CN108210089B - Air inflation type channel device for taking out tumor specimen through anus after colorectal operation - Google Patents
Air inflation type channel device for taking out tumor specimen through anus after colorectal operation Download PDFInfo
- Publication number
- CN108210089B CN108210089B CN201810077717.4A CN201810077717A CN108210089B CN 108210089 B CN108210089 B CN 108210089B CN 201810077717 A CN201810077717 A CN 201810077717A CN 108210089 B CN108210089 B CN 108210089B
- Authority
- CN
- China
- Prior art keywords
- channel
- pipe
- pipes
- air
- inflatable
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Active
Links
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/02—Devices for expanding tissue, e.g. skin tissue
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M29/00—Dilators with or without means for introducing media, e.g. remedies
- A61M29/02—Dilators made of swellable material
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y02—TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
- Y02A—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
- Y02A50/00—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
- Y02A50/30—Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Veterinary Medicine (AREA)
- Animal Behavior & Ethology (AREA)
- Public Health (AREA)
- Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Molecular Biology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Pathology (AREA)
- Dermatology (AREA)
- Vascular Medicine (AREA)
- Anesthesiology (AREA)
- Hematology (AREA)
- Orthopedics, Nursing, And Contraception (AREA)
- Surgical Instruments (AREA)
Abstract
The invention discloses an inflatable channel device for taking out a tumor specimen through anus after colorectal surgery, which comprises a plurality of channel pipes, an inflatable pipe, at least two supporting frames and at least one diaphragm, wherein the outer side surfaces of the channel pipes which are sequentially adjacent are mutually adhered and enclosed to form the channel pipes, and the channel pipes are cylindrical with two closed ends and comprise a head part, a middle part and a tail part; the wall surface of the channel tube is an elastic thin wall, the air charging tube is positioned at the tail part of the channel tube, and the air charging tube is communicated with the cavity; a ventilation tubule is arranged between two channel pipes which are adjacent in sequence, the ventilation tubule is communicated with an adjacent cavity, at least one diaphragm is arranged in the middle of the inner cavity of the channel pipe, the diaphragm is made of elastic materials, and the edge of the diaphragm is connected with the wall surface of the channel pipe in a sealing way; can ensure that the tumor is not contacted with the inner wall of the abdominal cavity and the tissues in the abdominal cavity when being taken out from the anus, and can avoid the falling off of tumor cells and the occurrence of infection, and the air-filled device can prop up the wall surface of the rectum when being placed in the rectum, thereby greatly reducing the operation difficulty.
Description
Technical Field
The invention relates to a laparoscopic surgery medical instrument, in particular to an inflatable channel device for taking out tumor specimens through anus after colorectal surgery.
Background
With the deep penetration of the minimally invasive concept and the rapid development of minimally invasive techniques, the development of minimally invasive devices is an important revolution in surgical operations, and minimally invasive operations have become the main role of the current surgical stage without disputes. Wounds, pain, scars, and adverse psychological implications have been considered as the necessary product of surgery. In recent years, the advent of natural transluminal specimen retrieval surgery (natural orifice specimen extraction surgery, NOSES) has found new directions for minimally invasive treatment. Epidemiological data in China show that 60% of colorectal cancers in China are seen in the rectum, especially in the lower rectum, 15% of patients are less than 30 years old, and BMI data of the patients in China are relatively smaller, so that the method is more technically feasible. Literature shows that colorectal cancer NOSE operation is technically feasible in the operation process, the safety is basically similar to that of the traditional laparoscopic operation, the concurrency is not obviously increased, the colorectal cancer NOSE operation has more attractive effect, and the patient acceptability is high.
However, the specific naming, development conditions and technical platform, indication and contraindication, technical requirements for aseptic operation and non-tumor operation, and prevention and treatment of complications and the like of the NOSES are still in the starting stage, and the unified consensus and standard are not achieved yet, and various surgical operation methods and standards exist in clinical work. The domestic Wang Xishan professor and Fu Chuangang professor have made preliminary exploration of this type of surgery, and also established the domestic first professional alliance for NOSES for colorectal cancer, and issued the expert consensus for colorectal tumor sampling via natural lumen tract (2017).
In the operation process, the surgical instrument for taking the sample through the anus does not have special equipment. At present, a device for taking a sample through anus without a fixed shape is provided. The more used each expert is: 1. a cavity mirror sleeve. The method comprises the steps of opening the opening of an isolation bag for isolation through a surgical forceps in an operation abdominal environment, clamping the resected tumor specimen to enable the resected tumor specimen to enter the isolation bag, then continuously wrapping the tumor specimen on the opening of the isolation bag, and finally clamping the opening to take out the isolation bag and the tumor specimen wrapped inside. 2. Incision protective sheath. The lower rectum is placed into the incision protective sleeve through the anus, and the specimen is directly pulled out. However, the operation process has the defects of large operation difficulty, long operation time and a plurality of defects, so that the operation efficiency is relatively low; for example, when some simple air-filled channel devices inject air into the cavity, the air supports an elastic thin wall, and the elastic thin wall forms a regular channel after being spread, but the spread channel is inevitably collapse and concave, so that rectum can not be completely spread, the tumor is taken out, and the operation difficulty of medical staff is increased.
