CN105105830B - A kind of act palace cup with vagina suture - Google Patents

A kind of act palace cup with vagina suture Download PDF

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Publication number
CN105105830B
CN105105830B CN201510628038.8A CN201510628038A CN105105830B CN 105105830 B CN105105830 B CN 105105830B CN 201510628038 A CN201510628038 A CN 201510628038A CN 105105830 B CN105105830 B CN 105105830B
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CN
China
Prior art keywords
cup
pallet
push rod
suture
sewing needle
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Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Fee Related
Application number
CN201510628038.8A
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Chinese (zh)
Other versions
CN105105830A (en
Inventor
王中显
贺漪
龚世雄
黄浩梁
曹丽蓉
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Wuhan No.1 Hospital
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Wuhan No1 Hospital
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Priority to CN201510628038.8A priority Critical patent/CN105105830B/en
Publication of CN105105830A publication Critical patent/CN105105830A/en
Application granted granted Critical
Publication of CN105105830B publication Critical patent/CN105105830B/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/42Gynaecological or obstetrical instruments or methods
    • A61B17/4241Instruments for manoeuvring or retracting the uterus, e.g. during laparoscopic surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A61B2017/0472Multiple-needled, e.g. double-needled, instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/42Gynaecological or obstetrical instruments or methods
    • A61B2017/4216Operations on uterus, e.g. endometrium

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Medical Informatics (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Gynecology & Obstetrics (AREA)
  • Pregnancy & Childbirth (AREA)
  • Reproductive Health (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a kind of act palace cup with vagina suture, including cup, the center of cup is interspersed to be connected with guiding bar, the bottom of cup is connected with cup push rod, cup pushing rod sleeve is on guiding bar, the inwall of cup, which is provided with multiple widening grooves, each widening groove, is placed with sewing needle, and described sewing needle is medical sutures staight needle;Pallet is additionally provided with cup, the outward flange of pallet coordinates with the widening groove of cup to be contacted, and the pin hole of sewing needle is located on pallet, and needle point is located at the top of cup inwall;The number of widening groove is even number, is divided into two groups of left and right from the centre of cup, is symmetrical arranged, and one end of suture connects the sewing needle of left side group, the sewing needle of other end connection the right group;The tray bottom is also associated with pallet push rod, and pallet push rod is located between guiding bar and cup push rod.Sewing needle band suture is penetrated vaginal wall by the present invention before excision uterus, and excision can suture vagina behind uterus, simplify operating procedure, shorten operating time.

