CN108542437B - Laparoscope suite for taking out transrectal specimen - Google Patents
Laparoscope suite for taking out transrectal specimen Download PDFInfo
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- CN108542437B CN108542437B CN201810560467.XA CN201810560467A CN108542437B CN 108542437 B CN108542437 B CN 108542437B CN 201810560467 A CN201810560467 A CN 201810560467A CN 108542437 B CN108542437 B CN 108542437B
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- 238000011010 flushing procedure Methods 0.000 claims abstract description 26
- 210000001035 gastrointestinal tract Anatomy 0.000 claims abstract description 15
- 206010002150 Anal dilatation Diseases 0.000 claims abstract description 7
- 230000000087 stabilizing effect Effects 0.000 claims abstract description 4
- 210000000436 anus Anatomy 0.000 claims description 48
- 238000003973 irrigation Methods 0.000 claims description 32
- 230000002262 irrigation Effects 0.000 claims description 32
- 230000000903 blocking effect Effects 0.000 claims description 11
- 230000000916 dilatatory effect Effects 0.000 claims description 11
- 239000002390 adhesive tape Substances 0.000 claims description 5
- 230000000968 intestinal effect Effects 0.000 abstract description 24
- 230000000694 effects Effects 0.000 abstract description 10
- 210000000664 rectum Anatomy 0.000 abstract description 3
- 230000000007 visual effect Effects 0.000 abstract 1
- 238000000034 method Methods 0.000 description 11
- 210000000683 abdominal cavity Anatomy 0.000 description 7
- 238000004804 winding Methods 0.000 description 7
- 210000001015 abdomen Anatomy 0.000 description 4
- 230000008569 process Effects 0.000 description 4
- 238000001356 surgical procedure Methods 0.000 description 4
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 description 2
- 238000010878 colorectal surgery Methods 0.000 description 2
- 238000002674 endoscopic surgery Methods 0.000 description 2
- 239000012530 fluid Substances 0.000 description 2
- 235000011389 fruit/vegetable juice Nutrition 0.000 description 2
- 238000002357 laparoscopic surgery Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 210000003205 muscle Anatomy 0.000 description 2
- 239000000741 silica gel Substances 0.000 description 2
- 229910002027 silica gel Inorganic materials 0.000 description 2
- VGGSQFUCUMXWEO-UHFFFAOYSA-N Ethene Chemical compound C=C VGGSQFUCUMXWEO-UHFFFAOYSA-N 0.000 description 1
- 239000005977 Ethylene Substances 0.000 description 1
- 230000003872 anastomosis Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 238000004140 cleaning Methods 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 230000010339 dilation Effects 0.000 description 1
- 238000000605 extraction Methods 0.000 description 1
- 239000003292 glue Substances 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 230000003993 interaction Effects 0.000 description 1
- 210000000936 intestine Anatomy 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 210000002640 perineum Anatomy 0.000 description 1
- 230000001681 protective effect Effects 0.000 description 1
- 238000005070 sampling Methods 0.000 description 1
- 239000007779 soft material Substances 0.000 description 1
- 230000000638 stimulation Effects 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
- A61B10/02—Instruments for taking cell samples or for biopsy
- A61B10/04—Endoscopic instruments
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/50—Instruments, other than pincettes or toothpicks, for removing foreign bodies from the human body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M29/00—Dilators with or without means for introducing media, e.g. remedies
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M3/00—Medical syringes, e.g. enemata; Irrigators
- A61M3/02—Enemata; Irrigators
- A61M3/0233—Enemata; Irrigators characterised by liquid supply means, e.g. from pressurised reservoirs
- A61M3/0254—Enemata; Irrigators characterised by liquid supply means, e.g. from pressurised reservoirs the liquid being pumped
- A61M3/0262—Enemata; Irrigators characterised by liquid supply means, e.g. from pressurised reservoirs the liquid being pumped manually, e.g. by squeezing a bulb
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M3/00—Medical syringes, e.g. enemata; Irrigators
- A61M3/02—Enemata; Irrigators
- A61M3/0279—Cannula; Nozzles; Tips; their connection means
- A61M3/0295—Cannula; Nozzles; Tips; their connection means with inflatable balloon
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2210/00—Anatomical parts of the body
- A61M2210/10—Trunk
- A61M2210/1042—Alimentary tract
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Abstract
The invention provides a laparoscope kit for taking out a rectal specimen, which belongs to the field of colorectal surgical operation equipment, and comprises an anus-dilating flusher, a specimen bag, an intestinal ligator and a specimen bag grasping forceps; the anus-dilating flusher comprises an anus-dilating head and a flushing balloon, wherein the flushing balloon is arranged at one end of the anus-dilating head, and a flushing channel which is communicated from the flushing balloon to the other end of the anus-dilating head is arranged in the anus-dilating head; the specimen bag comprises a storage bag and a pull head, a channel space is formed in the storage bag, the storage bag is fixedly connected with the pull head, and the pull head is arranged at one end of the channel space; the intestinal tract ligator comprises a rubber ring body, wherein the inner ring of the rubber ring body is provided with a wire placing groove for accommodating and stabilizing yarn strips, and the rubber ring body is provided with a fracture. The anus dilatation flusher can perform rectum flushing while anus dilatation, and the anus dilatation effect is good. The intestinal ligator can be used for knotting under the condition that the visual field and the operation space of the laparoscope are limited, so that the operation difficulty of doctors is reduced, and the knotting effect is better.
