CN108992122B - Uterine artery suturing and cutting device - Google Patents
Uterine artery suturing and cutting device Download PDFInfo
- Publication number
- CN108992122B CN108992122B CN201810611375.XA CN201810611375A CN108992122B CN 108992122 B CN108992122 B CN 108992122B CN 201810611375 A CN201810611375 A CN 201810611375A CN 108992122 B CN108992122 B CN 108992122B
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- uterine artery
- main pipe
- positioning rod
- cutting knife
- suturing
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12009—Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
- A61B17/12013—Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot for use in minimally invasive surgery, e.g. endoscopic surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/3209—Incision instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00778—Operations on blood vessels
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B2017/12004—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding
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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)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Vascular Medicine (AREA)
- Reproductive Health (AREA)
- Surgical Instruments (AREA)
Abstract
The invention discloses a uterine artery suturing and cutting device which comprises a main pipe, wherein the main pipe is arranged in a hollow mode, a cutting knife for cutting a uterine artery is arranged in the main pipe, the cutting knife is arranged in the main pipe in a sliding mode, the main pipe comprises an opening end and an operating end, an operating mechanism for controlling the cutting knife to penetrate out of the opening end to cut off the uterine artery is arranged on the operating end, a column head is arranged on the outer wall of the main pipe, a positioning rod is arranged on the column head in a rotating mode, the positioning rod is in interference fit with the column head, and a ligation mechanism only used for fixedly ligating the uterine artery is arranged on the positioning. The uterine artery ligaturing device is simple in structure, beneficial to implementation, capable of achieving uterine artery ligaturing rapidly and conveniently and capable of improving operation efficiency.
Description
Technical Field
The invention relates to the technical field of medical operation equipment, in particular to an operation instrument for suturing and cutting off uterine artery.
Background
The uterine artery originates from the internal iliac artery, is thicker, starts to move forwards, downwards and inwards along the side wall of the pelvis after starting to move forwards, downwards and inwards, passes through the base of the wide ligament band of the uterus, reaches the 2CM position outside the cervix, crosses the front end of the ureter, moves upwards to the side edge of the uterus, meanders between two layers of the wide ligament, reaches the uterine horn, turns outwards, moves below the oviduct, and finally reaches the front edge of the ovary and is matched with the ovarian artery. The crossing relationship of the uterine artery and the ureter, the artery is distributed along the path to the uterus, the fallopian tube, the uterine artery and the downward branch to the upper part of the vagina and the bladder bottom. The existing uterine artery suturing and cutting-off operation needs to firstly open a wound at a position corresponding to a human body, an operation instrument is stretched into the uterine artery to ligate the uterine artery, blood outflow after cutting-off is avoided, the artery is cut off after ligation is completed, and the operation is completed.
Disclosure of Invention
Aiming at the defects of the prior art, the invention provides a uterine artery suturing and cutting device which is simple in structure, beneficial to implementation, capable of rapidly and conveniently achieving uterine artery ligation and capable of improving operation efficiency.
The invention provides a uterine artery suturing and cutting device which comprises a main pipe, wherein the main pipe is arranged in a hollow mode, a cutting knife for cutting a uterine artery is arranged in the main pipe, the cutting knife is arranged in the main pipe in a sliding mode, the main pipe comprises an opening end and an operating end, an operating mechanism for controlling the cutting knife to penetrate out of the opening end to cut off the uterine artery is arranged on the operating end, a column head is arranged on the outer wall of the main pipe, a positioning rod is arranged on the column head in a rotating mode, the positioning rod is in interference fit with the column head, and a ligation mechanism only used for fixedly ligating the uterine artery is arranged on the.
