CN106377295A - Simple portal vein thrombus fetching device for liver transplantation - Google Patents

Simple portal vein thrombus fetching device for liver transplantation Download PDF

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Publication number
CN106377295A
CN106377295A CN201610898577.8A CN201610898577A CN106377295A CN 106377295 A CN106377295 A CN 106377295A CN 201610898577 A CN201610898577 A CN 201610898577A CN 106377295 A CN106377295 A CN 106377295A
Authority
CN
China
Prior art keywords
thrombus
snare
portal vein
thrombosis
lock
Prior art date
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.)
Pending
Application number
CN201610898577.8A
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Chinese (zh)
Inventor
孙红成
彭志海
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Shanghai First Peoples Hospital
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Shanghai First Peoples Hospital
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Shanghai First Peoples Hospital filed Critical Shanghai First Peoples Hospital
Priority to CN201610898577.8A priority Critical patent/CN106377295A/en
Publication of CN106377295A publication Critical patent/CN106377295A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/22004Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves
    • A61B17/22012Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/221Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0023Surgical instruments, devices or methods, e.g. tourniquets disposable
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/221Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
    • A61B2017/2212Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions having a closed distal end, e.g. a loop
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2217/00General characteristics of surgical instruments
    • A61B2217/002Auxiliary appliance

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Vascular Medicine (AREA)
  • Biomedical Technology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Mechanical Engineering (AREA)
  • Prostheses (AREA)

Abstract

The invention discloses a simple portal vein thrombus fetching device for liver transplantation. The thrombus fetching device is characterized by being provided with a thrombus snare device and a thrombus separator, wherein the thrombus snare device is provided with a thrombus snare, a lock, a barb and a hollow tube; the lock is arranged at the tail of the thrombus snare; the barb is arranged inside the lock; the head of the thrombus snare passes through the lock; the hollow tube is sleeved at the head of the thrombus snare; a ring is arranged at one end of the hollow tube; the head of the thrombus snare is connected with the ring; and the thrombus separator is of a hollow structure. The thrombus fetching device disclosed by the invention has the following advantages: the device is simple, and the production and large-scale promotion are facilitated; the device is convenient to use and easy to operate; and bleeding in an operation is reduced, and the portal vein thrombus can be completely fetched once.

