CN104287785B - A kind of anal-surgery auxiliary device - Google Patents
A kind of anal-surgery auxiliary device Download PDFInfo
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- CN104287785B CN104287785B CN201410582787.7A CN201410582787A CN104287785B CN 104287785 B CN104287785 B CN 104287785B CN 201410582787 A CN201410582787 A CN 201410582787A CN 104287785 B CN104287785 B CN 104287785B
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- hollow body
- anal
- auxiliary device
- surgery auxiliary
- opening
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00743—Type of operation; Specification of treatment sites
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B2017/1142—Purse-string sutures
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
The anal-surgery auxiliary device that the present invention provides, the guidance part including hollow body, being positioned at described hollow body far-end, the expanding part being positioned at described hollow body near-end, the sidewall of described hollow body is provided with at least one opening, the sidewall of the described hollow body relative with described opening is provided with at least one suture stretch hole, and the lateral wall near described suture stretch hole arranges the outer housing with opening port.Compared with mucosa ring cutting anastomosis on traditional hemorrhoidectomy and anastomat hemorrhoid, by anal-surgery auxiliary device of the present invention, well non-annularity hemorrhoid can be carried out equably purse string suture lateral tractive fully, thus the endoscopic stapler device operation technique space in auxiliary device hollow body can be made to strengthen, to carry out non-annularity internal hemorrhoid more fully and up hill and dale excising, being greatly reduced the misery of patient, having reduced affected part relapse rate.
Description
Technical field
The present invention relates to technical field of medical instruments, particularly to a kind of anal-surgery auxiliary dress
Put, particularly relate to a kind of auxiliary device for excising the operation such as hemorrhoidal tissue, encysted rectum.
Background technology
Hemorrhoid be under rectum end mucosa, anal canal skin hemorrhoidal plexus flexing and expansion and formed
Soft vein group, the commonly encountered diseases being to occur at outside anal, frequently-occurring disease.Traditional Therapeutic Method
The most, but be that postoperative pain is violent for swelling, the various destruction methods of prolapsus hemorrhoid mostly,
Complication is many, and relapse rate is high, and clinical effectiveness is the best.In view of this, a kind of novel hemorrhoid art is controlled
Formula PPH (procedure for prolapsed and hemorrhoids) art---viscous in-anastomat hemorrhoid
Film ring cutting anastomosis is gradually widely used in the treatment of severe prolapsed hemorrhoids both at home and abroad.PPH art
It is to be referred to as the special instrument of " PPH circular staplers " by the prolapse of rectal mucosa above hemorrhoid by one
Band does ring-type excision, makes the anus pad of abjection upwards suspend in midair, allows it return to normal anatomical position.
But PPH art is relatively suitable for treatment III-IV degree hemorrhoid, is especially suitable for ring-type prolapsus internal hemorrhoid
Treatment.For non-annularity internal hemorrhoid, such as genesis analysis in the hemorrhoidal tissue of anal canal inwall, then by
In non-annularity hemorrhoidal tissue cannot carry out in anal canal purse string suture equably, and hemorrhoidal tissue is longitudinally
It is distributed and cannot fully use PPH circular staplers, thus cause having to this kind of hemorrhoidal tissue
Use traditional cutting method, cause great misery to patient.
Therefore, how to avoid traditional operation treatment hemorrhoid to bring great pain to patient, and PPH
Art can not effectively use again circular staplers to carry out non-annularity hemorrhoid quickly, excise up hill and dale and create
The problem that tone is closed is that this area is in the urgent need to address.
Summary of the invention
In order to solve above-mentioned technical problem, the invention provides a kind of anal-surgery auxiliary device,
Particularly relate to a kind of auxiliary device for excising the operation such as hemorrhoidal tissue, encysted rectum.
The purpose of the present invention is achieved through the following technical solutions:
A kind of anal-surgery auxiliary device, including hollow body, is positioned at described hollow body far-end
Guidance part, be positioned at the expanding part of described hollow body near-end, the sidewall of described hollow body sets
Be equipped with at least one opening, the sidewall of the described hollow body relative with described opening be provided with to
A few suture stretch hole, the lateral wall near described suture stretch hole is arranged has opening port
Outer housing.
Further, described hollow body is tubulose.
Further, described guidance part is taper.
Further, described opening port is positioned at the near-end of described outer housing, and towards described expanding part.
Further, the lateral profile of described outer housing cross section is streamlined.
Further, described outer housing and the lateral wall smooth engagement of described hollow body.
Further, described opening along described hollow body axially through to described guidance part.
Further, the axial length of described hollow body is 12 to 20 centimetres.
