PERCUTANEOUS PUNCTURE AND DILATION VISIBLE IRRIGATION-SUCTION SYSTEM AND METHOD OF USING THE SAME

Abstract

The invention discloses a percutaneous puncture and dilation visible irrigation-suction system and a method of using the same. The system comprises a main tube, which is contiguous with the sheath tube and has an end for an endoscope insertion. The sheath tube comprises an inner sheath and an outer sheath joined together in a sleeve type. There is a space between inner and outer sheath. The inner sheath is connected to main tube, together building a channel via which the endoscope is inserted and withdrawn. The sheath tube is connected to main tube after completing puncture and dilation, then endoscope system is introduced for observation and operation. The present invention provides a percutaneous puncture and dilation visible irrigation-suction system and a method of using the same, with a continuous controllable visible negative pressure aspirator, achieving high irrigation and powerful suction efficiency, as well as clear endoscopic view.

Claims

1. A visible percutaneous puncture and dilation irrigation-suction system comprising a main tube which has an end for endoscope insertion, characterized in that: the main tube is contiguous with a sheath tube at another end, an irrigation port is connected to the sheath tube, and a suction tube is connected to the main tube, wherein the sheath tube comprises an inner sheath and an outer sheath joined together in a sleeve type, fluid is pumped into the irrigation port and flow through a space between the inner and outer sheaths, and then outflow via a fluid outlet opening in the outer sheath, wherein after the main tube is connected with the sheath tube, the inner sheath and main tube together build a channel via which the endoscope is inserted and withdrawn, or evacuated substances are aspirated.

2. The visible percutaneous puncture and dilation irrigation-suction system according to claim 1, characterized in that: the main tube and the inner sheath are coaxial, the main tube is connected to sheath tube via a sheath body, and the irrigation port is arranged at a junction between the main tube and the sheath tube.

3. The visible percutaneous puncture and dilation irrigation-suction system according to claim 2, characterized in that: the sheath body comprises a sheath main body connected to the main tube and a sheath base sleeved on the outer sheath, a guiding conical surface is provided at a joint part between the sheath base and main tube, the main tube is mounted to the guiding conical surface, and the sheath main body and the sheath base are fixed by a lock nut.

4. The visible percutaneous puncture and dilation irrigation-suction system according to claim 1, characterized in that: a merging area is designed at the free end of the sheath tube, the merging area is embedded between the inner and outer sheath, and two layers of the sheath tube merge at the merging area.

5. The visible percutaneous puncture and dilation irrigation-suction system according to claim 2, characterized in that: a merging area is designed at the free end of the sheath tube, the merging area is embedded between the inner and outer sheath, and two layers of the sheath tube merge at the merging area.

6. The visible percutaneous puncture and dilation irrigation-suction system according to claim 3, characterized in that: a merging area is designed at the free end of the sheath tube, the merging area is embedded between the inner and outer sheath, and two layers of the sheath tube merge at the merging area.

7. The visible percutaneous puncture and dilation irrigation-suction system according to claim 4, characterized in that: a fluid outlet opening in the free end of sheath tube is designed in the sheath tube merging area.

8. The visible percutaneous puncture and dilation irrigation-suction system according to claim 5, characterized in that: a fluid outlet opening in the free end of sheath tube is designed in the sheath tube merging area.

9. The visible percutaneous puncture and dilation irrigation-suction system according to claim 6, characterized in that: a fluid outlet opening in the free end of sheath tube is designed in the sheath tube merging area.

10. The visible percutaneous puncture and dilation irrigation-suction system according to claim 1, characterized in that: the suction tube is connected to a negative pressure valve and a negative pressure control hole is designed in the suction tube.

11. The visible percutaneous puncture and dilation irrigation-suction system according to claim 2, characterized in that: the suction tube is connected to a negative pressure valve and a negative pressure control hole is designed in the suction tube.

12. The visible percutaneous puncture and dilation irrigation-suction system according to claim 3, characterized in that: the suction tube is connected to a negative pressure valve and a negative pressure control hole is designed in the suction tube.

13. The visible percutaneous puncture and dilation irrigation-suction system according to claim 1, characterized in that: an end of main tube is designed for inserting the endoscope, and the end also has a receptacle covered with a rubber sealing cap.

14. The visible percutaneous puncture and dilation irrigation-suction system according to claim 2, characterized in that: an end of main tube is designed for inserting the endoscope, and the end also has a receptacle covered with a rubber sealing cap.

