CN101623207B - Improved pancreas intestine bundling and embedding inosculating device - Google Patents

Improved pancreas intestine bundling and embedding inosculating device Download PDF

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Publication number
CN101623207B
CN101623207B CN2009101123192A CN200910112319A CN101623207B CN 101623207 B CN101623207 B CN 101623207B CN 2009101123192 A CN2009101123192 A CN 2009101123192A CN 200910112319 A CN200910112319 A CN 200910112319A CN 101623207 B CN101623207 B CN 101623207B
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binding
fixing band
improved
pancreatic tissue
ring
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CN2009101123192A
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CN101623207A (en
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刘忠臣
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Abstract

The invention provides an improved pancreas intestine bundling and embedding inosculating device relating to a pancreas intestine inosculating appliance. The improved pancreas intestine bundling and embedding inosculating device is more simple, accurate, stable and safe to operate, greatly saves the operation time and can remarkably reduce complicating diseases and operation cost. The improved pancreas intestine bundling and embedding inosculating device is provided with a pancreatic tissue bundling and annular binding fixed belt and an intestine overturn fixed ring; the upper surface of the pancreatic tissue bundling and annular binding fixed belt is provided with a convex hook distributed along the longitudinal direction of the fixed belt; the upper part of the convex hook is an inclined surface; the longitudinal direction of the convex hook is vertical to the longitudinal direction of the pancreatic tissue bundling and annular binding fixed belt; the lower surface of the pancreatic tissue bundling and annular binding fixed belt is provided with at least one row of specula distributed along the longitudinal direction of the fixed belt; the intestine overturn fixed ring is an elastic fixed ring; and the inside edge at the bottom of the intestine overturn fixed ring is provided with a convex ring which is inosculated with the pancreatic tissue bundling and annular binding fixed belt.

