CN106580389A - Knot pusher for endoscopic surgical vessel ligation and application method thereof - Google Patents

Knot pusher for endoscopic surgical vessel ligation and application method thereof Download PDF

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Publication number
CN106580389A
CN106580389A CN201611272299.1A CN201611272299A CN106580389A CN 106580389 A CN106580389 A CN 106580389A CN 201611272299 A CN201611272299 A CN 201611272299A CN 106580389 A CN106580389 A CN 106580389A
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CN
China
Prior art keywords
knot
endoscope
assistant surgery
knot pusher
handle
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Pending
Application number
CN201611272299.1A
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Chinese (zh)
Inventor
郭志敏
苏雅静
路巍
Original Assignee
范佳琪
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Filing date
Publication date
Application filed by 范佳琪 filed Critical 范佳琪
Priority to CN201611272299.1A priority Critical patent/CN106580389A/en
Publication of CN106580389A publication Critical patent/CN106580389A/en
Pending legal-status Critical Current

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Classifications

    • 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
    • A61B17/12009Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
    • A61B17/12013Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot for use in minimally invasive surgery, e.g. endoscopic surgery

Abstract

The invention relates to a knot pusher for endoscopic surgical vessel ligation and an application method thereof. The knot pusher for endoscopic surgical vessel ligation has a strip body, the head of the strip body is provided with a push groove, two sides of the rear of the push groove are provided with nonslip guide grooves, the part of the strip body a certain distance away from the head of the strip body is provided with an auxiliary wire locking slot, the rear of the strip body is provided with a handle, the handle is composed of two elastic plates connected at the front ends and parallel to each other, and a gap between the two elastic plates acts as a wire clamping slot. The knot pusher for endoscopic surgical vessel ligation is ingenious in design, simple in structure and low in production cost. During endoscopic surgery, a physician may ligature a target vessel by the aid of the knot pusher, operational difficulty can be greatly reduced, convenience is improved, and surgical efficiency and effect are improved.

