CN104287792B - For the skirt-type guiding tube in operation on esophagus - Google Patents
For the skirt-type guiding tube in operation on esophagus Download PDFInfo
- Publication number
- CN104287792B CN104287792B CN201410512734.8A CN201410512734A CN104287792B CN 104287792 B CN104287792 B CN 104287792B CN 201410512734 A CN201410512734 A CN 201410512734A CN 104287792 B CN104287792 B CN 104287792B
- Authority
- CN
- China
- Prior art keywords
- bagging
- pulled
- connector
- tissue substance
- esophagus
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Fee Related
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/0218—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00358—Snares for grasping
Abstract
The invention discloses a kind of skirt-type guiding tube being used in operation on esophagus, including the bagging for coating tissue substance to be pulled, one end of bagging is opening, the other end closure of bagging, and closed end is internally provided with for suturing the connector being connected with tissue substance to be pulled, connector is fixedly connected with the traction tube for pulling bagging, and traction tube extends towards bagging outside.By the annular purse string suture of internal tissue substance line to be pulled and connector, and coated with the bagging of smooth in appearance, tissue substance is passed through through many places narrow sections such as belly diaphragmatic hiatus, right side thoracic cavity esophageal bed, right side pleura top apertura thoracis superiors again, finally pulled out at cervical incision；The cone form formed between bagging and guiding tube so that bagging and tissue substance to be pulled are more easy to take out at cervical incision.
Description
Technical field
The invention belongs to technical field of medical instruments, and in particular to for the skirt-type guiding tube in operation on esophagus.
Background technology
The developing direction of minimally invasive hysteroscope Esophageal Surgery representative's operation on esophagus, during hysteroscope operation on esophagus is carried out, cuts
After disconnected abdominal esophagus, surgeon needs to make gastric tube, and by soft traction to neck, carry out Ce with
Gastric tube coincide.When carrying out traction gastric tube, it is necessary to by belly diaphragmatic hiatus, right side thoracic cavity esophageal bed, right side pleura
Pushing up needs gentle manipulation in many places narrow sections such as apertura thoracis superior, distraction procedure, and ensures gastric tube without torsion or rotate.At present
What surgeon was taken is at the top of silk thread suspension suture gastric tube, then to be drawn, this method has problems with：
1. at the top of silk suture gastric tube, narrow because of many places, suture needle, which is in distraction procedure, easily to be torn, and causes gastric tube to crash into chest
Chamber re-starts suture and drawn, it is necessary to gastric tube is also included into abdominal cavity, also there is the possibility torn again, extends operation
And anesthesia duration, add the operation risk of patient；2. torn at the sutures of gastric tube, be likely to result in the broken of gastric tube
Mouthful, acid gastric content can be caused to damage and polluted with surrounding tissue；3. gastric tube is in distraction procedure, due to its tool
There is certain volume, not easily passed through when by stenosis everywhere, it is easy to cause incarceration, cause gastric tube necrosis, cause patient
Life danger.
The content of the invention
It is an object of the invention to provide for the skirt-type guiding tube in operation on esophagus, it is difficult to lead to solve people's in-vivo tissue thing
Drawing, and occur incarceration in distraction procedure makes the problem of draught line is easily torn.
The technical solution adopted in the present invention is to wait to lead for the skirt-type guiding tube in operation on esophagus, including for coating
The bagging of tissue substance is drawn, one end of bagging is opening, and the other end of bagging is closed, and closed end is internally provided with for waiting to lead
The connector of tissue substance suture connection is drawn, connector is fixedly connected with the traction tube for pulling bagging, traction tube is towards bagging
Outside extends.
The features of the present invention is also resided in,
Bagging is the taper that openend size is more than its closed end size, to cause bagging to be easy to by narrow in human body
Passage.
Bagging is soft silica gel or plastic material.
Connector is cyclic structure.
Screw thread of the surface of connector provided with its skin-friction force of increase.