Description
Technical Field
The invention relates to the field of colorectal surgical equipment, in particular to a laparoscope kit.
Background
Minimal trauma is an extremely high pursuit in the field of colorectal surgery. With iterative updating of laparoscopic techniques, minimally invasive techniques have gained unprecedented development opportunities. The removal of specimens (nature orifice specimen extraction, NOSE) through the natural orifice is a minimally invasive technical approach to colorectal surgery. NOSE surgery does not make an auxiliary incision in the abdomen, and is a surgery mode of taking out a surgery specimen through a natural cavity and completing anastomosis. This technique has evolved from the concept of natural cavity endoscopic surgery (natural transluminal endoscopic surgery, NOTES), which combines the unassisted incision and laparoscopic minimally invasive techniques of NOTES, with more and more widespread use in recent years.
Transrectal removal of specimens is the preferred option for NOSE surgery. Key steps for transrectal specimen removal: 1. freeing the intestinal canal to be resected, and ligating the intestinal canal by the sliver to prevent intestinal juice from flowing out; 2. the perineum doctor expands the anus to 4 fingers fully and washes the rectum fully; 3. inserting the toothed specimen bag grasper through the anus to about 4-5 cm above the residual rectum end; 4. a specimen protecting sleeve with the length of about 25cm is arranged in the Tromar through the main operation of the right lower abdomen, a sterile channel is established by drawing out the protecting sleeve from the anus, and a surgical specimen is arranged in the protecting sleeve and drawn out. In the operation process, in the prior art, the intestinal canal is ligated, a doctor is required to tie a knot with a sliver at the mouth of the intestinal canal directly under a laparoscope, the intestinal canal is often not completely ligated, and intestinal juice flows out to pollute the abdominal cavity; the doctor expands the anus (4 fingers) with fingers, and the anus expansion effect is poor; in addition, the sample protective sheath often is homemade, and the length is different, and the quality is relatively poor.
Disclosure of Invention
The present invention provides a laparoscopic kit which aims to solve the above-mentioned problems of the laparoscopic kit in the prior art.
The invention is realized in the following way:
a laparoscope kit, which comprises an anus dilatation flusher, a specimen bag, an intestinal ligator and a specimen bag grasping forceps;
the anus dilating flusher comprises an anus dilating head and a flushing balloon, wherein the flushing balloon is arranged at one end of the anus dilating head, and a flushing channel which is communicated with the other end of the anus dilating head from the flushing balloon is arranged in the anus dilating head;
the specimen bag comprises a storage bag and a pull head, a channel space is formed in the storage bag, the storage bag is fixedly connected with the pull head, and the pull head is arranged at one end of the channel space;
the intestinal tract ligator comprises a rubber ring body, wherein the inner ring of the rubber ring body is provided with a wire placing groove for accommodating and stabilizing a sliver, and the rubber ring body is provided with a fracture.
In one embodiment of the invention, the anus dilator is tapered, tapering from an end proximal to the irrigation balloon to an end distal from the irrigation balloon.
In one embodiment of the invention, the end of the irrigation channel remote from the irrigation balloon forms an irrigation port, the edge of the irrigation port having a smooth obtuse angle edge.
In one embodiment of the present invention, a flare is formed at an end of the storage bag away from the slider.
In one embodiment of the invention, a wire collecting sleeve is arranged at the end part of the bell mouth, the wire collecting sleeve is arranged at the end part of the open end of the bell mouth, a wire collecting wire is arranged in the wire collecting sleeve, one end of the wire collecting wire is fixedly connected with the object placing bag, and the other end of the wire collecting wire is wound around the bell mouth by the wire collecting sleeve and penetrates out of the wire collecting sleeve.
In one embodiment of the invention, an operation hole leading to the storage bag is arranged on the pull head, and friction lines are arranged outside the pull head.
