CN104434260A - Safety type scaleplate guiding percutaneous liver and kidney calculus operation sheath - Google Patents

Safety type scaleplate guiding percutaneous liver and kidney calculus operation sheath Download PDF

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Publication number
CN104434260A
CN104434260A CN201410844803.5A CN201410844803A CN104434260A CN 104434260 A CN104434260 A CN 104434260A CN 201410844803 A CN201410844803 A CN 201410844803A CN 104434260 A CN104434260 A CN 104434260A
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CN
China
Prior art keywords
scales
scale
kidney
sheath
sheath pipe
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.)
Pending
Application number
CN201410844803.5A
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Chinese (zh)
Inventor
王三贵
刘赴平
王海峰
蔡云峰
乔君
梁婉红
叶颖
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
DONGGUAN HOSPITAL OF NANCHENG
Original Assignee
DONGGUAN HOSPITAL OF NANCHENG
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by DONGGUAN HOSPITAL OF NANCHENG filed Critical DONGGUAN HOSPITAL OF NANCHENG
Priority to CN201410844803.5A priority Critical patent/CN104434260A/en
Publication of CN104434260A publication Critical patent/CN104434260A/en
Pending legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831Material properties
    • A61B2017/00853Material properties low friction, hydrophobic and corrosion-resistant fluorocarbon resin coating (ptf, ptfe, polytetrafluoroethylene)
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831Material properties
    • A61B2017/00889Material properties antimicrobial, disinfectant
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22072Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with an instrument channel, e.g. for replacing one instrument by the other

Abstract

The invention relates to the technical field of medical auxiliary instruments, in particular to a safety type scaleplate guiding percutaneous liver and kidney calculus operation sheath. The operating sheath comprises a sheath tube with the hollow interior, the outer side wall of the sheath tube is provided with scales and scale values, the scales comprise the long scales and the short scales, four short scales are arranged between every two adjacent long scales, the distance between every two adjacent long scales is 0.5 cm, the distance between every two adjacent short scales is 0.1 cm, the scale values are arranged on one side of the long scales, and the scale values are arranged from the front end of the sheath tube at the interval of two long scales. The operating sheath is simple in structure, economical, practical and capable of keeping the intrahepatic bile duct and a pelvis operating channel open all the time, reducing the complication of mucosal injuries of the bile duct, shortening operation time and being shared by the liver and the kidney, and an operator can conveniently adjust the operative field.

