CN102961170A - Esophageal varices single-thread ligation system - Google Patents
Esophageal varices single-thread ligation system Download PDFInfo
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- CN102961170A CN102961170A CN2012103581892A CN201210358189A CN102961170A CN 102961170 A CN102961170 A CN 102961170A CN 2012103581892 A CN2012103581892 A CN 2012103581892A CN 201210358189 A CN201210358189 A CN 201210358189A CN 102961170 A CN102961170 A CN 102961170A
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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, the 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 characteristics of surgery cost, be particularly useful for the relatively poor liver cirrhosis patient of liver function, gross hemostasis rate to active hemorrhage reaches 95%, and the emr treatment of partly selecting a time can make the cirso-complete obiteration.
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 the urgent shunt operation mortality rate of surgery is up to 32%.Trap hypodesmus hemostasis of scope 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, does 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 also are two-wire, and the guide of installation usefulness has many defectives.
Summary of the invention
The present invention will solve many defectives of the esophageal varicosis ligature carrier parts of domestic and international production, 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 that does not affect the visual field.
The present invention solves the technical scheme that its technical problem adopts: this esophageal varicosis single line ligation system, comprise apparatus for ligating, rotary handle and installation guide, and guide and apparatus for ligating are installed are complementary; Wherein apparatus for ligating comprises ligation hyaline cap, elastic tape and ligature, described ligature is the single line that is stained with a plurality of function pearls, 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 the ligation hyaline cap passes, and be wound on the drum circumference of ligation hyaline cap, the drum girth that is spaced apart with the coiling place between the function pearl adapts, and makes a plurality of function pearls be vertically a straight line and arranges; Be pressed in an elastic tape on the ligature and be sleeved on the ligation hyaline cap by guide is installed between per two function pearls, form the structure that is spaced that function pearl, elastic tape, function pearl and elastic tape so repeat.
Further, be stained with pearl for subsequent use between per two function pearls on the described ligature, forming the structure that is spaced of pearl for subsequent use, function pearl, elastic tape, pearl for subsequent use, function pearl and elastic tape repetition like this.
Further, described ligation hyaline cap be the multidiameter structure, the excircle longitudinal section that elastic tape is installed is the trapezoid that an end is narrow, an end is wide.
Further, be provided with a longitudinal groove on the drum circumference of described ligation hyaline cap, a plurality of function pearls are straight line arrangement along the longitudinal direction of longitudinal groove offside, and a plurality of pearls for subsequent use are straight line arrangement 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 be in for the towing elastic tape plastic bead of functional status.
Further, described rotary handle and handle axis are installed on the holder, and the holder lower end is provided with irrigation channel, and an end of ligature passes irrigation channel and fixes and be 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 per two pearls mate an elastic tape, causes coming off of elastic tape in the time of guaranteeing the power set pulling.
2, ligature is single line, can be close to the inwall of ligation hyaline cap in the apparatus for ligating over against the service aisle of scope, does not affect the scope visual field.
Description of drawings
Fig. 1 is main TV structure sketch map of the present invention;
Fig. 2 is the structural representation of ligation hyaline cap part 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 is installed guide 11.
The specific embodiment
The invention will be further described below in conjunction with drawings and Examples:
Such as Fig. 1-shown in Figure 4, this esophageal varicosis single line ligation system comprises apparatus for ligating, rotary handle 2 and guide 11 is installed that 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, be stained with function pearl 5 and the pearl for subsequent use 6 of different interval on the ligature 4, have 12 plastic beads, from ligature head end plastic bead [0.46 millimeter (1) pearl of diameter], 0.43 millimeter (2) pearl of difference interval 2.15[diameter], 2.15[0.46 millimeter (3) pearl of diameter], 2.15[0.43 millimeter (4) pearl of diameter], 2.15[0.46 millimeter (5) pearl of diameter], 2.15[0.43 millimeter (6) pearl of diameter], 2.10[0.46 millimeter (7) pearl of diameter], 2.10[0.43 millimeter (8) pearl of diameter], 2.10[0.46 millimeter (9) pearl of diameter], 2.10[0.43 millimeter (10) pearl of diameter], 2.05[diameter 0.46 millimeter (11)] and 2.05[diameter 0.43 millimeter (12)] centimeters is stained with plastic bead.Wherein (2) (4) (6) (8) (10) (12) pearl is the function pearl, is the plastic bead that pulls elastic tape and be in functional status; The pearl for subsequent use 6 that can again pull elastic tape when (1) lost efficacy for the above-mentioned functions pearl in (3) (5) (7) (9) (11).
