CN109009266A - It is connected to abdominal cavity merging and the double-jacket tube closing device of hard conduit extraction bag - Google Patents
It is connected to abdominal cavity merging and the double-jacket tube closing device of hard conduit extraction bag Download PDFInfo
- Publication number
- CN109009266A CN109009266A CN201810992159.4A CN201810992159A CN109009266A CN 109009266 A CN109009266 A CN 109009266A CN 201810992159 A CN201810992159 A CN 201810992159A CN 109009266 A CN109009266 A CN 109009266A
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- extraction bag
- sealing
- sheath
- seal cap
- hard conduit
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- 238000000605 extraction Methods 0.000 title claims abstract description 85
- 210000000683 abdominal cavity Anatomy 0.000 title claims abstract description 25
- 238000007789 sealing Methods 0.000 claims abstract description 46
- 238000003780 insertion Methods 0.000 claims abstract description 7
- 230000037431 insertion Effects 0.000 claims abstract description 7
- 238000002955 isolation Methods 0.000 claims abstract description 6
- 238000007912 intraperitoneal administration Methods 0.000 claims description 16
- 210000001519 tissue Anatomy 0.000 description 16
- 210000001015 abdomen Anatomy 0.000 description 13
- 210000002784 stomach Anatomy 0.000 description 9
- 206010028980 Neoplasm Diseases 0.000 description 8
- NJPPVKZQTLUDBO-UHFFFAOYSA-N novaluron Chemical compound C1=C(Cl)C(OC(F)(F)C(OC(F)(F)F)F)=CC=C1NC(=O)NC(=O)C1=C(F)C=CC=C1F NJPPVKZQTLUDBO-UHFFFAOYSA-N 0.000 description 7
- 238000010586 diagram Methods 0.000 description 5
- 238000000034 method Methods 0.000 description 5
- 210000003815 abdominal wall Anatomy 0.000 description 4
- 238000005516 engineering process Methods 0.000 description 3
- 238000007664 blowing Methods 0.000 description 2
- 230000007812 deficiency Effects 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 238000002357 laparoscopic surgery Methods 0.000 description 2
- 230000002265 prevention Effects 0.000 description 2
- 230000002035 prolonged effect Effects 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 241001014327 Anodontia Species 0.000 description 1
- 229920000742 Cotton Polymers 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 238000004378 air conditioning Methods 0.000 description 1
- 206010002583 anodontia Diseases 0.000 description 1
- 230000005212 anodontia Effects 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 238000009792 diffusion process Methods 0.000 description 1
- 206010016766 flatulence Diseases 0.000 description 1
- 238000000338 in vitro Methods 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 230000008719 thickening Effects 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
- 210000004881 tumor cell Anatomy 0.000 description 1
- 238000012800 visualization Methods 0.000 description 1
Classifications
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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
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Endoscopes (AREA)
- Surgical Instruments (AREA)
Abstract
The abdominal cavity that the present invention discloses a kind of laparoscope connection hard conduit extraction bag is placed in seals casing and protection sheath forms with double-jacket tube closing device it is characterized in that there is isolation propeller.It includes hard conduit, extraction bag, eyelet, push rod, sliding plug that propeller, which is isolated, wherein hard conduit lumen is connected with extraction bag, extraction bag choma is around eyelet, eyelet is connected to push rod one end, the push rod other end is handle, push rod center is through there is sliding plug, and sliding is plugged with conical pipe and seal cap composition, and conical pipe squeezes in the sealing seal cap of insertion sealing casing；Sealing casing is hollow tubular structure, is made of sealing sheath and sealing seal cap, and sealing seal cap has elasticity；Protection sheath is hollow tubular structure, and caliber is less than sealing casing caliber, is made of support sheath and support seal cap, and support sheath squeezes in insertion sealing seal cap.Auxiliary communication hard conduit extraction bag of the present invention enters abdominal cavity, prevents abdominal cavity and extraction bag gas leakage.