15. The visible percutaneous puncture and dilation irrigation-suction system according to claim 3, characterized in that: an end of main tube is designed for inserting the endoscope, and the end also has a receptacle covered with a rubber sealing cap.

16. The visible percutaneous puncture and dilation irrigation-suction system according to claim 1, characterized in that: the endoscope comprises an endoscope body, an endoscope tube connected with the endoscope body, and an endoscope sheath which is sleeved on the endoscope tube and is fixedly secured to the endoscope body by a sheath lock, a working channel and an optical channel are provided inside the endoscope tube, the working channel is connected with an instrument inlet provided in the endoscope body, the optical channel is connected with onicular lens provided in the endoscope body, and an irrigation port is also designed in the endoscope body.

17. The visible percutaneous puncture and dilation irrigation-suction system according to claim 2, characterized in that: the endoscope comprises an endoscope body, an endoscope tube connected with the endoscope body, and an endoscope sheath which is sleeved on the endoscope tube and is fixedly secured to the endoscope body by a sheath lock, a working channel and an optical channel are provided inside the endoscope tube, the working channel is connected with an instrument inlet provided in the endoscope body, the optical channel is connected with onicular lens provided in the endoscope body, and an irrigation port is also designed in the endoscope body.

18. The visible percutaneous puncture and dilation irrigation-suction system according to claim 3, characterized in that: the endoscope comprises an endoscope body, an endoscope tube connected with the endoscope body, and an endoscope sheath which is sleeved on the endoscope tube and is fixedly secured to the endoscope body by a sheath lock, a working channel and an optical channel are provided inside the endoscope tube, the working channel is connected with an instrument inlet provided in the endoscope body, the optical channel is connected with onicular lens provided in the endoscope body, and an irrigation port is also designed in the endoscope body.

19. The visible percutaneous puncture and dilation irrigation-suction system according to claim 16, characterized in that: at least one fluid tube is welded to the external surface of endoscope tube, the fluid tubes are in parallel with endoscope tube, an irrigation port which is connected to the fluid tube is arranged on the endoscope body.

20. The visible percutaneous puncture and dilation irrigation-suction system according to claim 17, characterized in that: at least one fluid tube is welded to the external surface of endoscope tube, the fluid tubes are in parallel with endoscope tube, an irrigation port which is connected to the fluid tube is arranged on the endoscope body.

21. The visible percutaneous puncture and dilation irrigation-suction system according to claim 18, characterized in that: at least one fluid tube is welded to the external surface of endoscope tube, the fluid tubes are in parallel with endoscope tube, an irrigation port which is connected to the fluid tube is arranged on the endoscope body.

22. A method of using the visible percutaneous puncture and dilation irrigation-suction system according to claim 1, characterized by comprising steps as follows: a preoperative step: choosing a proper size sheath tube according to different cases; a percutaneous puncture and dilation step: placing a proper obturator into the sheath tube firstly to form a puncture and dilation instrument; then performing precise orientation under the guidance of ultrasound, bedside fluoroscopy, or mobile C arm fluoroscopy; selecting a 18-gauge needle for puncturing into cavity of target organ; introducing a guide wire via the needle; making a confirmation with radiography, pulling out the needle, and then establishing a percutaneous puncture tract; removing the obturator, inserting an endoscope system through an endoscopy channel comprised of a main tube and an inner sheath; checking the puncture depth of free end of the sheath tube on a monitor, if not suitable, then adjustment could be made under fluoroscopic guidance; an assembling percutaneous puncture and dilation irrigation-suction system step: firstly connecting and fixing the main tube with the sheath tube after completion of precise percutaneous puncture and dilation; connecting an irrigation port connected with the main tube to an irrigation pump with predetermined safe irrigation pressure and flow; connecting a tissue collection bottle to a suction tube; and connecting a suction exit of collection bottle to a continuous negative pressure aspirator; an endoscope system working step: connecting the endoscope system to camera light source firstly; introducing laser fiber, lithotripter probe or electrode into the working channel in the endoscope system; then opening the irrigation port in the sheath body, turning on the irrigation pump, negative pressure suction aspirator, camera light source and treatment device; inserting the endoscope successively through the rubber sealing cap at one end of the main tube, the main tube and the inner sheath of sheath tube, finally reach a cavity of target organ; real-time occluding and opening a negative pressure control hole in the suction tube to achieve a continuous controllable safe negative pressure suction in the cavity of target organ when continuous safe positive pressure irrigation is carried out at the same time; and generating an irrigation-suction effect, which comprises multiple-orientation, vortex irrigation fluid and one-way negative pressure suction and takes away postoperative fluid containing all the substances after intraluminal procedure quickly and completely, due to the difference between intraluminal irrigation pressure and sucking negative pressure; a final step: at the end of procedure, after confirming no residual substance by real-time imaging, withdrawing the endoscope, placing drainage tube through the guide wire; then removing the percutaneous puncture and dilation irrigation-suction system and guide wire; fixing the drainage tube, and finishing the procedure.