Description

A kind of safety scale guides percutaneous Liver and kidney to get stone operation sheath
Technical field
The present invention relates to medical auxiliary apparatus technical field, be specifically related to a kind of safety scale and guide percutaneous Liver and kidney to get stone operation sheath.
Background technology
Calculus of intrahepatic duct and renal calculus are department of general surgery's commonly encountered diseases frequently-occurring diseases, process very thorny.Previously adopt opens abdominal cavity hepatic segments, hepalobectomy, pyelolithotomy extracoporeal shock-wave lithotripsy more, in recent years along with the development to endoscopic surgery, develop percutaneous liver, kidney rubble lithotomy gradually, but easily there is liver organization and the problem such as bile duct, kidney injury in piercing process, thus affect popularization and the development of this technology.
Summary of the invention
Calculus of intrahepatic duct and renal calculus are department of general surgery's commonly encountered diseases frequently-occurring diseases, process very thorny.Previously adopt opens abdominal cavity hepatic segments, hepalobectomy, pyelolithotomy extracoporeal shock-wave lithotripsy more, in recent years along with the development to endoscopic surgery, develop percutaneous liver, kidney rubble lithotomy gradually, but easily there is liver organization and the problem such as bile duct, kidney injury in piercing process, thus affect popularization and the development of this technology.
Summary of the invention
In order to overcome the shortcoming and defect existed in prior art, a kind of safety scale is the object of the present invention is to provide to guide percutaneous Liver and kidney to get stone operation sheath, this operation sheath structure is simple, economical and practical, remain that stones in intrahepatic bile duct, renal pelvis operating walk way are open, reduce the complication of bile duct mucosa injury, shorten operating time, be convenient to patient and adjust surgical field of view, can share by Liver and kidney.
Object of the present invention is achieved through the following technical solutions: a kind of safety scale guides percutaneous Liver and kidney to get stone operation sheath, comprise the sheath pipe of inner hollow, the lateral wall of described sheath pipe offers scale and scale value, scale comprises long scale and short scale, four short scales are provided with between adjacent two long scales, distance between adjacent two long scales is 0.5cm, distance between adjacent two short scales is 0.1cm, scale value is arranged at the side of long scale, and arranges a scale value every two long scales from the front end of sheath pipe.
Further, the sheath pipe of described sheath pipe to be model be 14Fr, 16Fr, 18Fr or 20Fr.
Further, the length of described sheath pipe is 16-20cm, and the length of described scale is 14-16cm.
Further, the length of described sheath pipe is 18cm, and the length of described scale is 15cm.
Further, the both sides of described sheath pipe rear end are convexly equipped with respectively and hold up ear.
Further, ear is held up to be square described in.
Further, the front end of described sheath pipe is provided with annular chamfer.
Further, the wall thickness of described sheath pipe is 0.2-0.4mm.
Further, the lateral wall of described sheath pipe is provided with the polytetrafluoroethylene floor that thickness is 50-100 μm.
Further, the lateral wall of described sheath pipe is provided with the antibiotic layer that thickness is 5-25 μm.
Beneficial effect of the present invention is: the lateral wall of sheath pipe of the present invention offers scale and scale value, accurately can advance the degree of depth of sheath pipe, avoided dark or excessively shallow by the expansion external member degree of depth of the degree of depth of preoperative CT, intraoperative ultrasound location prediction and correspondence; Structure is simple, economical and practical, remains that stones in intrahepatic bile duct, renal pelvis operating walk way are open, reduces the complication of bile duct mucosa injury, shorten operating time, be convenient to patient and adjust surgical field of view, can share by Liver and kidney.
Operation sheath tool of the present invention has the following advantages: 1, have scale marker, accurately can advance the degree of depth of sheath pipe, avoided dark or excessively shallow by the expansion external member degree of depth of the degree of depth of preoperative CT, intraoperative ultrasound location prediction and correspondence; 2, operating walk way is set up; 3, fast and easy, saves operating time; 4, can directly be developed by sheath mouth muddy stone; 5, be convenient to rinse camera lens, keep surgical field of view clear; 6, convenient fixing and adjustment surgical field of view, for operation provides convenient and working place; 7, can hemostasis by compression to the puncture channel of Liver and kidney; 8, art finishes, according to the degree of depth of sheath pipe can accurately placing drainage to precalculated position; 9, apparatus can be utilized simultaneously to complete liver, kidney rubble lithotomy, reduce consumptive material, be convenient to management.
