技术领域technical field
本实用新型涉及一种超声内镜检查辅助装置，具体而言，涉及一种能够防止误吸及反流，并能够降低患者痛苦程度的超声内镜检查辅助装置。The utility model relates to an auxiliary device for ultrasonic endoscopic examination, in particular to an auxiliary device for ultrasonic endoscopic examination which can prevent aspiration and reflux and reduce the pain of patients.
背景技术Background technique
目前，已有多种超声辅助方法应用于疾病检查，如《自制水囊法微探头内镜超声诊断食管癌前病变的价值》中水囊法、浸泡法以及水囊法加浸泡法等。但是，采用水囊法进行疾病检查时，若水量过多，则压力会变得过大，导致超声内镜检查时管壁结构层次发生变化；浸泡法中需要注入大量无气水，同时还需要结合患者体位的改变，容易给患者造成痛苦和引起误吸。另外，以上辅助方法能应对的情况较少，且对于初学者而言难度系数较大，对患者造成的不良反应较多。At present, a variety of ultrasound-assisted methods have been used in disease inspection, such as the water capsule method, immersion method, and water capsule method plus immersion method in "The Value of Self-made Water Bag Microprobe Endoscopic Ultrasonic Diagnosis of Esophageal Precancerous Lesions". However, when the water bladder method is used for disease inspection, if the amount of water is too much, the pressure will become too large, resulting in changes in the structure of the tube wall during endoscopic ultrasonography; Combined with the change of the patient's position, it is easy to cause pain and aspiration to the patient. In addition, the above auxiliary methods can cope with fewer situations, and are more difficult for beginners, causing more adverse reactions to patients.
实用新型内容Utility model content
本实用新型提供一种超声内镜检查辅助装置，用以在使用超声内镜诊断食管疾病时提供辅助。The utility model provides an auxiliary device for ultrasonic endoscopy, which is used for providing assistance when using the ultrasonic endoscope to diagnose esophageal diseases.
为了达到上述目的，本实用新型提供了一种超声内镜检查辅助装置，其包括：注射器、上端气囊、下端气囊、橡皮管、两根气囊管、两个夹闭钳和超声探头，其中，In order to achieve the above object, the utility model provides an auxiliary device for ultrasonic endoscopy, which includes: a syringe, an upper airbag, a lower airbag, a rubber tube, two airbag tubes, two clamps and an ultrasonic probe, wherein,
其中一根气囊管的第一端伸入所述上端气囊内部，所述橡皮管沿所述下端气囊的纵向贯穿于其内部，所述橡皮管的下端封闭并在侧壁设有出气口，所述橡皮管的上端与另一根气囊管的第一端连接，两根所述气囊管的第二端分别与其中一个夹闭钳连接；The first end of one of the airbag tubes extends into the inside of the upper airbag, and the rubber tube runs through the inside of the lower airbag along the longitudinal direction, and the lower end of the rubber tube is closed and is provided with an air outlet on the side wall, so The upper end of the rubber tube is connected to the first end of another air bag tube, and the second ends of the two air bag tubes are respectively connected to one of the clamps;
所述上端气囊与一内镜管下部相捆绑；The upper end air bag is bound with the lower part of an endoscope tube;
所述注射器用于从所述气囊管的第二端向所述上端气囊和所述下端气囊注入气体；The injector is used to inject gas from the second end of the air bag tube to the upper air bag and the lower air bag;
所述下端气囊注入气体膨胀后固定于病变位置下部，所述上端气囊注入气体膨胀后固定于病变位置上侧；The lower airbag is injected with gas and inflated and fixed at the lower part of the lesion, and the upper airbag is injected with gas and inflated and fixed at the upper side of the lesion;
所述超声探头通过所述内镜管的内镜活检口延伸至病变位置。The ultrasonic probe extends to the lesion through the endoscopic biopsy port of the endoscopic tube.
在本实用新型的一实施例中，所述气囊管的长度为50厘米，其外壁标注有刻度。In one embodiment of the present utility model, the length of the airbag tube is 50 cm, and the outer wall is marked with scales.
在本实用新型的一实施例中，所述气囊管为空心圆柱形。In one embodiment of the present utility model, the air bag tube is hollow cylindrical.
