CN108703794B - Abdominal cavity tumor crushing and sucking device and method - Google Patents

Abdominal cavity tumor crushing and sucking device and method Download PDF

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Publication number
CN108703794B
CN108703794B CN201810648506.1A CN201810648506A CN108703794B CN 108703794 B CN108703794 B CN 108703794B CN 201810648506 A CN201810648506 A CN 201810648506A CN 108703794 B CN108703794 B CN 108703794B
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hollow tube
bag
tube body
bottom end
tube
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CN108703794A (en
Inventor
沈慧敏
宋庆
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Guangdong Honghe Medical Device Manufacturing Co ltd
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Guangdong Honghe Medical Device Manufacturing Co ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/320016Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • A61B17/32002Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22051Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22079Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with suction of debris
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/320016Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • A61B17/32002Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
    • A61B2017/320024Morcellators, e.g. having a hollow cutting tube with an annular cutter for morcellating and removing tissue
    • YGENERAL 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
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02ATECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A50/00TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
    • Y02A50/30Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change

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

Abstract

The invention provides a device and a method for sucking abdominal cavity tumors. The inner needle comprises a needle tube body which can be movably contained in the hollow tube body and a shell which is arranged on the upper side of the needle tube body, the side wall of the bottom end of the hollow tube body is split to form a containing groove so as to contain a part of the folded containing bag, the other part of the folded containing bag is contained in the hollow tube body, the bag mouth of the containing bag is connected with the memory guide wire which is led out for pulling in a telescopic manner, the top end of the shell is provided with a through hole and a sealing cap which is used for covering the through hole, the through hole is communicated with the hollow tube body, the hollow tube can be used for the inner needle to move and withdraw, the containing bag can be driven by the inner needle to separate from the hollow tube body, the bag mouth of the containing bag which is pulled and separated from the hollow tube body is sleeved with the bottom end of the memory guide wire, and the air valve is communicated with the hollow tube to inflate, so that the sleeved containing bag is inflated to form a tumor breaking and sucking space for isolating the abdominal cavity of a patient.

Description

Abdominal cavity tumor crushing and sucking device and method
Technical Field
The invention belongs to the technical field of minimally invasive excision of abdominal tumors, and particularly relates to an abdominal tumor aspiration device and method.
Background
Currently, minimally invasive excision of tumors in the abdominal cavity is mostly performed by:
cutting the abdomen of the patient and puncturing three sleeves to establish an instrument access channel;
and respectively inserting a laparoscope, a minimally invasive shear, a minimally invasive embedding clamp or a minimally invasive cutting flusher or an ultrasonic knife into the three cannulas to realize cutting, coagulation and taking out of target tissues.
When the cut tissue is a small-volume malignant tumor, the ultrasonic knife and other instruments can ensure that the cut part does not bleed or the bleeding amount is small, and the bleeding point of the cut malignant tissue is coagulated, so that the cut malignant tissue can be taken out by using the minimally invasive forceps.
However, when the cut tissue is a large-volume malignant tumor, the cut tumor cannot be directly taken out because the tissue is large and limited by the inner diameter of the sleeve, and the cut tumor is firstly cut into a plurality of pieces of trivia tissue suitable for passing through the sleeve and then is respectively clamped by a minimally invasive forceps holder for taking out.
In the cutting process, blood with lesion factors and tumor tridymite tissues can scatter into the abdominal cavity and cannot be thoroughly removed, so that the problem of large-area recurrence of tumors in the abdominal cavity is caused. In order to avoid the problem, the prior art mainly puts into the abdominal cavity accommodating bag through the instrument access channel formed by the sleeve and expands the abdominal cavity accommodating bag, then cuts off a large-volume tumor, clamps and transfers the tumor into the accommodating bag, and then cuts up the tumor and aspirates the tumor through the instrument access channel into the accommodating bag.
Although the prior art can avoid blood and tumor tridymite tissue with pathological factors from scattering into the abdominal cavity to some extent, the following defects still exist:
first, hold the bag and pass through the instrument business turn over passageway and throw in, prop open, shift and take out slow loaded down with trivial details operation, consuming time is long, inefficiency.