Description

A kind of liver transplantation takes pin device with simple portal vein
Technical field
The present invention relates to technical field of medical instruments, specifically, it is that a kind of liver transplantation takes pin device with simple portal vein.
Background technology
Liver transplantation is the most effective operation method of Current therapeutic End-stage liver disease and early hepatocarcinoma.Orthotopic liver transplantation scope Greatly, the persistent period is long, is related to that internal organs, pipeline are many, is one of surgery operation the most complicated.Accept liver transplantation most of patients because Liver cirrhosis, portal hypertension, lead to Portal Blood Flow to slow down or form reverse blood flow, some patientss are excised because of liver cirrhosis hypersplenism Spleen, these factors easily promote the formation of Portal Vein Thrombosis.With the liver-transplantation patients of Portal Vein Thrombosis, in operation process Portal Vein Thrombosis must completely be taken out, just can ensure that graft and patient's survival.Clinically specially effectively do not take bolt at present Instrument, takes and commonly uses the routine operation apparatus such as surgical forcepss, oval tweezer during bolt, takes that bolt success rate is low, difficulty big, often will repeatedly take Bolt, when taking bolt every time, blood loss is big, and liver-transplantation patients often have thrombin dyssynthesis, often repeatedly take bolt in orthotopic liver transplantation Greatly increase amount of bleeding, blood coagulation substance loses exhaustion in a large number, then DIC occurs, ultimately result in graft failure.
Several features below liver cirrhosis Portal Vein Thrombosis:1st, often to form the time longer for thrombosis, and white, matter are tough;2nd, thrombosis Often there is boundary with portal vein inner membrance, can blunt separation;3rd, thrombosis and blood vessel wall completely disengage from and could completely take out thrombosis.
In sum, need a kind of device badly simple, reduce bleeding, and disposably can completely take out the door of Portal Vein Thrombosis Vein takes pin device, and takes pin device have not been reported with regard to this at present.
Content of the invention
The purpose of the present invention is for deficiency of the prior art, provides a kind of simple portal vein of liver transplantation to take bolt to fill Put.
For achieving the above object, the present invention adopts the technical scheme that:A kind of liver transplantation takes pin device with simple portal vein, It is characterized in that, the described pin device that takes is provided with thrombosis snare, thrombus separator, and described thrombosis snare is provided with thrombosis circle Set, lock, barb, hollow pipe, described lock is arranged on the afterbody of thrombosis snare, and described barb is arranged on lock inside, Described thrombosis snare head passes through lock, and described hollow pipe is inserted in the head of thrombosis snare, and described hollow pipe one end sets There is ring, described thrombosis snare head is connected with ring, described thrombus separator is hollow structure.
Described latch as unidirectional lock.
Described barb shape is triangle.
Described hollow pipe material is plastics.
Described hollow pipe diameter is less than lock.
Described hollow pipe two ends are trapezoidal round platform.
Described thrombus separator head circle is blunt.
Described thrombus separator material is metal.
Described thrombus separator diameter range is 8-16mm.
The a diameter of five kinds of specifications of 8mm, 10mm, 12mm, 14mm, 16mm of described thrombus separator.
The invention has the advantages that:
1st, device is simply it is easy to produce and large-scale promotion.
2nd, easy to use it is easy to operation.
3rd, reduce the bleeding in operation, disposably can completely take out Portal Vein Thrombosis.
Brief description
Accompanying drawing 1 is that a kind of liver transplantation of the present invention takes the thrombosis snare schematic diagram of pin device with simple portal vein.
Accompanying drawing 2 is that a kind of liver transplantation of the present invention takes the thrombus separator schematic diagram of pin device with simple portal vein.
Accompanying drawing 3 is that a kind of liver transplantation of the present invention takes the thrombus separator sectional view of pin device with simple portal vein.
Accompanying drawing 4 is that a kind of liver transplantation of the present invention takes the thrombosis snare A partial enlarged drawing of pin device with simple portal vein.
Accompanying drawing 5 is that a kind of liver transplantation of the present invention takes the hollow pipe schematic diagram of pin device with simple portal vein.
Accompanying drawing 6 is that a kind of liver transplantation of the present invention takes the use schematic diagram of pin device with simple portal vein.
Specific embodiment
The specific embodiment below in conjunction with the accompanying drawings present invention being provided elaborates.
The reference being related in accompanying drawing and ingredient are as follows:
1. thrombosis snare 2. latches
3. barb 4. hollow pipe
5. thrombus separator 6. ring
With reference to Fig. 1, Fig. 2, Fig. 3, Fig. 4 and Fig. 5.Fig. 1 is that a kind of liver transplantation of the present invention takes bolt to fill with simple portal vein The thrombosis snare schematic diagram put, Fig. 2 is that a kind of liver transplantation of the present invention takes the thrombus separator of pin device with simple portal vein Schematic diagram, Fig. 3 is that a kind of liver transplantation of the present invention takes the thrombus separator sectional view of pin device with simple portal vein, and Fig. 4 is this A kind of liver transplantation of invention takes the thrombosis snare A partial enlarged drawing of pin device with simple portal vein, and Fig. 5 is one kind of the present invention The simple portal vein of liver transplantation takes the hollow pipe schematic diagram of pin device.Described take that pin device is provided with thrombosis snare, thrombosis divide From device 5, described thrombosis snare is provided with thrombosis snare 1, lock 2, barb 3, hollow pipe 4, and described lock 2 is arranged on thrombosis The afterbody of snare 1, described barb 3 is arranged on inside lock 2, and the head of described thrombosis snare 1 passes through lock 2, described Hollow pipe 4 is inserted in the head of thrombosis snare 1, and described hollow pipe 4 one end is provided with ring 6, the described head of thrombosis snare 1 and ring 6 connections, affiliated thrombus separator 5 is hollow structure, and described lock 2 is unidirectional lock, and described barb 3 is shaped as triangle Shape, described hollow pipe 4 material is plastics, and described hollow pipe 4 diameter is less than lock 2, and described hollow pipe 4 two ends are trapezoidal Round platform, described thrombus separator 5 head circle is blunt, and described thrombus separator 5 material is metal, and described thrombus separator 5 is straight Footpath scope is 8-16mm, a diameter of five kinds of specifications of 8mm, 10mm, 12mm, 14mm, 16mm of described thrombus separator 5.
Embodiment 1
A kind of simple portal vein of liver transplantation of the present invention takes the using method of pin device as follows, as shown in fig. 6, utilizing three Pin suture retracts portal vein tube wall;Thrombosis snare 1 is enclosed within Portal Vein Thrombosis, props up lock 2 using hollow pipe 4, by blood The other end of bolt snare 1 stretches out, and so that thrombosis snare 1 is taken out tightly, and it is tightly no longer loosening that barb 3 ensures that thrombosis snare 1 is taken out;Remove blood The head of bolt snare 1 and the connection of ring 6, remove hollow pipe 4;Slowly it is inserted in thrombus separator 5 to superior mesenteric vein direction;Choosing A diameter of 8mm of thrombus separator 5;Thrombosis are made to depart from portal vein tube wall using thrombus separator 5;Using thrombosis snare 1 The other end outwards slowly extract portal vein thrombosis.
Embodiment 2
A kind of simple portal vein of liver transplantation of the present invention takes the using method of pin device as follows, as shown in fig. 6, utilizing three Pin suture retracts portal vein tube wall;Thrombosis snare 1 is enclosed within Portal Vein Thrombosis, props up lock 2 using hollow pipe 4, by blood The other end of bolt snare 1 stretches out, and so that thrombosis snare 1 is taken out tightly, and it is tightly no longer loosening that barb 3 ensures that thrombosis snare 1 is taken out;Remove blood The head of bolt snare 1 and the connection of ring 6, remove hollow pipe 4;Slowly it is inserted in thrombus separator 5 to superior mesenteric vein direction;Choosing A diameter of 16mm of thrombus separator 5;Thrombosis are made to depart from portal vein tube wall using thrombus separator 5;Using thrombosis snare 1 The other end outwards slowly extract portal vein thrombosis.
It is an advantage of the current invention that:Device is simply it is easy to produce and large-scale promotion;Easy to use it is easy to operation;Reduce Bleeding in operation, disposably can completely take out Portal Vein Thrombosis.
The above is only the preferred embodiment of the present invention it is noted that ordinary skill people for the art Member, on the premise of without departing from the inventive method, can also make some improvement and supplement, these improve and supplement also should be regarded as Protection scope of the present invention.

