CN102599942B - Dilating hemostasis ostomy tube for minimally invasive percutaneous nephroscope - Google Patents
Dilating hemostasis ostomy tube for minimally invasive percutaneous nephroscope Download PDFInfo
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- CN102599942B CN102599942B CN201210095128.1A CN201210095128A CN102599942B CN 102599942 B CN102599942 B CN 102599942B CN 201210095128 A CN201210095128 A CN 201210095128A CN 102599942 B CN102599942 B CN 102599942B
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- drainage catheter
- hemostasis
- channel
- stoma
- balloon
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- 230000023597 hemostasis Effects 0.000 title claims abstract description 31
- 230000000916 dilatatory effect Effects 0.000 title abstract 3
- 230000002439 hemostatic effect Effects 0.000 claims description 41
- 239000000463 material Substances 0.000 claims description 6
- 230000001936 parietal effect Effects 0.000 claims description 6
- 230000015572 biosynthetic process Effects 0.000 claims description 4
- 230000000694 effects Effects 0.000 abstract description 10
- 210000004712 air sac Anatomy 0.000 abstract 5
- 238000012273 nephrostomy Methods 0.000 abstract 1
- 210000003734 kidney Anatomy 0.000 description 19
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 13
- 230000006835 compression Effects 0.000 description 8
- 238000007906 compression Methods 0.000 description 8
- 230000006378 damage Effects 0.000 description 8
- 208000027418 Wounds and injury Diseases 0.000 description 6
- 239000002775 capsule Substances 0.000 description 6
- 230000000025 haemostatic effect Effects 0.000 description 5
- 210000002700 urine Anatomy 0.000 description 5
- 238000006073 displacement reaction Methods 0.000 description 4
- 208000014674 injury Diseases 0.000 description 4
- 210000000244 kidney pelvis Anatomy 0.000 description 4
- 238000000034 method Methods 0.000 description 4
- 210000001519 tissue Anatomy 0.000 description 3
- 208000032843 Hemorrhage Diseases 0.000 description 2
- 239000008280 blood Substances 0.000 description 2
- 210000004369 blood Anatomy 0.000 description 2
- 206010016766 flatulence Diseases 0.000 description 2
- 230000003907 kidney function Effects 0.000 description 2
- 239000000203 mixture Substances 0.000 description 2
- 210000005084 renal tissue Anatomy 0.000 description 2
- 206010061218 Inflammation Diseases 0.000 description 1
- 208000000913 Kidney Calculi Diseases 0.000 description 1
- 206010029148 Nephrolithiasis Diseases 0.000 description 1
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 description 1
- 238000005273 aeration Methods 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 239000013013 elastic material Substances 0.000 description 1
- 230000010102 embolization Effects 0.000 description 1
- 230000006870 function Effects 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 230000004054 inflammatory process Effects 0.000 description 1
- 230000002427 irreversible effect Effects 0.000 description 1
- 239000004816 latex Substances 0.000 description 1
- 229920000126 latex Polymers 0.000 description 1
- 238000013059 nephrectomy Methods 0.000 description 1
- 239000000741 silica gel Substances 0.000 description 1
- 229910002027 silica gel Inorganic materials 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
- 231100000331 toxic Toxicity 0.000 description 1
- 230000002588 toxic effect Effects 0.000 description 1
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Abstract
The invention belongs to the technical field of medical instruments, and particularly relates to a dilating hemostasis ostomy tube for a minimally invasive percutaneous nephroscope, which comprises a drainage catheter. An end of the drainage catheter is planar, and two drainage holes are arranged at positions, close to the end, of the drainage catheter; the drainage catheter is further provided with an elastic spherical fixing air sac and a non-elastic cylindrical hemostasis air sac, and after the hemostasis air sac is dilated, the diameter of a sectional circle ranges from 5mm to 12mm; the fixing air sac is communicated with a first channel parallel to the drainage catheter, and the hemostasis air sac is communicated with a second channel parallel to the drainage catheter; and both the first channel and the second channel are arranged in a wall of the drainage catheter, and the tail end of the first channel, the tail end of the second channel and the drainage catheter are bifurcated to form trifurcate branch pipes. Both the tail end of the first channel and the tail end of the second channel are provided with one-way valve inflating openings. The dilating hemostasis ostomy tube has the purpose that the structure of the ostomy tube for the percutaneous nephroscope is further improved, so that the problem that an existing nephrostomy tube is not ideal in hemostasis effect and easy to slip and shift is resolved.