Description

A kind of improved Pancreatoduodenal-binding and sleeving matching device
Technical field
The present invention relates to a kind of pancreas intestine anastomat tool, especially relate to a kind of improved Pancreatoduodenal-binding and sleeving matching device.
Background technology
At present, surgery Pancreaticoduodenectomy operation postoperative pancreatic intestinal coincide and leaks complication up to 20%, and mortality rate reaches 20%~50%, and it is the most common and severe complications of pancreas surgery that the pancreas intestinal anastomotic stoma leaks, and also is the difficult problem of not separating of current medical science.
Notification number provides a kind of pancreas intestine anastomat for the patent of invention of CN1823688, shape is elliptical cylinder, described pancreas intestine anastomat is that raw material is made by polyglycolic acid, on the inwall of described one of them end face of elliptical cylinder, be provided with lobe, on the sidewall of described elliptical cylinder, be provided with a plurality of through holes, and on described elliptical cylinder, also be provided with the contraction structure that the internal diameter that makes described elliptical cylinder diminishes.In operation, adopt the pancreas intestine anastomat of this invention, not only simplified operating procedure greatly, greatly alleviate operation strength, shorten operating time (expectation can foreshorten to 5~10 minutes by 50~60 minutes in the past) significantly, and be difficult for causing defective or error in the operation, can avoid manual suture a series of insuperably difficulties of institute and shortcoming, be expected to reduce or stop pancreas and leak incidence rate.
The applicant provides a kind of Pancreatoduodenal-binding and sleeving matching device at application number in for 200910112040.4 Chinese invention patent application, this device is provided with the pancreatic tissue annular binding and pricks fixing band and intestinal upset retainer ring, it is shoestring that described pancreatic tissue annular binding is pricked fixing band, the upper surface of shoestring is provided with the strip fin, and the shoestring lower surface is provided with at least one row's crochet hook; Described intestinal upset retainer ring is the flexible fastening ring, has extended bulge loop in the bottom inside of intestinal upset retainer ring, and the strip fin that bulge loop and pancreatic tissue annular binding are pricked fixing band is kissed and connect.Though this device can significantly reduce surgery Pancreaticoduodenectomy postoperative complication, as long as operation is correct, complication can be reduced to 0, operation technique is simple, can save operating time significantly, generally can save operating time 20~30min, operation technique is simple not enough, accurate, stable, safety but also exist, and operating time is saved shortcomings such as insufficient amplitude ideal.
Summary of the invention
The objective of the invention is to simple not enough at the applicant at the existing operation technique of Pancreatoduodenal-binding and sleeving matching device that application number is provided in for 200910112040.4 Chinese invention patent application, accurately, stable, safety, operating time is saved shortcomings such as insufficient amplitude ideal, provide that a kind of operation technique is simpler, accurate, stable, safety, operating time saving amplitude is bigger, can significantly reduce the improved Pancreatoduodenal-binding and sleeving matching device of complication and surgery cost.
The present invention is provided with the pancreatic tissue annular binding and pricks fixing band and intestinal upset retainer ring, described pancreatic tissue annular binding is pricked the fixing band upper surface and is provided with protruding the colluding that distributes along the fixing band longitudinal direction, described protruding top of colluding is the inclined-plane, and the protruding longitudinal direction that colludes is vertical with the longitudinal direction that the pancreatic tissue annular binding is pricked fixing band; The pancreatic tissue annular binding is pricked the fixing band lower surface and is provided with the spicule that at least one row distributes along the fixing band longitudinal direction; Described intestinal upset retainer ring is the flexible fastening ring, has extended bulge loop in the bottom inside of intestinal upset retainer ring, bulge loop and pancreatic tissue annular binding are pricked fixing band protruding collude to kiss connect.
Preferably be respectively equipped with a round in protruding both sides of colluding, described hole is preferably through hole, and described hole is preferably square opening, circular port or slotted eye.
Describedly protrudingly collude best uniformly along the fixing band longitudinal direction, described spicule preferably is located at the protruding back side of colluding, and described spicule is preferably established 1~3 row.
Described pancreatic tissue annular binding is pricked fixing band and can be adopted polyethylene or degradation material to make, the width that the pancreatic tissue annular binding is pricked fixing band is preferably 2~6mm, thickness is preferably 0.2~5mm, and length is preferably 4~10cm (individual instances according to patient during use is cut out).The protruding height that colludes is preferably 1~2mm, and the length of spicule is preferably 1~3mm, and the spacing of adjacent spicule is preferably 2~5mm.
Preferably be provided with at least one ring through hole on the described intestinal upset retainer ring, or preferably be provided with a ring spike thing in intestinal upset retainer ring inboard, the spike thing preferably perpendicular to intestinal upset retainer ring medial surface, prick by the seam of being convenient to small intestinal, and the spacing of described through hole is preferably 2~5mm.
Described flexible fastening ring preferably adopts rubber ring, falope ring or teething ring etc., and rubber ring is acrylonitrile-butadiene rubber ring etc. for example, and the height of intestinal upset retainer ring can be 2~6mm, and thickness can be 0.5~1.5mm, and diameter is 2.5~5cm, and the thickness of bulge loop is preferably 1~3mm.
Because the design that the present invention adopts the binding sleeve type to coincide, only be provided with the pancreatic tissue annular binding and prick fixing band and intestinal upset retainer ring, it is shoestring that the pancreatic tissue annular binding is pricked fixing band, the upper surface of shoestring is provided with protruding colluding, and protruding top of colluding is the inclined-plane, and the pancreatic tissue annular binding is pricked the fixing band lower surface and is provided with at least one row's spicule again; In addition, intestinal upset retainer ring is the flexible fastening ring, has extended bulge loop in the bottom inside of intestinal upset retainer ring, so bulge loop and pancreatic tissue annular binding bundle fixing band protruding colluded to kiss smoothly and connect.