Description
Technical field
The present invention relates to operation auxiliary devices, take applied to the tumor specimen cut off in laparoscopic surgery in intraperitoneal crushing
Isolation and prevention tumour diffusion transfer when out.
Background technique
Laparoscopic surgery, which is utilized in, implements small notch on stomach wall, observe hand by small notch using laparoscope
Art process enters abdominal cavity by the small notch of stomach wall using the surgical instrument of long handle and operates, therefore patient's damage is small, restores
Fastly.Since the tissue specimens volumes such as the tumour that cuts off under laparoscope are larger, it is often necessary to abdomen could be passed through after intraperitoneal crushing
The miniature incision of wall takes out, but the tissue debris or tumour cell generated in crushing process can spread in abdominopelvic cavity and plant,
Seriously threaten the life of patient, it is therefore desirable to prevent from spreading using tumour is crushed in extraction bag.In order to ensure crushing process
Safety and operability, laparoscope and surgical instrument allow for can smoothly enter into from vitro by abdomen wall puncture hole intraperitoneal
In extraction bag, and the airtightness of extraction bag cannot be lost, current safer effective method is this invention team early period
Declare patent of invention (under hysteroscope with extraction bag hard conduit be open closing traction with control gas combination unit,
CN201510582236.5), the key of preceding paragraph invention is to be connected to multiple hard conduits in traditional soft extraction bag, and pass through
Hard conduit inflation into extraction bag, to provide enough in the intraperitoneal and completely isolated operating space of human body.
But innovation early period technology faces following problem in science again in specific implementation:
1, multiple hard conduits are connected to soft extraction bag self construction complexity, and safe, smooth, minimally invasive discrepancy abdominal cavity has hardly possible
Degree.
2, multiple hard conduits are connected to soft extraction bag in intraperitoneal operation, how to maintain intraperitoneal inner gas pressure, prevent
Only intraperitoneal gas leakage, does not influence surgical procedure.
The multiple hard conduits and extraction bag volume used due to innovation are greatly increased, it is difficult to be folded, even if folding reluctantly
It is packed into storage tube, also corresponding obvious thickening increases storage tube, and therefore, it is difficult to pass through as traditional laparoscope extraction bag
Storage tube is disposable, concentration passes through the corresponding sheath tube passage of stomach wall miniature incision and is placed in abdominal cavity, unless extending stomach wall
Notch establishes coarse sheath tube passage, but excessively prolonged incison increases the wound of patient, also inappropriate；If directly
It is placed in by abdomen wall puncture hole, since abdomen wall puncture hole is small, notch is made in the elasticity of the tissues such as abdominal wall muscle, fat, skin
Under, Natural closure state is presented, is unfavorable for the discrepancy of hard conduit and the discrepancy repeatedly of tissue pulverizer, therefore strong
Row is directly entered and left by incision of abdominal wall and is then very easy to damage extraction bag, so that tumor tissues be caused to leak.
3, when inflating into extraction bag, extraction bag mouth gas leakage how is prevented.
Tubular tissue pulverizer enters in extraction bag by extraction bag mouth, and tissue specimen is carried out in intraperitoneal extraction bag
It when crushing, needs to inflate by hard conduit into extraction bag, the gas in extraction bag is leaked by sack in order to prevent, is needed
Under the premise of ensureing that tissue pulverizer is smooth, safety enters and leaves, extraction bag mouth is tightened using cotton rope and prevents gas from leaking, this
It is cumbersome；If only the extruding by incision of abdominal wall Natural closure tension is closed, due to the individual difference etc. of thickness of abdominal wall
Reason, anti-gas-leak effect are also unreliable.
Summary of the invention
The present invention is to ensure that laparoscope is crushed with extraction bag and more to avoid above-mentioned existing deficiencies in the technology
A hard conduit as far as possible reduce patient's trauma of abdomi napwall under the premise of, be able to it is safe and smooth, successively orderly enter and leave abdominal cavity,
And ensure that intraperitoneal gas is leaked without gas in stomach wall path leakage, and guarantee extraction bag without extraction bag mouth, behaviour
Make safely, conveniently.