Second, the containment bag is always in a collapsed free-sagging condition, and the existence and weight of the resected tumor is limited, not only is the operational space of the tumor aspiration device within the bag inconveniently restricted and the risk of lacerating the containment bag created, but the mouth of the containment bag is open relative to the abdominal cavity, thereby resulting in the inability to completely avoid scattering of blood and tumor trix tissue with diseased factors from the abdominal cavity.
In summary, the existing abdominal cavity tumor aspiration technology has the technical problems of inconvenient operation, tedious and low efficiency and easy scattering of tumor fragments into the abdominal cavity.
Disclosure of Invention
The invention provides a device for crushing and sucking abdominal tumors, which aims to solve the technical problems of inconvenient operation, tedious and low efficiency and easy scattering of tumor fragments into abdominal cavities in the existing technology for crushing and sucking abdominal tumors.
In order to achieve the above object, the present invention provides a device for sucking and crushing a tumor in an abdominal cavity, comprising: the device comprises an inner needle, a containing bag, a hollow tube, a memory guide wire and an air valve;
the inner needle comprises a needle tube body and a shell arranged on the upper side of the needle tube body;
the needle tube body is movably contained in the hollow tube; the needle tube body is a hollow tube body; the side wall of the bottom end of the hollow pipe body is cut to form an accommodating groove; the accommodating groove accommodates one part of the folded accommodating bag, and the other part of the folded accommodating bag is accommodated in the hollow pipe body;
the mouth of the accommodating bag is connected with the memory guide wire which is led out for pulling in a telescopic way; the top end of the shell is provided with a through hole and a sealing cap for covering the through hole; the through hole is communicated with the hollow pipe body;
the hollow tube can be used for the inner needle to move and withdraw, and can be used for the inner needle to move so as to drive the accommodating bag to separate from the hollow tube body; the memory guide wire can be pulled to be separated from the bag opening of the containing bag and is sleeved with the bottom end of the hollow tube; the air valve is communicated with the hollow tube for inflation, so that the sleeved containing bag is inflated to form a tumor broken suction space for isolating the abdominal cavity of the patient.
Preferably, the celiac tumor aspiration device further comprises:
a movable clamping tube which is used for accommodating the hollow tube and can move away from a preset stroke relative to the bottom end of the hollow tube;
the bottom end of the hollow tube is exposed from the bottom end of the movable clamp tube to be sleeved with the bag opening when the movable clamp tube is far away from the preset travel;
when the movable clamping tube resets and stores the bottom end of the hollow tube, the sleeved bag opening is clamped.
Preferably, the celiac tumor aspiration device further comprises:
an auxiliary stay wire;
one end of the auxiliary stay wire is fixed with one side of the bag opening;
the other end of the auxiliary stay wire is led out for pulling and is positioned at the opposite side of the leading-out end of the memory guide wire.
Preferably, two opposite side surfaces of the outer wall of the hollow tube are respectively provided with two limiting channels;
the two limiting channels are respectively used for the auxiliary stay wire and the memory guide wire to pass through so as to realize limiting.
Preferably, the celiac tumor aspiration device further comprises:
and the outer wall of the transition ring is smooth and is fixedly encircling the outer wall of the bottom end of the hollow pipe.
Preferably, two limiting channels are respectively arranged on two sides of the outer wall of the transition ring;
the two limiting channels are respectively used for the auxiliary stay wire and the memory guide wire to pass through so as to realize limiting.
Preferably, the celiac tumor aspiration device further comprises:
the sealing ring is used for allowing the needle tube body to pass through and preventing gas in the tumor breaking and sucking space from flowing out through the top end of the hollow tube;
the sealing ring is fixed inside the hollow pipe and is positioned on the upper side of the communication part of the hollow pipe and the air valve.
Preferably, the inner needle further comprises: the device comprises a base, an elastic piece and a pressing button;
the upper side of the base is fixed with the bottom end of the shell, and the side surface and the bottom end of the shell are respectively provided with a constraint slide rail and a lock catch; the bottom end of the constraint sliding rail is fixed with the bottom end of the elastic piece, and the lock catch is used for being locked with the top end of the hollow pipe;
the base is used for allowing the top end of the needle tube body to pass through; the bottom side of the exposed end of the press button is fixed with the top end of the elastic piece, and the inner inlet end of the press button is fixed with the needle tube body.
