CN108514440A - Pancreas Surgical healing looping and binding device - Google Patents

Pancreas Surgical healing looping and binding device Download PDF

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Publication number
CN108514440A
CN108514440A CN201810421969.4A CN201810421969A CN108514440A CN 108514440 A CN108514440 A CN 108514440A CN 201810421969 A CN201810421969 A CN 201810421969A CN 108514440 A CN108514440 A CN 108514440A
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China
Prior art keywords
outer tube
inner sleeve
handle
looping
binding device
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CN201810421969.4A
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Chinese (zh)
Inventor
薛涣洲
申权
姜青峰
余淼
李珂
贾萌
贾江坤
王要轩
田玉伟
徐健
王佳佳
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Individual
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Individual
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Priority to CN201810421969.4A priority Critical patent/CN108514440A/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
    • A61B17/12009Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Reproductive Health (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

Pancreas Surgical healing looping and binding device, including push rod, inner sleeve and outer tube, inner sleeve and outer tube are arranged along left and right horizontal direction, inner sleeve coaxial line is plugged in outer tube, the left part of outer tube is along the circumferential direction opened up there are three wire casing, equidistant interval is arranged three wire casings side by side in left-right direction, it is equipped with leather sheath circle at each wire casing, the right end bottom of outer tube is fixed with handle, handle is arranged in vertical, the length of inner sleeve is more than the length of outer tube, outer tube is stretched out in the left part of inner sleeve to the left, outer tube is stretched out to the right in the right part of inner sleeve, the right end bottom of inner sleeve is fixed with fixed link, fixed link is arranged in vertical and positioned at the right side of handle;In conclusion it is the configuration of the present invention is simple, easy to use, it can make to fit closely between intestinal mucosa and ductus pancreaticus, avoid leading to the excessive equal increase pancreas fistula risk of ischemic necrosis or gap because of simple suture, it is highly practical.

