CN105105810B - Varices of esophagus covers bundling device under scope - Google Patents
Varices of esophagus covers bundling device under scope Download PDFInfo
- Publication number
- CN105105810B CN105105810B CN201510425249.1A CN201510425249A CN105105810B CN 105105810 B CN105105810 B CN 105105810B CN 201510425249 A CN201510425249 A CN 201510425249A CN 105105810 B CN105105810 B CN 105105810B
- Authority
- CN
- China
- Prior art keywords
- outer tube
- pricked
- pricks
- alignment pin
- tube
- 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.)
- Expired - Fee Related
Links
- 206010046996 Varicose vein Diseases 0.000 title claims abstract description 15
- 210000003238 esophagus Anatomy 0.000 title claims abstract description 15
- 208000027185 varicose disease Diseases 0.000 title claims abstract description 15
- 239000010902 straw Substances 0.000 claims abstract description 13
- 239000011229 interlayer Substances 0.000 claims description 3
- 239000004677 Nylon Substances 0.000 claims description 2
- 239000013536 elastomeric material Substances 0.000 claims description 2
- 229920001778 nylon Polymers 0.000 claims description 2
- 239000004033 plastic Substances 0.000 claims description 2
- 230000000694 effects Effects 0.000 abstract description 5
- 238000010276 construction Methods 0.000 abstract description 4
- 208000015181 infectious disease Diseases 0.000 abstract description 4
- 238000004804 winding Methods 0.000 description 6
- 238000005096 rolling process Methods 0.000 description 3
- 206010017835 Gastric ulcer perforation Diseases 0.000 description 2
- 208000000718 duodenal ulcer Diseases 0.000 description 2
- 238000001727 in vivo Methods 0.000 description 2
- 238000003780 insertion Methods 0.000 description 2
- 230000037431 insertion Effects 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 206010003694 Atrophy Diseases 0.000 description 1
- 208000012671 Gastrointestinal haemorrhages Diseases 0.000 description 1
- 208000032843 Hemorrhage Diseases 0.000 description 1
- 230000037444 atrophy Effects 0.000 description 1
- 238000001574 biopsy Methods 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 208000019425 cirrhosis of liver Diseases 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 230000029087 digestion Effects 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 230000023597 hemostasis Effects 0.000 description 1
- 208000002672 hepatitis B Diseases 0.000 description 1
- 230000011218 segmentation Effects 0.000 description 1
- 210000003462 vein Anatomy 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
- A61B17/12009—Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
- A61B17/12013—Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot for use in minimally invasive surgery, e.g. endoscopic surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
- A61B17/12009—Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
- A61B2017/12018—Elastic band ligators
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Molecular Biology (AREA)
- Vascular Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Reproductive Health (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
Abstract
Bundling device is covered the invention discloses varices of esophagus under a kind of scope, it includes set and pricks outer tube and scope connecting seat；It is in front fine and rear thick taper that set, which pricks outer tube, set, which is pricked, is provided with a set of bundle inner tube in outer tube, set pricks the front end of inner tube and set is pricked outer tube forward end seal and is connected, the rear end that set pricks inner tube is connected with negative pressure straw, there being in some positioning holes, each positioning hole equidistantly distributed before and after set is pricked on the side wall of outer tube is installed on alignment pin；Alignment pin inner end is then provided with draw ring, and the draw ring of some alignment pins is fixedly connected with a bracing wire；Set pricks the rubber ring being equipped with outer tube with the quantity such as alignment pin, and rubber ring limits each via an alignment pin and prevents its voluntarily forward slip.Its is simple in construction, compact, can be carried out continuously set and prick, efficiency is higher；It obtains easy to operate, working stability, improves set and is bundled into effect rate；And esophageal wall will not be caused to dampen, the pain of patient is reduced, the risk of infection is reduced.
Description
Technical field
Bundling device is covered the present invention relates to varices of esophagus under a kind of medicine equipment, more particularly to a kind of scope.
