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CN110856675A - An esophageal stent-graft fixator - Google Patents

An esophageal stent-graft fixator
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CN110856675A
CN110856675ACN201911305838.0ACN201911305838ACN110856675ACN 110856675 ACN110856675 ACN 110856675ACN 201911305838 ACN201911305838 ACN 201911305838ACN 110856675 ACN110856675 ACN 110856675A
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esophagus
patient
esophageal
soft rubber
external hanging
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周倩
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First Affiliated Hospital of PLA Military Medical University
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First Affiliated Hospital of PLA Military Medical University
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Abstract

Translated fromChinese

本发明涉及一种食道覆膜支架固定器,包括食道覆膜支架和与食道覆膜支架固定连接的外挂线,还包括用于防止外挂线对患者造成切割伤的防护组件;所述防护组件包括套设于外挂线外部与外挂线固定连接的软胶管、用于对鼻部进行整体封套的套座和用于对软胶管与套座进行可拆卸连接的锁扣机构,所述套座为顶部与底部开口的中空结构,所述套座封套于患者鼻部通过锁扣机构与外挂线相固定形成对食道覆膜支架的固定拉力。简而言之,本申请技术方案通过连贯而又紧凑的结构,从根本上解决了传统挂耳式固定器与外挂线容易对患者造成切割伤的问题,更进一步解决了传统挂耳式固定器存在容易脱落、不便于患者进行其他生活自理行为的问题。

Figure 201911305838

The invention relates to an esophagus covered stent fixer, comprising an esophageal covered stent and an external hanging wire fixedly connected with the esophageal covered stent, and also includes a protective component for preventing the external hanging wire from causing cutting injury to a patient; the protective component includes A soft rubber tube that is sleeved on the outside of the plug-in wire and fixedly connected to the plug-in wire, a sleeve base for integrally covering the nose, and a locking mechanism for detachably connecting the soft rubber tube and the sleeve base, the sleeve base is the top With a hollow structure with an opening at the bottom, the sleeve seat covers the nose of the patient and is fixed with the external hanging wire through a locking mechanism to form a fixed pulling force on the esophagus covered stent. In short, the technical solution of the present application fundamentally solves the problem that the traditional hanging ear type fixer and the external hanging wire easily cause cutting injuries to the patient through a coherent and compact structure, and further solves the traditional hanging ear type fixer. There are problems that it is easy to fall off, and it is not convenient for patients to carry out other self-care behaviors.

Figure 201911305838

Description

Translated fromChinese
一种食道覆膜支架固定器An esophageal stent-graft fixator

技术领域technical field

本发明涉及医疗器具技术领域,具体涉及一种食道覆膜支架固定器。The invention relates to the technical field of medical appliances, in particular to an esophagus covered stent holder.

背景技术Background technique

在现代医学领域中,食道覆膜支架主要应用于三种情况:1、食管早癌、贲门早癌内镜下治疗术后吻合口严重狭窄或吻合口癌肿复发狭窄,无再次手术指征者;食管癌放疗后狭窄、晚期食管癌、贲门癌引起的食管、贲门狭窄梗阻;各种原因引起的食管良性狭窄。2、各种原因引起的食管瘘、食管纵膈瘘、食管穿孔和破裂、食管癌术后吻合口瘘。3、食管癌放疗前预先放置支架,防止放疗中因局部组织水肿形成食管狭窄、梗阻。由此可知,食道覆膜支架对于现代医学领域来说至关重要。In the field of modern medicine, esophageal covered stents are mainly used in three cases: 1. Patients with severe anastomotic stenosis or recurrence and stenosis of anastomotic cancer after endoscopic treatment of early esophageal cancer and early cardiac cancer, and there is no indication for reoperation ; Obstruction of esophagus and cardia stenosis caused by esophageal cancer after radiotherapy, advanced esophageal cancer, and cardia cancer; Benign esophagus stenosis caused by various reasons. 2. Esophageal fistula, esophageal mediastinal fistula, esophageal perforation and rupture, esophageal cancer postoperative anastomotic leakage caused by various reasons. 3. Pre-placed stents before radiotherapy for esophageal cancer to prevent esophageal stenosis and obstruction due to local tissue edema during radiotherapy. It can be seen that the esophageal stent-graft is of great importance to the field of modern medicine.