Further, an upper cover is arranged at the top end of the hollow tube; the top end of the upper cover is provided with a groove for locking with the lock catch;
the side surface of the upper cover is respectively provided with a wire handle and a guide wire handle, and the wire handle and the guide wire handle are respectively fixed with the leading-out end of the auxiliary stay wire and the leading-out end of the memory guide wire;
the side surface of the upper cover is respectively provided with a far clamping position and a reset clamping position; when the side surface far away from the clamping position and clamping the top end of the movable clamping tube, the bottom end of the hollow tube is far away from the preset travel; when the reset clamping position is clamped with the side face of the top end of the movable clamping tube, the movable clamping tube clamps the bag opening.
Further, two sides of the top end of the movable clamping tube are respectively provided with an air valve movable hole and a hanging buckle, the top end of the movable clamping tube is provided with an annular groove, and a spring is placed in the annular groove in a limiting mode;
the air valve moving hole is used for the air valve to pass through; the inner end of the hanging buckle is communicated with the annular groove and fixed with one end of the spring, and the exposed end of the hanging buckle is used for being clamped with the far clamping position or the reset clamping position under toggle control.
Further, the housing is semi-elliptical.
Further, the celiac tumor crushing and sucking device further comprises: cutting the head;
the cutting head is arranged at the bottom end of the needle tube body; the crop is of a V-shaped structure, and flying wing blades are arranged on two sides of the crop.
In addition, the invention provides a method for sucking and crushing the abdominal cavity tumor, which comprises the following steps of:
puncturing the abdominal cavity tumor sucking device into the abdominal cavity of a patient;
pushing the inner needle to drive the accommodating bag to be separated from the hollow tube body and enter the abdominal cavity of the patient, and then drawing the accommodating bag away from the inner needle;
cutting tumor tissue and placing the tumor tissue into a broken suction bag;
pulling the memory guide wire to enable the bag mouth of the containing bag to be sleeved with the bottom end of the hollow pipe;
inflating the hollow tube through the air valve to expand the accommodating bag to form a tumor crushing and sucking space for isolating the abdominal cavity of the patient;
inserting the broken suction device into the broken suction space of the tumor to break and suck the tumor.
The invention provides a device and a method for sucking abdominal cavity tumors. The inner needle comprises a needle tube body which can be movably contained in the hollow tube body and a shell which is arranged on the upper side of the needle tube body, the side wall of the bottom end of the hollow tube body is split to form a containing groove so as to contain a part of the folded containing bag, the other part of the folded containing bag is contained in the hollow tube body, the bag mouth of the containing bag is connected with the memory guide wire which is led out for pulling in a telescopic manner, the top end of the shell is provided with a through hole and a sealing cap which is used for covering the through hole, the through hole is communicated with the hollow tube body, the hollow tube can be used for the inner needle to move and withdraw, the containing bag can be driven by the inner needle to separate from the hollow tube body, the bag mouth of the containing bag which is pulled and separated from the hollow tube body is sleeved with the bottom end of the memory guide wire, and the air valve is communicated with the hollow tube to inflate, so that the sleeved containing bag is inflated to form a tumor breaking and sucking space for isolating the abdominal cavity of a patient.
The device punctures and enters the abdominal cavity, the inner needle is pulled out, and after the accommodating bag is inflated, a closed and expanded tumor broken suction space can be formed, so that the operation is convenient and quick, and tumor fragments and etiological blood are thoroughly prevented from scattering the abdominal cavity.
Drawings
Fig. 1 is a schematic structural view of an abdominal cavity tumor crushing and sucking device provided by an embodiment of the invention;
FIG. 2 is a transverse cross-sectional view and a longitudinal cross-sectional view of the inner needle of FIG. 1;
FIG. 3 is a cross-sectional and partial view of the hollow tube of FIG. 1;
FIG. 4 is a cross-sectional view of the movable clamp tube of FIG. 1;
FIG. 5 is a schematic view of the containment bag of FIG. 1;
fig. 6 is a schematic flow chart of steps of a method for sucking and crushing a tumor in an abdominal cavity according to an embodiment of the invention.
Detailed Description
The present invention will be described in further detail with reference to the drawings and examples, in order to make the objects, technical solutions and advantages of the present invention more apparent. It should be understood that the specific embodiments described herein are for purposes of illustration only and are not intended to limit the scope of the invention.
