CN110368066A - A kind of novel anal fistula wire tensioning device - Google Patents

A kind of novel anal fistula wire tensioning device Download PDF

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Publication number
CN110368066A
CN110368066A CN201910756876.1A CN201910756876A CN110368066A CN 110368066 A CN110368066 A CN 110368066A CN 201910756876 A CN201910756876 A CN 201910756876A CN 110368066 A CN110368066 A CN 110368066A
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China
Prior art keywords
line
tensioning device
wire tensioning
biology
silica
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CN201910756876.1A
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Chinese (zh)
Inventor
王业皇
章阳
吴燕兰
吴俊辉
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Nanjing Hospital of TCM
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Nanjing Hospital of TCM
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Priority to CN201910756876.1A priority Critical patent/CN110368066A/en
Publication of CN110368066A publication Critical patent/CN110368066A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12009Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/3205Excision instruments
    • A61B17/32056Surgical snare instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/84Drainage tubes; Aspiration tips
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M2210/00Anatomical parts of the body
    • A61M2210/10Trunk
    • A61M2210/1042Alimentary tract
    • A61M2210/1067Anus

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Vascular Medicine (AREA)
  • Reproductive Health (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Media Introduction/Drainage Providing Device (AREA)

Abstract

The present invention discloses a kind of novel anal fistula wire tensioning device, and the wire tensioning device includes elastic biological line and locking member, and the locking member is used to shrink at the both ends of biology line and tighten;The biology line is set as hollow, and several pin hole sample leak are distributed in the surface of the biology line, and the pin hole sample leak is communicated with the hollow parts of biology line, and several pin hole sample leak are not distributed in the same face of biology line.The present invention can reach analgesic effect during stringing.