然而,传统的食道覆膜支架在医学临床实践中,却存在一些弊端,传统的食道覆膜支架需利用挂线避免食道覆膜支架在食道使用时出现移位下滑的现象,其线的材质大多数都是耐腐蚀,高强度的细尼龙线,考虑到病人进食等客观因素,一般是利用传统的挂耳式固定器与外挂线相连接,外挂线经鼻腔到食道对食道覆膜支架进行固定,然而因为食道食管主要由环节肌层(内层)和纵行肌层(外层)组成,这两种肌肉存在收缩蠕动现象,有一定程度会造成食道支架移位,而我们的食道支架挂线在食道蠕动的作用下,会有一定的张力跟重力,传统的挂耳式固定器,因为长时间食道的蠕动还有挂耳式的牵拉,极易造成鼻腔部的外挂线对鼻翼形成切割伤,尼龙线经过食道入口反复牵拉摩擦也会对食道入口造成切割伤,给病人造成极大的痛苦,若如此,则直接对病人造成二次伤害,另一方面,挂耳式固定器美观性较差且并不便于患者进行其他的生活自理行为,且在使用的过程中,挂耳式固定器容易出现滑脱的现象。因此,提出一种食道覆膜支架固定器来解决上述问题至关重要。However, the traditional esophageal stent-graft has some drawbacks in medical clinical practice. The traditional esophageal stent-graft needs to use the hanging wire to avoid the phenomenon of displacement and sliding of the esophageal stent-graft when it is used in the esophagus, and the material of the wire is large. Most of them are corrosion-resistant, high-strength thin nylon threads. Considering objective factors such as patient eating, traditional ear-mounted fixators are generally used to connect with external hanging wires, and the external hanging wires pass through the nasal cavity to the esophagus to fix the esophageal stent-graft. , However, because the esophagus is mainly composed of the annular muscle layer (inner layer) and the longitudinal muscle layer (outer layer), these two muscles have the phenomenon of contraction and peristalsis, which will cause the esophageal stent to shift to a certain extent, and our esophageal stent hangs Under the action of peristalsis of the esophagus, the thread will have a certain tension and gravity. The traditional hanging ear fixator, because of the long-term peristalsis of the esophagus and the hanging ear type pulling, it is very easy to cause the external hanging thread in the nasal cavity to form on the nose wing. Cut wounds, the repeated pulling and friction of the nylon thread through the esophagus entrance will also cause cutting wounds to the esophagus entrance, causing great pain to the patient. If so, it will directly cause secondary damage to the patient. On the other hand, the hanging ear fixator The aesthetics is poor, and it is not convenient for patients to perform other self-care behaviors, and in the process of use, the hanging ear fixator is prone to slippage. Therefore, it is very important to propose an esophageal stent-graft fixator to solve the above problems.

发明内容SUMMARY OF THE INVENTION

有鉴于此,本发明的目的在于提供一种食道覆膜支架固定器,以解决现有技术外挂线容易对患者造成切割伤的问题,且进一步的解决传统挂耳式固定器存在容易脱落、不便于患者进行其他生活自理行为的问题。In view of this, the purpose of the present invention is to provide an esophageal stent-graft fixator, so as to solve the problem that the external hanging wire in the prior art is easy to cause cutting injury to the patient, and further solve the problem that the traditional hanging ear type fixator is easy to fall off and does not work. It is convenient for patients to carry out other self-care behavior problems.

本发明通过以下技术方案实现:The present invention is achieved through the following technical solutions:

一种食道覆膜支架固定器,包括食道覆膜支架和与食道覆膜支架固定连接的外挂线,还包括用于防止外挂线对患者造成切割伤的防护组件;An esophagus covered stent fixer, comprising an esophageal covered stent and an external hanging wire fixedly connected to the esophageal covered stent, and a protective component for preventing the external hanging wire from causing cutting injury to a patient;

所述防护组件包括套设于外挂线外部与外挂线固定连接的软胶管、用于对鼻部进行整体封套的套座和用于对软胶管与套座进行可拆卸连接的锁扣机构,所述套座为顶部与底部开口的中空结构,所述套座封套于患者鼻部通过锁扣机构与外挂线相固定形成对食道覆膜支架的固定拉力;The protection assembly includes a soft rubber tube sleeved on the outside of the external hanging wire and fixedly connected to the external hanging wire, a sleeve seat for integrally covering the nose, and a locking mechanism for detachably connecting the soft rubber tube and the sleeve seat. The cover seat is a hollow structure with openings at the top and bottom, and the cover seat covers the patient's nose through a locking mechanism and is fixed with an external hanging wire to form a fixed pulling force on the esophagus covered stent;

所述锁扣机构包括设置于套座后端的两个相邻隔板、通过铰链设置于两个隔板之间的压板、设置于压板表面的卡钉块和开设于软胶管厚度面上与卡钉块相卡合的卡孔,所述压板为一侧表面中部凹陷的开口结构,所述压板的两侧对称设置有弹性限位键,且两个隔板的厚度面上开设有与弹性限位键相卡合的限位孔,所述软胶管延伸至两个隔板之间通过压板转动构成卡钉块卡合至卡孔的内侧且进一步通过弹性限位键卡合至限位孔的内侧形成压板固定于两个隔板之间对软胶管的卡合力;The locking mechanism includes two adjacent partitions arranged at the rear end of the sleeve, a pressure plate arranged between the two partitions through a hinge, a staple block arranged on the surface of the pressure plate, and a clip opening on the thickness surface of the soft rubber tube. The clamping holes in which the nail blocks are engaged, the pressure plate is an opening structure with a depression in the middle of one side surface, the two sides of the pressure plate are symmetrically provided with elastic limit keys, and the thickness surfaces of the two partition plates are provided with elastic limit keys. The position key is engaged with the limit hole, and the soft rubber tube extends between the two partition plates to form a clamp block that is clamped to the inner side of the clamp hole through the rotation of the pressure plate, and is further clamped to the limit hole through the elastic limit key. The inner side forms the clamping force of the soft rubber tube fixed between the two partition plates;

还包括加强套座内侧与患者鼻部紧密相贴的膨胀组件,所述膨胀组件包括固定设置于套座内侧的充气囊和通过连接管与充气囊连通设置的弹性囊体。It also includes an expansion component that strengthens the inner side of the cover seat and closely adheres to the patient's nose. The expansion component includes an inflatable bag fixedly arranged on the inner side of the cover seat and an elastic bag body communicated with the inflatable bag through a connecting tube.