Therefore, the further reasonable design and perfection are needed, so that the operation is convenient to take out from the anus after the tumor is resected, the falling off of tumor cells and the occurrence of infection can be avoided, and the situation that the tumor is completely isolated from the abdominal cavity when taken out by the anal sample taking device is ensured.
Disclosure of Invention
The invention aims to provide an air-filled channel device for taking out a tumor specimen through anus after colorectal surgery, which can ensure that tumors do not contact the inner wall of the abdominal cavity and tissues in the abdominal cavity when being taken out from the anus, can avoid the falling off of tumor cells and the occurrence of infection, and can prop up the wall surface of the rectum when being placed in the rectum, thereby greatly reducing the operation difficulty.
In order to achieve the above object, the present invention adopts the following technical scheme: an air-filled channel device for taking out a tumor specimen through anus after colorectal surgery comprises a plurality of channel pipes, an air-filled pipe, at least two supporting frames and at least one diaphragm, wherein the outer side surfaces of the channel pipes which are sequentially adjacent to each other in the plurality of channel pipes are mutually adhered and enclosed to form the channel pipe, and the channel pipe is in a cylinder shape with two closed ends and comprises a head part, a middle part and a tail part; the wall surface of the channel pipe is an elastic thin wall, and the elastic thin wall is enclosed to form a cavity; the air charging pipe is positioned on the outer surface of the tail part of the channel pipe and is communicated with the cavity; the novel air-permeable pipeline is characterized in that an air-permeable thin pipe is arranged between two channel pipes which are adjacent in sequence, the air-permeable thin pipe is communicated with cavities in the two adjacent channel pipes, at least one diaphragm is further arranged in the middle of an inner cavity of each channel pipe, the diaphragm is made of elastic materials, and the edge of the diaphragm is connected with the wall surface of each channel pipe in a sealing mode.
Preferably, a cavity is arranged in the middle of the channel pipe formed by enclosing, an inner elastic sleeve which is attached to the wall surface of the channel pipe is arranged in the cavity, the edge of the diaphragm is in sealing connection with the inner wall of the channel pipe through the inner elastic sleeve, an outer elastic sleeve is arranged on the outer side surface of the channel pipe relative to the inner elastic sleeve, the support frame is sleeved on the outer wall surface of the outer elastic sleeve, and the support frame is of a solid annular structure which is attached to the outer wall surface of the outer elastic sleeve in an annular mode; because enclose when closing the passageway pipe that constitutes and connect, because the restriction of body structure, there is the space between the passageway pipe can't realize closely laminating, and interior elastic sleeve sets up between passageway pipe and diaphragm, not only can realize sealing connection between diaphragm and the passageway pipe wall, can increase the joint strength who encloses the passageway pipe that closes the constitution through the cooperation between interior elastic sleeve and the outer elastic sleeve moreover, prevent that the drawback such as gas leakage, pressure release appear when adjacent passageway pipe connection, the support frame can make the passageway pipe keep cylindric after aerifing, provide operating space for the operation pincers with tumour centre gripping entering passageway intraductal, the degree of difficulty of operation has been reduced, the success rate has been improved.
Preferably, the lengths of the inner elastic sleeve and the outer elastic sleeve are consistent with the length of the channel pipe; only the lengths of the inner elastic sleeve and the outer elastic sleeve are consistent with the length of the channel pipe, so that sealing can be realized.
Preferably, the number of the channel pipes formed by enclosing is 15-20; the number of the channel pipes is ensured to be enough, that is to say: the cavities in the channel pipes surrounding a circle are filled with gas, so that the probability of collapse and sinking is increased when the large-area cavities are adopted compared with the mode that the large-area cavities are divided into a plurality of small-area cavities, and the air pressure in the large-area cavities is enough and the distribution of the air pressure is even; the cavity is divided into a plurality of small-area cavities, so that air and air pressure in each small-area cavity only need a certain amount, and collapse and dent can be reduced.
Preferably, at least two sections of ventilation tubules are arranged between the two channel pipes which are adjacent in sequence, and the ventilation tubules are positioned at two sides of the joint surfaces of the two channel pipes; the speed of filling air in the cavity between two adjacent channel pipes is accelerated, so that the air can be quickly filled in all the channel pipes, and the operation time is shortened.
