CN111685819B - Medical object taking device easy to unfold and manufacturing method thereof - Google Patents

Medical object taking device easy to unfold and manufacturing method thereof Download PDF

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Publication number
CN111685819B
CN111685819B CN202010654341.6A CN202010654341A CN111685819B CN 111685819 B CN111685819 B CN 111685819B CN 202010654341 A CN202010654341 A CN 202010654341A CN 111685819 B CN111685819 B CN 111685819B
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bag
diameter
hollow tube
fetching
bundle
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CN111685819A (en
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边士昌
成秉禄
廖鑫燕
曾国庆
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TIANJIN 4TH CENTRE Hospital
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TIANJIN 4TH CENTRE HOSPITAL
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00Other 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
    • A61B10/02Instruments for taking cell samples or for biopsy
    • A61B10/04Endoscopic instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00287Bags for minimally invasive surgery

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Public Health (AREA)
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  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Bag Frames (AREA)

Abstract

The invention discloses an easily-unfolded medical object taking device, which comprises an object taking bag, wherein the object taking bag comprises a bag opening capable of being opened and folded and a bag body formed by extending from the bag opening, and the bag opening comprises a surrounding tunnel; the object fetching bag further comprises a binding wire, the far end of the binding wire comprises a sliding joint, the far end of the binding wire penetrates through the tunnel, the near end of the binding wire penetrates through the sliding joint, a binding wire ring with the size approximately the same as that of the opening of the bag is formed, and the object fetching device further comprises a hollow tube; the hollow tube comprises a far-end tube part with the diameter of D1, a middle tube part with the diameter of D2 and a near-end tube part with the diameter of D3, wherein D2 is larger than D1, D2 is larger than D3, the object taking bag and the binding wire are curled or folded to form a strip-shaped object taking bag bundle, the strip-shaped object taking bag bundle can form two states of a tight object taking bag bundle and a fluffy object taking bag bundle, the diameter of a circumcircle at the thickest position of the tight object taking bag bundle is Dj, and Dj is larger than D1.

Description

Medical object taking device easy to unfold and manufacturing method thereof
Technical Field
The invention relates to a minimally invasive surgical instrument, in particular to an easily-unfolded medical extractor and a manufacturing method thereof.
Background
In minimally invasive surgery (especially in hard-barreled surgery), it is often necessary to remove internal tissues or diseased organs through a small incision in the patient's skin or through a puncture catheter. How to safely and conveniently take out the tissue or the diseased organ in the cavity is always a difficult problem which troubles the minimally invasive surgery. Since the first clinical application of the endoscopic hard surgery, various special object obtaining bags for endoscopic surgeries are developed at home and abroad. Although the structure and the use of the bag are different, the general classification can be divided into two categories: the first category, single access bags. The invention of US5037379 discloses a single-side opening laced bag, which is used by grasping the bag with a grasper and passing through a puncture catheter or a small incision into the body of a patient. The second type is an article taking device comprising an article taking bag, a conduit and a stretching mechanism. US patent inventions US5465731, US patent No. US 5465404, US patent No. US6383197 disclose various get-out appliances, its get-out thing bag is rolled up and is taken and accomodate in the pipe, get-out appliance enter patient's body through puncture cannula while using, push its strut mechanism and push out the get-out thing bag that rolls up outside the pipe again, and strut the thing bag by strut mechanism, conveniently pack into the.
The use cost of the fetching device with the opening mechanism is high due to the high manufacturing cost of the fetching device with the opening mechanism, and the fetching device with the opening mechanism is low in the developing country or the underdeveloped country. The single object taking bag is low in manufacturing cost, but when the single object taking bag is clinically applied, the single object taking bag is difficult to place into a patient body through a puncture device channel, and the single object taking bag is usually easy to cause secondary pollution before entering the patient body, or is damaged by an apparatus in the process of passing through the puncture channel, so that the single object taking bag is accidentally broken. The design and manufacture cost is low, and the fetching device which is safe to use has larger clinical application value.
