CN201048980Y - Anti-reflux type radio-frequency therapeutic tube - Google Patents

Anti-reflux type radio-frequency therapeutic tube Download PDF

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Publication number
CN201048980Y
CN201048980Y CNU2007201495666U CN200720149566U CN201048980Y CN 201048980 Y CN201048980 Y CN 201048980Y CN U2007201495666 U CNU2007201495666 U CN U2007201495666U CN 200720149566 U CN200720149566 U CN 200720149566U CN 201048980 Y CN201048980 Y CN 201048980Y
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China
Prior art keywords
reflux
frequency
pipe
type radio
therapy
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Expired - Fee Related
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CNU2007201495666U
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Chinese (zh)
Inventor
汪忠镐
王利营
吴继敏
刘建军
巩燕
白晶
董元元
孙潮涌
胡亚辉
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Individual
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Individual
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Abstract

The utility model discloses an anti-reflux type radio frequency therapeutic tube which belongs to the medical device field. An anti-reflux tube is fixed near an inner wall or an outer wall of a terminal of a balloon of a catheter of the radio frequency therapeutic tube, and at least two drainage holes are arranged between 5 to 25 centimeters range of a front end of the anti-reflux tube, while the terminal end of the anti-reflux tube is connected with an air pump. The utility model has the advantages that: the anti-reflux type radio frequency therapeutic tube solves the problems of reflux during therapeutic process effectively, and gastric content of patients and liquids generated during operations can be drained through the pump of the anti-reflux tube timely, thereby fundamentally preventing the liquids from refluxing into trachea and causing laryngeal tracheal spasm and obstructing respiratory, so that operations are guaranteed to go on successfully. We treat about 300 patients with the utility model with no respiratory disorder.