In one embodiment of the invention, the specimen bag gripping forceps further comprise a holding end for holding and a forceps end for clamping, the holding end is provided with a lantern ring, the forceps end comprises a first forceps rod and a second forceps rod, one surface of the first forceps rod facing the second forceps rod is provided with friction teeth for being matched with the friction lines, and one surface of the second forceps rod facing the first forceps rod is provided with friction teeth for being matched with the friction lines.
In one embodiment of the invention, a threading hole is arranged at one end of the rubber ring body, which is far away from the fracture, and the threading hole is communicated with the wire placing groove and the outer annular wall of the rubber ring body.
In one embodiment of the invention, a blocking piece for blocking the threading hole is arranged at a position, close to the threading hole, of the outer ring of the rubber ring body, and the blocking piece is fixedly connected with the rubber ring body through a first adhesive tape.
In one embodiment of the present invention, the yarn further includes a sliver, the sliver includes a first line segment and a second line segment, the first line segment passes through the threading hole and extends to one side of the fracture along the wire placing groove, the first line segment is fixedly connected with a first connecting piece at the fracture, the second line segment passes through the threading hole and extends to the other side of the fracture along the wire placing groove, and the second line segment is fixedly connected with a second connecting piece at the fracture for connecting with the first connecting piece.
The beneficial effects of the invention are as follows: according to the laparoscope kit provided by the invention, the anus dilatation flusher can perform rectal flushing while dilatating the anus, has a better flushing effect, can replace fingers of doctors, and has a good anus dilatation effect. The intestinal tract ligator can be used for loosening knots at the position with less shielding of the sight under the laparoscope, so that the operation difficulty of a doctor is reduced, and then the ligature is pushed to the position to be knotted, so that the knotting effect is better. The channel space formed by the specimen bag is convenient for operation, and the opening of the object placing bag can be closed after the specimen is placed in the channel space, so that the smooth taking out of the specimen is ensured. The setting of specimen bag tongs can ensure that the whole process of specimen bags can not break away from control.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings that are needed in the embodiments will be briefly described below, it being understood that the following drawings only illustrate some examples of the present invention and therefore should not be considered as limiting the scope, and other related drawings may be obtained according to these drawings without inventive effort for a person skilled in the art.
FIG. 1 is a schematic view of a laparoscopic kit according to an embodiment of the present invention;
FIG. 2 is a cross-sectional view of an anus dilator in a laparoscopic kit provided by an embodiment of the present invention;
FIG. 3 is a schematic view of a specimen bag in a laparoscopic kit according to an embodiment of the present invention;
FIG. 4 is a schematic view of the structure of a specimen bag grasper in a laparoscopic kit provided by an embodiment of the present invention;
FIG. 5 is a schematic view showing an internal structure of a specimen bag in a laparoscopic kit according to a first embodiment of the present invention in a first knotting condition;
FIG. 6 is an enlarged partial view of area A of FIG. 5;
FIG. 7 is a schematic view of a specimen bag in a laparoscopic kit according to a second embodiment of the present invention;
FIG. 8 is a schematic view showing the internal structure of a specimen bag in a laparoscopic kit according to a second embodiment of the present invention;
FIG. 9 is a schematic view of the internal structure of the sliver of FIG. 8 after being threaded;
FIG. 10 is an enlarged partial view of region B of FIG. 9;
FIG. 11 is an enlarged partial view of region C of FIG. 9;
FIG. 12 is a schematic view showing an internal structure of a specimen bag in a laparoscopic kit according to a first embodiment of the present invention in a second knotting condition;
FIG. 13 is an enlarged partial view of region D of FIG. 12;
fig. 14 is a schematic view of a specimen bag grasper with an arcuate jaw end in an laparoscopic kit according to an embodiment of the present invention.
Icon: 001-anus dilator; 003-specimen bag; 005-specimen bag grasper; 007-intestinal ligator; 110, anus dilation; 111-flushing the channel; 130-flushing the balloon; 131-an externally threaded ring; 150-baffle plates; 210-placing a bag; 211-pulling wire; 230-a pull head; 231-rubbing lines; 310-holding end; 311-collar; 330-clamp end; 331-first clamp bar; 333-second clamp lever; 335-friction teeth; 400-rubber ring body; 410-fracture; 430-wiring groove; 450-occlusion; 451-a first strip of glue; 470-connecting fasteners; 471-fixed end; 473-connecting ends; 500-sliver; 501-loosening knots; 510-a first line segment; 511-a first connector; 530-a second line segment; 531-a second connector; 503-looping.