Because it is shoestring that the pancreatic tissue annular binding is pricked fixing band, earlier the pancreatic tissue annular binding is pricked fixing band when therefore performing the operation and be bound in pancreas broken ends of fractured bone tissue, therefore can easily the pancreatic tissue annular binding be pricked the pancreas broken ends of fractured bone tissue that fixing band is banded in patient according to patient's individual instances with suitable elasticity.
Be provided with 1~3 row's crochet hook owing to prick the shoestring lower surface of fixing band in the pancreatic tissue annular binding, on intestinal upset retainer ring bottom inside, be provided with bulge loop again, so the pancreatic tissue annular binding is pricked more identical, reliable, the safety of being connected of fixing band, pancreas broken ends of fractured bone tissue, small intestinal and intestinal upset retainer ring.
Particularly because the strip fin that is located at pancreatic tissue annular binding bundle fixing band upper surface in the original application (application number is 200910112040.4) is changed into along uniform vertical protruding the colluding of pancreatic tissue annular binding bundle fixing band longitudinal direction, and protruding upper design of colluding is the inclined-plane, therefore make that operation technique is simpler, accurate, stable, safety, operating time saving amplitude is bigger.
This shows, the present invention is the important improvement of the original application (application number is 200910112040.4) to the applicant, can significantly reduce surgery Pancreaticoduodenectomy postoperative complication, in addition, operation technique is simpler, accurate, stable, safety, operating time saving amplitude is bigger, generally can save operating time 30~40min.Simultaneously can reduce surgery cost significantly.
Description of drawings
Fig. 1 is that the pancreatic tissue annular binding of the embodiment of the invention is pricked fixing band surface structure sketch map.
Fig. 2 is that the pancreatic tissue annular binding of the embodiment of the invention is pricked fixing band lower surface configuration sketch map.
Fig. 3 is that the pancreatic tissue annular binding of the embodiment of the invention is pricked fixing band binding back structural representation.
Fig. 4 pricks the protruding cross section structure sketch map that colludes of fixing band for the pancreatic tissue annular binding of the embodiment of the invention.
Fig. 5 is the intestinal upset retainer ring structural representation of the embodiment of the invention.
Fig. 6 is the cross-sectional view of Fig. 5.
Fig. 7 is the structural representation after the intestinal upset retainer ring of the embodiment of the invention overturns outward.
Fig. 8 is the cross-sectional view of Fig. 7.
Fig. 9 is that the pancreatic tissue annular binding of the embodiment of the invention is pricked the view after fixing band is tied up pancreas broken ends of fractured bone tissue.
Figure 10 is the outer upset of intestinal upset retainer ring of the embodiment of the invention and the view behind the seam bundle small intestinal.
Figure 11 is the view after turning in Figure 10.
View when Figure 12 uses for the embodiment of the invention.
Schematic flow sheet when Figure 13 uses for the embodiment of the invention.
The specific embodiment
Following examples will form structure of the present invention in conjunction with the accompanying drawings and using method is further described.
Referring to Fig. 1~11, the present invention is provided with the pancreatic tissue annular binding and pricks fixing band 1 and intestinal upset retainer ring 2, it is shoestring that the pancreatic tissue annular binding is pricked fixing band 1, the pancreatic tissue annular binding is pricked fixing band 1 upper surface and is provided with along uniform protruding of fixing band longitudinal direction and colludes 11, protruding 11 the top 112 of colluding is the inclined-plane, and protruding 11 the longitudinal direction of colluding is vertical with the longitudinal direction of pancreatic tissue annular binding bundle fixing band 1; The pancreatic tissue annular binding is pricked fixing band 1 lower surface and is provided with at least one row along the uniform spicule 13 of pancreatic tissue annular binding bundle fixing band 1 longitudinal direction; Intestinal upset retainer ring 2 is the flexible fastening ring, has extended bulge loop 21 in the bottom inside of intestinal upset retainer ring 2, bulge loop 21 be located at the pancreatic tissue annular binding and prick protruding 11 kisses that collude of fixing band 1 and connect.
Be respectively equipped with row's square through hole 12 in protruding 11 the both sides of colluding.Protruding 11 the bottom surface 111 of colluding is plane (referring to Fig. 4); Spicule 13 is located at protruding colluding on 11 the bottom surface 111.
The pancreatic tissue annular binding is pricked fixing band 1 and is adopted polyethylene pancreatic tissue annular binding to prick fixing band, and the width that the pancreatic tissue annular binding is pricked fixing band 1 is 2~6mm, and thickness is 0.2~5mm, and length is 4~10cm (individual instances according to patient during use is cut out).Protruding 11 the height of colluding is 1~2mm, and the length of spicule 13 is 1~3mm, and the spacing of adjacent spicule 13 is 2~5mm.
Intestinal upset retainer ring 2 is provided with a ring manhole 22, or is provided with a ring spike thing in intestinal upset retainer ring 2 inboards, and the spike thing is perpendicular to intestinal upset retainer ring 2 medial surface, and the seam of being convenient to small intestinal is pricked.
Intestinal upset retainer ring 2 adopts the acrylonitrile-butadiene rubber ring, and the height of intestinal upset retainer ring 2 is 2~6mm, and thickness is 0.5~1.5mm, and diameter is 2.5~5cm, and the thickness of bulge loop 21 is 1~3mm.
During use, earlier the pancreatic tissue annular binding is pricked fixing band 1 and be bound in pancreas broken ends of fractured bone tissue 3 with suitable elasticity, the intestinal retainer ring 2 that overturns is turned up, again small intestinal 4 seams are tied on the inboard bulge loop 21 of intestinal upset retainer ring 2, and will stitch in the intestinal upset retainer ring 2 of pricking small intestinal 4 and turn over, and prick fixing band 1 with the pancreatic tissue annular binding and be inserted in and dock, what make that the pancreatic tissue annular binding pricks fixing band 1 protrudingly colludes 11 and is connected with overturn bulge loop 21 snap closes of retainer ring 2 bottom inside of intestinal.
View after the use is referring to Figure 12, and the labelling among Figure 12 is consistent with Fig. 1~11, and the schematic flow sheet during use is referring to Figure 13.