Preferably, the inflatable channel device further comprises an inflatable device, the inflatable device comprises a spherical air bag and a tubule-shaped air tap, and a plurality of annular protrusions are arranged on the outer surface of the tubule-shaped air tap. The annular protrusions on the outer surface of the fine-tube-shaped air tap can be hermetically installed with the air charging tube, and gas can be pumped into the cavity of the channel tube by extruding the spherical air bag, so that the channel tube is increased to a proper volume.
Preferably, the diaphragm comprises two diaphragms, the diaphragms are arranged in a staggered mode, and the staggered positions overlap. The two diaphragms which are arranged in a staggered way can maintain the air pressure in the abdominal cavity when the inflatable channel device is placed in the abdominal cavity, so that a certain operation space is ensured for operation.
Preferably, the head and the tail of the channel pipe are respectively provided with a closing-up rope, and the closing-up ropes can tighten the head and the tail of the channel pipe into small openings. The open channel tube end can be tightened into a small opening by the closing-up rope, the tail of the channel tube is closed up, the tail of the channel tube is pulled out from the anus of a patient, and the head closing-up can ensure that tumors placed in the channel tube are not separated from the device in the process of being pulled out from the anus of the patient.
Preferably, the channel tube is inflatable to allow the entire channel tube to contact the elastic material of the rectal wall. The channel tube made of the elastic material has smaller volume when not inflated, is convenient to be placed in the abdominal cavity operation position of a patient, is inflated through the inflation device, increases the volume, and can ensure that the operation process of placing tumors has enough space.
Preferably, a supporting net for expanding the channel pipe during inflation is arranged on the inner wall surface of the channel pipe, the supporting net comprises a plurality of supporting ribs which are uniformly staggered longitudinally and transversely, the lengths of the supporting ribs distributed longitudinally are consistent with those of the channel pipe, and the supporting ribs distributed transversely are circumferentially arranged along the circumferential direction of the channel pipe; the setting of supporting network can be better struts the passageway pipe, guarantees that the shape of the passageway pipe of propping up struts reaches the best, promptly: the pipeline fluctuation deviation of the supported channel pipe is small, the existence of collapse and concave parts is reduced, the pipe surface of the channel pipe is smoother and more regular, the rectum can be better supported, the better operation auxiliary effect is achieved, and the labor intensity of medical operation staff is reduced.
Preferably, the inflatable channel device further comprises a plurality of channel pipes and a layer of elastic sleeve, wherein the channel pipes are arranged along the outer surface of the elastic sleeve in a surrounding manner; the channel pipes are semi-cylindrical with two closed ends, one surface of the air charging type channel device faces medical staff, the port of each channel pipe is communicated with an air charging pipe, an air flow regulator for switching on and off air is arranged on each air charging pipe, and the air charging pipes are externally connected with the same air charging device; the utility model discloses a enclose and close a plurality of passageway pipe that sets up on the elastic sleeve surface and aerify and directly contact with the rectum inner wall when expanding, the expansion effect of rectum is better, in addition, can not have in the rectum inner wall of patient that the shrink is serious, the rectum polyp, inflammation and damage position, if prop open the rectum inner wall by force, can bring the discomfort for the patient, then can block the air through air flow regulator and get into appointed passageway intraductal, can not bring the injury to the patient, can obtain the passageway pipe of different shapes and sectional area through blocking partial air filling to passageway intraductal in addition, can be applicable to the patient of different age bracket, different rectum diameters.
Compared with the prior art, the inflatable channel device for taking out tumor specimens through anus after colorectal surgery has the following beneficial effects:
1. the wall of the canal is in a strip shape with smaller outer diameter when not inflated, can be placed at an operation incision of the intestinal canal, and has smaller incision, high speed and less pain; when the channel device is expanded, the outer diameter of the channel device can be expanded to be consistent with the inner wall of the rectum so as to take out a tumor specimen, and a large incision is not required to be formed on the side wall of the intestinal tract; and then taking out the channel device carrying the tumor specimen from the anus, thereby achieving the purpose of taking out the colorectal tumor through the natural cavity.
2. The support frame at the head and the tail of the channel tube can keep the channel tube in a cylindrical shape after being inflated, so that an operation space is provided for the forceps to clamp the tumor into the channel tube, the operation difficulty is reduced, and the success rate is improved.
3. The device can be used for completely placing the tumor in the channel tube, isolating the tumor from the rectum wall through the channel tube, avoiding the diffusion of tumor specimens during taking out, and simultaneously, having fast taking out speed and high efficiency.
4. During operation, pneumoperitoneum is required to be formed in the intestinal tract and the abdominal cavity, the diaphragm in the middle of the channel tube plays a role in isolating inner air from outer air, and pressure relief of the abdominal cavity can be effectively avoided during shaping of the channel tube, so that normal operation is ensured.
