CN109223067A - A kind of spermatic duct anastomosing operation drawing clamping external member and its method - Google Patents

A kind of spermatic duct anastomosing operation drawing clamping external member and its method Download PDF

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Publication number
CN109223067A
CN109223067A CN201710555715.7A CN201710555715A CN109223067A CN 109223067 A CN109223067 A CN 109223067A CN 201710555715 A CN201710555715 A CN 201710555715A CN 109223067 A CN109223067 A CN 109223067A
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CN
China
Prior art keywords
support arm
external member
positioning chassis
elastomeric cords
clamping external
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
CN201710555715.7A
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Chinese (zh)
Inventor
黄盛松
朱子奇
徐成党
相俊
乐威
张琪敏
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 Tongji Hospital
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Shanghai Tongji 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 Tongji Hospital filed Critical Shanghai Tongji Hospital
Priority to CN201710555715.7A priority Critical patent/CN109223067A/en
Publication of CN109223067A publication Critical patent/CN109223067A/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
    • A61B17/02Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • A61G13/10Parts, details or accessories
    • A61G13/101Clamping means for connecting accessories to the operating table
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B2017/1132End-to-end connections

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

Abstract

The invention discloses a kind of spermatic duct anastomosing operation drawing clamping external members and its method, including a positioning chassis, several traction drag hooks and a clamp assemblies, positioning chassis is by upper, lower two semicircular rings and intermediate connector mutually splice integrally, the diameter of upper half annulus is greater than the diameter of lower half annulus, and the circumferentially-spaced of positioning chassis is equipped with multiple Y shape card slots, bottom surface is equipped with adhesive sheet, drawing drag hook includes elastomeric cords, gib head set on elastomeric cords front end, by being formed by knots tied in the card knot on elastomeric cords, clamp assemblies include a support arm, support arm lower end is equipped with fixed holder, support arm upper end is equipped with a mounting rod, mounting rod is equipped with a pair of clamp to clamping two broken ends of fractured bone of vas deferens respectively.While drawing clamping external member guarantee surgical field of view exposure is clear, the stability of vas deferens broken ends of fractured bone when increasing operation, tissue damage caused by reduction is shifted because of vas deferens, and operating time can be shortened.