在本实用新型的一实施例中，所述上端气囊和/或所述下端气囊膨胀后的直径为10～15厘米。In an embodiment of the present invention, the diameter of the upper airbag and/or the lower airbag after inflating is 10-15 cm.
在本实用新型的一实施例中，所述上端气囊和/或所述下端气囊的横截面为圆形或椭圆形。In an embodiment of the present utility model, the cross section of the upper airbag and/or the lower airbag is circular or elliptical.
在本实用新型的一实施例中，所述上端气囊和/或所述下端气囊的材质为硅橡胶。In an embodiment of the present utility model, the material of the upper airbag and/or the lower airbag is silicon rubber.
在本实用新型的一实施例中，所述夹闭钳的材质为金属。In one embodiment of the present utility model, the material of the clamp is metal.
本实用新型提供的超声内镜检查辅助装置结构简单、操作方便，具有很强的实用性；且在制造时可以尽量缩小整体所占的体积，患者在诊断的过程中比较能承受该器械，不会因为器械体积过大而带来不适感，降低了患者的在超声诊断时由于体位改变造成的痛苦，同时能够降低误吸或反流的几率。The auxiliary device for ultrasonic endoscopy provided by the utility model is simple in structure, easy to operate, and has strong practicability; and the volume occupied by the whole can be reduced as far as possible during manufacture, and the patient can bear the device in the process of diagnosis without It will cause discomfort due to the excessive volume of the device, reduce the pain caused by the position change of the patient during the ultrasound diagnosis, and reduce the chance of aspiration or reflux at the same time.
附图说明Description of drawings
为了更清楚地说明本实用新型实施例或现有技术中的技术方案，下面将对实施例或现有技术描述中所需要使用的附图作简单地介绍，显而易见地，下面描述中的附图仅仅是本实用新型的一些实施例，对于本领域普通技术人员来讲，在不付出创造性劳动的前提下，还可以根据这些附图获得其他的附图。In order to more clearly illustrate the technical solutions in the embodiments of the present invention or the prior art, the following will briefly introduce the accompanying drawings that need to be used in the description of the embodiments or the prior art. Obviously, the accompanying drawings in the following description These are only some embodiments of the utility model, and those skilled in the art can also obtain other drawings based on these drawings without creative work.
图1为本实用新型一个实施例的上端气囊、橡皮管、气囊管及夹闭钳的示意图；Fig. 1 is the schematic diagram of the upper end air bag, rubber tube, air bag pipe and pincers of an embodiment of the present utility model;
图2为本实用新型一个实施例的下端气囊、气囊管与内镜管的示意图。Fig. 2 is a schematic diagram of the lower end airbag, the airbag tube and the endoscopic tube according to an embodiment of the present invention.
附图标记说明：1-上端气囊；2-下端气囊；3-橡皮管；31-出气口；4-气囊管；5-夹闭钳；6-超声探头；7-内镜；71-内镜活检口；L-皮筋；Explanation of reference signs: 1-upper airbag; 2-lower airbag; 3-rubber tube; 31-air outlet; 4-airbag tube; Biopsy port; L-elastic band;
具体实施方式detailed description
下面将结合本实用新型实施例中的附图，对本实用新型实施例中的技术方案进行清楚、完整地描述，显然，所描述的实施例仅仅是本实用新型一部分实施例，而不是全部的实施例。基于本实用新型中的实施例，本领域普通技术人员在没有付出创造性劳动前提下所获得的所有其他实施例，都属于本实用新型保护的范围。The technical solutions in the embodiments of the present invention will be clearly and completely described below in conjunction with the accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments are only part of the embodiments of the present invention, not all of them. example. Based on the embodiments of the present utility model, all other embodiments obtained by persons of ordinary skill in the art without making creative efforts belong to the scope of protection of the present utility model.
