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CN219700139U - Endoscopic blood clot removal device - Google Patents

Endoscopic blood clot removal device Download PDF

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Publication number
CN219700139U
CN219700139U CN202320464262.8U CN202320464262U CN219700139U CN 219700139 U CN219700139 U CN 219700139U CN 202320464262 U CN202320464262 U CN 202320464262U CN 219700139 U CN219700139 U CN 219700139U
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CN
China
Prior art keywords
hollow tube
grabbing
endoscopic
removal device
clot removal
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Active
Application number
CN202320464262.8U
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Chinese (zh)
Inventor
李甫
黄金鑫
陈佳骏
张晞文
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Shuguang Hospital Affiliated to Shanghai University of TCM
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Shuguang Hospital Affiliated to Shanghai University of TCM
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Priority to CN202320464262.8U priority Critical patent/CN219700139U/en
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Abstract

The present utility model relates to the field of medical devices. An endoscopic clot removal device comprising an outer tube and a clot removal mechanism slidably disposed within the outer tube; the blood clot removing mechanism comprises a hollow tube, the inner cavity of the hollow tube is a cleaning channel, the rear end of the hollow tube is connected with a water injection joint, the front end of the hollow tube is connected with circumferentially arranged grabbing heads, and the outer wall of each grabbing head is covered with gelatin sponge; when the grabbing heads are positioned in the hollow pipe, all grabbing heads prop against the inner wall of the hollow pipe; when the heads extend out of the hollow tube, all of the heads splay outwardly. The utility model can realize the removal of blood clots by rotating the grabbing head. By pressing the grabbing head, the gelatin sponge presses to promote coagulation. Flushing is performed through a hollow tube.