进一步,所述连接管上设置有单向阀。Further, a one-way valve is provided on the connecting pipe.

进一步,所述弹性囊体的内部设置有复位弹簧。Further, a return spring is provided inside the elastic bag body.

进一步,所述食道覆膜支架包括第一固定块和通过铰链设置于第一固定块两侧的第二固定块。Further, the esophagus covered stent includes a first fixing block and a second fixing block arranged on both sides of the first fixing block through hinges.

进一步,所述第一固定块和两个第二固定块的顶部分别通过两个两个复位弹簧相连接。Further, the tops of the first fixing block and the two second fixing blocks are respectively connected by two restoring springs.

进一步,两个所述第二固定块相背的一侧均通过铰链设置有支撑板。Further, the opposite sides of the two second fixing blocks are provided with support plates through hinges.

进一步,所述支撑板顶部至靠中部位置为中空结构,所述支撑板底部至靠中部位置为实心结构。Further, the top of the support plate to the middle position is a hollow structure, and the bottom of the support plate to the middle position is a solid structure.

进一步,两个所述第二固定块的顶部均设置有连接绳,且两个连接绳相交构成对第二固定块施加拉力的勒紧绳。Further, the tops of the two second fixing blocks are provided with connecting ropes, and the intersection of the two connecting ropes constitutes a tightening rope that exerts a pulling force on the second fixing blocks.

本发明的有益效果在于:The beneficial effects of the present invention are:

1.该食道覆膜支架固定器,通过软胶管、套座、两个隔板、压板、卡钉块、弹性限位键、卡孔和限位孔的配合使用,医护人员将软胶管套设于外挂线外部并与外挂线固定连接后,利用食道支架推送器将食道覆膜支架推送至患者食道内壁处,接着将软胶管经患者鼻腔伸出,利用弹性限位键与限位孔的相互卡合以及卡孔与卡钉块的相互卡合构成压板与软胶管固定连接,并将套座套设于患者鼻部,本申请技术方案相比较传统的食道覆膜支架固定器,则利用软胶管的柔软性直接解决了外挂线容易对食道入口以及患者鼻翼造成切割伤的问题,更进一步利用在患者鼻部设置固定器摆脱传统挂耳式固定器的设计理念,从根本上避免了挂耳式固定器美观性较差、不便于患者自行进行其他生活自理行为的问题,此外需要注意的是,将固定器设置于鼻部相较于将固定器设置于耳部,则明显减少对软胶管以及软胶管内部外挂线的牵拉运动。1. The esophagus covered stent holder is used in conjunction with a soft rubber tube, a sleeve seat, two partitions, a pressure plate, a staple block, an elastic limit key, a clip hole and a limit hole, and the medical staff will cover the soft rubber tube. After the external hanging wire is fixedly connected to the external hanging wire, the esophageal stent-graft is pushed to the inner wall of the patient's esophagus by the esophageal stent pusher, and then the soft rubber tube is stretched out through the patient's nasal cavity, and the elastic limit key and the limit hole are mutually connected. The clamping and the mutual clamping of the clamping hole and the clamping nail block constitute a fixed connection between the pressure plate and the soft rubber tube, and the sleeve seat is sleeved on the nose of the patient. The softness of the hose directly solves the problem that the external hanging wire is easy to cause cutting injuries to the esophagus entrance and the patient's nose. It further uses the design concept of setting a fixator on the patient's nose to get rid of the traditional hanging ear fixator, which fundamentally avoids the hanging ear. It is not convenient for patients to carry out other self-care behaviors by themselves. In addition, it should be noted that setting the fixator on the nose significantly reduces the need for the soft rubber tube compared with setting the fixator on the ear. And the pulling movement of the external hanging wire inside the soft rubber tube.

2.该食道覆膜支架固定器,通过充气囊和弹性囊体的配合使用,当套座套设于患者鼻部后,可根据患者鼻部的实际大小情况,通过弹性囊体对充气囊内部进行注气,使得套座与患者鼻部尽可能的相贴紧,从而进一步避免了套座可能存在脱落、松动的现象。2. The esophagus covered stent holder is used in conjunction with the inflatable bag and the elastic bag. After the sleeve is sleeved on the patient's nose, the elastic bag can be used to adjust the inside of the inflatable bag according to the actual size of the patient's nose. Air injection is performed to make the cover seat and the patient's nose as close as possible, thereby further avoiding the possible falling off and loosening of the cover seat.

简而言之,本申请技术方案通过连贯而又紧凑的结构,从根本上解决了传统挂耳式固定器与外挂线容易对患者造成切割伤的问题,更进一步解决了传统挂耳式固定器存在容易脱落、不便于患者进行其他生活自理行为的问题。In short, the technical solution of the present application fundamentally solves the problem that the traditional ear-mounted fixator and the external hanging wire easily cause cutting injuries to the patient through a coherent and compact structure, and further solves the problem of the traditional ear-mounted fixator. There are problems of easy shedding and inconvenience for patients to carry out other self-care behaviors.

