SUMMERY OF THE UTILITY MODEL
The utility model aims to provide a gallbladder puncture drainage device which can have the function of expanding a puncture part in one puncture operation.
The technical scheme adopted by the utility model is as follows.
The utility model provides a gall bladder puncture drainage device, its includes the drainage tube body, has the runner that is used for flowing out the bile drainage in the gall bladder out of human body on the drainage tube body, and the drainage tube body is including being used for inserting the grafting section of establishing to within the gall bladder wall, being located the operation section of human outside and the linkage segment that sets up between grafting section and the operation section, and the outer pipe wall of linkage segment sets up to expandable structure.
Preferably, the tube wall of the connecting section is a cavity-clamping structure, the cavity-clamping structure is composed of an outer tube wall and an inner tube wall, the inner cavity of the inner tube wall forms a flow channel for guiding bile to flow out, and the outer tube wall is arranged to be an expandable structure.
Preferably, the outer tubular wall is formed of an elastomeric material and is adapted to expand by injecting a gas into the clamp chamber.
Preferably, the length of the plug section is 2-3 cm, and the length of the connecting section is 12-20 cm.
Preferably, the length of the operation section is 12-20 cm.
Preferably, the operating section is provided with a pressure regulating part for regulating the air pressure in the nip cavity.
Preferably, the pressure regulating portion includes an inflation connector for inflation and an inflation assembly connected to the inflation connector.
Preferably, the inflation connector is provided with a one-way air valve.
Preferably, the inflation assembly and the inflation fitting are removably connected.
Preferably, the outer contours of the insertion section, the operation section and the connection section are kept consistent when the drainage tube body is in an uninflated state.
Preferably, the strength of the inner pipe wall is such that no radial deformation occurs in the maximum air pressure state of the clamping cavity.
The utility model has the technical effects that:
the gall bladder puncture drainage device provided by the utility model has the advantages that the flow channel is arranged on the drainage tube body, so that bile in a gall bladder can be drained out of a human body, the insertion section on the drainage tube body is inserted into the wall of the gall bladder to be connected with a focus, the operation end on the drainage tube body is arranged outside the human body to be operated by an operator, and the outer tube wall of the connection section between the insertion section and the operation section is arranged into an expandable structure, so that the outer tube wall of the connection section is adjusted to expand after operation, and the purpose of expanding the puncture part is realized. Through adopting above-mentioned scheme, just can have the follow-up function of expanding to the puncture position concurrently through a puncture operation, carry out the choledochoscope examination through this expanded passageway in later stage and get the stone and establish the basis, provide possible opportunity for accompanying serious basic disease and can not tolerate traditional operation patient, make patient's benefit.
In addition to the objects, features and advantages described above, other objects, features and advantages of the present invention are also provided. The present invention will be described in further detail below with reference to the accompanying drawings.
Detailed Description
In order that the objects and advantages of the present application will become more apparent, the present application will be described in detail with reference to the following examples. It is understood that the following text is intended only to describe one or several particular embodiments of the application and does not strictly limit the scope of the claims which are specifically claimed herein, and that the examples and features of the examples in this application may be combined with one another without conflict.
In the existing gallbladder puncture drainage, a drainage tube is generally inserted into a gallbladder of a patient through guide wire guiding, the guide wire is drawn out after the catheter is inserted, and the tail end of the drainage tube is arranged outside the body of the patient to be connected to an external drainage apparatus to realize drainage. Because a pipe fitting with a larger pipe diameter is inserted into the puncture position subsequently, before the pipe fitting is replaced, the pore passage of the puncture position needs to be expanded through secondary operation, so that great pressure is brought to the psychology and physiology of a patient, and the economic burden of the patient is increased.
Referring to fig. 1 to 4, the embodiment of the present application provides a gallbladder puncture drainage device, which includes adrainage tube body 100, aflow channel 110 for draining bile in a gallbladder out of a human body is provided on thedrainage tube body 100, thedrainage tube body 100 includes aninsertion section 120 for being inserted into a wall of the gallbladder, anoperation section 140 located outside the human body, and aconnection section 130 disposed between theinsertion section 120 and theoperation section 140, and anouter tube wall 131 of theconnection section 130 is configured as an expandable structure.