Disclosure of Invention
In one aspect of the invention, an easily-unfolded medical object fetching device is provided, which comprises an object fetching bag, a first supporting device and a second supporting device, wherein the object fetching bag comprises a bag opening capable of being opened and closed and a bag body extending from the bag opening, and the bag opening comprises a surrounding tunnel; the bag further comprises a binding wire, wherein the far end of the binding wire comprises a sliding joint, the far end of the binding wire penetrates through the tunnel, and the near end of the binding wire penetrates through the sliding joint to form a binding wire ring with the size approximately equal to that of the bag opening. The extractor also includes a hollow tube comprising a distal tube portion having a diameter D1, a middle tube portion having a diameter D2, and a proximal tube portion having a diameter D3, wherein D2 > D1, and D2 > D3. The object fetching bag and the binding wire are curled or folded to form a strip-shaped object fetching bag bundle and are contained in the middle pipe part of the hollow pipe. In one scheme, the fetching bag can form a tight state fetching bag bundle and a fluffy state fetching bag bundle, the diameter of a circumscribed circle at the thickest position of the tight state fetching bag bundle is Dj, the diameter of a circumscribed circle at the thickest position of the fluffy state fetching bag bundle is Ds, wherein Dj is more than D1, and Ds is more than or equal to 1.5 × Dj.
In another scheme, the object fetching bag is accommodated in the middle pipe part in a mode of fluffy object fetching bag bundle, wherein D2 is more than or equal to Ds.
In yet another alternative, the hollow tube has a distal tube portion with an initial diameter equal to the diameter D2 of the intermediate tube portion and has been heated to a diameter D2 which narrows to a diameter D1, and a proximal tube portion with an initial diameter equal to the diameter D2 of the intermediate tube portion and has been heated to a diameter D2 which narrows to a diameter D3.
In another embodiment, D2 is greater than 11mm, D1 is less than 10mm, and D3 is less than 10 mm.
In another embodiment, the hollow tube is made of a transparent plastic material, and the material and wall thickness of the hollow tube are designed so that the hollow tube has sufficient flexibility to be bent and folded at will.
In one aspect of the invention, a medical object fetching device is provided, which comprises an object fetching bag, wherein the object fetching bag comprises a bag opening capable of being opened and closed and a bag body extending from the bag opening, and the bag opening comprises a surrounding tunnel; the bag further comprises a binding wire, wherein the far end of the binding wire comprises a sliding joint, the far end of the binding wire penetrates through the tunnel, and the near end of the binding wire penetrates through the sliding joint to form a binding wire ring with the size approximately equal to that of the bag opening. The extractor also includes a hollow tube comprising a distal tube portion having a diameter D1, a middle tube portion having a diameter D2, and a proximal tube portion having a diameter D3, wherein D2 > D1, and D2 > D3.
In one embodiment, the bag and the tie are rolled or folded to form a strip bag bundle and are received in the middle tube portion of the hollow tube. The fetching bag is tightly curled (or folded) to form a tightly wrapped fetching bag bundle, the diameter of a circumscribed circle at the thickest position of the tightly wrapped fetching bag bundle is Dj, the length of the tightly wrapped fetching bag bundle is L, and the length of the middle pipe part is L2; wherein D2 is more than Dj is more than D1, and L is less than or equal to L2.
In yet another alternative, the hollow tube has a distal tube portion with an initial diameter equal to the diameter D2 of the intermediate tube portion and has been heated to a diameter D2 which narrows to a diameter D1, and a proximal tube portion with an initial diameter equal to the diameter D2 of the intermediate tube portion and has been heated to a diameter D2 which narrows to a diameter D3. In a specific scheme, D2 is more than 10.9mm, D1 is less than 10mm, and D3 is less than 10 mm. In a further embodiment, the material and the wall thickness of the hollow tube are designed such that the hollow tube is sufficiently flexible to be bent and folded at will.
In yet another aspect of the present invention, another optimized medical extractor is provided, comprising an extraction bag, the extraction bag comprising a bag opening that can be opened and closed, and a bag body extending from the bag opening, the bag opening comprising a surrounding tunnel; the bag further comprises a binding wire, wherein the far end of the binding wire comprises a sliding joint, the far end of the binding wire penetrates through the tunnel, and the near end of the binding wire penetrates through the sliding joint to form a binding wire ring with the size approximately equal to that of the bag opening. The extractor also includes a hollow tube comprising a distal tube portion having a diameter D1, a middle tube portion having a diameter D2, and a proximal tube portion having a diameter D3, wherein D2 > D1, and D2 > D3.