5. In enclosing the passageway pipe of constituteing, all be equipped with the cavity in every passageway pipe, through filling gas back whole gas filling type passageway device inflation to the cavity, because gas filling type passageway device is enclosed by a plurality of and is closed the passageway pipe of constituteing and filling with gas and constitute, namely: divide into the cavity of a plurality of small tracts of land with the cavity of large tracts of land, the atmospheric pressure in every small tracts of land cavity is stable, can be complete with the wall of every passageway pipe support, and the stability of atmospheric pressure in the cavity of large tracts of land is poor to the condition that collapse, concave part appear in the wall of having reduced passageway pipe, and ventilation tubule has linked together the cavity between every passageway pipe, and the gas can be quick packing is full of every cavity.
Drawings
FIG. 1 is a schematic diagram of an inflatable channel device for taking out tumor specimens from anus after colorectal surgery;
FIG. 2 is a schematic diagram showing the connection between the inflatable channel device and the inflatable device in embodiment 1;
fig. 3 is a sectional view of the air-filled passage device in this embodiment 1;
fig. 4 is a partial enlarged view of fig. 3 a of the present embodiment 1;
FIG. 5 is a schematic view of the structure of the channel tube in FIG. 1 of the present embodiment;
FIG. 6 is a schematic diagram of the structure of the air-filled duct device and the associated air-filling device according to embodiment 1;
fig. 7 (a), fig. (b), fig. (c) and fig. (d) are schematic views illustrating steps of using the inflatable channel apparatus according to the present invention;
FIG. 8 is a schematic diagram showing the connection structure of two diaphragms of the diaphragm in example 1;
FIG. 9 is a schematic cross-sectional view of the separator in this example 1;
fig. 10 is a schematic view showing the structure of the support net in the tunnel pipe in the present embodiment 2;
FIG. 11 is a schematic diagram showing the structure of an inflatable channel device for taking out tumor specimens through the anus after colorectal surgery in example 3;
fig. 12 is a partial enlarged view of fig. 11B in this embodiment 3.
Reference numerals: 1. a channel tube; 2. an inflation tube; 3. a support frame; 4. a diaphragm; 5. a cavity; 6. an air bag; 7. an air tap; 8. an annular protrusion; 9. closing up the rope; a. a head; b. a middle part; c. tail part; 10. a ventilation tubule; 11. an inner elastic sleeve; 12. an outer elastic sleeve; 13. a support net; 14. an air flow regulator.
Detailed Description
Example 1:
the invention is further described below with reference to the accompanying drawings.
The inflatable channel device for taking out tumor specimens through anus after colorectal surgery as shown in fig. 1 to 9 comprises a plurality of channel pipes 1, an inflatable pipe 2, at least two supporting frames 3 and at least one diaphragm 4, wherein the channel pipes 1 comprise a head part a, a middle part b and a tail part c, the wall surfaces of the channel pipes 1 are elastic thin walls, the elastic thin walls are enclosed to form a cavity 5, ventilation tubules 10 are arranged between two adjacent channel pipes 1, a cavity is arranged in the middle of the channel pipes 1 formed by enclosed, an inner elastic sleeve 11 attached to the wall surface of the channel pipe 1 is arranged in the cavity, and an outer elastic sleeve 12 is arranged on the outer side surface of the channel pipe 1 relative to the inner elastic sleeve 11.
As shown in fig. 1 to 4, the air-filled channel device comprises a plurality of channel pipes 1, an air-filled pipe 2, at least two supporting frames 3 and at least one diaphragm 4, wherein the outer side surfaces of the channel pipes 1 which are sequentially adjacent in the plurality of channel pipes 1 are mutually adhered and enclosed to form the air-filled channel device, and the channel pipes 1 are in a cylinder shape with two communicated ends, and comprise a head part a, a middle part b and a tail part c; the wall surface of the channel pipe 1 is an elastic thin wall, and the elastic thin wall is enclosed to form a cavity 5; the gas-filled tube 2 is positioned on the outer surface of the tail part of the channel tube 1, and the gas-filled tube 2 is communicated with the cavity 5; the method comprises the steps that a ventilation tubule 10 is arranged between two channel pipes 1 which are adjacent in sequence, the ventilation tubule 10 is communicated with cavities 5 in the two adjacent channel pipes 1, at least one diaphragm 4 is arranged in the middle of an inner cavity of each channel pipe 1, the diaphragm 4 is made of an elastic material, the edge of the diaphragm 4 is in sealing connection with the wall surface of each channel pipe 1, gas is filled into the cavities 5 in the channel pipes 1, as the channel pipes 1 are enclosed to form an air-filled channel device, each channel pipe 1 is internally provided with an independent cavity 5, when the air is filled into the cavities 5, the air-filled channel device is only provided with one cavity 5 with a larger area, and the sufficient and stable air pressure needs to be ensured.
