CN105615937A - Noninvasive tumor removal device - Google Patents

Noninvasive tumor removal device Download PDF

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Publication number
CN105615937A
CN105615937A CN201510993112.6A CN201510993112A CN105615937A CN 105615937 A CN105615937 A CN 105615937A CN 201510993112 A CN201510993112 A CN 201510993112A CN 105615937 A CN105615937 A CN 105615937A
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China
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outer
applicator
tumor
magnetic sheet
suction tube
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CN201510993112.6A
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Chinese (zh)
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武德起
牛备战
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武德起
牛备战
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Priority to CN201510993112.6A priority Critical patent/CN105615937A/en
Publication of CN105615937A publication Critical patent/CN105615937A/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/122Clamps or clips, e.g. for the umbilical cord
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/128Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
    • A61B17/1285Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips for minimally invasive surgery

Abstract

The invention discloses a noninvasive tumor removal device which comprises a blocking clamp and an applicator. The blocking clamp is detachably clamped to the applicator in an open mode, and the applicator is located in an opening of the blocking clamp. When the noninvasive tumor removal device is used, the blocking clamp is separated from the applicator after entering the human body along with the applicator and clamped to the root of the tumor. According to the noninvasive tumor removal device, the function of removing the tumor in the human body is achieved through cooperation of the blocking clamp and the applicator; with the help of the noninvasive tumor removal device, operation time is short, medical pain of a patient is less, the tissue end face can be promoted to heal rapidly, recovery of the patient is facilitated, operation is relatively simple, and normal life and work of the patient are not influenced.

Description

一种肿瘤无创摘除装置 Means removal of a tumor noninvasive

技术领域 FIELD

[0001]本发明涉及医用肿瘤摘除装置的技术领域,具体涉及一种肿瘤无创摘除装置,用于早、中期肿瘤的无创手术。 [0001] The present invention relates to the field of medical tumor removal apparatus, particularly relates to a non-invasive tumor removal means for early and mid noninvasive tumor surgery.

背景技术 Background technique

[0002]结直肠是国内外常见的消化道恶性肿瘤,死亡率高。 [0002] Colorectal cancer is a common gastrointestinal home and abroad, high mortality. 现行技术的治疗方法中,通常采用剖腹方法并利用吻合钉对肿瘤进行摘除,但剖腹的治疗方法会造成患者元气大伤且手术费昂贵,患者恢复缓慢,且吻合钉滞留体内还会对患者以后的生活和后期的治疗带来诸多不便。 The current method of treatment technology, commonly used method laparotomy and removal of tumors using the staples, but treatment can cause abdominal surgery patients battered and expensive, patient recovery was slow, and the staples will be retained after the body of the patient the inconvenience of life treatment and later. 现今手术中,人们希望创伤小而又不影响生理机能,因此微创手术和功能外科越来越受到大家的推崇。 Today surgery, people want less invasive without affecting physiological function, and therefore minimally invasive surgery and surgical function more and more respected by everyone.

[0003]为了达到微创手术的效果,肠肠吻合手术是治疗结直肠肿瘤最有效的途径之一。 [0003] In order to achieve the effect of minimally invasive surgery, bowel anastomosis surgery is one way to treat colorectal cancer most effective. 在肠肠手术中采用吻合器经肛门直肠部分能切除对于距离肛缘8cm以内、直径小于3cm的肿瘤,使患者达到了满意的治疗效果。 Employed in the distal intestinal anastomotic surgery by resection of the anorectal portion can be less than the distance from the anal margin 8cm, 3cm diameter less than the tumor, the patient to achieve a satisfactory therapeutic effect. 但由于术中所采用的吻合器为双吻合器,费用昂贵,手术操作复杂,并且还会造成治疗不彻底和并发症较多情况的发生,因此达不到患者的预期。 However, due to surgery used to double stapling stapler, expensive, complicated surgical procedures, and treatment is not complete and will result in a higher incidence of complications in the situation, and therefore not meet the patient's expectations. 此外,培训一名合格的肠肠手术专业医生也需要大量的时间和病例的积累。 In addition, the training of a qualified professional intestinal bowel surgery, doctors also need a lot of time and the accumulation of cases. 针对上述存在的问题,采用另一种方法摘除肿瘤是解决这些问题的最有效方案。 For the above problems, an alternative method is the most effective removal of the tumor a solution to these problems.

发明内容 SUMMARY

[0004]本发明的目的在于提供一种肿瘤无创摘除装置,用于解决针对肿瘤传统采用的肠肠吻合手术不仅费用昂贵、操作复杂且治疗不彻底、并发症较多的问题。 [0004] The object of the present invention is to provide a non-invasive tumor removal means for solving for the conventionally used tumor distal intestinal anastomosis is not only expensive, complex operation and treatment is not complete, more complications problems.

[0005]为了实现上述目的,本发明提供如下技术方案: [0005] To achieve the above object, the present invention provides the following technical solutions:

[0006] —种肿瘤无创摘除装置,包括阻断夹和施放器,所述阻断夹呈开口式可拆卸地夹设在所述施放器上,所述施放器位于所述阻断夹的开口内。 [0006] - a non-invasive tumor removal means comprises a clamp block and a applicator, the blocking clamp removably clamped open-ended form provided on said applicator, said applicator is in said blocking clamp opening Inside.