Description

BRIEF DESCRIPTION OF THE DRAWINGS

[0030] FIG. 1 is a percutaneous puncture and dilation visible irrigation-suction system according to an embodiment of the present invention, without installing an endoscope.

[0031] FIG. 2 is an enlarged view of the part A as shown in FIG. 1.

[0032] FIG. 3 is an enlarged view of the sheath tube part as shown in FIG. 1.

[0033] FIG. 4 is a side view illustrating the inner and outer sheaths as shown in FIG. 3 are separated.

[0034] FIG. 5 is a schematic view illustrating an endoscope is disassembled.

DETAILED DESCRIPTION OF ILLUSTRATED EMBODIMENTS

[0035] The present invention will be further explained below in detail in conjunction with figures and embodiments.

[0036] Embodiments are as follows:

[0037] As shown in FIGS. 1-2, a percutaneous puncture and dilation visible irrigation-suction system comprises a main tube 4 which is arranged with an endoscope inlet at one end. An endoscope inlet port 3 is arranged at the endoscope inlet of the main tube 4, and a rubber sealing cap 2 is covered on the endoscope inlet port 3. Furthermore, a suction tube 1 is provided and is connected to the main tube 4. A negative pressure controllable hole 18 is designed in the suction tube 1. The other end of main tube 4 is contiguous with the sheath tube which comprises an inner sheath 19 and an outer sheath 20 joined together in a sleeve and coaxial type. Main tube 4 and inner sheath 19 are coaxially joined together to establish a common channel for endoscope passage and sucking out the irrigation fluid. The main tube 4 is connected to the sheath tube with sheath body, which comprises sheath main body 5 and sheath base 9. Sheath base 9 is connected to outer sheath 20. Sheath main body 5 is connected to main tube 4. An irrigation port 6 is arranged at a junction between the main tube 4 and the sheath tube. In an optional manner, irrigation port 6 can also be connected to the sheath body, or even to the sheath main body 5. Guiding conical surface 21 is designed at the joint between sheath base 9 and main tube 4. Main tube 4 is installed to the guiding conical surface 21, then sheath main body 5 and sheath base 9 are seamless connected with a positioning pin 8 and then fixed by a lock nut 7. As shown in FIGS. 3-4, the fluid inlet openings 22 are provided on the sheath base 9 sleeved on an upper end of the outer sheath 20 and are connected with the irrigation port 6, and two fluid outlet openings 23 are provided at the other end of the outer sheath 20. The space between inner and outer sheath is used as irrigation channel 24. The fluid outlet openings at the end of outer sheath are used for intraluminal irrigation. A merging area 12 is designed for plugging the space between inner and outer sheath. The merging area 12 is located at the free end of sheath tube. Of note, several fluid outlet openings in the merging area are located at the front end of sheath tube, which increases output quantity of irrigation fluid.

[0038] As shown in FIG. 5, the composition of an endoscope is as follows: an endoscope body 13, an endoscope tube 14 connected to the endoscope body 13, and an endoscope sheath 16 which is sleeved on the endoscope tube 14. Endoscope sheath is fixedly secured to the endoscope body 13 by a sheath lock 17. A working channel 13.3 and an optical channel are provided inside the endoscope tube 14. The working channel 13.3 is connected with an instrument inlet provided in the endoscope body. The optical channel is connected with an onicular lens group 13.4 provided in the endoscope body and is arranged with optical components, such as object lens, at the front end. An irrigation port 13.2 of the endoscope is connected to endoscope body 13. In order to replenish irrigation fluid, a fluid tube 15 can be welded to the external surface of the endoscope tube. The fluid tube 15 is in parallel with endoscope tube. The replenishing-irrigation port 13.1 which is connected to the fluid tube 15 is designed in the endoscope body 13. The endoscope body is further installed with a light transmitting bundle inlet port 13.5 for introducing light transmitting bundle into the endoscope. The endoscope tube passes successively through the main tube 4 and the inner sheath to the surgical area for obtaining visibility of surgical area and performing procedures.