Description

Vascular ligation knot pusher and its using method under endoscope-assistant surgery
Technical field
The present invention relates to vascular ligation knot pusher and its using method under a kind of endoscope-assistant surgery, belong to medical apparatus and instruments neck Domain.
Background technology
Under endoscope-assistant surgery, doctor to the ligating methodses of blood vessel is at present:Ligature is entered from wound and bypasses target blood in vivo Draw external after pipe, external ligature is got a knot by doctor, then two handss take the two ends for dragging ligature respectively, by inciting somebody to action The mode that ligature two ends are opened laterally making, and finally tightens target blood Pipe.This vascular ligation mode under endoscope-assistant surgery is present at big operation difficulty, inconvenience, the node of ligature easily because of friction Generation fracture etc. is in place of inconvenience, ligatures operating effect and places one's entire reliance upon the experience and operating technology of doctor itself.
The content of the invention
The technical problem to be solved in the present invention is:Because the ligature type of blood vessel under current endoscope-assistant surgery exist operation difficulty compared with Greatly, the inconvenience such as inconvenient operation, and vascular ligation knot pusher and its using method under a kind of endoscope-assistant surgery is provided, in chamber During videoendoscopic surgery, doctor's cooperation carries out ligation using the knot pusher and can substantially reduce operation difficulty to target blood, increases just Profit, so as to improve the efficiency and effect of operation.
The technical solution adopted for the present invention to solve the technical problems is:Vascular ligation knot under a kind of endoscope-assistant surgery Device, with strip body, body head end is formed with knot groove, and the rear both sides of knot groove are formed with anti-slip guide channel, at this Auxiliary cable clamping interface is formed with one segment distance of body head end on body, handle is held by two front end phases to hold handle in the rear portion of body The elastic handle piece for connecting and being parallel to each other is constituted, and the gap between two elastic handle pieces is clamp groove.
Further say, through hole form at the rear position of anti-slip guide channel, is formed with body.Through hole form Exist, the organization factorses of doctor's transit chamber sem observation through hole form opposite side when can be easy to perform the operation.
Further say, the rear body holds the width of the width more than body portion of handle.The front of body must be from It is partially at surgical wound in vivo, therefore must be more elongated, and rear portion is held handle and is taken and clamp for holding, and does not enter in vivo, Therefore its width is more particularly suitable more than the width of body portion.
Yet further say, corresponding increasing is formed with the medial surface of described hold handle two elastic handle pieces and is rubbed stricture of vagina, such as This, can make two elastic handle pieces more reliably clamp the knot in clamp groove when doctor presses two elastic handle pieces of pressure holding handle with handss Binding, prevents ligature from slipping.
The using method of vascular ligation knot pusher under above-mentioned endoscope-assistant surgery:During endoscope-assistant surgery, doctor utilizes should When under endoscope-assistant surgery, vascular ligation is ligatured to target blood with knot pusher, first ligature is bypassed after target blood in body A knot is got outward, the wherein root knot binding after at the knotting is sequentially clamped in into vascular ligation knot under endoscope-assistant surgery then The knot groove of device, anti-slip guide channel, auxiliary cable clamping interface and clamp groove, then doctor one is hand-held by vascular ligation under endoscope-assistant surgery Holding handle and pressing its elastic handle piece of pressure to clamp the ligature in clamp groove with knot pusher, it is another it is hand-held catch hold of at knotting after it is another One root knot binding, now, doctor will hold vascular ligation knot pusher under the endoscope-assistant surgery taken and push forward, while while will Pulled by that root knot binding dragged backward, so that being advanced at the knotting on ligature forward and finally tightening target blood. Above-mentioned " the wherein root knot binding after at the knotting " and " another root knot binding after at knotting " its actually same root knot prick Line, at the knotting after only divide into " both threads " for ease of distinguishing sake of clarity.
The invention has the beneficial effects as follows:Vascular ligation knot pusher deft design under the endoscope-assistant surgery of the present invention, product knot Structure is simple, low production cost.During endoscope-assistant surgery, doctor's cooperation carries out ligation to target blood using the knot pusher can Operation difficulty is substantially reduced, increases convenience, so as to improve the efficiency and effect of operation.
Description of the drawings
The invention will be further described with reference to the accompanying drawings and examples.
Fig. 1 is the main structure diagram of vascular ligation knot pusher under endoscope-assistant surgery of the invention.
Fig. 2 is the backsight structural representation of vascular ligation knot pusher under endoscope-assistant surgery of the invention.
Fig. 3 is the overlooking the structure diagram of vascular ligation knot pusher under endoscope-assistant surgery of the invention.
Fig. 4 be the present invention endoscope-assistant surgery under vascular ligation knot pusher and ligature compounding practice using when structure show It is intended to.
In figure:1. the anti-slip guide channel 1-3. auxiliary cable clamping interface 1-4. of body 1-1. knots groove 1-2. hold handle 1-4- 1. elastic 2. ligature of handle piece 1-5. clamp groove 1-6. through holes form
Specific embodiment
Vascular ligation knot pusher under a kind of endoscope-assistant surgery, as shown in Figure 1 to Figure 3, which has strip body 1, body 1 End is formed with knot groove 1-1, and the rear both sides of knot groove 1-1 are formed with anti-slip guide channel 1-2, apart from body 1 on body 1 Auxiliary cable clamping interface 1-3 is formed with one segment distance of head end, the rear portion of body 1 is held handle 1-4 and is connected by two front ends to hold handle 1-4 And the elastic handle piece 1-4-1 being parallel to each other is constituted, the gap between two elastic handle piece 1-4-1 is clamp groove 1-5.
Through hole form 1-6 is formed with body 1 at the rear position of anti-slip guide channel 1-2.Through hole form 1-6's deposits In the organization factorses of doctor's transit chamber sem observation through hole form 1-6 opposite sides when can be easy to perform the operation.
Hold the width of the width more than 1 front portion of body of handle 1-4 in 1 rear portion of body.The front of body 1 must be from surgical wound It is partially in vivo, therefore must be more elongated, and rear portion is held handle 1-4 and is taken and clamp for holding, and does not enter in vivo, therefore which is wide Degree is more particularly suitable more than the width of 1 front portion of body.
It is formed with corresponding increasing to rub stricture of vagina on the medial surface for holding two of handle 1-4 elastic handle piece 1-4-1, thus, working as doctor Two elasticity handle piece 1-4-1 can be made during two elasticity handle piece 1-4-1 that pressure holding handle 1-4 is pressed with handss more reliably to clamp clamp groove 1- Ligature in 5, prevents ligature from slipping.
The using method of vascular ligation knot pusher under above-mentioned endoscope-assistant surgery:During endoscope-assistant surgery, doctor utilizes should When under endoscope-assistant surgery, vascular ligation is ligatured to target blood with knot pusher, first ligature is bypassed after target blood in body A knot is got outward, as shown in figure 4, and then the wherein root knot binding after at the knotting is sequentially clamped in blood vessel under endoscope-assistant surgery The knot groove 1-1 of ligation knot pusher, anti-slip guide channel 1-2, auxiliary cable clamping interface 1-3 and clamp groove 1-5, then doctor is on the other hand Hold by under endoscope-assistant surgery vascular ligation knot pusher hold handle 1-4 and press pressure its elastic handle piece 1-4-1 to clamp in clamp groove 1-5 Ligature, it is another it is hand-held catch hold of at knotting after another root knot binding, now, doctor will hold the endoscope-assistant surgery hematochezia taken Tubal ligation knot pusher is pushed forward, while will be pulled by that root knot binding dragged backward, so that on ligature Advanced at knotting forward and finally tighten target blood.Above-mentioned " the wherein root knot binding after at the knotting " with " at knotting Another root knot binding afterwards " its actually same root knot binding, at the knotting after only divide into " both threads " for ease of distinguishing statement It is clear.
Above-described embodiment is only used for illustrating the present invention, rather than the restriction to rights protection of the present invention, every at this The change of any unsubstantiality carried out on the basis of bright essential scheme, all should fall within the scope of protection of the present invention.