Detailed Description
For the purpose of making the objects, technical solutions and advantages of the embodiments of the present invention more apparent, the technical solutions of the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present invention, and it is apparent that the described embodiments are some embodiments of the present invention, but not all embodiments. All other embodiments, based on the embodiments of the invention, which are apparent to those of ordinary skill in the art without inventive faculty, are intended to be within the scope of the invention. Thus, the following detailed description of the embodiments of the invention, as presented in the figures, is not intended to limit the scope of the invention, as claimed, but is merely representative of selected embodiments of the invention. All other embodiments, based on the embodiments of the invention, which are apparent to those of ordinary skill in the art without inventive faculty, are intended to be within the scope of the invention.
In the description of the present invention, it should be understood that the terms "orientation" or "positional relationship" are based on the orientation or positional relationship shown in the drawings, and are merely for convenience of description and to simplify the description, rather than to indicate or imply that the apparatus or elements referred to must have a particular orientation, be constructed and operate in a particular orientation, and therefore should not be construed as limiting the invention.
In the present invention, unless explicitly specified and limited otherwise, the terms "mounted," "connected," "secured," and the like are to be construed broadly, and may be, for example, fixedly connected, detachably connected, or integrally formed; can be mechanically or electrically connected; can be directly connected or indirectly connected through an intermediate medium, and can be communicated with the inside of two elements or the interaction relationship of the two elements. The specific meaning of the above terms in the present invention can be understood by those of ordinary skill in the art according to the specific circumstances.
In the present invention, unless expressly stated or limited otherwise, a first feature may include first and second features directly contacting each other, either above or below a second feature, or through additional features contacting each other, rather than directly contacting each other. Moreover, the first feature being above, over, and on the second feature includes the first feature being directly above and obliquely above the second feature, or simply indicating that the first feature is higher in level than the second feature. The first feature being below, beneath, and beneath the second feature includes the first feature being directly below and obliquely below the second feature, or simply indicates that the first feature is less level than the second feature.
Example 1
The present embodiment provides a laparoscopic kit, please refer to fig. 1, 3, 4 and 6, which is used for minimally invasive laparoscopic surgery, including a series of devices for irrigation, sampling and ligation in minimally invasive laparoscopic surgery.
Such a laparoscopic kit includes an anus dilator 001, a specimen bag 003, and an intestinal ligator 007.
Anus-dilating flusher 001
Referring to fig. 1 and 2, the anus dilator 001 is used for fully irrigating the rectal cavity at the distal end of the stoma, reducing pollution during the operation, and facilitating the subsequent operation.
In this embodiment, the anus dilator 001 includes a anus dilator head 110 and a flushing balloon 130, the flushing balloon 130 is disposed at one end of the anus dilator head 110, and a flushing channel 111 leading from the flushing balloon 130 to the other end of the anus dilator head 110 is disposed in the anus dilator head 110. The anus dilator 110 is tapered, tapering from an end proximal to the irrigation balloon 130 to an end distal to the irrigation balloon 130.
The anus opening can be gradually expanded through the conical anus expansion head 110, so that the force application of cleaning personnel is facilitated, on the other hand, the conical anus expansion head 110 can reduce stimulation, and the force is dispersed, so that the skin at the anus is prevented from being torn.
In this embodiment, in order to avoid the anus dilator 110 from suddenly sliding into the anus, a baffle 150 is fixedly disposed at one end of the anus dilator 110 near the irrigation balloon 130, and the baffle 150 abuts against the hip muscle, so that the anus dilator 110 can be prevented from further entering the anus.
After the anus dilator 110 is advanced into the anus, it is necessary to perform irrigation by squeezing the irrigation balloon 130 so that the irrigation fluid in the irrigation balloon 130 is squeezed into the anus. The reservoir volume of the single irrigation balloon 130 is limited here, so that the irrigation balloon 130 is detachably connected to the anus dilator 110, and the irrigation balloon 130 is screwed to the anus dilator 110 here in order to ensure tightness. An external thread ring 131 is arranged at the liquid outlet end of the flushing balloon 130, and an internal thread for connecting with the external thread ring 131 is arranged at the end part of the flushing channel 111 of the anus dilator 110. This allows the single irrigation balloon 130 to be replaced with a new irrigation balloon 130 having irrigation fluid inside after the irrigation is completed.
Since the anus dilator 110 is provided with the irrigation channel 111, an irrigation port is formed at an end of the irrigation channel 111 remote from the irrigation balloon 130. To avoid the irrigation port forming a sharp port, a scratch is formed to the intestinal wall or muscle within the anus. The edge of the flushing port is polished to form a smooth obtuse angle edge.