In one version, the initial diameter of the distal tube portion of the hollow tube is equal to the diameter D2 of the intermediate tube portion and is reduced to diameter D1 by diameter D2 after heating, and the initial diameter of the proximal tube portion of the hollow tube is equal to the diameter D2 of the intermediate tube portion and is reduced to diameter D3 by diameter D2 after heating.
In another scheme, the fetching bag and the binding wire are curled or folded to form a strip-shaped fetching bag bundle, the strip-shaped fetching bag bundle can form a tight state fetching bag bundle and a fluffy state fetching bag bundle, the diameter of a circumscribed circle at the thickest position of the tight state fetching bag bundle is Dj, and Dj is larger than D1.
In another scheme, the hollow tube is made of high-fluidity plastic into a thin-wall tube, so that the hollow tube has enough flexibility and can be bent and folded freely; according to the size of the stored object taking bag, the value of D2 is enough to enable the object taking bag to be stored in the middle pipe part in a fluffy state object taking bag bundle mode, and the value of D2 ensures that the middle pipe part and the object taking bag bundle stored in the middle pipe part can be contracted to be less than or equal to 10mm by peripheral extrusion.
In another embodiment, the size of the bag and the hollow tube is designed to satisfy the following relation:
D2>0.2*H*T+6;
H*T≤25
wherein:
b-opening size of the object fetching bag;
h-the depth size of the fetching bag;
t is the film thickness of the object fetching bag;
d2-intermediate tube diameter of the hollow tube.
In yet another aspect of the present invention, a further improved medical retriever is provided, comprising a retrieval bag, the retrieval bag including a bag opening that can be opened and closed, and a bag body extending from the bag opening, the bag opening including a surrounding tunnel; the bag further comprises a binding wire, wherein the far end of the binding wire comprises a sliding joint, the far end of the binding wire penetrates through the tunnel, and the near end of the binding wire penetrates through the sliding joint to form a binding wire ring with the size approximately equal to that of the bag opening. The extractor also includes a hollow tube comprising a distal tube portion having a diameter D1, a middle tube portion having a diameter D2, and a proximal tube portion having a diameter D3, wherein D2 > D1, and D2 > D3. The fetching bag and the binding wire are curled or folded to form a strip-shaped fetching bag bundle, the strip-shaped fetching bag bundle can form a tight state fetching bag bundle and a fluffy state fetching bag bundle, the diameter of a circumscribed circle at the thickest position of the tight state fetching bag bundle is Dj, and Dj is larger than D1.
In one embodiment, the hollow tube has a distal tube portion with an initial diameter equal to the diameter D2 of the middle tube portion, and is heated to a diameter D2 to reduce the diameter to D1, and a proximal tube portion with an initial diameter equal to the diameter D2 of the middle tube portion, and is heated to a diameter D2 to reduce the diameter to D3.
In another scheme, the hollow tube is made into a transparent thin-wall tube by high-fluidity plastic, so that the hollow tube has enough flexibility and can be bent and folded freely; according to the size of the stored object taking bag, the value of D2 is enough to enable the object taking bag to be stored in the middle pipe part in a fluffy state object taking bag bundle mode, and the value of D2 ensures that the middle pipe part and the object taking bag bundle stored in the middle pipe part can be contracted to be less than or equal to 10mm by peripheral extrusion.
In yet another alternative, the bags and ties are rolled or folded in a substantially vertical tunnel to form a bundle of strip bags.
In another embodiment, the size of the bag and the hollow tube is designed to satisfy the following relation:
D2>0.2*B*T+6;
B*T≤25
wherein:
b-opening size of the object fetching bag;
h-the depth size of the fetching bag;
t is the film thickness of the object fetching bag;
d2-diameter of middle tube of hollow tube
In yet another aspect of the invention, an extractor product package and methods of making and using the same are provided. An extractor product bag comprises any one of the extractors and a sterilization packaging bag, wherein the extractor is packaged in the sterilization packaging bag and is provided for clinical application after being sterilized.
A method of manufacturing a product bag for an extractor, comprising the steps of:
s1, cutting the glassy state raw material with the diameter of D2 into a hollow tube with a proper size;
s2, the bag and the pulling line are curled or folded to form a tightly wrapped strip bag bundle and put into a proper position in the hollow pipe;
s3, the distal end of the hollow tube is heated to shrink the hollow tube into a distal tube portion with a diameter D1, and the proximal end of the hollow tube is heated to shrink the hollow tube into a proximal tube portion with a diameter D3.