Described ligation hyaline cap 1 be the multidiameter structure, the excircle longitudinal section that elastic tape 7 is installed is the trapezoid that an end is narrow, an end is wide.Long 1.1 centimetres, 1.1 centimetres of mouthful end external diameters, 0.9 centimetre of internal diameter, 0.1 centimetre of thickness; 1.3 centimetres of bottom external diameters, 1.1 centimetres of internal diameters, 0.1 centimetre of thickness.Be provided with a longitudinal groove 3 on the circumference of described ligation hyaline cap 1, long 3 millimeters, wide 0.35 millimeter.A plurality of function pearls are straight line arrangement along the longitudinal direction of longitudinal groove offside, and a plurality of pearls for subsequent use are straight line arrangement along the longitudinal direction of longitudinal groove.
Described rotary handle 2 and handle axis 8(diameter are 1.31 centimetres) be installed on the holder 9, holder 9 lower ends are provided with irrigation channel 10, and an end of ligature 4 passes irrigation channel 10 and fixes and be wound on the handle axis 8 of rotary handle 2.Specifying of guide 11 is installed sees that the patent No. is the patent of invention of No. the 551578th, ZL 2,008 1 0060673.0, certificate number.The inner hole wall that the other end of ligature 4 is close to ligation hyaline cap 1 passes, and is wound on the drum circumference of ligation hyaline cap 1, and the drum girth that is spaced apart with the coiling place between the function pearl 5 adapts, and makes a plurality of function pearls 5 be vertically a straight line and arranges; Be pressed in an elastic tape 7 on the ligature 4 and be sleeved on the ligation hyaline cap 1 by guide 11 is installed between per two function pearls 5, form the structure that is spaced that pearl for subsequent use, function pearl, elastic tape, pearl for subsequent use, function pearl and elastic tape so repeat.When ligature is pulled the start-up performance pearl and successively pulls six elastic tapes, be positioned at all the time same position, with the service aisle of gastroscope on same axis, and be close to the inwall of hyaline cap, do not take the space of hyaline cap, guarantee the visual field of gastroscope.Each elastic tape is at first by a functional plastics pearl towing on the single line.Below each function pearl, a pearl for subsequent use is arranged respectively, the slightly larger in diameter of pearl for subsequent use is in the diameter of function pearl, in case the function pearl was lost efficacy, pearl for subsequent use is namely reinstated, and continues the towing elastic tape.
Installation process: ligature 4 passes the offside that second function pearl 5 is fixed in behind the ligation hyaline cap longitudinal groove 3 on the ligation hyaline cap, be connected being equipped with in advance to be socketed between tail end blind hole and the ligation hyaline cap 1 of guide 11 of an elastic tape 7, the fixed position of ligature is corresponding with the breach on the guide, the ligature 4 of avoiding wearing and tearing.Elastic tape 7 on the guide is advanced into the ligation hyaline cap and is pressed on the ligature 4, continue to advance elastic tape near function pearl 5.Then, first function pearl is fixed in the top of the longitudinal groove 3 of ligation hyaline cap, and the residual ligature of first function pearl tail end is placed in the longitudinal groove 3, continue to advance elastic tape, be pressed in simultaneously on the residual ligature of first function pearl 6.First function pearl and second function pearl lay respectively at the antimere of ligation hyaline cap like this.Then with ligature along clockwise around one week of hyaline cap, the 4th function pearl just and second function pearl pearl on the ligation hyaline cap on same longitudinal axis axis.The 4th function pearl on the ligature is fixed in the below of second function pearl, advances the below of four function pearls of second piece of elastic tape to the.Again with ligature along clockwise around one week of hyaline cap, the 3rd piece of elastic tape is installed, the like until 6 pieces of elastic tapes are installed.Apparatus for ligating installation this moment.