本实用新型利用气囊压迫封闭原理，在超声内镜诊断食管疾病时营造一个有介质的环境，图1为本实用新型一个实施例的上端气囊、橡皮管、气囊管及夹闭钳的示意图，图2为本实用新型一个实施例的下端气囊、气囊管与内镜管的示意图，如图所示，本实用新型提供的超声内镜检查辅助装置包括注射器(图中未示出)、上端气囊1、下端气囊2、橡皮管3、两根气囊管4、两个夹闭钳5和超声探头6，其中，The utility model utilizes the principle of airbag compression and closure to create an environment with a medium when ultrasonic endoscopy is used to diagnose esophageal diseases. Figure 1 is a schematic diagram of the upper end airbag, rubber tube, airbag tube and clamping forceps of an embodiment of the utility model. 2 is a schematic diagram of the lower end air bag, the air bag tube and the endoscopic tube of an embodiment of the present invention. , lower air bag 2, rubber tube 3, two air bag tubes 4, two clamps 5 and ultrasonic probe 6, wherein,
其中一根气囊管的第一端伸入上端气囊1内部，橡皮管3沿下端气囊2的纵向贯穿于其内部，橡皮管3的下端封闭并在侧壁设有出气口31，橡皮管3的上端与另一根气囊管的第一端连接，两个气囊管4的第二端分别与其中一个夹闭钳5连接。本实施例中，气囊管4的长度为50厘米且外形为空心圆柱形，其外壁标注有刻度，便于观察。实际应用时，也可根据病人的食道长度、食道病变位置等不同延长或缩短气囊管4的长度。The first end of one of the airbag tubes extends into the upper airbag 1, and the rubber tube 3 runs through the inside of the lower airbag 2 along the longitudinal direction. The lower end of the rubber tube 3 is closed and is provided with an air outlet 31 on the side wall. The upper end is connected with the first end of another air bag tube, and the second ends of the two air bag tubes 4 are respectively connected with one of the clamps 5 . In this embodiment, the air bag tube 4 has a length of 50 cm and a hollow cylindrical shape, and its outer wall is marked with scales for easy observation. During actual application, the length of the balloon tube 4 can also be extended or shortened according to the length of the patient's esophagus and the location of esophageal lesions.
上端气囊1与一内镜7下部相捆绑，本实施例中通过皮筋L将上端气囊1与内镜7捆绑在一起，捆绑时应将内镜活检口71置于外侧以便置入超声探头6，上端气囊1的作用为防止水等介质反流。The upper airbag 1 is bound to the lower part of an endoscope 7. In this embodiment, the upper airbag 1 and the endoscope 7 are bound together by a rubber band L. When binding, the endoscopic biopsy port 71 should be placed outside to insert the ultrasonic probe 6. The function of the upper end airbag 1 is to prevent media such as water from flowing back.
注射器用于从气囊管4的第二端向上端气囊1和下端气囊2注入气体。The syringe is used to inject gas from the second end of the air bag tube 4 to the upper air bag 1 and the lower air bag 2 .
下端气囊2注入气体膨胀后固定于病变位置下部，上端气囊1注入气体膨胀后固定于病变位置上侧；The lower airbag 2 is injected with gas and inflated and then fixed at the lower part of the lesion, and the upper airbag 1 is injected with gas and inflated and fixed at the upper side of the lesion;
超声探头6通过内镜7上的内镜活检口71延伸至病变位置。The ultrasonic probe 6 extends to the lesion through the endoscopic biopsy port 71 on the endoscope 7 .
本实施例中，上端气囊1和下端气囊2膨胀后的直径为10～15厘米，上端气囊1和下端气囊2的横截面为圆形或椭圆形，从而使得上端气囊1和下端气囊2膨胀后固定于食道时，气囊壁与食道内壁完全嵌合，保证良好的密封性。其中，横截面为椭圆形时能够更节省制造气囊使用的材料，同时能减轻气囊的重量，减少患者的承受重量，避免患者产生严重的不适感，延长气囊置于患者体内的时间。In this embodiment, the diameter of the upper airbag 1 and the lower airbag 2 after inflating is 10 to 15 cm, and the cross-section of the upper airbag 1 and the lower airbag 2 is circular or oval, so that the upper airbag 1 and the lower airbag 2 are inflated. When fixed in the esophagus, the wall of the balloon is completely fitted with the inner wall of the esophagus to ensure a good seal. Wherein, when the cross-section is elliptical, the material used for manufacturing the airbag can be saved more, and the weight of the airbag can be reduced at the same time, so as to reduce the patient's weight, avoid severe discomfort for the patient, and prolong the time for the airbag to be placed in the patient's body.