Description
Technical field
The invention belongs to technical field of medical instruments, be specifically related to Nephrolithotomy mirror expansion hemostasis stoma.
Background technology
PCN is the most effective Therapeutic Method of minimally-invasive treatment renal calculus of development in recent years, and it has, and therapeutic effect is good, calculus clearance rate is high, renal function injury is little, go out insufficiency of blood and the little feature of wound.PCN one or more passages that need to puncture in renal cortex are performed the operation, and after operation finishes, kidney stoma plays the effect of drainage of urine and hemostasis by compression.
But, the diameter that must be less than puncture channel because of the diameter of kidney stoma just can be inserted in kidney, thereby have certain space between kidney puncture channel and kidney stoma, the effect of kidney stoma hemostasis by compression is limited, small part patient can form serious hemorrhage, for hemorrhage, comparatively seriously cannot, with the patient of internal medicine means control, even need to carry out the hemostasis of selective embolization art or the nephrectomy, not only expense is higher, but also can cause the irreversible forfeiture of part or all renal function; In addition, traditional stoma is generally the latex tubing of not being with air bag, it cannot be fixed voluntarily, and histocompatibility is poor, local inflammatory reaction is more serious, the infection rate of following is higher, is not suitable for carrying for a long time, especially needs the patient who carries out second phase and above operation to make troubles and misery to some patients were.
For this reason, someone improves with stoma traditional Nephrolithotomy mirror, if Patent Office of the People's Republic of China is in the CN201052137Y patent of on April 30th, 2008 bulletin and Patent Office of the People's Republic of China in the CN201585959U patent of JIUYUE in 2010 bulletin on the 22nd, both mentalities of designing have similarity, be that stoma comprises drainage tube, be positioned at the drain side opening and the drainage tube joint that is positioned at drainage tube afterbody of drainage tube head, at drainage tube head, after drain side opening, be provided with an air bag, it is communicated with an aerating pipe, aerating pipe stretches out along drainage tube tube wall to drainage tube afterbody, the former utilizes aerating pipe to air bag water filling, the latter utilizes aerating pipe to airbag aeration, thereby realize hemostasis by compression.Although, both have all simplified operation process, convenient operation, reduced the probability of perioperative blood transfusion and super-selective tremulous pulse pivot plug, employing silica gel material is made, there is good histocompatibility, can remain in for a long time in patient body, without obvious toxic and side effects, be convenient to patient and further treat, still, air bag water filling or inflation are not easy to realize, and can make patient have uncomfortable distending pain sense, after the pressure balance inside and outside air bag, continue again water filling or inflate can only overflow and cannot continue supercharging, thereby do not reach desirable haemostatic effect.In addition, both are not all provided for the structure of fixing stoma specially, and this makes stoma be easy to slippage displacement, less stable.
Also there is people to do further improvement to PCN stoma, if Patent Office of the People's Republic of China is in the CN202010364U patent of bulletin on October 19th, 2011, it comprises inner with the elastic drainage tube that runs through circular hole, and the external diameter of drainage tube is greater than the internal diameter of drainage channel, the end of drainage tube is provided with the end socket that diameter is greater than this body diameter of drainage tube, the inner wall of end of end socket place circular hole is provided with some roads blend stop, it also comprises a thimble that can penetrate into drainage tube body interior, and the diameter of thimble is greater than the diameter that blend stop inner side edge surrounds and the internal diameter that is less than drainage tube.When it uses, first elongate diameter that drainage tube dwindles drainage tube body and dwindle again that the diameter of drainage tube end cap is convenient to be put into drainage tube in drainage channel, discharge rear head and can oppress wound and realize hemostasis, can not make patient produce uncomfortable distending pain sense.Although it has higher haemostatic effect,, it does not still have the special structure for fixing stoma, and this cannot be avoided the problem of stoma slippage displacement equally.
In addition, Patent Office of the People's Republic of China is in the CN201768005U patent of bulletin on March 23rd, 2011, it is provided with main pipe, and in main pipe parietal layer, be provided with micropore first passage and the second channel parallel with main pipe, the outlet connection of first passage head one week around main pipe tube wall periphery, have can receive flat, the elasticity short cavity capsule of energy tympanites, the outlet connection of second channel head one week around main pipe tube wall periphery, have can receive flat, the long chamber of the elasticity capsule of energy tympanites, during use, by first passage and second channel to short cavity capsule and long chamber capsule water filling, thereby realize hemostasis by compression, in fact, short cavity capsule has also played the effect of fixing stoma, but, such stoma, because the long chamber of the elasticity communicating with second channel capsule has elasticity, the general spherical structure that forms after expansion, and renocortical operation path is cylindrical, both shapes misfit, easily occur that central overextended causes new infringement to nephridial tissue, and two ends expansion is not enough, cannot bring into play effective hemostasis by compression effect.