In the process of performing the cholecystectomy with the above-mentioned cholecystectomy drainage device, theouter tube wall 131 is in an unexpanded state, referring to fig. 1, the operator inserts a guide wire into theflow channel 110 of thedrainage tube body 100, and supports thedrainage tube body 100 by operating the guide wire, and exposes the tip part of the guide wire outside theinsertion section 120 of thedrainage tube body 100, then a small incision is cut at the part to be punctured on the skin of the patient by using an operating knife, then the tip part of the guide wire is firstly inserted into the incision, then thedrainage tube body 100 and the guide wire are inserted into the body of the patient together until the guide wireguide insertion section 120 is reliably inserted into the gallbladder wall, and then, after thedrainage tube body 100 is fixed, the guide wire is drawn out from theflow channel 110, and finally the interface of theoperation section 140 is connected with a drainage instrument, so that the content in the gallbladder can be drained.
Before a pipe fitting with a larger pipe diameter needs to be replaced, theouter pipe wall 131 of the connectingsection 130 of thedrainage tube body 100 provided in this embodiment is adjusted to expand, referring to fig. 4, so as to expand the hole passage of the puncture site, so that the hole passage of the puncture site is enlarged, and then thedrainage tube body 100 provided in this embodiment is pulled out and inserted into the pipe fitting with a larger outer diameter to be replaced.
Through the implementation process, a person skilled in the art can notice that before the pipe fitting with a larger pipe diameter is replaced, the puncture channel is expanded without independently inserting an expansion treatment instrument, so that the complexity of the operation is reduced to a great extent, and the physical and psychological pressure and the economic burden on a patient can be reduced.
The gallbladder puncture drainage device provided by the embodiment of the application is characterized in that theflow channel 110 is arranged on thedrainage tube body 100, so that bile in a gallbladder can be drained out of a human body, theinsertion section 120 on thedrainage tube body 100 is inserted into the wall of the gallbladder to connect a focus, theoperation section 140 on thedrainage tube body 100 is arranged outside the human body to be operated by an operator, theouter tube wall 131 of theconnection section 130 between theinsertion section 120 and theoperation section 140 is arranged to be expandable to form a structure, so that theouter tube wall 131 of theconnection section 130 is expanded after operation, and the purpose of expanding the puncture part is realized. Through adopting above-mentioned scheme, just can have the follow-up function of expanding to the puncture position concurrently through once performing the operation to avoid the secondary operation to expand the operation to the puncture position, and then can reduce discomfort and the economic stress that brings patient's mind and body, and be favorable to patient's postoperative to resume.
In terms of configuring theouter tube wall 131 of theconnection section 130 as an expandable structure, the preferred embodiment of the present invention is that the tube wall of theconnection section 130 is a cavity structure, the cavity structure is composed of theouter tube wall 131 and theinner tube wall 132, the inner cavity of theinner tube wall 132 constitutes theflow channel 110 for guiding bile to flow out, and theouter tube wall 131 is configured as an expandable structure. By arranging the tube wall of the connectingsection 130 as a cavity structure, which is composed of theouter tube wall 131 and theinner tube wall 132, that is, the connectingsection 130 has theinner tube wall 132 and the tube wall, acavity 133 is formed between theinner tube wall 132 and theouter tube wall 131, and the inner cavity of theinner tube wall 132 is used for guiding bile to flow out. In this embodiment, theouter tube wall 131 is configured to be an expansion structure, and expansion of the puncture hole can be performed by adjusting the expansion of theouter tube wall 131. In addition, theinner tube wall 132 does not need to be expanded, and it is not desirable to provide theinner tube wall 132 in an expanded configuration to ensure smooth drainage.
In addition to the above embodiments, a further preferred embodiment of this embodiment is that theouter tube wall 131 is made of an elastic material, and the expansion of theouter tube wall 131 is regulated by injecting gas/liquid into theclamping cavity 133. By forming the outertubular wall 131 from an elastic material, after the gas/liquid is introduced into theclamping cavity 133, the pressure in theclamping cavity 133 is increased, so that the outertubular wall 131 is expanded due to elastic deformation.
As another embodiment of theouter tube wall 131, theouter tube wall 131 is made of a soft material, theouter tube wall 131 is in a corrugated and contracted state when theclamping cavity 133 is in a low pressure state, and theouter tube wall 131 is expanded by introducing gas/liquid into theclamping cavity 133. In this embodiment, theouter tube wall 131 is made of a material that is soft enough to deform, not elastically, but rather elastically
In specific implementation, the length of the plug section 1202-3 cm and the length of the connectingsection 130 are 12-20 cm. According to the body state of different patients, drainage tubes with connectingsections 130 with different lengths can be selected for implementation; the size of theinsertion section 120 is selected, and the difference between the gallbladder walls of the human body is not large, so long as the gallbladder walls can be reliably inserted into the gallbladder wall, and the size can be selected according to actual needs.