In order to solve the technical problems of inconvenient operation, tedious and low efficiency and easy scattering of tumor fragments into the abdominal cavity in the existing abdominal cavity tumor aspiration technology, referring to fig. 1-6, a basic embodiment of the invention provides an abdominal cavity tumor aspiration device, which comprises: the inner needle 1, the accommodating bag 5, the hollow tube 2, the memory guide wire 6, the air valve 4, the movable clamp tube 3, the transition ring 8, the auxiliary stay wire 7 and the sealing ring 9.
On the one hand, referring to fig. 1, 2 and 5, the inner needle 1 includes a needle tube body 10, and the needle tube body 10 is movably accommodated in the hollow tube 2.
After the aspiration device for the tumor in the abdominal cavity punctures into the abdominal cavity of the patient, the inner needle 1 can be pushed in the direction of the abdominal cavity of the patient, so that a part of the needle tube body 10 of the inner needle 1 enters the abdominal cavity of the patient. In addition, the needle tube body 10 of the inner needle 1 may be pulled out in a direction outside the abdominal cavity of the patient.
Specifically, referring to fig. 2 and 5, the needle tube body 10 may be provided as a hollow tube body, and the receiving groove 100 may be formed by cutting a sidewall of the bottom end of the hollow tube body. The accommodating groove 100 may accommodate a portion of the accommodating bag 5, and another portion of the accommodating bag 5 may be accommodated inside the hollow tube.
When the needle tube body 10 is configured as a hollow tube body, the needle tube body is mainly used for accommodating the accommodating bag 5 with a larger volume so as to adapt to specific operation requirements. The remaining portion of the accommodation groove 100 accommodated may be accommodated inside the hollow pipe body communicating with the accommodation groove 100.
Specifically, referring to fig. 1, 2, 3 and 5, the inner needle 1 further includes: the device comprises a shell 11, a base 12, an elastic piece 13 and a press button 14.
Wherein, the bottom of shell 11 is fixed with the upside of base 12, and the side and the bottom of shell 11 set up constraint slide rail 110 and hasp 111 respectively, and the bottom of constraint slide rail 110 is fixed with the bottom of elastic component 13, and hasp 111 are used for the top lock joint with hollow tube 2, and the base 12 supplies the top of needle tubing body 10 to pass, and the bottom of the exposed end of press knob 14 is fixed with the top of elastic component 13, and the interior income end of press knob 14 is fixed with needle tubing body 10.
The housing 11, the base 12, the elastic member 13, and the push button 14 are provided together at the top end of the needle tube body 10, and can be locked with the top end of the hollow tube 2 by the lock catch 111, thereby realizing free assembly and disassembly of the inner needle 1 and the hollow tube 2. When the lock catch 111 is unlocked from the hollow tube 2, the inner needle 1 can be withdrawn from the hollow tube 2.
In addition, the housing 11 may be provided in a semi-elliptical shape.
In addition, the elastic member 13 may be a spring. The elastic member 13 is in an expanded state when not receiving the pressure of the press button 14, and pulls the needle tube body 10 into the hollow tube 2. The elastic member 13 is compressed when receiving the pressure of the knob 14, and presses the needle tube body 10 out of the hollow tube 2 by a predetermined stroke. Since the push button 14 passes through the constraining slide rail 110 and moves in the hole in a limited manner, the length of the constraining slide rail 110 limits the movement stroke of the push button 14, and the movement stroke of the push button 14 determines the predetermined stroke of the needle tube body 10 extruding the hollow tube 2.
In addition, since the inner needle 1 can be withdrawn from the top end of the hollow tube 2 and the needle tube body 10 thereof can be pressed out of the bottom end of the hollow tube 2 by a predetermined stroke, the needle tube body 10 is movably accommodated in the hollow tube 2.
The top end of the housing 11 may be provided with a through hole (not shown) and a cap 113 for covering the through hole (not shown), the through hole (not shown) communicating with the hollow tube body.
Note that, the cap 113 covers the top end of the through hole (not shown). When the receiving bag 5 is partially caught in the hollow needle tube body 10 and cannot be released from the receiving groove 100 into the abdominal cavity of the patient, the sealing cap 113 is opened, and a tool can be inserted into a through hole (not shown) and passed through the hollow needle tube body 10 to push out the receiving bag 5.