Summary of the invention
Object of the present invention: in order further to improve the structure of PCN stoma, the problem that haemostatic effect is undesirable, the easy slippage of stoma is shifted existing to solve existing kidney stoma, and Nephrolithotomy mirror expansion hemostasis stoma is proposed.
Technical scheme of the present invention: expansion hemostasis stoma for Nephrolithotomy mirror, wherein, comprises drainage catheter; Described drainage catheter end is plane, and drainage catheter is provided with two conduction holes near end; Described drainage catheter is also provided with elastic ball fixation balloon and non-resilient cylindrical hemostatic balloon, and after the expansion of described hemostatic balloon, cross section diameter of a circle is 5-12mm; Described fixation balloon is communicated with the one number service road that is parallel to drainage catheter, described hemostatic balloon and No. two channel connections that are parallel to drainage catheter; Described one number service road and No. two passages are all arranged in the parietal layer of drainage catheter, and the tail end of described one number service road and No. two passages and drainage catheter bifurcated formation trident arm; Described one number service road and the tail end of No. two passages are equipped with check valve inflation inlet.
Expansion hemostasis stoma for Nephrolithotomy mirror of the present invention, because drainage catheter end is plane, and drainage catheter is provided with two conduction holes near end, therefore during PCN operation, urine in kidneys of patients can enter drainage catheter from conduction hole, thereby has realized well drawing of urine in kidneys of patients, meanwhile, because drainage catheter is also provided with elastic ball fixation balloon and non-resilient cylindrical hemostatic balloon, fixation balloon is communicated with the one number service road that is parallel to drainage catheter, hemostatic balloon and No. two channel connections that are parallel to drainage catheter, one number service road and No. two passages are all arranged in the parietal layer of drainage catheter, and the tail end of one number service road and No. two passages and drainage catheter bifurcated formation trident arm, the tail end of one number service road and No. two passages is equipped with check valve inflation inlet, therefore this stoma inserts after kidneys of patients, spherical fixation balloon is fetched water after pressurization, be easy to expansion, can in patient's renal pelvis loculus, play good fixation, thereby this stoma is stably fixed in renal pelvis, be difficult for slippage displacement, and cylindrical hemostatic balloon is non-elastic material, fetch water after pressurization, its expansion is very even, its cross section is circular, and cross section diameter of a circle is certain, excessively pressurization only can increase the pressure of air bag and can not increase cross section diameter of a circle, therefore, as long as select the hemostatic catheter of suitable diameter to form good hemostasis by compression effect to kidney fistulation passage, can avoid again elastic bag overdistension to increase the weight of the probability of Renal tissues damage, wherein, the unique design of fixation balloon and hemostatic balloon shape, taken into full account the architectural characteristic of kidneys of patients, in addition, after hemostatic balloon expansion, cross section diameter of a circle is 5-12mm, and this has taken into full account the structure of PCN puncture micropore, thereby can select suitable stoma according to different puncture situations, realizes better expansion hemostasis.
Further, after described hemostatic balloon expansion, cross section diameter of a circle is 8mm.
Expansion hemostasis stoma for Nephrolithotomy mirror of the present invention, because cross section diameter of a circle after hemostatic balloon expansion is 8mm, therefore in the PCN operation of the standard of employing puncture needle, such stoma is applicable to Most patients more, thereby realize well expansion hemostasis.
Further, described hemostatic balloon is made by medical PVC material.
Expansion hemostasis stoma for Nephrolithotomy mirror of the present invention, because hemostatic balloon is made by medical PVC material, therefore there is fixing shape and the characteristic of compressive resistance after hemostatic balloon expansion, thereby in certain pressure limit, hemostatic balloon is not yielding, thereby can reach good haemostatic effect.
Accompanying drawing explanation
Fig. 1 is the structural representation of the embodiment of Nephrolithotomy mirror of the present invention expansion hemostasis stoma.
