JPH0796029A - Bile reflux catheter - Google Patents
Bile reflux catheterInfo
- Publication number
- JPH0796029A JPH0796029A JP5265403A JP26540393A JPH0796029A JP H0796029 A JPH0796029 A JP H0796029A JP 5265403 A JP5265403 A JP 5265403A JP 26540393 A JP26540393 A JP 26540393A JP H0796029 A JPH0796029 A JP H0796029A
- Authority
- JP
- Japan
- Prior art keywords
- bile
- tube
- way valve
- indwelling
- pump function
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
Landscapes
- External Artificial Organs (AREA)
Abstract
Description
【０００１】[0001]
【産業上の利用分野】本発明は胆管から体外に排出させ
た胆汁を，患者の消化吸収能を助長するために十二指腸
に還流させるために用いられる胆汁還流カテーテルに関
する。BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a bile reflux catheter used for refluxing bile discharged from the bile duct to the outside of the body to the duodenum in order to promote digestive absorption of a patient.
【０００２】[0002]
【従来の技術】胆管部が切除不能な悪性腫瘍あるいは良
性の胆管狭窄により閉塞性黄疸になっている患者に対し
て，経皮経管的に，肝より胆管に至るルートを作り，胆
管留置チューブを留置し，胆汁を体外に排出したり，総
胆管を経て乳頭部より腸内へ流し出す等により減黄を図
ることが一般的に行われている。この際，体外に排出さ
れた胆汁は通常胆汁バッグに貯留され，患者は必要に応
じて消化吸収能を助けるために経口的に摂取し，十二指
腸に送り込まれている。しかし，胆汁を飲み込むこと
は，患者にとって大変な苦痛である。2. Description of the Related Art For patients with unresectable malignant tumor in the bile duct or obstructive jaundice due to benign bile duct stenosis, percutaneous transluminal route from the liver to the bile duct is made, and a bile duct placement tube is used. It is generally practiced to place the intestine in the intestine and discharge bile out of the body or to flush the bile through the common bile duct into the intestine to reduce the amount of yellow. At this time, bile expelled from the body is usually stored in a bile bag, and the patient takes it orally to help digestion and absorption if necessary, and sends it to the duodenum. However, swallowing bile is a great pain for patients.
【０００３】[0003]
【発明が解決しようとする課題】上記状況に鑑み，発明
者らは患者に経口摂取の苦痛を強いることなく，体外に
排出された胆汁を再び患者自身の体内に戻す方法に付い
て考究し，留置チューブを経て胆管から体外に排出させ
た胆汁を，十二指腸に還流させるサイクルを形成させれ
ばよいことに想到し，その装置について研究を重ね本発
明を完成した。In view of the above situation, the present inventors have investigated a method of returning bile expelled from the body to the patient's own body without forcing the patient to suffer oral intake, The inventors thought that it would suffice to form a cycle in which bile discharged from the bile duct to the outside of the body via an indwelling tube is allowed to flow back to the duodenum, and research was conducted on the device to complete the present invention.