Description

A kind of act palace cup with vagina suture
Technical field
The invention belongs to medical instruments field, it is related to a kind of act palace cup, specially a kind of act palace with vagina suture Cup.
Background technology
In recent years, laparoscope Minimally Invasive Surgery is developed rapidly, increasing hospital laparoscopic surgery, in gynaecological laparoscope Laparoscopic hysterectomy occupies large ratio in videoendoscopic surgery, and operating time is longer, wherein suture vagina behind excision uterus Time is longer, and the risk of bladder is damaged when there is suture, for suture needle and knotting under more preferable laparoscope, and avoids damaging Hinder bladder and often separately take a trocar hole in the Right Lower Abdomen of patient, further to push bladder aside, assist the operation such as knotting, but It is to bring more surface of a wound and scar to patient, and because neighbouring bladder needs carefully identification bladder, whole suture time It is longer, finally in order to which band pin passes in and out bladder, 10mm trocar holes need to be taken out in belly, this hole is often positioned in by navel, seriously Influence patient attractive in appearance.
The content of the invention
It is an object of the invention to provide a kind of act palace cup with vagina suture, it be can solve the problem that using the device under laparoscope The technical problem of quick succinct suture Vaginal Stump in Hysterectomy.
In order to solve the above technical problems, the technical solution adopted in the present invention is:A kind of act palace with vagina suture Cup, including cup, the center of cup is interspersed to be connected with guiding bar, and the bottom of cup is connected with cup push rod, and cup pushing rod sleeve exists Guide on bar, the inwall of cup, which is provided with multiple widening grooves, each widening groove, is placed with sewing needle, and described sewing needle is medical Suture staight needle;Pallet is additionally provided with cup, the outward flange of pallet coordinates with the widening groove of cup to be contacted, and the pin hole of sewing needle is located at On pallet, needle point is located at the top of cup inwall;The number of widening groove is even number, is divided into two groups of left and right from the centre of cup, It is symmetrical arranged, one end of suture connects the sewing needle of left side group, the sewing needle of other end connection the right group;The tray bottom is also Pallet push rod is connected with, pallet push rod is located between guiding bar and cup push rod.
Further, the center of the pallet is provided with through hole, and the size of external diameter is less than the internal diameter of cup, and outward flange is provided with With the same number of protrusive board of widening groove, protrusive board is contacted with widening groove, and protrusive board is integrally formed with pallet.
The protrusive board is semicircle, triangle, square or can be with the irregular shape that contact of widening groove cooperation.The act Sewing needle can be installed in place by cleverly setting pallet, widening groove, sewing needle and suture, wait to need by palace cup in advance Cut off and its sewing needle with suture is passed through into vaginal wall before uterus, sewing needle is cut after excision and is taken out, suture is distinguished Dial and put uterus both sides, Via vagina takes out uterus, you can be quick to carry out the suture vagina that knots.
Indicator lamp is additionally provided with the top of described cup.
Described indicator lamp is two, is uniformly fixed on the top of cup.Vagina can clearly be guided by indicator lamp Front and rear wall fornix, can be powered using 12v power supplys, it is ensured that safety, will not be damaged caused by the reasons such as electric leakage are to patient.
The length of the guiding bar is more than the length of pallet push rod, and the length of pallet push rod is more than the length of cup push rod, Promoted by cup push rod and lift palace cup, be adjusted to required position, operated by guiding bar to carry out act palace, pallet push rod promotes support Disk.
The end of the cup push rod is provided with handle, is screwed between cup push rod and pallet push rod, and band needs When promoting sewing needle and suture, fixed screw is unclamped, you can pallet is promoted by pallet push rod.
The widening groove totally 12, places 12 sewing needles, and 12 sewing needles wear even 6 sutures.Pass through act palace cup 6 sutures can disposably be sewed up, it is to avoid laparoscope lower half circular arc needle is divided into 6 suture vagina front and rear walls, significantly saves hand The art time.
The present invention has advantages below:
1st, due to setting widening groove in cup, and sewing needle and suture are equipped with, wherein sewing needle is staight needle, suture For absorbable thread, before excision uterus, by the promotion of pallet and pallet push rod, sewing needle can be released, make sewing needle band Suture penetrates vaginal wall, after uterus is cut off under laparoscope, and suture is respectively positioned over into both sides, cuts sewing needle and takes out, Via vagina takes out the uterus of excision, and suture can be knotted rapidly, sutures vagina, simplifies operating procedure, shortens operation Time.Vaginal wall retraction behind higher technology, excision uterus is needed using semicircular arc pin under laparoscope, it is necessary to carefully identification Vaginal wall, the risk that there is possibility suture bladder or rectum is needed typically under laparoscope using semi arch pin suture vagina 6 pin 30 minutes or so or longer.And use the act palace cup with vagina suture to be sutured, it is to avoid bladder and rectum may be damaged, And significantly save the time.