[0007]相比于现有技术,本发明所述的肿瘤无创摘除装置具有以下优势:本发明提供的肿瘤无创摘除装置,通过阻断夹和施放器的配合使用达到对体内肿瘤的摘除作用,尤其是对早期的结直肠癌的治疗作用显著。 [0007] Compared to the prior art, the present invention is a tumor removal of non-invasive device has the following advantages: the present invention provides a tumor removal noninvasive means, and by blocking the clamp with the use of the applicator to achieve removal of tumor in vivo effect, especially the effect of early treatment of colorectal cancer significantly. 阻断夹配合施放器送入人体内,达到肿瘤位置后,阻断夹脱离施放器夹持在肿瘤的根部,从而切断肿瘤病变部位给养,迫使肿瘤组织坏死、脱落,阻断夹随坏死组织一并排出,或可自行降解,无残留。 Blocking mating clip applier into the human body, after reaching the tumor site, blocking off clip applier gripping the root of the tumor, thereby cutting off the tumor lesion supplies, forcing the tumor tissue necrosis, necrotic tissue with a clip to block and discharged, or self-degradable, no residue. 相比于传统采用的剖腹或借助腹腔镜进行的肠肠吻合手术,不仅手术时间短,而且减少患者的病痛,患者无实际创伤,且由于利用阻断夹作用于组织,促使组织端面快速愈合,益于患者自身的恢复。 Compared to using traditional laparotomy or laparoscopy carried out by means of distal intestinal anastomosis, only short operation time, and reduce the patient's pain, the patient no actual trauma, and since the blocking effect on the tissue clip to promote rapid healing tissue end surface, benefit from the patient's own recovery. 此外,此项手术操作简单易行,无需对医生有繁杂的培训。 In addition, this surgical procedure is simple, there is no need for complicated training doctors. 本发明提供的肿瘤无创摘除装置可使中、早期肿瘤患者免于手术之苦,在不影响患者正常工作的情况下实施肿瘤的摘除,成本较低,节省人力、物力,对患者、医生均能起到积极的作用,造福于社会。 The present invention provides tumor removal means can in non-invasive, early cancer patients suffering from surgery, tumor removal in the implementation without affecting the patient's normal work, low cost, save manpower, material resources, the patient, the doctor can play a positive role for the benefit of society.

附图说明 BRIEF DESCRIPTION

[0008]通过阅读下文优选实施方式的详细描述,各种其他的优点和益处对于本领域普通技术人员将变得清楚明了。 [0008] By reading the following detailed description of preferred embodiments Hereinafter, a variety of other advantages and benefits to those of ordinary skill in the art will become apparent. 附图仅用于示出优选实施方式的目的,而并不认为是对本发明的限制。 The drawings are only for purposes of illustrating a preferred embodiment and are not to be considered limiting of the present invention. 在附图中: In the drawings:

[0009]图1示出了本发明实施方式中肿瘤无创摘除装置装配后的结构示意图; [0009] FIG. 1 shows a schematic structural diagram of an embodiment of the present invention is non-invasive after tumor removal device is mounted;

[0010]图2示出了本发明实施方式中自吻合磁片的结构示意图; [0010] FIG. 2 shows a schematic configuration from the magnetic sheet stapling embodiment of the present invention;

[0011]图3示出了根据本发明的一种优选实施方式的施放器外囊套撑开前的结构示意图; [0011] FIG. 3 shows a schematic structure of the front outer spreader according to one preferred embodiment of the applicator embodiment of the present invention, the cuff;

[0012]图4示出了图3中施放器外囊套撑开后的结构示意图; [0012] FIG. 4 shows a schematic view of the applicator of FIG. 3 outside the pockets distraction;

[0013]图5示出了本发明实施方式中外囊套横截面呈圆面时肿瘤无创摘除装置的装配结构示意图;以及, [0013] FIG. 5 shows a schematic view of the mounting structure of the present invention when the cuff mode foreign circular cross-sectional surface of a non-invasive tumor removal device embodiment; and,

[0014]图6示出了本发明实施方式中外囊套横截面呈方形面时肿瘤无创摘除装置的装配结构示意图。 When [0014] FIG. 6 illustrates an embodiment of the present invention, foreign square cross section of the cuff no tumor schematic side mounting structure of the record extraction apparatus.

[0015]附图标记: [0015] reference numerals:

[0016] 1-阻断夹, 2-施放器, [0016] 1- blocking clamp, 2- applicator,

[0017] 21-内吸管, 22-外囊套, [0017] the suction tube 21, 22 outside the pockets,

[0018] 221-斜坡面, 23-卡槽, [0018] 221- ramp surface, 23-slot,

[0019] 24-插管口, 3-自吻合磁片, [0019] 24- insertion port, from 3- anastomosis diskette,

[0020] 31-闭合面, 32-吻合梁, [0020] 31- closing surface, 32- anastomosis beam,

[0021] 33-吻合槽, 34-凹坑, [0021] groove 33 coincide, 34- pits,

[0022] 35-凸起。 [0022] 35 projections.

具体实施方式 Detailed ways

[0023]本发明提供了许多可应用的创造性概念,该创造性概念可大量的体现于具体的上下文中。 [0023] The present invention provides many applicable inventive concepts, the inventive concept can be embodied in a large number of specific contexts. 在下述本发明的实施方式中描述的具体的实施例仅作为本发明的具体实施方式的示例性说明,而不构成对本发明范围的限制。 Specific embodiments described in the following embodiments of the present invention, only as particular embodiments of the present invention is illustrative, and not to limit the scope of the present invention.

[0024]下面结合附图和具体的实施方式对本发明作进一步的描述。 [0024] The present invention will be further described in conjunction with the accompanying drawings and specific embodiments.

[0025] 实施例一 [0025] Example a

[0026]请参阅图1,本实施例提供一种肿瘤无创摘除装置,该肿瘤无创摘除装置包括阻断夹I和施放器2,阻断夹I呈开口式可拆卸地夹设在施放器2上,施放器2位于阻断夹I的开口内,即阻断夹I的两片夹片分别夹设在施放器2的两侧。 [0026] Referring to FIG. 1, the present embodiment provides a non-invasive tumor removal apparatus, the removal means comprises a non-invasive tumor blocking clip applier I and 2, as a clip to block the opening of formula I is removably interposed applicator 2 , the applicator 2 is located in the I block the clip opening, i.e., two blocking clamp I Slide pieces are interposed on both sides of the applicator 2.