Description

A kind of spermatic duct anastomosing operation drawing clamping external member and its method
Technical field
The present invention relates to prostate biopsy ancillary equipments, more specifically refer to a kind of spermatic duct anastomosing operation drawing clamping External member and its method.
Background technique
Spermatic duct anastomosing operation needs to be operated under the microscope, due to field of microscope very little, once it shakes Or it is mobile, it will cause beyond field of microscope, lead to surgical error, tissue damage, it is therefore, disconnected for vas deferens two The requirement that is fixedly clamped at end is very high.In addition, spermatic duct anastomosing operation notch also very little, pulls open and fixes requirement for notch It is very high, it is generally the case that spermatic duct anastomosing operation notch is not required to very big traction force, only under a few special, such as lesion position Higher, narrow range is longer etc. is set, just needs to increase tractive force, and current drawing notch is led using mechanical hardness Device is drawn, structure is not only complicated, and is easy to cause incision tissue under normal conditions certain damage.
Summary of the invention
The purpose of the present invention is in view of the foregoing drawbacks, propose that a kind of spermatic duct anastomosing operation drawing clamps external member and its side Method, can be while guaranteeing that surgical field of view exposure is clear, and the stability of vas deferens broken ends of fractured bone when can increase operation is reduced because of semen deposition Tissue damage caused by pipe shifts.
To achieve the goals above, the present invention uses following technical scheme.
On the one hand, a kind of spermatic duct anastomosing operation drawing clamping external member, including a positioning chassis, several traction drag hooks and One clamp assemblies, positioning chassis are mutually spliced integrally by upper and lower two semicircular rings and intermediate connector, the diameter of upper half annulus Multiple Y shape card slots are equipped with greater than the diameter of lower half annulus, and in the circumferentially-spaced of entire positioning chassis, positioning chassis bottom surface is equipped with Adhesive sheet, traction drag hook include elastomeric cords, set on the gib head of elastomeric cords front end, by being formed by knots tied on elastomeric cords Card knot, elastomeric cords drawing are arranged in corresponding Y shape card slot and are fixed by card knot, and clamp assemblies include a support arm, branch Brace lower end is equipped with fixed holder, and support arm upper end is equipped with a mounting rod, and mounting rod is equipped with a pair respectively to clamping semen deposition The clamp of two broken ends of fractured bone of pipe.
The support arm is designed as the structure being connected between several sections by gimbal suspension.
The clamp sliding is set on mounting rod, and is fixed by fastener.
The positioning chassis is rigid plastics.
The elastomeric cords are silica gel.
On the other hand, a kind of to accommodate method using the spermatic duct anastomosing operation drawing of drawing clamping external member, feature exists In, comprising the following steps:
A. positioning chassis is pasted at patient's lower abdomen;
B. notch is caught on respectively using gib heads of several traction drag hooks, and pulled to two sides different directions, and by bullet Property drag-line the other end be caught in corresponding Y shape card slot and be fixed by the card knot being formed by knots tied;
C. the distance between angle and two clamps of support arm are adjusted, and two clamps are clamped into two broken ends of fractured bone of vas deferens simultaneously It is fixed.
In above-mentioned technical proposal of the invention, using spermatic duct anastomosing operation of the invention drawing clamping external member and its Method has several advantages that
1. can adapt to the drawing of most spermatic duct anastomosing operation notch by way of elastomeric cords and drag hook, reduce Damage to tissue.
2. can carry out effectively fixing to the vas deferens broken ends of fractured bone by clamp, the relative distance of two broken ends of fractured bone is kept, ensure that aobvious Displacement will not be generated when micro- surgical procedure.
3. support arm is designed using gimbal suspension, clamp can be allow in the various angle clamping vas deferens broken ends of fractured bone, conveniently Surgical procedure.
4. positioning chassis provides fixed position for elastomeric cords, and is made of rigid plastics, low in cost, can be used as Disposable products use, and top major diameter is designed as operation and provides the good visual field, and lower small diameter design meets male's yin Portion's shape facilitates operation.
Detailed description of the invention
Fig. 1 is the structural schematic diagram of positioning chassis of the invention;
Fig. 2 is the structural schematic diagram of traction drag hook of the invention;
Fig. 3 is the use state diagram of positioning chassis of the invention;
Fig. 4 is the structural schematic diagram of clamp assemblies of the invention;
Fig. 5 is the use state diagram of clamp assemblies of the invention.
Specific embodiment
Technical solution of the present invention is further illustrated with reference to the accompanying drawing.
Spermatic duct anastomosing operation of the invention as shown in fig. 1~fig. 5, is mainly used in vas deferens kiss with drawing clamping external member Close auxiliary when operation, it can also be used to the microsurgical procedures such as vasoepididymostomy, spermatic vein ligation a comprising positioning Chassis 1, several traction drag hooks 2 and a clamp assemblies 3, positioning chassis 1 is by upper and lower two semicircular rings 11,12 and intermediate connector 13 mutually splicings are integral, and the diameter of upper half annulus 11 is greater than the diameter of lower half annulus 12, and top major diameter is designed as operation and mentions For the good visual field, lower small diameter design can meet male genitals shape, facilitate operation, and in entire positioning chassis 1 It is circumferentially-spaced be equipped with multiple Y shape card slots 14, in addition, 1 bottom surface of positioning chassis be equipped with adhesive sheet (not shown), to fixation In patient's lower abdomen.Draw drag hook 2 include elastomeric cords 21, set on the gib head 22 of 21 front end of elastomeric cords, by being formed by knots tied In the card knot 23 on elastomeric cords 21, the drawing of elastomeric cords 21 is arranged in corresponding Y shape card slot 14 and fixed by card knot 23. Clamp assemblies 3 include a support arm 31, and 31 lower end of support arm is equipped with fixed holder 32, can be used to be fixed on leading for operating bed side On rail, or it is directly anchored to the side of positioning chassis 1,31 upper end of support arm is equipped with a mounting rod 34, and mounting rod 34 is equipped with A pair of clamp 33 to clamping two broken ends of fractured bone 5 of vas deferens respectively.
As one embodiment, the support arm 31 is designed as the structure being connected between several sections by gimbal suspension 35, It is able to carry out the adjustment of various angles, and is fixed, to may make clamp 33 disconnected in various angle clamping vas deferens End 5, facilitates surgical procedure.
As one embodiment, the mounting rod 32 is equipped with sliding slot 36, and the sliding of clamp 33 is set on mounting rod 32 It in sliding slot 36, and is fixed by fastener (being shown in figure), can so be adjusted according to the actual situation between two clamps 33 Distance.
As one embodiment, the materials such as rigid plastics are can be used in the positioning chassis 1, cheap, are alternatively arranged as Disposable product.
As one embodiment, the materials such as silica gel are can be used in the elastomeric cords 21, are had elasticity well, are conducive to To the drawing of wound, and traction force is smaller, will not cause to damage to wound.
In use, positioning chassis 1 is first pasted onto patient's lower abdomen, using the hook of several tractions drag hook 2 (general four) First 22 catch on notch 4 respectively and are pulled to two sides different directions, and the other end of elastomeric cords 21 is caught in corresponding Y shape Be fixed in card slot 14 and by the card knot 23 being formed by knots tied, then angle by adjusting support arm 31 and two clamps 33 it Between distance so that two clamps 33 clamp two broken ends of fractured bone 5 of vas deferens and fixed, and then can be carried out at anastomosis operation in microscope Reason.
Those of ordinary skill in the art it should be appreciated that more than embodiment be intended merely to illustrate the present invention, And be not used as limitation of the invention, as long as the change in spirit of the invention, to embodiment described above Change, modification will all be fallen within the scope of claims of the present invention.