Description

A kind of novel anal fistula wire tensioning device
Technical field
The present invention relates to wire tensioning devices, and in particular to a kind of novel anal fistula wire tensioning device.
Background technique
High complex anal fistula is one of Colon and rectum surgery refractory disease, and in China, the disease incidence of anal fistula accounts for anal intestine disease The 1.7-3.6% of number of the infected, and external disease incidence is 8.6/10 ten thousand people, wherein high complex anal fistula patient accounts for about whole anuses The 10% of fistula.Operation is the main means for treating high complex anal fistula at present, but Postoperative recurrent rate is still higher.Therefore, high-order multiple The treatment of polygamy anal fistula is that the difficult problems of puzzlement anorectum department doctor consider controlling for high complex anal fistula according to clinical practice It treats difficulty to be, protection anal function and reduction recurrence rate are a pair of contradiction mutually restricted always.Although clinically each at present Kind Operation of Remaining Musculus Sphincter art formula, as AFP filling art, fibrin percutaneous transcatheter closure and video assist lower Operation of Remaining Musculus Sphincter minimally-invasive treatment art formula (VAAFT) etc. start to be widely applied in the treatment of anal fistula, but therapeutic effect is still not ideal enough, at present high complex anal fistula Still using traditional incision hanging wire art as essential therapeutic arsenals, but there are still hanging wire wire rods too to fall behind, and stringing step is too cumbersome, Patient's pain is heavier when stringing, after stringing, therefore the foundation of good anal fistula seton, stringing scheme, and love wound, painless idea are mesh One of the research hotspot of preceding anal fistula.
In recent years, although ligating method for treating anal fistula is improved to a certain extent, clinical manipulation demand it is not able to satisfy still, such as Anus keyhole sample deformity caused by annular cutting, postoperative stringing are insufficient etc. to patient's bring great pain and drainage.Chen Yu The researching and designings alignment thread-ligating therapy such as root changes the stress side of required cutting tissue by being placed in tough matter leather packing below intramuscular To the active force of four circumferential heartcuts is become directional cutting from top to bottom.But for clinical practice operation, in muscle Distal end is encased inside leather packing, easily causes excrement to remain at leather packing after defecation, and cleaning is relatively complicated, and chronic inflammatory stimulation can cause vacation Property healing;And leather packing is easily embedded in cutting intramuscular after stringing, easily causes sphincterismus, there is constant pain discomfort in patient.Rubber Rubber band is the most common material of currently most used hanging wire, and the rubber band of many persons separate sources carries out seton treatment, such as General Purpose Rubber circle or surgical glove rubber ring, but materials variances is huge, can not be standardized due to using, report Result comparison it is poor.
At present ligating method for treating anal fistula there are the problem of:
1, the selection of hanging wire material not enough standardizes: the material of the hanging wire of clinical application at present is mainly silk thread and rubber band, or The combination of medical fluid and silk thread has no obvious development in recent years, although the application of medicated thread alleviates hanging wire to trouble to a certain extent Person's bring pain, but these are inappreciable for the pain of anal fistula patient itself, and the drug that medicated thread uses is more For toxic medicament, operating specification limits the use for rotten medicine of dispelling.For the rubber band and rubber gloves that are commonly used, Its intensity, anti-oxidant poor, surface of a wound hanging wire position is in wet environment, and the time is slightly long then to easily lead to rubber band oxidation, in stringing In the process because aging is broken, in addition, rubber band is without analgesic effect.It takes a broad view contemporary materialogy expert and it is lacked to the research of hanging wire material Again few, the development of a variety of composite materials is still blank at present.
2, the fine function of anus cannot be protected: although cutting ligating method for treating anal fistula theoretically can it is impaired to avoid anal function, The risk of incontinence of faces, but some patientss still have different degrees of anal function damage.Christeasen etc. the study found that Although ligating method for treating anal fistula is high-order through sphincter anal fistula in treatment, more satisfactory in terms of improving cure rate and reducing recurrence rate, The long term of patient anus sphincter function is assessed and pessimistic, there is 62% patient different degrees of anus self-control function occur Decline.Therefore external to reduce the damage to anus using drainage hanging wire is empty hanging wire, it only used drawing for tradition cutting hanging wire Principle is flowed, anal sphincter is not cut off, protects the function of anus to greatest extent, but from the point of view of Long-term, control Therapeutic effect is unsatisfactory, and recurrence rate is higher.There is document report using the cure rate of empty seton treatment high anal fistula only in 20- Between 40%, although also obviously not risen using other methods, cure rates such as biological fibrin glues simultaneously.
3, postoperative pain is more significant: postoperative stringing process is too cumbersome, when stringing, after stringing, since rubber band is to group The dissection knitted, it is that ordinary person can not imagine that the pain generated is heavier.Especially dressing and when stringing, patient often fears Fear dressing, query is generated to modern medical service level.