【０００４】[0004]
【課題を解決するための手段】かくして，本発明によれ
ば，経皮胆管留置チューブ，必要に応じて胆汁バッグ，
吸引用一方弁，ポンプ機能部，吐出用一方弁及び十二指
腸留置チューブがこの順に接続されてなることを特徴と
する胆汁還流カテーテルが提供される。本発明カテーテ
ルの構成を説明する。図１は本発明カテーテルの構成を
示す系統図で，経皮経管的に胆管に留置される胆管留置
チューブ１に胆汁バッグ２が必要に応じて接続され，さ
らに吸引用一方弁３が接続され，以下ポンプ機能部４，
吐出用一方弁５及び十二指腸留置チューブ６の順に接続
されている。本カテーテルは予め結合されたセットとし
て，または直前に，各部材どうしを結合させて形成して
もよい。なお，通常の場合，胆汁バッグ２は組み入れら
れるが，患者の状況によっては省いて，胆管留置チュー
ブ１についで吸引用一方弁３を接続してもよい。胆管留
置チューブ１及び十二指腸留置チューブ６は経皮的に穿
刺及びダイレータによる拡孔を行って器官に到る瘻管を
形成し，留置チューブを挿通し体表で固定する通常の手
術法で取り付けることができる。吸引用一方弁，吐出用
一方弁及び胆汁バッグは市販品が用いられてよい。Thus, according to the present invention, a percutaneous bile duct placement tube, a bile bag as necessary,
There is provided a bile perfusion catheter characterized in that a suction one-way valve, a pump function part, a discharge one-way valve, and a duodenal indwelling tube are connected in this order. The structure of the catheter of the present invention will be described. FIG. 1 is a system diagram showing the configuration of the catheter of the present invention, in which a bile duct 2 is connected to a bile duct indwelling tube 1 that is placed percutaneously transluminally in the bile duct, and a suction one-way valve 3 is further connected. , The following pump function part 4,
The discharge one-way valve 5 and the duodenal indwelling tube 6 are connected in this order. The catheter may be formed as a pre-bonded set or just prior to bonding the members together. In the normal case, the bile bag 2 is incorporated, but it may be omitted depending on the condition of the patient and the suction one-way valve 3 may be connected to the bile duct indwelling tube 1. The bile duct indwelling tube 1 and the duodenal indwelling tube 6 are percutaneously punctured and perforated by a dilator to form a fistula tract reaching an organ, and the indwelling tube is inserted and fixed by a normal surgical method. it can. As the suction one-way valve, the discharge one-way valve, and the bile bag, commercially available products may be used.
【０００５】ポンプ機能部４は，胆管留置チューブから
流下する胆汁を直接に，又は胆汁バッグ中に貯留された
胆汁を十二指腸に送出するもので，その形態としては，
ゴム管またはプラスチック管で形成され，弾性に富み，
押圧変形後，復元性の良好な，例えば図２に示すように
管状または楕円形に膨出し，押圧及び押圧解除を繰り返
す筒状体７が用いられる。使用に際しては，前記筒状体
７を手指で押圧することにより，吐出側の一方弁が開
き，吸引側の一方弁を閉じる。次に手指の押圧を解除す
ると筒状体が弾性により復元し吸引側の一方弁が開き吐
出側が閉じる。これによって中の液体又は気体は吸引側
から吐出側へ送られる。ポンプ機能部の他の例として図
３に示すように硬質管８から分岐して注射器９を取り付
け，手動によりシリンジを押すことにより吐出側の一方
弁が開き，シリンジを引くことにより吸引側の一方弁が
開く。これにより中の液体又は気体は吸引側から吐出側
に送られる。なお，前記手動方式のほか，小型ダイヤフ
ラム型ポンプを電磁的に間欠作動させるなど一方向に間
欠的に送出できるものであればポンプ機能部として用い
ることができる。[0005] The pump function unit 4 delivers the bile flowing down from the bile duct indwelling tube directly or delivers the bile stored in the bile bag to the duodenum.
Made of rubber pipe or plastic pipe, rich in elasticity,
After the pressing deformation, a tubular body 7 having a good restoring property, such as a tubular or elliptical bulge as shown in FIG. 2 and repeatedly pressing and releasing the pressing is used. In use, by pressing the tubular body 7 with a finger, the one valve on the discharge side is opened and the one valve on the suction side is closed. Next, when the pressing of the fingers is released, the tubular body is restored by elasticity and one valve on the suction side is opened and the discharge side is closed. As a result, the liquid or gas therein is sent from the suction side to the discharge side. As another example of the pump function unit, as shown in FIG. 3, a rigid tube 8 is branched and a syringe 9 is attached, and one valve on the discharge side is opened by manually pushing the syringe, and one on the suction side is pulled by pulling the syringe. The valve opens. As a result, the liquid or gas therein is sent from the suction side to the discharge side. In addition to the manual method described above, a pump function unit can be used as long as it can intermittently deliver in one direction by electromagnetically operating a small diaphragm type pump.
【０００６】[0006]
【作用】胆管留置チューブ及び十二指腸留置チューブを
取り付けた後，胆管から流下し胆汁バッグに貯留された
胆汁は，ポンプ機能部を手動操作することによりポンプ
両側の一方弁の作用で逆流することなく十二指腸に送り
込まれる。勿論，患者の状態によっては，胆汁バッグを
経ずに胆管からの胆汁を十二指腸に送ることもできる。[Function] After the bile duct indwelling tube and the duodenal indwelling tube are attached, the bile that flows down from the bile duct and is stored in the bile bag does not flow back due to the action of one valve on both sides of the pump by manually operating the pump function part. Sent to. Of course, depending on the patient's condition, bile from the bile duct can be sent to the duodenum without passing through the bile bag.