Description

Pancreas Surgical healing looping and binding device
Technical field
The invention belongs to the field of medical instrument technology, and in particular to a kind of pancreas Surgical healing looping and binding device.
Background technology
Pancreas fistula is problem existing for current various pancreas Surgical healing modes after Pancreaticoenterostomy, current various methods by with For reducing the generation of pancreas fistula in Pancreaticoenterostomy, wherein the application of ductus pancreaticus support tube can reduce pancreatic juice in previous anastomotic aggregation and Prevent ductus pancreaticus anastomotic stricture.Ductus pancreaticus and the identical of jejunal mucous membrane are coincide using suture at present, cause to coincide if suture is overstocked Mouth ischemic necrosis, if suturing, gap is excessive to cause pancreatic juice to exosmose, and the identical mode of the above suture is undoubtedly the increase in pancreas fistula Therefore how risk for case above, improves existing Pancreaticoenterostomy technology, reduce the risk that pancreas fistula occurs, become pancreas intestines It is badly in need of the technical issues of solving in anastomosis field.
Invention content
The present invention in order to solve shortcoming in the prior art, provide it is a kind of it is simple in structure, easy to use, pricked by covering So that making the pancreas Surgical healing looping and binding device fitted closely between intestinal mucosa and ductus pancreaticus.
In order to solve the above technical problems, the present invention adopts the following technical scheme that:Pancreas Surgical healing looping and binding device, including it is push rod, interior Casing and outer tube, inner sleeve and outer tube are arranged along left and right horizontal direction, and inner sleeve coaxial line is plugged in outer tube, outside The left part of casing is along the circumferential direction opened up there are three wire casing, and equidistant interval is arranged three wire casings side by side in left-right direction, each Leather sheath circle is equipped at wire casing, the right end bottom of outer tube is fixed with handle, and handle is arranged in vertical, the length of inner sleeve More than the length of outer tube, outer tube is stretched out in the left part of inner sleeve to the left, and outer tube is stretched out to the right in the right part of inner sleeve, interior The right end bottom of casing is fixed with fixed link, and fixed link is arranged in vertical and positioned at the right side of handle, fixed link left side The distance between right side of handle is equal to the distance between two neighboring wire casing, and the lower part of handle is opened along left and right horizontal direction Equipped with perforation, perforates as stepped hole and the left side radius of perforation is more than right side radius, level is prolonged to the left for the lower end of fixed link It stretches and is provided with guide rod, guide rod is plugged in perforation, and the left end of guide rod is equipped with bolt, and the head of bolt is located at a left side for perforation Side;Spring is equipped between the right side of handle and the left side of fixed link;
Push rod is arranged along left and right horizontal direction in the top of outer tube, and the right part of push rod sets that there are three jack, three jack edges Left and right directions spacing side by side is placed equidistant with, and the distance between two neighboring jack is equal to the distance between two neighboring wire casing, interior Bolt rod is equipped at the top of the right end of casing, bolt rod is plugged in the jack of the leftmost side, and the left end of push rod is fixed with throw-out collar, throw-out collar It is set on outer tube, throw-out collar is located at the right side of rightmost side leather sheath circle.
Offer mounting groove at the top of the right end of inner sleeve, bolt rod external form is L-type structure, bolt rod include vertical bar portion and The lower end of horizontal bar portion, vertical bar portion is fixed with short axle, and short axle is arranged in mounting groove, and the lower end of vertical bar portion is cut with scissors by short axle It is connected in mounting groove, short axle is equipped with torsional spring, and one end of horizontal bar portion is fixedly connected with the upper end of vertical bar portion, horizontal bar portion The other end is plugged in the jack of the leftmost side.
Lock is equipped between handle and fixed link.
The left side of handle is wavelike structure, and the outer surface of handle is equipped with rubber antiskid set.
Leather sheath circle shape is circular platform type structure, and the left side radius of leather sheath circle is more than right side radius.
The left side of inner sleeve and the left side of outer tube are equipped with length scale line.
Spring periphery is arranged with the soft set of protection.
Above-mentioned technical proposal is used, the invention has the advantages that:
(1), the present invention be mainly made of outer tube, inner sleeve, leather sheath circle and attachment device, overall structure is simple, concrete operations When, ductus pancreaticus support tube is placed in ductus pancreaticus, ductus pancreaticus support tube is disposed by jejunum puncture in jejunum, and looping and binding device is another from jejunum distal end Opening merging enteric cavity in, then ductus pancreaticus support tube is placed in hollow inner sleeve, move forward looping and binding device to inner sleeve close to Intestinal mucosa and the ductus pancreaticus broken ends of fractured bone, then firing looping and binding device makes set snare prick on intestinal mucosa and ductus pancreaticus, and the two can form one manually Nipple, to make to be fitted closely between intestinal mucosa and ductus pancreaticus, overall operation set is pricked easy to operate;
(2), handle left side be wavelike structure, wavelike structure can make medical staff change the gripping present apparatus, hold Outer surface be equipped with rubber antiskid set, rubber antiskid set can increase the frictional force between hand and handle, prevent from performing the operation It falls off from hand in the process;
(3), the left side of inner sleeve and the left side of outer tube be equipped with length scale line, two length scale lines are for measuring Previous anastomotic is used cooperatively apart from the distance between present apparatus insert port, when in use two length scale lines;
(4), the present invention need adjust push rod position when, it is only necessary to outward fluctuation L-type bolt rod can be adjusted push rod position, so After unclamp bolt rod, under the action of torsional spring, bolt rod can be plugged in jack again, easy to use;
(5), the present invention be arranged the soft set of protection in spring periphery, protect the setting of soft set that can prevent spring during operation Crush people hand or spring clip broken operator wearing gloves.
In conclusion the configuration of the present invention is simple, easy to use, can make to fit closely between intestinal mucosa and ductus pancreaticus, avoid because Simple suture leads to the excessive equal increase pancreas fistula risk of ischemic necrosis or gap, highly practical.
Description of the drawings
Fig. 1 is the structural schematic diagram of the present invention;
Fig. 2 is the structural schematic diagram of outer tube;
Fig. 3 is the connection diagram between inner sleeve and push rod;
Fig. 4 is the enlarged drawing at H in Fig. 3;
Fig. 5 is the scheme of installation of bolt rod;
