CN102961170B - Esophageal varices single-thread ligation system - Google Patents
Esophageal varices single-thread ligation system Download PDFInfo
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- CN102961170B CN102961170B CN201210358189.2A CN201210358189A CN102961170B CN 102961170 B CN102961170 B CN 102961170B CN 201210358189 A CN201210358189 A CN 201210358189A CN 102961170 B CN102961170 B CN 102961170B
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- ligation
- pearl
- ligature
- function
- thread
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Abstract
The invention relates to an esophageal varices single-thread ligation system, which is characterized in that an installation guide device is matched with a ligation device; the ligation device comprises ligation transparent caps, rubber rings and a ligation thread, wherein the ligation thread is a single thread which is bonded with a plurality of functional beads, and a distance between every two adjacent functional beads is matched with the circumference of a drum on a winding position; and one rubber ring is pressed on the ligation thread between every two adjacent function beads through the installation guide device and sleeved on the ligation transparent caps to form a structure with the functional beads, the rubber rings, the functional beads and the rubber rings being repeatedly arranged at intervals. The esophageal varices single-thread ligation system has the beneficial effects that the ligation thread is a single thread, every two plastic beads on the ligation thread are matched with one rubber ring, so that the rubber rings can be pulled to drop off by a power device; and the ligation thread is the single thread, so that the ligation thread can be right aligned to a work channel of an endoscope and closely attached onto the inner wall of the ligation transparent cap in the ligation device, and the visual field of the endoscope is not influenced.
Description
Technical field
The present invention relates to medical instruments field, especially a kind of esophageal varicosis single line ligation system.
Background technology
At present, scope hypodesmus of trapping is treatment esophageal varices bleeding effective method, it has that wound is little, painful little, the few intercurrent disease of patient and the low feature of surgery cost, be particularly useful for the liver cirrhosis patient that liver function is poor, reach 95% to the gross hemostasis rate of active hemorrhage, emr treatment of partly selecting a time can make cirso-disappear completely.
Esophageal varices bleeding is the major causes of death of end-age cirrhosis, and the mortality rate of Esophageal variceal rupture active hemorrhage is up to 50%, and surgery emergency bypass operative mortality is up to 32%.Scope hypodesmus hemostasis of trapping is not only simple to operate, effective, and mortality rate is low, below 5%.But the cirso-ligature carrier of external import is not only expensive, do not meet China's actual conditions, and its ligature is two-wire, affects the scope visual field.The esophageal variceal vein ligature carrier low price of domestic production, ligature is also two-wire, and the guide installed has many defects.
Summary of the invention
The present invention will solve many defects of the esophageal varicosis ligature carrier parts produced both at home and abroad, mainly for the ligature of former apparatus for ligating, namely affects the two-wire in the scope visual field, designs a kind of esophageal varicosis single line ligation system not affecting the visual field.
The present invention solves the technical scheme that its technical problem adopts: this esophageal varicosis single line ligation system, comprises apparatus for ligating, rotary handle and installation guide, and installation guide and apparatus for ligating match; Wherein apparatus for ligating comprises ligation hyaline cap, elastic tape and ligature, described ligature is the single line being stained with multiple function pearl, one end of ligature is fixed and is wound on the handle axis of rotary handle, the inner hole wall that the other end of ligature is close to ligation hyaline cap passes, and the drum being wound on ligation hyaline cap circumferentially, being spaced apart between function pearl adapts with the drum girth at winding place, makes multiple function pearl vertically in a linear array; Being pressed in by an elastic tape on ligature by installing guide and being sleeved on ligation hyaline cap between every two function pearls, what form that function pearl, elastic tape, function pearl and elastic tape so repeat is spaced structure.
Further, described ligature is stained with pearl for subsequent use between every two function pearls, what form that pearl for subsequent use, function pearl, elastic tape, pearl for subsequent use, function pearl and elastic tape so repeat is spaced structure.
Further, described ligation hyaline cap in multidiameter structure, the excircle longitudinal section of installing elastic tape is the trapezoid that one end is narrow, one end is wide.
Further, the drum of described ligation hyaline cap is circumferentially provided with a longitudinal groove, and multiple function pearl is a linear array along the longitudinal direction of longitudinal groove offside, and multiple pearl for subsequent use is a linear array along the longitudinal direction of longitudinal groove.
