A kind of controllable release hysteroscope hernia paster device
Technical field
The present invention relates to a kind of patch device, especially a kind of controllable release hysteroscope hernia paster device, belongs to Medical treatment device
The technical field of tool.
Background technology
Hernia, i.e. tissue or a device pipe part have left original position, by human interstitial's defect or weak point
Position enters another position.Except the treating hernia method of A Denong is that the tissue to defect carries out suture repair, this method
The more, Postoperative recurrent rate of suture is high, pain is serious, recovery is slow.Tension-free hernioplasty is carried out with the sticking patch of the supports such as polypropylene
It is at present common modus operandi, the method is due to simple to operate and be widely used.
Endoscope-assistant surgery wound is little, and healing is fast, is following surgery developing direction.One of difficult point of laparoscopically hernia repair is just
It is after the free end of hernical sac, to need the top for being laid in hernia hole that the hernia paster for putting into hernical sac is open and flat.Larger hernia
Sticking patch must be curled into streak ability and be inserted in hernical sac by hysteroscope dibber inner chamber, and the soft hernia inserted in hernical sac is mended
Piece opening tiling is very difficult, requires a great deal of time;And tiling effects dispatch a person by force meaning, may have influence on surgical effect.
In order to reduce the time of tiling hernia paster, surgical doctor operation difficulty is reduced, shorten operating time, reduce operation
Risk, strengthens surgical effect, and we devise a kind of controllable release hysteroscope hernia paster device, can quickly open and the hernia that tiles
Sticking patch.
The content of the invention
The purpose of the present invention is to overcome the deficiencies in the prior art, there is provided a kind of controllable release hysteroscope hernia paster dress
Put, its compact conformation, can effectively adapt to laparoscopic hernia repair, reaching fast and safely carries out the purpose of hernia repair, operation side
Just, it is safe and reliable.
According to the technical scheme that the present invention is provided, the controllable release hysteroscope hernia paster device, including trocar sheath, in institute
The inner sleeve that coaxial distribution is set in trocar sheath is stated, one end end of the inner sleeve is provided for assembling the bullet of hernia paster
Circle, the hernia paster being assemblied on bullet circle can follow the bullet circle of crimp to be accommodated in trocar sheath, and incited somebody to action by inner sleeve
When bullet circle is released outside trocar sheath, bullet circle can be followed synchronously to open, and hernia paster and bullet circle are opened above the hernia hole of hernical sac
When, hernia paster can depart from from the end of inner sleeve.
When the hernia paster departs from from the end of inner sleeve, hernia paster and the synchronous end from inner sleeve of bullet circle take off
From.
When hernia paster and the synchronous end from inner sleeve of bullet circle depart from, bullet circle is made using the material of degradable,
And bullet circle is adhesively fixed by the adhesion body of degradable and inner sleeve and hernia paster.
The hernia paster departs from from bullet circle, and to realize from the end of inner sleeve departing from, hernia paster passes through degradable
Adhesion body be adhesively fixed with bullet circle.
The hernia paster departs from from bullet circle, during realizing from the end of inner sleeve departing from, also includes for causing hernia
The disengaging relieving mechanism that gas sticking patch departs from from bullet circle, the disengaging relieving mechanism includes Connection Release body, the Connection Release body
Including the release pull bar being coaxially distributed in inner sleeve and the sticking patch connector positioned at the release tie rod end, the release
Pull bar can be moved in inner sleeve, and hernia paster is temporarily fixed on bullet circle by sticking patch connector, and pull release pull bar
When, sticking patch connector can be caused to separate with hernia paster and bullet circle, so that hernia paster is separated with bullet circle.
The hernia paster matches with the size and profile of the bullet circle in open mode;The outer ring of the hernia paster
Some sticking patch connecting holes are provided with, bullet circle is provided with some sticking patch connection positioning bodies, and sticking patch connecting hole is connected positioning position with sticking patch
Put matching distribution;Sticking patch connector in line style to be penetrated and be connected positioning body with the sticking patch of bullet circle after the sticking patch connecting hole of hernia paster
Connection.