Description

Anti-reflux type radio-frequency (RF) therapy pipe
Technical field
This utility model relates to a kind of anti-reflux type radio-frequency (RF) therapy pipe, belongs to medical Instrument field.
Background technology
Gastroesophageal reflux disease (GERD) is a comprehensive spectrum of disease, not only comprise acid regurgitation, multiple symptom of digestive tract such as heartburn, also sick closely related with some chronic coughs, asthma, chronic laryngitis, sleep apnea etc., even the dental caries of oral pathology, oral ulcer are also sick therewith relevant, its long term complication comprises esophagostenosis, precancerous lesion Barrett ' s epithelium appears, so that the sickness rate of adenocarcinoma of esophagus increases.According to document announcement, country of Europe, the United States has 1/3rd people influenced by this disease, and every year is with about 20% speed increment; Domestic Epidemiological study to Beijing, Shanghai, Harbin, Chengdu, five ground, Guangzhou shows, up to 15.97%, sickness rate is 11.77% to this disease at the symptom sickness rate of China; It has caused serious negative effect to people's quality of life.
At present, domestic and international therapeutic modality about gastroesophageal reflux disease (GERD) mainly comprises acid inhibitor Drug therapy, scope treatment and several modes of fundoplication down used.Drug therapy needs lifelong treatment, and financial burden is heavy, and can only alleviate heartburn symptom, can not stop the generation of anti-stream.Fundoplication around distal esophagus, flow generation thereby effectively inhibition is anti-, but operation wound is big with folding bag at the bottom of the stomach by opening abdomen or laparoscopic surgery, and treatment time is long, recovery is slow, postoperative complication is many.
The Stretta therapy is a kind of non-operative treatment scheme of novel, Wicresoft, can implement in outpatient service, and the patient can recover normal activity next day usually.Operating process is undertaken by an endoscope, need not excise and sew up, and skin does not stay otch and scar.This technical security is effective, easy and simple to handle, wound is little, recovery is fast.This method is gained the name because of need adopt Stretta radio-frequency (RF) therapy pipe, by the FDA approval, is produced by U.S. Curon company.The basic structure of this radio-frequency (RF) therapy pipe and improvement structure thereof are referring to U.S. Pat 6009877; US6044846; US6056744; US6092528; US6197022; US6254598; US6440128; US6464689; US6613047; US6673070; US6699243; US6712814; US6749607 and US6846312.US6440128 for example, a kind of device for the treatment of the sphincter position comprises 4 spinals, is the electrode in band chamber, it penetrates tissue (sphincter) and brings heat into; This sour jujube shape thing also links to each other with attraction source (going out) with fluid supply (going into), to realize cooling effect at therapeutic process, with 85 ℃ of control flesh layer temperature, 50 ℃ of mucosa temperature.The patient by degree of depth abirritative state under, with endoscope with catheter guidance to esophagus.When inflated, four sharp keen radio-frequency (RF) therapy pins of sacculus outside are exposed, electrode is inserted into the esophagus mucosa, and electrode length makes it only to be positioned the flesh layer, opens radio-frequency signal generator this moment, produce heat energy and import tissue into by electrode, when tissue temperature reached 85 ℃, under the temperature monitor effect, radio-frequency signal generator stopped energy input automatically, inject disinfectant (30ml/ minute) cools tissue by conduit simultaneously, alleviate tissue injury.Heat energy acts on down esophagus and expands about flesh, makes muscular tissue produce slight damage, induces the connective tissue regeneration in the muscular tissue, makes collagen contraction, reconstruct; Destroy simultaneously and cover absent-mindedly, weaken intramuscular diastole function of nervous system, increase lower esophageal sphincter thickness and pressure, reduced the lax of lower esophageal sphincter through receptor.After repeating several times, the lower esophageal sphincter that GERD patient relaxes tightens or tightening in various degree, and the lower esophageal sphincter of deflation helps to stop gastric acid etc. material is counter and flows in the esophagus.
But, the object majority that we adopt the governance of Stretta radio-frequency (RF) therapy to treat has dyspnea, promptly cause laryngismal patient by anti-stream, it during treatment horizontal position, gastric content is easy to instead under the guiding of treatment conduit flow through pharyngeal and enter throat and suck in the respiratory tract, can cause patient's laryngospasm, suffocate, go into a coma, severe patient can be absorbed in vegetative state, has increased the treatment risk.Present Stretta radio-frequency (RF) therapy pipe can't address this problem.
The utility model content
The technical problems to be solved in the utility model provides a kind of anti-reflux type radio-frequency (RF) therapy pipe.
For achieving the above object, this utility model adopts following design at last through 300 routine clinical practices:
A kind of anti-reflux type radio-frequency (RF) therapy pipe, be installed with anti-reflux pipe at the conduit of Stretta radio-frequency (RF) therapy pipe near the inwall of sacculus end or outer wall, anti-reflux pipe front end offers at least 2 conduction holes in 5-25 centimetre length, the end of anti-reflux pipe links to each other with air pump.Conduction hole preferably is not opened in the position more than 25 centimetres, because for the short patient of esophagus, this opening may arrive the oral cavity, air pump is directly from the oral cavity intake-gas in this case, and Endo-esophageal conduction hole can't play a role.
The structure of described radio-frequency (RF) therapy pipe (or title " device at treatment sphincter position ") is a prior art, can be referring to the United States Patent (USP) that relates in the many pieces of background technologies, and its structure is not the claimed main contents of this utility model.This utility model is on the basis of these structures, increases anti-reflux tubular construction, thereby solves present anti-flow problem.