4, the operation standard of stringing is difficult to standardize: although ligating method for treating anal fistula has apparent advantage in treatment high anal fistula, Regrettably, hanging wire scheme do not unify still at present, strong operability, stringing time and stringing in actual operation operation Elasticity is mostly the summary of experience of each expert clinical, although having a directive significance for clinic, still the basis of shortage evidence-based medicine EBM and Fine dissection and pathology support, and without long-term clinical observation on the therapeutic effect.
Summary of the invention
Goal of the invention: present invention aims in view of the deficiencies of the prior art, provide a kind of novel anal fistula wire tensioning device, energy It is enough to reach analgesic effect during stringing.
Technical solution: the present invention provides a kind of novel anal fistula wire tensioning device, the wire tensioning device include elastic biological line and Locking member, the locking member are used to shrink at the both ends of biology line and tighten;The biology line is set as hollow, and the biology line Surface several pin hole sample leak are distributed with, the pin hole sample leak is communicated with the hollow parts of biology line, and several needles Hole sample leak is not distributed in the same face of biology line.
Preferably, the biology line is made of food grade silicone.
Preferably, the biology line is intermediate ring layout architecture thin, both ends are thick.
Preferably, the locking member is silica-gel sphere, and the both sides of the silica-gel sphere are equipped with self-locking hole, the self-locking hole location It is greater than the aperture that self-locking hole is located at silica-gel sphere lower end in the aperture of silica-gel sphere upper end, the diameter at the biology line both ends is greater than certainly Lockhole is located at the aperture of silica-gel sphere upper end.
Preferably, described two self-locking holes are positioned opposite.
Preferably, the spacing of described two self-locking holes is 3mm.
Preferably, the silica-gel sphere is oval spherical.
Preferably, the both ends of the biology line are equipped with multiple equally distributed ratchets.
Compared with prior art, the invention has the benefit that
(1) anal fistula wire tensioning device of the invention uses hollow elastic biological line, and several pin holes are distributed in the surface of biology line Sample leak, before stringing, one end that can be online connects syringe, and analgesic gel is injected into hollow parts, and (such as lidocaine is solidifying Glue), when stringing, due to the elastic stretching of line, analgesic gel can gradually be permeated by the pin hole sample leak on line surface and (slowly be released Put analgesic drug product) enter in the musculature of stringing region, reach analgesic effect.In addition, also can be used syringe to extract physiological saline, even Online one end is connect, the saline injection into hollow parts, physiological saline can be flowed out by line surface pinholes sample leak, be reached Rinse the effect of anal fistula internal os regions.In addition, design several pin hole sample leak are not distributed in the same face of biology line, it can be true Line is protected in stringing, increases the forced area of line, is not easy to lead to the fracture of line because of stretching action.
(2) preferably, the biology line is made of food grade silicone, and food grade silicone is nontoxic, flexible, can stretch Contracting, intensity is higher, has anti-aging effect, is able to extend service life of the invention.
(3) it is used as further preferred scheme, the biology line is intermediate ring layout architecture thin, both ends are thick, makes to cut Strength occur in the proximal end of sphincter, reduce the compressive strength of local sphincter, reduce the defect of sphincter, further Bring pain after mitigation patient's stringing;Additionally it is possible to achieve the purpose that slowly to cut, and Impact direction focuses primarily upon institute The proximal end that tissue need to be cut avoids the cutting mode at four circumferential centers, and it is consistent with the direction of reparation to reach cutting, make cutting and Adhesion orderly carries out.
(4) as still more preferably scheme, the locking member is silica-gel sphere, and the both sides of the silica-gel sphere are equipped with certainly The both ends of biology line are stretched the self-locking hole for being placed on silica-gel sphere both sides respectively, will be given birth to by self-locking hole by lockhole in stringing The both ends of object line, which are shunk, to be tightened, to achieve the purpose that stringing.When stringing, can by curved forceps clamp or handle silica-gel sphere to It is pushed forward into the tension of this silica gel line of adjusting, elasticity, which can be endured with patient and can reach slowly cutting again, to be advisable, after stringing If sharp ache occurs in patient, it is impatient at, also can voluntarily adjusts silica gel line tension, gradually stringing, until falls off.Therefore this is tight Line apparatus can control the dynamics of stringing cutting, it is tight to alleviate patient indirectly effectively according to patient to the tolerance degree of pain Bring pain after line;In addition, also having abandoned needs to use curved forceps clamp in traditional stringing, silk thread is tied up cumbersome, and patient can be voluntarily Stringing carries out stringing without specially arriving hospital, convenient and simple, reduces the waste of medical resource and manpower.