Claims (6)

1. a kind of spermatic duct anastomosing operation drawing clamping external member, it is characterised in that: including a positioning chassis, several traction drag hooks And clamp assemblies, positioning chassis are mutually spliced integrally by upper and lower two semicircular rings and intermediate connector, upper half annulus it is straight Diameter is greater than the diameter of lower half annulus, and is equipped with multiple Y shape card slots in the circumferentially-spaced of entire positioning chassis, and positioning chassis bottom surface is set Have an adhesive sheet, traction drag hook include elastomeric cords, set on the gib head of elastomeric cords front end, by being formed by knots tied on elastomeric cords Card knot, elastomeric cords drawing is arranged in corresponding Y shape card slot and fixed by card knot, and clamp assemblies include a support arm, Support arm lower end is equipped with fixed holder, and support arm upper end is equipped with a mounting rod, and mounting rod is equipped with a pair respectively to clamping defeated The clamp of two broken ends of fractured bone of spermaduct.
2. spermatic duct anastomosing operation as described in claim 1 drawing clamping external member, it is characterised in that: the support arm is set It is calculated as the structure being connected between several sections by gimbal suspension.
3. spermatic duct anastomosing operation as described in claim 1 drawing clamping external member, it is characterised in that: the clamp sliding It is fixed on mounting rod, and through fastener.
4. spermatic duct anastomosing operation as described in claim 1 drawing clamping external member, it is characterised in that: the positioning chassis For rigid plastics.
5. spermatic duct anastomosing operation as described in claim 1 drawing clamping external member, it is characterised in that: the elastomeric cords For silica gel.
6. a kind of accommodate method using the spermatic duct anastomosing operation as described in claim 1 drawing of drawing clamping external member, It is characterized in that, comprising the following steps:
A. positioning chassis is pasted at patient's lower abdomen;
B. notch is caught on using the gib head of several traction drag hooks respectively, and is pulled to two sides different directions, and elasticity is drawn The other end of rope is caught in corresponding Y shape card slot and is fixed by the card knot being formed by knots tied;
C. the distance between angle and two clamps of support arm are adjusted, and two clamps are clamped into two broken ends of fractured bone of vas deferens and are consolidated It is fixed.
CN201710555715.7A 2017-07-10 2017-07-10 A kind of spermatic duct anastomosing operation drawing clamping external member and its method Pending CN109223067A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201710555715.7A CN109223067A (en) 2017-07-10 2017-07-10 A kind of spermatic duct anastomosing operation drawing clamping external member and its method