As shown in fig. 2 and 3, the middle of the channel tube 1 formed by encircling is a cavity, an inner elastic sleeve 11 is arranged in the cavity and is attached to the wall surface of the channel tube 1, the edge of the diaphragm 4 is in sealing connection with the inner wall surface of the channel tube 1 through the inner elastic sleeve 11, an outer elastic sleeve 12 is arranged on the outer side surface of the channel tube 1 relative to the inner elastic sleeve 11, the support frame 3 is sleeved on the outer wall surface of the outer elastic sleeve 12, and the support frame 3 is of a solid annular structure attached to the outer wall surface of the outer elastic sleeve 12 in an annular mode, when the channel tube 1 formed by encircling is connected, due to the limitation of a tube body structure, a gap exists between the channel tube 1 and cannot be tightly attached, the inner elastic sleeve 11 is arranged between the channel tube 1 and the diaphragm 4, the sealing connection between the diaphragm 4 and the wall surface of the channel tube 1 can be achieved, the connection strength of the channel tube 1 formed by encircling can be increased through the cooperation between the inner elastic sleeve 11 and the outer elastic sleeve 12, the defect that air leakage, pressure release and the like occur when the adjacent channel tube 1 is connected can be prevented, the support frame 3 can enable the channel tube 1 to keep a cylindrical clamp to enter a tumor space after the clamp, the operation difficulty is reduced, and the operation difficulty of clamping is reduced for the tumor is reduced, and the operation difficulty is reduced for the operation of entering the tumor.
The lengths of the inner elastic sleeve 11 and the outer elastic sleeve 12 are consistent with the length of the channel tube 1; sealing is only achieved by ensuring that the length of the inner 11 and outer 12 elastic sleeves corresponds to the length of the channel tube 1.
The number of the channel pipes 1 formed by enclosing is 15-20; the number of channel tubes 1 is guaranteed to be sufficient, that is: the cavities 5 in the channel pipe 1 surrounding a circle are filled with gas, and compared with the large-area cavities 5 divided into a plurality of small-area cavities 5, if the large-area cavities 5 are adopted, the probability of collapse and dent is increased, and the sufficient air pressure and the average distribution of the air pressure in the large-area cavities 5 are ensured; the cavity 5 is divided into a plurality of small-area cavities, so that air and air pressure in each small-area cavity 5 only need a certain amount, and collapse and dent can be reduced.
As shown in fig. 4, at least two sections of ventilation tubules 10 are arranged between two channel pipes 1 which are adjacent in sequence, and the ventilation tubules 10 are positioned at two sides of the joint surface of the two channel pipes 1; the speed of filling air in the cavity 5 between two adjacent channel pipes 1 is accelerated, so that the air can be quickly filled in all the channel pipes 1, and the operation time is reduced.
As shown in fig. 6, the air-charging channel device in this embodiment further comprises an air charging device, the air charging device comprises a spherical air bag 66 and a thin tubular air nozzle 77, and a plurality of annular protrusions 88 are arranged on the outer surface of the thin tubular air nozzle 77. The annular protrusion 88 on the outer surface of the fine tubular air tap 77 can be in sealing connection with the air inflation tube 22, and the channel tube 11 can be inflated by pressing the air in the spherical air bag 66, so that the volume of the channel tube 11 becomes large to facilitate the operation in the operation. In the inflatable channel device in this embodiment, the head portion a and the tail portion c of the channel tube 11 are both provided with the closing-up rope 99, and the closing-up rope 99 can tighten the head portion a and the tail portion c of the channel tube 11 into small openings. The tail part c of the channel tube 11 is convenient to pull out from the anus of the patient, and the head part a can ensure that the tumor placed in the channel tube 11 is not separated from the device in the process of pulling out from the anus of the patient. The closing-in manner is similar to the principle of the storage bag, and both ends of the channel pipe 11 can be contracted into small openings when the closing-in rope 99 is pulled.
The channel tube 11 is made of an elastic material which can be inflated so that the entire channel tube 11 contacts the rectal wall. The channel tube 11 made of elastic material has smaller volume when not inflated, is convenient to be placed in the abdominal cavity operation place of a patient, is inflated through the inflation device, increases the volume, and can ensure that the operation process of placing tumors has enough space.
As shown in fig. 8 and 9, the diaphragm 44 includes two diaphragms, which are staggered and overlapping at staggered locations. The two diaphragms which are arranged in a staggered way can maintain the air pressure in the abdominal cavity when the inflatable channel device is placed in the abdominal cavity, so that a certain operation space is ensured for operation.