The hernia paster is connected by two sticking patch connectors with bullet circle, and one end and the release pull bar of sticking patch connector connect
Connect, the other end of sticking patch connector is in vacant state.
The sticking patch connector includes flexible steel wire, and sticking patch connection positioning body is convexly equipped on bullet circle, sticking patch connection positioning
Body is in convex spherical or square block.
One end of the release pull bar passes from inner sleeve, and discharges the end setting release drawing that pull bar passes inner sleeve
Bar handle.
Adjustment pull bar is additionally provided with the trocar sheath, one end of the adjustment pull bar is connected with bullet circle tail end, adjustment is drawn
The other end of bar is provided with adjustment pull bar handle, and the adjustment pull bar handle is located at outside trocar sheath.
Advantages of the present invention:Inner sleeve is located in trocar sheath, and bullet circle is located at the end of inner sleeve, by inner sleeve in overcoat
Motion in pipe, can cause that bullet circle is in trocar sheath or is pushed out in trocar sheath, so as to the shape for effectively changing hernia paster
Shape, disclosure satisfy that the convenience of the operations such as peritoneoscope hernia, and by adjusting pull bar the regulation of placed angle etc. can be realized, so as to
Laparoscopic hernia repair can be effectively adapted to, reaching fast and safely carries out the purpose of hernia repair, easy to operate, safe and reliable.
Description of the drawings
Fig. 1 is that a kind of of the present invention implements structural representation.
Fig. 2 is that the another kind of of the present invention implements structural representation.
Fig. 3 is the schematic diagram that bullet circle of the present invention is contained in trocar sheath.
Fig. 4 is inner sleeve of the present invention and bullet circle and the cooperation schematic diagram of hernia paster.
Fig. 5 is the schematic diagram of hernia paster of the present invention.
Fig. 6 is that a kind of of sticking patch connection positioning body of the present invention implements schematic diagram.
Fig. 7 is that the another kind of of sticking patch connection positioning body of the present invention implements schematic diagram.
Description of reference numerals:1- trocar sheaths, 2- bullet circles, 3- hernia pasters, 4- outer tube baffle rings, 5- release pull bar handles, 6-
Inner sleeve, 7- inner sleeve baffle rings, 8- adjustment pull bar, 9- adjustment pull bar ring, 10- sticking patch connectors, 11- sticking patch connection positioning body,
12- release pull bars, 13- dividing bodies and 14- sticking patch connecting holes.
Specific embodiment
With reference to concrete drawings and Examples, the invention will be further described.
As shown in Fig. 1, Fig. 3 and Fig. 4:In order to be able to effectively adapt to laparoscopic hernia repair, reach and fast and safely carry out hernia
The purpose that gas is repaired, the present invention includes trocar sheath 1, and the inner sleeve 6 of coaxial distribution, the inner sleeve are arranged in the trocar sheath 1
One end end of pipe 6 is provided for assembling the bullet circle 2 of hernia paster 3, and the hernia paster 3 being assemblied on bullet circle 2 can follow extruding
The bullet circle 2 of deformation is accommodated in trocar sheath 1, and by inner sleeve 6 by bullet circle 2 release trocar sheath 1 it is outer when, bullet circle 2 can be followed
It is synchronous to open, and hernia paster 3 and bullet circle 2, when opening above the hernia hole of hernical sac, hernia paster 3 can be from the end of inner sleeve 6
Portion departs from.
Specifically, trocar sheath 1 and inner sleeve 6 are in coaxial distribution, and inner sleeve 6 is located in trocar sheath 1, and can be in trocar sheath 1
It is interior to move along the length direction of trocar sheath 1.Bullet circle 2 has tip in similar circle, the other end that bullet circle 2 is connected with inner sleeve 2.