(5) as still more preferably scheme, the both ends of the biology line are equipped with equally distributed ratchet, on the one hand may be used Stringing elasticity is set to accomplish to quantify, it, can be by ratchet into one on the other hand after the self-locking hole of biology line merging silica-gel sphere two sides Step locks biology line.
Detailed description of the invention
Fig. 1 is the structure chart of the embodiment of the present invention.
In attached drawing, 1- biology line, 2- locking member, 3- self-locking hole, 4- ratchet.
Specific embodiment
Technical solution of the present invention is described in detail below by specific embodiments and the drawings, but protection of the invention Range is not limited to the embodiment.
Embodiment 1
A kind of novel anal fistula wire tensioning device, referring to Fig.1, including elastic biological line 1 and locking member 2, biology line 1 is by food grade silicone It is made, biology line 1 is intermediate ring layout architecture thin, both ends are thick, and biology line 1 is set as hollow, and the surface of biology line 1 point Multiple pin hole sample leak are furnished with, the pin hole sample leak is communicated with the hollow parts of biology line 1, and several pin hole sample leak The same face of biology line it is not distributed in, the both ends of biology line 1 are equipped with 11 equally distributed ratchets 4, between adjacent ratchet 4 Distance be 6mm;Locking member 2 is used to shrink at the both ends of biology line and tighten, and locking member 2 is oval spherical silica-gel sphere, the silicon The both sides of glueballs are equipped with self-locking hole 3.
Wherein, the diameter among biology line 1 is 1.5mm, and the diameter at both ends is 2.5mm;The oval spherical silica-gel sphere A length of 10mm, central diameter 6mm, the aperture that self-locking hole 3 is located at silica-gel sphere upper end is 2mm, and self-locking hole 3 is located at silica-gel sphere lower end Aperture be 1mm, the spacing of two self-locking holes 3 is 3mm.
The anal fistula wire tensioning device of the present embodiment uses hollow biology line 1, and several pin holes are distributed in the surface of biology line 1 Sample leak, before stringing, one end that can be online connects syringe, and analgesic gel is injected into hollow parts, and (such as lidocaine is solidifying Glue), when stringing, due to the elastic stretching of line, analgesic gel can gradually be permeated by the pin hole sample leak on line surface and (slowly be released Put analgesic drug product) enter in the musculature of stringing region, reach analgesic effect.In addition, also can be used syringe to extract physiological saline, even Online one end is connect, the saline injection into hollow parts, physiological saline can be flowed out by line surface pinholes sample leak, be reached Rinse the effect of anal fistula internal os regions.In addition, design several pin hole sample leak are not distributed in the same face of biology line 1, it can Ensure line in stringing, increase the forced area of line, is not easy to lead to the fracture of line because of stretching action.In addition, biology line 1 by Food grade silicone is made, and food grade silicone is nontoxic, flexible, scalable, and intensity is higher, has anti-aging effect, is able to extend Service life of the invention.In addition, biology line 1 is intermediate ring layout architecture thin, both ends are thick, the strength of cutting occurs The proximal end of sphincter reduces the compressive strength of local sphincter, reduces the defect of sphincter, further mitigates patient's stringing Bring pain afterwards;Additionally it is possible to achieve the purpose that slowly to cut, and Impact direction focuses primarily upon required cutting tissue Proximal end avoids the cutting mode at four circumferential centers, and it is consistent with the direction of reparation to reach cutting, make cutting and adhesion orderly into Row.In addition, locking member 2 is silica-gel sphere, the both sides of the silica-gel sphere are equipped with self-locking hole 3, in stringing, respectively by biology line 1 both ends stretch the self-locking hole 3 for being placed on silica-gel sphere both sides, shrink the both ends of biology line 1 by self-locking hole 3 and tighten, with Achieve the purpose that stringing.When stringing, by curved forceps clamp or the silica-gel sphere can be handled push ahead and adjust this silicon The tension of tree lace, elasticity, which can be endured with patient and can reach slowly cutting again, to be advisable, if pain play occurs in patient after stringing It is strong, it is impatient at, also can voluntarily adjust silica gel line tension, gradually stringing, until falling off.Therefore the present embodiment can effectively root According to patient to the tolerance degree of pain, the dynamics of stringing cutting is controlled, alleviates bring pain after patient's stringing indirectly;This Outside, also having abandoned needs in traditional stringing with curved forceps clamp, and silk thread is tied up cumbersome, patient can voluntarily stringing, without specially arriving doctor Institute carries out stringing, convenient and simple, reduces the waste of medical resource and manpower.Uniformly divide in addition, the both ends of biology line 1 are equipped with The ratchet 4 of cloth, and the distance between adjacent ratchet 4 is 6mm, on the one hand stringing elasticity can be made to accomplish to quantify, on the other hand existed After biology line 1 is placed in the self-locking hole 3 of silica-gel sphere two sides, biology line 1 can be further lockked by ratchet 4.
As described above, must not be explained although the present invention has been indicated and described referring to specific preferred embodiment For the limitation to invention itself.It without prejudice to the spirit and scope of the invention as defined in the appended claims, can be right Various changes can be made in the form and details for it.