[0039] A method of using a percutaneous puncture and dilation visible irrigation-suction system comprises steps as below.

[0040] In the preoperative step, choosing a proper size sheath tube firstly according to different cases, wherein optional inner diameter of inner sheath ranges from Fr10-Fr20, while that of outer sheath ranges from Fr12-Fr26, and optional working length of out sheath ranges from 50-200 mm. Moreover, sheath tube can be changed immediately if required.

[0041] For example, an Fr14 outer sheath, Fr11 inner sheath and 60 mm working length sheath tube for percutaneous puncture tract dilation is used. In the percutaneous puncture and dilation step, performing precise orientation under the guidance of ultrasound, bedside fluoroscopy, or mobile C arm fluoroscopy, selecting 18-gauge needle for puncture into cavity of target organ, introducing guide wire via the needle, and then making a confirmation with radiography. After that, pulling out the needle, introducing an Fr14 puncture dilator over the guide wire for tract dilation. After removing the Fr14 puncture dilator, introducing an Fr14 outer diameter and 60 mm working length sheath tube into the lumen of target visceral organ over the guide wire to establish a percutaneous puncture tract. Then, inserting the endoscope system through the working channel of sheath tube, checking the puncture depth of free end of sheath tube on the monitor, and if not suitable, then adjustment could be made under fluoroscopic guidance.

[0042] In the assembling step for the percutaneous puncture and dilation irrigation-suction system, after completion of precise percutaneous puncture and dilation step, in the percutaneous puncture suction system presented in this invention, seamless connecting sheath main body and sheath base in the sheath tube with a positioning pin and then fixing them by a lock nut in the sheath tube. Then connecting an irrigation pump predetermined in safe irrigation pressure and flow to irrigation port 6 via a fluid inlet tube. After that, connecting suction tube 1, which is connected to the main tube 4, to a continuous controllable negative pressure suction system, and providing a tissue collecting bottle between suction tube 1 and the continuous controllable negative pressure suction system, and then covering a rubber sealing cap 2 on the endoscope inlet port 3.

[0043] In the endoscope system working step, connecting the endoscope system to camera light source firstly. Then, introducing laser fiber, lithotripter probe or electrode into the working channel 13.3 in the endoscope system. After that, opening the irrigation port 6, and turning on the irrigation pump, continuous controllable negative pressure suction aspirator, camera light source and treatment device. Then, inserting endoscope successively through the rubber sealing cap 2, endoscope inlet port 3, main tube 4 and the inner sheath of sheath tube, finally into the cavity of target organ. Thereinto, the irrigation fluid injected through the irrigation channel between inner and outer sheath of sheath tube would generate a multiple-orientation, vortex irrigation fluid in the cavity of target organ, which offers a clear visibility of surgical field. With the continuous controllable negative pressure suction aspirator and with controlling the negative pressure hole, the postoperative fluid containing all the substances after intraluminal procedure is efficiently one-way sucked out of body successively through inner sheath 10, sheath main body 5, suction tube 1 and suction rubber tube. During the whole procedure, sufficient irrigation combined with continuous controllable negative pressure suction together maintain safe low intraluminal pressure and clear visibility of surgical field, which thus achieves a safe, efficient and low cost procedure.

[0044] Finally, at the end of procedure, confirming there is no residual substance with the real-time imaging, withdrawing the endoscope, placing drainage tube through the guide wire, then removing the percutaneous puncture and dilation irrigation-suction system, and fixing the drainage tube. After that, finishing the procedure. For the favorable outcome in selected patients (no preoperative infection, no concurrent retrograde endoscopy and no visible bleeding), the procedure can be finished without any drainage tube or stent, such as tubeless or total tubeless super-mini percutaneous nephrolithotomy (SMP).

[0045] The above are merely the preferred embodiments of the present invention and the intention is not to limit the scope of the present invention. The present invention is intended to cover all changes, various modifications and equivalent arrangements included within the principle and scope of the present invention according to the technical essence of the present invention.