Further, a head 15 may be disposed at the bottom end of the needle tube body 10, and the head 15 may be disposed in a V-shaped structure, and flying wing blades may be disposed at both sides of the head 15 in the V-shaped structure.
On the other hand, referring to fig. 1, 2, 3 and 5, the accommodating bag 5 is folded and accommodated in the needle tube body 10, and the opening of the accommodating bag is telescopically connected with the memory guide wire 6 which is led out for pulling.
The bottom end of the needle tube body 10 is cut to form a receiving groove 100, and the receiving bag 5 formed by folding can be received in the receiving groove 100, so that the inner needle 1 can be pushed, and the receiving groove 100 of the needle tube body 10 is exposed out of the hollow tube 2, so that the receiving bag 5 is pulled out of the receiving groove 100 and enters the abdominal cavity of the patient.
It should be noted that, the flexible connection of the memory guide wire 6 at the mouth of the accommodating bag 5 means that when the accommodating bag 5 is folded, the memory guide wire 6 is folded and is in a contracted state. When the receiving bag 5 enters the abdominal cavity of the patient, the memory guidewire 6 stretches to open the mouth of the receiving bag 5.
The memory guidewire 6 is a slender and tensile wire-like substance which can be deformed arbitrarily when compressed by an external force and which returns to its original shape when the external force is released.
On the other hand, referring to fig. 1, 2, 3 and 5, the hollow tube 2 can be used for the inner needle 1 to move and withdraw, and the inner needle 1 can be used for moving to drive the accommodating bag 5 to separate from the hollow tube body.
The hollow tube 2 is sleeved outside the inner needle 1. Pushing the inner needle 1 can drive the holding bag 5 to separate from the hollow tube. Pulling the inner needle 1 can pull the inner needle 1 out of the hollow tube 2.
Specifically, the top end of the hollow tube 2 is provided with an upper cover 20, and the top end of the upper cover 20 is provided with a groove (not shown) for locking with the lock catch 111.
It should be noted that, when the lock catch 111 is locked to a groove (not shown), the hollow tube 2 is fixed to the inner needle 1. When the lock catch 111 is unlocked from the groove (not shown), the inner needle 1 can be pulled out of the hollow tube 2 by pulling the inner needle 1.
On the other hand, referring to fig. 1 and 5, the memory guide wire 6 can pull the separated pocket mouth of the accommodating pocket 5 to be sleeved with the bottom end of the hollow tube 2.
It should be noted that, the opening of the accommodating bag 5 after the memory guide wire 6 is pulled to be separated is sleeved with the bottom end of the hollow tube 2, so that the opening of the accommodating bag 5 is sealed at the bottom end of the hollow tube 2, and the accommodating bag 5 is isolated from the abdominal cavity of the patient.
The memory guide wire 6 has a connection end connected to the mouth of the storage bag 5, and a lead end from which a surgical operator pulls.
On the other hand, referring to fig. 3 and 5, one end of the auxiliary pulling wire 7 is fixed to one side of the mouth of the receiving bag 5, and the other end of the auxiliary pulling wire 7 is led out for pulling and is located on the opposite side of the led-out end of the memory guidewire 6.
It should be noted that, the auxiliary pull wire 7 is disposed at the opposite side of the leading-out end of the memory guide wire 6, so that the two ends of the bag mouth of the containing bag 5 are stressed simultaneously, and the bag mouth of the containing bag 5 is easily pulled to the bottom end of the hollow tube 2 for sleeving.
The auxiliary string 7 further includes a connection end connected to the mouth of the storage bag 5, and a lead end from which a surgeon pulls.
Specifically, a wire grip 200 and a wire grip 201 may be provided on the side surface of the upper cover 20 provided on the top end of the hollow tube 2, respectively, and the wire grip 200 and the wire grip 201 are fixed to the lead-out end of the auxiliary wire 7 and the lead-out end of the memory wire 6, respectively.
It should be noted that, the wire grip 200 and the guide wire grip 201 are provided to facilitate the operator to pull the auxiliary wire 7 and the memory guide wire 6.
On the other hand, referring to fig. 1, 4 and 5, the movable clamp tube 3 receives the hollow tube 2 and is movable away from a preset stroke with respect to the bottom end of the hollow tube 2.
