleeve 401.
It pushes in component, the proximal end of middle pipe 72 is stretched out from the proximal end of outer tube 71, is connected in the proximal end of outer tube 71 for locking
Middle tube winding apparatus 71 of the pipe relative to outer tube position in fixed or unlock;The proximal end of inner tube 73 therefrom pipe 72 proximal end stretch out,
The proximal end of middle pipe 72 is connected with the interior tube winding apparatus 82 for locking or unlocking inner tube relative to middle pipe position;Push and pull conducting wire 74
Proximal end from the proximal end of inner tube stretch out, the proximal end of inner tube be connected with for lock or unlock push-and-pull seal wire relative to inner tube position
Seal wire locking device 83.Middle tube winding apparatus 81, interior tube winding apparatus 82 and seal wire locking device 83 can be using same
Structure realizes the function of locking or unlocking.The structure includes shell 811, and shell one end, which is shunk, is fixed on outer tube, middle pipe or inner tube
Proximal end, the interior channel having from its proximal openings to its distal openings of shell, shell are equipped with adjusting knob 812, adjusting knob
It is equipped with to be squeezed by the elongated end 8121 of adjusting knob with elongated end 8121, in channel and compress from the middle pipe passed through in channel
72, the sealing ring 813 of inner tube 73 or push-and-pull seal wire 74, wherein the sealing ring in middle tube winding apparatus 81 is set in middle pipe periphery,
The sealing ring of interior tube winding apparatus 82 is set in inner tube periphery, and the sealing ring in seal wire locking device 83 is set in outside push-and-pull seal wire
Week.811 inner wall of shell forms the limited step 8111 of restricted sealing ring position inside the shell, is can guarantee in this way by adjusting rotation
During the elongated end 8121 of button squeezes sealing ring 813, sealing ring 813 is directed at elongated end 8121 always, to realize sealing
The frictional force being squeezed between increase and middle pipe, inner tube or push-and-pull seal wire is enclosed, to realize locking;Conversely, reducing adjusting knob
Frictional force between sealing ring and middle pipe, inner tube or push-and-pull seal wire can be reduced to the pressure between sealing ring, to realize unlock.
In the present embodiment, the distal end of middle tube winding apparatus, interior tube winding apparatus and/or seal wire locking device passes through thermal shrinkable sleeve
Pipe 814 is connected in outer tube 71, middle pipe 72 and/or inner tube 74, in order to inner tube, middle pipe in above-mentioned locking device and push component
Assembling between the push pipe such as outer tube.
Preferably, bracing wire knob 815 is arranged on the shell of middle tube winding apparatus 81 or interior tube winding apparatus 82.
Built in above-mentioned duodenum jejunum cover release system, application method the following steps are included:
1, seal wire is held in place to set by seal wire after endoscopic forceps channel penetrates human body intestinal canal and withdraws from scope;
2, implanted device is guided to enter duodenum by seal wire;
3, in unlock tube winding apparatus 81 push in pipe 73, make middle pipe 73 that pushing block 41 be driven to advance, inner tube 74 and push away at this time
Draw seal wire 75 due to pushing ahead in the case of the locking of interior tube winding apparatus 82 and seal wire locking device 83, to make releaser 10
With storage shell 40 disengage, inner tube 74 due to not being subjected to displacement with releaser 10, so cable release 50 will not easily with release
Put body disengaging;
4, it continues to press on that middle pipe 72 to releaser 10 and membrane tube 20 enters enteron aisle and bracket 60 is still located in storage shell, stops
Pipe 72 during thrust is dynamic, the step for be to prepare for expansion of the membrane tube 20 in enteron aisle;
5, tube winding apparatus 82 in unlocking pushes inner tube 73 that releaser 10 is made to advance and membrane tube 20 is driven to be unfolded, pushes and pulls simultaneously
Seal wire 74 in the case of the locking of seal wire locking device 83 due to pushing ahead;The step in, push inner tube 73 until can not be after
After continuous promotion releaser 10, stops pushing inner tube 73, illustrate that membrane tube 20 has been fully deployed in its longitudinal direction at this time;
6, unlock seal wire locks 83 devices, is movable in the axial direction to each other inner tube 73 and push-and-pull seal wire 74, is withstood with push-and-pull seal wire 74
Releaser 10, slowly toward recession inner tube 73 and releaser 10 will not be retracted with inner tube 73, keep cable release 50 and releaser 10 de-
It opens;
7, operation bracing wire knob 815 pulls fixing line 30 completely into middle pipe 72, and releaser 10 and membrane tube 20 are divided at this time
From;Therefrom pipe 72 and the gap location of inner tube 73 pass through fixing line 30;
8, push-and-pull seal wire 74 is withdrawn from;
9, the advance of pipe 72 makes pushing block 41 push bracket 60 in pushing, or keeps bracket 60 by the pushing block 41 of middle 72 distal end of pipe
Position, while post-tensioning outer tube 71 makes bracket 60 be detached from storage shell 40;
10, inner tube 73, middle pipe 72 and outer tube 71 are withdrawn from.