2nd, in traditional operation, the sewing needle used is semi arch pin, it is necessary to take out 10mm in belly during operation Trocar holes, so as to band pin turnover, and the sewing needle used in the present invention is staight needle, only need to take 5mm's on the right stomach wall of patient Otch does handle hole, convenient after sewing needle band suture passes through vaginal wall, sewing needle is taken out into abdominal cavity from handle hole, and subtract Few patient skin scar, reduces intra-abdominal adhesions.
3rd, can be with the boundary in simple and direct instruction vagina and uterus, the site of excision with indicator lamp, and be in vaginal wall Bladder carries out sewing needle and operated through vaginal wall, can technically avoid damaging with being pushed into pallet under the clear state of vagina boundary Hinder bladder, safer reliability.
When the 4th, carrying out laparoscopic hysterectomy using act palace cup, 3 holes need to be only taken to complete operation, compared to traditional Operation method, reduces the trocar holes of a Right Lower Abdomen, can reduce patient's belly scar, and reduce adhesion of abdominal wall equivalent risk.
Brief description of the drawings
Fig. 1 is structural representation of the invention.
Fig. 2 is Fig. 1 top view.
Embodiment
The present invention is further illustrated with reference to embodiment and accompanying drawing, but the scope of protection of present invention is not limited to The scope stated in embodiment.
Embodiment 1:
As Figure 1-Figure 2, a kind of act palace cup with vagina suture, including cup 1, the center of cup 1 is interspersed to be connected Guiding bar 2 is connected to, the bottom of cup 1 is connected with cup push rod 3, and cup push rod 3 is enclosed within guiding bar 2, and the inwall of cup 1 is provided with Sewing needle 5 is placed with multiple widening grooves 4, each widening groove 4, described sewing needle is medical sutures staight needle;Also set in cup 1 There is pallet 6, the outward flange of pallet coordinates with the widening groove 4 of cup 1 to be contacted, and the pin hole of sewing needle 5 is located on pallet 6, needle point position In the top of cup inwall;The number of widening groove 4 is even number, is divided into two groups of left and right from the centre of cup 1, is symmetrical arranged, and is stitched One end of zygonema connects the sewing needle of left side group, the sewing needle of other end connection the right group;The bottom of pallet 6 is also associated with pallet Push rod 7, pallet push rod 7 is located between guiding bar 2 and cup push rod 3.
Further, the center of the pallet 6 is provided with through hole, and the size of external diameter, which is less than on the internal diameter of cup, outward flange, to be set Have with the same number of protrusive board of widening groove 48, protrusive board 8 is contacted with widening groove 4, and protrusive board 8 is integrally formed with pallet 6.
Further, the protrusive board 8 be semicircle, triangle, it is square or can with widening groove 4 cooperation contact do not advise Then shape.
Further, the top of described cup 1 is additionally provided with indicator lamp 9, can be explicitly indicated the position for lifting palace cup, and Its position relationship with uterus is observed, indicator lamp can be powered by connecting weakness power supply adaptor.
Further, described indicator lamp 9 is two, is uniformly fixed on the top of cup 1.
Further, the length of the guiding bar 2 is more than the length of pallet push rod 7, and the length of pallet push rod 7 is more than cup The length of push rod 3, guiding bar, pallet push rod and cup push rod three are coaxial and be socketed from inside to outside.
Further, the end of the cup push rod 3 is provided with handle, and screw is passed through between cup push rod 3 and pallet push rod 7 It is fixed.
Further, the widening groove 4 totally 12, place 12 sewing needles, 12 sewing needles, 6 sutures of the company of wearing altogether, I.e. each suture two ends respectively connect a suture staight needle, and suture is absorbable thread, before act palace cup Via vagina is in place, Sewing needle and suture are first installed in place in cup, are that the suture in later stage is ready, it is necessary to directly by pallet when suturing Push rod is pushed into suture needle.
The cup of the act palace cup is made up of ceramic material, and its bottom is connected through a screw thread cup push rod.
Using the act palace cup when, in operation sterilizing body after, be placed with suture in the corresponding widening groove 4 in left and right in cup Pin, and suture is set on the corresponding sewing needle in left and right;Then routine disinfection vagina, inserts vaginal speculum, clamp uterine neck, guiding Bar Via vagina inserts uterine cavity, lifts palace cup cup and is fixed on cup push rod, and installs pallet push rod, takes out cervical clamps and peeps the moon Device, channeled bar insert at uterine neck, it is necessary to when connect light current power supply adaptor.Routinely cut off under laparoscope using ultrasound knife by palace Tissue, complete exposure uterus is cut with fornix vaginae before vagina, and sewing needle is pushed into through pallet push rod, is guided and cut by indicator lamp Vagina is opened, uterus is in vitro, and sewing needle is respectively implanted into uterus both sides, cut sewing needle and take out, suture point row uterus both sides, warp Vagina takes out uterus, the knotted suture under laparoscope, and cuts remaining silk thread, and operation terminates.