Background technology
China is hepatitis B morbidity big country, therefore Patients with Liver Cirrhosis Accompanied Perforated gastric or duodenal ulcer Rupture haemorrhag has accounted for digestion
The second of gastrointestinal hemorrhage reason, breaks with tremendous force, and the death rate is up to 50%, is the emergency and severe disease for seriously endangering life.Oesophagus under scope
Esophageal varicese ligation is the vein progress by the looping and binding device equipped with one or more rubber set rolling circles to varicose under scope
Segmentation and branch, which cover, pricks, and is Perforated gastric or duodenal ulcer so as to reach hemostasis and make cirso- atrophy and then the purpose disappeared
First choice.Varices of esophagus set bundling device is divided into and can continuously cover many running fire looping and binding devices of bundle and be only capable of list under current scope
The single-shot looping and binding device that secondary set is pricked, Comparatively speaking, many running fire looping and binding devices can be carried out continuously set after insertion oesophagus and prick, and greatly improve
Medical efficiency, and the damage caused to patient and the pain brought during insertion scope are significantly reduced, it is in current
Varices of esophagus set pricks the main flow and trend of implementation tool under mirror.
The structure of current many running fire looping and binding devices is usually to be nested with outside ligation tube multiple rubber rings successively, then borrow
The special quick pushing manipulation of bracing wire is helped to be associated successively with rubber ring, drawing bracing wire outer end can be such that multiple rubber rings are taken off from ligation tube successively
And then reach the purpose that continuous set is pricked.Because the guy winding mode that above-mentioned many running fire sets prick set is more complicated, rubber ring is excited
When bracing wire needed for pulling force it is larger, operate it is relatively elaborate, it is slightly improper also to cause bracing wire snarling, influence to the normal of rubber ring
Driving；Because the number of turns that bracing wire is wound in ligation tube is more, the volume of ligation tube is added, its operating flexibility is reduced；
At the same time, the front end face of ligation tube needs to be close to just ensure to form negative pressure in ligation tube with esophageal wall during set is pricked,
But it is difficult due to being required for passing through from the front end face of ligation tube greatly during guy winding so that the front end out-of-flatness of ligation tube
Tightly to contact with esophageal wall, influence to prick set the vacuum suction effect of tissue；In addition, above-mentioned many running fire looping and binding devices were being used
Cheng Zhong, bracing wire is contacted in ligation tube front position with esophageal wall, pull bracing wire when, easily esophageal wall is dampened, to patient with
Carry out larger pain, while also increasing the risk of infection.
The content of the invention
It is an object of the invention to provide a kind of simple in construction, compact, easy-to-operate can place multiple rubber
Circle is pricked to realize continuously to cover, and vacuum suction effect is good, covers varices of esophagus under the scope for pricking efficiency high and covers bundling device.
To realize above-mentioned technical purpose, the present invention is adopted the following technical scheme that：Varices of esophagus set is pricked under a kind of scope
Device, it includes a set of bundle outer tube, and the rear end that set pricks outer tube is provided with scope connecting seat；Described set pricks outer tube in front fine and rear thick
Taper, set is pricked provided with a set bundle inner tube being coaxial therewith in outer tube, and set pricks the front end of inner tube and set is pricked outer tube forward end seal and is connected,
Set pricks the back-end closure of inner tube and is connected with negative pressure straw, set is pricked formation one in inner tube and treats that set pricks tissue for accommodating
Negative pressure cavity volume；Described negative pressure straw, which passes scope connecting seat, to be continued to extend back；Before and after described set is pricked on the side wall of outer tube
Equidistantly distributed, which has in some positioning holes, each positioning hole, is installed on alignment pin；Described alignment pin outer end protrudes from set and pricks outer
On the outside of pipe, inner end then with set is pricked in the interlayer of inner tube provided with draw ring and positioned at set bundle outer tube；The draw ring of described some alignment pins
It is fixedly connected in the form of series connection with a bracing wire, and the front end of bracing wire reflexed and passes backward and continues to prolong backward after scope connecting seat
Stretch, affect bracing wire from the front to the back successively can remove some alignment pins from corresponding positioning hole backward；Described set pricks outer tube
On be equipped with rubber ring with the quantity such as alignment pin, described rubber ring limits each via an alignment pin and prevents it voluntarily
Forward slip.
Described set is pricked outer tube and is connected with covering both bundle inner tube front ends, and is structure as a whole, i.e., both are had by a front end
There is the inside reflexed of front section in the hollow pipe of bottom and formed.