Of course, if the connectingsection 130 and theoperating section 140 are detachable, the connectingsection 130 can be cut/sheared as required by setting scales on the pipe wall of the connectingsection 130, and the connecting pipe section and theoperating section 140 are connected after the cutting is finished.
The inner wall of theplug section 120 and the inner wall of the connectingsection 130 are integrally formed and continuous, and the inner diameters of the two are the same.
In practice, theoperation section 140 is connected to an external drainage apparatus, and therefore, the preferred embodiment of this embodiment is: the length of theoperation section 140 is 12-20 cm. When theoperation section 140 is connected with an external drainage device and the insertion end and theconnection section 130 are inserted into a patient, a certain operation space is required, and the operation space can be specifically customized according to actual needs.
Since theoperation section 140 is a part for operating by an operator, in order to facilitate the subsequent pressure regulating and expanding operation on theouter tube wall 131, in the preferred embodiment, referring to fig. 1, 3 and 4, a pressure regulating portion for regulating the air pressure in theclamping cavity 133 is disposed on theoperation section 140. By arranging the pressure regulating part on theoperation section 140, an operator can conveniently operate the pressure regulating part by holding theoperation section 140 by hand, so that the air pressure in theclamp cavity 133 is regulated, theouter pipe wall 131 is expanded, and the expansion treatment of the puncture hole channel is realized; after the expansion process is completed, theclamping cavity 133 is adjusted to a low pressure state by operating the pressure adjusting part on theoperation section 140, so that theouter tube wall 131 is contracted to a state of being attached to theinner tube wall 132, thedrainage tube body 100 of the embodiment is pulled out by holding theoperation section 140 by hand, and then a new large-diameter tube is replaced.
Specifically, the pressure regulating portion includes aninflation nipple 200 for inflation and an inflation assembly connected to theinflation nipple 200. In practice, theinflation connector 200 is connected to theclamping cavity 133 through a thin tube, and the inflation assembly is connected to theinflation connector 200, so that theclamping cavity 133 can be inflated/deflated through theinflation connector 200 by operating the inflation assembly.
After theclamping cavity 133 is inflated, in order to prevent the gas in theclamping cavity 133 from leaking through theinflation connector 200, the present embodiment further preferably comprises: theinflation connector 200 is provided with a one-way air valve. The conducting direction of the one-way air valve is consistent with the direction of inflating the inflating joint 200.
The present preferred embodiment is different in that the inflation assembly is detachably connected to theinflation connector 200, on the basis that theinflation connector 200 is provided with a one-way air valve. Because theinflation connector 200 is provided with the one-way air valve which can prevent the air in theclamping cavity 133 from leaking outwards, the inflation assembly can be detached after the inflation is finished by setting the inflation assembly and theinflation connector 200 into a detachable connection mode, and when the air in theclamping cavity 133 needs to be discharged, the inflation assembly is assembled and connected with theinflation connector 200, so that the comfort of the life of a patient can be prevented from being influenced in the postoperative recovery process.
Wherein, the inflation component can adopt a syringe.
In order to facilitate thedrainage tube 100 to be smoothly inserted into the patient during the puncture operation, the preferred embodiment of the present embodiment is: when thedrainage tube body 100 is in an uninflated state, the outer contours of theinsertion section 120, theoperation section 140 and theconnection section 130 are kept consistent. Therefore, after the primary puncture operation is completed, the human tissue, the gallbladder wall and the human abdominal wall at the puncture hole can be tightly attached to the outer wall of thedrainage tube body 100, so that the sealing performance between the puncture hole and thedrainage tube body 100 is improved.
When the outertubular wall 131 is in the expanded state, the pressure in theclamping cavity 133 is high, so as to prevent the innertubular wall 132 from collapsing due to the pressure in theclamping cavity 133, and once the innertubular wall 132 collapses, the patency of the lumen at the innertubular wall 132 is affected, thereby possibly causing theflow channel 110 to be blocked. In this regard, the preferred embodiments provided in this example are: the strength of theinner tube wall 132 is such that no radial deformation occurs at maximum air pressure in theclamping cavity 133.
In particular embodiments, theinner tube wall 132 may be formed from a rigid material that meets medical standards.
The foregoing is only a preferred embodiment of the present invention, and it should be noted that those skilled in the art can make various improvements and modifications without departing from the principle of the present invention, and these improvements and modifications should also be construed as the protection scope of the present invention. Structures, devices, and methods of operation not specifically described or illustrated herein are generally practiced in the art without specific recitation or limitation.