[0027] 使用时,阻断夹I安置在施放器2上并随施放器2共同进入人体内。 [0027] In use, the block disposed on the clip applicator I 2 and 2 together with the applicator into the body. 为了确定施放器2的位置,可在施放器2上固定有内窥镜,也可通过腹腔镜监测。 In order to determine the position of the applicator 2, the endoscope can be fixed on the applicator 2, it can also be monitored through the laparoscope. 从节省成本的角度考虑,本实施例选用在施放器2上固定内窥镜的方式。 From the viewpoint of cost, in the present embodiment selection applicator endoscope 2 is fixed manner. 当施放器2的顶端到达肿瘤的位置时,阻断夹I可在外力推动下沿施放器2外壁并向肿瘤位置滑动,最后脱离施放器2夹持在肿瘤的根部。 When the applicator tip 2 reaches the location of the tumor, blocking the clip applicator I may push the lower edge of the outer wall 2 and an external force in the sliding position of the tumor, from the roots and finally held applicator 2 tumors. 上述阻断夹I应为小型夹体。 I should be small above blocking clamp body is a clip. 当然,上述阻断夹I也可不借助外力的作用,在施放器2收缩的情况下,阻断夹I依靠其自身重力或磁力沿施放器2外壁向肿瘤方向移动并闭合夹持在肿瘤的根部。 Of course, the above-described blocking means interposed I may also external forces, in a case where contraction applicator 2, clamp block I on its own gravity or a magnetic force along the outer wall of the applicator 2 is moved in the direction of the tumor and the tumor held closed root . 此外,在不借助外力的情况下,为了进一步保证阻断夹I的闭合情况良好,在阻断夹I两夹片相对的闭合面31上设置有磁性材料,在磁性材料的作用下,两夹片自动闭合从而固定夹持在肿瘤的根部。 Further, without outside help, in order to further ensure closure to block I in good clip, the clip I blocking two opposing jaw 31 is provided with a magnetic material on the closing surface, under the action of a magnetic material, two folders sheet holding base is fixed so that automatic closing of the tumor.

[0028]本实施例中,通过阻断夹I和施放器2的配合使用,从而达到将阻断夹I夹持在肿瘤根部的效果,切断肿瘤病变部位给养,迫使肿瘤组织坏死、脱落,达到对体内肿瘤的摘除作用。 [0028] In this embodiment, by blocking the clip applier with the use of I and 2, so as to achieve the effect of blocking the interposed I clamped tumor roots, cut off the tumor lesion supplies, forcing the tumor tissue necrosis, to achieve removal effect on tumors in vivo. 本实施例采用的肿瘤无创摘除装置对早、中期肿瘤具有较好的治疗效果,不仅相对于传统手术方法手术时间更短,而且能减少患者的病痛,使患者免于手术之苦,无实际创伤,不影响患者的正常工作和生活。 Tumor embodiment of the present embodiment using the non-invasive removal apparatus early, mid tumors better therapeutic effect, not only with respect to traditional surgery shorter operation time, but also reduce the patient's pain, the patient suffering from surgery, trauma no practical , does not affect the normal work and life of patients. 且阻断夹I夹设位置的组织端面愈合快速,益于患者自身的恢复。 I interposed tissue and block clamp end surface disposed position rapid healing, to restore the patient's own benefit. 使用本实施例提供的肿瘤无创摘除装置对肿瘤进行治疗时,无需对医生有繁杂的培训,成本较低,节省人力、物力,对社会具有积极的作用。 Use of this tumor to an embodiment of the device during non-invasive removal of the tumor treatment, there is no need for complicated training doctors, low cost, saving manpower, material resources, it has a positive effect on society.

[0029]实施例二 [0029] Second Embodiment

[0030]本实施例中的阻断夹I采用两块相互吸引的自吻合磁片3,该两块自吻合磁片3对称设置在施放器2的外表面上并且其自身能相互吸附的闭合面朝向肿瘤方向。 [0030] The present embodiment uses the self blocking folder I agree two mutually attracting magnet pieces 3, the two self-consistent magnetic sheet 3 disposed symmetrically on the outer surface of the applicator 2 and itself capable of adsorbing mutually closed tumor direction toward the surface.

[0031 ]自吻合磁片3随施放器2进入人体后,施放器2顶部到达肿瘤的位置,自吻合磁片3在外力的作用下沿施放器2外壁向肿瘤位置下滑,最后脱离施放器2,在肿瘤根部两自吻合磁片3闭合进而夹持在肿瘤的根部。 [0031] Since the magnet pieces coincide with applicator 3 into the body 2, the top 2 reaches the position of the applicator of the tumor, the magnetic sheet 3 from falling into the tumor stapling position by the external force along the outer wall of the applicator 2, and finally out of the applicator 2 , two tumors from the roots coincide magnetic sheet holding base 3 is closed in turn in the tumor. 本实施例中,阻断夹I采用两块相互吸引的自吻合磁片3能取得实施例一的技术效果,此外,两块自吻合磁片3由于其具有相互的吸引力,不借助外力便能自行闭合,使用方便,闭合效果良好,有效阻断了肿瘤的给养。 In this embodiment, self consistent blocking clamp I two mutually attractive magnetic sheet 3 can be achieved a technical effect of the embodiment, moreover, since the two coincide with each other due to the magnetic sheet 3 attraction, without the aid of an external force will You can be self-closing, easy to use, well-closing effect, effectively blocking the tumor supplies.

[0032]值得一提的是,阻断夹I采用的自吻合磁片3可为长方形或三角形等形状,另外,两片自吻合磁片3可以是形状相同的两片也可以是形状不同的两片,只要其能嵌合或卡合在施放器2的外表面上并在进入人体后能从施放器2上脱离并实现闭合即可。 [0032] It is worth mentioning, since the anastomosis clamp block I used magnetic sheet 3 may be rectangular or triangular shape, etc. In addition, since two magnet pieces 3 may be consistent with the same shape may be two different shapes two, as long as it can be fitted or engaged with and disengaged from the applicator to achieve closure 2 in the outer surface of the applicator and into the body 2.

[0033] 实施例三 [0033] Example three

[0034]本实施例的技术方案基于实施例二的技术方案,在本实施例中,两片相互吸引的自吻合磁片3的磁力大小为1500〜8000高斯。 [0034] The technical solution of the present embodiment is based on the technical solution of the second embodiment, in the present embodiment, two mutually attracting magnetic force from the magnetic sheet stapling 3 is 1500~8000 gauss.