The specific embodiment
As shown in Figure 1, the invention provides Nephrolithotomy mirror expansion hemostasis stoma, wherein, comprise drainage catheter 1; Drainage catheter 1 end is plane, and drainage catheter 1 is provided with two conduction holes 2 near end; Drainage catheter 1 is also provided with elastic ball fixation balloon 3 and non-resilient cylindrical hemostatic balloon 4, and after hemostatic balloon 4 expansions, cross section diameter of a circle is 8mm; Fixation balloon 3 is communicated with the one number service road 5 that is parallel to drainage catheter 1, and hemostatic balloon 4 is communicated with No. two passages 6 that are parallel to drainage catheter 1; One number service road 5 and No. two passages 6 are all arranged in the parietal layer of drainage catheter 1, and the tail end of one number service road 5 and No. two passages 6 and drainage catheter 1 bifurcated formation trident arm; The tail end of one number service road 5 and No. two passages 6 is equipped with check valve inflation inlet 7; Hemostatic balloon 4 is made by medical PVC material.
In the present embodiment, when doing PCN operation to patient, this stoma is inserted to patient's kidney along operation puncturing micropore, then from the check valve inflation inlet 7 of one number service road 5 tail ends, fetch water to fixation balloon 3, fixation balloon 3 is expanded, then this stoma is retracted to a segment distance backward, thereby make fixation balloon 3 just firmly be positioned at renal pelvis and renocortical intersection, be not easy slippage displacement, now, hemostatic balloon 4 is just in time in renal cortex, then from the check valve inflation inlet 7 of No. two passage 6 tail ends, fetch water to hemostatic balloon 4, hemostatic balloon 4 is expanded, like this, hemostatic balloon 4 just can play the effect of hemostasis by compression.
The setting of conduction hole 2 is extremely important for PCN operation, and the urine in kidneys of patients can flow in drainage catheter 1 from conduction hole 2, thereby realizes drawing of Urine in Patients in art.Drainage catheter 1 end is plane, and this is for patient's kidney, and it can not produce injury to nephridial tissue, thereby can avoid the injury of kidney of bringing thus.
In addition, fixation balloon 3 is designed to elastic ball, and like this, fixation balloon 3 is easy to expansion in patient's renal pelvis loculus inside, when realizing fixing stoma, also can not produce extra damage to patient's kidney.Hemostatic balloon 4 is designed to non-resilient cylindrical, in fact, this is to have taken into full account the linear feature of PCN operation puncturing micropore, like this, hemostatic balloon 4 is when fetching water pressurization, its expansion is very even, its cross section is circular, and cross section diameter of a circle is certain, excessively pressurization only can increase the pressure of hemostatic balloon 4 and can not increase cross section diameter of a circle, therefore,, as long as select the hemostatic catheter of suitable diameter to form good hemostasis by compression effect to kidney fistulation passage, can avoid again elastic bag overdistension to increase the weight of the probability of Renal tissues damage.The unique design of fixation balloon 3 and hemostatic balloon 4 shapes, has taken into full account the architectural characteristic of kidneys of patients, and such structural design is more humane, can not produce extra injury to patient, and this makes this stoma have good practicality.
In addition, one number service road 5 and No. two passages 6 are all arranged in the parietal layer of drainage catheter 1, and in fact, this makes this stoma be three-cavity and double-caspula structure, and it is delicate, unique not only to design, and have taken into full account the particularity of PCN operation, very practical.The tail end of one number service road 5 and No. two passages 6 and drainage catheter 1 bifurcated form trident arm, this is for the drain of fetch water pressurization and the drainage catheter 1 of fixation balloon 3 and hemostatic balloon 4, each operation is very convenient, and unaffected each other, like this, in PCN operation process, can simplify surgical procedure, save operating time, thereby improve the efficiency of operation.The tail end of one number service road 5 and No. two passages 6 is equipped with check valve inflation inlet 7, wherein, check valve inflation inlet 7 very unique, such structure is set, can realize the pressurization of fetching water of ecto-entad, the situation of simultaneously having avoided inside water pressure to leak.
In addition, in fact, after hemostatic balloon 4 expansions, cross section diameter of a circle has a scope, i.e. 5-12mm, and this has taken into full account the structure of PCN puncture micropore, for different patients' difference puncture situation, can select as the case may be suitable stoma, like this, in fact, stoma just can be designed as Multiple Type, thereby realizes expansion hemostatic function preferably.In the present embodiment, after hemostatic balloon 4 expansions, cross section diameter of a circle is preferably 8mm, and such stoma is applicable to Most patients more.
In addition, hemostatic balloon 4 is made by medical PVC material, in fact this taken into full account a good control procedure while fetching water pressurization, such hemostatic balloon 4 has good compressive property, hydraulic pressure is in the scope of 60mmHg-150mmHg time, after hemostatic balloon 4 expansions, can guarantee indeformable, like this, hemostatic balloon 4 can not produce damage to nephridial tissue, thereby realizes good haemostatic effect.