The beneficial effects of the invention are as follows by the annular purse string suture of internal tissue substance line to be pulled and connector, and outside
The bagging that mass color is slided is coated, then tissue substance is entered through belly diaphragmatic hiatus, right side thoracic cavity esophageal bed, right side pleura top thorax
The many places narrow sections such as mouth pass through, and are finally pulled out at cervical incision；The cone form formed between bagging and guiding tube, makes
Obtain bagging and tissue substance to be pulled is more easy to take out at cervical incision.
Brief description of the drawings
Fig. 1 is the structural representation for the skirt-type guiding tube that the present invention is used in operation on esophagus；
Fig. 2 is the skirt-type guiding tube use state schematic diagram that the present invention is used in operation on esophagus.
In figure, 1. traction tubes, 2. connectors, 3. baggings, 4. otch, 5. tissue substances to be pulled.
Embodiment
The present invention is described in detail with reference to the accompanying drawings and examples.
The present invention provides a kind of skirt-type guiding tube being used in operation on esophagus, and drawing group is treated referring to Fig. 1, including for coating
The bagging 3 of fabric 5, one end of bagging 3 is opening, and the other end of bagging 3 is closed, and closed end is internally provided with for waiting to lead
Draw the connector 2 of the suture connection of tissue substance 5, connector 2 is fixedly connected with the traction tube 1 for pulling bagging 3, traction tube 1 to
The outside of bagging 3 to extend.
Wherein, bagging 3 is the taper that openend size is more than its closed end size, is generally set to skirt-type, that is, is justified
Taper, to cause bagging 3 to be easier to by the slype in human body, is pulled by bagging 3 together with tissue substance 5 to be pulled
During action, the smooth in appearance of bagging 3 and its end adjacent with traction tube are closed end, it is possible to will be managed using soft strength
Shape stomach is smoothly drawn through many places slype, and gastric tube will not be adversely affected, it is to avoid the tear of suture, makes
Operating time shortens.
Connector 2 could be arranged to cyclic structure, can also be arranged to other any be easy to and tissue substance to be pulled 5 is sutured
Shape, the surface of connector 2 provided with increase its skin-friction force screw thread so that suture be difficult skid, connect it is more steady
Gu.
Bagging 3 is soft silica gel or plastic material so that bagging 3 can follow the change in shape of tissue substance 5 to be pulled and
Change, make its complete docile wraps tissue substance 5 to be pulled so that its surface is smooth easily to be involved, and will tissue substance 5 be pulled
Isolated with surrounding tissue, reduce the probability polluted in art.
Such as Fig. 2, bagging 3 is first overturn and wrapped up when in use by the skirt-type guiding tube being used in operation on esophagus of the invention
On traction tube 1, then traction tube 1 is drawn from cervical incision 4 and inserted in mediastinum esophageal bed, and is drawn at abdominal cavity diaphram breach
Go out.Gastric tube to be drawn and cyclic adapting piece 2 are subjected to annular purse string suture, it is ensured that after suture is solid and reliable, by bagging 3 to
Lower upset, make its complete docile wraps gastric tube to be drawn.Traction tube 1 is pulled, the connector 2 with gastric tube is involved
Cervical incision 4, then the suture between connector 2 and gastric tube is cut, bagging 3 is separated with gastric tube, then by tubulose
The openend of stomach is sutured with oesophagus, that is, completes Ce and the anastomosis operation of gastric tube.
Claims (2)
1. for the skirt-type guiding tube in operation on esophagus, it is characterised in that including the bagging for coating tissue substance to be pulled (5)
(3), one end of described bagging (3) is opening, and the other end of described bagging (3) is closed, and closed end is internally provided with use
In the connector (2) being connected with tissue substance to be pulled (5) suture, connector（ 2）For cyclic structure, or other it are easy to and wait to lead
Draw tissue substance（ 5）The shape and structure of suture；
Described connector (2) is fixedly connected with for pulling the traction tubes (1) of bagging (3), and described traction tube (1) is towards set
Extend on the outside of bag (3)；
Described bagging (3) is the taper that openend size is more than its closed end size, to cause bagging (3) to be easy to by human body
Interior slype, described bagging (3) is soft silica gel or plastic material.