In use, the present apparatus is connected into scope front end, negative pressure straw is worn to interior with instrument channel of the bracing wire through scope
Mirror shank, and negative pressure straw is connected into negative pressure device, thus i.e. feasible Loop ligature, when the tissue that set is pricked will be treated by negative pressure cavity volume
After suction, bracing wire end is now pulled, an alignment pin of most front side is taken off from positioning hole, and then causes the rubber of most front side
Circle loses the positioning action that alignment pin provides for it, so that as the set of taper pricks outer tube to advancing slip rolling, so as to be realized to tissue
Set pricks purpose；Continue to pull bracing wire, other rubber rings can be excited successively, so as to realize that adapter sleeve pricks purpose.
The present invention has the advantages that：Its is simple in construction, compact, is easy to enter with scope and implements operation in vivo
Treatment, and set bundle can be carried out continuously, efficiency is higher；It controls the positioning of rubber ring by alignment pin with exciting, so as to simplify
The winding mode of bracing wire so that operation is more convenient, without complicated winding the situation of snarling will not occur for bracing wire,
Work is more stablized；Because bracing wire is passed through without pricking the front end of outer tube from set bundle inner tube and set, so as to ensure that present apparatus front end
It is round and smooth with it is smooth, be conducive to making during vacuum suction treating that the tissue that set is pricked quickly enters in negative pressure cavity volume, thus carry
Height set is bundled into effect rate；During being applied in a down-to-earth manner in set, bracing wire, will not be to oesophagus in traction process without be contacted with tissue
Wall causes to dampen, and reduces the pain of patient, reduces the risk of infection.
Brief description of the drawings
Fig. 1 is the structural representation of varices of esophagus set bundling device under this scope.
Fig. 2 is the main sectional view of varices of esophagus set bundling device under this scope.
Fig. 3 is alignment pin and rubber ring and the cooperation schematic diagram of bracing wire.
In figure, 1, set prick outer tube, 2, rubber ring, 3, alignment pin, 4, scope connecting seat, 5, negative pressure straw, 6, bracing wire, 7, negative
Pressure-volume chamber, 8, positioning hole, 9, set prick inner tube, 10, draw ring, 11, position-limited edge edge.
Embodiment
As Figure 1-3, varices of esophagus covers bundling device under a kind of scope disclosed by the invention, and it is included outside a set of bundle
Pipe 1, the rear end that set pricks outer tube 1 is provided with the scope connecting seat 4 for being used for being connected with scope；After described set bundle outer tube 1 is thin before
Thick taper, set is pricked provided with a set bundle inner tube 9 being coaxial therewith in outer tube 1, and set pricks the front end and set bundle outer tube 1 front end of inner tube 9
It is tightly connected, set pricks the back-end closure of inner tube 9 and is connected with negative pressure straw 5, set is pricked in inner tube 9 and form one for accommodating
Treat that set pricks the negative pressure cavity volume 7 of tissue；Described negative pressure straw 5, which passes scope connecting seat 4, to be continued to extend back；Described set is pricked outer
There being in some positioning holes 8, each positioning hole 8 equidistantly distributed before and after on the side wall of pipe 1 is installed on alignment pin 3；Described positioning
The outer end of pin 3 protrudes from set and pricks the outside of outer tube 1, and the interlayer that outer tube 1 pricks inner tube 9 with set then provided with draw ring 10 and is pricked in inner end positioned at set
In；The draw ring 10 of described some alignment pins 3 is fixedly connected in the form of series connection with a bracing wire 6, and the front end of bracing wire 6 is anti-backward
Roll over and pass and continue to extend back after scope connecting seat 4, affect backward bracing wire 6 can from the front to the back successively by some alignment pins 3 from
Removed on corresponding positioning hole 8；Described set pricks the rubber ring 2 being equipped with outer tube 1 with the quantity such as alignment pin 3, described rubber
Cushion rubber 2 limits each via an alignment pin 3 and prevents its voluntarily forward slip.
Described set is pricked outer tube 1 and is connected both front ends with set bundle inner tube 9, and is structure as a whole, i.e., both are by a front end
The inside reflexed of front section in hollow pipe with bottom and formed.
The inner end of described alignment pin 3 is provided with the outstanding position-limited edge of a circle along 11, and position-limited edge is used for anti-fastening along 11
Position pin 3 is outwards slipped along positioning hole 8.
Described bracing wire 6 uses nylon rope, and described set is pricked inner tube 9 and is made with set bundle outer tube 1 of medical plastic, described
Negative pressure straw 5 be rubber tube, described alignment pin 3 is made up of elastomeric material.