[0035]本实施例能取得实施例二的所有技术效果,并且,由于限定了自吻合磁片3的磁力大小,既能保证两块相互吸引的自吻合磁片3不会因为磁力过小而导致其在闭合后不能有效阻断肿瘤的给养,又能保证两块相互吸引的自吻合磁片3不会因为磁力过大而导致其闭合后的夹力太大,内部组织的创伤面没有恢复好肿瘤便过早脱落,创伤面容易受到感染引起溃疡或者腐烂。 [0035] The present embodiment can obtain all of the technical effect according to the second embodiment, and, since the magnetic force defines a self-consistent magnetic sheet 3 can ensure the mutual attraction of two magnet pieces 3 will not match since the magnetic force is too small can not effectively lead to blocking tumor rations after the closure, but also to ensure self-consistent two mutually attracting magnetic sheet 3 will not result in too large a magnetic force of the clamp in its closed too large, the wound surface is not restored within the organization premature loss of good will tumor, traumatic ulcers caused by surface susceptible to infection or rot.

[0036] 实施例四 [0036] Fourth Embodiment

[0037]本实施例的技术方案基于实施例二的技术方案,请参阅图2,在本实施例中,两片自吻合磁片3的闭合面31上分别设置有能相互嵌合的吻合梁32和吻合槽33,并在吻合梁32和吻合槽33的两端分别设置有能相互嵌合的凹坑34和凸起35,两片自吻合磁片3上的凹坑34和凸起35的位置相反。 [0037] The technical solution of the present embodiment is based on the technical solution according to the second embodiment, see FIG. 2, in the present embodiment, since two magnet pieces are provided with a stapling each stapling beam can be fitted on the closing surface 313 of the grooves 33 and 32 coincide, and both ends of the beam 32 and the anastomotic stapling groove 33 are provided with mutually fittable recesses 34 and projections 35, since the two agree on the magnetic sheet 34 and the projections 3 pits 35 the opposite position.

[0038]两自吻合磁片3闭合的时候一片自吻合磁片3上的吻合梁32和另一片自吻合磁片3上的吻合槽33相互嵌合,同时一片自吻合磁片3上的凹坑34和另一片自吻合磁片3上的凸起35也相互嵌合,保证了两自吻合磁片3的闭合效果,避免形成X状闭合,同时增大了吻合的力度,保证了对肿瘤部位组织给养的切断。 Anastomosis on the beam 3 [0038] Since two magnetic sheet 3 is closed when stapling a self-consistent magnetic sheet 32 ​​from other sheet stapling anastomosis and grooves 3 on the magnetic sheet 33 are fitted together, while an engaging concave from the diskette 3 pits and projections 34 from the other sheet on the magnetic sheet 335 coincide with each other is also fitted, to ensure that the two self-closing effect anastomosis magnet pieces 3, to avoid the formation of X-shaped closed, while increasing the consistent efforts to ensure the tumor cut off supplies of parts of the organization. 当然,本实施例还能取得实施例二的所有技术效果O Of course, this embodiment can obtain all the technical effect of O Example II

[0039] 实施例五 [0039] Embodiment V

[0040]本实施例的技术方案基于实施例二的技术方案,在本实施例中,自吻合磁片3的材料为磁性材料或复合材料,该复合材料由生物可降解材料微粒与磁性材料微粒组成。 [0040] The technical solution of the present embodiment based on the technical solution of the second embodiment, in the present embodiment, since the magnetic sheet 3 is consistent with magnetic material or a composite material, the composite material made of a biodegradable material with fine particles composition.

[0041]若自吻合磁片3选用磁性材料,则其具体可选用钕铁硼、钐钴、铁氧体、铝镍钴等材料中的一种或多种,在患者创伤面愈合后,自吻合磁片3随坏死组织一起排出。 [0041] When a magnetic material selected from the anastomosis magnetic sheet 3, the specific choice of NdFeB, SmCo, ferrite, alnico materials such as one or more of the patient after the wound surface healing, from 3 match diskette discharged together with the necrotic tissue. 若自吻合磁片3选用生物可降解材料微粒与磁性材料微粒组成的复合材料,则其中的生物可降解材料微粒既可在体内降解也可经由人体将其与坏死组织一起排出进行自然降解,其中,上述生物可降解材料微粒可选用高分子类、生物陶瓷类、生物衍生物类或金属类等,具体可为羟基磷灰石类、生物活性玻璃类、甲壳素、壳聚糖、珊瑚人工骨等材料中的一种或多种。 If the self-consistent composite magnetic sheet 3 of a biodegradable material selected fine particles composed of magnetic material, the biodegradable material wherein the microparticles can also be discharged via the human body which, together with necrotic tissue in vivo degradation of natural degradation, wherein the biodegradable material based polymer microparticles can be selected, bio ceramics, metals, or biological derivatives and the like, may be particularly hydroxyapatites, bioactive glass, chitin, chitosan, coral artificial one or more other materials. 自吻合磁片3采用上述材料既能保证其具有的磁力,也不影响患者之后的正常工作及生活。 Self-consistent magnetic sheet 3 using the above materials not only ensure that it has a magnetic force, it does not affect the normal work and life after patients.

[0042]实施例六 [0042] Sixth Embodiment

[0043]本实施例提供一种肿瘤无创摘除装置,包括施放器2及设置在施放器2上的两片自吻合磁片3。 [0043] The present embodiment provides a non-invasive tumor removal apparatus, comprising an applicator 2 and provided on the applicator 2 from the two magnetic sheet 3 coincide. 请继续参阅图2,上述自吻合磁片3的磁力大小为1500〜8000高斯,两片自吻合磁片3的闭合面31上分别设置有能相互嵌合的吻合梁32和吻合槽33,并在吻合梁32和吻合槽33的两端分别设置有能相互嵌合的凹坑34和凸起35,且两片自吻合磁片3上的凹坑34和凸起35的位置相反,两片自吻合磁片3选用磁性材料或生物可降解材料微粒与磁性材料微粒组成的复合材料。 Please refer to FIG. 2, the self-consistent magnetic force magnet sheet 3 is 1500~8000 gauss, two magnet pieces are provided with a self-consistent energy beam 32 fitted to each other and fit on the closing surface 33 fit grooves 313 and can be fitted to each other is provided with recesses 34 and projections 35 respectively at both ends of the beam 32 and the anastomotic stapling groove 33, and two recesses 34 on the self-consistent magnetic sheet 3 and a position opposite to the projection 35, two since the composite magnetic sheet stapling 3 selected magnetic material or biodegradable material particles and particles consisting of a magnetic material.