Further, described opening is 5 to 12 centimetres along the axial length of described hollow body.
Further, in the case of described suture stretch hole is multiple, multiple described sutures lead
Pulling eye is evenly and at intervals or interval is longitudinally arranged unevenly on the sidewall of described hollow body.
The anal-surgery auxiliary device that the present invention provides, including hollow body, is positioned at described hollow
The guidance part of body distal end, it is positioned at the expanding part of described hollow body near-end, described hollow body
Sidewall be provided with at least one opening, the sidewall of the described hollow body relative with described opening
Being provided with at least one suture stretch hole, the lateral wall near described suture stretch hole is arranged to be had
The outer housing of opening port.With mucosa ring cutting anastomosis on traditional hemorrhoidectomy and anastomat hemorrhoid (i.e.
PPH art) compare, can be well to acyclic by anal-surgery auxiliary device of the present invention
Shape hemorrhoid (if genesis analysis is in the elongated hemorrhoidal tissue of anal canal inwall) carry out purse string suture also equably
Lateral tractive fully, the present invention can make the lateral tractive within auxiliary device hollow body simultaneously
And the space increasing of endoscopic stapler device operation technique such that it is able to more thoroughly, more effectively to non-
Ring-type internal hemorrhoid (the particularly hemorrhoid on genesis analysis anal canal) is excised, and significantly shortens hands
The art time, alleviate the misery of patient, reduce affected part relapse rate.
Accompanying drawing explanation
In accompanying drawing and the following description, same parts whole accompanying drawings and explanation in by equally
Labelling represent.For the ease of schematically providing the details of the present invention, accompanying drawing be likely not to have by
Ratio is drawn.
Fig. 1 is the stereochemical structure signal of the anal-surgery auxiliary device according to the embodiment of the present invention
Figure；
Fig. 2 is the stereochemical structure signal of the anal-surgery auxiliary device according to the embodiment of the present invention
Figure；
Fig. 3 is the elevation cross-sectional view of the auxiliary dress of anal-surgery shown in Fig. 2；
Fig. 4 is the top view of the auxiliary dress of anal-surgery shown in Fig. 2；
Fig. 5 is that anal-surgery auxiliary device shown in Fig. 2 coordinates endoscopic stapler device in operation technique
The schematic diagram used.
Wherein, the implication of each reference is as follows:
1 hollow body
2 guidance parts
3 expanding parts
4 openings
5 outer housings
6 suture stretch holes
7 opening ports
8 endoscopic stapler devices
Detailed description of the invention
The invention provides a kind of auxiliary device for anal-surgery, this anal-surgery auxiliary dress
Put the operation being mainly used in that in anal-surgery hemorrhoidal tissue, encysted rectum etc. are excised.
In order to make those skilled in the art be more fully understood that technical scheme, below will knot
The present invention is described in further detail to close the drawings and specific embodiments.
Seeing Fig. 1 to Fig. 5, according to embodiments of the invention, anal-surgery auxiliary device includes
Hollow body 1, guidance part 2 and expanding part 3, described guidance part 2 is positioned at the far-end of main body 1,
Described expanding part 3 is positioned at the near-end of main body 1, and described hollow body 1 is provided with on its sidewall
Opening 4, all or part of hemorrhoidal tissue being positioned at anal canal inwall can be entered by described opening 4
Enter the inside to main body 1 hollow.Preferably, hollow body 1 is tubulose, and guidance part 2 is cone
Shape, such that it is able to do not damage tissue in making auxiliary device enter anal canal relatively easily.?
With described opening 4 substantially relative to the sidewall of main body 1 be provided with at least one for tractive suture
Suture stretch hole 6.As it is shown on figure 3, in outside (that is, the main body 1 of suture stretch hole 6
The lateral wall near suture stretch hole 6 on sidewall) it is provided with outer housing 5, and outer housing 5 has
One opening port 7.Thus, shape between the lateral wall near outer housing 5 and suture stretch hole 6
Become a space.Further, opening port 7 is positioned at the near-end of this outer housing 5, and along main body
The longitudinal axis direction of 1 and towards expanding part 3, thus line pin can be hooked by this opening port 7
It extend in the space between the lateral wall of outer housing 5 and suture stretch hole 6.Further,
Outside the outboard wheel profile of the cross section of this outer housing 5 is streamlined, and this outer housing 5 is with main body 1
Smooth-sided engages, such that it is able to make auxiliary device more easily enter in human body anal canal and not
Damage tissue.