Wherein, when the movable clamp pipe 3 is far away from the preset travel, the bottom end of the hollow pipe 2 is exposed from the bottom end of the movable clamp pipe 3 to be sleeved with the bag mouth of the containing bag 5;
when the movable clamping pipe 3 resets to store the bottom end of the hollow pipe 2, the movable clamping pipe 3 clamps the sleeved bag mouth of the containing bag 5.
In addition, in order to closely contact the outer wall of the movable clamp tube body 32 with muscle tissue after puncturing the abdominal muscle of the patient, a screw thread 321 may be provided on the outer wall of the movable clamp tube body 32.
In addition, a necking 322 can be arranged at the bottom end of the movable pipe clamping body 32, so that the movable pipe clamping body 32 and the hollow pipe 2 can move relatively.
It should be noted that, the hollow tube 2 is movably accommodated in the movable clamping tube 3, and the relative movement of the preset stroke can be generated with the hollow tube 2 so that the bottom end of the hollow tube 2 is exposed and sleeved with the bag opening of the accommodating bag 5, and the bag opening of the accommodating bag 5 after being sleeved can be clamped and clamped when the hollow tube 2 is accommodated in a resetting manner, so that the bag opening of the accommodating bag 5 is fastened, the accommodating bag 5 is thoroughly isolated from the abdominal cavity of a patient, and gas leakage after the accommodating bag 5 is inflated is effectively avoided.
Specifically, a side surface of the upper cover 20 of the hollow tube 2 may be respectively provided with a far-away clamping position 202 and a reset clamping position 203, and when the far-away clamping position 202 is clamped with a side surface of the top end of the movable clamping tube 3, the bottom end of the hollow tube 2 is far away from a preset stroke; when the reset clamp 203 is clamped with the side surface of the top end of the movable clamp pipe 3, the movable clamp pipe 3 clamps the bag mouth of the containing bag 5.
In addition, a hanging buckle 30 may be provided at the side of the top end of the movable clip tube 3, an annular groove (not shown) may be provided at the top end of the movable clip tube 3, and a spring 31 may be placed at a limit inside the annular groove (not shown). Wherein, the inner end of the hanging buckle 30 is communicated with an annular groove (not shown) and is fixed with one end of a spring 31 in the annular groove (not shown), and the exposed end of the hanging buckle 30 is used for being clamped with a far-away clamping position 202 or a reset clamping position 203 under toggle control.
In addition, a cover 32 may be provided on the top end of the movable clip tube 3, and the cover 32 may be opened and closed.
It should be noted that, when the hanging buckle 30 is clamped at the position far away from the clamping position 202, the bottom end of the hollow tube 2 exposes out of the bottom end of the movable clamping tube 3 to be far away from the bottom end of the movable clamping tube 3 by a preset stroke; when the hanging buckle 30 is clamped at the resetting clamping position 203, the bottom end of the hollow tube 2 is reset and stored at the bottom end of the movable clamping tube 3, so that the pocket of the containing belt sleeved at the bottom end of the hollow tube 2 is clamped by the bottom end of the movable clamping tube 3.
In addition, since the hanging buckle 30 is fixed to one end of the spring 31 in the annular groove (not shown), pulling the hanging buckle 30 to compress the spring 31 can pull the hanging buckle 30 out from the far-away clamping position 202 or the reset clamping position 203, and when the hanging buckle 30 is required to be clamped with the far-away clamping position 202 or the reset clamping position 203, the spring 31 in the annular groove (not shown) stretches to spring the hanging buckle 30 in.
On the other hand, referring to fig. 1, 3 and 5, the outer wall of the transition ring 8 is smooth. The transition ring 8 can make the bottom end of the movable clamp tube 3 and the hollow tube 2 smoothly transition during the relative movement so as to reduce the resistance of the device when penetrating the skin tissue of the abdominal cavity.
Wherein, the transition ring 8 is fixed around the outer wall of the bottom end of the hollow tube 2, and two limiting channels (not shown) are respectively arranged at two sides of the outer wall of the transition ring 8, so as to respectively pass through the auxiliary stay wire 7 and the memory guide wire 6 to realize limiting.
In addition, two limiting channels 21 can be respectively arranged on two opposite side surfaces of the outer wall of the hollow tube 2 so as to respectively pass through the auxiliary stay wire 7 and the memory guide wire 6 to realize limiting.