[0044]请参阅图3和图4,本实施例中的施放器2包括两端均开口的内吸管21及至少一个一端封闭一端开口的外囊套22,外囊套22的开口端开设有连通外部区域插管口24,以方便后期出气管的插入。 [0044] Please refer to FIG. 3 and FIG. 4, in the embodiment of the present embodiment 2 comprises applicator open at both ends in the suction tube 21 is closed at one end and at least one open end of the outer pockets 22, the open end of the outer sleeve 22 of the balloon defines insertion port 24 communicates the outer region, in order to facilitate insertion of the post out of the trachea. 外囊套22与内吸管21固定相连并套设在内吸管21的外表面上,外囊套22的封闭端与内吸管21的一端对齐固连且外囊套22不封闭内吸管21的管端开口,内吸管21的另一管端可位于外囊套22内、与外囊套22的开口端齐平或伸出外囊套22的开口端设置,为了方便后期操作,内吸管21的另一管端优选为与外囊套22的开口端齐平或伸出外囊套22的开口端设置。 The outer cuff 22 is fixedly connected to the suction tube 21 and the inner sleeve is provided on the outer surface 21 of the suction tube, the outer cuff and the inner end of the closed end 21 of the straw 22 is aligned and is fixedly connected to the balloon outer sleeve 22 is not closed within the straw 21 open end, the other end of the inner pipe may be positioned outside the suction tube 21 within the pockets 22, flush with the outer open end of the bladder or sleeve 22 extending beyond the open end of the bladder sleeve 22 is provided, in order to facilitate post-operation, the suction tube 21 of the other preferably one end of the outer sleeve 22 of the balloon open end flush with or extending beyond the open end of the pockets 22 is provided. 外囊套22上设置有用于放置阻断夹I的卡槽23,外囊套22撑开时,位于卡槽23与封闭端端面之间的部分外囊套22套体形成向封闭端下滑的斜坡面221。 The outer cuff 22 is provided for placing the clamp block slot 23 I, 22:00 softened outer pockets, the slot 23 is located between the closed-end face of the sleeve portion of the outer pockets 22 formed to decline toward the closed end ramp surface 221. 当然,为了使携带有自吻合磁片3的施放器2进入人体时更便捷,在外囊套22撑开前,自吻合磁片3完全陷入在施放器2的卡槽23内。 Of course, in order to carry a self-consistent magnetic sheet applicator 3 2 enter the body more easily when the outer pockets 22 before distraction, self-consistent 3 floppy disk completely into the slot in the applicator 2 of 23. 使用时,自吻合磁片3在外囊套22的带动下进入体内。 In use, since the magnet pieces fit into the body 3 of the outer drive sleeve 22 of the balloon. 在施放器2的内吸管21中设置有吸气管,在施放器2的内吸管21外及外囊套22内插入有出气管,出气管的出气端通过插管口24插入到外囊套22中,且为了监测施放器2进入体内的位置及自吻合磁片3的情况,在本实施例所述的肿瘤无创摘除装置上还添加一个内窥镜,内窥镜设置在施放器2上,并使自吻合磁片3位于内窥镜的顶端,从而在内窥镜的推动下,携带有自吻合磁片3的施放器2被推行至病灶处。 An intake tube is disposed in the applicator within the suction tube 212 and the outer suction tube 21 and the outer cuff is inserted in the outlet pipe 22 of the applicator 2, the outlet end of the tube inserted into the outer cannula through the opening 24 of the cuff 22, and in order to monitor the position of the applicator into the body 2 and the case 3 from the magnetic sheet stapling, non-invasive removal of the embodiment in the present embodiment also adds a tumor endoscope apparatus, the endoscope 2 is provided in the applicator , and 3 from the top of magnetic sheet stapling of the endoscope, the endoscope so driven, carries the anastomotic applier from the magnetic sheet 3 is introduced to 2 lesions. 上述吸气管、出气管及内窥镜可采用一个夹子将其在施放器2上的位置固定。 Said suction pipe, outlet pipe and the endoscope can be employed to position a clip in the applicator 2 is fixed. 在内窥镜的监视下,当内吸管21的一端至肿瘤部位,通过吸气管吸气使内吸管21—端吸嘬住肿瘤,同时出气管向外囊套22充气,使外囊套22撑开鼓起,卡槽23的凹陷面也在此过程中向外撑开,卡槽23的深度变浅,从而使自吻合磁片3从卡槽23中脱离出,出气管不断充气迫使自吻合磁片3的闭合面或部分闭合面与外囊套22的斜坡面紧贴,自吻合磁片3沿外囊套22的斜坡面221下滑至肿瘤根部,其闭合面相互贴紧闭合,从而夹持在肿瘤的根部。 In monitoring the endoscope, when the end of the suction tube 21 to the tumor site, so that the suction intake pipe through the inner end of the suction pipette sucking live tumor 21, while the outer tube cuff 22 is inflated, the balloon of the outer sleeve 22 distraction muster, concave surface 23 of the slot is also stretched out this process, shallow depth of slot 23, thereby departing from the anastomosis magnet pieces 3 from the slot 23, the force from the pneumatic tube continuously anastomosis or partially closed magnetic sheet closing surface 3 and the outer surface of the balloon sleeve 22 against the ramp surface, since the magnetic sheet 3 anastomosis ramp surface 221 of the sleeve 22 down to the root along the outer bladder tumor, the closing surface which is closed and closely, thereby holding the root tumors. 之后,断开吸气管和出气管,并将内窥镜和施放器2整体抽出,手术完毕。 Thereafter, disconnect intake pipe and outlet pipe, and the entire endoscope and the applicator 2 is withdrawn surgery is completed.