This structure example is made up of head position end 1, cage 2, sacculus 3, conduit 4 and handle 5 basically as (Fig. 1 and Fig. 2); Head position end 1 and the hollow tube of conduit 4 for having suitable hardness, in establish guidewire lumen 11 and 41, be used for ccontaining gastroscope seal wire; Sacculus is positioned at cage middle part, and sacculus 3 all links to each other with head position end 1 with cage 2 and is connected to corresponding port on the handle 5 by conduit 4, and cage 2 is provided with telescopic band chamber needle electrode 21 (electrode is the radial balloon surface that is uniformly distributed in); The top of needle electrode 21 and base portion are provided with temperature sensor and measure temperature and tissue surface temperature in the tissue respectively; Liquid coolant enters target site performance cooling effect via the cavity 211 of needle electrode; Handle 5 is provided with inflated port 51, air pump interface 52 (can connect the air pump pumping liquid after extracting the gastroscope seal wire thus out, but poor effect), liquid coolant Rule (LUER) interface 53, power connector end 54 and accuses switch 55 (being used to control the flexible of needle electrode).The radio-frequency (RF) therapy pipe links to each other with the external radio-frequency signal generator that has temperature and resistance monitor by the port on the handle 5.
Described anti-reflux pipe is the pipe of external diameter 4-6 millimeter (preferred 5 millimeters), is friction and the more convenient operation of minimizing with esophageal wall, and can be made into cross section is semilune or ellipse.Anti-reflux pipe adopts medical material to make, for example medical silica-gel.
Described conduction hole is opened on the top and/or sidewall of anti-reflux pipe.Vertical opening can be cut sth. askew, and has promptly increased the aperture and has reduced resistance again.
Described conduction hole can be for a plurality of, and its shape can be the circular hole of diameter 2-4 millimeter (preferred 3 millimeters), also can be major axis 2-4 millimeters, and the elliptical aperture of minor axis 1-3 millimeter can also be the hole of other shapes, for example rectangle.The design of a plurality of conduction holes is to consider in the seance process, even there is the minority conduction hole to be blocked by big dirt, other conduction hole can be unimpeded in addition, thereby ensured that anti-reflux pipe does not get clogged.
Described conduction hole can be arranged in a row or more, and for example is the both sides that two row's symmetries are opened in anti-reflux pipe, can also be the surface that is opened in anti-reflux pipe alternately.
The other end of described anti-reflux pipe is provided with closed port, is beneficial to the dynamics that stops to aspirate or increasing suction in operating process.
The utility model has the advantages that: anti-reflux type radio-frequency (RF) therapy pipe is can obtain immediately attracting when anti-stream thing carries out the esophagus far-end, make all anti-stream things, much quantity no matter, the anti-stream of several multi-frequencies all is sucked out when taking place, anti-stream can not enter in the esophagus, epimere, thereby efficiently solve the anti-flow problem in the therapeutic process, the liquid that produces in patient's gastric content and the operating process etc. can be pumped to external by anti-reflux pipe in time, fundamentally stoped the anti-throat that flows to of these liquid, thereby the larynx trachea stimulates the formation spasm and suffocates never again, problem of death, greatly improve safety, obviously ensured carrying out smoothly of operation.We surplus this utility model treatment patient 300 example none respiratory disorder appears.
The utility model is described in further detail below in conjunction with the drawings and specific embodiments, and its embodiment is not limited to this, therefore all this areas of having done according to this utility model disclosure be equal to replacement, all belong to protection domain of the present utility model.
Description of drawings
Fig. 1 is the outside drawing of Stretta radio-frequency (RF) therapy pipe in the prior art.
Fig. 2 is the electrode area sketch map of Stretta radio-frequency (RF) therapy pipe in the prior art.
Fig. 3 is the outside drawing of this utility model embodiment 1.
Fig. 4 is the conduit cross-sectional view of this utility model embodiment 1.
Fig. 5 is the anti-reflux pipe position structure chart of this utility model embodiment 1.
Fig. 6 is first kind of conduit cross-sectional view of this utility model embodiment 2.
Fig. 7 is second kind of conduit cross-sectional view of this utility model embodiment 2.
Fig. 8 is the anti-reflux pipe position structure chart of this utility model embodiment 2.
The specific embodiment
The anti-reflux pipe of embodiment 1. peripheral hardware types
To shown in Figure 5, anti-reflux type radio-frequency (RF) therapy pipe is installed with anti-reflux pipe 6 on the conduit 4 close outer walls of sacculus 3 ends of Stretta radio-frequency (RF) therapy pipe referring to Fig. 3.Anti-reflux pipe is the pipe of 5 millimeters of external diameters, and it is semilune that thermoplastic is made cross section.On anti-reflux pipe 6 front end side wall, offer somely to conduction hole 61 in 25 centimetres length, vertical opening is cut sth. askew, and the end of anti-reflux pipe 6 is provided with closed port 62, and anti-reflux pipe 6 its end in use links to each other with air pump.
The circular hole that is shaped as 3 millimeters of diameters of conduction hole 61, or major axis 2-4 millimeter, the elliptical aperture of minor axis 1-3 millimeter, conduction hole 61 are the both sides that two row's symmetries are opened in anti-reflux pipe.
Establish the anti-reflux pipe of type in the embodiment 2.
To shown in Figure 8, anti-reflux type radio-frequency (RF) therapy pipe is installed with anti-reflux pipe 6 on the conduit 4 close inwalls of sacculus 3 ends of Stretta radio-frequency (RF) therapy pipe referring to Fig. 6.Anti-reflux pipe 6 is the pipe of 5 millimeters of external diameters or the close oval pipe of sectional area with it, and the part of conduit 4 and anti-reflux pipe 6 merge in such cases, and conduction hole 61 can directly be opened in conduit 4 surfaces of this fusion site.On conduit 4 front end side wall of fusion site, in 25 centimetres length, offer somely to conduction hole 61, the end of anti-reflux pipe 6 links to each other with air pump interface on the handle.
The circular hole that is shaped as 3 millimeters of diameters of conduction hole 61, or major axis 2-4 millimeter, the elliptical aperture of minor axis 1-3 millimeter, conduction hole 61 is opened in the surface of anti-reflux pipe alternately.