Preferably, see Fig. 1 to Fig. 3, opening 4 along main body 1 longitudinal axis direction always
Through to guidance part 2.Thus, operation can be given in the hollow body 1 of described auxiliary device
The bigger space of apparatus is to be operated.Specifically, main body 1 axial length (i.e. from
The far-end of guidance part 2 is to the vertical dimension between the proximal edge of main body 1) it is 12 to 20 lis
Rice.Further, opening 4 along the axial length of this hollow body 1 (i.e. from guidance part 2
Far-end is to the vertical dimension between the proximal edge of opening 4) it is 5 to 12 centimetres；Preferably,
It it is 9 centimetres.Additionally, opening 4 is 20 ° to 180 ° along the arc of the main body 1 of tubulose to angle；
Further, it is 30 ° to 150 °；Preferably, it is 60 ° to 120 °.
When doctor performs the operation, first the looper of suture is had to enter outer housing with clamp clamping the foot section brought
5 and suture stretch hole 6 near lateral wall between space in, then make looper penetrate suture
It is internal that stretch hole 6 enters main body 1, and the other end of suture is by outer housing 5 and suture stretch hole 6
Between neighbouring lateral wall, the opening port 7 in space extends to outside opening port 7.Then doctor's profit
By guide, anal-surgery auxiliary device is imported in human rectum's anal canal, make opening 4 substantially
At alignment hemorrhoidal tissue, now, in order to prevent the looper within main body 1 from stabbing tissue, can be by
Looper put into guide or looper is placed in guide and main body 1 medial wall between.
After the main body 1 of anal-surgery auxiliary device enters anal canal, doctor can be with suture by expanding part 3
It is fixed on perianal skin so that this auxiliary device is more firm, it is simple to operation.Afterwards,
Extract guide, adjust the angle of this auxiliary device, at the effect of tissue tension, hemorrhoidal tissue
Entered by opening 4 in the hollow space of main body 1, and hemorrhoidal tissue substantially with suture stretch hole
6 is relative.It follows that the hemorrhoidal tissue entered within main body 1 is carried out purse string suture, doctor is pressed from both sides
Hold after the looper in main body 1 penetrates the hemorrhoidal tissue relative with suture stretch hole 6, again order about curved
Pin is through the suture stretch hole 6 previously passed, and such suture is just from same suture stretch hole 6
Passing, thus hemorrhoidal tissue has been beaten a circle pocket, now looper returns to outer housing 5 and suture tractive
In the space between lateral wall near hole 6, then stretch into hook line pin by looper at opening port 7
Pull-out, two the end of a thread after hemorrhoidal tissue has been played a circle pocket by the most same suture all pass through out
Putting mouth 7, to extend to patient external.Two lines of the suture that doctor's tractive stretches out from opening port 7
Head, due to the barrier effect at suture stretch hole 6 peripheral side wall edge, changes doctor to suture
The direction of the pull strength along main body 1 longitudinal axis applied, will become by the pull strength that applies of doctor
For passing the suture pull strength along main body 1 cross-sectional diameter direction of hemorrhoidal tissue in main body 1, from
And by hemorrhoidal tissue along the lateral tractive in main body 1 cross-sectional diameter direction.See Fig. 5, when making hemorrhoid group
After knitting abundant tractive, endoscopic stapler device 8 is extended proximally into inside it by main body 1, uses
The nail bin of endoscopic stapler device 8 far-end clamps hemorrhoidal tissue and is connected with the tissue of intestinal wall with nail supporting base
Place, then doctor fires endoscopic stapler device 8, it is achieved the excision to hemorrhoidal tissue and the kiss to wound
Close, take out endoscopic stapler device 8 afterwards, extract this anal-surgery auxiliary device and pull-out is excised
Hemorrhoidal tissue, operation completes.
Preferably, can with opening 4 substantially relative to the sidewall of main body 1 multiple suture is set
Stretch hole 6, thus in the same manner as above to hemorrhoidal tissue (particularly indulging on anal canal wall
To hemorrhoidal tissue) play multi-turn pocket, thus make the lateral tractive of hemorrhoidal tissue evenly, excision
More thorough.Further, multiple suture stretch holes 6 can be relative with opening 4 along main body 1
The longitudinally perpendicular direction of sidewall form a line, and the interval between each suture stretch hole 6 can
Being can also to be uneven uniformly.Further, multiple suture stretch holes 6 can also
Multiple row, and each suture are lined up in longitudinally perpendicular direction along main body 1 sidewall relative with opening 4
Interval between stretch hole 6 can be can also to be uneven uniformly.In operation technique,
Doctor can select according to the concrete condition (such as distribution consistency degree, thickness distribution etc.) of patient's focus
Select and there is the anal-surgery auxiliary device that different suture stretch hole 6 is arranged.