Specimen bag 003
Referring to fig. 3, a specimen bag 003 includes a storage bag 210 and a pull head 230, a channel space is formed in the storage bag 210, the storage bag 210 is fixedly connected with the pull head 230, the pull head 230 is disposed at one end of the channel space, and a flare is formed at one end of the storage bag 210 far from the pull head 230. The storage bag 210 is made of ethylene material or other soft materials, and the formed bell mouth can be arranged outside the intestinal tract, so that surgical specimens can be conveniently placed into the specimen bag 003 in the surgical process.
In operation, the pull head 230 is plugged into the pull head 230 from the opening of the laparoscope Trocar, then the pull head 230 is clamped by the specimen bag grasping forceps 005 at the rectal cut end to pull towards the anus, so that the construction of a specimen channel is completed, the object placing bag 210 is pulled to the place where the intestinal part needs to be sampled, and the horn opening of the specimen bag 003 is arranged at a proper position. . After the storage bag 210 is pulled to a preset position, at this time, the surgical specimen which is cut off in advance is placed in the storage bag 210, the specimen bag 003 is closed by pulling the thread end, and then the whole specimen bag 003 is pulled out from the anus by pulling the pull head 230, so that the transrectal specimen can be taken out. In order to facilitate pulling the slider 230, control of the slider 230 is prevented from being lost during pulling, friction lines 231 are arranged outside the slider 230, and friction force between a tool for pulling the slider 230 and the slider 230 is increased.
In this embodiment, in order to avoid the specimen from sliding out of the storage bag 210, a wire winding sleeve is disposed at the end of the bell mouth of the storage bag 210, a wire winding collar 311 is disposed at the end of the open end of the bell mouth, a wire winding 211 is disposed in the wire winding sleeve, one end of the wire winding 211 is fixedly connected with the storage bag 210, and the other end is wound around the bell mouth by the wire winding sleeve and is penetrated out from the wire winding sleeve. After the specimen is properly placed, pulling the pull cord 211 closes the flare to place the specimen securely in the bag 210.
Specimen bag gripping tongs 005
Referring to fig. 4, in this embodiment, the laparoscopic kit further includes a specimen bag grasping forceps 005, the specimen bag grasping forceps 005 includes a holding end 310 for holding and a clamping end 330 for clamping, the holding end 310 is provided with a collar 311, the clamping end 330 includes a first clamp bar 331 and a second clamp bar 333, a face of the first clamp bar 331 facing the second clamp bar 333 is provided with friction teeth 335 for matching with the friction patterns 231, and a face of the second clamp bar 333 facing the first clamp bar 331 is provided with friction teeth 335 for matching with the friction patterns 231. While the ends of the first and second clamp bars 331 and 333 are provided as blunt ends to avoid puncturing the internal tissues of the body.
The specimen bag gripping pliers 005 can stably grip the pull head 230, so that the pull head 230 is prevented from losing control.
Referring to fig. 14, in other embodiments, the clamp end 330 may be provided with an arc shape to facilitate gripping of the slider 230.
The specimen bag grasping forceps 005 are grasping forceps with radian, the head end of the specimen bag grasping forceps 005 and the pull head 230 at the tail end of the specimen bag 003 are designed into a tenon-and-mortise structure, the biting force is larger, and the specimen bag grasping forceps are not easy to loosen.
Intestinal ligator 007
Referring to fig. 5 and 6, after the operation is completed, ligation is required to ligate the open position of the intestinal tract. The ligature strand 500 is now delivered to a preset position for ligation using the intestinal ligator 007.
The intestinal ligator 007 comprises a rubber ring body 400, the rubber ring body 400 is made of silica gel, the inner ring of the rubber ring body 400 is provided with a wire placing groove 430 for accommodating and stabilizing the sliver 500, and the rubber ring body 400 is provided with a fracture 410. The rubber ring body 400 at two ends of the fracture 410 is pulled from the fracture 410, so that the gap can be enlarged. After the notch at the fracture 410 is enlarged, the rubber ring body 400 can be conveniently sleeved outside the intestines on one hand, and on the other hand, the rubber ring body 400 can linearly enter the abdomen from the opening of the abdomen, so that the rubber ring body 400 with enough size can be plugged through a small opening. The rubber ring body 400 returns to a ring shape due to the elasticity of the silica gel after losing the pulling force.
