


技术领域technical field
本发明涉及医疗器械等相关技术领域,尤其涉及一种适型袖胃充填复合减重装置及其使用方法。The invention relates to related technical fields such as medical equipment, and in particular to a composite weight-reducing device for filling stomach with a sleeve and a method for using the same.
背景技术Background technique
目前,随着生活水平的提高,代谢紊乱综合症已是日益威胁人类健康的一大类常见疾病,特别是肥胖、糖尿病已占总人群的约10%。这类疾病常规治疗的“三架马车”(饮食调节,运动,药物控制),但总体效果难以令人满意。因此,患者可选择外科治疗,目前的外科治疗手术方式主要有:袖状胃切除术与胃空肠Roux-en-Y吻合术,手术的降糖、减重效果可达80%以上,虽然手术取得不错的效果,但绝大多数患者因担心胃部的手术,从而难以接受。At present, with the improvement of living standards, metabolic disorder syndrome has become a large class of common diseases that increasingly threaten human health, especially obesity and diabetes have accounted for about 10% of the total population. The "three carriages" (diet adjustment, exercise, and drug control) of conventional treatment for this type of disease, but the overall effect is unsatisfactory. Therefore, patients can choose surgical treatment. The current surgical treatment methods mainly include: sleeve gastrectomy and gastrojejunum Roux-en-Y anastomosis. Good results, but most patients are unacceptable because they are worried about stomach surgery.
发明内容Contents of the invention
有鉴于此,为解决上述问题,本发明的目的在于提供一种适型袖胃充填复合减重装置及其使用方法,其中,包括:In view of this, in order to solve the above problems, the object of the present invention is to provide a composite weight-loss device for gastric sleeve filling and its use method, which includes:
袖胃充填装置包括:套接装置、第一稳定管、第二稳定管、贲门、通气管、气囊、细管;Sleeve gastric filling device includes: sleeve device, first stabilizing tube, second stabilizing tube, cardia, ventilation tube, air bag, thin tube;
所述套接装置为上下贯通结构,所述套接装置放置在胃内,所述套接装置的上端连接所述贲门,所述贲门的内壁设有若干卡扣;The sleeve device is a vertical through structure, the sleeve device is placed in the stomach, the upper end of the sleeve device is connected to the cardia, and the inner wall of the cardia is provided with several buckles;
所述气囊放置在胃内,且所述气囊与所述套接装置的外壁连接;The balloon is placed in the stomach, and the balloon is connected to the outer wall of the socket device;
所述第一稳定管和所述第二稳定管设于食道内壁;所述细管安装于所述第一稳定管内部;The first stabilizing tube and the second stabilizing tube are arranged on the inner wall of the esophagus; the thin tube is installed inside the first stabilizing tube;
所述第一稳定管通过所述通气管与所述气囊连通,且所述细管与所述通气管连通;The first stabilizing tube communicates with the air bag through the ventilation tube, and the thin tube communicates with the ventilation tube;
十二指肠引流减重装置包括:记忆钛合金套管环、乳胶套管、乳胶混合线;Duodenal drainage weight loss device includes: memory titanium alloy sleeve ring, latex sleeve, latex mixed line;
所述乳胶套管上端安装记忆钛合金套管环;The upper end of the latex casing is equipped with a memory titanium alloy casing ring;
所述记忆钛合金套管环的外壁上设有若干卡勾;Several hooks are provided on the outer wall of the memory titanium alloy casing ring;
所述乳胶套管通过所述乳胶混合线套设于所述第一稳定管;且所述记忆钛合金套管环通过所述卡勾和所述卡扣卡设于所述贲门。The latex sleeve is sleeved on the first stabilization tube through the latex mixed wire; and the memory titanium alloy sleeve ring is clamped on the cardia through the hook and the buckle.
上述一种适型袖胃充填复合减重装置,其中,还包括:所述套接装置的上端的管口沿径向向外延伸形成有一围边,所述围边沿所述管口的环向设置。The above-mentioned compound weight-reducing device for filling gastric sleeve, further comprising: the nozzle at the upper end of the socket device extends radially outward to form a surrounding edge, and the surrounding edge is along the circumferential direction of the nozzle. set up.