Fig. 6 is usage state diagram in embodiment.
Specific implementation mode
As shown in Figs. 1-5, pancreas Surgical healing looping and binding device of the invention, including push rod 1, inner sleeve 2 and outer tube 3, inner sleeve 2 It is arranged along left and right horizontal direction with outer tube 3,2 coaxial line of inner sleeve is plugged in outer tube 3, the left part edge of outer tube 3 Circumferencial direction is opened up there are three wire casing 4, and equidistant interval is arranged three wire casings 4 side by side in left-right direction, is equipped at each wire casing 4 The right end bottom of leather sheath circle 5, outer tube 3 is fixed with handle 6, and handle 6 is arranged in vertical, and the length of inner sleeve 2 is more than outer Outer tube 3 is stretched out in the left part of the length of casing 3, inner sleeve 2 to the left, and outer tube 3 is stretched out to the right in the right part of inner sleeve 2, interior The right end bottom of casing 2 is fixed with fixed link 7, and fixed link 7 is arranged in vertical and positioned at the right side of handle 6, and fixed link 7 is left The distance between side and the right side of handle 6 are equal to the distance between two neighboring wire casing 4, and the lower part of handle 6 is along left and right water Square to offering perforation 8, perforation 8 is more than right side radius for stepped hole and the 8 left side radius of perforating, under fixed link 7 Horizontal extension is provided with guide rod 9 to the left at end, and guide rod 9 is plugged in perforation 8, and the left end of guide rod 9 is equipped with bolt 10, bolt 10 head is located at the left side of perforation 8;Spring 11 is equipped between the right side and the left side of fixed link 7 of handle 6;
Push rod 1 is arranged along left and right horizontal direction in the top of outer tube 3, and the right part of push rod 1 is set there are three jack 12, and three are inserted Spacing side by side is placed equidistant in left-right direction in hole 12, and the distance between two neighboring jack 12 is equal between two neighboring wire casing 4 Distance, be equipped with bolt rod 13 at the top of the right end of inner sleeve 2, bolt rod 13 is plugged in the jack 12 of the leftmost side, a left side for push rod 1 End is fixed with throw-out collar 14, and throw-out collar 14 is set on outer tube 3, and throw-out collar 14 is located at the right side of rightmost side leather sheath circle 5.
Mounting groove 15 is offered at the top of the right end of inner sleeve 2,13 external form of bolt rod is L-type structure, and bolt rod 13 includes hanging down The lower end of straight-bar portion 16 and horizontal bar portion 17, vertical bar portion 16 is fixed with short axle 18, and short axle 18 is arranged in mounting groove 15, vertically The lower end of bar portion 16 is hinged on by short axle 18 in mounting groove 15, short axle 18 be equipped with torsional spring 19, one end of horizontal bar portion 17 with The upper end of vertical bar portion 16 is fixedly connected, and the other end of horizontal bar portion 17 is plugged in the jack 12 of the leftmost side.
Lock 20 is equipped between handle 6 and fixed link 7.
The left side of handle 6 is wavelike structure, and the outer surface of handle 6 is equipped with rubber antiskid set.
5 shape of leather sheath circle is circular platform type structure, and the left side radius of leather sheath circle 5 is more than right side radius.
The left side of inner sleeve 2 and the left side of outer tube 3 are equipped with length scale line 21.
11 periphery of spring, which is arranged with, protects soft set 30.
As shown in fig. 6, when carrying out pancreas Surgical healing set bundle, before operation starts, one end of ductus pancreaticus support tube 22 is placed in pancreas In pipe 23, ductus pancreaticus support tube 22 is disposed by jejunum puncture in jejunum 24, and ductus pancreaticus 23 is plugged at 24 puncture of jejunum at this time, and intestines Mucous membrane 31 is attached to 23 outer surface of ductus pancreaticus, then by the present invention out of 24 distal end of jejunum another opening merging enteric cavity, merging jejunum 22 end of ductus pancreaticus support tube in 24 is inserted into from the left end of inner sleeve 2, and is pierced by outward from 2 right end of inner sleeve, then medical care people Member clamps 22 end of ductus pancreaticus support tube being pierced by outward from 2 right end of inner sleeve on one side, and another side holds handle 6 and moves forward this hair It is bright so that the left end of inner sleeve 2 is close to the junction of intestinal mucosa 31 and ductus pancreaticus 23, fixed link 7 is then pushed to the left, in fixed link Under 7 promotion, inner sleeve 2 is moved to the left along outer tube 3, and to which push rod 1 is moved to the left, the throw-out collar 14 positioned at 1 left end of push rod pushes away The leather sheath circle 5 of the leather sheath circle 5 of the dynamic leftmost side, the leftmost side pushes intermediate leather sheath circle 5, intermediate leather sheath circle 5 to push most left to the left The leather sheath circle 5 of the leather sheath circle 5 of side, final left side drops to the left end of inner sleeve 2 from the left part of outer tube 3, secondly as phase The distance between adjacent two jacks 12 are equal to the distance between two neighboring wire casing 4, the right side of fixed link 7 left side and handle 6 The distance between face is equal to the distance between two neighboring wire casing 4, just can will be most left so when fixed link 7 is moved to the left The leather sheath circle 5 of side is turned down from outer tube 3, then unclamps handle 6, and under the elastic force effect of spring 11, handle 6 is moved to the left simultaneously Outer tube 3 is driven to be moved to the left, the leather sheath circle 5 on the left end of inner sleeve 2 is pushed away during being moved to the left and fallen by outer tube 3, skin Lasso 5, which covers, to be pricked in the junction of ductus pancreaticus 23 and intestinal mucosa 31, can be by remaining two leather sheath circles 5 according further to concrete condition Equally set is pricked in the junction of ductus pancreaticus 23 and intestinal mucosa 31, when carrying out set bundle to remaining two leather sheath circles 5, adjusts push rod first 1 position, i.e., stir bolt rod 13 outward, and the horizontal bar portion 17 of bolt rod 13 is detached from out of the leftmost side jack 12, then to Preceding mobile putter 1 so that the throw-out collar 14 of the left end of push rod 1 is located at the right side of right side leather sheath circle 5, then unclamps bolt rod 13, The horizontal bar portion 17 of bolt rod 13 is plugged in intermediate jack 12 under the action of torsional spring 19, then according to above step by second 5 sets of a leather sheath circle is pricked in the junction of ductus pancreaticus 23 and intestinal mucosa 31;
It is pricked by the set of leather sheath circle 5, ductus pancreaticus 23 and the junction of intestinal mucosa 31 form a mamilla, to make ductus pancreaticus 23 It is fitted closely between intestinal mucosa 31, finally can also can as needed add needle suture ductus pancreaticus 23 and intestinal mucosa 31.
The present embodiment is not to be made any form of restriction to shape, material, the structure etc. of the present invention, every according to this hair Bright technical spirit belongs to the technology of the present invention side to any simple modification, equivalent change and modification made by above example The protection domain of case.