When the rubber ring body 400 has only the break 410, the thread end of the sliver 500 for ligating the intestinal tract may be protruded from the break 410. The specific application method comprises the following steps:
1. the middle section of the sliver 500 is accommodated in the wire accommodating groove 430, and the thread ends at the two ends extend out from the fracture 410;
2. stretching the rubber ring body 400 from the fracture 410, so that one end of the fracture 410 of the rubber ring body 400 enters the abdominal cavity first, and then slowly pushing the whole rubber ring body 400 into the abdominal cavity, wherein the sliver 500 also enters the abdominal cavity together;
3. the rubber ring body 400 is sent to the position where the end part of the intestinal tract is easy to operate, and the port is broken off, so that the rubber ring body 400 is sleeved on the intestinal tract;
4. loosening the thread end at the break 410 to form a knot 501;
5. the rubber ring body 400 is pushed to the position of the intestinal tract to be knotted, the thread ends are pulled, the knots 501 are loosened to be tightened to form dead knots, and the knotting is completed.
The pre-knot may be additionally provided as a knot tying method shown in fig. 12 and 13:
1. the middle section of the sliver 500 is accommodated in the wire accommodating groove 430, and the thread ends at the two ends extend out from the fracture 410;
2. one of the thread ends is provided with a knot 503;
3. stretching the rubber ring body 400 from the fracture 410, so that one end of the fracture 410 of the rubber ring body 400 enters the abdominal cavity first, and then slowly pushing the whole rubber ring body 400 into the abdominal cavity, wherein the sliver 500 also enters the abdominal cavity together;
4. the rubber ring body 400 is sent to the position where the end part of the intestinal tract is easy to operate, and the port is broken off, so that the rubber ring body 400 is sleeved on the intestinal tract;
5. pushing the rubber ring body 400 to the position to be knotted in the intestinal tract;
6. the thread ends without the knot 503 are stretched into the knot 503, and the thread ends without the knot 503 are pulled to finish knotting.
It should be noted that, in this embodiment, only two knotting modes are described, and other various knotting modes can be applied, and the intestinal ligator 007 provided by the present invention is aimed at providing a container foundation capable of fixing the sliver 500, and guiding the sliver 500 provided with the pre-knot to the pre-knotting position, so as to facilitate the operator to complete the knotting.
According to the laparoscope kit provided by the invention, the anus-dilating flusher 001 can perform rectal flushing while dilating anus, has better flushing effect, can replace fingers of doctors, and has good anus-dilating effect. The intestinal ligator 007 enables the knot 501 to be loosened for the position with less shielding of the sight under the laparoscope, reduces the operation difficulty of a doctor, and is pushed to the position to be knotted for knot tying, so that the knot tying effect is better. The channel space formed by the specimen bag 003 is convenient for operation, and the opening of the object placing bag 210 can be closed after the specimen is placed, so that the specimen can be taken out smoothly. The setting of specimen bag tongs 005 can guarantee that specimen bag 003 whole process can not break away from control.
Example two
Referring to fig. 7, 8 and 9, the laparoscopic kit provided in the present embodiment is different from the laparoscopic kit provided in the first embodiment only in the intestinal ligator 007.
The rubber ring body 400 is further provided with a threading hole at one end far away from the fracture 410, and the threading hole is communicated with the wire placing groove 430 and the outer annular wall of the rubber ring body 400.
A threading hole may be used for the passage of the two ends of sliver 500.
Referring to fig. 9, 10 and 11, the intestinal ligator 007 further comprises a dedicated sliver 500, the sliver 500 comprises a first segment 510 and a second segment 530, the first segment 510 extends to one side of the break 410 along the wire placing slot 430 through the threading hole, the first segment 510 is fixedly connected with the first connecting member 511 at the break 410, the second segment 530 extends to the other side of the break 410 along the wire placing slot 430 through the threading hole, and the second segment 530 is fixedly connected with the second connecting member 531 for connecting with the first connecting member 511 at the break 410.
In this embodiment, the second connection member 531 is an end hard ring, and the second connection member 531 is an end hard hook, and when the end hard hook hooks the end hard ring, the first wire segment 510 and the second wire segment 530 are connected to form a whole set of sliver 500.
Further, a blocking member 450 for blocking the threading hole is disposed at a position of the outer ring of the rubber ring body 400 close to the threading hole, a first adhesive tape 451 is integrally formed on the rubber ring body 400, and a free end of the first adhesive tape 451 is integrally formed with the blocking member 450.
When the blocking piece 450 blocks the threading hole, the sliver 500 can be tightly attached between the blocking piece 450 and the inner wall of the threading hole, so that friction force is increased, and the sliver 500 is prevented from being pulled out due to friction of intestinal tracts.