Bullet circle 2 can be made using elastomeric material, enable to be accommodated in trocar sheath 1 after the compression of bullet circle 2 using the elasticity of bullet circle 2
Interior, after the deformation of bullet circle 2 is accommodated in trocar sheath 1, hernia paster 3 also can be tracked in trocar sheath 1, due to hernia paster 3
Characteristic, do not interfere with normally using for hernia paster 3.When bullet circle 2 and hernia paster 3 are respectively positioned on trocar sheath 1, can be convenient
Bullet circle 2 and hernia paster 3 are inserted into position to be repaired.
By movement of the inner sleeve 6 in trocar sheath 1, bullet circle 2 can be released outside trocar sheath 1, when bullet circle 2 is located at trocar sheath
1 it is outer when, using the elasticity of bullet circle 2, can cause bullet circle 2 open, hernia paster 3 can be caused to open, consequently facilitating follow-up repaiies
The operation of benefit, it is mutually compatible with the operation of existing repairing.In the embodiment of the present invention, when hernia paster 3 and bullet circle 2 are in the hernia of hernical sac
When opening above hole or nearby, hernia paster 3 can depart from from the end of inner sleeve 6, needed for being carried out using hernia paster 3
Repair operation.
In the embodiment of the present invention, when the hernia paster 3 departs from from the end of inner sleeve 6, hernia paster 3 and bullet circle 2
The synchronous end from inner sleeve 6 departs from.
When being embodied as, when hernia paster 3 and the synchronous end from inner sleeve 6 of bullet circle 2 depart from, bullet circle 2 is adopted can
The material of degraded is made, and bullet circle 2 is adhesively fixed by the adhesion body of degradable with inner sleeve 6 and hernia paster 3.Bullet circle 2
Made using the material of degradable, and made by bullet circle 2 have elasticity so that bullet circle 2 is released outside trocar sheath 1 by inner sleeve 6
When, enable to hernia paster 3 and open.When bullet circle 2 and hernia paster 3 depart from from the end of inner sleeve 6, using bullet circle
2 degradability so that bullet circle 2 is degraded, and the adhesion body using degradable is connected with hernia paster 3 and inner sleeve 6,
The hernia paster 3 of open configuration can be finally given, it is ensured that the repair operation of hernia paster 3 is smoothed out.The embodiment of the present invention
In, the material and adhesion body for making bullet circle 2 meets medical standard, specifically can be being dropped using modes such as body fluid, temperature
Solution, concrete degraded mode etc. can be selected as needed, specially known to those skilled in the art, no longer be gone to live in the household of one's in-laws on getting married herein
State.
The hernia paster 3 departs from from bullet circle 2, and to realize from the end of inner sleeve 6 departing from, hernia paster 3 passes through can
The adhesion body of degraded is adhesively fixed with bullet circle 2.
In the embodiment of the present invention, when hernia paster 3 departs from from the end of inner sleeve 6, it is also possible to so that hernia paster 3 is only
Depart from from bullet circle 2.When being embodied as, the hernia paster 3 is bonded on bullet circle 2 by the adhesion body of degradable, described viscous
Disjunctor can be degraded by way of temperature, body fluid or others, and adhesion body is made using the material for meeting medical standard.
I.e. in abdominal operation, by hernia paster 3 and bullet circle 2 after the neighbouring opening in hernia hole to be repaired, in adhesion body fast degradation
Afterwards, can realize that hernia paster 3 is separated with bullet circle 2, after hernia paster 3 departs from bullet circle 2, you can carry out follow-up repairing behaviour
Make, and hernia paster 3 can keep open configuration when departing from bullet circle 2, it is to avoid repair operation is carried out during existing rolled state
Complexity.After being changed using hernia paster 3, moved by the band of inner sleeve 6 and enclose 2 motions so that bullet circle 2 can progressively crimp
Until be accommodated in again in trocar sheath 1, so as to quickly whole trocar sheath 1 quickly exited from laparoscopic surgery mouth.