上述一种适型袖胃充填复合减重装置,其中,还包括:第一阀门和第二阀门,所述第一阀门安装在所述第一稳定管远离食道的一端,所述第二阀门安装在所述第二稳定管远离食道的一端;所述第一阀门与所述细管连通。The above-mentioned compound weight-reducing device for gastric sleeve filling, further comprising: a first valve and a second valve, the first valve is installed at the end of the first stabilization tube away from the esophagus, and the second valve is installed At the end of the second stabilization tube away from the esophagus; the first valve communicates with the thin tube.
上述一种适型袖胃充填复合减重装置,其中,所述套接装置与气囊安装的外壁的一面为三角形平面,且所述三角形平面的三边上设有第一柔性固定杆。The above-mentioned compound weight-reducing device for filling stomach with sleeve, wherein, one side of the outer wall where the socket device and the air bag are installed is a triangular plane, and first flexible fixing rods are arranged on three sides of the triangular plane.
上述一种适型袖胃充填复合减重装置,其中,所述第一稳定管与所述第二稳定管的夹角呈90°;所述第二稳定管与胃小弯的夹角呈135°。The above-mentioned compound weight loss device for gastric sleeve filling, wherein, the included angle between the first stabilizing tube and the second stabilizing tube is 90°; the included angle between the second stabilizing tube and the lesser curvature of the stomach is 135° °.
上述一种适型袖胃充填复合减重装置,其中,所述第一稳定管的两端和所述第二稳定管的两端呈圆弧形。In the above-mentioned compound weight-reducing device for gastric sleeve filling, the two ends of the first stabilizing tube and the two ends of the second stabilizing tube are arc-shaped.
上述一种适型袖胃充填复合减重装置,其中,所述第一稳定管的外壁、所述第二稳定管的外壁、所述充填装置的外壁均设有膜状物层。The above-mentioned compound weight-reducing device for filling stomach with sleeve, wherein, the outer wall of the first stabilizing tube, the outer wall of the second stabilizing tube, and the outer wall of the filling device are all provided with a membrane layer.
上述一种适型袖胃充填复合减重装置,其中,所述第一稳定管和所述第二稳定管的长度为所述食道周径的3/4。In the above-mentioned compound weight-reducing device for gastric sleeve filling, the lengths of the first stabilizing tube and the second stabilizing tube are 3/4 of the circumference of the esophagus.
上述一种适型袖胃充填复合减重装置,其中,所述套接装置的下端设有第二柔性固定杆。The above-mentioned compound weight-reducing device for filling stomach with sleeve, wherein, the lower end of the socket device is provided with a second flexible fixing rod.