Claims (10)

1. anti-reflux type radio-frequency (RF) therapy pipe is characterized in that: be installed with anti-reflux pipe at the conduit of radio-frequency (RF) therapy pipe near the inwall of sacculus end or outer wall, anti-reflux pipe front end offers at least 2 conduction holes in 5-25 centimetre length.
2. anti-reflux type radio-frequency (RF) therapy pipe according to claim 1, it is characterized in that: described radio-frequency (RF) therapy pipe is made up of head position end, cage, sacculus, conduit and handle basically; Head position end and conduit are hollow tube, in establish guidewire lumen, ccontaining gastroscope seal wire; Sacculus is positioned at cage middle part, and sacculus all links to each other with head position end with cage and is connected to corresponding port on the handle by conduit, and cage is provided with telescopic band chamber needle electrode; The top and the base portion of needle electrode are provided with temperature sensor; Handle is provided with inflated port, air pump interface, liquid coolant female Luer, power connector end and charge switch.
3. anti-reflux type radio-frequency (RF) therapy pipe according to claim 1 and 2, it is characterized in that: described anti-reflux pipe is the pipe of external diameter 4-6 millimeter, making cross section is semilune or ellipse.
4. anti-reflux type radio-frequency (RF) therapy pipe according to claim 3 is characterized in that: described anti-reflux pipe is the pipe of 5 millimeters of external diameters.
5. anti-reflux type radio-frequency (RF) therapy pipe according to claim 1 and 2, it is characterized in that: described conduction hole is opened on the top and/or sidewall of anti-reflux pipe.
6. anti-reflux type radio-frequency (RF) therapy pipe according to claim 1 and 2 is characterized in that: described conduction hole is the elliptical aperture of the circular hole of diameter 2-4 millimeter or major axis 2-4 millimeter, minor axis 1-3 millimeter.
7. anti-reflux type radio-frequency (RF) therapy pipe according to claim 1 and 2, it is characterized in that: described conduction hole is arranged in a row or more.
8. anti-reflux type radio-frequency (RF) therapy pipe according to claim 7, it is characterized in that: described conduction hole is arranged in two rows, and symmetry is opened in the both sides of anti-reflux pipe.
9. anti-reflux type radio-frequency (RF) therapy pipe according to claim 7 is characterized in that: described conduction hole row is opened in the surface of anti-reflux pipe alternately.
10. anti-reflux type radio-frequency (RF) therapy pipe according to claim 1 and 2, it is characterized in that: the end of described anti-reflux pipe is provided with closed port.
CNU2007201495666U 2007-06-11 2007-06-11 Anti-reflux type radio-frequency therapeutic tube Expired - Fee Related CN201048980Y (en)

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Application Number Priority Date Filing Date Title
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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102470228A (en) * 2009-07-31 2012-05-23 金伯利-克拉克环球有限公司 Subglottic suctioning system
CN103654945A (en) * 2013-11-21 2014-03-26 方润医疗器械科技(上海)有限公司 Low-temperature plasma treating system
CN110169817A (en) * 2019-05-31 2019-08-27 江苏美安医药股份有限公司 A kind of radiofrequency catheter that visual operation can be carried out under endoscope cooperation

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102470228A (en) * 2009-07-31 2012-05-23 金伯利-克拉克环球有限公司 Subglottic suctioning system
US9119926B2 (en) 2009-07-31 2015-09-01 Avent, Inc. Subglottic suctioning system
CN102470228B (en) * 2009-07-31 2015-11-25 阿文特公司 Subglottic suctioning system
US10245401B2 (en) 2009-07-31 2019-04-02 Avent, Inc. Subglottic suctioning system
CN103654945A (en) * 2013-11-21 2014-03-26 方润医疗器械科技(上海)有限公司 Low-temperature plasma treating system
CN110169817A (en) * 2019-05-31 2019-08-27 江苏美安医药股份有限公司 A kind of radiofrequency catheter that visual operation can be carried out under endoscope cooperation

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C14 Grant of patent or utility model
GR01 Patent grant
C17 Cessation of patent right
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20080423

Termination date: 20110611