本实施例中，上端气囊1和下端气囊2的材质为硅橡胶。硅橡胶具有耐热、耐寒、无毒、耐生物老化、对人体组织的反应极小、较好的物理和机械性能等优点，符合医用高分子材料的要求，可用于制造短期或者长期留置于人体内的器械，因此采用硅橡胶制造上端气囊1和下端气囊2可较长时间留置于人体内，并尽量减少患者不适。In this embodiment, the upper airbag 1 and the lower airbag 2 are made of silicon rubber. Silicone rubber has the advantages of heat resistance, cold resistance, non-toxicity, resistance to biological aging, minimal reaction to human tissue, good physical and mechanical properties, etc., which meets the requirements of medical polymer materials and can be used to make short-term or long-term stay in human body. Therefore, the upper airbag 1 and the lower airbag 2 made of silicon rubber can be left in the human body for a long time, and the discomfort of the patient can be reduced as much as possible.
本实施例中，夹闭钳5的材质为金属，一方面，金属材质的夹闭钳密闭性较好，可减少气体的漏出，不会造成患者的不适及操作者的不便；另一方面，金属制作的夹闭钳可回收利用，减少器械制作的成本且环保。In this embodiment, the material of the clamp 5 is metal. On the one hand, the metal clamp has better airtightness, which can reduce the leakage of gas and will not cause discomfort to the patient and inconvenience to the operator; on the other hand, The clipping forceps made of metal can be recycled, which reduces the cost of making instruments and is environmentally friendly.
本实用新型提供的超声内镜检查辅助装置的使用步骤如下：The steps of using the ultrasonic endoscopy auxiliary device provided by the utility model are as follows:
S1：将下端气囊2(抽空状态)从口腔置入食道病变处的下端；S1: Insert the lower end air bag 2 (in an evacuated state) from the oral cavity to the lower end of the esophageal lesion;
S2：用注射器从与下端气囊2连接的气囊管4的第二端注入气体，使下端气囊2的直径膨胀至10-15cm，并用夹闭钳5夹闭气囊管4，以防止气体漏出；S2: Use a syringe to inject gas from the second end of the airbag tube 4 connected to the lower airbag 2, expand the diameter of the lower airbag 2 to 10-15 cm, and clamp the airbag tube 4 with clamps 5 to prevent gas from leaking out;
S3：向外拉动下端气囊2，使得下端气囊2堵在食管病变处的下端，以避免注入水或其他介质后漏入食管下端及胃腔内；S3: pull the lower end air bag 2 outward, so that the lower end air bag 2 blocks the lower end of the esophageal lesion, so as to avoid leakage into the lower end of the esophagus and the gastric cavity after injecting water or other media;
S4：将上端气囊1与内镜7相捆绑并将其从口腔置入食管内，确定食管内部的病变位置；S4: Bundle the upper air bag 1 with the endoscope 7 and place it into the esophagus from the oral cavity to determine the location of the lesion inside the esophagus;
S5：若病变位置判断有误，则打开与下端气囊2连接的夹闭钳5放出气体，改变下端气囊2的位置后再次将其固定；S5: If the location of the lesion is wrongly judged, open the clamp 5 connected to the lower airbag 2 to release the gas, change the position of the lower airbag 2 and fix it again;
S6：若病变位置判断无误，则从内镜活检口71置入超声探头6，并使用注射器从与上端气囊1连接的气囊管4的第二端注入空气，使得上端气囊1的直径膨胀至10-15cm，并用夹闭钳5夹闭气囊管4，以防止气体漏出；S6: If the location of the lesion is correct, insert the ultrasonic probe 6 from the endoscopic biopsy port 71, and use a syringe to inject air from the second end of the balloon tube 4 connected to the upper balloon 1, so that the diameter of the upper balloon 1 is expanded to 10 -15cm, and clamp the airbag tube 4 with clamp 5 to prevent gas from leaking out;
S7：根据病变位置调节上端气囊1的位置后将其固定；S7: Adjust the position of the upper airbag 1 according to the lesion position and then fix it;
S8：通过内镜7自带的注水口向上端气囊1与下端气囊2之间形成的密闭空间注水，营造一个有介质的环境，并通过超声探头6诊断病变状态。S8: Inject water into the airtight space formed between the upper airbag 1 and the lower airbag 2 through the water injection port of the endoscope 7 to create an environment with a medium, and diagnose the lesion state through the ultrasonic probe 6 .