Claims (10)

1. a kind of liver transplantation take pin device with simple portal vein it is characterised in that described take pin device be provided with thrombosis snare, Thrombus separator, described thrombosis snare is provided with thrombosis snare, lock, barb, hollow pipe, and described lock is arranged on thrombosis The afterbody of snare, described barb is arranged on that lock is internal, and described thrombosis snare head passes through lock, described hollow bush Enter the head of thrombosis snare, described hollow pipe one end is provided with ring, described thrombosis snare head is connected with ring, described thrombosis Separator is hollow structure.
2. portal vein according to claim 1 takes pin device it is characterised in that described lock is unidirectional lock.
3. portal vein according to claim 1 takes pin device it is characterised in that described barb shape is triangle.
4. portal vein according to claim 1 takes pin device it is characterised in that described hollow pipe material is plastics.
5. portal vein according to claim 1 takes pin device it is characterised in that described hollow pipe diameter is less than lock.
6. portal vein according to claim 1 takes pin device it is characterised in that described hollow pipe two ends are trapezoidal circle Platform.
7. portal vein according to claim 1 takes pin device it is characterised in that described thrombus separator head circle is blunt.
8. portal vein according to claim 1 takes pin device it is characterised in that described thrombus separator material is metal.
9. portal vein according to claim 1 takes pin device it is characterised in that described thrombus separator diameter range is 8- 16mm.
10. portal vein according to claim 9 take pin device it is characterised in that a diameter of 8mm of described thrombus separator, Five kinds of specifications of 10mm, 12mm, 14mm, 16mm.
CN201610898577.8A 2016-10-14 2016-10-14 Simple portal vein thrombus fetching device for liver transplantation Pending CN106377295A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201610898577.8A CN106377295A (en) 2016-10-14 2016-10-14 Simple portal vein thrombus fetching device for liver transplantation

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201610898577.8A CN106377295A (en) 2016-10-14 2016-10-14 Simple portal vein thrombus fetching device for liver transplantation

Publications (1)

Publication Number Publication Date
CN106377295A true CN106377295A (en) 2017-02-08

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Family Applications (1)

Application Number Title Priority Date Filing Date
CN201610898577.8A Pending CN106377295A (en) 2016-10-14 2016-10-14 Simple portal vein thrombus fetching device for liver transplantation

Country Status (1)

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CN (1) CN106377295A (en)

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2007011302A1 (en) * 2005-07-18 2007-01-25 Phacotreat Ab Methods and devices for eye surgery
US20090149876A1 (en) * 2007-12-06 2009-06-11 Manoj Patel Surgical clamp and method of clamping an organ
CN102448383A (en) * 2009-04-01 2012-05-09 森特莱哈尔特公司 Tissue ligation devices and controls therefor
CN202397520U (en) * 2011-11-11 2012-08-29 天津市华康达医疗器械贸易有限公司 Collector and separator for pathological tissues

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2007011302A1 (en) * 2005-07-18 2007-01-25 Phacotreat Ab Methods and devices for eye surgery
US20090149876A1 (en) * 2007-12-06 2009-06-11 Manoj Patel Surgical clamp and method of clamping an organ
CN102448383A (en) * 2009-04-01 2012-05-09 森特莱哈尔特公司 Tissue ligation devices and controls therefor
CN202397520U (en) * 2011-11-11 2012-08-29 天津市华康达医疗器械贸易有限公司 Collector and separator for pathological tissues

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Application publication date: 20170208

RJ01 Rejection of invention patent application after publication