In use, the present apparatus to be connected to the front end of scope by scope connecting seat 4, by negative pressure straw 5 and bracing wire 6 through interior
The instrument channel or biopsy forceps passage of mirror are worn to scope shank, and negative pressure straw 5 is connected into negative pressure device, and thus i.e. feasible set is pricked
Art；After the tissue pricked after set is sucked by negative pressure cavity volume 7, the end that bracing wire 6 is drawn from scope shank is now pulled, makes set
The alignment pin 3 for pricking the most front side of outer tube 1 is taken off from positioning hole 8, and then causes the rubber ring 2 of most front side to lose alignment pin 3 and be
Its positioning action provided, because rubber ring 2 has the elastic force shunk, the set bundle outer tube 1 at place is tapered in addition so that rubber
Circle 2 certainly will prick outer tube 1 to advancing slip rolling with set, so as to realize that set pricks purpose to tissue；Continue to pull bracing wire 6, can excite successively
Other rubber rings 2, so as to realize that adapter sleeve pricks purpose.
Its is simple in construction, compact, is easy to enter with scope and implements operative treatment in vivo, and can be carried out continuously set and pricks,
Efficiency is higher；It controls the positioning of rubber ring 2 with exciting by alignment pin 3, so as to simplify the winding mode of bracing wire 6, makes
More convenient, winding of the bracing wire 6 without complexity must be operated, will not occur the situation of snarling, work is more stablized；Due to drawing
Line 6 without from set prick inner tube 9 with set prick outer tube 1 front end pass through so that ensure that present apparatus front end it is round and smooth with it is smooth, favorably
In making to treat that the tissue that set is pricked quickly enters in negative pressure cavity volume 7 during vacuum suction, thus improve set and be bundled into effect rate；By
During being applied in a down-to-earth manner in set, bracing wire will not be caused to dampen to esophageal wall in traction process, reduced without be contacted with tissue
The pain of patient, reduces the risk of infection.
Claims (4)
1. varices of esophagus covers bundling device under a kind of scope, it is characterised in that it includes a set of bundle outer tube, set is pricked after outer tube
End is provided with scope connecting seat；It is in front fine and rear thick taper that described set, which pricks outer tube, and set, which is pricked, is provided with a set being coaxial therewith in outer tube
Inner tube is pricked, set pricks the front end of inner tube and set is pricked outer tube forward end seal and is connected, set pricks the back-end closure of inner tube and is connected with negative pressure suction
Pipe, thus makes set prick in inner tube and forms one for accommodating the negative pressure cavity volume for treating that set pricks tissue；Described negative pressure straw passes scope
Connecting seat continues to extend back；Equidistantly distributed has some positioning holes before and after described set is pricked on the side wall of outer tube, each positioning
Alignment pin is installed in hole；Described alignment pin outer end protrudes from set and pricked on the outside of outer tube, and inner end is then pricked provided with draw ring and positioned at set
Outer tube is pricked with set in the interlayer of inner tube；The draw ring of described some alignment pins is fixedly connected in the form of connecting with a bracing wire, and
The front end of bracing wire reflexed and passes backward and continues to extend back after scope connecting seat, affects bracing wire successively can will from the front to the back backward
Some alignment pins are removed from corresponding positioning hole；Described set pricks the rubber ring being equipped with outer tube with the quantity such as alignment pin,
Described rubber ring limits each via an alignment pin and prevents its voluntarily forward slip.
2. varices of esophagus covers bundling device under a kind of scope according to claim 1, it is characterised in that：Described set is pricked
Outer tube is pricked both inner tube front ends with set and is connected, and is structure as a whole, i.e., before both are had in the hollow pipe of bottom by a front end
Section part inwardly reflexed and formed.
3. varices of esophagus covers bundling device under a kind of scope according to claim 1, it is characterised in that：Described positioning
The inner end of pin is provided with the outstanding position-limited edge edge of a circle, and position-limited edge is along for preventing alignment pin from outwards being slipped along positioning hole.