【０００７】[0007]
【発明の効果】本発明によれば，患者にとって非常な苦
痛である胆汁の経口摂取を回避でき，かつ外気から閉じ
られたサイクルで胆汁を移動できるので、経口摂取の場
合のような細菌感染のおそれがない。また患者が，自分
自身で必要時に操作できるので好都合である。さらに一
方弁，ポンプ機能部は必要に応じ洗浄殺菌ができる利点
がある。INDUSTRIAL APPLICABILITY According to the present invention, oral ingestion of bile, which is very painful for patients, can be avoided, and bile can be moved in a closed cycle from the outside air. There is no fear. It is also convenient because the patient can operate it by himself / herself when needed. Furthermore, the one-way valve and pump function parts have the advantage that they can be washed and sterilized as needed.
【図１】本発明に係る胆汁還流用カテーテルの系統説明
図である。FIG. 1 is a system diagram of a bile perfusion catheter according to the present invention.
【図２】本発明に適用されるポンプ機能部の構造説明図
である。FIG. 2 is a structural explanatory view of a pump function unit applied to the present invention.
【図３】本発明に適用される他の形式のポンプ機能部の
構造説明図である。FIG. 3 is a structural explanatory view of another type of pump function portion applied to the present invention.
１ 胆管留置チューブ ２ 胆汁バッグ ３ 吸引用一方弁 ４ ポンプ機能部 ５ 吐出用一方弁 ６ 十二指腸留置チューブ ７ 筒状体 ８ 硬質管 ９ 注射器 1 Bile duct indwelling tube 2 Bile bag 3 Suction one-way valve 4 Pump function part 5 Discharge one-way valve 6 Duodenal indwelling tube 7 Cylindrical body 8 Hard tube 9 Syringe
Claims (4)
ポンプ機能部，吐出用一方弁及び経皮十二指腸留置チュ
ーブがこの順に接続されてなることを特徴とする胆汁還
流カテーテル。1. A percutaneous bile duct placement tube, a suction one-way valve,
A bile perfusion catheter, comprising a pump function section, a discharge one-way valve, and a percutaneous duodenal indwelling tube connected in this order.
引用一方弁，ポンプ機能部，吐出用一方弁及び経皮十二
指腸留置チューブがこの順に接続されてなることを特徴
とする胆汁還流カテーテル。2. A bile perfusion catheter comprising a percutaneous bile duct indwelling tube, a bile bag, a suction one-way valve, a pump function part, a discharge one-way valve and a percutaneous duodenal indwelling tube, which are connected in this order.
可能な管状または楕円形膨出筒状体からなることを特徴
とする請求項１記載の胆汁還流カテーテル。3. The bile circulation catheter according to claim 1, wherein the pump function portion is formed of a tubular or elliptical bulging tubular body capable of elastic pressing and restoring.