The present invention adopts the following technical scheme that in order to solve the technical problem
1, the abdominal cavity merging of laparoscope connection hard conduit extraction bag and double-jacket tube closing device, it is characterized in that there is isolation
Propeller (1), sealing casing (2) and protection sheath (5) composition.
2, the abdominal cavity merging of laparoscope according to claim 1 connection hard conduit extraction bag is sealed with double-jacket tube
Device, it is characterized in that: isolation propeller (1) includes by hard conduit (11), extraction bag (12), eyelet (13), push rod
(14), sliding plug (15) forms, and wherein hard conduit (11) lumen is connected with extraction bag (12), and extraction bag mouth (121) is surround
Eyelet (13), eyelet (13) are connected to push rod (14) one end, and push rod (14) other end is handle (16), push rod
(14) center is through having sliding plug (15), and sliding plug (15) is made of conical pipe (151) and seal cap (152), conical pipe (151)
In the sealing seal cap (22) and sealing sheath (21) of insertion sealing casing (2).
3, the abdominal cavity merging of laparoscope according to claim 1 connection hard conduit extraction bag is sealed with double-jacket tube
Device, it is characterized in that: sealing casing (2) is made of sealing sheath (21) and sealing seal cap (22).
4, the abdominal cavity merging of laparoscope according to claim 1 connection hard conduit extraction bag is sealed with double-jacket tube
Device, it is characterized in that: protection sheath (5) is hollow tubular structure, caliber is less than sealing casing (2) caliber, there is support sheath
(51) and support seal cap (52) composition, support sheath (51) are inserted into extruding sealing seal cap (22) by extraction bag mouth (121)
When, have the function of sealing extraction bag (12), prevent the interior gas leakage of extraction bag (12), protection sheath (5) is located at extraction bag
(12) within, convenient for tubular tissue pulverizer (33), through overprotection sheath (5), safety is entered and left repeatedly, avoids sharp keen grinder
The edge of a knife is unshielded when directly entering and leaving extraction bag and damages extraction bag.
Compared with the prior art, the invention has the advantages that:
Extraction bag with hard conduit is expected to cause tumour spread to plant as prevention laparoscope undertissue sample crushing
Effective ways, but this innovative technology still face it is some difficult and not in clinical application, this invention is to improve it
The deficiency present in:
1, the small suitable channel for being suitble to hard conduit and extraction bag successively orderly to enter and leave is established in stomach wall, it can will be multiple
Hard conduit and its soft extraction bag of connection are successively included in abdominal cavity respectively, and sliding plug slides in insertion sealing seal cap along push rod
And abdominal cavity gas leak is prevented, there are enough spaces so as to prolonged expansion abdominal cavity, facilitates laparoscopic visualization push rod in abdominal cavity
Interior operation, what small appropriate channels can still ensure multiple hard conduits successively orderly withdraws abdominal cavity and tissue pulverizer
Discrepancy repeatedly, it is safer, minimally invasive, convenient.
2, protection sheath is located within extraction bag, enters and leaves safely repeatedly convenient for tubular tissue pulverizer through overprotection sheath,
It avoids unshielded when the sharp keen grinder edge of a knife directly enters and leaves extraction bag and damages extraction bag.Meanwhile be located at sealing casing and
Extraction bag mouth between protection sheath is sealed seal cap and is extruded between support sheath, so that self-closed, seals seal cap
Elasticity tension be more than the blowing pressure in extraction bag, to prevent the charge air conditioning in extraction bag from leaking, without individually set
Zha Quwudaikou reduces surgical procedure link, saves operating time, and confined gas effect is relatively reliable, and operation is more pacified
Entirely.