The schematic of the steps in using the inflatable channel set shown in fig. 7 is that when the operation needs to collect the resected tumor, the inflatable channel set is placed at the operation site, the tail (c) of the set is placed outside the patient through the anus from the patient through the forceps, and the inflation tube 22 is ensured to be exposed outside the patient. At this time, by squeezing the spherical balloon 66, the air in the spherical balloon 66 is squeezed into the channel tube 11, and the channel tube 11 is made of an elastic material, so that the balloon can be inflated, and the volume becomes large so as to facilitate the operation of placing a tumor into the channel tube 11. When in use, a doctor puts a tumor into the channel tube 11 through the forceps, and then pulls the closing ropes 99 at the head a and the tail c of the channel tube 11 to pull the head a and the tail c of the channel tube 11 into small openings. The whole inflatable channel set is then pulled out of the body through the tail portion c of the body passageway tube 11.
Example 2:
as shown in fig. 10, in this embodiment, a supporting net 13 for expanding the channel tube 1 during inflation is disposed on the inner wall surface of the channel tube 1 on the basis of embodiment 1, the supporting net 13 includes a plurality of longitudinally and transversely staggered supporting ribs, the lengths of the longitudinally distributed supporting ribs are consistent with those of the channel tube 1, the transversely distributed supporting ribs are circumferentially arranged along the channel tube 1, the supporting net 13 can better expand the channel tube 1, the shape of the expanded channel tube 1 is ensured to be optimal, the supporting net 13 includes a plurality of longitudinally and transversely uniformly staggered supporting ribs, the existence of the supporting ribs ensures that the supporting surface of each part of the channel tube 1 which is supported during gas filling is uniform, the up-down fall is small, and the flatness is good, namely: the pipeline of the supported channel pipe 1 has small fluctuation deviation, reduces the existence of collapse and concave parts, ensures that the pipe surface of the channel pipe 1 is smoother and more regular, can better support the rectum, achieves better operation auxiliary effect and reduces the labor intensity of medical operation staff.
Example 3:
as shown in fig. 11 and 12, the inflatable channel device according to this embodiment may further include a plurality of channel tubes 1 and a layer of elastic sleeve on the basis of embodiment 1 and embodiment 2, wherein the channel tubes 1 are circumferentially arranged along the outer surface of the elastic sleeve; the channel pipes 1 are semi-cylindrical with two closed ends, the air charging type channel device faces one side of medical staff, the port of each channel pipe 1 is communicated with an air charging pipe 2, the air charging pipe 2 is provided with an air flow regulator 14 for switching on and off air, and the air charging pipes 2 are externally connected with the same air charging device; the enclosing sets up the direct contact with the rectum inner wall when the inflation of a plurality of passageway pipe 1 on the elastic sleeve surface, the expansion effect of rectum is better, in addition, can not have in the rectum inner wall of patient that the shrink is serious, the rectum polyp, inflammation and damage position, if prop up the rectum inner wall by force, can bring the discomfort for the patient, then can block in the air gets into appointed passageway pipe 1 through air flow regulator 14, can not bring the injury to the rectum, can obtain the passageway pipe of different shapes and sectional area through blocking partial air filling to passageway pipe 1 moreover, can be applicable to the patient of different age bracket, different rectum diameters.
The foregoing description of the preferred embodiment of the invention will so fully reveal the true scope of the invention that others skilled in the art can, by applying to it, readily modify and adapt for various usages such specific embodiments without departing from the true spirit and scope of the invention.
Claims (8)
1. An inflatable channel device for taking out tumor specimens through anus after colorectal surgery, which is characterized in that: the device comprises a plurality of channel pipes (1), an inflation pipe (2), at least two supporting frames (3) and at least one diaphragm (4), wherein the outer side faces of the channel pipes (1) which are adjacent in sequence in the plurality of channel pipes (1) are mutually adhered and encircled to form the device, and the channel pipes (1) are in a cylinder shape with two closed ends and comprise a head part (a), a middle part (b) and a tail part (c); the wall surface of the channel pipe (1) is an elastic thin wall, and the elastic thin wall is enclosed to form a cavity (5); the air charging pipe (2) is positioned on the outer surface of the tail part (c) of the channel pipe (1), and the air charging pipe (2) is communicated with the cavity (5); a ventilation tubule (10) is arranged between two channel pipes (1) which are adjacent in sequence, the ventilation tubule (10) is communicated with a cavity (5) in the two adjacent channel pipes (1), at least one diaphragm (4) is arranged in the middle of the inner cavity of the channel pipe (1), the diaphragm (4) is made of elastic materials, and the edge of the diaphragm (4) is connected with the wall surface of the channel pipe (1) in a sealing way; at least two sections of ventilation tubules (10) are arranged between the two channel pipes (1) which are adjacent in sequence, and the ventilation tubules (10) are positioned at two sides of the joint surface of the two channel pipes (1); the channel tube (1) is made of an elastic material which can be inflated so that the entire channel tube (1) contacts the rectal wall.