Further, the diameter of described pearl for subsequent use is greater than the diameter of function pearl.
Further, described function pearl refers to the plastic bead being in functional status for pulling elastic tape.
Further, described rotary handle and handle axis are arranged on holder, and holder lower end is provided with irrigation channel, and one end of ligature is fixed through irrigation channel and is wound on the handle axis of rotary handle.
The effect that the present invention is useful is:
1, ligature is single line, and the plastic bead on it is that every two pearls mate an elastic tape, causes coming off of elastic tape when can ensure that power set pull.
2, ligature is single line, just to the service aisle of scope, can be close to the inwall of ligation hyaline cap in apparatus for ligating, do not affect the scope visual field.
Accompanying drawing explanation
Fig. 1 is main TV structure schematic diagram of the present invention;
Fig. 2 is the structural representation of ligation clear cap portion of the present invention;
Fig. 3 is the structural representation of rotary handle part of the present invention;
Fig. 4 is the structural representation of ligature part of the present invention.
Description of reference numerals: ligation hyaline cap 1, rotary handle 2, longitudinal groove 3, ligature 4, function pearl 5, pearl 6 for subsequent use, elastic tape 7, handle axis 8, holder 9, irrigation channel 10, installs guide 11.
Detailed description of the invention
Below in conjunction with drawings and Examples, the invention will be further described:
As Figure 1-Figure 4, this esophageal varicosis single line ligation system, comprise apparatus for ligating, rotary handle 2 and install guide 11, wherein apparatus for ligating comprises ligation hyaline cap 1, elastic tape 7 and ligature 4.Described ligature 4 is for being stained with the single line of function pearl 5 and pearl for subsequent use 6, ligature 4 is stained with function pearl 5 and the pearl for subsequent use 6 of different interval, have 12 plastic beads, from ligature head end plastic bead [diameter 0.46 millimeter of (1) pearl], respectively interval 2.15 [diameter 0.43 millimeter of (2) pearl], 2.15 [diameter 0.46 millimeter of (3) pearl], 2.15 [diameter 0.43 millimeter of (4) pearl], 2.15 [diameter 0.46 millimeter of (5) pearl], 2.15 [diameter 0.43 millimeter of (6) pearl], 2.10 [diameter 0.46 millimeter of (7) pearl], 2.10 [diameter 0.43 millimeter of (8) pearl], 2.10 [diameter 0.46 millimeter of (9) pearl], 2.10 [diameter 0.43 millimeter of (10) pearl], 2.05 [diameters 0.46 millimeter (11)] and 2.05 [diameter 0.43 millimeter (12)] centimeters are stained with plastic bead.Wherein (2) (4) (6) (8) (10) (12) pearl is function pearl, is towing elastic tape and is in the plastic bead of functional status; (1) (3) (5) (7) (9) (11) were for again pulling the pearl for subsequent use 6 of elastic tape when above-mentioned functions pearl was lost efficacy.
Described ligation hyaline cap 1 in multidiameter structure, the excircle longitudinal section of installing elastic tape 7 is the trapezoid that one end is narrow, one end is wide.Long 1.1 centimetres, mouth end external diameter 1.1 centimetres, internal diameter 0.9 centimetre, thickness 0.1 centimetre; Bottom external diameter 1.3 centimetres, internal diameter 1.1 centimetres, thickness 0.1 centimetre.Described ligation hyaline cap 1 be circumferentially provided with a longitudinal groove 3, long 3 millimeters, wide 0.35 millimeter.Multiple function pearl is a linear array along the longitudinal direction of longitudinal groove offside, and multiple pearl for subsequent use is a linear array along the longitudinal direction of longitudinal groove.