After limiting the auxiliary stay wire 7 and the memory guide wire 6, the surgical personnel can avoid messy winding and conveniently pull and control the surgical personnel.
On the other hand, referring to fig. 1, 3, 4 and 5, the air valve 4 is communicated with the hollow tube 2 to inflate the sleeved containing bag 5 to form a tumor aspiration space isolating the abdominal cavity of the patient.
After gas is delivered into the sleeved containing bag 5 through the gas valve 4, the containing bag 5 is inflated to form a tumor breaking and sucking space for isolating the abdominal cavity of the patient.
When the hollow tube 2 is stored using the movable pinch tube 3, the air valve 4 is communicated with the hollow tube 2, and therefore, the air valve movable hole 33 is required to be provided on the side surface of the movable pinch tube 3 to allow the air valve 4 to pass therethrough. The air valve 4 is exposed out of the side surface of the movable clamp pipe 3 through the air valve movable hole 33.
In addition, since the hollow tube 2 and the movable clip tube 3 are pierced into the abdominal cavity of the patient at the time of the operation, the air valve 4 needs to be communicated with the side of the tip of the hollow tube 2, and thus the air valve movable hole 33 needs to be provided at the side of the tip of the movable clip tube 3.
In addition, the gas valve 4 may include a choke valve 40 and a vent valve 41 to facilitate control of gas input.
On the other hand, referring to fig. 1, 2, 3 and 5, the sealing ring 9 is provided for the needle tube body 10 to pass through, so as to prevent the gas in the tumor aspiration space from flowing out through the top end of the hollow tube 2.
Wherein, sealing washer 9 is fixed in the inside of hollow tube 2, is located the upside of hollow tube 2 and pneumatic valve 4 intercommunication department.
The seal ring 9 has a petal shape, and its center allows the needle tube 10 to be inserted or pulled out.
In addition, referring to fig. 6, the invention also provides a method for sucking and crushing the abdominal cavity tumor, which comprises the following steps of:
s1: puncturing the abdominal cavity tumor sucking device into the abdominal cavity of a patient;
s2: pushing the inner needle to drive the accommodating bag to be separated from the hollow tube body and enter the abdominal cavity of the patient, and then drawing the accommodating bag away from the inner needle;
s3: cutting tumor tissue and placing the tumor tissue into a broken suction bag;
s4: pulling the memory guide wire to enable the bag mouth of the containing bag to be sleeved with the bottom end of the hollow pipe;
s5: inflating the hollow tube through an air valve to expand the accommodating bag to form a tumor crushing and sucking space for isolating the abdominal cavity of the patient;
s6: inserting the broken suction device into the broken suction space of the tumor to break and suck the tumor.
The invention provides a device and a method for sucking abdominal cavity tumors. The inner needle comprises a needle tube body which can be movably contained in the hollow tube body and a shell which is arranged on the upper side of the needle tube body, the side wall of the bottom end of the hollow tube body is split to form a containing groove so as to contain a part of the folded containing bag, the other part of the folded containing bag is contained in the hollow tube body, the bag mouth of the containing bag is connected with the memory guide wire which is led out for pulling in a telescopic manner, the top end of the shell is provided with a through hole and a sealing cap which is used for covering the through hole, the through hole is communicated with the hollow tube body, the hollow tube can be used for the inner needle to move and withdraw, the containing bag can be driven by the inner needle to separate from the hollow tube body, the bag mouth of the containing bag which is pulled and separated from the hollow tube body is sleeved with the bottom end of the memory guide wire, and the air valve is communicated with the hollow tube to inflate, so that the sleeved containing bag is inflated to form a tumor breaking and sucking space for isolating the abdominal cavity of a patient.
The device punctures and enters the abdominal cavity, the inner needle is pulled out, and after the accommodating bag is inflated, a closed and expanded tumor broken suction space can be formed, so that the operation is convenient and quick, and tumor fragments and etiological blood are thoroughly prevented from scattering the abdominal cavity.
The foregoing description of the preferred embodiments of the invention is not intended to be limiting, but rather is intended to cover all modifications, equivalents, and alternatives falling within the spirit and principles of the invention.

