CN104473678A - Novel bag covering hysterectomy device - Google Patents
Novel bag covering hysterectomy device Download PDFInfo
- Publication number
- CN104473678A CN104473678A CN201410664418.2A CN201410664418A CN104473678A CN 104473678 A CN104473678 A CN 104473678A CN 201410664418 A CN201410664418 A CN 201410664418A CN 104473678 A CN104473678 A CN 104473678A
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- bag
- specimen bag
- abdominal cavity
- fixed
- endoscope
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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
- A61B17/42—Gynaecological or obstetrical instruments or methods
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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
- 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
- A61B17/32—Surgical cutting instruments
- A61B17/3205—Excision instruments
- A61B17/32056—Surgical snare instruments
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00163—Optical arrangements
- A61B1/00165—Optical arrangements with light-conductive means, e.g. fibre optics
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B2017/320056—Tunnelers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B2017/320064—Surgical cutting instruments with tissue or sample retaining means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/42—Gynaecological or obstetrical instruments or methods
- A61B2017/4216—Operations on uterus, e.g. endometrium
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Molecular Biology (AREA)
- General Health & Medical Sciences (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Gynecology & Obstetrics (AREA)
- Pregnancy & Childbirth (AREA)
- Reproductive Health (AREA)
- Surgical Instruments (AREA)
Abstract
The invention relates to a novel bag covering hysterectomy device. The novel bag covering hysterectomy device comprises optical tweezers, a scalpel tube and an endoscope. The optical tweezers are arranged in the scalpel tube, and a positioning sleeve and the scalpel tube are connected with each other and arranged in a protection sleeve together. The scalpel tube is connected to the driving end of a manual motor shank, and an expansion ring sleeves the outer wall of the scalpel tube and is arranged between the protection sleeve and the driving end of the manual motor shank. The endoscope is communicated with the optical tweezers and fixed to the non-driving end of the manual motor shank, and the manual motor shank provides the required power through a motor. One end of the expansion ring is fixed to the outside of an abdominal cavity, and the other end is fixed to the inside of the abdominal cavity and connected to a specimen bag for forming a surgical channel between the specimen bag and the outside. The novel bag covering hysterectomy device has the advantages that a uterus is separated from the body, the specimen bag is placed in the abdominal cavity to place the separated tissue into the bag through the surgical channel formed by the device, and the excised tissue is pulled out of the abdominal cavity through an opening fixed to the abdominal cavity to prevent the tissue from metastasizing and the infection proneness in a hysterectomy process.
Description
Technical field
The invention belongs to technical field of medical instruments, particularly relate to a kind of new-type cover sack hysterectomy device of applicable specimen bag operation method.
Background technology
Along with widely using of electric hysterectomy forceps (being called for short resectoscope) later, more how thousands of women is benefited in the operation of Reservations uterus, such as myomectomy.In order to provide the operation of more Wicresoft to patient, usually need to remove large tissue specimen by minimal incision *, pulverize art and become possibility.Pulverize art and comprise many surgical technics, large specimen can be taken out from intraperitoneal with it, thus avoid abdominal.
But along with widely using of resectoscope, also expose the place that existing excision is not enough.
1, because the caused internal organs of holding forceps or blade itself (intestinal tube, Genito-urinary organ, other) and the damage of trunk have been reported, some of them even cause death.