Above-described is only the preferred embodiment of the present invention, should be understood that for a person skilled in the art, not departing under the prerequisite of structure of the present invention, can also make some distortion and improvement, these can not affect effect of the invention process and practical applicability.
Claims (3)
1. expansion hemostasis stoma for Nephrolithotomy mirror, is characterized in that: comprise drainage catheter (1); Described drainage catheter (1) end is plane, and drainage catheter (1) is provided with two conduction holes (2) near end; Described drainage catheter (1) is also provided with elastic ball fixation balloon (3) and non-resilient cylindrical hemostatic balloon (4), and after described hemostatic balloon (4) expansion, cross section diameter of a circle is 5-12mm; Described fixation balloon (3) is communicated with the one number service road (5) that is parallel to drainage catheter (1), and described hemostatic balloon (4) is communicated with No. two passages (6) that are parallel to drainage catheter (1); Described one number service road (5) and No. two passages (6) are all arranged in the parietal layer of drainage catheter (1), and the tail end of described one number service road (5) and No. two passages (6) and drainage catheter (1) bifurcated formation trident arm; Described one number service road (5) and the tail end of No. two passages (6) are equipped with check valve inflation inlet (7).
2. expansion hemostasis stoma for Nephrolithotomy mirror according to claim 1, is characterized in that: after described hemostatic balloon (4) expansion, cross section diameter of a circle is 8mm.
3. expansion hemostasis stoma for Nephrolithotomy mirror according to claim 1, is characterized in that: described hemostatic balloon (4) is made by medical PVC material.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201210095128.1A CN102599942B (en) | 2012-03-31 | 2012-03-31 | Dilating hemostasis ostomy tube for minimally invasive percutaneous nephroscope |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201210095128.1A CN102599942B (en) | 2012-03-31 | 2012-03-31 | Dilating hemostasis ostomy tube for minimally invasive percutaneous nephroscope |
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| Publication Number | Publication Date |
|---|---|
| CN102599942A CN102599942A (en) | 2012-07-25 |
| CN102599942B true CN102599942B (en) | 2014-04-23 |
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| CN201210095128.1A Expired - Fee Related CN102599942B (en) | 2012-03-31 | 2012-03-31 | Dilating hemostasis ostomy tube for minimally invasive percutaneous nephroscope |
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Families Citing this family (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106560162A (en) * | 2015-09-30 | 2017-04-12 | 南京大学医学院附属鼓楼医院 | Unicapsular nephrostomy tube preventing and treating percutaneous nephroscopy postoperative bleeding |
| CN106166321A (en) * | 2016-08-08 | 2016-11-30 | 徐亚文 | A kind of end soft and slender kidney fistulation drainage catheter |
| CN106166320A (en) * | 2016-08-08 | 2016-11-30 | 徐亚文 | A kind of end soft and slender gradient decompression air bag kidney fistulation drainage catheter |
| RU182497U1 (en) * | 2018-01-17 | 2018-08-21 | Федеральное государственное бюджетное образовательное учреждение высшего образования "Амурская государственная медицинская академия" Министерства здравоохранения Российской Федерации | Device for flow-flushing drainage of wounds with adjustable position |
| CN108670431B (en) * | 2018-06-14 | 2019-06-25 | 中国人民解放军陆军军医大学第二附属医院 | A kind of anti-infectious expander |
| CN113476721A (en) * | 2021-07-06 | 2021-10-08 | 深圳麦普奇医疗科技有限公司 | Percutaneous nephrostomy catheter |
Family Cites Families (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE3404660C1 (en) * | 1984-02-10 | 1985-09-12 | Willy Rüsch GmbH & Co KG, 7053 Kernen | Balloon-tipped catheter |
| US7322957B2 (en) * | 2000-02-01 | 2008-01-29 | Harold D. Kletschka | Angioplasty device and method of making same |
| CN201768005U (en) * | 2010-06-09 | 2011-03-23 | 中国人民解放军第二军医大学 | Nephrostomy tube |
| CN202538131U (en) * | 2012-03-31 | 2012-11-21 | 潘进洪 | Dilation hemostasis nephrostomy tube for minimally invasive percutaneous nephrolithotomy |
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2012
- 2012-03-31 CN CN201210095128.1A patent/CN102599942B/en not_active Expired - Fee Related
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