CN104983453B - Fibroid or corpus uteri rotary-cut grinder - Google Patents

Fibroid or corpus uteri rotary-cut grinder Download PDF

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Publication number
CN104983453B
CN104983453B CN201510457115.8A CN201510457115A CN104983453B CN 104983453 B CN104983453 B CN 104983453B CN 201510457115 A CN201510457115 A CN 201510457115A CN 104983453 B CN104983453 B CN 104983453B
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sheath
rotary
knife
cut
pipe
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CN104983453A (en
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李东林
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Li Donglin
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Guizhou Boyou Yue Information Technology Co Ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/42Gynaecological or obstetrical instruments or methods
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/42Gynaecological or obstetrical instruments or methods
    • A61B2017/4216Operations on uterus, e.g. endometrium

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Medical Informatics (AREA)
  • Reproductive Health (AREA)
  • Pregnancy & Childbirth (AREA)
  • Engineering & Computer Science (AREA)
  • Gynecology & Obstetrics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
  • Crushing And Pulverization Processes (AREA)

Abstract

The invention discloses a curing hysteromyoma or corpus uteri rotary-cut grinder, it is desirable to provide a kind of to avoid crushing damaged, the simple to operate fibroid grinder of bag.It is made up of the circular tube shaped rotary-cut crushing knife being adapted with sheath;Sheath includes being in funnelform sheath(4), be fixed on the swivel nut of the sheath upper port(2), be fixed on the upper sealing cap on the swivel nut top(1), be fixed on the lower blast cap of the swivel nut bottom(3), rotary-cut crushing knife include the front end mouth of pipe carry cutting edge knife pipe(8), the knife base that is fixed on the knife pipe(10);Sheath(4)On be fixed with least one valve(9), the lower port of the sheath(5)For oblique groove or aduncate curved surface groove;Knife pipe(8)The front end mouth of pipe be located at lower port(5)Between lowest part and highest point.Simple in construction, easy to operate, security of the invention is good, is to be used for the apparatus that fibroid is crushed in rotary-cut in a kind of laparoscope Minimally Invasive Surgery.