A method of using a product bag with a load taker, comprising the steps of:
s1, tearing the sterilizing packaging bag open, taking out the object taking device in a sterile mode;
s2, inserting the distal tube part of the object taking device into the body of the patient through a first puncture device channel arranged on the abdominal wall of the patient, and exposing the proximal tube part outside the puncture device;
s3, inserting the endoscope grasping forceps into the patient body through the second puncture outfit channel, grasping the distal tube part to the patient body and pulling the middle tube part into the patient body through the first puncture outfit channel;
s4, switching the endoscopic grasper into endoscopic scissors to be inserted into the body of the patient through a second puncture outfit channel arranged on the abdominal wall of the patient, and cutting the endoscopic scissors along the joint of the first transition tube part and the distal tube part;
and S5, switching the endoscopic scissors into endoscopic graspers, namely inserting the graspers into the patient body through the second puncture outfit channel and grasping the object-taking bag, and pulling the object-taking bag out of the middle pipe part.
Drawings
For a fuller understanding of the nature of the present invention, reference should be made to the following detailed description taken together with the accompanying figures in which:
fig. 1 is a side view of the access bag 100 and the drawstring 50;
fig. 2 is an exploded view of the access bag 100 and the drawstring;
FIG. 3 is a schematic view of the retrieval bag being rolled in a parallel tunnel fashion;
FIG. 4 is a schematic view of the retrieval bag folded in a parallel tunnel fashion;
FIG. 5 is a schematic view of a strip-shaped bag bundle formed by the curling (folding) of the bags;
fig. 6 is a perspective view of the extractor 10;
fig. 7 is a diagram of a product package 1 of a taker;
fig. 8 is a schematic view of a clinical application method of the extractor 10.
The same reference numbers will be used throughout the drawings to refer to identical or similar parts or elements.
Detailed Description
Embodiments of the present invention are disclosed herein, however, it is to be understood that the disclosed embodiments are merely exemplary of the invention, which can be embodied in various forms. Therefore, the disclosure herein is not to be interpreted as limiting, but merely as a basis for the claims and as a basis for teaching one skilled in the art how to employ the present invention.
Embodiments of the present disclosure will now be described in detail with reference to the drawings, where for convenience, the party proximal to the operator is defined as the proximal end and the party distal from the operator is defined as the distal end.
Fig. 1-5 depict the structure and composition of a medical access bag 100. The bag 100 includes an openable and collapsible mouth 101 and an enclosed receptacle 102 extending from the mouth 101. The bag mouth 101 contains a tunnel 111 around the mouth. More specifically, the bag body 102 extends from the tunnel 111 to the bag bottom 105 in a direction away from the bag opening 110. The bag body 102 tapers distally from the mouth 101. However, one of ordinary skill in the art will appreciate that the pouch 101 may be configured in any other shape. The pouch 100 is typically made of a thermoplastic elastomer film. There are many thermoplastic elastomer films suitable for making bags including, but not limited to, TPEE (polyester thermoplastic elastomer), TPU (polyurethane thermoplastic elastomer), TPEE (polyamide thermoplastic elastomer), and the like. When the bag is used clinically, the pathological tissue is usually contained and taken out through a small incision on the skin of a patient. In order to prevent the pouch from causing additional unnecessary trauma to the incision (wound) of the patient, it is generally preferred that the pouch be made of a softer material. However, the softer the material of the bag, the lower its strength, which is likely to cause the bag to be crushed and broken when it is taken out through the wound. Preferably, the hardness Hard of the bag body of the object fetching bag is 80A or less and 95A or less. Generally, materials below 80A are not strong enough, while materials above 95A are too stiff and tend to cause unnecessary additional trauma to the wound of the patient.
The pouch 100 also includes a pull cord 50. The pull wire 50 includes a distal sliding joint 51 and a pull wire proximal end 53 and a pull wire cord 54 extending from the proximal end to the distal end. The distal portion of the pull wire 50 is passed through the tunnel 111 and the proximal end 53 of the pull wire is passed through the slip segment 51, forming a ligature loop 52 of approximately the same size as the pocket opening. Sliding the pull wire rope 54 in the sliding knob 51 by pulling the pull wire proximal end 53 may decrease the wire tie 52 until the bag mouth 101 is tightened.