Preferably, built in above-mentioned duodenum in jejunum set release system, middle tube winding apparatus 81, interior tube winding apparatus
82 and the structure of seal wire locking device 83 can be identical, different structure can also be used, as long as being able to achieve above-mentioned locking and unlocking
Function.Wherein, seal wire locking device 83 may include the female Luer 84 being connected to inner tube, can push for controlling whether
The adjusting knob of bracing wire seal wire is detachably connected in female Luer, and adjusting knob is equipped with the channel passed through for push-and-pull seal wire.
In this way, before bracket 60 is detached from storage shell 40, push-and-pull seal wire can be first withdrawn from the application method of above-mentioned release system,
The adjusting knob on seal wire locking device is unloaded, then through the female Luer injecting normal saline on seal wire locking device in
Pipe 73, to help that membrane tube 20 is unfolded as far as possible.
Preferably, releaser 10 contains developing material, such as barium sulfate, waltherite or tungsten etc., can develop under X-ray,
The position of releaser can be accurately shown under X-ray.In order to observe whether releaser excretes after the completion of operation.It should
Developing material can directly as processing releaser a part of raw material, be also possible to by be coated in releaser surface, or
Development mark can be set into person, is pasted on releaser by medical glue.Also, storage shell 40 can use transparent material
Matter is made, in this way, operator can observe the position of the bracket 60 and pushing block 41 that are located in storage shell in real time, convenient for manipulating
Middle pipe pushes the stop position that pushing block is more intuitively determined when pushing block.
In the present embodiment, during recalling drive cable release release due to inner tube, needs to push and pull seal wire and withstand releaser
To limit the position of releaser, therefore, seal wire is pushed and pulled during this in order to prevent and falls off from releaser and scratches enteron aisle, is discharged
Body 10 is equipped with the seal wire slot 115 mating with push-and-pull seal wire, and the distal end of push-and-pull seal wire 74 is plugged in the seal wire slot 115.
In above-mentioned steps 2, seal wire guidance implanted device, which enters duodenal structure, to be equipped with and release on releaser
The hole of intracoelomic cavity connection, the hole are located on the central axes of releaser, and seal wire successively penetrates release intracoelomic cavity from the hole, then from interior
Pipe distal end is pierced by after entering inner tube from inner tube proximal end, guides implanted device to enter predetermined position by seal wire to realize, in this way
Structure, operation duration it is longer.For this problem, in the application, seal wire fast exchange channel 116 is set on releaser 10
Seal wire fast exchange channel 116 is to be connected to be formed by two 1161 straight lines of access portal on releaser, the two channels are opened
Mouth be respectively positioned on periphery wall be exposed to storage shell outer surface on, seal wire fast exchange channel without releaser inner cavity, from
And it can realize and avoid with the push inter-module for protruding into inner cavity.In the present embodiment, seal wire fast exchange channel 116 is obliquely installed, excellent
There are certain angle in the central axes for being selected as seal wire fast exchange channel 116 and releaser 10.Seal wire fast exchange channel 116 is set,
Connection can easily be formed between implanted device to enter predetermined position in guidance early period implanted device, also, in releaser
After 10 disengage with storage shell 40, it can also continue to that releaser is made to continue deeper into enteron aisle depths along seal wire, hand is rapidly completed
Art reduces the operation difficulty of operator, also mitigates the pain of patient.
Claims (8)
1. jejunum casing built in a kind of duodenum discharges system, including implanted device, push component, fixing line (30) and release
Line (50), which is characterized in that implanted device includes storage shell (40), releaser (10), membrane tube (20) and bracket (60), storage
Shell is tubulose, and storage shell has a proximal openings and a distal openings, and membrane tube to be released (20) and bracket (60) are in folding
In storage shell (40), membrane tube (20) proximal end is connect with bracket (60) distal end for overlapping state setting, and releaser (10) setting is being received
It receives and is connect with membrane tube (20) distal end at the distal openings of shell (40);Push component includes successively being arranged outward and mutually by interior
Between be capable of push-and-pull seal wire (74), inner tube (73), middle pipe (72) and the outer tube (71) of relative motion, push-and-pull seal wire (74)
Withstand releaser (10) in distal end;Said inner tube (73) a part be located at the storage shell (40) it is interior and with the releaser (10)
Connection;One end of the middle pipe (72) is protruded into the storage shell (40) through storing the proximal openings of shell (40), and described
The end of middle pipe is fixed with the pushing block (41) for being used to push against the bracket in the storage shell;Outer tube (71) is located at
Storage shell (40) is outside and one end is directly or indirectly fixedly connected in the proximal openings of storage shell;Cable release (50)
One end is fixed on inner tube (73), and the other end of cable release (50) is free end;Fixing line (30) one end is fixed on middle pipe (72)
On, fixing line (30) other end and the free end of cable release (50) cooperatively form knot that can be undone by a pull connect membrane tube (20), releaser (10) and
Therefrom pipe (72) is drawn and is fixed on bracing wire knob (815) after inner tube (73).