2, be diagnostic techniques with us and instrument about pulverizing the puzzlement of art, not all uterine malignant tumour is identified in assessing in the preoperative.Although uterus carcinoma case is made a definite diagnosis in the preoperative is mostly possible, little hypotype, as sarcoma, it may have similar irradiation image to show to optimum leiomyoma of uterus, and optimum and malignant class can not make a distinction by other preoperative diagnosis means.Because a maximum subclass is leiomyosarcoma in sarcoma, account for 43% of sarcoma.Leiomyosarcoma is a kind of special challenge in gynecological, because its behavior has aggressive, but (preoperative) and optimum leiomyoma are difficult to differentiate.Estimate have 1/400 to 1/1000 to be finally confirmed to be leiomyosarcoma in the hysterectomy specimen being speculated as optimum hysteromyoma.Sending out in addition except the malignant tumor of concealment in operation process, benign tissue fragment also may be pulverized in art at motor and send out.The fragment of sending out may be planted in the organ in abdominal cavity, has peritonitis, intra-abdominal abscess and ileac probability, may need second operation or intervene further.The incidence rate of these complication is not clear, but relevant case report frequency increases.In one group of report, motor is pulverized postoperative iatrogenic leiomyoma of sending out and is found at vermiform appendix, is planted on bladder and in retroperitoneal space.Equally, there is case to be reported in motor and pulverize the peritoneum leiomyoma that postoperative pelvic cavity finds to be dispersed in.Also have and report that the patient of previous ametria endometrium ectopia pulverizes the postoperative endometriosis and the endometrioma that find new life at motor.
No matter that preoperative planning cannot be determined to clean in leiomyoma or art the fragment that produces when all cannot ensure clear pulverizing thus produce postoperative iatrogenicly to send out.In abdominal cavity, directly carry out pulverizing just inapplicable for existing resectoscope for this reason.
Summary of the invention
The object of the invention is to overcome the deficiency that prior art exists, and provide a kind of can the new-type cover sack hysterectomy device of the applicable specimen bag operation method of sending out of preventing tissue in advance.
The object of the invention is to have come by following technical solution, this new-type cover sack hysterectomy device, comprise optical forceps, cutter pipe, endoscope, described optical forceps loads in cutter pipe, and positioning sleeve is connected with cutter pipe, and loads together in sheath; Cutter pipe is connected with the drive end of mobile phone handle, struts snare on cutter pipe outer wall and between the drive end being positioned at sheath and mobile phone handle; Described endoscope communicates with optical forceps, and the anti-drive end of mobile phone handle is fixed in this endoscope, and mobile phone handle provides required drive by main frame.Described one, the circle that struts is fixed on outside abdominal cavity, and one is fixed on intraperitoneal and is connected with specimen bag, between specimen bag and the external world, establishing operation path.
As preferably, described sheath is provided with the gas-charging connection that injecting carbon dioxide air in specimen bag is used for carrying out performing the operation.
As preferably, described specimen bag is positioned at intraperitoneal, and bag mouth is positioned at external, and the structure of specimen bag is bag wall thickness is the cylindrical revolving body of 0.5 millimeter.
Beneficial effect of the present invention is: " uterus " cuts through in journey entirely, first uterus is departed from, the operation path set up by this product is put into abdominal cavity specimen bag and the tissue departed from is put into bag, by the openning be fixed on abdominal cavity, the tissue of excision is pulled out abdominal cavity, can the sending out of preventing tissue in advance, not easy infection.
Accompanying drawing explanation
Fig. 1 is structural representation of the present invention.
Fig. 2 is the structural representation of specimen bag of the present invention.
Label in accompanying drawing is respectively: 1, optical forceps; 2, positioning sleeve; 3, cutter pipe; 4, sheath; 5, circle is strutted; 6, mobile phone handle; 7, endoscope; 8, main frame; 9, specimen bag.
Detailed description of the invention
Do detailed introduction below in conjunction with accompanying drawing to the present invention: as shown in accompanying drawing 1,2, the present invention includes optical forceps 1, cutter pipe 3, endoscope 7, described optical forceps 1 loads in cutter pipe 3, and positioning sleeve 2 is connected with cutter pipe 3, and loads together in sheath 4; Cutter pipe 3 is connected with the drive end of mobile phone handle 6, struts circle 5 and to be placed on cutter pipe 3 outer wall and to be positioned between the drive end of sheath 4 and mobile phone handle 6; Described endoscope 7 communicates with optical forceps 1, and the anti-drive end of mobile phone handle 6 is fixed in this endoscope 7, and mobile phone handle 6 provides required drive by main frame 8.