一种适型袖胃充填复合减重装置的使用方法,其中,包括权利要求2-9中任意一项所述的一种适型袖胃充填复合减重装置;A method for using a composite weight loss device for gastric sleeve filling, which includes a composite weight loss device for gastric sleeve filling according to any one of claims 2-9;
步骤一:使用推送杆和胃镜将袖胃充填装置送入胃中;Step 1: Use the push rod and gastroscope to send the sleeve gastric filling device into the stomach;
步骤二:使用推送杆将所述第一稳定管和所述第二稳定管置于食道内壁;Step 2: placing the first stabilizing tube and the second stabilizing tube on the inner wall of the esophagus using a push rod;
步骤三:向所述第一稳定管和所述第二稳定管中注入稀释碘油;Step 3: Inject dilute iodized oil into the first stabilizing tube and the second stabilizing tube;
步骤四:向所述细管内注入空气或氢气,空气或氢气经过所述细管和所述通气管进入充填装置;Step 4: Inject air or hydrogen into the narrow tube, and the air or hydrogen enters the filling device through the thin tube and the ventilation tube;
步骤五:使用推送杆和胃镜将十二指肠引流减重装置送入胃中,将所述乳胶混合线套设于所述第一稳定管,并将所述记忆钛合金套管环上的卡勾卡合于所述贲门的卡扣。上述技术方案与现有技术相比具有的积极效果是:Step 5: Use the push rod and gastroscope to send the duodenal drainage weight loss device into the stomach, set the latex mixed wire on the first stable tube, and place the memory titanium alloy sleeve ring The hook is engaged with the buckle of the cardia. Compared with the prior art, the above-mentioned technical solution has the following positive effects:
通过对本发明的应用,提供了一种适型袖胃充填复合减重装置及其使用方法,本装置可直接通过推送杆推送至胃内,并不需要开刀做手术,相对于传统袖状胃手术,保留了正常胃,但也能达到袖状胃的效果,患者更易接受。并且不会产生水囊堵塞胃窦及幽门情况,胃内填充装置与十二指肠引流减重装置的组合使用,既能实现袖状胃的效果,也能实现十二指肠旷置的效果,更能达到降糖减重的疗效。并且视病情可取出,也可反复置放。在胃镜下操作,简单易行,一次性耗材,经济实用,易于基层推广。Through the application of the present invention, a suitable sleeve gastric filling compound weight loss device and its use method are provided. The device can be directly pushed into the stomach through the push rod without surgery. Compared with the traditional sleeve gastric surgery , the normal stomach is retained, but the effect of sleeve stomach can also be achieved, which is more acceptable to patients. And there will be no water bag blocking the gastric antrum and pylorus. The combined use of the intragastric filling device and duodenal drainage weight loss device can not only achieve the effect of sleeve stomach, but also achieve the effect of duodenal exclusion , can better achieve the effect of hypoglycemic and weight loss. And depending on the condition, it can be taken out or placed repeatedly. It is simple and easy to operate under the gastroscope, disposable consumables, economical and practical, and easy to promote at the grassroots level.
附图说明Description of drawings
图1为本发明的一种适型袖胃充填复合减重装置的示意图。Fig. 1 is a schematic diagram of a composite weight-reducing device for gastric sleeve filling according to the present invention.
图2为本发明中袖胃充填装置的示意图。Fig. 2 is a schematic diagram of the sleeve gastric filling device of the present invention.
图3为本发明中十二指肠引流减重装置的示意图。Fig. 3 is a schematic diagram of the duodenal drainage weight loss device of the present invention.
1、胃;2、食道;3、十二指肠;4、第一稳定管;5、第二稳定管;6、通气管;7、贲门;8、套接装置;9、乳胶套管;10、乳胶混合线;11、卡扣;12、卡勾;13、第二柔性固定杆;14、气囊;15、第一柔性固定杆;16;记忆钛合金套管环。1. Stomach; 2. Esophagus; 3. Duodenum; 4. First stable tube; 5. Second stable tube; 6. Ventilation tube; 7. Cardia; 10. Latex mixed line; 11. Buckle; 12. Hook; 13. Second flexible fixing rod; 14. Air bag; 15. First flexible fixing rod; 16. Memory titanium alloy casing ring.
具体实施方式Detailed ways
下面结合附图和具体实施对本发明作进一步说明,但不作为本发明的限定。The present invention will be further described below in conjunction with the accompanying drawings and specific implementation, but not as a limitation of the present invention.
本说明书所附图式所绘示的结构、比例、大小等,均仅用以配合说明书所揭示的内容,以供熟悉此技术的人士了解与阅读,并非用以限定本发明可实施的限定条件,故不具技术上的实质意义,任何结构的修饰、比例关系的改变或大小的调整,在不影响本发明所能产生的功效及所能达成的目的下,均应仍落在本发明所揭示的技术内容所能涵盖的范围内。同时,本说明书中所引用的如“上”、“下”、“左”、“右”、“中间”及“一”等的用语,亦仅为便于叙述的明了,而非用以限定本发明可实施的范围,其相对关系的改变或调整,在无实质变更技术内容下,当亦视为本发明可实施的范畴。The structures, proportions, sizes, etc. shown in the drawings attached to this specification are only used to match the content disclosed in the specification for the understanding and reading of those who are familiar with this technology, and are not used to limit the conditions for the implementation of the present invention , so it has no technical substantive meaning, and any modification of structure, change of proportional relationship or adjustment of size shall still fall within the scope of the disclosure of the present invention without affecting the functions and objectives of the present invention. within the range covered by the technical content. At the same time, terms such as "upper", "lower", "left", "right", "middle" and "one" quoted in this specification are only for the convenience of description and are not used to limit this specification. The practicable scope of the invention and the change or adjustment of its relative relationship shall also be regarded as the practicable scope of the present invention without any substantial change in the technical content.