Claims (7)

1. pancreas Surgical healing looping and binding device, it is characterised in that:Including push rod, inner sleeve and outer tube, inner sleeve and outer tube are along a left side Right horizontally arranged, inner sleeve coaxial line is plugged in outer tube, there are three the left part of outer tube along the circumferential direction opens up Wire casing, equidistant interval is arranged three wire casings side by side in left-right direction, and leather sheath circle, the right end bottom of outer tube are equipped at each wire casing Portion is fixed with handle, and handle is arranged in vertical, and the length of inner sleeve is more than the length of outer tube, the left part of inner sleeve to Outer tube is stretched out to the right in the right part of left stretching outer tube, inner sleeve, and the right end bottom of inner sleeve is fixed with fixed link, fixed link It is arranged in vertical and positioned at the right side of handle, the distance between right side of fixed link left side and handle is equal to adjacent two The lower part of the distance between a wire casing, handle offers perforation along left and right horizontal direction, the left side perforated as stepped hole and perforation Portion's radius is more than right side radius, and horizontal extension is provided with guide rod to the left for the lower end of fixed link, and guide rod is plugged in perforation, The left end of guide rod is equipped with bolt, and the head of bolt is located at the left side of perforation;Between the right side of handle and the left side of fixed link Equipped with spring;
Push rod is arranged along left and right horizontal direction in the top of outer tube, and the right part of push rod sets that there are three jack, three jack edges Left and right directions spacing side by side is placed equidistant with, and the distance between two neighboring jack is equal to the distance between two neighboring wire casing, interior Bolt rod is equipped at the top of the right end of casing, bolt rod is plugged in the jack of the leftmost side, and the left end of push rod is fixed with throw-out collar, throw-out collar It is set on outer tube, throw-out collar is located at the right side of rightmost side leather sheath circle.
2. pancreas Surgical healing looping and binding device according to claim 1, it is characterised in that:Installation is offered at the top of the right end of inner sleeve Slot, bolt rod external form are L-type structure, and bolt rod includes vertical bar portion and horizontal bar portion, and the lower end of vertical bar portion is fixed with short axle, Short axle is arranged in mounting groove, and the lower end of vertical bar portion is hinged on by short axle in mounting groove, and short axle is equipped with torsional spring, horizon bar The one end in portion is fixedly connected with the upper end of vertical bar portion, and the other end of horizontal bar portion is plugged in the jack of the leftmost side.
3. pancreas Surgical healing looping and binding device according to claim 1, it is characterised in that:Lock is equipped between handle and fixed link.
4. pancreas Surgical healing looping and binding device according to claim 1, it is characterised in that:The left side of handle is wavelike structure, The outer surface of handle is equipped with rubber antiskid set.
5. pancreas Surgical healing looping and binding device according to claim 1, it is characterised in that:Leather sheath circle shape is circular platform type structure, skin The left side radius of lasso is more than right side radius.
6. pancreas Surgical healing looping and binding device according to claim 1, it is characterised in that:The left side of inner sleeve and a left side for outer tube Side is equipped with length scale line.
7. pancreas Surgical healing looping and binding device according to claim 1, it is characterised in that:Spring periphery is arranged with the soft set of protection.
CN201810421969.4A 2018-05-04 2018-05-04 Pancreas Surgical healing looping and binding device Pending CN108514440A (en)