Esophageal varicosis single line ligation system is prepared:
The flushing pipe 10 of Fig. 3 rotary handle is inserted the gastroscope service aisle.Expose with the syringe pipe of biopsy forceps or holder hooks insertion rotary handle and from the end of gastroscope, biopsy forceps or holder hooks are vised or are hooked an end of ligature and pull out from the flushing pipe of rotary handle.Affixed with rotary handle 2.The handle that turns clockwise is wrapped on the handle axis ligature, until the ligation hyaline cap is near the gastroscope end.Then with being flexible coupling socket and gastroscope end on the ligation hyaline cap, allow gastroscope be in straight configuration this moment, should keep the longitudinal axis of the longitudinal axis and the 2nd, 4,6,8,10,12 function pearls and gastroscope service aisle of ligature on same cross section.Continue the slow circumvolve handle until ligature is tightened up.Attention must carefully avoid discharging elastic tape when twining ligature.
The ligature structure of esophageal varicosis single line ligation system with and guide is installed is the place of the key of native system, the esophageal varicosis ligation system of all this principle design of employing is considered to contain to be covered within protection scope of the present invention.
Claims (7)
1. 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 a plurality of function pearls (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 be wound on the drum circumference of ligation hyaline cap (1), the drum girth that is spaced apart with the coiling place between the function pearl (5) adapts, and makes a plurality of function pearls (5) be vertically a straight line and arranges; That an elastic tape (7) is pressed in ligature (4) is upper and be sleeved on the ligation hyaline cap (1) by guide (11) is installed between per two function pearls (5), form function pearl (5), elastic tape (7), function pearl (5) and elastic tape (7) so repetition be spaced structure.
2. esophageal varicosis single line ligation system according to claim 1, it is characterized in that: between upper per two the function pearls (5) of described ligature (4), be stained with pearl for subsequent use (6), form the structure that is spaced of pearl for subsequent use (6), function pearl (5), elastic tape (7), pearl for subsequent use (6), function pearl (5) and elastic tape (7) repetition like this.
3. esophageal varicosis single line ligation system according to claim 1 is characterized in that: described ligation hyaline cap (1) be the multidiameter structure, the drum circumference longitudinal section that elastic tape (7) is installed is the trapezoid that an end is narrow, an end is wide.
4. esophageal varicosis single line ligation system according to claim 2, it is characterized in that: be provided with a longitudinal groove (3) on the drum circumference of described ligation hyaline cap (1), a plurality of function pearls (5) are straight line arrangement along the longitudinal direction of longitudinal groove (3) offside, and a plurality of pearls for subsequent use (6) are straight line arrangement along the longitudinal direction of longitudinal groove (3).
5. esophageal varicosis single line ligation system according to claim 2, it is characterized in that: the diameter of described pearl for subsequent use (6) is greater than the diameter of function pearl (5).
6. esophageal varicosis single line ligation system according to claim 1 and 2 is characterized in that: described function pearl (5) refers to be in for towing elastic tape (7) plastic bead of functional status.
7. esophageal varicosis single line ligation system according to claim 1, it is characterized in that: described rotary handle (2) and handle axis (8) are installed on the holder (9), holder (9) lower end is provided with irrigation channel (10), and an end of ligature (4) passes irrigation channel (10) and fixes and be wound on the handle axis (8) of rotary handle (2).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201210358189.2A CN102961170B (en) | 2012-09-24 | 2012-09-24 | Esophageal varices single-thread ligation system |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201210358189.2A CN102961170B (en) | 2012-09-24 | 2012-09-24 | Esophageal varices single-thread ligation system |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN102961170A true CN102961170A (en) | 2013-03-13 |
| CN102961170B CN102961170B (en) | 2015-03-18 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201210358189.2A Expired - Fee Related CN102961170B (en) | 2012-09-24 | 2012-09-24 | Esophageal varices single-thread ligation system |
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| Country | Link |
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| CN (1) | CN102961170B (en) |
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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| Publication number | Publication date |
|---|---|
| CN102961170B (en) | 2015-03-18 |
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Granted publication date: 20150318 Termination date: 20160924 |