Additionally, in order that hernia paster 3 departs from bullet circle 2, it is easy to the operation repaired using hernia paster 3, also
The disengaging relieving mechanism for causing hernia paster 3 to depart from from bullet circle 2 can be included, the disengaging relieving mechanism is released including connection
Body is put, the Connection Release body includes the release pull bar 12 being coaxially distributed in inner sleeve 6 and positioned at the release pull bar 12
The sticking patch connector 10 of end, the release pull bar 12 can be moved in inner sleeve 6, and hernia paster 3 passes through sticking patch connector 10
It is temporarily fixed on bullet circle 2, and when release pull bar 12 is pulled, sticking patch connector 10 can be caused with hernia paster 3 and bullet circle 2
Separate, so that hernia paster 3 is separated with bullet circle 2.
In the embodiment of the present invention, hernia paster 3 is connected by sticking patch connector 10 with bullet circle 2 so that bullet circle 2 becomes in compression
When shape is accommodated in trocar sheath 1 and release trocar sheath 1 is outer, hernia paster 3 can all the time follow the one of bullet circle 2.Needing to carry out
During repairing, sticking patch connector 10 is pulled out by discharging pull bar 12, that is, cause sticking patch connector 10 with hernia paster 3 and bullet circle
2 separate so that hernia paster 3 is separated with bullet circle 2, such that it is able to carry out the repair operations such as follow-up darning, specifically after
Continuous operating process is that here is omitted known to those skilled in the art.
Further, the end of the trocar sheath 1 is provided with outer tube baffle ring 4, and the other end of inner sleeve 6 arranges inner tube baffle ring 7,
Said inner tube baffle ring 7 is located at the outside of outer tube baffle ring 4.
In the embodiment of the present invention, outer tube baffle ring 4 is located at the end of trocar sheath 1, and inner tube baffle ring 7 is located at respectively interior with bullet circle 2
The two ends of sleeve pipe 6, in the motion in trocar sheath 1 of inner sleeve 6, bullet circle 2 can be correspondingly arranged the another of outer tube baffle ring 4 from trocar sheath 1
One end passes.Motion of the inner sleeve 6 in trocar sheath 1 can be carried out using inner tube baffle ring 7 and outer tube baffle ring 4 effectively spacing, be carried
The convenience of the motor performance of high inner sleeve 6.
Additionally, in order to be able to the convenient operation to discharging pull bar 12, one end of the release pull bar 12 is worn from inner sleeve 6
Go out, and discharge the end setting release pull bar handle 5 that pull bar 12 passes inner sleeve 6.The release pull bar handle 5 keeps off positioned at inner tube
The outside of ring 7, by discharging the stretchy of pull bar handle 5 motion of the pull bar 12 in inner sleeve 6 is discharged.
As shown in figure 5, the outer ring of the hernia paster 3 is provided with some equally distributed sticking patch connecting holes 14, set on bullet circle 2
There are a some sticking patch connection positioning bodies 11, sticking patch connector 10 penetrates the sticking patch after the sticking patch connecting hole 14 of hernia paster 3 with bullet circle 2
Connection positioning body 11 connects.
In the embodiment of the present invention, hernia paster 3 is rounded, the shape and size of hernia paster 3 be in open mode
Bullet circle 2 be adapted, hernia paster 3 can adopt existing conventional form, sticking patch connecting hole 14 be located at hernia paster 3 outer ring.
Sticking patch connection positioning body 11 is symmetric on bullet circle 2, and sticking patch connects the projection of positioning body 11 on bullet circle 2, sticking patch connector
10 penetrate in the sticking patch connecting hole 14 of hernia paster 3, and are connected positioning body 11 with the sticking patch on bullet circle 2 and are attached cooperation, from
And realize the connection positioning of hernia paster 3.When being embodied as, sticking patch is pulled to connect after positioning body 10 by discharging pull bar 12, energy
So that sticking patch connector 10 follows release pull bar 12 to move, reach sticking patch connector 10 and be connected fixed with hernia paster 3 and sticking patch
The position detached purpose of body 11, so as to realize the release of hernia paster 3.