2. An inflatable channel set for transanal removal of tumor specimens following colorectal surgery according to claim 1, wherein: the middle of the channel pipe (1) formed by enclosing is a cavity, an inner elastic sleeve (11) which is attached to the wall surface of the channel pipe (1) is arranged in the cavity, the edge of the diaphragm (4) is connected with the inner wall of the channel pipe (1) in a sealing way through the inner elastic sleeve (11), and an outer elastic sleeve (12) is arranged on the outer side surface of the channel pipe (1) relative to the inner elastic sleeve (11); the support frame (3) is sleeved on the outer wall surface of the outer elastic sleeve (12), and the support frame (3) is of a solid annular structure which is annularly attached to the outer wall surface of the outer elastic sleeve (12).
3. An inflatable channel set for transanal removal of tumor specimens following colorectal surgery according to claim 2, wherein: the lengths of the inner elastic sleeve (11) and the outer elastic sleeve (12) are consistent with the lengths of the channel pipes (1), and the number of the channel pipes (1) formed by surrounding is 15-20.
4. An inflatable channel set for transanal removal of tumor specimens following colorectal surgery according to claim 1, wherein: the inflatable channel device further comprises an inflatable device, the inflatable device comprises a spherical air bag (6) and a tubule-shaped air nozzle (7), and a plurality of annular protrusions (8) are arranged on the outer surface of the tubule-shaped air nozzle (7).
5. An inflatable channel set for transanal removal of tumor specimens following colorectal surgery according to claim 1, wherein: the diaphragm (4) comprises two diaphragms, wherein the diaphragms are arranged in a staggered mode, and the staggered positions are overlapped.
6. An inflatable channel set for transanal removal of tumor specimens following colorectal surgery according to claim 1, wherein: the head part (a) and the tail part (c) of the channel pipe (1) are both provided with a closing-up rope (9), and the closing-up rope (9) can tighten the head part (a) and the tail part (c) of the channel pipe (1) into small openings.
7. An inflatable channel set for transanal removal of tumor specimens following colorectal surgery according to claim 1, wherein: the support net (13) used for expanding the channel pipes (1) during inflation is arranged on the inner wall surfaces of the channel pipes (1), the support net (13) comprises a plurality of longitudinal and transverse uniformly staggered support ribs, the lengths of the longitudinally distributed support ribs are consistent with those of the channel pipes (1), and the transversely distributed support ribs are arranged along the circumferential direction of the channel pipes (1) in a surrounding mode.
8. An inflatable channel set for transanal removal of tumor specimens following colorectal surgery according to claim 1, wherein: the air-filled channel device can also comprise a plurality of channel pipes (1) and a layer of elastic sleeve, wherein the channel pipes (1) are arranged along the outer surface of the elastic sleeve in a surrounding way; the channel tube (1) is semi-cylindrical with two closed ends, the air charging type channel device faces one side of medical staff, an air charging tube (2) is communicated with the port of each channel tube (1), an air flow regulator (14) for switching on and off air is arranged on each air charging tube (2), and the air charging tubes (2) are all externally connected with the same air charging device.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810077717.4A CN108210089B (en) | 2018-01-26 | 2018-01-26 | Air inflation type channel device for taking out tumor specimen through anus after colorectal operation |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810077717.4A CN108210089B (en) | 2018-01-26 | 2018-01-26 | Air inflation type channel device for taking out tumor specimen through anus after colorectal operation |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN108210089A CN108210089A (en) | 2018-06-29 |
| CN108210089B true CN108210089B (en) | 2023-06-16 |
Family
ID=62669077
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201810077717.4A Active CN108210089B (en) | 2018-01-26 | 2018-01-26 | Air inflation type channel device for taking out tumor specimen through anus after colorectal operation |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN108210089B (en) |
Families Citing this family (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111839623B (en) * | 2020-07-29 | 2021-05-04 | 张鹏举 | Infantile anorectal surgery medical instrument and instrument expansion method |
Citations (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE4129691A1 (en) * | 1991-09-08 | 1993-03-11 | Alfons Prof Dr Med Hofstetter | Catheter for insertion in urethra - has filling duct with secondary cooling duct and balloon connected via third duct |