2. the skirt-type guiding tube being used for as claimed in claim 1 in operation on esophagus, it is characterised in that described connector (2)
Surface provided with increase its skin-friction force screw thread.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410512734.8A CN104287792B (en) | 2014-09-29 | 2014-09-29 | For the skirt-type guiding tube in operation on esophagus |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410512734.8A CN104287792B (en) | 2014-09-29 | 2014-09-29 | For the skirt-type guiding tube in operation on esophagus |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN104287792A CN104287792A (en) | 2015-01-21 |
| CN104287792B true CN104287792B (en) | 2017-09-15 |
Family
ID=52307930
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201410512734.8A Expired - Fee Related CN104287792B (en) | 2014-09-29 | 2014-09-29 | For the skirt-type guiding tube in operation on esophagus |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN104287792B (en) |
Citations (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN202313665U (en) * | 2011-09-23 | 2012-07-11 | 中国人民解放军第四军医大学 | Inflated protective cover for taking out foreign body from endoscopic stomach |
| CN103211634A (en) * | 2013-04-12 | 2013-07-24 | 同济大学 | Thread leading machine for arthroscopic surgery |
Family Cites Families (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE102006029599A1 (en) * | 2006-06-26 | 2007-12-27 | Tracoe Medical Gmbh | Device for introducing a tracheostomy tube into a tracheostoma |
| US20110105848A1 (en) * | 2007-10-07 | 2011-05-05 | Niv Sadovsky | Laparoscopic tissue retractor |
| US8197504B2 (en) * | 2008-05-01 | 2012-06-12 | Ethicon Endo-Surgery, Inc. | Safe tissue puncture device |
| CN201642142U (en) * | 2010-03-23 | 2010-11-24 | 马海燕 | Retractor for operation |
| CN201879787U (en) * | 2010-11-30 | 2011-06-29 | 俞晓立 | Surgical instrument for mini-invasive drainage |
| CN203042332U (en) * | 2013-01-05 | 2013-07-10 | 刘勇 | Negative-pressure tractor |
| CN103919685B (en) * | 2014-05-07 | 2016-01-13 | 张治� | The jejunal nutrient canal of inserting in right breast upper abdomen two incisions method Radical Resection of Esophageal Carcinoma |
| CN204106076U (en) * | 2014-09-29 | 2015-01-21 | 中国人民解放军第四军医大学 | For the skirt-type guiding tube in operation on esophagus |
-
2014
- 2014-09-29 CN CN201410512734.8A patent/CN104287792B/en not_active Expired - Fee Related
Patent Citations (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN202313665U (en) * | 2011-09-23 | 2012-07-11 | 中国人民解放军第四军医大学 | Inflated protective cover for taking out foreign body from endoscopic stomach |
| CN103211634A (en) * | 2013-04-12 | 2013-07-24 | 同济大学 | Thread leading machine for arthroscopic surgery |
Also Published As
| Publication number | Publication date |
|---|---|
| CN104287792A (en) | 2015-01-21 |
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| C10 | Entry into substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| CB03 | Change of inventor or designer information |
Inventor after: Lu Qiang Inventor after: Zhou Yongan Inventor after: Li Xiaofei Inventor after: Wang Yan Inventor after: Wang Juzheng Inventor after: Cao Lili Inventor after: Zhang Tianyi Inventor after: Zu Chao Inventor before: Zhou Yongan Inventor before: Li Xiaofei Inventor before: Lu Qiang Inventor before: Wang Yan Inventor before: Wang Juzheng Inventor before: Cao Lili Inventor before: Zhang Tianyi Inventor before: Zu Chao |
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| CB03 | Change of inventor or designer information | ||
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| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20170915 Termination date: 20180929 |
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| CF01 | Termination of patent right due to non-payment of annual fee |