本发明的其他优点、目标和特征在某种程度上将在随后的说明书中进行阐述,并且在某种程度上,基于对下文的考察研究对本领域技术人员而言将是显而易见的,或者可以从本发明的实践中得到教导。本发明的目标和其他优点可以通过下面的说明书来实现和获得。Other advantages, objects, and features of the present invention will be set forth in the description that follows, and will be apparent to those skilled in the art based on a study of the following, to the extent that is taught in the practice of the present invention. The objectives and other advantages of the present invention may be realized and attained by the following description.

附图说明Description of drawings

图1为本发明的第一立体示意图;Fig. 1 is the first three-dimensional schematic diagram of the present invention;

图2为本发明的第二立体示意图;Fig. 2 is the second perspective schematic diagram of the present invention;

图3为本发明的第三立体示意图;Fig. 3 is the third three-dimensional schematic diagram of the present invention;

图4为本发明的第四立体示意图;4 is a fourth perspective schematic view of the present invention;

图5为本发明的弹性囊体局部剖视图。FIG. 5 is a partial cross-sectional view of the elastic bladder of the present invention.

图中:1、外挂线;2、食道覆膜支架;201、第二固定块;202、第一固定块;3、防护组件;301、软胶管;302、套座;4、锁扣机构;401、卡钉块;402、压板;403、隔板;5、膨胀组件;501、充气囊;502、弹性囊体;6、单向阀;7、支撑板;8、勒紧绳。In the figure: 1. External hanging wire; 2. Esophageal stent graft; 201, Second fixing block; 202, First fixing block; 3. Protection component; 301, Soft rubber tube; 302, Sleeve; 401, staple block; 402, pressure plate; 403, partition plate; 5, expansion assembly; 501, inflatable bag; 502, elastic bag; 6, one-way valve; 7, support plate; 8, tightening rope.

具体实施方式Detailed ways

为使本发明实施例的目的、技术方案和优点更加清楚,下面将结合本发明实施例中的附图,对本发明实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例是本发明一部分实施例,而不是全部的实施例。通常在此处附图中描述和示出的本发明实施例的组件可以以各种不同的配置来布置和设计。In order to make the purposes, technical solutions and advantages of the embodiments of the present invention clearer, the technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments These are some embodiments of the present invention, but not all embodiments. The components of the embodiments of the invention generally described and illustrated in the drawings herein may be arranged and designed in a variety of different configurations.

因此,以下对在附图中提供的本发明的实施例的详细描述并非旨在限制要求保护的本发明的范围,而是仅仅表示本发明的选定实施例。基于本发明中的实施例,本领域普通技术人员在没有作出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。Thus, the following detailed description of the embodiments of the invention provided in the accompanying drawings is not intended to limit the scope of the invention as claimed, but is merely representative of selected embodiments of the invention. Based on the embodiments of the present invention, all other embodiments obtained by those of ordinary skill in the art without creative efforts shall fall within the protection scope of the present invention.

应注意到:相似的标号和字母在下面的附图中表示类似项,因此,一旦某一项在一个附图中被定义,则在随后的附图中不需要对其进行进一步定义和解释。It should be noted that like numerals and letters refer to like items in the following figures, so once an item is defined in one figure, it does not require further definition and explanation in subsequent figures.

在本发明的上述描述中,需要说明的是,术语“一侧”、“另一侧”等指示的方位或位置关系为基于附图所示的方位或位置关系,或者是该发明产品使用时惯常摆放的方位或位置关系,仅是为了便于描述本发明和简化描述,而不是指示或暗示所指的装置或元件必须具有特定的方位、以特定的方位构造和操作,因此不能理解为对本发明的限制。此外,术语“第一”、“第二”等仅用于区分描述,而不能理解为指示或暗示相对重要性。In the above description of the present invention, it should be noted that the orientation or positional relationship indicated by the terms "one side", "the other side", etc. is based on the orientation or positional relationship shown in the drawings, or when the product of the invention is used. The usual orientation or positional relationship is only for the convenience of describing the present invention and simplifying the description, rather than indicating or implying that the referred device or element must have a specific orientation, be constructed and operated in a specific orientation, and therefore should not be construed as a Invention limitations. Furthermore, the terms "first", "second", etc. are only used to differentiate the description and should not be construed to indicate or imply relative importance.

此外,术语“相同”等术语并不表示要求部件绝对相同,而是可以存在微小的差异。术语“垂直”仅仅是指部件之间的位置关系相对“平行”而言更加垂直,并不是表示该结构一定要完全垂直,而是可以稍微倾斜。Furthermore, terms such as the term "identical" do not imply that the components are required to be absolutely identical, but minor differences may exist. The term "perpendicular" simply means that the positional relationship between components is more vertical than "parallel", and does not mean that the structure must be completely vertical, but may be slightly inclined.