Described 5 one, the circle that struts is fixed on outside abdominal cavity, and one is fixed on intraperitoneal and is connected with specimen bag 9, between specimen bag 9 and the external world, establishing operation path, facilitates all operating theater instruments turnover like this; Described sheath 4 is provided with the gas-charging connection that injecting carbon dioxide air in specimen bag is used for carrying out performing the operation; Described specimen bag 9 is positioned at intraperitoneal, and bag mouth is positioned at external, and the structure of specimen bag 9 is bag wall thickness is the cylindrical revolving body of 0.5 millimeter.
The present invention in the operating procedure of operation is: 1, peel off uterus by laparoscopic surgery, make it to be free in abdominal cavity; 2, by abdominal operation passage, specimen bag 9 is put into intraperitoneal, then free abdominal cavity, uterus nipper is put into specimen bag 9 and bag mouth pulled out external; 3, putting into specimen bag 9 strutting circle 5, by the tension force of self, specimen bag 9 being fixed on stomach wall, and set up bag and external operation path; 4, in the passage established, sheath 4 is put into; 5, positioning sleeve 2 and the cutter pipe 3 of choosing operation load in mobile phone handle 6, then the optical forceps 1 installing endoscope 7 are loaded in cutter pipe 3, and load together in sheath 4; 6, after pouring carbon dioxide by the qi of chong channel ascending adversely joint on sheath 4 in specimen bag, perform the operation.
The effect of specimen bag 9: be set up one at intraperitoneal independently to organize comminuting space, prevent fragment of tissue from spreading thus produce postoperative iatrogenicly to send out, in cutting and organizing, protective tissue does not flow into abdominal cavity.
The effect of sheath 4: protection struts circle 5 can not be damaged, can injecting carbon dioxide air in specimen bag 9 in the past, struts specimen bag 9.
The effect of cutter pipe 3: pulverize tissue and use.
The effect of positioning sleeve 2: locate the effect of lesion tissue and join cutter pipe pulverizing tissue.
The effect of optical forceps 1: optionally can descend grasping tissue in endoscope 7.
The effect of endoscope 7: coordinate optical forceps 1 to use, make optical forceps 1 can visual lower grasping tissue in specimen bag 9.
The effect of mobile phone handle 6: for cutter pipe 3 provides continuous print rotary power when pulverizing is organized.
The present invention is not limited to above-mentioned embodiment, no matter do any change, every employing structural design provided by the present invention on its shape or material are formed, is all one distortion of the present invention, all should thinks within scope.
Claims (3)
1. a new-type cover sack hysterectomy device, comprise optical forceps (1), cutter pipe (3), endoscope (7), it is characterized in that: described optical forceps (1) loads in cutter pipe (3), positioning sleeve (2) is connected with cutter pipe (3), and loads together in sheath (4); Cutter pipe (3) is connected with the drive end of mobile phone handle (6), struts circle (5) and to be placed on cutter pipe (3) outer wall and to be positioned between the drive end of sheath (4) and mobile phone handle (6); Described endoscope (7) communicates with optical forceps (1), and the anti-drive end of mobile phone handle (6) is fixed in this endoscope (7), and mobile phone handle (6) provides required drive by main frame (8); Described (5) one, the circle that struts is fixed on outside abdominal cavity, and one is fixed on intraperitoneal and is connected with specimen bag (9), between specimen bag (9) and the external world, establishing operation path.
2. new-type cover sack hysterectomy device according to claim 1, is characterized in that: described sheath (4) is provided with the gas-charging connection that injecting carbon dioxide air in specimen bag is used for carrying out performing the operation.