Fig. 3 illustrates a method for forming a strip-shaped bag bundle by a curling method, in which the tunnel 111 of the bag 100 is folded in half and the bag 100 is folded in half; the bag body 102 is then rolled up with the bag bottom 105 towards the bag mouth 101. In this process, the bag bottom 105 is first formed into a small cylinder, and then rolled further to form a larger cylinder until it is rolled to fit snugly into the tunnel, forming a strip-like bag bundle. The method is to curl the bag bottom first, but can also be formed by rolling with the tunnel 111 as the axis. Fig. 4 illustrates a method of folding the bag 100 into a strip-shaped bag bundle, which includes folding the tunnel 111 of the bag 100 in half and folding the bag 100 in half; the bag body 102 is folded with the bag bottom 105 toward the bag opening 101. In the process, the bag bottom 105 is firstly folded to form a folding section, and further folded, the bag body 102 is folded for multiple times to form a wrinkle-shaped wrinkle body which is tightly attached to the tunnel 107 to form a strip-shaped bag fetching bundle. Figures 3-4 depict the method of crimping into a bundle of strip access bags in a generally parallel tunnel fashion, however the bundles of strip access bags may be crimped in a generally vertical tunnel fashion, or they may be crimped at an acute angle to the tunnel. The method is substantially the same, and the curling method can be easily understood by referring to fig. 3-4 in combination with the above description, and thus, the description thereof is omitted.
Referring now to fig. 6, in one aspect of the present invention, a medical extractor is provided, comprising the above-mentioned bag 100 and a hollow tube 200. The hollow tube 200 comprises a distal tube portion 210 having a diameter D1 and a length L1; a medial tube portion 230 of diameter D2 and length L2, and a proximal tube portion 250 of diameter D3 and length L3, wherein D2 > D1 and D2 > D3. Between the intermediate tube portion 230 and the distal tube portion 210 is included a first transition tube portion 220 of diameter D2 tapering from D1, and between the intermediate tube portion 230 and the proximal tube portion 250 is included a second transition tube portion 240 of diameter D2 tapering from D3.
As will be understood from reference to fig. 5 and 6, the bunch of tightly wrapped access pouches is referred to as a tightly wrapped bunch of access pouches when the access pouch 100 is tightly rolled (or folded). The diameter of the circumscribed circle at the thickest position of the wrapped object fetching bag bundle is Dj, and the length of the wrapped object fetching bag bundle is L. In one implementation, D2 > Dj > D1 and L ≦ L2, the bag 100 and the cable 50 are rolled or folded to form a strip bag bundle and received within the central tube portion 230 of the hollow tube.
In an alternative embodiment, the hollow tube comprises two states, an initial glass state and a contracted high elastic state, the hollow tube has an internal diameter in the initial glass state of D2, and is heated to cause the hollow tube to shrink by heat and transform the hollow tube into a contracted high elastic state having a diameter of D2, D3. In a detailed embodiment, the hollow tube 200 is made of medical grade material, such as medical grade LDPE (low density polyethylene), HDPE (high density polyethylene), PVDF (polyperfluoroethylene), FEP (perfluoroethylene propylene copolymer), and the like. The dimensions and wall thickness of the hollow tube 200 may be customized to the dimensions of the bag to be enclosed or selected from standard medical tubing that has been commercialized. It will be appreciated by those skilled in the art that the heat distortion temperature of the bag 100 and the drawstring 50 should be higher than the heating temperature for shrinking the hollow tube 200 into the hollow tube 200 a. The bag is made of thermoplastic elastomer material, the thermal deformation temperature is more than or equal to 130 ℃, the hollow tube is made of thermoplastic engineering plastic, and the temperature of the thermal shrinkage is controlled to be less than or equal to 125 ℃. The pull wire 50 is made of cotton or nylon, and the thermal deformation temperature of the pull wire is far higher than 125 ℃.
Referring now to fig. 6-7, an extractor product bag 1 includes an extractor 10 and a sterilization wrap 800. The extractor 10 is enclosed in the sterilization bag 800 and sterilized for administration to a patient.