Description

Fibroid or corpus uteri rotary-cut grinder
Technical field
The present invention relates to a kind of operating theater instruments, more particularly to a curing hysteromyoma or corpus uteri rotary-cut grinder, belong to doctor Treat apparatus.
Background technology
It is well known that under laparoscope subtotal hysterectomy or hysteromyomectomy because with micro- mouth it is small, recover fast etc. excellent Point has clinically been promoted the use for many years;At present, fibroid is generally rejected using fibroid grinder or is removed secondary complete Uterus.The fibroid grinder is generally by the rotary-cut crushing knife structure cylindrical in funnelform sheath, in the sheath Into.Myomata rotary-cut can subtract body and take out external by rotary-cut crushing knife under the driving of motor, it is to avoid what Tradtional laparotomy was brought Long operative incision.But in surgical procedure, myomata is carried out in unprotect situation(I.e. peeling knife is completely sudden and violent in myomata sample It is exposed under the situation in abdominal cavity and carries out), myomata cell, cell mass or tissue crisp chip come off and can pollute abdominal cavity, and plant in abdominal cavity.
Therefore, food and medicine Surveillance Authority of the U.S.(FDA)Warning is sent on April 17th, 2014:Laparoscopic is cut Remove and when fibroid is divested, there is the possibility that the malignant tissue for causing concealment sends out using myomata grinder;Lacked due to preoperative Weary effective method for differentiating fibroid and benign from malignant tumors, taken precautions against without protection abdominal tissue pollution effective means it Before, it is not recommended that it is continuing with myomata grinder.At present, most of hospitals of the U.S. have stopped using myomata grinder.This warning It is restricted the laparoscopic surgery application of comparative maturity, whether domestic annual numerous patients with uterine myoma selects myomata To also huge puzzlement be faced with by crushing operation.
For above-mentioned warning, Chinese patent literature discloses Application No. " 201420793705.9 ", entitled " controllable aerating Gas-closed myomata sample crushes bag " utility model patent, first the myomata cut off can be placed in one using crushing bag, Then recycle traditional fibroid grinder to carry out rotary-cut to myomata and subtract body taking-up in vitro.The isolation that bag is crushed due to having is protected Protect and collect pulverized sample, therefore can avoid that abdominal tissue is polluted and malignant tissue sends out;So as to make myomata Operation is crushed to be carried out.
But when being performed the operation using the fibroid grinder of traditional structure, because knife length of tube is long more than sheath Degree, the cutting edge of knife pipe can stretch out at the lower port of sheath;Careless slightly cutting edge is operated to scratch crushing bag and cause myomata Cell, cell mass or tissue crisp chip leakage are become scattered about in abdominal cavity, so as to pollute;Have that operation difficulty is big, pollution risk is high Etc. defect.In addition, being not provided with inflation inlet and exhaust outlet on the sheath of the fibroid grinder of traditional structure, it is necessary to first will rotation Cutting could be inflated after crushing knife takes out from sheath by sheath upper port into crushing bag;Not only troublesome poeration, and Crushed in myomata crushing process without normal direction and tonifying Qi or exhaust are carried out in bag.
The content of the invention
In view of the foregoing defects the prior art has, the present invention is intended to provide one kind can avoid crushing bag breakage, operation letter Single convenient fibroid or corpus uteri rotary-cut grinder.
To achieve these goals, the present invention uses following technical scheme:It is by being adapted cylindrical structure with sheath Rotary-cut crushing knife constitute;The sheath include in funnelform sheath, be threadedly secured to the sheath upper port swivel nut, The upper sealing cap for being fixed on the swivel nut top, the lower blast cap for being fixed on the swivel nut bottom, the rotary-cut crushing knife include the front end mouth of pipe Knife pipe with wavy cutting edge, the knife base for being fixed on structure in the form of annular discs on the knife pipe;At least one is fixed with sheath Valve, the lower port of the sheath is oblique groove or aduncate curved surface groove;The front end mouth of pipe of knife pipe is located at lower port most Between lower and highest point.
Lower blast cap is in concave shape structure, and the otch in cross or M shape structure is arranged at the bottom of the lower blast cap;In swivel nut There is sealing ring between sheath.
Compared with the prior art, the present invention is by adopting the above-described technical solution, the lower port of sheath has been changed to tiltedly to cut open Mouth or aduncate curved surface groove shape structure and the length for shortening knife pipe, therefore, it is possible to ensure that the front end mouth of pipe of knife pipe begins The position between the lowest part of sheath lower port and highest point is in eventually;The sheath wall of sheath lower port lowest part can be blocked, isolated The front end mouth of pipe of knife pipe contacts with crushing bag and causes its damaged, so as to reduce operational control fibroid rotary-cut grinder Difficulty, improves operation safety.Further, since adding two valves on sheath(One be used for crush bag in inflation, Another is used to be vented), therefore it is that can be achieved to inflation in crushing bag or be vented that need not take out knife pipe from sheath crowd.The present invention Simple in construction, easy to operate, security reliability is high, is cut entirely available for fibroid, uterus time is taken out in laparoscope Minimally Invasive Surgery Except the corpus of operation takes out and Abdominal mass taking-up.
Brief description of the drawings
Fig. 1 is the structural representation of the present invention;
Fig. 2 is the structural representation of blast cap under the present invention;
Fig. 3 is Fig. 2 upward view.
In figure:Upper sealing cap 1, swivel nut 2, lower blast cap 3, sheath 4, lower port 5, myomata 6, crushing bag 7, knife pipe 8, valve 9, knife Base 10, otch 11.
Embodiment
The invention will be further described with specific embodiment below in conjunction with the accompanying drawings:
As shown in Figures 1 to 3:The rotary-cut crushing knife structure that the present invention is adapted by sheath, cylindrical structure and with the sheath Into.The sheath by funnelform sheath 4, be threadedly secured to the swivel nut 2 of the sheath upper port, be fixed on the swivel nut top The upper sealing cap 1 at end, two valves 9 for being fixed on the lower blast cap 3 of the swivel nut bottom, being fixed on sheath 4 are constituted, under sheath 4 Port 5 is oblique groove or aduncate curved surface groove shape structure;The rotary-cut crushing knife includes the front end mouth of pipe with wavy Cutting edge(Do not indicated in figure)Knife pipe 8, be fixed on knife base 10 in the form of annular discs on the knife pipe.When knife pipe 8 from top to bottom according to It is secondary through upper sealing cap 1, swivel nut 2, lower blast cap 3 and when inserting in sheath 4, the front end mouth of pipe of knife pipe 8 is located exactly at lower port 5 most Position between lower and highest point.
Gas uses concave shape from leakage in bag 7, lower blast cap 3 is crushed when being extracted in order to avoid rotary-cut crushing knife from sheath Structure, the bottom of the lower blast cap has in cross or the otch of M shape structure 11.When rotary-cut crushing knife is extracted from sheath, Four of the lower bottom of blast cap 3 or eight valves will automatically be closed because of the state of affranchising.
In order to avoid gap location leakage of the gas between sheath 4 and swivel nut 2, provided with sealing between swivel nut 2 and sheath 4 Circle.
Operation principle:Sheath is inserted in the crushing bag 7 equipped with myomata 6, then sequentially passed through knife pipe 8 from top to bottom Sealing cap 1, swivel nut 2, lower blast cap 3 and insert in sheath 4, start motor(Not shown in figure)Can be by the front end mouth of pipe of knife pipe 8 Rotary-cut is carried out to myomata 6, is crushed.