请参阅图1-5,本发明提供一种技术方案:一种食道覆膜支架固定器,包括食道覆膜支架2和与食道覆膜支架2固定连接的外挂线1,还包括用于防止外挂线1对患者造成切割伤的防护组件3;1-5, the present invention provides a technical solution: an esophagus covered stent holder, comprising an esophageal covered stent 2 and an external hanging wire 1 fixedly connected to the esophageal covered stent 2, and also includes an esophagus covered stent 2 for preventing external hanging. The protective component 3 for the cutting injury caused by the thread 1 to the patient;

防护组件3包括套设于外挂线1外部与外挂线1固定连接的软胶管301、用于对鼻部进行整体封套的套座302和用于对软胶管301与套座302进行可拆卸连接的锁扣机构4,套座302为顶部与底部开口的中空结构,套座302封套于患者鼻部通过锁扣机构4与外挂线1相固定形成对食道覆膜支架2的固定拉力,通过在外挂线1外部套设有软胶管301,利用软胶管301的柔软性,则可避免外挂线对食道入口处以及患者鼻翼造成切割伤,此外,利用锁扣机构将套座与软胶管相固定,使得在患者鼻翼处设置固定器,形成对软胶管以及外挂线的拉力,此处需要强调的是,在鼻部设置固定器相比较在耳部设置固定器,则有效减少对软胶管及外挂线的牵拉运动,理由是当患者自行进行其他自理活动时,鼻部运动幅度相比较头部两侧的耳部运动幅度明显较低,则更进一步的减少了外挂线及软胶管可能对食道覆膜支架的牵拉力,此外本申请技术方案通过将套座整体套设于鼻部,并且套座的顶部于底部皆为开口结构,则避免套座内部出现空气堵塞不流通,而降低患者使用舒适度的问题,另一方面,在本领域中存在将套座采用单独悬挂式挂设于单个鼻孔外部的支撑工具,本申请技术方案与之相比较,则明显更具人性化,利用鼻部的整体牵引力,而摆脱对单个鼻孔部位的牵引力,则更加提高患者的使用舒适度;The protective assembly 3 includes asoft rubber tube 301 that is sleeved on the outside of the plug-in wire 1 and is fixedly connected to the plug-in wire 1, asleeve base 302 for integrally covering the nose, and a detachable connection for thesoft rubber tube 301 and thesleeve base 302. The locking mechanism 4, thecover seat 302 is a hollow structure with openings at the top and the bottom, thecover seat 302 is wrapped around the nose of the patient and is fixed with the external hanging wire 1 by the locking mechanism 4 to form a fixed pulling force on the esophageal stent-graft 2. Asoft rubber tube 301 is set on the outside of the wire 1, and the softness of thesoft rubber tube 301 can be used to avoid cutting injuries at the entrance of the esophagus and the patient's nose. A fixator is set at the patient's nose to form a pulling force on the soft rubber tube and the external hanging wire. It should be emphasized here that compared with setting the fixer on the ear, the fixation on the soft rubber tube and the external hanging wire can be effectively reduced. The reason for the stretching exercise is that when the patient performs other self-care activities, the movement range of the nose is significantly lower than that of the ears on both sides of the head. The pulling force of the bracket, in addition to the technical solution of the present application, the cover seat is integrally sleeved on the nose, and the top and bottom of the cover seat are both open structures, so as to avoid air blockage inside the cover seat and no circulation, and reduce the comfort of the patient. On the other hand, in the art, there is a support tool that uses a single hanging type to hang the sleeve on the outside of a single nostril. Compared with the technical solution of the present application, it is obviously more humanized. The overall traction, and getting rid of the traction on the individual nostrils, improves the comfort of the patient;

锁扣机构4包括设置于套座302后端的两个相邻隔板403、通过铰链设置于两个隔板403之间的压板402、设置于压板402表面的卡钉块401和开设于软胶管301厚度面上与卡钉块401相卡合的卡孔,压板402为一侧表面中部凹陷的开口结构,压板402的两侧对称设置有弹性限位键,且两个隔板403的厚度面上开设有与弹性限位键相卡合的限位孔,软胶管延伸至两个隔板403之间通过压板402转动构成卡钉块401卡合至卡孔的内侧且进一步通过弹性限位键卡合至限位孔的内侧形成压板402固定于两个隔板403之间对软胶管301的卡合力,当软胶管延伸至两个隔板403之间时,转动压板402,将卡钉块401卡合至卡孔内侧,并将弹性限位键顺势卡合至限位孔的内侧,则可在完成对压板固定的基础上,达到压板利用卡钉块对卡孔的卡合力,此时若需将软胶管与压板402相互分离拆卸时,仅仅需按压弹性限位键,使其脱离于限位孔的内侧,此时转动压板,便可将卡钉块于卡孔内侧取出,此处需要强调的是,本申请所提及的弹性限位键在已授权公开的实用新型案件“一种基于BIM的建筑施工模拟的装置”(CN208281424U)中,已对弹性限位键的结构原理进行公开,故本申请不再对此进行赘述;The locking mechanism 4 includes two adjacent partitions 403 arranged at the rear end of thesleeve 302, a pressing plate 402 arranged between the two partitions 403 through a hinge, a staple block 401 arranged on the surface of the pressing plate 402, and a soft rubber tube. 301 is a card hole that engages with the staple block 401 on the thickness surface, the pressure plate 402 is an opening structure with a depression in the middle of one side surface, the two sides of the pressure plate 402 are symmetrically provided with elastic limit keys, and the thickness surface of the two partition plates 403 There is a limit hole that is engaged with the elastic limit key, and the soft rubber tube extends between the two partitions 403 through the rotation of the pressing plate 402 to form the clip block 401. The clamping force of the pressure plate 402 fixed between the two partition plates 403 to thesoft rubber tube 301 is formed by being clamped to the inner side of the limit hole. When the soft rubber tube extends between the two partition plates 403, the pressure plate 402 is rotated to remove the clipping block. 401 is snapped to the inside of the card hole, and the elastic limit key is snapped to the inside of the limit hole, then the locking force of the pressure plate to the card hole with the staple block can be achieved on the basis of completing the fixing of the pressing plate. At this time If the soft rubber tube and the pressure plate 402 need to be separated and disassembled from each other, it is only necessary to press the elastic limit key to make it disengage from the inner side of the limit hole. At this time, by rotating the pressure plate, the staple block can be taken out from the inner side of the card hole. Here It should be emphasized that the elastic limit key mentioned in this application has been published in the utility model case "A Device for Simulating Building Construction Based on BIM" (CN208281424U), the structural principle of the elastic limit key has been carried out. It is disclosed, so this application will not repeat it;