Claims (8)

1. a kind of act palace cup with vagina suture, including cup(1), cup(1)Center interspersed be connected with guiding bar (2), cup(1)Bottom be connected with cup push rod(3), cup push rod(3)It is enclosed within guiding bar(2)On, it is characterised in that:Cup (1)Inwall be provided with multiple widening grooves(4), each widening groove(4)Inside it is placed with sewing needle(5), described sewing needle is medical Suture staight needle;Cup(1)Inside it is additionally provided with pallet(6), the outward flange of pallet and cup(1)Widening groove(4)Coordinate contact, suture Pin(5)Pin hole be located at pallet(6)On, needle point is located at the top of cup inwall;Widening groove(4)Number be even number, from cup Body(1)Centre be divided into two groups of left and right, be symmetrical arranged, one end of suture connects the sewing needle of left side group, other end connection is right The sewing needle of side group;The pallet(6)Bottom is also associated with pallet push rod(7), pallet push rod(7)Positioned at guiding bar(2)With cup Push rod(3)Between.
2. act palace cup according to claim 1, it is characterised in that:The pallet(6)Center be provided with through hole, pallet(6) The size of external diameter is less than the internal diameter of cup, pallet(6)Outward flange is provided with and widening groove(4)The same number of protrusive board(8), protrusive board (8)With widening groove(4)Contact, and protrusive board(8)With pallet(6)It is integrally formed.
3. act palace cup according to claim 2, it is characterised in that:The protrusive board(8)For semicircle, triangle, it is square or Person can be with widening groove(4)Coordinate the irregular shape of contact.
4. act palace cup according to claim 1, it is characterised in that:Described cup(1)Top be additionally provided with indicator lamp (9).
5. act palace cup according to claim 4, it is characterised in that:Described indicator lamp(9)For two, cup is uniformly fixed on Body(1)Top.
6. act palace cup according to claim 1, it is characterised in that:The guiding bar(2)Length be more than pallet push rod(7) Length, pallet push rod(7)Length be more than cup push rod(3)Length.
7. act palace cup according to claim 1, it is characterised in that:The cup push rod(3)End be provided with handle, cup Push rod(3)With pallet push rod(7)Between be screwed.
8. the act palace cup according to claim 1-7 any one, it is characterised in that:The widening groove(4)Totally 12, place 12 sewing needles, 12 sewing needles wear even 6 sutures.
CN201510628038.8A 2015-09-29 2015-09-29 A kind of act palace cup with vagina suture Expired - Fee Related CN105105830B (en)

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CN201510628038.8A CN105105830B (en) 2015-09-29 2015-09-29 A kind of act palace cup with vagina suture

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Application Number Priority Date Filing Date Title
CN201510628038.8A CN105105830B (en) 2015-09-29 2015-09-29 A kind of act palace cup with vagina suture

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CN105105830B true CN105105830B (en) 2017-07-11

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Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110537963B (en) * 2019-08-29 2022-08-19 上海长海医院 Multifunctional uterine manipulator
CN113116432B (en) * 2021-04-19 2023-09-01 甘肃省武威肿瘤医院(武威医学科学研究院) Cervical operation stitching assisting device and stitching assisting method thereof

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Publication number Priority date Publication date Assignee Title
CN2148538Y (en) * 1993-03-08 1993-12-08 陈吉峰 Intracavitary illuminating suture device
US5474543A (en) * 1993-05-17 1995-12-12 Mckay; Hunter A. Single needle apparatus and method for performing retropublic urethropexy
BR9407863A (en) * 1993-10-22 1997-05-20 Anthony John Mccartney Transvaginal tube and treatment process by laparoscopic hysterectomy
CN2873114Y (en) * 2005-12-08 2007-02-28 姚书忠 Womb support device
US8298213B2 (en) * 2006-12-21 2012-10-30 Steven Jiwan Singh Medical instrument
CN201275125Y (en) * 2008-08-26 2009-07-22 周炎明 Multifunctional uterine elevator
US8663239B2 (en) * 2011-09-29 2014-03-04 Blake Hess Tissue removal and manipulator device for LAVH and related surgeries
CN102512228B (en) * 2011-12-30 2013-07-31 杭州康基医疗器械有限公司 Optical-display uterine lifting device
US9089365B2 (en) * 2012-04-26 2015-07-28 Imds Llc Tissue fixation device
CN203303125U (en) * 2013-05-23 2013-11-27 侍立峰 Rotary-cut cup-type uterine manipulator
CN203244440U (en) * 2013-05-27 2013-10-23 中国人民解放军第三军医大学第二附属医院 Uterus lifting cup with uterus fornix cutting function

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TA01 Transfer of patent application right

Effective date of registration: 20170531

Address after: No. 375 Zhongshan road 430000 in Hubei province in Qiaokou District of Wuhan City

Applicant after: Wuhan No.1 Hospital

Address before: 443000 Yiling Road, Hubei, Yichang, No. 183

Applicant before: No.1 Clinical Medical College, Sanxia Univ.

CB03 Change of inventor or designer information

Inventor after: Wang Zhongxian

Inventor after: He Yi

Inventor after: Gong Shixiong

Inventor after: Huang Haoliang

Inventor after: Cao Lirong

Inventor before: Wang Zhongxian

Inventor before: Chen Jianling

Inventor before: Gao Qiaoling

Inventor before: Li Caihong

Inventor before: Zhao Jing

CB03 Change of inventor or designer information
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CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20170711

Termination date: 20200929

CF01 Termination of patent right due to non-payment of annual fee