The beneficial effect who so sets up is: by adopting the scheme, the ligation mechanism is arranged, the uterine artery can be ligated and locked in a patient body through the ligation mechanism, the ligation mechanism can set the positioning rod into a hollow rod, the tail part of the positioning rod is provided with the handle, the front end face of the positioning rod is provided with the first suture needle fixing hole, the front end face of the positioning rod is provided with the second suture needle fixing hole, the second suture needle fixing hole transversely penetrates through the positioning rod, the insertion port of the second suture needle fixing hole is in a horn shape, and the fixing port of the second suture needle fixing hole is slightly larger than the tail diameter of the suture needle; an inner fixed rod is arranged in the positioning rod, a rotary holding head is arranged at the tail end of the inner fixed rod, an external thread is arranged at the tail section of the inner fixed rod, and an internal thread matched with the external thread of the inner fixed rod is arranged at the tail end of the positioning rod; the sewing needle is arranged into a W-shaped needle, the height of the sewing needle is less than 5mm, the tail section of the sewing needle is provided with a flat section, a thread wheel arranging groove is arranged on the handle and close to the lower part of the positioning rod, a thread wheel fixing shaft is arranged in the thread wheel arranging groove, a thread hole penetrating through the handle is arranged on the wall of the thread wheel arranging groove, a thread guide groove is arranged below a needle eye of the sewing needle, the height difference between the needle eye and the bottom of the needle is more than 1mm, the thread guide groove extends to the bending position of the sewing needle, the needle length of the sewing needle is 3.5 cm, and the needle diameter is 1.1 mm, the structure is characterized in that when in operation, the sewing needle with a thread is inserted into a first sewing needle fixing hole on the positioning rod, the sewing needle and the positioning rod are in a straight line, the sewing needle is taken down from the first sewing needle fixing hole through a thread clamp after entering the body through a 6-7 mm sleeve, the sewing needle is inserted into a second sewing needle fixing hole, the sewing needle is firmly, to facilitate smooth suturing. And (3) holding the suturing device by the right hand to enable the suturing needle to penetrate through the suturing part, then further withdrawing the needle to enable the suture to be exposed from the needle hole by 4-5 mm, holding the thread clamp by the operator with the left hand to jack the suture at the front end and clamp the suture, withdrawing the suturing needle, completing the suture threading, releasing the broken end of the suture by the thread clamp, holding the broken end of the suture by the thread clamp after the suturing needle with the thread rotates around the thread clamp for 1 circle or 2 circles, correspondingly tensioning the suturing device and the thread clamp, and completing a knot. And finishing the second knot or the third knot by the same method, straightening the suture by the suturing device and the suture clamping pincers, cutting off the suture scissors, not withdrawing the suturing device, suturing and knotting for the second time, loosening the inner fixing rod, taking the suture needle down from the second suture needle fixing hole by the suture clamping pincers, inserting the suture needle into the first suture needle fixing hole, and then drawing the positioning rod and the suture needle out of the abdominal cavity. And the locating lever rotates with being responsible for and is connected, locating lever and column cap interference fit simultaneously can rotate through manual operation, realize the adjustment of seam position, can realize like this that internal ligature to uterine artery is fixed at the disease, accomplish the back at the ligature, pop out from being responsible for through operating device operation cutting knife, can cut off uterine artery fast, this kind of simple structure, the integrative setting of device, it is more compact, do benefit to the realization, realization uterine artery's ligature that can be comparatively quick convenient improves operation efficiency.
The invention is further provided that the ligation mechanism comprises a movable clamping plate, a movable handle, a push rod and a ligation clamp for pressing the uterine artery on the uterine wall, the ligation clamp is arranged between the movable clamping plate and the positioning rod, a sliding groove is arranged on the positioning rod, the push rod is in sliding fit with the sliding groove, the movable handle comprises a fixed handle and a movable handle for pushing and pulling the push rod to slide along the sliding groove, the movable handle is hinged on the positioning rod and linked with the push rod, the fixed handle is arranged at one end of the positioning rod, the movable clamping plate is hinged on the other end of the positioning rod to position the ligation clamp, and the hinged end of the movable clamping plate is connected with the push rod.
The beneficial effect who so sets up is: adopt above-mentioned scheme, this kind of form is set to the ligature mechanism, when needs ligature uterine artery, install the ligature clamp between activity splint and locating lever, only need arrange in between activity splint and the locating lever can, clamping-force through activity splint realizes the location, after reacing the ligature position, through pressing movable handle, movable handle drives the push rod and slides along the spout, thereby it opens or folds to drive activity splint, it flattens to be about to the ligature clamp when folding, thereby with the artery centre gripping on the wall of uterus, and extrude the artery, realize the ligature and fixed, this kind of simple structure, and convenient for operation, the operating efficiency of operation has further been improved.