还包括加强套座302内侧与患者鼻部紧密相贴的膨胀组件5,膨胀组件5包括固定设置于套座302内侧的充气囊501和通过连接管与充气囊501连通设置的弹性囊体502,由于患者的鼻部大小不同,当套座302套设于患者鼻部后,可利用弹性囊体502对充气囊501内部进行注气,则可使得膨胀后的充气囊501与患者鼻部紧贴,以避免套座在使用过程中出现松动、滑落的现象,本申请需要强调的另外一点是,充气囊501表面开设有出气孔,且出气孔上封堵有塞体,当本装置需拆卸于患者鼻部时,可拔出塞体,将充气囊501内部气体排出。It also includes an expansion assembly 5 that strengthens the inner side of thecuff seat 302 and closely adheres to the patient's nose. The expansion assembly 5 includes an inflatable bag 501 fixedly arranged on the inner side of thecuff seat 302 and anelastic bag body 502 communicated with the inflatable bag 501 through a connecting pipe, Since the size of the patient's nose is different, after thecover seat 302 is sleeved on the patient's nose, theelastic bladder 502 can be used to inflate the inside of the inflatable bag 501, so that the inflated inflatable bag 501 can be closely attached to the patient's nose. , in order to avoid the looseness and sliding of the sleeve during use. Another point to be emphasized in this application is that an air outlet is provided on the surface of the inflatable bag 501, and the air outlet is blocked with a plug body. When the device needs to be disassembled in When the patient is in the nose, the plug body can be pulled out to discharge the gas inside the inflatable bag 501 .

本发明中:连接管上设置有单向阀6,通过设置有单向阀,可避免出现气体回流的现象,而影响弹性囊体对充气囊内部进行注气。In the present invention, a one-way valve 6 is arranged on the connecting pipe, and by being provided with a one-way valve, the phenomenon of gas backflow can be avoided, which affects the elastic bag body to inject gas into the inflatable bag.

本发明中:弹性囊体502的内部设置有复位弹簧,此处可参考说明书附图5,在弹性囊体内部设置有复位弹簧,其目的是,在医护人员按压弹性囊体502对充气囊进行注气时,弹性囊体在复位弹簧的作用下可尽快恢复形变,以便于医护人员持续按压弹性囊体的操作。In the present invention, theelastic bag body 502 is provided with a return spring. Here, referring to Fig. 5 of the specification, a return spring is arranged inside the elastic bag body. During gas injection, the elastic bladder can recover its deformation as soon as possible under the action of the return spring, so that the medical staff can continue to press the elastic bladder.

本发明中:食道覆膜支架2包括第一固定块202和通过铰链设置于第一固定块202两侧的第二固定块201,此处将食道覆膜支架2细分为两个连接块,且第二固定块为活动设置于第一固定块的两侧,则避免食道覆膜支架深入患者食道内壁后,出现无法调节卡死至食道内壁的现象,而对患者造成伤害。In the present invention, the esophageal stent-graft 2 includes afirst fixing block 202 and asecond fixing block 201 arranged on both sides of thefirst fixing block 202 through hinges. Here, the esophageal stent-graft 2 is subdivided into two connecting blocks. Moreover, the second fixing block is movably arranged on both sides of the first fixing block, so as to avoid the phenomenon that the stent-graft cannot be adjusted and stuck to the inner wall of the esophagus after it penetrates into the inner wall of the patient's esophagus, thereby causing harm to the patient.

本发明中:第一固定块202和两个第二固定块201的顶部分别通过两个两个复位弹簧相连接,此处利用复位弹簧的弹性,进一步的使得第二固定块201尽可能的紧贴于患者食道内壁,且复位弹簧具有弹性,则避免出现第二固定块201卡死至食道内壁的现象。In the present invention, the tops of thefirst fixing block 202 and the two second fixing blocks 201 are respectively connected by two return springs. Here, the elasticity of the return spring is used to further make the second fixing blocks 201 as tight as possible. If it is attached to the inner wall of the patient's esophagus, and the return spring has elasticity, the phenomenon that thesecond fixing block 201 is stuck to the inner wall of the esophagus is avoided.