The method for manufacturing the extractor product package is various, and the manufacturing steps of the extractor product package 1 are as follows:
s1, cutting the glass raw material with the diameter D2 into a hollow tube 200 with a proper size;
s2, the bag 100 and the pulling line 50 are curled or folded to form a tightly wrapped strip-shaped bag bundle and put into the hollow tube 200 at a proper position;
s3, heating the far end of the hollow tube to shrink the hollow tube into a far end tube part with the diameter of D1, and heating the near end of the hollow tube to shrink the hollow tube into a near end tube part with the diameter of D3;
s4, putting the extractor into a sterilized packaging bag and sealing the bag;
s5: sterilizing with ethylene oxide or irradiation.
Get the clinical application of thing ware product package 1 comparatively convenient, a use of getting thing ware product package 1 contains the following step:
s1, tearing the sterilizing packaging bag open, taking out the object taking device in a sterile mode;
s2, inserting the distal tube part of the object taking device into the body of the patient through a first puncture device channel arranged on the abdominal wall of the patient, and exposing the proximal tube part outside the puncture device;
s3, inserting the endoscope grasping forceps into the patient body through the second puncture outfit channel, grasping the distal tube part to the patient body and pulling the middle tube part into the patient body through the first puncture outfit channel;
s4, switching the endoscopic grasper into endoscopic scissors to be inserted into the body of the patient through a second puncture outfit channel arranged on the abdominal wall of the patient, and cutting the endoscopic scissors along the joint of the first transition tube part and the distal tube part;
and S5, switching the endoscopic scissors into endoscopic graspers, namely inserting the graspers into the patient body through the second puncture outfit channel and grasping the object-taking bag, and pulling the object-taking bag out of the middle pipe part.
As will be appreciated by those skilled in the art, the conventional pushing method pushes the object-taking bag out of the tube covering the object-taking bag, because the object-taking bag is too soft, when the object-taking bag is pushed out, the pushing force cannot be transmitted to the other end, which usually results in the object-taking bag being locally compressed and stacked, and as the pushing force is deepened, the stacking is more and more, resulting in the case of blocking or damaging the object-taking bag. Above-mentioned draw and draw out thing bag of getting, the soft thing bag of getting can not be piled up to intraductal, and intraductal thing bag of getting is more and more few, therefore gets the release of thing bag easier, can not cause to get the thing bag stifled or damage.
In order to facilitate observation of the state of the object fetching bag contained in the hollow tube, in an optimized design scheme, the hollow tube is made of transparent plastic materials. In a further preferred embodiment, the material and wall thickness of the hollow tube 200 are designed such that it is sufficiently flexible to be bent and folded at will. In clinical applications, the position and angle of the first puncture device channel (91) and the second puncture channel (92) are uncertain, and thus the direction in which the bag is pulled through is uncertain. A semi-rigid or flexible hollow tube which can be bent at will is used, so that the tensile force can be applied conveniently. Meanwhile, the hollow tube has enough flexibility and can be bent and folded at will, and is convenient to be accommodated in the body of a patient.
In yet another preferred embodiment, the pouches 100 are formed into a bunch of pouches when rolled (or folded) into a strip, with the bunch of pouches being wrapped and the bunch being fluffed. The diameter of the circumscribed circle at the thickest position of the tightly wrapped object taking bag bundle is Dj, the diameter of the circumscribed circle at the thickest position of the fluffy object taking bag bundle is Ds, wherein Dj is more than D1, and Ds is more than or equal to 1.5 × Dj. The object fetching bag is accommodated in the middle tube part in a fluffy object fetching bag bundle mode, wherein D2 is more than or equal to Ds.
It will be appreciated by those skilled in the art that when the bag is made from a flexible thermoplastic elastomer film, and if it is stored in the inner tube in a wrapped state in which the bag bundle is stored for a prolonged period of time after sterilization (the sterilization expiration date of current disposable medical products is typically 5 years), the wrapped state bag bundle is stored for a prolonged period of time and, when applicable, is difficult to reopen in the patient using laparoscopic instruments. Some packages that are too tight, even better than the stress relaxation effect of the thermoplastic elastomer material, result in the bag films adhering to each other and failing to unfold again. Therefore, the bag bundle for taking the medicine is packaged in a fluffy state, and has excellent clinical application value.