The invention is further provided with a swing block on the movable handle, one end of the push rod is connected with the movable clamping plate, the other end of the push rod is provided with a swing groove, the swing block is clamped in the swing groove, and the movable handle is linked with the push rod through the clamping connection of the swing block and the swing groove.
The beneficial effect who so sets up is: by adopting the scheme, the movable handle is connected with the push rod, the structure is simple, and the push rod can be effectively controlled to slide back and forth along the sliding groove.
The invention is further provided that the ligating clip is arranged in a V shape and is made of corrosion-resistant metal material.
The beneficial effect who so sets up is: by adopting the scheme, the structure is beneficial to processing, has corrosion resistance, avoids being corroded in a human body, and prolongs the service life.
The invention is further provided that the column head penetrates through the main pipe and penetrates through the cutting knife, the cutting knife is provided with a guide groove, and the column head penetrates through the guide groove.
The beneficial effect who so sets up is: by adopting the scheme, the sliding of the cutting knife is effectively guided, so that the cutting direction of the cutting knife is more rotated, the deviation is not easy to occur, and the reliability of the instrument is improved.
The invention is further arranged that the operating mechanism comprises a push button, a reset flange is formed in the main pipe along the axial direction, one end of the push button is a connecting end and is connected with the cutting knife, the other end of the push button is a pressing end and penetrates through the reset flange, a pressing flange is arranged on the push button close to the pressing end along the circumferential direction, a reset spring is sleeved on the push button, and the reset spring is arranged between the pressing flange and the reset flange in an abutting mode.
The beneficial effect who so sets up is: by adopting the scheme, the operating mechanism presses the push button, the push button can pop the cutting knife out of the main pipe, and the push button is loosened, namely retracts under the action of the return spring. The structure is simple, easy to realize and convenient to operate.
Drawings
FIG. 1 is a schematic structural view of a first embodiment of the present invention;
FIG. 2 is a cross-sectional view of a main tube of the present invention;
FIG. 3 is a schematic view of the ligation mechanism according to the present invention;
FIG. 4 is a cross-sectional view of the ligation mechanism of the present invention;
FIG. 5 is a schematic structural diagram of a second embodiment of the present invention.
Detailed Description
From fig. 1 to 4, an embodiment of the uterine artery suturing cutter is disclosed, which comprises a main tube 1, the main pipe 1 is arranged in a hollow way, a cutting knife 13 for cutting off uterine artery is arranged in the main pipe 1, the cutting knife 13 is arranged in the main pipe 1 in a sliding way, the main pipe 1 comprises an opening end and an operating end, the operating end is provided with an operating mechanism for controlling the cutting knife 13 to penetrate out of the opening end to cut off the uterine artery, the operating mechanism comprises a push button 14, a reset flange 11 is formed in the main pipe 1 along the axial direction, one end of the push button 14 is a connecting end and is connected with the cutting knife 13, the other end is a pressing end and is arranged by penetrating through the reset flange 11, a pressing flange 141 is arranged on the push button 14 close to the pressing end along the circumferential direction, a return spring 15 is sleeved on the push button 14, the return spring 15 is disposed between the pressing flange 141 and the return flange 11 in an abutting manner. Be provided with column cap 12 on being responsible for 1 outer wall, column cap 12 runs through and is responsible for 1 and passes cutting knife 13 setting, be provided with the guide way on the cutting knife 13, column cap 12 is worn to establish in the guide way, it is provided with locating lever 21 to rotate on the column cap 12, locating lever 21 and column cap 12 interference fit, establish only the ligature mechanism 2 that is used for the fixed ligature of uterine artery on the locating lever 21. The ligation mechanism 2 comprises a movable clamp plate 22, a movable handle, a push rod 23 and a ligation clamp 3 for pressing a uterine artery on a uterine wall, the ligation clamp 3 is arranged in a V shape, the ligation clamp 3 is made of corrosion-resistant metal materials, the ligation clamp 3 is arranged between the movable clamp plate 22 and a positioning rod 21, a sliding groove is arranged on the positioning rod 21, the push rod 23 is matched with the sliding groove in a sliding manner, the movable handle comprises a fixed handle 24 and a movable handle 25 for pushing and pulling the push rod 23 to slide along the sliding groove, a swing block 251 is arranged on the movable handle 25, one end of the push rod 23 is connected with the movable clamp plate 22, the other end of the push rod 23 is provided with a swing groove 231, the swing block 251 is clamped in the swing groove 231, the movable handle 25 is in linkage with the push rod 23 through clamping connection of the swing block 251 and the swing groove 231, the fixed handle 24, the movable clamping plate 22 is hinged at the other end of the positioning rod 21 to position the ligation clamp 3, and the hinged end of the movable clamping plate 22 is connected with the push rod 23.