Claims (12)

1. improved Pancreatoduodenal-binding and sleeving matching device, it is characterized in that being provided with the pancreatic tissue annular binding and prick fixing band and intestinal upset retainer ring, described pancreatic tissue annular binding is pricked the fixing band upper surface and is provided with protruding the colluding that distributes along the fixing band longitudinal direction, described protruding top of colluding is the inclined-plane, and the protruding longitudinal direction that colludes is vertical with the longitudinal direction that the pancreatic tissue annular binding is pricked fixing band; The pancreatic tissue annular binding is pricked the fixing band lower surface and is provided with the spicule that at least one row distributes along the fixing band longitudinal direction; Described intestinal upset retainer ring is the flexible fastening ring, is provided with bulge loop on the bottom inside edge of intestinal upset retainer ring, and the protruding kiss that colludes that bulge loop and pancreatic tissue annular binding are pricked fixing band connects.
2. a kind of improved Pancreatoduodenal-binding and sleeving matching device as claimed in claim 1 is characterized in that being respectively equipped with a round in protruding both sides of colluding.
3. a kind of improved Pancreatoduodenal-binding and sleeving matching device as claimed in claim 2 is characterized in that described hole is a through hole, and described hole is square opening, circular port or slotted eye.
4. a kind of improved Pancreatoduodenal-binding and sleeving matching device as claimed in claim 1 or 2, it is characterized in that described protruding collude along the fixing band longitudinal direction uniform.
5. a kind of improved Pancreatoduodenal-binding and sleeving matching device as claimed in claim 1 is characterized in that described spicule is located at the protruding back side of colluding.
6. a kind of improved Pancreatoduodenal-binding and sleeving matching device as claimed in claim 1, it is characterized in that described spicule establish 1~3 row.
7. a kind of improved Pancreatoduodenal-binding and sleeving matching device as claimed in claim 1, it is characterized in that it is polyethylene fixing band or degradation material fixing band that described pancreatic tissue annular binding is pricked fixing band, the width that the pancreatic tissue annular binding is pricked fixing band is 2~6mm, thickness is 0.2~5mm, and length is 4~10cm.
8. a kind of improved Pancreatoduodenal-binding and sleeving matching device as claimed in claim 1 is characterized in that the protruding height that colludes is 1~2mm, and the length of spicule is 1~3mm, and the spacing of adjacent spicule is 2~5mm.
9. a kind of improved Pancreatoduodenal-binding and sleeving matching device as claimed in claim 1, it is characterized in that described intestinal upset retainer ring is provided with at least one ring through hole, or being provided with the spike thing of a ring in intestinal upset retainer ring inboard, the spike thing is perpendicular to intestinal upset retainer ring medial surface.
10. a kind of improved Pancreatoduodenal-binding and sleeving matching device as claimed in claim 1, it is characterized in that described flexible fastening ring adopts rubber ring or teething ring, the height of intestinal upset retainer ring is 2~6mm, and thickness is 0.5~1.5mm, diameter is 2.5~5cm, and the thickness of bulge loop is 1~3mm.
11. a kind of improved Pancreatoduodenal-binding and sleeving matching device as claimed in claim 10 is characterized in that described rubber ring selects the acrylonitrile-butadiene rubber ring for use.
12. a kind of improved Pancreatoduodenal-binding and sleeving matching device as claimed in claim 1, it is characterized in that described flexible fastening ring adopts falope ring, the height of intestinal upset retainer ring is 2~6mm, and thickness is 0.5~1.5mm, diameter is 2.5~5cm, and the thickness of bulge loop is 1~3mm.
CN2009101123192A 2009-07-30 2009-07-30 Improved pancreas intestine bundling and embedding inosculating device Expired - Fee Related CN101623207B (en)

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Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102648863A (en) * 2012-05-10 2012-08-29 西安交通大学 Anastomat device applicable for pancreaticojejunostomy
CN104224416B (en) * 2014-09-15 2016-08-17 洪德飞 Pancreas breaks end protective cover

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4964863A (en) * 1987-06-10 1990-10-23 Moskovsky Gorodskoi Nauchno-Issledovatelsky Institut Skoroi Pomoschi Imeni N.V. Sklifosovskogo Device for establishing esophagoenterostomies
CN1792337A (en) * 2005-08-15 2006-06-28 高爽 Multi-purpose vascular anastomose means
CN1823688A (en) * 2005-02-25 2006-08-30 许瑞云 Pancreas intestine anastomat
CN201153968Y (en) * 2008-02-27 2008-11-26 刘忠臣 Rubber ring lock fixing intestine anastomosis ring

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4964863A (en) * 1987-06-10 1990-10-23 Moskovsky Gorodskoi Nauchno-Issledovatelsky Institut Skoroi Pomoschi Imeni N.V. Sklifosovskogo Device for establishing esophagoenterostomies
CN1823688A (en) * 2005-02-25 2006-08-30 许瑞云 Pancreas intestine anastomat
CN1792337A (en) * 2005-08-15 2006-06-28 高爽 Multi-purpose vascular anastomose means
CN201153968Y (en) * 2008-02-27 2008-11-26 刘忠臣 Rubber ring lock fixing intestine anastomosis ring

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