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CN201810421969.4A CN108514440A (en) 2018-05-04 2018-05-04 Pancreas Surgical healing looping and binding device

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
RU2747418C1 (en) * 2020-01-28 2021-05-04 Федеральное государственное бюджетное образовательное учреждение дополнительного профессионального образования "Российская медицинская академия непрерывного профессионального образования" Министерства здравоохранения Российской Федерации Method of formation of invagination pancreatojejunal anastomosis

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CN88204791U (en) * 1988-04-23 1988-12-21 河北医学院第四医院 Setting-ring instrument for elastic loop-tie-up in the esophagogastric cavity
CN200939163Y (en) * 2006-09-12 2007-08-29 中国人民解放军第三军医大学第一附属医院 Thrusting trocar for tieing ring
CN102920492A (en) * 2012-12-03 2013-02-13 普瑞斯星(常州)医疗器械有限公司 Loop ligature device for minimally invasive treatment of haemorrhoids
CN103110442A (en) * 2013-02-26 2013-05-22 中国医学科学院北京协和医院 Pancreiatic duct jejunum anastomat
CN205126330U (en) * 2015-09-08 2016-04-06 江苏孜航精密五金有限公司 Disposable ligation device for hemorrhoid
CN106618665A (en) * 2016-12-08 2017-05-10 河南省驼人医疗科技有限公司 Anorectal ligation device
CN209253001U (en) * 2018-05-04 2019-08-16 薛焕洲 Pancreas Surgical healing looping and binding device

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Publication number Priority date Publication date Assignee Title
CN88204791U (en) * 1988-04-23 1988-12-21 河北医学院第四医院 Setting-ring instrument for elastic loop-tie-up in the esophagogastric cavity
CN200939163Y (en) * 2006-09-12 2007-08-29 中国人民解放军第三军医大学第一附属医院 Thrusting trocar for tieing ring
CN102920492A (en) * 2012-12-03 2013-02-13 普瑞斯星(常州)医疗器械有限公司 Loop ligature device for minimally invasive treatment of haemorrhoids
CN103110442A (en) * 2013-02-26 2013-05-22 中国医学科学院北京协和医院 Pancreiatic duct jejunum anastomat
CN205126330U (en) * 2015-09-08 2016-04-06 江苏孜航精密五金有限公司 Disposable ligation device for hemorrhoid
CN106618665A (en) * 2016-12-08 2017-05-10 河南省驼人医疗科技有限公司 Anorectal ligation device
CN209253001U (en) * 2018-05-04 2019-08-16 薛焕洲 Pancreas Surgical healing looping and binding device

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
RU2747418C1 (en) * 2020-01-28 2021-05-04 Федеральное государственное бюджетное образовательное учреждение дополнительного профессионального образования "Российская медицинская академия непрерывного профессионального образования" Министерства здравоохранения Российской Федерации Method of formation of invagination pancreatojejunal anastomosis

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