4. varices of esophagus covers bundling device under a kind of scope according to claim 1, it is characterised in that：Described bracing wire
Using nylon rope, described set is pricked inner tube and is made with set bundle outer tube of medical plastic, and described negative pressure straw is rubber tube, institute
The alignment pin stated is made up of elastomeric material.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510425249.1A CN105105810B (en) | 2015-07-15 | 2015-07-15 | Varices of esophagus covers bundling device under scope |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510425249.1A CN105105810B (en) | 2015-07-15 | 2015-07-15 | Varices of esophagus covers bundling device under scope |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN105105810A CN105105810A (en) | 2015-12-02 |
| CN105105810B true CN105105810B (en) | 2017-10-10 |
Family
ID=54654114
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201510425249.1A Expired - Fee Related CN105105810B (en) | 2015-07-15 | 2015-07-15 | Varices of esophagus covers bundling device under scope |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN105105810B (en) |
Families Citing this family (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107320164B (en) * | 2017-08-18 | 2023-07-18 | 上海宁璋医疗器械有限公司 | A kind of endoscopic polyp ligation device |
| CN109157255B (en) * | 2018-08-26 | 2020-12-15 | 南京市中医院 | An improved hemorrhoid ligation device |
| CN109620355A (en) * | 2019-02-26 | 2019-04-16 | 毕伟平 | Varices of esophagus covers bundling device under a kind of scope |
| CN111544089A (en) * | 2020-05-13 | 2020-08-18 | 河北医科大学第二医院 | Device for treating gastroesophageal disease |
| CN112237459B (en) * | 2020-10-20 | 2021-08-31 | 中国医学科学院北京协和医院 | A balloon-type ligator with multiple rubber rings applied to a transparent cap |
Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP0679368A1 (en) * | 1994-04-26 | 1995-11-02 | Kabushiki Kaisha Top | Endoscopic instrument for ligating varix |
| CN2332365Y (en) * | 1996-07-25 | 1999-08-11 | 刘明 | Inner mirror multi-ring continuous invaginator |
| DE19758081A1 (en) * | 1997-12-30 | 1999-08-12 | Walter Olbert | Volume limiter for hemorrhoid ligature device |
| CN2389622Y (en) * | 1999-08-20 | 2000-08-02 | 丁长珍 | Multifunctional ligature device for endoscope |
| CN2400065Y (en) * | 1999-11-08 | 2000-10-11 | 李坪 | Endoscopic casing ligaturing device |
| CN1275062A (en) * | 1998-08-20 | 2000-11-29 | 住友电木株式会社 | Continuous ligation kit |
| CN1662185A (en) * | 2002-08-26 | 2005-08-31 | 株式会社托普 | Ligation treating apparatus |
| CN102488541A (en) * | 2011-12-26 | 2012-06-13 | 升尚（北京）医疗科技有限公司 | Multi-ring loop ligature apparatus |
Family Cites Families (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6136009A (en) * | 1998-05-06 | 2000-10-24 | Ensurg, Inc. | Ligating band dispenser |
| US6059797A (en) * | 1998-06-17 | 2000-05-09 | Ensurg, Inc. | Self-disposing ligating band dispenser |
| US8728096B2 (en) * | 2006-10-24 | 2014-05-20 | Boston Scientific Scimed, Inc. | Ligating band dispenser with a sliding deployment system |
-
2015
- 2015-07-15 CN CN201510425249.1A patent/CN105105810B/en not_active Expired - Fee Related
Patent Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP0679368A1 (en) * | 1994-04-26 | 1995-11-02 | Kabushiki Kaisha Top | Endoscopic instrument for ligating varix |
| CN2332365Y (en) * | 1996-07-25 | 1999-08-11 | 刘明 | Inner mirror multi-ring continuous invaginator |
| DE19758081A1 (en) * | 1997-12-30 | 1999-08-12 | Walter Olbert | Volume limiter for hemorrhoid ligature device |
| CN1275062A (en) * | 1998-08-20 | 2000-11-29 | 住友电木株式会社 | Continuous ligation kit |
| CN2389622Y (en) * | 1999-08-20 | 2000-08-02 | 丁长珍 | Multifunctional ligature device for endoscope |
| CN2400065Y (en) * | 1999-11-08 | 2000-10-11 | 李坪 | Endoscopic casing ligaturing device |
| CN1662185A (en) * | 2002-08-26 | 2005-08-31 | 株式会社托普 | Ligation treating apparatus |
| CN102488541A (en) * | 2011-12-26 | 2012-06-13 | 升尚（北京）医疗科技有限公司 | Multi-ring loop ligature apparatus |
Also Published As
| Publication number | Publication date |
|---|---|
| CN105105810A (en) | 2015-12-02 |
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Granted publication date: 20171010 Termination date: 20180715 |