Claims (5)

1. vascular ligation knot pusher under a kind of endoscope-assistant surgery, it is characterised in that:With strip body (1), body (1) head end shape Anti-slip guide channel (1-2) is formed with into the rear both sides for having knot groove (1-1), knot groove (1-1), the distance on body (1) Auxiliary cable clamping interface (1-3) is formed with one segment distance of body (1) head end, handle (1-4) is held to hold handle (1-4) in the rear portion of body (1) The elastic handle piece (1-4-1) for being connected and be parallel to each other by two front ends is constituted, and the gap between two elastic handles piece (1-4-1) is Clamp groove (1-5).
2. vascular ligation knot pusher under endoscope-assistant surgery according to claim 1, it is characterised in that:Prevent on body (1) Through hole form (1-6) is formed with the rear position for slipping guide channel (1-2).
3. vascular ligation knot pusher under endoscope-assistant surgery according to claim 1, it is characterised in that:After the body (1) Hold the width of the width more than body (1) front portion of handle (1-4) in portion.
4. vascular ligation knot pusher under endoscope-assistant surgery according to claim 1, it is characterised in that:It is described to hold handle (1-4) Two elastic handles piece (1-4-1) medial surface on be formed with corresponding increasing and rub stricture of vagina.
5. under the endoscope-assistant surgery any one of a kind of Claims 1 to 4 item vascular ligation knot pusher using method, its The method of being characterised by is:During endoscope-assistant surgery, doctor is using vascular ligation knot pusher under the endoscope-assistant surgery to target blood When pipe is ligatured, ligature is bypassed got after target blood in vitro a knot first, then by its after at the knotting In a root knot binding be sequentially clamped in the knot groove (1-1) of vascular ligation knot pusher under endoscope-assistant surgery, anti-slip guide channel (1- 2) cable clamping interface (1-3) and clamp groove (1-5) are aided in, then doctor one is hand-held by vascular ligation knot pusher under endoscope-assistant surgery Hold handle (1-4) and press its elastic handle piece (1-4-1) of pressure to clamp the ligature in clamp groove (1-5), it is another hand-held to catch hold of knotting Another root knot binding behind place, now, doctor will hold vascular ligation knot pusher under the endoscope-assistant surgery taken and push forward, together When while that root knot binding for dragging will be taken to pull backward so that being advanced at the knotting on ligature forward and finally tightening mesh Mark blood vessel.
CN201611272299.1A 2016-12-31 2016-12-31 Knot pusher for endoscopic surgical vessel ligation and application method thereof Pending CN106580389A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201611272299.1A CN106580389A (en) 2016-12-31 2016-12-31 Knot pusher for endoscopic surgical vessel ligation and application method thereof

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201611272299.1A CN106580389A (en) 2016-12-31 2016-12-31 Knot pusher for endoscopic surgical vessel ligation and application method thereof

Publications (1)

Publication Number Publication Date
CN106580389A true CN106580389A (en) 2017-04-26

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Family Applications (1)

Application Number Title Priority Date Filing Date
CN201611272299.1A Pending CN106580389A (en) 2016-12-31 2016-12-31 Knot pusher for endoscopic surgical vessel ligation and application method thereof

Country Status (1)

Country Link
CN (1) CN106580389A (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111938736A (en) * 2020-07-10 2020-11-17 辽宁省肿瘤医院 Surgical ligature device

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111938736A (en) * 2020-07-10 2020-11-17 辽宁省肿瘤医院 Surgical ligature device

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