According to another embodiment of the present invention, doctor can also be first with guide by anorectal
Operation auxiliary device imports in human rectum's anal canal, then extracts guide, then presss from both sides with clamp
Holding the foot section brought has the looper of suture to enter between the lateral wall near outer housing 5 and suture stretch hole 6
In the space formed, then make looper penetrate suture stretch hole 6 and enter main body 1 inside.This
Embodiment is re-introduced into looper after auxiliary device has been enter into human body, and safety is higher, it is to avoid
First introduce looper and make looper jointly enter human body with auxiliary device and guide and easily make curved
The risk of pin slip prick into human body tissue.
The anal-surgery auxiliary device of the application of the invention coordinates endoscopic stapler device 8, can be fast
Wound is also coincide rapidly by prompt excision hemorrhoidal tissue, thus solves traditional operation excision hemorrhoid
Tissue causes great pain to patient, and PPH art is unsuitable for genesis analysis in anal canal inwall
The problem that the elongated hemorrhoidal tissue of non-annularity carries out excising.Especially, the present invention further advantage is that,
Existence due to outer housing 5, it may not be necessary to tractive suture in the limited inner room of main body 1,
But from the outside tractive suture of main body 1, so make the more abundant of the lateral tractive of hemorrhoidal tissue, and
Endoscopic stapler device 8 is bigger in the space of main body 1 built-in function, therefore enables hemorrhoidal tissue obtain
More fully, excise thoroughly.
The present invention still has multiple specific embodiment, all employing equivalents or equivalent transformation
And all schemes formed, within all falling within the scope of protection of present invention.Such as, opening
4 can be two or more quantity, and the sidewall of the main body 1 that each opening 4 is relative sets
It is equipped with differently arranged suture stretch hole 6, is provided with outer housing 5 simultaneously.Outer housing 5, lead
Drawing portion 2 can be integrally manufactured with hollow body 1 with expanding part 3, it is also possible to removably with in
Empty main body 1 connects.Additionally, main body 1 is real except the respectively present invention with the shape of guidance part 2
Execute outside the tubulose in example and taper, it is also possible to be other streamline shape.Further, also may be used
To install illumination on anal-surgery auxiliary device (such as medial wall, expanding part, outer housing etc.)
Device.Further, all or part of anal-surgery auxiliary device can be by transparent material system
Become.
With mucosa ring cutting anastomosis on traditional hemorrhoidectomy and anastomat hemorrhoid (i.e. PPH art) phase
Ratio, by anal-surgery auxiliary device of the present invention can well to non-annularity hemorrhoid (as
Genesis analysis is in the hemorrhoidal tissue of anal canal inwall) uniformly and securely carry out purse string suture and laterally fill
Dividing tractive, the anal-surgery auxiliary device of the present invention coordinates with endoscopic stapler device simultaneously, gives and coincide
The operative space that device is bigger in auxiliary device, non-annularity internal hemorrhoid is carried out quick, effective, fill
Divide and excise thoroughly, significantly shortening operating time, alleviate the misery of patient, reduction
Affected part relapse rate.Additionally, the anal-surgery auxiliary device of the present invention with endoscopic stapler device
Ring-type hemorrhoid rapidly and effectively can also be excised and sew up under effectively coordinating.
Near-end herein, far-end are to be limited according to industry practice, i.e. during operation close to doctor
Person is near-end, and opposite end is far-end.
Above anal-surgery auxiliary device provided by the present invention is described in detail.Herein
In apply concrete example principle and the embodiment of the present invention be set forth, but real above
The explanation executing example is only intended to help to understand principle and the core concept thereof of the present invention, not to this
The restriction of invention protection domain.It should be pointed out that, those skilled in the art are come
Say, under the premise without departing from the principles of the invention, it is also possible to the present invention is carried out some improvement and
Modifying, these improve and modify in the protection domain also falling into the claims in the present invention.
Claims (10)
1. an anal-surgery auxiliary device, including hollow body (1), is positioned at described hollow
The guidance part (2) of main body (1) far-end, it is positioned at the expanding part of described hollow body (1) near-end
(3), the sidewall of described hollow body (1) is provided with at least one opening (4), and its feature exists
In: the sidewall of the described hollow body (1) relative with described opening (4) is provided with at least one
Individual suture stretch hole (6), the lateral wall near described suture stretch hole (6) is arranged has opening
The outer housing (5) of mouth (7).
Anal-surgery auxiliary device the most according to claim 1, it is characterised in that institute
Stating hollow body (1) is tubulose.
Anal-surgery auxiliary device the most according to claim 2, it is characterised in that institute
Stating guidance part (2) is taper.