Accompanying drawing explanation
Fig. 1 is structural representation of the present invention;
Fig. 2 is close-up schematic view of the present invention;
Reference numeral is: 1-sheath pipe, 2-scale, 21-long scale, 22-short scale, 3-scale value, 4-hold up ear.
Detailed description of the invention
For the ease of the understanding of those skilled in the art, below in conjunction with embodiment and accompanying drawing 1-2, the present invention is further illustrated, and the content that embodiment is mentioned not is limitation of the invention.
See Fig. 1-2, a kind of safety scale guides percutaneous Liver and kidney to get stone operation sheath, comprise the sheath pipe 1 of inner hollow, the lateral wall of described sheath pipe 1 offers scale 2 and scale value 3, scale 2 comprises long scale 21 and short scale 22, four short scales 22 are provided with between adjacent two long scales 21, distance between adjacent two long scales 21 is 0.5cm, distance between adjacent two short scales 22 is 0.1cm, scale value 3 is arranged at the side of long scale 21, and arranges a scale value 3 every two long scales 21 from the front end of sheath pipe 1.
The lateral wall of sheath pipe 1 of the present invention offers scale 2 and scale value 3, accurately can advance the degree of depth of sheath pipe 1, avoided dark or excessively shallow by the expansion external member degree of depth of the degree of depth of preoperative CT, intraoperative ultrasound location prediction and correspondence; Structure is simple, economical and practical, remains that stones in intrahepatic bile duct, renal pelvis operating walk way are open, reduces the complication of bile duct mucosa injury, shorten operating time, be convenient to patient and adjust surgical field of view, can share by Liver and kidney.
In the present embodiment, described sheath pipe 1 for model be the sheath pipe 1 of 14Fr, 16Fr, 18Fr or 20Fr.
In the present embodiment, the length of described sheath pipe 1 is 16-20cm, and the length of described scale 2 is 14-16cm.For making the present invention reach best result of use, the length of described sheath pipe 1 is 18cm, and the length of described scale 2 is 15cm.
In the present embodiment, the both sides of described sheath pipe 1 rear end are convexly equipped with respectively holds up ear 4.Arranging of ear 4 is held up conveniently to buttress sheath pipe 1.
In the present embodiment, described in hold up ear 4 to be square.Square arranging of ear 4 of holding up conveniently buttresses.
In the present embodiment, the front end of described sheath pipe 1 is provided with annular chamfer.Annular chamfer the insertion facilitating sheath pipe 1 is set.
In the present embodiment, the wall thickness of described sheath pipe 1 is 0.2-0.4mm.For making the present invention reach best result of use, the wall thickness of described sheath pipe 1 is 0.3mm.
In the present embodiment, the lateral wall of described sheath pipe 1 is provided with the polytetrafluoroethylene floor that thickness is 50-100 μm.Titanium nitride thin rete hardness is high, wearability good, adhesive force good, anticorrosive, there is good cell compatibility.
In the present embodiment, the lateral wall of described sheath pipe 1 is provided with the antibiotic layer that thickness is 5-25 μm.Antibiotic layer be arranged so that sheath pipe 1 body has good antibacterial action, protect from infection.
Operation sheath tool of the present invention has the following advantages: 1, have scale 2 to identify, and accurately can advance the degree of depth of sheath pipe 1, avoided dark or excessively shallow by the expansion external member degree of depth of the degree of depth of preoperative CT, intraoperative ultrasound location prediction and correspondence; 2, operating walk way is set up; 3, fast and easy, saves operating time; 4, can directly be developed by sheath mouth muddy stone; 5, be convenient to rinse camera lens, keep surgical field of view clear; 6, convenient fixing and adjustment surgical field of view, for operation provides convenient and working place; 7, can hemostasis by compression to the puncture channel of Liver and kidney; 8, art finishes, according to the degree of depth of sheath pipe 1 can accurately placing drainage to precalculated position; 9, apparatus can be utilized simultaneously to complete liver, kidney rubble lithotomy, reduce consumptive material, be convenient to management.
Above-described embodiment is the present invention's preferably implementation, and in addition, the present invention can also realize by alternate manner, and any apparent replacement is all within protection scope of the present invention without departing from the inventive concept of the premise.