Described rotary handle 2 and handle axis 8(diameter are 1.31 centimetres) be arranged on holder 9, holder 9 lower end is provided with irrigation channel 10, and one end of ligature 4 is fixed through irrigation channel 10 and is wound on the handle axis 8 of rotary handle 2.Illustrating of guide 11 is installed and sees that the patent No. is the patent of invention of ZL 2,008 1 0060673.0, No. 551578th, certificate number.The inner hole wall that the other end of ligature 4 is close to ligation hyaline cap 1 passes, and the drum being wound on ligation hyaline cap 1 circumferentially, and being spaced apart between function pearl 5 adapts with the drum girth at winding place, makes multiple function pearl 5 vertically in a linear array; Being pressed in by an elastic tape 7 on ligature 4 by installing guide 11 and being sleeved on ligation hyaline cap 1 between every two function pearls 5, what form that pearl for subsequent use, function pearl, elastic tape, pearl for subsequent use, function pearl and elastic tape so repeat is spaced structure.Ligature be pulled start-up performance pearl successively towing six elastic tapes time, be positioned at same position all the time, with the service aisle of gastroscope on the same axis, and the inwall of close-fitting transparent cap, does not take the space of hyaline cap, ensures the visual field of gastroscope.First each elastic tape is pulled by the functional plastics pearl of on single line.In the below of each function pearl, have a pearl for subsequent use respectively, the diameter of pearl for subsequent use is slightly larger than the diameter of function pearl, once function pearl was lost efficacy, namely pearl for subsequent use was reinstated, and continues towing elastic tape.
Installation process: ligature 4 is through the offside after ligation hyaline cap, second function pearl 5 being fixed on longitudinal groove 3 on ligation hyaline cap, the tail end blind hole being provided with the guide 11 of an elastic tape 7 is in advance connected with being socketed between ligation hyaline cap 1, the fixed position of ligature is corresponding with the breach on guide, avoids the ligature 4 that weares and teares.Elastic tape 7 on guide be advanced into ligation hyaline cap and be pressed on ligature 4, continuing to advance elastic tape extremely close to function pearl 5.Then, first function pearl is fixed on the top of the longitudinal groove 3 of ligation hyaline cap, and the residual ligature of first function pearl tail end is placed in longitudinal groove 3, continue to advance elastic tape, be pressed on the residual ligature of first function pearl 6 simultaneously.Such first function pearl and second function pearl lay respectively at the antimere of ligation hyaline cap.Then by ligature along clockwise around hyaline cap one week, second function pearl pearl on the lucky and ligation hyaline cap of the 4th function pearl is on same longitudinal axis axis.On ligature a 4th function pearl is fixed on the below of second function pearl, advances second piece of elastic tape to the below of the 4th function pearl.Again by ligature along clockwise around hyaline cap one week, the 3rd piece of elastic tape is installed, the like until installation 6 pieces of elastic tapes.Now apparatus for ligating installation.
Esophageal varicosis single line ligation system prepares:
The flushing pipe 10 of Fig. 3 rotary handle is inserted gastroscope service aisle.Insert the syringe pipe of rotary handle by biopsy forceps or holder hooks and expose from the end of gastroscope, biopsy forceps or holder hooks are vised or are hooked one end of ligature and pull out from the flushing pipe of rotary handle.Affixed with rotary handle 2.The handle that turns clockwise makes ligature be wrapped on handle axis, until ligation hyaline cap is close to gastroscope end.Then by being flexible coupling socket and the gastroscope end on ligation hyaline cap, now allow gastroscope be in straight configuration, should keep the longitudinal axis of ligature and the 2nd, 4,6,8,10, the longitudinal axis of 12 function pearls and gastroscope service aisle is on same cross section.Continue slow circumvolve handle until ligature is tightened up.Note, when winding ligature, must carefully avoiding discharging elastic tape.
The ligature structure of esophageal varicosis single line ligation system and its installation guide are the places of the key of native system, and the esophageal varicosis ligation system of all this principle design of employing is considered to containing covering within protection scope of the present invention.