如图1至图3所示,示出一种较佳实施例的一种适型袖胃充填复合减重装置,包括:袖胃充填装置包括:套接装置8、第一稳定管4、第二稳定管5、贲门7、通气管6、气囊14。套接装置8为上下贯通结构,套接装置8放置在胃1内,套接装置8的上端设有贲门7,贲门7的内壁设有若干卡扣11;气囊14放置在胃内,且气囊14与套接装置8的外壁连接;第一稳定管4和第二稳定管5设于食道2内壁;细管安装于第一稳定管4内部,第一稳定管4通过通气管6与气囊14连通,且细管与通气管6连通;十二指肠引流减重装置包括:记忆钛合金套管环16、乳胶套管9、乳胶混合线10;记忆钛合金套管环16的外壁上设有若干卡勾12;乳胶套管9通过乳胶混合线10套设于第一稳定管4;且记忆钛合金套管环16通过卡勾12和卡扣11卡设于贲门7。具体的,乳胶套管9可为PVC材质的薄层管状物,长度为45cm。As shown in Fig. 1 to Fig. 3, a kind of suitable sleeve gastric filling composite weight loss device of a preferred embodiment is shown, comprising: the sleeve gastric filling device includes:
在实际使用过程中,根据患者病史及胃部CT或造影显像,判断适合型号的袖胃充填装置;首先用推送杆和胃镜将包装好的袖胃充填装置送入胃1中,将套接装置8放入胃1中,并且使得套接装置8位于胃小弯处,其次将推送杆朝着体外方向旋转,将第一稳定管4和第二稳定管5置于食道2内壁,然后使用活检钳打开袖胃充填装置的外包装,从体外向食道内伸入注射管,注射管连通第二稳定管5,通过注射管向第二稳定管5中注入稀释碘油,由于第一稳定管4和第二稳定管5连通设置,注入到第二稳定管5中的稀释碘油也会流入至第一稳定管5中,注入一定剂量的稀释碘油之后,接着将注射管从食道内取出,此时再抽提、调整推送杆,确保套接装置8紧贴贲门7;最后使用充气管向第一稳定管5内注入空气或氢气,空气或是氢气通过细管和通气管6注入至气囊14中,气囊14充气膨胀,由于气囊14选用适型气囊14,气囊14可适应胃1的形状,充填在胃1的大弯处,使得胃内会有饱腹感,达到袖状胃的效果。退出推送杆,胃镜经贲门7进入套接装置8的内部、微调,完成袖胃充填装置的置放。当完成袖胃充填装置的放置时,人进食就会从食道2流入至套接装置8中,从套接装置8流入十二指肠内,食物不经过胃1,使得身体吸收食物内的热量变少,从而达到减重的作用。由于此时胃腔内的充填装置8已经接近袖状,根据减重的效果试情况决定是否置入十二指肠引流减重装置,如果减重效果不好,在放置十二指肠引流减重装置。In the actual use process, according to the patient's medical history and gastric CT or contrast imaging, determine the suitable model of sleeve gastric filling device; The
对于十二指肠引流减重装置的置放:首先使用推送杆和胃镜将包装好的十二指肠引流减重装置送入胃腔,然后使用推送杆除去十二指肠引流减重装置的外包装,然后将乳胶混合线10套入第一稳定管4,使用温水冲洗乳胶套管9,乳胶套管9吸水释放张开后,接着使用推送杆和胃镜调整卡勾12使其卡合于贲门7上的卡扣11上。乳胶套管9的远端在进水后随胃肠蠕动到达空肠上端,使得乳胶套管9到达空肠上段,起到十二指肠达到旷置的效果,使得减重效果更好。For the placement of the duodenal drainage weight loss device: first use the push rod and gastroscope to send the packaged duodenal drainage weight loss device into the gastric cavity, and then use the push rod to remove the duodenal drainage weight loss device. Outer packaging, and then put the
具体的,第一稳定杆4和第二稳定杆5为环向设置于食道2内,且第一稳定杆4和第二稳定杆5的一端在食道2的内壁由上至下的延伸至另一端。Specifically, the first stabilizing
进一步的,一种适型袖胃充填复合减重装置,具体的,细管的直径小于第一稳定管4的直径,细管与第一稳定管4之间留有空隙,空隙处能够注入稀释碘油。Further, a compound weight-reducing device for filling stomach with sleeve, specifically, the diameter of the thin tube is smaller than the diameter of the first stabilizing
本发明在上述基础上还具有如下实施方式:The present invention also has following embodiment on above-mentioned basis:
进一步的,一种适型袖胃充填复合减重装置,其中,套接装置8的上端的管口沿径向向外延伸形成有一围边,围边沿管口的环向设置。套接装置8的直径与食道2的直径相同,使得食物能够全部流入至套接装置8中,不会流入胃1中,设有围边,围边呈弧形,能够更好的兜住食物,使得食物流入至套接装置8中。且气囊14的一端固定在围边上,使得围边能够更好的支撑气囊14。Further, a composite weight-reducing device for filling stomach with sleeve, wherein, the nozzle at the upper end of the
进一步的,一种适型袖胃充填复合减重装置,其中,还包括:第一阀门和第二阀门,所述第一阀门安装在第一稳定管4远离食道2的一端,第二阀门安装在第二稳定管5远离食道2的一端。具体的,首先打开第一阀门,关闭第二阀门。充气管通过第一阀门向气囊14中填充氢气或空气,空气或是氢气经过充气管、第一阀门、细管和通气管6充入气囊14,使得气囊14充气位于胃大弯处,使得胃1不需要手术也能够变成袖状胃1。然后关闭第一阀门,打开第二阀门,注射管通过第二阀门向第二稳定管5中注入稀释碘油,第二稳定管5与第一稳定管4连通,稀释碘油经由第二稳定管5流入至第一稳定管4,注入一定剂量的稀释碘油,直至稀释碘油的剂量到第二阀门处,停止注入稀释碘油。在第一稳定管4和第二稳定管5中注入稀释碘油,使得第一稳定管4和第二稳定管5充盈有张力,也便于袖胃充填装置在使用过程中的状态追踪。Further, a compound weight-reducing device for gastric sleeve filling, further comprising: a first valve and a second valve, the first valve is installed at the end of the
进一步的,一种适型袖胃充填复合减重装置,其中,套接装置8与气囊14安装的外壁的一面为三角形平面,且三角形平面的三边上设有第一柔性固定杆15。设有第一柔性固定杆15能够更好的支撑固定气囊14,对气囊14进行定位,使得气囊14在充气后不会脱落。Further, a composite weight-reducing device for filling stomach with sleeve, wherein, one side of the outer wall where the
进一步的,一种适型袖胃充填复合减重装置,其中,第一稳定管4与第二稳定管5的夹角呈90°;第二稳定管5与胃小弯的夹角呈135°。Further, a compound weight-loss device for gastric sleeve filling, wherein, the angle between the first stabilizing
进一步的,一种适型袖胃充填复合减重装置,其中,第一稳定管4的两端和第二稳定管5的两端呈圆弧形。第一稳定管4的两端和第二稳定管5的两端呈圆弧形可使得第一稳定管4和第二稳定管5在使用时,更加舒适,不会剐蹭食道2内壁和胃1。Further, a compound weight-reducing device for gastric sleeve filling, wherein, the two ends of the first stabilizing
进一步的,一种适型袖胃充填复合减重装置,其中,第一稳定管4的外壁、第二稳定管5的外壁、充填装置8的外壁均设有膜状物层。膜状物层表面为颗粒状,可利于胃酸等分泌物的排出。Further, a composite weight loss device for filling stomach with sleeve, wherein the outer walls of the first stabilizing
进一步的,一种适型袖胃充填复合减重装置,其中,第一稳定管4和第二稳定管5的长度为食道2周径的3/4。Furthermore, a composite weight-reducing device for gastric sleeve filling, wherein the length of the first stabilizing
进一步的,一种适型袖胃充填复合减重装置,其中,通气管6呈弧形。通气管6的弧形与食道2内壁的弧形相对应。Furthermore, a composite weight-reducing device for gastric sleeve filling, wherein the
进一步的,一种适型袖胃充填复合减重装置,其中,套接装置8的下端设有第二柔性固定杆13。第二柔性固定杆13能够更好的支撑套接装置8的下端,使得整个套接装置8呈塔筒状,套接装置8能够贴近胃小弯处,套接装置8能够更好的位于胃1部。食物通过套接装置8从胃1中流出。Furthermore, a composite weight-reducing device for filling stomach with sleeve, wherein, the lower end of the