The method of using such an intestinal ligator 007 differs from the intestinal ligator 007 described above in that: after the first line segment 510 and the second line segment 530 are respectively disposed on two sides of the break 410, the thread end of the first line segment 510 extending out of the threading hole is tied into a loose knot 501 in cooperation with the thread end of the second line end extending out of the threading hole. As in the embodiment, the rubber ring body 400 is sleeved on the intestinal canal through the fracture 410, then the first connecting piece 511 and the second connecting piece 531 are matched, at this time, the second line segment 530 can be pulled to enable the first connecting piece 511 and the second connecting piece 531 to be pulled out from the threading hole, and at this time, only the first line segment 510 is arranged in the whole rubber ring body 400. Then pushing the rubber ring body 400 to the position to be knotted, and knotting the rubber ring body in an embodiment.
In other embodiments, the position of the outer ring of the rubber ring body 400, which is close to the fracture 410, is further provided with a connecting fastener 470 at the fracture 410, the connecting fastener 470 includes a fixed end 471 and a connecting end 473, the fixed end 471 and the rubber ring body 400 are fixedly connected to one side of the fracture 410, the connecting end 473 and the fixed end 471 are connected through a second adhesive tape, and a connecting groove for accommodating the connecting end 473 is provided on the other side of the fracture 410.
It can be further ensured that the rubber ring body 400 remains annular.
Through the intestinal ligator 007 provided by the invention, a doctor can loosen the knot 501 at a position with less shielding of the sight under the laparoscope, the operation difficulty of the doctor is reduced, and then the ligator is pushed to the position to be knotted for knotting, so that the knotting effect is better.
The above description is only of the preferred embodiments of the present invention and is not intended to limit the present invention, and various modifications and variations may be made to the present invention by those skilled in the art. Any modification, equivalent replacement, improvement, etc. made within the spirit and principle of the present invention should be included in the protection scope of the present invention.
Claims (5)
1. The celioscope suite is characterized by comprising an anus dilatation flusher, a specimen bag, an intestinal tract ligator and a specimen bag grasping forceps;
the anus dilating flusher comprises an anus dilating head and a flushing balloon, wherein the flushing balloon is arranged at one end of the anus dilating head, and a flushing channel which is communicated with the other end of the anus dilating head from the flushing balloon is arranged in the anus dilating head;
the specimen bag comprises a storage bag and a pull head, a channel space is formed in the storage bag, the storage bag is fixedly connected with the pull head, the pull head is arranged at one end of the channel space, an operation hole leading to the storage bag is formed in the pull head, and friction lines are arranged outside the pull head;
the intestinal tract ligator comprises a rubber ring body, wherein the inner ring of the rubber ring body is provided with a wire placing groove for accommodating and stabilizing a sliver, and the rubber ring body is provided with a fracture;
the specimen bag grasping forceps comprise a holding end for holding and a forceps end for clamping, wherein the holding end is provided with a lantern ring, the forceps end comprises a first forceps rod and a second forceps rod, one surface of the first forceps rod, which faces the second forceps rod, is provided with friction teeth for being matched with friction lines, and one surface of the second forceps rod, which faces the first forceps rod, is provided with friction teeth for being matched with the friction lines; the specimen bag grabbing clamp is a grabbing clamp with radian, and the head end of the specimen bag grabbing clamp and the pull head at the tail end of the specimen bag are of a mortise and tenon structure;
a threading hole is formed in one end, far away from the fracture, of the rubber ring body, and the threading hole is communicated with the wire placing groove and the outer annular wall of the rubber ring body;
a blocking piece for blocking the threading hole is arranged at the position, close to the threading hole, of the outer ring of the rubber ring body, and the blocking piece is fixedly connected with the rubber ring body through a first adhesive tape;
the laparoscope external member further comprises a sliver, the sliver comprises a first line segment and a second line segment, the first line segment penetrates through the threading hole and extends to one side of the fracture along the wire placing groove, the first line segment is fixedly connected with a first connecting piece at the fracture, the second line segment penetrates through the threading hole and extends to the other side of the fracture along the wire placing groove, and the second line segment is fixedly connected with a second connecting piece which is used for being connected with the first connecting piece at the fracture.
2. The laparoscopic kit of claim 1, wherein said anus dilator is tapered from an end proximal to said irrigation balloon to an end distal from said irrigation balloon.
3. The laparoscopic kit of claim 1, wherein an end of said irrigation channel remote from said irrigation balloon forms an irrigation port, an edge of said irrigation port having a smooth obtuse angle edge.