Description

Endoscopic blood clot removal device
Technical Field
The utility model relates to the field of medical equipment, in particular to a blood clot removing device.
Background
The Endoscopic Retrograde Cholangiopancreatography (ERCP) technique is used as an endoscopic invasive operation technique, becomes a gold standard in diagnosis and treatment of biliary and pancreatic diseases, and has incomparable advantages in treating common diseases such as obstructive jaundice and common bile duct stones. The endoscopic duodenal large papilla intubation is a key step of success or failure of the ERCP technology, a cutting knife and a guide wire with a hydrophilic head end are placed through an endoscopic forceps channel, and an operating doctor is used for intubating the guide wire into the common bile duct in the 11 o' clock direction of the papilla opening by observing the papilla structure.
The technology of the intraduodenal large papillary intubation under the endoscope has a certain failure rate, when the intubate is tried repeatedly, the intubate can not enter the bile duct or even enter the pancreatic duct, the intubate can be defined as a difficult intubate, a doctor can further adopt the method similar to nipple pre-incision, or after the intubate enters the pancreatic duct, a guide wire can be reserved, and the bile and pancreas compartment can be incised towards the pancreatic duct direction, so that the bile duct opening is exposed, and the intubate of the bile duct is convenient. All of the above procedures involve sphincterotomy, with some arterial blood supply around the duodenal papilla, and invasive incision procedures can easily lead to bleeding in the papilla area, even fatal active bleeding. Once the blood seeps into the operation area, blood clots are easy to form and cover the surface of the nipple opening, the existing treatment measures are to carry out pressurized flushing on the saline in the injector under the endoscope forceps channel, the method is difficult to accurately position the blood clots, the flushing effect is rough, the effect of flushing the blood clots from the nipple surface is often not achieved, the operation visual field of doctors is affected, the intubation time is prolonged, the intubation is blindly tried, and the risk of pancreatitis after ERCP operation is easily increased.
Summarizing the current clinical shortcomings of treatment modalities that affect physician operation against a nipple bleed clot are mainly:
1. normal saline washes unable accurate location blood clot position, leads to the doctor to need try repeatedly, and the effect is comparatively extensive, leads to extension and the field of vision of intubate time to be unclear easily, blind intubate under the invisible condition of bile duct opening, further increases the risk of postoperative pancreatitis.
2. The existing endoscopic consumable material passing through the endoscopic forceps channel is not directly contacted and wiped to an operation area, the only expansion saccule has a certain effect of inflating and compressing the nipple to stop bleeding when the nipple is actively bleeding, however, the expansion saccule is complex in design, the reserved guide wire is not matched with an assistant well during rapid exchange to be easily taken out of the bile duct, so that re-intubation is needed, the use of the saccule needs to be established on the basis that the guide wire is reserved in the bile duct, the guide wire is not added into the bile duct or the intubation does not enter the bile duct, the use of the saccule is limited, and the consumable material is expensive.
Disclosure of Invention
The present utility model has been made to solve the above-mentioned at least one technical problem, and provides an endoscopic clot removal device.
The technical scheme of the utility model is as follows: the endoscopic blood clot removal device is characterized by comprising an outer tube and a blood clot removal mechanism slidably arranged in the outer tube;
the blood clot removing mechanism comprises a hollow tube, the inner cavity of the hollow tube is a cleaning channel, the rear end of the hollow tube is connected with a water injection joint, the front end of the hollow tube is connected with circumferentially arranged grabbing heads, and the outer wall of each grabbing head is covered with gelatin sponge;
when the grabbing heads are positioned in the hollow pipe, all grabbing heads prop against the inner wall of the hollow pipe;
when the gripping heads extend out of the hollow tube, all gripping heads splay outwardly.
The utility model can realize the removal of blood clots by rotating the grabbing head. By pressing the grabbing head, the gelatin sponge presses to promote coagulation. Flushing is performed through a hollow tube.
Further preferably, the water injection joint is a rubber stopper for inserting the needle of the syringe.
Further preferably, the gripping head comprises an elastic metal sheet and a round rod, wherein the round rod is connected with one end of the elastic metal sheet through a screw, and the other end of the elastic metal sheet is connected with the end part of the hollow tube;
the round rod is provided with a countersunk hole embedded into the head of the screw;
the outer wall of the round rod is covered with the gelatin sponge.
When the grabbing head stretches out of the hollow tube, the grabbing head can be reset and rebounded to be opened under the pre-shaping effect of the elastic metal sheet.
Further preferably, a handle is detachably connected to the rear end of the hollow tube.
The rotating operation of the hollow tube and the pushing and pulling operation of the hollow tube are facilitated.
Further preferably, the handle is a pull ring.
Further preferably, the end of the gripping head away from the hollow tube is planar or convex hemispherical.
Avoid stabbing.
Further preferably, the rear end of the hollow tube is provided with a stopper for limiting the length of the hollow tube extending out of the outer tube, and the stopper is used for abutting against the rear end of the outer tube.
The beneficial effects of the utility model are as follows:
1. because no guide wire is needed to be reserved, the operation process is quick and convenient, the cooperation of an assistant is not needed like a quick exchange system, and the operation can be completed by a single operator when the device is put in or withdrawn.
2. The device can accurately fix a position the position of blood clot, directly erases the blood clot through the physical mode, has filled the blank that does not have the consumptive material of the same kind under the scope, can accomplish the processing through simple propelling movement and recovery, need not extra radioactive ray and expose, because fix a position accurately, clear away blood clot effect exact and efficient, reducible blind operating time reduces the blind intubate that leads to because of exposing badly, reduces the emergence of postoperative pancreatitis.
3. The device is the consumptive material of once forming, and simple structure, the probability of breaking down in the use is low, designs has the water injection passageway, can play supplementary clear effect, and the joint use is more efficient.
Drawings
FIG. 1 is a schematic diagram of a structure of the present utility model;
fig. 2 is an enlarged view of a portion of the present utility model at the gripper of fig. 1.
Fig. 3 is a schematic view of the structure of the gripper in the outwardly opened state.
In the figure: the plastic rubber hose is characterized in that the plastic rubber hose is composed of an outer tube 1, a hollow tube 2, a grabbing head 3, gelatin sponge 4, a water injection joint 5, a handle 6 and an elastic metal sheet 31.
Detailed Description
The utility model is further described below with reference to the accompanying drawings.
Referring to fig. 1 to 3, in embodiment 1, an endoscopic clot removal device comprises an outer tube 1 and a clot removal mechanism slidably disposed within the outer tube 1; the blood clot removing mechanism comprises a hollow tube 2, wherein the inner cavity of the hollow tube 2 is a cleaning channel, the rear end of the hollow tube 2 is connected with a water injection joint 5, the front end of the hollow tube 2 is connected with a circumferentially arranged grabbing head 3, and the outer wall of the grabbing head 3 is covered with a gelatin sponge 4; when the gripping heads 3 are positioned in the hollow tube 2, all the gripping heads 3 are abutted against the inner wall of the hollow tube 2; when the gripping heads 3 extend out of the hollow tube 2, all gripping heads 3 are splayed outwards.
The utility model can realize the removal of blood clots by rotating the grabbing head 3. By pressing the head 3, the gelatin sponge 4 is pressed to promote coagulation. Flushing is performed through the hollow tube 2.
The water injection joint 5 is a rubber stopper for inserting the needle of the syringe.
The grabbing head 3 comprises an elastic metal sheet 31 and a round rod, wherein the round rod is connected with one end of the elastic metal sheet 31 through a screw, and the other end of the elastic metal sheet 31 is connected with the end of the hollow tube 2; the round rod is provided with a countersunk hole embedded in the head of the screw; the outer wall of the round rod is covered with a gelatin sponge 4. When the grabbing head 3 stretches out of the hollow tube 2, the elastic metal sheet 31 is reset and rebounded to be opened under the pre-shaping effect. The round rod is provided with a sheet-shaped socket for inserting the elastic metal sheet. The elastic metal sheet is spliced with the sheet-shaped socket.
The rear end of the hollow tube 2 is detachably connected with a handle 6. The rotation operation of the hollow tube 2 and the push-and-pull operation of the hollow tube 2 are facilitated. The handle 6 is a pull ring.
The end of the gripping head 3 remote from the hollow tube 2 is planar or convex hemispherical. Avoid stabbing.
When the endoscope is used, the operation forceps channel of the duodenal side view mirror is integrally placed in the endoscope, the position of the outer tube 1 is controlled under the observation of the endoscope, when the position of the blood clot aligned with the outer tube 1 is observed under the endoscope, the blood clot removing mechanism is controlled to extend outwards out of the outer tube 1, an operator can press the grabbing head 3 against the blood clot, and the grabbing head 3 is driven to rotate by controlling the rotation of the blood clot removing mechanism. The gelatin sponge 4 can instantly remove blood clots covered on the surface of the duodenal papilla and in the operation visual field in a physical manner like a mop; the grabbing head 3 can be pressed on the blood seepage position by pressing, the gelatin sponge 4 can be contacted with the blood seepage position to play a role in pressing and promoting blood coagulation, the above operation can be repeated repeatedly if necessary, and the operation process is convenient. The normal saline is injected into the cleaning channel, so that the normal saline can be flushed into the target area, and the effect of assisting in cleaning the operation area is achieved.
Embodiment 2, based on embodiment 1, the water injection joint is detachably connected with an injection port of the injector; the syringe barrel of the injector is used as a handle. The rotation operation of the inner tube and the switching of the injection of the physiological saline are facilitated. The water injection joint is provided with a one-way valve.
The outer wall of the injection cylinder is detachably connected with a gripping piece. The syringe is convenient to rotate. The gripping member can be two semicircle rings and can dismantle the connection, and the gripping member cover is established in the periphery of syringe.
Embodiment 3, on the basis of embodiment 1, the rear end of the hollow tube is provided with a stopper for limiting the length of the hollow tube extending out of the outer tube, the stopper being for abutting against the rear end of the outer tube. The stop may be a handle.
Embodiment 4 on the basis of embodiment 1, the rear end of the outer tube is provided with two opposite and outwardly extending baffles. Is convenient for holding. The baffles extend radially outwardly.
The foregoing is merely a preferred embodiment of the present utility model and it should be noted that modifications and adaptations to those skilled in the art may be made without departing from the principles of the present utility model, which are intended to be comprehended within the scope of the present utility model.