| CN201192525Y (en) * | 2008-05-08 | 2009-02-11 | 孔庆忠 | Vapor pressure type diameter-adjustable anus expanders |
| CN203458472U (en) * | 2013-08-19 | 2014-03-05 | 复旦大学附属上海市第五人民医院 | Tumor isolating protection sleeve for low rectal cancer |
| CN104116528A (en) * | 2014-07-14 | 2014-10-29 | 上海交通大学 | Endoscopic surgery instrument outer sheath based on soft continuum mechanism |
| CN106345042A (en) * | 2016-10-14 | 2017-01-25 | 南京鼓楼医院 | Transurethral balloon catheter expansion device for ejaculatory duct obstruction |
| CN205988468U (en) * | 2016-02-29 | 2017-03-01 | 赵铁健 | A kind of vagina or rectum tube chamber expansion type dilator |
| CN206334190U (en) * | 2016-08-30 | 2017-07-18 | 刘安伟 | A kind of ileal conduit balloon dilator |
| CN206651877U (en) * | 2016-12-17 | 2017-11-21 | 遵义医学院附属医院 | A kind of tumor specimen protective bag for Laparoscopic Surgery for Colorectal Cancer |
| CN208659576U (en) * | 2018-01-26 | 2019-03-29 | 浙江大学 | The gas that a kind of postoperative per anum of Colon and rectum takes out tumor specimen fills formula lane device |
-
2018
- 2018-01-26 CN CN201810077717.4A patent/CN108210089B/en active Active
Patent Citations (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE4129691A1 (en) * | 1991-09-08 | 1993-03-11 | Alfons Prof Dr Med Hofstetter | Catheter for insertion in urethra - has filling duct with secondary cooling duct and balloon connected via third duct |
| CN201192525Y (en) * | 2008-05-08 | 2009-02-11 | 孔庆忠 | Vapor pressure type diameter-adjustable anus expanders |
| CN203458472U (en) * | 2013-08-19 | 2014-03-05 | 复旦大学附属上海市第五人民医院 | Tumor isolating protection sleeve for low rectal cancer |
| CN104116528A (en) * | 2014-07-14 | 2014-10-29 | 上海交通大学 | Endoscopic surgery instrument outer sheath based on soft continuum mechanism |
| CN205988468U (en) * | 2016-02-29 | 2017-03-01 | 赵铁健 | A kind of vagina or rectum tube chamber expansion type dilator |
| CN206334190U (en) * | 2016-08-30 | 2017-07-18 | 刘安伟 | A kind of ileal conduit balloon dilator |
| CN106345042A (en) * | 2016-10-14 | 2017-01-25 | 南京鼓楼医院 | Transurethral balloon catheter expansion device for ejaculatory duct obstruction |
| CN206651877U (en) * | 2016-12-17 | 2017-11-21 | 遵义医学院附属医院 | A kind of tumor specimen protective bag for Laparoscopic Surgery for Colorectal Cancer |
| CN208659576U (en) * | 2018-01-26 | 2019-03-29 | 浙江大学 | The gas that a kind of postoperative per anum of Colon and rectum takes out tumor specimen fills formula lane device |
Also Published As
| Publication number | Publication date |
|---|---|
| CN108210089A (en) | 2018-06-29 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| WO2001054568A1 (en) | Cavity enlarger method and apparatus | |
| US10512760B2 (en) | Cervical canal dilation device | |
| CN101449987B (en) | Sacculus conveyer | |
| WO2017080484A1 (en) | Apparatus for establishing space for laparoscopic surgery | |
| CN108158616A (en) | The gas that tumor specimen is taken out used in the postoperative per anum of Colon and rectum fills formula lane device | |
| CN108210089B (en) | Air inflation type channel device for taking out tumor specimen through anus after colorectal operation | |
| EP3542848A1 (en) | Cervical canal dilation device | |
| CN210472770U (en) | Oviduct radiography and liquid-flowing catheter | |
| CN210990590U (en) | Novel aseptic protective sheath suitable for NOSES excision drags out formula operation | |
| CN111588523A (en) | Support drainage device for correcting biliary stricture | |
| CN208659576U (en) | The gas that a kind of postoperative per anum of Colon and rectum takes out tumor specimen fills formula lane device | |
| CN108210028B (en) | Expandable grafting device | |
| WO2019165974A1 (en) | Disposable expansion-type multi-channel rectum and anus decompression device | |
| CN112603560B (en) | Isolated protective sheath of low level rectal cancer tumour | |
| CN211273075U (en) | Cervical dilatation device | |
| CN205215911U (en) | Wicresoft's thorax closed drainage tubule | |
| CN205163204U (en) | Disposable sacculus cervical induced labor expander | |
| CN211381518U (en) | Cavity sampling protective sleeve | |
| CN208864360U (en) | A kind of gas taking out tumor specimen used in the postoperative per anum of Colon and rectum fills formula lane device | |
| CN107374753B (en) | Single-hole trans-abdominal-wall trans-gastric-wall gastric-cavity operation device | |
| CN214485273U (en) | Auxiliary channel device for taking out rectum through anus | |
| CN217218980U (en) | Gastrointestinal surgery is with novel adjustable anus ware that expands | |
| CN215018093U (en) | Specimen isolation bag for endoscopic surgery | |
| CN215018095U (en) | Gasbag form laparoscopic surgery sample isolation bag | |
| CN104353176A (en) | Medical operation sheath |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| PB01 | Publication | ||
| PB01 | Publication | ||
| SE01 | Entry into force of request for substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| GR01 | Patent grant | ||
| GR01 | Patent grant |