Detailed description of the invention
Propeller schematic diagram is isolated in Fig. 1；
Fig. 2 seals casing schematic diagram；
Fig. 3 protects sheath schematic diagram；
Fig. 4 connection hard conduit extraction bag is placed in abdominal cavity and prevents abdominal cavity gas from leaking schematic diagram；
Fig. 5 double-jacket tube seals extraction bag and tumor tissues crush and take out use state diagram.
Specific embodiment
Sealing casing (2) is placed in abdomen wall puncture and establishes the intraperitoneal outer small appropriate channels of connection, and multiple hard are led
Sealing seal cap (22) of the pipe (11) one by one respectively by sealing casing (2) is included in the sealing sheath (21) of sealing casing (2),
Anodontia sponge holding forceps clamps extraction bag (12) respectively and eyelet (13) is included in the sealing sheath (21) of sealing casing (2)
It is interior, along push rod (14) into the sealing seal cap (22) of extraction bag (12) direction mobile sliding plug (15) insertion sealing casing (2),
To prevent abdominal cavity gas by sealing sheath (21) leakage, ensure that intraperitoneal inner gas pressure is enough to expand extension stomach wall, thus
In intraperitoneal offer observation and operating space enough, so that intraperitoneal Subsequent secure operates (Fig. 4).
It holds push-rod handle (16), to intraperitoneal insertion push rod (14), thus by hard conduit (11), extraction bag (12), and
After its connected eyelet (13) is included in abdominal cavity, eyelet (13) is in intraperitoneal automatic rounded opening, to expand
It opens extraction bag mouth (121), the tissue specimen cut off under laparoscope (7) is included in extraction bag by extraction bag mouth (121)
(12) in, push-rod handle (16) is held by sealing casing (2) and pull push rod (14) to outside abdominal cavity, thus by extraction bag mouth (121)
It is pulled to sealing casing (2) outside, passes through extraction bag mouth (121) in vitro, and the sealing sleeve by being located at except extraction bag (12)
The sealing seal cap (22) and sealing sheath (21) for managing (2), are built into protection sheath (5) to extraction bag (12), at this point, being located at envelope
The sealing seal cap (22) that extraction bag (12) between muzzle pipe (2) and protection sheath (5) is sealed casing (2), which is surround, to be extruded in
It supports around sheath (51), thus self-closed extraction bag mouth (121), since sealing seal cap (22) flexible tension is super
The blowing pressure in extraction bag (12) has been crossed, therefore the gas when inflation into extraction bag (12) can be prevented by extraction bag mouth
(121) it leaks.
Hard conduit (11) is pulled respectively by the abdomen wall puncture device (4) in other abdomen wall puncture holes to reach outside stomach wall, thus
Realize conduit (43) of the hard conduit (11) in abdomen wall puncture hole instead of abdomen wall puncture device.Withdraw the envelope of hard conduit (11)
It closes cap (111), while after the pedestal of abdomen wall puncture device (4) (42) is separated with the conduit (43) of abdomen wall puncture device, stomach wall being worn
The pedestal (42) for piercing device (4) is connect with the sheath (112) for being located at stomach wall hard conduit (11).
By the tee tube (41) of the pedestal (42) of abdomen wall puncture device (4), and by hard conduit sheath (112) to taking object
Inflation in bag (12), expands extraction bag (12), and by abdomen wall puncture device pedestal (42) and is attached thereto logical hard conduit pipe
Sheath (112) is observed to extraction bag (12) built-in such as laparoscope (31), is built into para-operational device (32) to extraction bag, and pass through
Protection sheath (5) and its support seal cap (51) are built into tissue pulverizer (33) to extraction bag (12), tissue pulverizer (33)
It is entered and left in extraction bag (12) repeatedly by protection sheath (5), therefore does not damage extraction bag (12), so that safety, smooth crush take
Tumor tissues sample (7) (Fig. 5) out.
Claims (4)
1. abdominal cavity merging and the double-jacket tube closing device of laparoscope connection hard conduit extraction bag, it is characterized in that being promoted by isolation
Device (1) seals casing (2) and protection sheath (5) composition.