Claims (7)

1. The endoscopic blood clot removal device is characterized by comprising an outer tube and a blood clot removal mechanism slidably arranged in the outer tube;
the blood clot removing mechanism comprises a hollow tube, the inner cavity of the hollow tube is a cleaning channel, the rear end of the hollow tube is connected with a water injection joint, the front end of the hollow tube is connected with circumferentially arranged grabbing heads, and the outer wall of each grabbing head is covered with gelatin sponge;
when the grabbing heads are positioned in the hollow pipe, all grabbing heads prop against the inner wall of the hollow pipe;
when the gripping heads extend out of the hollow tube, all gripping heads splay outwardly.
2. An endoscopic clot removal device as claimed in claim 1 wherein: the water injection joint is a rubber plug which is used for being inserted into the needle head of the syringe.
3. An endoscopic clot removal device as claimed in claim 1 wherein: the grabbing head comprises an elastic metal sheet and a round rod, the round rod is connected with one end of the elastic metal sheet through a screw, and the other end of the elastic metal sheet is connected with the end part of the hollow tube;
the round rod is provided with a countersunk hole embedded into the head of the screw;
the outer wall of the round rod is covered with the gelatin sponge.
4. An endoscopic clot removal device as claimed in claim 1 wherein: the rear end of the hollow tube is detachably connected with a handle.
5. The endoscopic clot removal device of claim 4, wherein: the handle is a pull ring.
6. An endoscopic clot removal device as claimed in claim 1 wherein: the end part of the grabbing head far away from the hollow tube is in a plane shape or a convex hemispherical shape.
7. An endoscopic clot removal device as claimed in claim 1 wherein: the rear end of the hollow pipe is provided with a limiting piece which limits the length of the hollow pipe extending out of the outer pipe, and the limiting piece is used for propping against the rear end part of the outer pipe.
CN202320464262.8U 2023-03-13 2023-03-13 Endoscopic blood clot removal device Active CN219700139U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202320464262.8U CN219700139U (en) 2023-03-13 2023-03-13 Endoscopic blood clot removal device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202320464262.8U CN219700139U (en) 2023-03-13 2023-03-13 Endoscopic blood clot removal device

Publications (1)

Publication Number Publication Date
CN219700139U true CN219700139U (en) 2023-09-19

Family

ID=87982184

Family Applications (1)

Application Number Title Priority Date Filing Date
CN202320464262.8U Active CN219700139U (en) 2023-03-13 2023-03-13 Endoscopic blood clot removal device

Country Status (1)

Country Link
CN (1) CN219700139U (en)

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