When being embodied as, the hernia paster 3 is connected by two sticking patch connectors 10 with bullet circle 2, sticking patch connector 10
One end be connected with release pull bar 12, the other end of sticking patch connector 10 is in vacant state.Because sticking patch connection positioning body 11 exists
It is symmetric on bullet circle 2, in order that hernia paster 3 coordinates with the effectively connection of bullet circle 2, sets in the end of release pull bar 12
Two sticking patch connectors 10 are put, the sticking patch connector 10 can adopt flexible steel wire etc. to make, to meet sticking patch connector
10 connections for being connected positioning body 11 with hernia paster 3 and sticking patch, meanwhile, after release pull bar 12 is pulled, can be rapidly real
Now separate between hernia paster 3 and sticking patch connection positioning body 11.
Sticking patch connection positioning body 11 is convexly equipped on bullet circle 2, and sticking patch connection positioning body 11 is in convex spherical or square block.Wherein,
Fig. 6 shows sticking patch connection positioning body 11 using convex spherical form, and Fig. 7 shows sticking patch connection positioning body 11 using bulk
Form;When sticking patch connection positioning body 11 adopts convex spherical, in sticking patch connection positioning body 11 permission sticking patch connector is also set up
10 holes for passing through or groove, so that hernia paster 3 connects effectively connecting between positioning body 11 by sticking patch connector 10 and sticking patch
Connect, meanwhile, the sharp separation that also can guarantee that sticking patch connector 10 when pulling and between sticking patch connection positioning body 11.When sticking patch connects
When connecing positioning body 11 using bulk form, sticking patch connect in positioning body 11 except arrange the hole that allows sticking patch connector 10 to pass through or
During groove, can also be coordinated using the forms such as flange, the connection between time slot and sticking patch connector 10.Sticking patch connect positioning body 11 with
Concrete fit form between sticking patch connector 10 is not limited to above-mentioned situation, as long as meet sticking patch connector 10 being connected with sticking patch
Connection between positioning body 11 coordinates, and can cause the sharp separation of sticking patch connector 10, specially the art people
Member is known, and here is omitted.
Formed for mending between the inwall of the end setting dividing body 13 of the inner sleeve 6, the dividing body 13 and inner sleeve 6
The connector passage that piece connector 10 is placed and positioned.In the embodiment of the present invention, dividing body 13 can be in triangular shape, dividing body 13
For a part for inner sleeve 6, as long as forming connector passage, two sticking patch connectors 10 can insert the connector passage
It is interior, facilitate implementation pulling to sticking patch connector 10 etc..
As shown in Fig. 2 being additionally provided with adjustment pull bar 8 in the trocar sheath 1, one end of the adjustment pull bar 8 connects with bullet circle 2
Connect, the other end for adjusting pull bar 8 is provided with adjustment pull bar ring 9, and the adjustment pull bar ring 9 is located at outside trocar sheath 1.
In the embodiment of the present invention, adjustment pull bar 8 is in parallel distribution with inner sleeve 6, adjusts the one end and bullet circle 2 of pull bar 8
Connection, adjusts the other end that pull bar ring 9 is located at adjustment pull bar 8.When pulling adjustment pull bar 8 by adjusting pull bar ring 9, due to adjustment
Pull bar 8 and the connection of bullet circle 2, can be altered or modified the shape of bullet circle 2, reach angle that adjustment hernia paster 3 is placed etc., with
Meet the demand of different repair operations, improve subject range.
Inner sleeve of the present invention 6 is located in trocar sheath 1, and bullet circle 2 is located at the end of inner sleeve 6, by inner sleeve 6 in trocar sheath
Motion in 1, can cause bullet circle 2 in trocar sheath 1 or be pushed out in trocar sheath 1, so as to effectively change hernia paster 3
Shape, disclosure satisfy that the convenience of the operations such as peritoneoscope hernia, and by adjusting pull bar 8 regulation of placed angle etc. can be realized,
So as to effectively adapt to laparoscopic hernia repair, reaching fast and safely carries out the purpose of hernia repair, easy to operate, safely may be used
Lean on.