Up to now, the object fetching bag or the object fetching device is generally designed to enter the body of a patient through a puncture device with the specification of 10mm, and the puncture devices with the specification of 10mm of different manufacturers have different channel apertures, but the aperture is between 10.5mm and 10.9 mm. The prior art designs typically design the object bag or extractor to have an outside diameter of 10.5mm or less. Such designs generally do not ensure that the pouches are stored in a bulky bundle.
In a further improved embodiment, the hollow tube is made of high-fluidity plastic into a thin-walled tube, and in a specific design scheme, the wall thickness Ht of the hollow tube is less than or equal to 0.1, so that the hollow tube has enough flexibility and can be bent and folded freely. Contrary to the prior art concept, the diameter D2 of the hollow tube is designed to be larger than 11 mm. According to the size of the object taking bag, the value of D2 is large enough to enable the object taking bag to be accommodated in the middle pipe part in a fluffy object taking bag bundle mode, and the value of D2 ensures that the middle pipe part and the object taking bag bundle accommodated in the middle pipe part can be contracted to be less than or equal to 10mm by peripheral extrusion.
In another improved scheme, when the large-opening large-capacity fetching bag for gastrointestinal surgery is designed, the bag is curled or folded in a mode of approximately parallel tunnels to form a strip fetching bag bundle, and the strip fetching bag bundle can form two states of a tight-state fetching bag bundle and a fluffy-state fetching bag bundle. The dimensions and structure of the hollow tube and the receiving bag are designed to satisfy the following relationship:
D2>0.2*H*T+6;
H*T≤25
wherein:
b-opening size of the object fetching bag;
h-the depth size of the fetching bag;
t is the film thickness of the object fetching bag;
d2-intermediate tube diameter of the hollow tube;
when the relational expression is satisfied, the object fetching bag can be stored in the middle pipe part in a fluffy object fetching bag bundle mode. Meanwhile, the value of D2 should ensure that the middle tube part and the fetching bag bundle contained in the middle tube part can be contracted to be less than or equal to 10mm by peripheral extrusion.
In another improvement, when the small-opening slender bag for the tail of the bag operation is designed, the bag is curled or folded in a mode of approximately vertical tunnels to form a strip bag bundle, and the strip bag bundle can form two states of a tight-state bag bundle and a fluffy-state bag bundle. The dimensions and structure of the hollow tube and the receiving bag are designed to satisfy the following relationship:
D2>0.2*B*T+6;
B*T≤25
wherein:
b-opening size of the object fetching bag;
h-the depth size of the fetching bag;
t is the film thickness of the object fetching bag;
d2-intermediate tube diameter of the hollow tube;
when the relational expression is satisfied, the object fetching bag can be stored in the middle pipe part in a fluffy object fetching bag bundle mode. Meanwhile, the value of D2 should ensure that the middle tube part and the fetching bag bundle contained in the middle tube part can be contracted to be less than or equal to 10mm by peripheral extrusion.
It will be understood by those skilled in the art that when the bag is stored in the hollow tube portion in a bulky state as a bundle of bags, the bag films do not stick to each other and cannot be unfolded again after storage for more than 5 years. Moreover, when the object-taking bag is used in the above-mentioned using steps, since the pressing force between the bundle of bulky object-taking bags and the wall of the intermediate tube is small, the object-taking bag can be easily pulled out when the proximal tube portion is cut off. Meanwhile, compared with the tight wrapping object taking bag bundle, the fluffy object taking bag bundle is more beneficial to ethylene oxide sterilization and resolution. In conclusion, the fluffy object fetching bag bundle is used for accommodating and packaging the object fetching bag, so that the fluffy object fetching bag has good clinical application value.
The embodiments that have been illustrated include various features and methods of use, methods of manufacture. Those skilled in the art will appreciate that various features, methods of use and methods of manufacture can be superimposed on one another, substituted for, or substituted for, one another in order to create new arrangements.
In conclusion, the fetching bag and the fetching bag product package well solve the problems that when a single fetching bag is clinically applied, the single fetching bag is difficult to be put into a patient body through a puncture outfit channel, the single fetching bag is usually easy to cause secondary pollution before entering the patient body, or the single fetching bag is damaged by an instrument in the process of passing through the puncture channel, so that the single fetching bag is accidentally broken and the like. It should be understood by those skilled in the art that when the bag is successfully introduced into the patient and released out of the hollow tube, the subsequent operation of the bag for receiving tissue is well known and will not be described further.