[0045]上述外囊套22可为一体成型的一个整体,卡槽23在该外囊套22上呈对称分布;也可为两个外囊套22分别成型并固定在内吸管21上,两个卡槽23呈对称分别设置在两个外囊套22上,相应地,外囊套22也可为四个,在其中两个外囊套22上分别设置有卡槽23。 [0045] The outer pockets 22 may be integrally formed as a whole, the slot 23 in the outer cuff 22 is symmetric; may also be two outer pockets 22 are molded and fixed to the inner suction tube 21, two a card slot 23 are symmetrically arranged on the two outer pockets 22, respectively, the outer cuff 22 may also be four, in which the two outer pockets 22 respectively provided with a slot 23. 若为多个外囊套22的形式,在手术时,每个外囊套22中均需设置有出气管。 If the pockets 22 form a plurality of outer, during operation, each of the outer pockets 22 provided in the pipe required. 为了方便使用和制作,本实施例中的外囊套22优选为呈整体的一个外囊套22的形式。 For ease of use and production, the outer sleeve 22 of the balloon preferred embodiment of the present embodiment as a whole form an outer sleeve 22 of the balloon form.

[0046]请参阅图6,若外囊套22撑开时横截面为方形面,则为了配合外囊套22的使用,自吻合磁片3与外囊套22相接触的一边设置为直线型,以方便自吻合磁片3沿外囊套22的斜坡面221下滑;请参阅图5,若外囊套22撑开时横截面呈圆面,则为了配合外囊套22的使用,自吻合磁片3与外囊套22相接触的一边设置为圆弧形,以方便自吻合磁片3沿外囊套22的斜坡面221下滑。 [0046] Referring to FIG 6, if the outer bag when the expansion sleeve 22 cross-section has a square face to the outer balloon with the use of sleeve 22, since the magnetic sheet 3 coincide with the outer side of the balloon 22 is provided in contact with the sleeve is linear , to facilitate the self-consistent magnetic sheet 3 along the balloon outer jacket 22 of the ramp decline surface 221; see FIG. 5, the pockets 22 when the outer surface of a circular cross-section when the expansion is used to fit the outer sleeve 22 of the balloon, the self anastomosis magnetic sheet 3 and the outer side of the pockets 22 arranged in contact with a circular arc shape in order to facilitate consistent magnetic sheet 3 from outer sleeve 22 along the ramp surface 221 of the balloon decline.

[0047] 实施例七 [0047] Seventh Embodiment

[0048]本实施例的技术方案基于实施例六的技术方案,请继续参阅图5,在本实施例中外囊套22优选为撑开时横截面呈圆面时的情况,为了配合外囊套22的使用,自吻合磁片3朝向外囊套22的一侧呈圆弧状。 [0048] The technical solution of the present embodiment based on the technical solution of the embodiment six, Please refer to FIG 5, in the case of the present embodiment, when the foreign pockets 22 preferably a circular cross-section plane is spanned, in line with the outer pockets 22 is used, since the magnetic sheet 3 toward the stapling side of the outer cuff 22 is arcuate. 进一步地,为了方便自吻合磁片3在外囊套22上的嵌合同时方便在外囊套22撑开时,自吻合磁片3沿外囊套22的外壁向肿瘤部位下滑,自吻合磁片3圆弧侧的直径为卡槽23撑开后外边缘直径的I〜1.5倍,优选为I倍。 Further, in order to facilitate self-consistent magnetic sheet 3 is fitted on the outer cuff 22 while convenient distraction outer pockets 22, the magnetic sheet 3 from pockets 22 fit along the outer wall of the outer fell to a tumor site, since the magnetic sheet 3 anastomosis the diameter of the circular arc side edges of the outer diameter I~1.5 times after the expansion card slot 23, preferably I-fold.

[0049]实施例八 [0049] The eighth embodiment

[0050]本实施例的技术方案基于实施例七的技术方案,请参阅图2和图5,在本实施例中,两片自吻合磁片3整体均呈豆荚状,且每片自吻合磁片3长I〜2cm,单片厚0.2〜0.5cm,中央部位宽0.3〜0.6cm。 [0050] The technical solution of the present embodiment based on the technical solution of the seventh embodiment, see FIGS. 2 and 5, in the present embodiment, since the two magnetic sheet stapling 3 showed the overall pod, and each piece from the magnetic anastomotic 3 long sheet I~2cm, monolithic thick 0.2~0.5cm, the central portion width 0.3~0.6cm.

[0051] 对自吻合磁片3形状和尺寸的限定不仅方便手术时通过施放器2进入人体内,而且保证了其夹持在肿瘤根部时能有效截断肿瘤的给养。 [0051] defined to fit the shape and size from the magnetic sheet 3 is not only convenient when surgery into the body 2 through the applicator, and to ensure its holding in the tumor can be effectively cut off the root tumors supplies.

[0052]实施例九 [0052] Embodiment 9

[0053]本实施例的技术方案基于实施例六的技术方案,本实施例中,内吸管21的材料选用硬质医用聚丙烯,聚丙烯是由丙烯聚合而制得的一种热塑性树脂。 [0053] The technical solution of the present embodiment is based on the technical solution according to a sixth embodiment of the present embodiment, the selection of material in the suction tube 21 rigid medical grade polypropylene, the polypropylene is a thermoplastic resin prepared by the polymerization of propylene. 外囊套22采用医用橡胶囊或医用聚氨酯囊体。 An outer sleeve 22 made of medical balloon or medical balloon polyurethane rubber balloon. 其中,橡胶囊是指由传统橡胶制成的一种空心囊体状物质;聚氨酯囊体是指采用聚氨酯材料制成一种空心囊体状物质,聚氨酯是一种高分子材料,是聚氨基甲酸酯的简称。 Wherein a hollow rubber bladder refers to a substance by a conventional balloon made of rubber; polyurethane balloon means to prepare a polyurethane material using a hollow capsule-like material is a polyurethane polymer material, a polyamino carboxylic referred ester.