Fig. 2 to 5 disclose another embodiment of the uterine artery suturing cutter, which comprises a main tube 1, the main pipe 1 is arranged in a hollow way, a cutting knife 13 for cutting off uterine artery is arranged in the main pipe 1, the cutting knife 13 is arranged in the main pipe 1 in a sliding way, the main pipe 1 comprises an opening end and an operating end, the operating end is provided with an operating mechanism for controlling the cutting knife 13 to penetrate out of the opening end to cut off the uterine artery, the operating mechanism comprises a push button 14, a reset flange 11 is formed in the main pipe 1 along the axial direction, one end of the push button 14 is a connecting end and is connected with the cutting knife 13, the other end is a pressing end and is arranged by penetrating through the reset flange 11, a pressing flange 141 is arranged on the push button 14 close to the pressing end along the circumferential direction, a return spring 15 is sleeved on the push button 14, the return spring 15 is disposed between the pressing flange 141 and the return flange 11 in an abutting manner. Be provided with two column heads 12 on being responsible for 1 outer wall symmetry, two column heads 12 interconnect and run through and be responsible for 1 and pass cutting knife 13 setting simultaneously, be provided with the guide way on the cutting knife 13, the column head 12 is worn to establish in the guide way, rotates respectively on two column heads 12 and is provided with locating lever 21, and the rotatable crisscross setting of two locating levers 21 is in being responsible for 1 both sides, locating lever 21 and corresponding column head 12 interference fit all establish only on each locating lever 21 and be used for the ligature mechanism 2 with the fixed ligature of uterine artery. The ligation mechanism 2 comprises a movable clamp plate 22, a movable handle, a push rod 23 and a ligation clamp 3 for pressing a uterine artery on a uterine wall, the ligation clamp 3 is arranged in a V shape, the ligation clamp 3 is made of corrosion-resistant metal materials, the ligation clamp 3 is arranged between the movable clamp plate 22 and a positioning rod 21, a sliding groove is arranged on the positioning rod 21, the push rod 23 is matched with the sliding groove in a sliding manner, the movable handle comprises a fixed handle 24 and a movable handle 25 for pushing and pulling the push rod 23 to slide along the sliding groove, a swing block 251 is arranged on the movable handle 25, one end of the push rod 23 is connected with the movable clamp plate 22, the other end of the push rod 23 is provided with a swing groove 231, the swing block 251 is clamped in the swing groove 231, the movable handle 25 is in linkage with the push rod 23 through clamping connection of the swing block 251 and the swing groove 231, the fixed handle 24, the movable clamping plate 22 is hinged at the other end of the positioning rod 21 to position the ligation clamp 3, and the hinged end of the movable clamping plate 22 is connected with the push rod 23.
The above-mentioned embodiments are only preferred embodiments of the present invention, and therefore, the scope of the present invention should not be limited by the above-mentioned embodiments, and therefore, equivalent changes, such as equivalent products using similar processes and similar structures, made by the claims of the present invention, are also included in the scope of the present invention.
Claims (5)
1. A uterine artery suturing and cutting device is characterized in that: the uterine artery cutting device comprises a main pipe, wherein the main pipe is arranged in a hollow manner, a cutting knife for cutting off a uterine artery is arranged in the main pipe, the cutting knife is arranged in the main pipe in a sliding manner, the main pipe comprises an open end and an operating end, an operating mechanism for controlling the cutting knife to penetrate out of the open end to cut off the uterine artery is arranged on the operating end, a column head is arranged on the outer wall of the main pipe, a positioning rod is arranged on the column head in a rotating manner, the positioning rod is in interference fit with the column head, a ligation mechanism only used for fixedly ligating the uterine artery is arranged on the positioning rod, the ligation mechanism comprises a movable clamping plate, a movable handle, a push rod and a ligation clamp used for pressing the uterine artery on a uterine wall, the ligation clamp is arranged between the movable clamping plate and the positioning rod, a sliding groove is arranged on the positioning rod, the movable handle is hinged to the positioning rod and linked with the push rod, the fixed handle is arranged at one end of the positioning rod, the movable clamping plate is hinged to the other end of the positioning rod to position the ligation clamp, and the hinged end of the movable clamping plate is connected with the push rod.