本发明中:两个第二固定块201相背的一侧均通过铰链设置有支撑板7,此处可参考说明书附图1,进一步可知在第二固定块的一侧活动设置有支撑板7,其目的是尽可能增加第二固定块与食道内壁的接触面积,从而减少第二固定块对食道内壁的压力,。In the present invention, the opposite side of the two second fixing blocks 201 is provided with a supporting plate 7 through a hinge. Here, referring to Figure 1 of the description, it is further known that a supporting plate 7 is movably arranged on one side of the second fixing block. , the purpose is to increase the contact area between the second fixing block and the inner wall of the esophagus as much as possible, thereby reducing the pressure of the second fixing block on the inner wall of the esophagus.

本发明中:支撑板7顶部至靠中部位置为中空结构,支撑板7底部至靠中部位置为实心结构,此处进一步将支撑板的具体结构进行限定,通过将其顶部设置为中空结构,底部设置为实心结构,增加支撑板底部的重心,则尽可能的使得支撑板7在食道内壁呈垂直状态,而避免出现支撑板混乱活动的现象。In the present invention: the top of the support plate 7 is a hollow structure to the middle position, and the bottom of the support plate 7 to the middle position is a solid structure. Here, the specific structure of the support plate is further limited. If it is set as a solid structure and the center of gravity of the bottom of the support plate is increased, the support plate 7 will be in a vertical state on the inner wall of the esophagus as much as possible, and the phenomenon of chaotic movement of the support plate will be avoided.

本发明中:两个第二固定块201的顶部均设置有连接绳,且两个连接绳相交构成对第二固定块施加拉力的勒紧绳8,此处需要强调的是,在利用食道支架助推器将食道覆膜支架推送至患者食壁时,软胶管延的端部可延伸至患者的口腔部位,则勒紧绳8一并采用软胶材质制作而成,随之延伸至患者的口腔部位,其目的是进一步的便于医护人员对第二固定块201的活动性进行控制,当第二固定块201伸入至患者食道内壁时,可拽拉勒紧绳,使得第二固定块201尽可能的向第一固定板一侧相靠拢,以便于食道覆膜支架整体伸入食道内壁,当食道覆膜支架到达食道内壁后,再松开对勒紧绳8的勒紧力,第二固定块便在复位弹簧的作用下尽可能的伸张,并使得支撑板7紧靠于食道内壁,此处需要强调的一点是,无论第二固定块如何活动,支撑板始终在其重力作用影响下,保持垂直分布状态,而不会出现卡死至食道内壁的现象。In the present invention: the tops of the two second fixing blocks 201 are provided with connecting ropes, and the intersection of the two connecting ropes constitutes the tightening rope 8 that exerts tension on the second fixing blocks. It should be emphasized here that when using the esophageal support When the booster pushes the esophageal stent-graft to the patient's esophagus, the end of the soft rubber tube can extend to the patient's oral cavity, and the tightening rope 8 is made of soft rubber material, and then extends to the patient's mouth. The purpose of the oral cavity is to further facilitate the medical staff to control the activity of thesecond fixing block 201. When thesecond fixing block 201 extends into the inner wall of the patient's esophagus, the tightening rope can be pulled to make thesecond fixing block 201 As far as possible, move closer to the side of the first fixing plate, so that the esophageal stent-graft can extend into the inner wall of the esophagus as a whole. When the stent-graft reaches the inner wall of the esophagus, loosen the tightening force on the tightening rope The fixed block is stretched as much as possible under the action of the return spring, and makes the support plate 7 close to the inner wall of the esophagus. It should be emphasized here that no matter how the second fixed block moves, the support plate is always under the influence of its gravity. , maintain a vertical distribution state, and will not be stuck to the esophagus wall phenomenon.

最后说明的是,以上实施例仅用以说明本发明的技术方案而非限制,尽管参照较佳实施例对本发明进行了详细说明,本领域的普通技术人员应当理解,可以对本发明的技术方案进行修改或者等同替换,而不脱离本发明技术方案的宗旨和范围,其均应涵盖在本发明的权利要求范围当中。Finally, it should be noted that the above embodiments are only used to illustrate the technical solutions of the present invention and not to limit them. Although the present invention has been described in detail with reference to the preferred embodiments, those of ordinary skill in the art should understand that the technical solutions of the present invention can be Modifications or equivalent substitutions without departing from the spirit and scope of the technical solutions of the present invention should be included in the scope of the claims of the present invention.