Many different embodiments and examples of the invention have been shown and described. One of ordinary skill in the art can adapt the methods and apparatus described herein by making appropriate modifications without departing from the scope of the invention. Several modifications have been mentioned, and other modifications will occur to those skilled in the art. The scope of the invention should, therefore, be determined with reference to the appended claims, and not be construed as limited to the details of structure, materials, or acts shown and described in the specification and drawings.

Claims (7)

1. An easy-to-unfold medical object taking device comprises an object taking bag, wherein the object taking bag comprises a bag opening capable of being opened and folded and a bag body formed by extending from the bag opening, and the bag opening comprises a surrounding tunnel; the bag further comprises a binding wire, the far end of the binding wire comprises a sliding joint, the far end of the binding wire penetrates through the tunnel, the near end of the binding wire penetrates through the sliding joint, and a binding wire ring with the size approximately the same as that of the bag opening is formed, and the bag is characterized in that:
1) the object taking device also comprises a hollow tube;
2) the hollow tube comprises a distal tube portion having a diameter of D1, a middle tube portion having a diameter of D2, and a proximal tube portion having a diameter of D3, wherein D2 > D1, D2 > D3;
3) the fetching bag and the binding wire are curled or folded to form a strip-shaped fetching bag bundle, the strip-shaped fetching bag bundle can form a tight state fetching bag bundle and a fluffy state fetching bag bundle, the diameter of a circumscribed circle at the thickest position of the tight state fetching bag bundle is Dj, and Dj is larger than D1.
2. The extractor of claim 1, wherein: the initial diameter of the distal tube portion of the hollow tube was equal to the diameter D2 of the intermediate tube portion and contracted from diameter D2 to diameter D1 after heating, and the initial diameter of the proximal tube portion of the hollow tube was equal to the diameter D2 of the intermediate tube portion and contracted from diameter D2 to diameter D3 after heating.
3. The extractor according to claim 1, wherein said hollow tube is made of a thin-walled tube with a high-flow plastic, so that said hollow tube has sufficient flexibility to be bent and folded at will; according to the size of the stored object taking bag, the value of D2 is enough to enable the object taking bag to be stored in the middle pipe part in a fluffy state object taking bag bundle mode, and the value of D2 ensures that the middle pipe part and the object taking bag bundle stored in the middle pipe part can be contracted to be less than or equal to 10mm by peripheral extrusion.
4. The extractor of claim 1 wherein said bag and said tie are rolled or folded in a substantially vertical tunnel to form a strip-like bag bundle.
5. The dispenser of claim 4, wherein the pouch and the hollow tube are sized to satisfy the relationship:
D2>0.2*B*T+6;
B*T≤25
wherein:
b-opening size of the object fetching bag;
h-the depth size of the fetching bag;
t is the film thickness of the object fetching bag;
d2-intermediate tube diameter of the hollow tube.
6. An extractor product package comprising the extractor of claim 5, further comprising a sterile packaging bag, wherein the extractor is packaged in the sterile packaging bag and sterilized for clinical use.
7. A method of manufacturing the extractor product pack of claim 6, comprising the steps of:
s1, cutting the glassy state raw material with the diameter of D2 into a hollow tube with a proper size;
s2, the bag and the pulling line are curled or folded to form a tightly wrapped strip bag bundle and put into a proper position in the hollow pipe;
s3, heating the far end of the hollow tube to shrink the hollow tube into a far end tube part with the diameter of D1, and heating the near end of the hollow tube to shrink the hollow tube into a near end tube part with the diameter of D3;
s4, putting the extractor into a sterilized packaging bag and sealing the bag;
s5: sterilizing with ethylene oxide or irradiation.
CN202010654341.6A 2020-07-09 2020-07-09 Medical object taking device easy to unfold and manufacturing method thereof Active CN111685819B (en)

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CN112168234B (en) * 2020-11-02 2022-05-24 扬州大学附属医院 Lung sample extractor with adjustable angle
CN112168233B (en) * 2020-11-02 2022-05-17 扬州大学附属医院 Fetching device of thoracoscope lung resection specimen
CN112168374B (en) * 2020-11-02 2022-01-28 扬州大学附属医院 Auxiliary device for thoracic surgery

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