本实用新型提供的超声内镜检查辅助装置结构简单、操作方便，具有很强的实用性；且在制造时可以尽量缩小整体所占的体积，患者在诊断的过程中比较能承受该器械，不会因为器械体积过大而带来不适感，降低了患者的在超声诊断时由于体位改变造成的痛苦，同时能够降低误吸或反流的几率。The auxiliary device for ultrasonic endoscopy provided by the utility model is simple in structure, easy to operate, and has strong practicability; and the volume occupied by the whole can be reduced as far as possible during manufacture, and the patient can bear the device in the process of diagnosis without It will cause discomfort due to the excessive volume of the device, reduce the pain caused by the position change of the patient during the ultrasound diagnosis, and reduce the chance of aspiration or reflux at the same time.
本领域普通技术人员可以理解：附图只是一个实施例的示意图，附图中的模块或流程并不一定是实施本实用新型所必须的。Those of ordinary skill in the art can understand that: the accompanying drawing is only a schematic diagram of an embodiment, and the modules or processes in the accompanying drawing are not necessarily necessary for implementing the utility model.
本领域普通技术人员可以理解：实施例中的装置中的模块可以按照实施例描述分布于实施例的装置中，也可以进行相应变化位于不同于本实施例的一个或多个装置中。上述实施例的模块可以合并为一个模块，也可以进一步拆分成多个子模块。Those of ordinary skill in the art can understand that: the modules in the device in the embodiment may be distributed in the device in the embodiment according to the description in the embodiment, or may be changed and located in one or more devices different from the embodiment. The modules in the above embodiments can be combined into one module, and can also be further split into multiple sub-modules.
最后应说明的是：以上实施例仅用以说明本实用新型的技术方案，而非对其限制；尽管参照前述实施例对本实用新型进行了详细的说明，本领域的普通技术人员应当理解：其依然可以对前述实施例所记载的技术方案进行修改，或者对其中部分技术特征进行等同替换；而这些修改或者替换，并不使相应技术方案的本质脱离本实用新型实施例技术方案的精神和范围。Finally, it should be noted that: the above embodiments are only used to illustrate the technical solutions of the present utility model, and are not intended to limit it; although the utility model has been described in detail with reference to the foregoing embodiments, those of ordinary skill in the art should understand that: It is still possible to modify the technical solutions described in the foregoing embodiments, or perform equivalent replacements for some of the technical features; and these modifications or replacements do not make the essence of the corresponding technical solutions deviate from the spirit and scope of the technical solutions of the embodiments of the present invention .
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201521074980.6UCN205251576U (en) | 2015-12-21 | 2015-12-21 | Supersound scope inspection auxiliary device |
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201521074980.6UCN205251576U (en) | 2015-12-21 | 2015-12-21 | Supersound scope inspection auxiliary device |
| Publication Number | Publication Date |
|---|---|
| CN205251576Utrue CN205251576U (en) | 2016-05-25 |
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201521074980.6UExpired - Fee RelatedCN205251576U (en) | 2015-12-21 | 2015-12-21 | Supersound scope inspection auxiliary device |
| Country | Link |
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| CN (1) | CN205251576U (en) |
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| CN109567725A (en)* | 2019-01-23 | 2019-04-05 | 张伟 | The scope pair forceps channel in adjustable direction |
| CN110123253A (en)* | 2019-06-01 | 2019-08-16 | 青岛大学附属医院 | A kind of Alimentary tract disease scope positioning device |
| CN116570317A (en)* | 2023-05-26 | 2023-08-11 | 声索生物科技(上海)有限公司 | Ultrasonic probe structure |
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| CN109567725A (en)* | 2019-01-23 | 2019-04-05 | 张伟 | The scope pair forceps channel in adjustable direction |
| CN110123253A (en)* | 2019-06-01 | 2019-08-16 | 青岛大学附属医院 | A kind of Alimentary tract disease scope positioning device |
| CN116570317A (en)* | 2023-05-26 | 2023-08-11 | 声索生物科技(上海)有限公司 | Ultrasonic probe structure |
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| Date | Code | Title | Description |
|---|---|---|---|
| C14 | Grant of patent or utility model | ||
| GR01 | Patent grant | ||
| CF01 | Termination of patent right due to non-payment of annual fee | ||
| CF01 | Termination of patent right due to non-payment of annual fee | Granted publication date:20160525 |