Claims (10)

1. a safety scale guides percutaneous Liver and kidney to get stone operation sheath, comprise the sheath pipe of inner hollow, it is characterized in that: the lateral wall of described sheath pipe offers scale and scale value, scale comprises long scale and short scale, be provided with four short scales between adjacent two long scales, the distance between adjacent two long scales is 0.5cm, and the distance between adjacent two short scales is 0.1cm, scale value is arranged at the side of long scale, and arranges a scale value every two long scales from the front end of sheath pipe.
2. a kind of safety scale according to claim 1 guides percutaneous Liver and kidney to get stone operation sheath, it is characterized in that: the sheath pipe of described sheath pipe to be model be 14Fr, 16Fr, 18Fr or 20Fr.
3. a kind of safety scale according to claim 1 guides percutaneous Liver and kidney to get stone operation sheath, and it is characterized in that: the length of described sheath pipe is 16-20cm, the length of described scale is 14-16cm.
4. a kind of safety scale according to claim 1 guides percutaneous Liver and kidney to get stone operation sheath, and it is characterized in that: the length of described sheath pipe is 18cm, the length of described scale is 15cm.
5. a kind of safety scale according to claim 1 guides percutaneous Liver and kidney to get stone operation sheath, it is characterized in that: the both sides of described sheath pipe rear end are convexly equipped with respectively holds up ear.
6. a kind of safety scale according to claim 5 guides percutaneous Liver and kidney to get stone operation sheath, it is characterized in that: described in hold up ear to be square.
7. a kind of safety scale according to claim 1 guides percutaneous Liver and kidney to get stone operation sheath, it is characterized in that: the front end of described sheath pipe is provided with annular chamfer.
8. a kind of safety scale according to claim 1 guides percutaneous Liver and kidney to get stone operation sheath, it is characterized in that: the wall thickness of described sheath pipe is 0.2-0.4mm.
9. a kind of safety scale according to claim 1 guides percutaneous Liver and kidney to get stone operation sheath, it is characterized in that: the lateral wall of described sheath pipe is provided with the polytetrafluoroethylene floor that thickness is 50-100 μm.
10. a kind of safety scale according to claim 1 guides percutaneous Liver and kidney to get stone operation sheath, it is characterized in that: the lateral wall of described sheath pipe is provided with the antibiotic layer that thickness is 5-25 μm.
CN201410844803.5A 2014-12-31 2014-12-31 Safety type scaleplate guiding percutaneous liver and kidney calculus operation sheath Pending CN104434260A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201410844803.5A CN104434260A (en) 2014-12-31 2014-12-31 Safety type scaleplate guiding percutaneous liver and kidney calculus operation sheath

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201410844803.5A CN104434260A (en) 2014-12-31 2014-12-31 Safety type scaleplate guiding percutaneous liver and kidney calculus operation sheath

Publications (1)

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CN104434260A true CN104434260A (en) 2015-03-25

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Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20040199048A1 (en) * 2001-10-12 2004-10-07 Clayman Ralph V High flow stone basket system
US20050216031A1 (en) * 1995-02-02 2005-09-29 Boston Scientific Scimed, Inc. Hybrid stone retrieval device
CN201020141Y (en) * 2007-04-28 2008-02-13 郭利斌 Guide conduit with needle sheath for clinical diagnosis and cure
CN201537305U (en) * 2009-04-17 2010-08-04 夏术阶 dilation appliance for percutaneous nephroscopeset operation
CN103007416A (en) * 2011-09-20 2013-04-03 武汉金至园科技有限公司 Percutaneous renal puncture expansion tube with changeable front end shape
CN202892053U (en) * 2012-11-29 2013-04-24 吉林大学 Minimally invasive abdominal puncture needle of ventricular peritoneal shunt
CN103340665A (en) * 2013-06-30 2013-10-09 姜相君 Stone extractor for digestive department
CN204394617U (en) * 2014-12-31 2015-06-17 东莞市南城医院 A kind of safety scale guides percutaneous Liver and kidney to get stone operation sheath

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20050216031A1 (en) * 1995-02-02 2005-09-29 Boston Scientific Scimed, Inc. Hybrid stone retrieval device
US20040199048A1 (en) * 2001-10-12 2004-10-07 Clayman Ralph V High flow stone basket system
CN201020141Y (en) * 2007-04-28 2008-02-13 郭利斌 Guide conduit with needle sheath for clinical diagnosis and cure
CN201537305U (en) * 2009-04-17 2010-08-04 夏术阶 dilation appliance for percutaneous nephroscopeset operation
CN103007416A (en) * 2011-09-20 2013-04-03 武汉金至园科技有限公司 Percutaneous renal puncture expansion tube with changeable front end shape
CN202892053U (en) * 2012-11-29 2013-04-24 吉林大学 Minimally invasive abdominal puncture needle of ventricular peritoneal shunt
CN103340665A (en) * 2013-06-30 2013-10-09 姜相君 Stone extractor for digestive department
CN204394617U (en) * 2014-12-31 2015-06-17 东莞市南城医院 A kind of safety scale guides percutaneous Liver and kidney to get stone operation sheath

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Application publication date: 20150325

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