Claims (3)

1. a curing hysteromyoma or corpus uteri rotary-cut grinder, by the rotary-cut crushing knife structure that cylindrical structure is adapted with sheath Into;The sheath includes being in funnelform sheath(4), be threadedly secured to the swivel nut of the sheath upper port(2), be fixed on this The upper sealing cap on swivel nut top(1), be fixed on the lower blast cap of the swivel nut bottom(3), the rotary-cut crushing knife include front end mouth of pipe band There is the knife pipe of wavy cutting edge(8), be fixed on the knife base of structure in the form of annular discs on the knife pipe(10);It is characterized in that:Sheath (4)On be fixed with least one valve(9), the lower port of the sheath(5)For oblique groove or aduncate curved surface groove;Knife pipe (8)The front end mouth of pipe be located at lower port(5)Lowest part and highest point between.
2. fibroid according to claim 1 or corpus uteri rotary-cut grinder, it is characterised in that:Lower blast cap(3)In recessed Otch in cross or M shape structure is arranged at character form structure, the bottom of the lower blast cap(11).
3. fibroid according to claim 1 or 2 or corpus uteri rotary-cut grinder, it is characterised in that:In swivel nut(2)With Sheath(4)Between have sealing ring.
CN201510457115.8A 2015-07-30 2015-07-30 Fibroid or corpus uteri rotary-cut grinder Active CN104983453B (en)

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CN104983453B true CN104983453B (en) 2017-09-22

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Families Citing this family (6)

* Cited by examiner, † Cited by third party
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
CN110141311A (en) * 2018-02-12 2019-08-20 杨剑鹏 A kind of peeling knife
CN109009266B (en) * 2018-08-29 2024-09-17 合肥赫博医疗器械有限责任公司 Abdominal cavity imbedding and double-sleeve sealing device communicated with hard catheter fetching bag
CN111202564A (en) * 2020-03-17 2020-05-29 嘉兴市妇幼保健院 Myoma rotary-cut extractor
CN111297453B (en) * 2020-03-25 2021-10-08 中国人民解放军陆军特色医学中心 Hysteromyoma rotary cutter
CN112515733B (en) * 2020-11-03 2021-08-17 海口市人民医院(中南大学湘雅医学院附属海口医院) Smashing device is accomodate to tumour of transurethral bladder tumour excision usefulness

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Publication number Priority date Publication date Assignee Title
DE102007008751A1 (en) * 2007-02-22 2008-08-28 Wisap Gesellschaft für wissenschaftlichen Apparatebau mbH Device for cutting out and removing cylinders of tissue from tissue, has cutting device with hollow-cylindrical base body and distal opening on distal end of base body, where cutting element is provided for surrounding distal opening
CN201324269Y (en) * 2008-12-25 2009-10-14 申屠作本 Electric resectoscope for gynaecologic surgeries
CN202288406U (en) * 2011-10-24 2012-07-04 申屠作本 Hysteromyoma rotary cutter
US8956286B2 (en) * 2011-12-23 2015-02-17 Atropos Limited Pneumoperitoneum device
WO2013093030A2 (en) * 2011-12-23 2013-06-27 Atropos Limited A pneumoperitoneum device
CN103860238B (en) * 2012-12-10 2016-05-04 财团法人金属工业研究发展中心 Myomata device for excising
CN204192697U (en) * 2014-10-29 2015-03-11 重庆西山科技有限公司 Band protects the abrasive drilling handle of sheath
CN204337034U (en) * 2014-12-16 2015-05-20 佐满珍 The closed muscular tumor specimen of controllable inflation pulverizes bag
CN204839683U (en) * 2015-07-30 2015-12-09 李东林 Hysteromyoma or uterus body rotary -cut grinder

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Effective date of registration: 20170817

Address after: 550018 B210 room, standard workshop auxiliary room, Jinyang science and Technology Industrial Park, Guiyang national hi tech Industrial Development Zone, Guiyang, Guizhou

Applicant after: Guizhou Boyou Yue Information Technology Co. Ltd.

Address before: 550001 Department of Gynecology, provincial people's Hospital, 1 South Road, Guiyang, Guizhou, Baoshan

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Address after: 550001 Department of Gynecology, 1 people's Hospital, Baoshan South Road, Yunyan District, Guiyang, Guizhou

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Address before: Room B210, Auxiliary Room of Standard Factory Building of Jinyang Science and Technology Industrial Park, Guiyang National High-tech Industrial Development Zone, Guizhou Province

Patentee before: Guizhou Boyou Yue Information Technology Co. Ltd.