Anal-surgery auxiliary device the most according to claim 3, it is characterised in that institute
State opening port (7) and be positioned at the near-end of described outer housing (5), and towards described expanding part (3).
Anal-surgery auxiliary device the most according to claim 4, it is characterised in that institute
The lateral profile stating outer housing (5) cross section is streamlined.
Anal-surgery auxiliary device the most according to claim 5, it is characterised in that institute
State the lateral wall smooth engagement of outer housing (5) and described hollow body (1).
Anal-surgery auxiliary device the most according to claim 6, it is characterised in that institute
State opening (4) along described hollow body (1) axially through to described guidance part (2).
Anal-surgery auxiliary device the most according to claim 7, it is characterised in that institute
The axial length stating hollow body (1) is 12 to 20 centimetres.
Anal-surgery auxiliary device the most according to claim 7, it is characterised in that institute
State opening (4) and be 5 to 12 centimetres along the axial length of described hollow body (1).
Anal-surgery auxiliary device the most according to claim 8 or claim 9, it is characterised in that
In the case of described suture stretch hole (6) is multiple, multiple described suture stretch holes (6)
Evenly and at intervals or interval be longitudinally arranged unevenly on the sidewall of described hollow body (1).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410582787.7A CN104287785B (en) | 2014-10-28 | 2014-10-28 | A kind of anal-surgery auxiliary device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410582787.7A CN104287785B (en) | 2014-10-28 | 2014-10-28 | A kind of anal-surgery auxiliary device |
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| Publication Number | Publication Date |
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| CN104287785A CN104287785A (en) | 2015-01-21 |
| CN104287785B true CN104287785B (en) | 2016-08-17 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN201410582787.7A Active CN104287785B (en) | 2014-10-28 | 2014-10-28 | A kind of anal-surgery auxiliary device |
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Families Citing this family (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109009259A (en) * | 2018-07-24 | 2018-12-18 | 太仓市中医医院 | A kind of PPH auxiliary instrument convenient for tying |
Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| RU2086190C1 (en) * | 1994-04-19 | 1997-08-10 | Вадим Владимирович Половинкин | Device for suture at ablation of internal hemorrhoids |
| CN2699840Y (en) * | 2004-05-15 | 2005-05-18 | 梁毅 | Anus speculum suturing device |
| EP1683473A1 (en) * | 2005-01-25 | 2006-07-26 | AMI Agency for Medical Innovations GmbH | Device for use in treatment of hemorrhoidal prolapse |
| EP1790295A1 (en) * | 2005-11-25 | 2007-05-30 | Stephen R. Myers | Removable introducer device for delivering a medical instrument to a target in vivo site |
| CN103654915A (en) * | 2008-11-04 | 2014-03-26 | 苏州天臣国际医疗科技有限公司 | Auxiliary instrument used for anorectal surgery |
| CN204181660U (en) * | 2014-10-28 | 2015-03-04 | 北京中法派尔特医疗设备有限公司 | A kind of anal-surgery auxiliary device |
-
2014
- 2014-10-28 CN CN201410582787.7A patent/CN104287785B/en active Active
Patent Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| RU2086190C1 (en) * | 1994-04-19 | 1997-08-10 | Вадим Владимирович Половинкин | Device for suture at ablation of internal hemorrhoids |
| CN2699840Y (en) * | 2004-05-15 | 2005-05-18 | 梁毅 | Anus speculum suturing device |
| EP1683473A1 (en) * | 2005-01-25 | 2006-07-26 | AMI Agency for Medical Innovations GmbH | Device for use in treatment of hemorrhoidal prolapse |
| EP1790295A1 (en) * | 2005-11-25 | 2007-05-30 | Stephen R. Myers | Removable introducer device for delivering a medical instrument to a target in vivo site |
| CN103654915A (en) * | 2008-11-04 | 2014-03-26 | 苏州天臣国际医疗科技有限公司 | Auxiliary instrument used for anorectal surgery |
| CN204181660U (en) * | 2014-10-28 | 2015-03-04 | 北京中法派尔特医疗设备有限公司 | A kind of anal-surgery auxiliary device |
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| CN104287785A (en) | 2015-01-21 |
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Address after: 102200 Changping District science and Technology Park, Beijing torch street, building 28, building three, floor 1 Applicant after: BEIJING PANTHER MEDICAL TECHNOLOGY CO., LTD. Address before: Beijing City, Chaoyang District Wangjing two district 100018 emerging industries in the Garden District Litse No. 208 building 3 floor 3305A room 3 Applicant before: Beijing Panther Medical Equipment Co., Ltd., |
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