Claims (4)
1. an esophageal varicosis single line ligation system, comprise apparatus for ligating, rotary handle (2) and installation guide (11), wherein apparatus for ligating comprises ligation hyaline cap (1), elastic tape (7) and ligature (4), it is characterized in that: described ligature (4) is for being stained with the single line of multiple function pearl (5), one end of ligature (4) is fixed and is wound on the handle axis (8) of rotary handle (2), the inner hole wall that the other end of ligature (4) is close to ligation hyaline cap (1) passes, and the drum being wound on ligation hyaline cap (1) circumferentially, being spaced apart between function pearl (5) adapts with the drum girth at winding place, make multiple function pearl (5) vertically in a linear array, an elastic tape (7) is pressed in ligature (4) by installation guide (11) between every two function pearls (5) go up and be sleeved on ligation hyaline cap (1), what form the repetition like this of function pearl (5), elastic tape (7), function pearl (5) and elastic tape (7) is spaced structure, between upper every two the function pearls (5) of described ligature (4), be stained with pearl for subsequent use (6), what form the repetition like this of pearl for subsequent use (6), function pearl (5), elastic tape (7), pearl for subsequent use (6), function pearl (5) and elastic tape (7) is spaced structure, the drum of described ligation hyaline cap (1) is circumferentially provided with a longitudinal groove (3), multiple function pearl (5) is a linear array along the longitudinal direction of longitudinal groove (3) offside, and multiple pearl for subsequent use (6) is a linear array along the longitudinal direction of longitudinal groove (3), the diameter of described pearl for subsequent use (6) is greater than the diameter of function pearl (5).
2. esophageal varicosis single line ligation system according to claim 1, is characterized in that: described ligation hyaline cap (1) in multidiameter structure, the drum circumference longitudinal section of installing elastic tape (7) is the trapezoid that one end is narrow, one end is wide.
3. esophageal varicosis single line ligation system according to claim 1, is characterized in that: described function pearl (5) refers to the plastic bead being in functional status for pulling elastic tape (7).
4. esophageal varicosis single line ligation system according to claim 1, it is characterized in that: described rotary handle (2) and handle axis (8) are arranged on holder (9), holder (9) lower end is provided with irrigation channel (10), and one end of ligature (4) is fixed through irrigation channel (10) and is wound on the handle axis (8) of rotary handle (2).
Priority Applications (1)
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CN201210358189.2A CN102961170B (en) | 2012-09-24 | 2012-09-24 | Esophageal varices single-thread ligation system |
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CN201210358189.2A CN102961170B (en) | 2012-09-24 | 2012-09-24 | Esophageal varices single-thread ligation system |
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CN102961170A CN102961170A (en) | 2013-03-13 |
CN102961170B true CN102961170B (en) | 2015-03-18 |
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CN201210358189.2A Expired - Fee Related CN102961170B (en) | 2012-09-24 | 2012-09-24 | Esophageal varices single-thread ligation system |
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Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN2331321Y (en) * | 1997-07-16 | 1999-08-04 | 刘明 | Endoscop multi-ring continuous ligator |
DE19834263A1 (en) * | 1998-07-30 | 2000-02-03 | Rudolf Gmbh Medizintechnik | Hemorrhoidal ligator for multiple ligation of hemorrhoids comprises truncating device and movable sleeve |
US6059719A (en) * | 1997-08-06 | 2000-05-09 | Olympus Optical Co., Ltd. | Endoscope system |
WO2002045595A2 (en) * | 2000-12-06 | 2002-06-13 | Wilson-Cook Medical Inc. | Ligating band delivery apparatus |
CN1874730A (en) * | 2003-11-05 | 2006-12-06 | 奥林巴斯株式会社 | Clipper for endoscope and endoscope |
CN101268956A (en) * | 2008-04-16 | 2008-09-24 | 石定 | Installation guide device for ligature carrier for varices of esophagus |
-
2012
- 2012-09-24 CN CN201210358189.2A patent/CN102961170B/en not_active Expired - Fee Related
Patent Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN2331321Y (en) * | 1997-07-16 | 1999-08-04 | 刘明 | Endoscop multi-ring continuous ligator |
US6059719A (en) * | 1997-08-06 | 2000-05-09 | Olympus Optical Co., Ltd. | Endoscope system |
DE19834263A1 (en) * | 1998-07-30 | 2000-02-03 | Rudolf Gmbh Medizintechnik | Hemorrhoidal ligator for multiple ligation of hemorrhoids comprises truncating device and movable sleeve |
WO2002045595A2 (en) * | 2000-12-06 | 2002-06-13 | Wilson-Cook Medical Inc. | Ligating band delivery apparatus |
CN1874730A (en) * | 2003-11-05 | 2006-12-06 | 奥林巴斯株式会社 | Clipper for endoscope and endoscope |
CN101268956A (en) * | 2008-04-16 | 2008-09-24 | 石定 | Installation guide device for ligature carrier for varices of esophagus |
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