2. The uterine artery suturing cutter according to claim 1, wherein: the movable handle is provided with a swing block, one end of the push rod is connected with the movable clamping plate, the other end of the push rod is provided with a swing groove, the swing block is clamped in the swing groove, and the movable handle is connected with the push rod in a clamping mode through the swing block and the swing groove.
3. The uterine artery suturing cutter as claimed in claim 2, wherein: the ligating clip is arranged in a V shape and is made of corrosion-resistant metal materials.
4. The uterine artery suturing cutter according to claim 1, wherein: the column cap runs through the main pipe and passes through the cutting knife, a guide groove is formed in the cutting knife, and the column cap penetrates through the guide groove.
5. The uterine artery suturing cutter according to claim 1, wherein: the operating mechanism comprises a push button, a reset flange is formed in the main pipe along the axial direction, one end of the push button is a connecting end and is connected with the cutting knife, the other end of the push button is a pressing end and penetrates through the reset flange, a pressing flange is arranged on the push button close to the pressing end along the circumferential direction, a reset spring is sleeved on the push button, and the reset spring is abutted and arranged between the pressing flange and the reset flange.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810611375.XA CN108992122B (en) | 2018-06-14 | 2018-06-14 | Uterine artery suturing and cutting device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810611375.XA CN108992122B (en) | 2018-06-14 | 2018-06-14 | Uterine artery suturing and cutting device |
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| Publication Number | Publication Date |
|---|---|
| CN108992122A CN108992122A (en) | 2018-12-14 |
| CN108992122B true CN108992122B (en) | 2020-06-09 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201810611375.XA Active CN108992122B (en) | 2018-06-14 | 2018-06-14 | Uterine artery suturing and cutting device |
Country Status (1)
| Country | Link |
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| CN (1) | CN108992122B (en) |
Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4085756A (en) * | 1975-07-09 | 1978-04-25 | Kenneth Weaver | Method and apparatus for performing an electrosurgical procedure |
| US5556401A (en) * | 1995-05-23 | 1996-09-17 | Caillouette; James C. | Uterus maneuvering and associated apparatus and method, with controlled drive |
| US5993461A (en) * | 1998-01-07 | 1999-11-30 | Abae; Mick | Laparoscopic instrument for manipulating the uterus during laparoscopic surgery |
Family Cites Families (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2158688Y (en) * | 1993-06-04 | 1994-03-16 | 雷佰敏 | Surgical ligaturing rod for use in deep part |
| US8092371B2 (en) * | 2006-01-13 | 2012-01-10 | Olympus Medical Systems Corp. | Medical treatment endoscope |
| US8512362B2 (en) * | 2007-11-05 | 2013-08-20 | Usgi Medical Inc. | Endoscopic ligation |
| WO2012016967A1 (en) * | 2010-08-01 | 2012-02-09 | Seckin Tamer A | Surgical method and apparatus |
| US20140046140A1 (en) * | 2011-04-18 | 2014-02-13 | Eastern Virginia Medical School | Cerclage suture removal device |
| CN202051767U (en) * | 2011-05-03 | 2011-11-30 | 西安同享医疗科技有限公司 | Novel guidance cervical clamp |
| CN204181670U (en) * | 2014-11-10 | 2015-03-04 | 南阳医学高等专科学校第一附属医院 | A kind of surgical stapler |
-
2018
- 2018-06-14 CN CN201810611375.XA patent/CN108992122B/en active Active
Patent Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4085756A (en) * | 1975-07-09 | 1978-04-25 | Kenneth Weaver | Method and apparatus for performing an electrosurgical procedure |
| US5556401A (en) * | 1995-05-23 | 1996-09-17 | Caillouette; James C. | Uterus maneuvering and associated apparatus and method, with controlled drive |
| US5993461A (en) * | 1998-01-07 | 1999-11-30 | Abae; Mick | Laparoscopic instrument for manipulating the uterus during laparoscopic surgery |
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| Publication number | Publication date |
|---|---|
| CN108992122A (en) | 2018-12-14 |
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