[0054]由于聚丙烯具有一定的硬度,不易变形,因此,在采用吸气管抽气使得内吸管21吸嘬住肿瘤时,聚丙烯材料制成的内吸管21不易变形,不会因为外部的抽力而导致其吸嘴闭合从而不能将肿瘤很好地吸附住,影响后期两块自吻合磁片3的夹持效果。 [0054] Since the polypropylene has a certain hardness, easily deformed, and therefore, when using the exhaust intake pipe 21 such that the inner straw sucking live tumor suction, the suction tube 21 made of a polypropylene material easily deformed, not because of external suction nozzle leading to the closure force and thus can not adsorb well to live tumor, since two late effects consistent clamping effect magnetic sheet 3.

[0055]采用医用橡胶囊或医用聚氨酯囊体制作形成外囊套22,因为这两种材料的拉伸力较强,能在出气管的作用下形成撑开鼓起的状态,从而方便卡槽23在撑开后,自吻合磁片3脱离出卡槽23沿外囊套22斜坡面221向肿瘤根部滑动。 [0055] The medical balloon or medical polyurethane rubber balloon made form the outer pockets 22, these two materials because the tensile force is strong, stretched swollen state can be formed under the action of the trachea, to facilitate slot 23 after the expansion, since the magnetic sheet 3 from the anastomosis slot 23221 to slide along the outer root tumor ramp surface 22 sets the balloon.

[0056] 实施例十 [0056] Embodiment 10 Embodiment

[0057]本实施例的技术方案基于实施例七的技术方案,但由于早、中期的肿瘤直径一般为I〜2cm,因此为了使内吸管21能较好地吸嘬住肿瘤,并且同时还需方便在内吸管21中插入吸气管,内吸管21的内径设置为0.8〜1.0cm,外径为I〜1.5cm。 [0057] The technical solution of the present embodiment is based on the technical solutions of the seventh embodiment, the diameter of the tumor early, mid generally I~2cm, so in order to make the straw 21 can better suck suck live tumor, and also required 21 to facilitate inserting the inner straw intake pipe, the inner diameter of the suction tube 21 is provided 0.8~1.0cm, an outer diameter of I~1.5cm. 又为了使卡合或嵌合在外囊套22中的自吻合磁片3在脱离卡槽23后沿外囊套22斜坡面221向肿瘤移动,并经过肿瘤在肿瘤根部闭合从而起到对肿瘤根部的夹持作用,同时还需方便在外囊套22中设置有通气管,外囊套22完全撑开后其直径最小部分的外径应不少于3cm。 To further the engagement or fitting of the outer sleeve 22 in the balloon from the balloon 3 magnetic sheet stapling ramp surface 22 along the outer sleeve after the tumor from the card slot 23 221 is moved through the tumor and tumor roots which play a closed root tumor the clamping action, is also required to facilitate the outer sleeve 22 is provided with the balloon through the tube, the outer diameter of the outer cuff after its smallest diameter portion 22 should be fully stretched less than 3cm.

[0058]当然,本实施例中的每片自吻合磁片3也可具有实施例八和/或实施例九中的附加技术方案:自吻合磁片3整体呈豆荚状,每片自吻合磁片3长I〜2cm,单片厚0.2〜0.5cm,中央部位宽0.3〜0.6cm;和/或内吸管21材料为硬质医用聚丙烯,外囊套22材料为医用橡胶囊或医用聚氨酯囊体。 [0058] Of course, the magnetic sheet stapling each sheet from the embodiment 3 may also have an additional eight technical solutions of the embodiments and / or in Example IX: from a whole was consistent pod magnetic sheet 3, since each piece of magnetic anastomotic 3 long sheet I~2cm, monolithic thick 0.2~0.5cm, the central portion width 0.3~0.6cm; straw and / or 21 of a hard material, medical grade polypropylene, the outer cuff 22 material is a polyurethane rubber medical balloon or medical balloon body.

[0059]实施例一〜十所述的肿瘤无创摘除装置,借助该装置能达到对中、早期的肿瘤患者进行治疗的目的,免于患者的手术之苦,且不影响患者后期的正常工作,操作过程不复杂,无需专业的医生耗费大量的时间和病例的积累,对患者、医生和社会均能起到积极的作用。 [0059] Example embodiments a tumor ~ ten noninvasive removal means, by means of which to achieve the purpose of early treatment of cancer patients, suffering from surgery patients, and does not affect the normal operation of the post-patient, operation is not complicated, no professional doctors spend a lot of time and accumulation of cases, patients, physicians and society can play a positive role. 值得说明的是,该装置的使用可以对各种早、中期肿瘤均具有治疗的效果,并不局限于结直肠肿瘤。 It should be noted that the use of the device can be early, mid tumors has a variety of therapeutic effect is not limited to colorectal tumors.

[0060] 应该注意的是,上述实施例对本发明进行说明而不是对本发明进行限制,并且本领域技术人员在不脱离所附权利要求的范围的情况下可设计出替换实施例。 [0060] It should be noted that the embodiments of the present invention, the above-described embodiments illustrate rather than limit the invention, and those skilled in the art without departing from the scope of the appended claims may be devised alternative embodiments. 在权利要求中,不应将位于括号之间的任何参考符号构造成对权利要求的限制。 In the claims, should not be limited by any reference signs located claimed configured to claims between parentheses. 单词“包含”不排除存在未列在权利要求中的元件或步骤。 The word "comprising" does not exclude the presence of elements or steps not listed in the appended claims.