4. The laparoscopic kit of claim 1, wherein an end of said pocket remote from said pull head forms a flare.
5. The laparoscopic kit according to claim 4, wherein a wire receiving sleeve is arranged at the end of the bell mouth, the wire receiving sleeve is arranged at the end of the open end of the bell mouth, a wire receiving and pulling wire is arranged in the wire receiving sleeve, one end of the wire receiving and pulling wire is fixedly connected with the object placing bag, and the other end of the wire receiving and pulling wire is wound around the bell mouth by the wire receiving sleeve and penetrates out of the wire receiving sleeve.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810560467.XA CN108542437B (en) | 2018-05-31 | 2018-05-31 | Laparoscope suite for taking out transrectal specimen |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810560467.XA CN108542437B (en) | 2018-05-31 | 2018-05-31 | Laparoscope suite for taking out transrectal specimen |
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| CN108542437B true CN108542437B (en) | 2023-12-15 |
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Citations (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| RU2181263C1 (en) * | 2000-09-27 | 2002-04-20 | Донецкий областной противоопухолевый центр | Method to protect transplant against damage at bringing down during abdominal-anal rectal resection |
| CA2410279A1 (en) * | 2002-09-30 | 2004-03-30 | Gates Automation, Inc. | Flange alignment and grasping assembly for bag handling apparatus |
| CN204073066U (en) * | 2014-09-29 | 2015-01-07 | 古飞 | Pediatric anus expender |
| CN105536125A (en) * | 2016-02-24 | 2016-05-04 | 吴大强 | Anal dilatation device for departments of pediatrics |
| WO2016100810A2 (en) * | 2014-12-18 | 2016-06-23 | Beacon Surgical Instruments, Llc | Extractor device for specimen retrieval bag, method of use, method of treatment, and kit |
| WO2016168865A1 (en) * | 2015-03-06 | 2016-10-20 | Beacon Surgial, Llc | Surgical instrument including side-activation mechanism, layered specimen retrieval gag, method of use and kit |
| CN107095712A (en) * | 2017-06-03 | 2017-08-29 | 成都五义医疗科技有限公司 | A kind of specimen bag with spiral draw ring takes sundries tool and its application method |
| WO2017181878A1 (en) * | 2016-04-18 | 2017-10-26 | 周星 | Object fetching bag for endoscope |
| WO2017222262A1 (en) * | 2016-06-20 | 2017-12-28 | 김진성 | Tissue extraction device for laparoscopic surgery |
| CN208769845U (en) * | 2018-05-31 | 2019-04-23 | 上海市东方医院 | A kind of laparoscope external member that per rectum sample takes out |
Family Cites Families (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| KR100898829B1 (en) * | 2007-08-06 | 2009-05-22 | 문화숙 | Endo-bag for a surgery using endoscope |
| US11357955B2 (en) * | 2011-09-01 | 2022-06-14 | Boston Scientific Scimed, Inc. | Devices, systems, and related methods for delivery of fluid to tissue |
-
2018
- 2018-05-31 CN CN201810560467.XA patent/CN108542437B/en active Active
Patent Citations (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| RU2181263C1 (en) * | 2000-09-27 | 2002-04-20 | Донецкий областной противоопухолевый центр | Method to protect transplant against damage at bringing down during abdominal-anal rectal resection |
| CA2410279A1 (en) * | 2002-09-30 | 2004-03-30 | Gates Automation, Inc. | Flange alignment and grasping assembly for bag handling apparatus |
| CN204073066U (en) * | 2014-09-29 | 2015-01-07 | 古飞 | Pediatric anus expender |
| WO2016100810A2 (en) * | 2014-12-18 | 2016-06-23 | Beacon Surgical Instruments, Llc | Extractor device for specimen retrieval bag, method of use, method of treatment, and kit |
| WO2016168865A1 (en) * | 2015-03-06 | 2016-10-20 | Beacon Surgial, Llc | Surgical instrument including side-activation mechanism, layered specimen retrieval gag, method of use and kit |
| CN105536125A (en) * | 2016-02-24 | 2016-05-04 | 吴大强 | Anal dilatation device for departments of pediatrics |
| WO2017181878A1 (en) * | 2016-04-18 | 2017-10-26 | 周星 | Object fetching bag for endoscope |
| WO2017222262A1 (en) * | 2016-06-20 | 2017-12-28 | 김진성 | Tissue extraction device for laparoscopic surgery |
| CN107095712A (en) * | 2017-06-03 | 2017-08-29 | 成都五义医疗科技有限公司 | A kind of specimen bag with spiral draw ring takes sundries tool and its application method |
| CN208769845U (en) * | 2018-05-31 | 2019-04-23 | 上海市东方医院 | A kind of laparoscope external member that per rectum sample takes out |
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|---|---|
| CN108542437A (en) | 2018-09-18 |
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