Claims (8)

Translated fromChinese
1.一种食道覆膜支架固定器,包括食道覆膜支架和与食道覆膜支架固定连接的外挂线,其特征在于:还包括用于防止外挂线对患者造成切割伤的防护组件;1. an esophagus covered support holder, comprising the esophagus covered support and the external hanging wire fixedly connected with the esophageal covered support, it is characterized in that: also comprise the protection assembly for preventing the external hanging wire from causing cutting injury to the patient;所述防护组件包括套设于外挂线外部与外挂线固定连接的软胶管、用于对鼻部进行整体封套的套座和用于对软胶管与套座进行可拆卸连接的锁扣机构,所述套座为顶部与底部开口的中空结构,所述套座封套于患者鼻部通过锁扣机构与外挂线相固定形成对食道覆膜支架的固定拉力;The protection assembly includes a soft rubber tube sleeved on the outside of the external hanging wire and fixedly connected to the external hanging wire, a sleeve seat for integrally covering the nose, and a locking mechanism for detachably connecting the soft rubber tube and the sleeve seat. The cover seat is a hollow structure with openings at the top and bottom, and the cover seat covers the patient's nose through a locking mechanism and is fixed with an external hanging wire to form a fixed pulling force on the esophagus covered stent;所述锁扣机构包括设置于套座后端的两个相邻隔板、通过铰链设置于两个隔板之间的压板、设置于压板表面的卡钉块和开设于软胶管厚度面上与卡钉块相卡合的卡孔,所述压板为一侧表面中部凹陷的开口结构,所述压板的两侧对称设置有弹性限位键,且两个隔板的厚度面上开设有与弹性限位键相卡合的限位孔,所述软胶管延伸至两个隔板之间通过压板转动构成卡钉块卡合至卡孔的内侧且进一步通过弹性限位键卡合至限位孔的内侧形成压板固定于两个隔板之间对软胶管的卡合力;The locking mechanism includes two adjacent partitions arranged at the rear end of the sleeve, a pressure plate arranged between the two partitions through a hinge, a staple block arranged on the surface of the pressure plate, and a clip opening on the thickness surface of the soft rubber tube. The clamping holes in which the nail blocks are engaged, the pressure plate is an opening structure with a depression in the middle of one side surface, the two sides of the pressure plate are symmetrically provided with elastic limit keys, and the thickness surfaces of the two partition plates are provided with elastic limit keys. The position key is engaged with the limit hole, and the soft rubber tube extends between the two partition plates to form a clamp block that is clamped to the inner side of the clamp hole through the rotation of the pressure plate, and is further clamped to the limit hole through the elastic limit key. The inner side forms the clamping force of the soft rubber tube fixed between the two partition plates;还包括加强套座内侧与患者鼻部紧密相贴的膨胀组件,所述膨胀组件包括固定设置于套座内侧的充气囊和通过连接管与充气囊连通设置的弹性囊体。It also includes an expansion component that strengthens the inner side of the cover seat and closely adheres to the patient's nose. The expansion component includes an inflatable bag fixedly arranged on the inner side of the cover seat and an elastic bag body communicated with the inflatable bag through a connecting tube.2.根据权利要求1所述的一种食道覆膜支架固定器,其特征在于:所述连接管上设置有单向阀。2 . The esophagus covered stent holder according to claim 1 , wherein a one-way valve is provided on the connecting pipe. 3 .3.根据权利要求1-2任一所述的一种食道覆膜支架固定器,其特征在于:所述弹性囊体的内部设置有复位弹簧。3. An esophageal stent-graft holder according to any one of claims 1-2, wherein a return spring is provided inside the elastic bladder.4.根据权利要求1所述的一种食道覆膜支架固定器,其特征在于:所述食道覆膜支架包括第一固定块和通过铰链设置于第一固定块两侧的第二固定块。4 . The esophagus covered stent holder according to claim 1 , wherein the esophageal covered stent comprises a first fixing block and a second fixing block arranged on both sides of the first fixing block through hinges. 5 .5.根据权利要求4所述的一种食道覆膜支架固定器,其特征在于:所述第一固定块和两个第二固定块的顶部分别通过两个两个复位弹簧相连接。5 . The esophageal stent-graft holder according to claim 4 , wherein the tops of the first fixing block and the two second fixing blocks are connected by two return springs, respectively. 6 .6.根据权利要求4-5任一所述的一种食道覆膜支架固定器,其特征在于:两个所述第二固定块相背的一侧均通过铰链设置有支撑板。6 . The esophagus covered stent holder according to any one of claims 4 to 5 , wherein the opposite sides of the two second fixing blocks are provided with support plates through hinges. 7 .7.根据权利要求6所述的一种食道覆膜支架固定器,其特征在于:所述支撑板顶部至靠中部位置为中空结构,所述支撑板底部至靠中部位置为实心结构。7 . The esophagus covered stent fixer according to claim 6 , wherein the support plate has a hollow structure from the top to the middle, and the support plate has a solid structure from the bottom to the middle. 8 .8.根据权利要求7任一所述的一种食道覆膜支架固定器,其特征在于:两个所述第二固定块的顶部均设置有连接绳,且两个连接绳相交构成对第二固定块施加拉力的勒紧绳。8 . The esophagus covered stent fixer according to claim 7 , wherein the tops of the two second fixing blocks are provided with connecting ropes, and the two connecting ropes intersect to form a pair of second fixing blocks. 9 . A tightening cord that holds the block to apply tension.
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CN111991126A (en)*2020-09-252020-11-27南微医学科技股份有限公司Fixing device, external recovery wire fixing device and bracket medical instrument
CN112168424A (en)*2020-10-302021-01-05江苏省人民医院(南京医科大学第一附属医院)Fixing and protecting device for esophageal stent operation

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