Claims (8)

1. a kind of novel anal fistula wire tensioning device, which is characterized in that the wire tensioning device includes elastic biological line and locking member, described Locking member is used to shrink at the both ends of biology line and tighten;The biology line is set as hollow, and the surface distribution of the biology line There are several pin hole sample leak, the pin hole sample leak is communicated with the hollow parts of biology line, and several pin hole sample leak are not It is distributed in the same face of biology line.
2. wire tensioning device according to claim 1, which is characterized in that the biology line is made of food grade silicone.
3. wire tensioning device according to claim 1 or 2, which is characterized in that the biology line is intermediate bamboo thin, both ends are thick Save layout architecture.
4. wire tensioning device according to claim 1, which is characterized in that the locking member is silica-gel sphere, the silica-gel sphere Both sides are equipped with self-locking hole, and the aperture that the self-locking hole is located at silica-gel sphere upper end is greater than the hole that self-locking hole is located at silica-gel sphere lower end Diameter, the diameter at the biology line both ends are greater than the aperture that self-locking hole is located at silica-gel sphere upper end.
5. wire tensioning device according to claim 4, which is characterized in that described two self-locking holes are positioned opposite.
6. wire tensioning device according to claim 4 or 5, which is characterized in that the spacing of described two self-locking holes is 3mm.
7. wire tensioning device according to claim 4 or 5, which is characterized in that the silica-gel sphere is oval spherical.
8. wire tensioning device according to claim 1 or 4, which is characterized in that the both ends of the biology line are equipped with multiple Equally distributed ratchet.
CN201910756876.1A 2019-08-16 2019-08-16 A kind of novel anal fistula wire tensioning device Pending CN110368066A (en)

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Application Number Priority Date Filing Date Title
CN201910756876.1A CN110368066A (en) 2019-08-16 2019-08-16 A kind of novel anal fistula wire tensioning device

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2022147894A1 (en) * 2021-01-08 2022-07-14 深圳市中医院 Adjustable continuous traction line hanging device for high anal fistula

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103705289A (en) * 2013-12-20 2014-04-09 李俊 Anal fistula biomechanical cutter
CN105662515A (en) * 2016-02-18 2016-06-15 中山市康乃欣生物医疗科技有限公司 Self-locked type hemostatic material
CN109310407A (en) * 2016-06-17 2019-02-05 爱尔兰国立高威大学 Fistula therapeutic device
CN211094516U (en) * 2019-08-16 2020-07-28 南京市中医院 Novel anal fistula tightening device

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103705289A (en) * 2013-12-20 2014-04-09 李俊 Anal fistula biomechanical cutter
CN105662515A (en) * 2016-02-18 2016-06-15 中山市康乃欣生物医疗科技有限公司 Self-locked type hemostatic material
CN109310407A (en) * 2016-06-17 2019-02-05 爱尔兰国立高威大学 Fistula therapeutic device
CN211094516U (en) * 2019-08-16 2020-07-28 南京市中医院 Novel anal fistula tightening device

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2022147894A1 (en) * 2021-01-08 2022-07-14 深圳市中医院 Adjustable continuous traction line hanging device for high anal fistula

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