Claims (3)

1. An abdominal cavity tumor aspiration device, comprising:
the device comprises an inner needle, a containing bag, a hollow tube, a memory guide wire and an air valve;
the inner needle comprises a needle tube body and a shell arranged on the upper side of the needle tube body;
the needle tube body is movably contained in the hollow tube; the needle tube body is a hollow tube body; the side wall of the bottom end of the hollow pipe body is cut to form an accommodating groove; the accommodating groove accommodates one part of the folded accommodating bag, and the other part of the folded accommodating bag is accommodated in the hollow pipe body;
the mouth of the accommodating bag is connected with the memory guide wire which is led out for pulling in a telescopic way; the top end of the shell is provided with a through hole and a sealing cap for covering the through hole; the through hole is communicated with the hollow pipe body;
the hollow tube can be used for the inner needle to move and withdraw, and can be used for the inner needle to move so as to drive the accommodating bag to separate from the hollow tube body; the memory guide wire can be pulled to be separated from the bag opening of the containing bag and is sleeved with the bottom end of the hollow tube; the air valve is communicated with the hollow tube for inflation, so that the sleeved containing bag is inflated to form a tumor broken suction space for isolating the abdominal cavity of a patient;
a movable clamping tube which is used for accommodating the hollow tube and can move away from a preset stroke relative to the bottom end of the hollow tube;
when the movable clamping tube is far away from the preset travel, the bottom end of the hollow tube is exposed from the bottom end of the movable clamping tube to be sleeved with the bag mouth, and when the movable clamping tube resets to accommodate the bottom end of the hollow tube, the sleeved bag mouth is clamped;
an auxiliary stay wire;
one end of the auxiliary stay wire is fixed with one side of the bag opening, the other end of the auxiliary stay wire is led out for pulling and is positioned at the opposite side of the leading-out end of the memory guide wire, two opposite side surfaces of the outer wall of the hollow tube are respectively provided with two limiting channels, and the two limiting channels are respectively used for the auxiliary stay wire and the memory guide wire to pass through so as to realize limiting;
the outer wall of the transition ring is smooth and is fixedly encircling the outer wall of the bottom end of the hollow pipe;
two limiting channels are respectively arranged on two sides of the outer wall of the transition ring, and the two limiting channels are respectively used for the auxiliary stay wire and the memory guide wire to pass through so as to realize limiting;
the sealing ring is used for allowing the needle tube body to pass through and preventing gas in the tumor breaking and sucking space from flowing out through the top end of the hollow tube;
the sealing ring is fixed inside the hollow pipe and is positioned on the upper side of the communication position of the hollow pipe and the air valve.
2. The device of claim 1, wherein the inner needle further comprises: the device comprises a base, an elastic piece and a pressing button;
the upper side of the base is fixed with the bottom end of the shell, and the side surface and the bottom end of the shell are respectively provided with a constraint slide rail and a lock catch; the bottom end of the constraint sliding rail is fixed with the bottom end of the elastic piece, and the lock catch is used for being locked with the top end of the hollow pipe;
the base is used for allowing the top end of the needle tube body to pass through; the bottom side of the exposed end of the press button is fixed with the top end of the elastic piece, and the inner inlet end of the press button is fixed with the needle tube body.
3. The device for sucking and crushing the abdominal cavity tumor according to claim 2, wherein the top end of the hollow tube is provided with an upper cover; the top end of the upper cover is provided with a groove for locking with the lock catch;
the side surface of the upper cover is respectively provided with a wire handle and a guide wire handle, and the wire handle and the guide wire handle are respectively fixed with the leading-out end of the auxiliary stay wire and the leading-out end of the memory guide wire;
the side surface of the upper cover is respectively provided with a far clamping position and a reset clamping position; when the side surface far away from the clamping position and clamping the top end of the movable clamping tube, the bottom end of the hollow tube is far away from the preset travel; when the reset clamping position is clamped with the side face of the top end of the movable clamping tube, the movable clamping tube clamps the bag opening.
CN201810648506.1A 2018-06-22 2018-06-22 Abdominal cavity tumor crushing and sucking device and method Active CN108703794B (en)

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CN112294398B (en) * 2020-10-09 2021-08-06 苏州优脉瑞医疗科技有限公司 Clean storage device of supersound sword integral type for surgery operation

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US5618296A (en) * 1995-07-24 1997-04-08 Endomedix Corporation/Box 330 Tissue morcellator system and method
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