2. the abdominal cavity merging of laparoscope according to claim 1 connection hard conduit extraction bag is filled with double-jacket tube sealing
It sets, it is characterized in that isolation propeller (1) includes hard conduit (11), extraction bag (12), eyelet (13), push rod
(14), sliding plug (15), wherein hard conduit (11) lumen is connected with extraction bag (12), the extraction bag mouth of extraction bag (12)
(121) around eyelet (13), eyelet (13) is connected to push rod (14) one end, and push rod (14) other end is handle
(16), through having sliding plug (15), sliding plug (15) is made of conical pipe (151) and seal cap (152) in push rod (14) center.?
When the intraperitoneal operation of propeller (1) insertion will be isolated, conical pipe (151) is inserted into the sealing seal cap of extruding sealing casing (2)
(22), and enter in sealing sheath (21).
3. merging and double-jacket tube closing device of the laparoscope according to claim 1 with connection hard conduit extraction bag,
It is characterized in that seal casing (2) is made of sealing sheath (21) and sealing seal cap (22).
4. merging and double-jacket tube closing device of the laparoscope according to claim 1 with connection hard conduit extraction bag,
It is characterized in that protecting sheath (5) is hollow tubular structure, caliber is less than sealing casing (2) caliber, by support sheath (51) and support
Seal cap (52) composition, when to extraction bag (12) inflation and the crushing operation in extraction bag, support sheath (51) is by taking object
Sack (121), and it is inserted into the sealing seal cap (22) of extruding sealing casing (2).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810992159.4A CN109009266A (en) | 2018-08-29 | 2018-08-29 | It is connected to abdominal cavity merging and the double-jacket tube closing device of hard conduit extraction bag |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810992159.4A CN109009266A (en) | 2018-08-29 | 2018-08-29 | It is connected to abdominal cavity merging and the double-jacket tube closing device of hard conduit extraction bag |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN109009266A true CN109009266A (en) | 2018-12-18 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201810992159.4A Pending CN109009266A (en) | 2018-08-29 | 2018-08-29 | It is connected to abdominal cavity merging and the double-jacket tube closing device of hard conduit extraction bag |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN109009266A (en) |
Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109498134A (en) * | 2019-01-15 | 2019-03-22 | 合肥赫博医疗器械有限责任公司 | The anti-slip conformal grips pincers of many types of hard conduit of hysteroscope extraction bag |
| CN109662739A (en) * | 2019-02-14 | 2019-04-23 | 合肥赫博医疗器械有限责任公司 | The safety storage of laparoscopy tumour and crushing integrated apparatus |
| CN110236643A (en) * | 2019-07-02 | 2019-09-17 | 合肥赫博医疗器械有限责任公司 | The device that tumour is cut off without blood isolating and protecting under laparoscope |
| CN111839617A (en) * | 2020-08-25 | 2020-10-30 | 深圳市世格赛思医疗科技有限公司 | Single-port multi-channel laparoscopic surgery device |
| CN109662739B (en) * | 2019-02-14 | 2024-07-02 | 合肥赫博医疗器械有限责任公司 | Integrated device for safely storing and crushing tumors for laparoscopy |
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Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109498134A (en) * | 2019-01-15 | 2019-03-22 | 合肥赫博医疗器械有限责任公司 | The anti-slip conformal grips pincers of many types of hard conduit of hysteroscope extraction bag |
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| CN109662739B (en) * | 2019-02-14 | 2024-07-02 | 合肥赫博医疗器械有限责任公司 | Integrated device for safely storing and crushing tumors for laparoscopy |
| CN110236643A (en) * | 2019-07-02 | 2019-09-17 | 合肥赫博医疗器械有限责任公司 | The device that tumour is cut off without blood isolating and protecting under laparoscope |
| CN111839617A (en) * | 2020-08-25 | 2020-10-30 | 深圳市世格赛思医疗科技有限公司 | Single-port multi-channel laparoscopic surgery device |
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