Method of surgical treatment of intestinal obstructions in narrow and large intestine and device for its implementation

    公开(公告)号:US10080489B2

    公开(公告)日:2018-09-25

    申请号:US14366136

    申请日:2012-10-18

    摘要: This invention relates to medicine, more specifically, to the surgical treatment of intestinal obstructions using the minimum invasive (endoscopic) method. The invention provides the possibility of the surgical treatment of intestinal obstructions along the entire length of the intestine by means of stenting. The technical result achieved by the first and second subjects of the invention is providing the total surgical treatment of intestinal obstructions in the narrow and large intestine by installing a stent at an intestine obstruction location in a manner allowing further moving the stent during its positioning or removal and avoiding damage to the intestine as a result of the surgical manipulations. Said technical objective is achieved with the first subject of the invention, i.e. the method, as follows. The method of surgical treatment of intestinal obstructions in narrow and large intestine comprises the movement of the endoscope across the entire length of the narrow and large intestine and delivering the dilatation balloon and stent system to the obstructed section of the intestine. After the dilatation balloon and stent system is delivered to the obstructed section of the intestine, the dilatation balloon is installed at the intestine obstruction location, and the normal intestine section is restored by inflating the dilatation balloon. Then the volume of the dilatation balloon is reduced, the balloon is retracted to the endoscope, and the stent is installed at the intestine obstruction location. The movement of the dilatation balloon and stent is controlled using a hydraulic piston mechanism. Said technical objective is achieved with the second subject of the invention, i.e. the device, as follows. The endoscope for the total surgical treatment of intestinal obstructions in narrow and large intestine comprises a hydraulic endoscope movement drive and an endoscope case installed in the outer tube. Said endoscope case comprises channels for the supply of gas and liquid into the intestine cavity, an optical channel, a light channel and two manipulation channels. The stent is installed at the distal end of one of said manipulation channels at the central portion of the manipulation shaft which is rigidly mounted on the stern extension piston and has stopping balloons at both ends. The distal end of the other manipulation channel comprises the dilatation balloon mounted on a hollowed manipulation shaft which in turn is rigidly mounted on the dilatation balloon extension piston. The proximal ends of said manipulation channels comprise hydraulic piston mechanisms acting on said dilatation balloon extension piston and on said stent extension piston. Said dilatation balloon and said stent stopping balloons are connected via said gas supply channels to said hydraulic piston mechanisms installed at the proximal ends of said manipulation channels.

    MARKING SYSTEM
    8.
    发明申请
    MARKING SYSTEM 审中-公开
    标记系统

    公开(公告)号:US20170020629A1

    公开(公告)日:2017-01-26

    申请号:US15287991

    申请日:2016-10-07

    摘要: A marking system includes: an applicator that has a puncturing part capable of being punctured into a wall part of a luminal organ from an outside of the luminal organ; a marker that is accommodated in the applicator; and a pointer device including an insertion that has flexibility, is formed in an elongated manner, and is capable of being inserted into an inside of the luminal organ, and a light-emitting part that is disposed inside the insertion at a distance from a distal end of the insertion. An opening into which the puncturing part is capable of being inserted is formed at the distal end of the insertion. A leakage of light, which is emitted from the light-emitting part, to an outside of the insertion is suppressed between the light-emitting part and the distal end of the insertion.

    摘要翻译: 标记系统包括:具有能够从管腔器官的外部刺入腔内器官的壁部分的穿刺部分的施用器; 容纳在敷贴器中的标记; 并且包括具有柔性的插入物的指针装置以细长的方式形成,并且能够插入到管腔器官的内部,以及发光部件,其布置在插入件的远离远端的距离处 插入结束。 在插入的远端形成有能够插入穿刺部的开口。 从发光部发出的光的泄漏在插入的发光部与前端之间被抑制。