2. jejunum casing built in a kind of duodenum according to claim 1 discharges system, which is characterized in that releaser
(10) there is inner cavity, releaser (10) outer wall is equipped with a hole A (111) for being connected to the inner cavity and at least two hole C
(112), release body sidewall on be equipped with one or more slot A (113), slot A (113) the connecting hole A (111) and one of them
Hole C (112) is equipped with slot B (114) between adjacent hole C (112) for the cable tray between hole A (111) to hole C (112),
Slot B (114) is used to connect the cable tray between adjacent hole C (112);Cable release (50) one end is fixed on the remote of inner tube (73)
End, cable release (50) other end enter the inner cavity of releaser and draw from the hole A (111) on releaser top, successively pass through slot A
(113) and after slot B (114) releaser (10) lateral wall is wrapped in along the circumferentially distributed direction of multiple hole C (112);Membrane tube (20)
Corresponding aperture C (112) is equipped with hole B (201) on the periphery wall of distal end, and one end of fixing line (30) is passed through from the inner cavity of membrane tube (20),
Through hole C (112) corresponding on the hole B (201) and releaser on filmed passing tube, worn around cable release using hole C and hole B
Membrane tube (20) inner cavity is gone back to, then repeats the above process and this end of fixing line is sequentially passed through into remaining hole B and releaser in membrane tube
Membrane tube inner cavity is passed through after upper corresponding hole C and is fixed to middle pipe (72) distal end, and fixing line (30) other end therefrom draw and fix by pipe
On bracing wire knob (815).
3. jejunum casing built in a kind of duodenum according to claim 2 discharges system, which is characterized in that hole A (111)
Top positioned at releaser or the top close to releaser are arranged;Multiple hole C (112) centered on the mounting axis of releaser
It is equally spaced on releaser periphery wall.
4. jejunum casing built in a kind of duodenum according to claim 1 discharges system, which is characterized in that push component
In, the proximal end of middle pipe (72) is stretched out from the proximal end of outer tube (71), is connected in for locking or unlocking in the proximal end of outer tube (71)
Middle tube winding apparatus (81) of the pipe relative to outer tube position;Middle tube winding apparatus includes the shell being set in outside outer tube and middle pipe
(811), shell distal end, which is shunk, is directly or indirectly fixed on outer tube, and shell proximal end is connected with adjusting knob (812), adjusting knob
With the elongated end (8121) for extending into shell inner cavity, the sealing ring that pipe in compression can be pushed against by elongated end is equipped in shell
(813);The proximal end that (72) are therefrom managed in the proximal end of inner tube (73) is stretched out, and is connected in the proximal end of middle pipe (72) for locking or unlocking
Interior tube winding apparatus (82) of the inner tube relative to middle pipe position;The structure of interior tube winding apparatus (82) and middle tube winding apparatus (81)
Identical, the shell distal end of interior tube winding apparatus (82), which is shunk, to be directly or indirectly fixed on middle pipe (72);Push and pull seal wire (74)
Proximal end is stretched out from the proximal end of inner tube, is connected in the proximal end of inner tube for locking or unlocking push-and-pull seal wire relative to inner tube position
Seal wire locking device (83), the structure of seal wire locking device (83) and middle tube winding apparatus (81) and interior tube winding apparatus (82)
Structure is identical, and the shell distal end of seal wire locking device (83), which is shunk, to be directly or indirectly fixed on inner tube (73).
5. jejunum casing built in a kind of duodenum according to claim 3 discharges system, which is characterized in that middle Guan Suoding
Sealing ring (813) in device is arranged in middle pipe periphery, and outer casing inner wall forms the limit of restricted sealing ring position inside the shell
Step (8111), adjusting knob rotation adjust elongated end and protrude into the degree of shell to adjust the elastic journey between sealing ring and middle pipe
Degree;The sealing ring of interior tube winding apparatus is arranged in inner tube periphery;The sealing ring setting of seal wire locking device is in push-and-pull seal wire periphery.
6. jejunum casing built in a kind of duodenum according to claim 1 discharges system, which is characterized in that releaser
(10) seal wire fast exchange channel (116), seal wire fast exchange channel (116) and the push group for protruding into release intracoelomic cavity are equipped with
There is evacuation between part.
7. jejunum casing built in a kind of duodenum according to claim 1 discharges system, which is characterized in that releaser
(10) it is equipped with the seal wire slot (115) mating with push-and-pull seal wire.
8. jejunum casing built in a kind of duodenum according to claim 1 discharges system, which is characterized in that releaser
(10) contain developing material, can develop under X-ray.
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CN201820654899.2U CN209075516U (en) | 2018-05-03 | 2018-05-03 | Jejunum casing discharges system built in a kind of duodenum |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN108464945A (en) * | 2018-05-03 | 2018-08-31 | 杭州糖吉医疗科技有限公司 | Jejunum casing release system and its application method built in a kind of duodenum |
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2018
- 2018-05-03 CN CN201820654899.2U patent/CN209075516U/en active Active
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN108464945A (en) * | 2018-05-03 | 2018-08-31 | 杭州糖吉医疗科技有限公司 | Jejunum casing release system and its application method built in a kind of duodenum |
CN108464945B (en) * | 2018-05-03 | 2024-03-22 | 杭州糖吉医疗科技有限公司 | Duodenal internal jejunum sleeve release system and application method thereof |
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