Claims (10)

1.一种肿瘤无创摘除装置,其特征在于,所述肿瘤无创摘除装置包括阻断夹(I)和施放器⑵, 所述阻断夹(I)呈开口式可拆卸地夹设在所述施放器(2)上,所述施放器(2)位于所述阻断夹(I)的开口内。 A non-invasive tumor removal apparatus, wherein the removal means comprises a non-invasive tumor clamp block (I) and applicator ⑵, said clamp block (I) to form an opening of formula removably disposed in said interposed the applicator (2), said applicator (2) located within the clamp block (I) is an opening.
2.根据权利要求1所述的肿瘤无创摘除装置,其特征在于,所述阻断夹(I)为两块相互吸引的自吻合磁片(3 ),两块所述自吻合磁片(3)对称地设置在所述施放器(2)的外表面上。 The non-invasive tumor claim 1 stripping apparatus as claimed in claim, wherein said clamp block (I) is from two mutually attracting magnetic sheet stapling (3), the two self-consistent magnetic sheet (3 ) symmetrically disposed on an outer surface of said applicator (2).
3.根据权利要求2所述的肿瘤无创摘除装置,其特征在于,所述自吻合磁片(3)的磁力大小为1500〜8000高斯。 The tumors according to claim 2 noninvasive removal apparatus, wherein the self-consistent magnetic sheet (3) of the magnetic force is 1500~8000 gauss.
4.根据权利要求2所述的肿瘤无创摘除装置,其特征在于,两片所述自吻合磁片(3)的闭合面(31)上分别设置有能相互嵌合的吻合梁(32)和吻合槽(33),所述吻合梁(32)和所述吻合槽(33)的两端分别设置有能相互嵌合的凹坑(34)和凸起(35),且两片所述自吻合磁片(3)上的凹坑(34)和凸起(35)的位置呈相反设置。 4. The non-invasive tumor claim 2 removal device according to claim, wherein there are provided beams coincide with each other can be fitted (32) on the self-consistent two magnet pieces (3) of the closing surface (31) and fit groove (33), said anastomotic beam (32) and both ends of the anastomotic groove (33) are provided with mutually fittable recesses (34) and projections (35), and two from the magnetic sheet stapling pits (34) (3) and projections (35) in a position disposed inversely.
5.根据权利要求2所述的肿瘤无创摘除装置,其特征在于,所述自吻合磁片(3)的材料选用磁性材料或复合材料,所述复合材料由生物可降解材料微粒与磁性材料微粒组成。 The tumors according to claim 2 according to a non-invasive removal apparatus, wherein the self-consistent magnetic sheet (3) selection of a material or composite material, the composite material made of a biodegradable material with fine particles composition.
6.根据权利要求1〜5中任意一项所述的肿瘤无创摘除装置,其特征在于,所述施放器(2)包括内吸管(21)和至少一个外囊套(22), 所述内吸管(21)的两端均为开口状,所述外囊套(22)为可收缩式,且所述外囊套(22)的一端为封闭端,另一端上设置有插管口(24), 所述外囊套(22)与所述内吸管(21)固定相连并套设在所述内吸管(21)的外表面上,所述外囊套(22)的封闭端与所述内吸管(21) —端对齐且不封闭所述内吸管(21)的管端开口, 所述外囊套(22)上设置有用于安置所述阻断夹(I)的卡槽(23), 在所述外囊套(22)撑开的情况下,位于所述卡槽(23)与所述封闭端之间的部分外囊套(22)套体形成向所述封闭端下滑的斜坡面(221)。 6. any one of claims 1 ~ 5 in a non-invasive tumor removal device according to claim, wherein said applicator (2) comprising inner suction tube (21) and at least one outer pockets (22), said both ends of the suction tube (21) are shaped opening, the outer cuff (22) is retractable, and the end of the outer cuff (22) is a closed end, is provided with a cannula opening (24 on the other end ), the outer cuff (22) and the inner suction tube (21) fixedly connected to the sleeve and provided on the inner surface of the outer suction tube (21), the outer cuff (22) and said closed end the suction tube (21) - closing the inner end of the suction tube not aligned (21) of the pipe end opening, the outer cuff (22) is provided for positioning the clamp block (I) of the slot (23) in the case of the expansion of the outer pockets (22), an outer portion of the pockets located between the slot (23) and the closed end (22) to the sleeve body forming the closed end downward ramp surface (221).
7.根据权利要求6所述的肿瘤无创摘除装置,其特征在于,撑开后的所述外囊套(22)的横截面为圆面,每片所述自吻合磁片(3)的一侧呈圆弧状, 所述圆弧的直径为所述卡槽(23)撑开后外边缘直径的I〜1.5倍。 7. The tumor according to claim 6, non-invasive removal apparatus, characterized in that, after the expansion of the outer pockets (22) of a circular cross-sectional surface, each sheet from the anastomotic magnetic sheet (3) of a arc-shaped side, the diameter of the circular arc of said slot (23) I~1.5 times the outer diameter of the rear edge of distraction.
8.根据权利要求7所述的肿瘤无创摘除装置,其特征在于,两片所述自吻合磁片(3)整体均呈豆荚状, 每片所述自吻合磁片(3)长I〜2cm,单片厚0.2〜0.5cm,中央部位宽0.3〜0.6cm。 Tumors according to claim 7, wherein said non-invasive removal apparatus, wherein the self-consistent two magnet pieces (3) showed the entire pod, each sheet from the anastomotic magnetic sheet (3) long I~2cm , monolithic thick 0.2~0.5cm, the central portion width 0.3~0.6cm.
9.根据权利要求6所述的肿瘤无创摘除装置,其特征在于,所述内吸管(21)的材料包括硬质医用聚丙烯, 所述外囊套(22)的材料包括医用橡胶或医用聚氨酯。 According to claim 6, wherein said tumor noninvasive stripping apparatus, characterized in that the material of the inner suction tube (21) comprises a rigid medical grade polypropylene, the material of the outer cuff (22) comprises a medical or medical polyurethane rubber .
10.根据权利要求7〜9中任意一项所述的肿瘤无创摘除装置,其特征在于,所述内吸管(21)的内径为0.8〜1.0cm,所述内吸管(21)的外径为I〜1.5cm,所述外囊套(22)完全撑开后横截面最小处的外径不少于3cm。 7~9 according to any one of the noninvasive tumor removal apparatus as claimed in claim, wherein the inner diameter of the suction tube (21) is 0.8~1.0cm, the outer diameter of the suction tube (21) is I~1.5cm, the outer cuff (22) at the outer diameter of the minimum cross-section less than completely softened 3cm.
CN201510993112.6A 2015-12-24 2015-12-24 Noninvasive tumor removal device CN105615937A (en)

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