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201710555715.7A CN109223067A (en) 2017-07-10 2017-07-10 A kind of spermatic duct anastomosing operation drawing clamping external member and its method

Publications (1)

Publication Number Publication Date
CN109223067A true CN109223067A (en) 2019-01-18

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Citations (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4274398A (en) * 1979-05-14 1981-06-23 Scott Jr Frank B Surgical retractor utilizing elastic tubes frictionally held in spaced notches
CN2115769U (en) * 1992-01-13 1992-09-16 缪成松 Multi-function anastomat for tubes and vessels of human body
US20050171404A1 (en) * 2004-01-08 2005-08-04 Mische Hans A. Surgical retractor having suture control features
CN2855335Y (en) * 2005-09-13 2007-01-10 张辉 Operation retractor fixer
CN103519854A (en) * 2013-10-18 2014-01-22 王云和 Skin draw hook retractor fixing device for operations
CN203815507U (en) * 2013-10-18 2014-09-10 王云和 Skin draw hook retraction fixer for operation
CN204033397U (en) * 2014-09-08 2014-12-24 李敏 Gynecilogical operation pulling device
CN204318961U (en) * 2014-12-18 2015-05-13 温州医科大学附属第一医院 The intestinal canal anastomosis auxiliary device of a kind of rat
CN205181408U (en) * 2015-12-21 2016-04-27 孙全霞 Operation drag hook used in department of gynaecology and obstetrics
CN106618648A (en) * 2016-10-20 2017-05-10 无锡市人民医院 Minitype universal surgical drag hook
CN208464153U (en) * 2017-07-10 2019-02-05 上海市同济医院 A kind of spermatic duct anastomosing operation drawing clamping external member

Patent Citations (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4274398A (en) * 1979-05-14 1981-06-23 Scott Jr Frank B Surgical retractor utilizing elastic tubes frictionally held in spaced notches
CN2115769U (en) * 1992-01-13 1992-09-16 缪成松 Multi-function anastomat for tubes and vessels of human body
US20050171404A1 (en) * 2004-01-08 2005-08-04 Mische Hans A. Surgical retractor having suture control features
CN2855335Y (en) * 2005-09-13 2007-01-10 张辉 Operation retractor fixer
CN103519854A (en) * 2013-10-18 2014-01-22 王云和 Skin draw hook retractor fixing device for operations
CN203815507U (en) * 2013-10-18 2014-09-10 王云和 Skin draw hook retraction fixer for operation
CN204033397U (en) * 2014-09-08 2014-12-24 李敏 Gynecilogical operation pulling device
CN204318961U (en) * 2014-12-18 2015-05-13 温州医科大学附属第一医院 The intestinal canal anastomosis auxiliary device of a kind of rat
CN205181408U (en) * 2015-12-21 2016-04-27 孙全霞 Operation drag hook used in department of gynaecology and obstetrics
CN106618648A (en) * 2016-10-20 2017-05-10 无锡市人民医院 Minitype universal surgical drag hook
CN208464153U (en) * 2017-07-10 2019-02-05 上海市同济医院 A kind of spermatic duct anastomosing operation drawing clamping external member

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Application publication date: 20190118