3. new-type cover sack hysterectomy device according to claim 1, it is characterized in that: described specimen bag (9) is positioned at intraperitoneal, bag mouth is positioned at external, and the structure of specimen bag (9) is bag wall thickness is the cylindrical revolving body of 0.5 millimeter.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410664418.2A CN104473678B (en) | 2014-11-19 | 2014-11-19 | One kind set sack hysterectomy device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410664418.2A CN104473678B (en) | 2014-11-19 | 2014-11-19 | One kind set sack hysterectomy device |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN104473678A true CN104473678A (en) | 2015-04-01 |
| CN104473678B CN104473678B (en) | 2017-12-05 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201410664418.2A Active CN104473678B (en) | 2014-11-19 | 2014-11-19 | One kind set sack hysterectomy device |
Country Status (1)
| Country | Link |
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| CN (1) | CN104473678B (en) |
Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106725776A (en) * | 2017-02-09 | 2017-05-31 | 华中科技大学同济医学院附属协和医院 | Laparoscope fast takes spleen device and its takes spleen method |
| CN107898488A (en) * | 2017-12-28 | 2018-04-13 | 济宁医学院 | Sample remaining device in vivo can be prevented for laparoscopic surgery |
| CN112451052A (en) * | 2020-12-11 | 2021-03-09 | 中国人民解放军陆军特色医学中心 | Breast tumor resection device |
| CN112603473A (en) * | 2020-12-24 | 2021-04-06 | 中国人民解放军总医院第三医学中心 | Superficial tumor package excision device and use method thereof |
| CN114145825A (en) * | 2021-11-30 | 2022-03-08 | 浙江申达斯奥医疗器械有限公司 | Electric hysterectomy device and assembling method thereof |
Citations (6)
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| US5368597A (en) * | 1993-05-24 | 1994-11-29 | Pagedas; Anthony | Reclosable pouch for laparoscopic use |
| CN1524503A (en) * | 2003-09-16 | 2004-09-01 | 星 周 | Improved reclaiming bag for biotissue |
| CN1528244A (en) * | 2003-10-17 | 2004-09-15 | 李艳芳 | Recycled biological sample bag |
| CN201542711U (en) * | 2009-10-29 | 2010-08-11 | 徐生源 | Automatic rotary-cut device used for uterine tissue |
| US20110190780A1 (en) * | 2010-02-03 | 2011-08-04 | O'prey Cormac | Surgical retrieval apparatus |
| CN204337018U (en) * | 2014-11-19 | 2015-05-20 | 桐庐万禾医疗器械有限公司 | New-type cover sack hysterectomy device |
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2014
- 2014-11-19 CN CN201410664418.2A patent/CN104473678B/en active Active
Patent Citations (6)
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| US5368597A (en) * | 1993-05-24 | 1994-11-29 | Pagedas; Anthony | Reclosable pouch for laparoscopic use |
| CN1524503A (en) * | 2003-09-16 | 2004-09-01 | 星 周 | Improved reclaiming bag for biotissue |
| CN1528244A (en) * | 2003-10-17 | 2004-09-15 | 李艳芳 | Recycled biological sample bag |
| CN201542711U (en) * | 2009-10-29 | 2010-08-11 | 徐生源 | Automatic rotary-cut device used for uterine tissue |
| US20110190780A1 (en) * | 2010-02-03 | 2011-08-04 | O'prey Cormac | Surgical retrieval apparatus |
| CN204337018U (en) * | 2014-11-19 | 2015-05-20 | 桐庐万禾医疗器械有限公司 | New-type cover sack hysterectomy device |
Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106725776A (en) * | 2017-02-09 | 2017-05-31 | 华中科技大学同济医学院附属协和医院 | Laparoscope fast takes spleen device and its takes spleen method |
| CN107898488A (en) * | 2017-12-28 | 2018-04-13 | 济宁医学院 | Sample remaining device in vivo can be prevented for laparoscopic surgery |
| CN112451052A (en) * | 2020-12-11 | 2021-03-09 | 中国人民解放军陆军特色医学中心 | Breast tumor resection device |
| CN112603473A (en) * | 2020-12-24 | 2021-04-06 | 中国人民解放军总医院第三医学中心 | Superficial tumor package excision device and use method thereof |
| CN114145825A (en) * | 2021-11-30 | 2022-03-08 | 浙江申达斯奥医疗器械有限公司 | Electric hysterectomy device and assembling method thereof |
| CN114145825B (en) * | 2021-11-30 | 2024-03-19 | 浙江申达斯奥医疗器械有限公司 | Electric hysterectomy device and assembly method thereof |
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| Publication number | Publication date |
|---|---|
| CN104473678B (en) | 2017-12-05 |
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