岐して注射器を設けてなることを特徴とする胆汁還流カ
テーテル。4. The bile perfusion catheter, wherein the pump function part is provided with a syringe branched from the middle of the hard tube.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP5265403A JPH0796029A (en) | 1993-09-30 | 1993-09-30 | Bile reflux catheter |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP5265403A JPH0796029A (en) | 1993-09-30 | 1993-09-30 | Bile reflux catheter |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| JPH0796029A true JPH0796029A (en) | 1995-04-11 |
Family
ID=17416688
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP5265403A Pending JPH0796029A (en) | 1993-09-30 | 1993-09-30 | Bile reflux catheter |
Country Status (1)
| Country | Link |
|---|---|
| JP (1) | JPH0796029A (en) |
Cited By (11)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106798962A (en) * | 2017-03-08 | 2017-06-06 | 吴雪松 | Optional formula bile reclaims turn of tidal stream EA device and its application method |
| CN107537089A (en) * | 2017-10-09 | 2018-01-05 | 江苏中炜医疗科技有限公司 | Intelligent digestive juice collection and refluxing device |
| JP2018515260A (en) * | 2015-05-18 | 2018-06-14 | スミス アンド ネフュー ピーエルシーＳｍｉｔｈ ＆ Ｎｅｐｈｅｗ Ｐｕｂｌｉｃ Ｌｉｍｉｔｅｄ Ｃｏｍｐａｎｙ | Negative pressure closure therapy device and method |
| US11389582B2 (en) | 2017-09-29 | 2022-07-19 | T.J. Smith And Nephew, Limited | Negative pressure wound therapy apparatus with removable panels |
| US11395870B2 (en) | 2017-02-15 | 2022-07-26 | Smith & Nephew Asia Pacific Pte. Limited | Negative pressure wound therapy apparatuses and methods for using the same |
| US11426509B2 (en) | 2015-08-13 | 2022-08-30 | Smith & Nephew, Inc. | Systems and methods for applying reduced pressure therapy |
| US11559619B2 (en) | 2018-04-30 | 2023-01-24 | Smith & Nephew Asia Pacific Pte. Limited | Systems and methods for controlling dual mode negative pressure wound therapy apparatus |
| US11642450B2 (en) | 2017-12-29 | 2023-05-09 | T.J. Smith And Nephew, Limited | Negative pressure wound therapy apparatuses and methods for using the same |
| US11744932B2 (en) | 2018-05-23 | 2023-09-05 | T.J.Smith And Nephew, Limited | Systems and methods for determining blockages in a negative pressure wound therapy system |
| US11806468B2 (en) | 2018-03-19 | 2023-11-07 | T.J.Smith And Nephew, Limited | Securing control of settings of wound therapy apparatuses |
| US11955829B2 (en) | 2018-04-30 | 2024-04-09 | Smith & Nephew Asia Pacific Pte. Limited | Power source charging for negative pressure wound therapy apparatus |
-
1993
- 1993-09-30 JP JP5265403A patent/JPH0796029A/en active Pending
Cited By (12)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2018515260A (en) * | 2015-05-18 | 2018-06-14 | スミス アンド ネフュー ピーエルシーＳｍｉｔｈ ＆ Ｎｅｐｈｅｗ Ｐｕｂｌｉｃ Ｌｉｍｉｔｅｄ Ｃｏｍｐａｎｙ | Negative pressure closure therapy device and method |
| US10973693B2 (en) | 2015-05-18 | 2021-04-13 | Smith & Nephew Plc | Negative pressure wound therapy apparatus and methods |
| US11426509B2 (en) | 2015-08-13 | 2022-08-30 | Smith & Nephew, Inc. | Systems and methods for applying reduced pressure therapy |
| US11395870B2 (en) | 2017-02-15 | 2022-07-26 | Smith & Nephew Asia Pacific Pte. Limited | Negative pressure wound therapy apparatuses and methods for using the same |
| CN106798962A (en) * | 2017-03-08 | 2017-06-06 | 吴雪松 | Optional formula bile reclaims turn of tidal stream EA device and its application method |
| US11389582B2 (en) | 2017-09-29 | 2022-07-19 | T.J. Smith And Nephew, Limited | Negative pressure wound therapy apparatus with removable panels |
| CN107537089A (en) * | 2017-10-09 | 2018-01-05 | 江苏中炜医疗科技有限公司 | Intelligent digestive juice collection and refluxing device |
| US11642450B2 (en) | 2017-12-29 | 2023-05-09 | T.J. Smith And Nephew, Limited | Negative pressure wound therapy apparatuses and methods for using the same |
| US11806468B2 (en) | 2018-03-19 | 2023-11-07 | T.J.Smith And Nephew, Limited | Securing control of settings of wound therapy apparatuses |
| US11559619B2 (en) | 2018-04-30 | 2023-01-24 | Smith & Nephew Asia Pacific Pte. Limited | Systems and methods for controlling dual mode negative pressure wound therapy apparatus |
| US11955829B2 (en) | 2018-04-30 | 2024-04-09 | Smith & Nephew Asia Pacific Pte. Limited | Power source charging for negative pressure wound therapy apparatus |
| US11744932B2 (en) | 2018-05-23 | 2023-09-05 | T.J.Smith And Nephew, Limited | Systems and methods for determining blockages in a negative pressure wound therapy system |
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