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Lithotripsy wire supporting catheter

A wire and lithotripsy technology, applied in medical science, heating surgical instruments, surgery, etc., can solve the problems of common bile duct obstruction, difficult treatment costs for ordinary families, and high costs, shorten the distance, increase the lithotripsy effect, and prevent displacement. Effect

Pending Publication Date: 2020-10-30
SHANGHAI EAST HOSPITAL EAST HOSPITAL TONGJI UNIV SCHOOL OF MEDICINE
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

The head end of the above-mentioned technique has the following disadvantages: 1. Before the stone is completely removed, the risk of large papillary sphincter incision and large balloon papillary expansion is relatively high, and short-term complications such as nipple hemorrhage, acute pancreatitis, and perforation are prone to occur during the perioperative period. And long-term complications such as reflux cholangitis, early recurrence of stones, and cholangitis; 2. Huge common bile duct stones often cause common bile duct obstruction. Due to the narrow space, it is difficult to remove huge common bile duct stones by placing a stone basket through ERCP ;3. The efficiency of mechanical stone crushing with mesh basket is low, and some hard cholesterol stones are difficult to be crushed by the mesh basket; , can only choose general anesthesia for biliary tract exploration surgery, which is risky; 5. The placement of SpyGlass lithotripsy under direct vision through ERCP is a new technology developed recently. The cost is extremely high, ordinary hospitals have not carried out this technology, and ordinary families cannot afford the huge and high treatment costs

Method used

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Examples

Experimental program
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Effect test

Embodiment 1

[0048] In this embodiment, the total length of the catheter is 2.2-2.8 m.

[0049] A duodenoscope was inserted through the mouth, and after successful bile duct intubation, endoscopic retrograde cholangiography was performed first to determine the number, location, and size of stones, and then a small incision of the duodenal papillary sphincter was performed, and a 1.0-cm-diameter A cylindrical balloon dilates the duodenal papilla.

[0050] Such as Figure 5 As shown in (a) to (d), the balloon catheter is inserted through the duodenal clamp under the guidance of the guide wire, and the balloon is filled to drag the small stones at the lower end of the common bile duct directly into the duodenum. When the diameter of the stone exceeds 1cm, the tip of the balloon catheter is close to the stone, filled with the balloon and pushed toward the distal end of the common bile duct. After the tip of the balloon catheter is close to the stone, the balloon is filled to the diameter of t...

Embodiment 2

[0053] PTCD drainage of bile was performed first to control biliary infection and jaundice, and the PTCD tube was left in place for 2 months.

[0054] A zebra guide wire was inserted through the original PTCD tube, and the guide wire crossed the stone and entered the distal end of the duodenum through the duodenal papilla.

[0055] Indwell the guide wire and exit the original PTCD tube, insert the guide wire through the tip of the catheter, if Figure 4 As shown in (a) to (d), under the guidance of the guide wire, the lithotripsy catheter was sent into the common bile duct, injected into the contrast through the water injection joint to show the size and location of the stone, and then the balloon was sent to the duodenal papilla. The duodenal papilla is balloon dilated by injecting contrast medium through the balloon connector, and the dilation diameter is 0.8-1.2cm.

[0056] The balloon was released and the lithotripsy catheter was retracted to the proximal end of the commo...

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Abstract

The invention provides a lithotripsy wire supporting catheter. The catheter comprises a first catheter section, a second catheter section and a third catheter section which are sequentially communicated; a lithotripsy wire channel is arranged in the catheter; a balloon is arranged outside the catheter; and a channel for inflating the balloon is arranged inside the catheter. In a working state, thefirst catheter section and the second catheter section enter a human body, and the third catheter section is located outside the human body. The device is placed into a common bile duct through an ERCP clamp channel; small calculi in the common bile duct can be dragged into the duodenum through the common bile duct by crossing the calculi and filling the balloon; when the common bile duct calculus is large, the head end of the implanted catheter is close to the calculus, a lithotripsy wire is implanted through the catheter, the tail end of the wire is connected with a plasma, microelectrode or holmium laser wire, a wire head end electrode is close to the common bile duct calculus for lithotripsy, and after the calculus is broken, the balloon is filled to drag the large calculus into the duodenum. The lithotripsy wire supporting catheter requires low manufacturing cost and is easy to popularize.

Description

technical field [0001] The invention relates to the technical field of medical devices for bile duct disease, in particular to a lithotripsy guide wire support catheter. Background technique [0002] Choledocholithiasis is a common and frequently-occurring disease in my country. Blockage of the common bile duct by stones can induce complications such as acute cholangitis, obstructive jaundice, and acute biliary pancreatitis. Symptoms include chills, fever, abdominal pain, and jaundice. Cause shock, long-term calculus stimulation has the risk of cholangiocarcinoma, which is an important disease that endangers human health. Treatment options for common bile duct stones include open biliary tract exploration, laparoscopic biliary exploration, endoscopic retrograde cholangiopancreatography (ERCP), percutaneous transhepatic bile duct puncture (PTCD) + fistula expansion + percutaneous transhepatic Tractoscopy (PTCS) stone extraction, duodenal papillary balloon dilation capsule sto...

Claims

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Application Information

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IPC IPC(8): A61B17/22A61B18/04A61B18/26A61B18/00
CPCA61B17/22022A61B18/042A61B18/26A61B2017/22069A61B2017/22092A61B2018/00142A61B2018/0022A61B2018/00285A61B2018/00535
Inventor 张诚杨玉龙
Owner SHANGHAI EAST HOSPITAL EAST HOSPITAL TONGJI UNIV SCHOOL OF MEDICINE
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