一种适型袖胃充填复合减重装置的使用方法,其中,包括上述中任一项中的一种适型袖胃充填复合减重装置;A method for using a compound weight loss device for gastric sleeve filling, including any one of the above compound weight loss devices for gastric sleeve filling;
步骤一:使用推送杆和胃镜将袖胃充填装置送入胃中;Step 1: Use the push rod and gastroscope to send the sleeve gastric filling device into the stomach;
步骤二:使用推送杆将第一稳定管4和第二稳定管5置于食道2内壁;Step 2: placing the first stabilizing
步骤三:向第一稳定管4和第二稳定管5中注入稀释碘油;Step 3: inject dilute iodized oil into the first stabilizing
步骤四:向细管内注入空气或氢气,空气或氢气经过细管和通气管6进入套接装置8;Step 4: Inject air or hydrogen into the capillary, and the air or hydrogen enters the
步骤五:使用推送杆和胃镜将十二指肠引流减重装置送入胃中,将乳胶混合线10套设于第一稳定管4,并且将记忆钛合金套管环16上的卡勾12卡合于贲门7的卡扣11。Step 5: Use the push rod and gastroscope to send the duodenal drainage weight loss device into the stomach, set the latex mixed
以上所述仅为本发明较佳的实施例,并非因此限制本发明的实施方式及保护范围,对于本领域技术人员而言,应当能够意识到凡运用本发明说明书及图示内容所作出的等同替换和显而易见的变化所得到的方案,均应当包含在本发明的保护范围内。The above descriptions are only preferred embodiments of the present invention, and are not intended to limit the implementation and protection scope of the present invention. For those skilled in the art, they should be able to realize that all equivalents made by using the description and illustrations of the present invention The solutions obtained by replacement and obvious changes shall all be included in the protection scope of the present invention.
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202210961894.5ACN115363836A (en) | 2022-08-11 | 2022-08-11 | A Composite Weight Loss Device for Composite Sleeve Gastric Filling and Its Application Method |
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202210961894.5ACN115363836A (en) | 2022-08-11 | 2022-08-11 | A Composite Weight Loss Device for Composite Sleeve Gastric Filling and Its Application Method |
| Publication Number | Publication Date |
|---|---|
| CN115363836Atrue CN115363836A (en) | 2022-11-22 |
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202210961894.5APendingCN115363836A (en) | 2022-08-11 | 2022-08-11 | A Composite Weight Loss Device for Composite Sleeve Gastric Filling and Its Application Method |
| Country | Link |
|---|---|
| CN (1) | CN115363836A (en) |
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| PB01 | Publication | ||
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