CN109124731A

CN109124731A - One curing hysteromyoma cutting apparatus

Info

Publication number: CN109124731A
Application number: CN201810904214.XA
Authority: CN
Inventors: 王中显
Original assignee: Individual
Current assignee: Individual
Priority date: 2018-08-09
Filing date: 2018-08-09
Publication date: 2019-01-04

Abstract

One curing hysteromyoma cutting apparatus, including polybag and bite, the polybag is for fibroid to be placed therein, and the bite is for cutting the fibroid in polybag；The polybag is surrounded by four drawstrings, is equipped with pull ring in the end of drawstring, the bite includes that semicircular handle in one end of semicircular handle is connected with semicircle grooving, and cutter is equipped on semicircle grooving.The present invention provides a curing hysteromyoma cutting apparatus, avoids from source and uses the electronic rotary cut device of fibroid, and pernicious ingredient splashing abdominopelvic cavity when avoiding fibroid sarcomatous change improves the safety that fibroid is performed the operation under laparoscope.

Description

One curing hysteromyoma cutting apparatus

Technical field

The present invention relates to field of medical technology, especially a curing hysteromyoma cutting apparatus.

Background technique

Currently, laparoscopic minimally invasive surgery allows more and more patients to be benefited in Gynecology mushroom development, fibroid is made For the most common disease of gynaecology, more patients have selected laparoscopic minimally invasive surgery, with the increase of amount for surgical, also along with one A little problems, one of them be exactly under laparoscope fibroid taken out by electronic rotary cut device rotary-cut, rare canceration in fibroid Sarcoma of uterus change can only make a definite diagnosis in pathological diagnosis after surgery, and sarcoma of uterus meat particle may be splashed to abdominopelvic cavity when rotary-cut in art, Lead to postoperative extensive iatrogenic Implantation matastasis, the life span of patient is seriously affected, so that the value of abdominal cavity minimally-invasive treatment is big It gives a discount, while inducing medical tangle.U.S. FDA specially issues warning within 2014, and myomata rotary cut device is used with caution, and causes domestic and international woman The shock of educational circles of obstetrics.In order to avoid powder is splashed when Laparoscopic myomata rotary-cut, having some patent equipments at present is art Fibroid, i.e., be put into bag by protective device when middle rotary-cut, and lens of laparoscope, operation pincers, peeling knife is first-class puts one by one Enter in bag, in the course of surgery, this kind of protective bag installation process is very troublesome, expends operating time, and there are also blind behaviour Make, patient safety may be influenced or install failure, protective bag rupture will also result in particle splashing.Therefore, there is an urgent need to a kind of letters The inexpensive fibroid cutting apparatus of single safety.

Summary of the invention

Technical problem to be solved by the invention is to provide a curing hysteromyoma cutting apparatus, avoid from source using son The electronic rotary cut device of palace myomata, pernicious ingredient splashing abdominopelvic cavity when avoiding fibroid sarcomatous change, improves fibroid under laparoscope The safety of operation.

In order to solve the above technical problems, the technical scheme adopted by the invention is that: a curing hysteromyoma cutting apparatus, it is special Sign is: including polybag and bite, the polybag for fibroid to be placed therein, the bite for pair Fibroid in polybag is cut；The polybag is surrounded by four drawstrings, is equipped with pull ring in the end of drawstring, The bite includes that semicircular handle in one end of semicircular handle is connected with semicircle grooving, is equipped on semicircle grooving Cutter.

Preferably, the free end of the semicircle grooving is blunt nosed structure, and the cutter is apart from free end 3cm.

Preferably, the cutter rolls tiltedly to semicircular handle, and the angle between cutter and semicircle grooving is 30 degree.

Preferably, the diameter of the semicircular handle and semicircle grooving is 2cm.

The cutting process of one curing hysteromyoma cutting apparatus, includes the following steps,

Fibroid is being stripped, suture uterine incision extends lower-left laparoscope after the taking-up of lower-left laparoscopic incision puncture cannula The polybag of this fibroid cutting apparatus is put into abdominal cavity through lower-left laparoscopic incision, in pneumoperitoneum, abdomen to 2cm by notch Fibroid is put into polybag under the monitoring of hysteroscope camera lens；

Step 2 gathers sack, pulls out in lower-left laparoscopic incision, open and flat sack, and smoothes out with the fingers along four drawstrings and pull ring, instrument shield Scholar assists to lead handbag mouth,

Step 3, operative doctor hold semicircular handle, and along myomata surface, cutter glides towards myomata surface, until polybag bottom Afterwards, semicircular handle is firmly extracted upwards, while affecting the pull ring of the drawstring on cutter same plane, is moved with fixing myomata prevention and treatment Dynamic, cutter is cut on myomata surface, diameter 2cm fibroid cutlet is cut, after myomata is left in free end, with vessel forceps clamp The fibroid cutlet cut；

Step 4 repeats step 3, until remaining fibroid diameter < 2cm, takes out polybag through notch, sew up the incision.

The invention has the following advantages that

1, present invention safety abandons the complicated processes for increasing protective case on the basis of Hysteromyoma rotary cutter, and being fitted into bag can cut It cuts.

2, the present invention can completely avoid the splashing of rotary-cut clast, prevents sarcoma of uterus plantation substantially and sends out.

3, bite head end of the present invention is blunt nosed, and cutter head 3cm on blunt nosed prevents damage intra-abdominal organ, is cut into half Circle, rapidly and efficiently.

4, plastics of the invention have four fixed bracing wires, during the cutting process, lead and mention single line and can match with bite Fixed fibroid is closed, stock-removing efficiency is improved.

5, fibroid cutting apparatus of the invention, cheap, technical difficulty is low, easy to spread.

6, fibroid cutting apparatus of the invention, can be expanded to uterectomy take out sample when and ovarian bursa Sample is taken out when swollen Excision or ecphyadectomy.

Detailed description of the invention

Present invention will be further explained below with reference to the attached drawings and examples:

Fig. 1 is the structural schematic diagram of polybag of the present invention；

Fig. 2 is the top view of material bag of the present invention；

Fig. 3 is the structural schematic diagram of bite of the present invention.

Specific embodiment

As shown in Figure 1-3, a curing hysteromyoma cutting apparatus, it is characterised in that: described including polybag 1 and bite 2 Polybag is for fibroid to be placed therein, and the bite is for cutting the fibroid in polybag 1；Institute That states polybag 1 is surrounded by four drawstrings 3, is equipped with pull ring 4 in the end of drawstring 3, the bite 2 includes semicircular handle 5 are connected with semicircle grooving 6 in one end of semicircular handle 5, and cutter 7 is equipped on semicircle grooving 6.

Preferably, the free end 8 of the semicircle grooving 6 is blunt nosed structure, and the cutter 7 is apart from free end 83cm.

Preferably, the cutter 7 rolls tiltedly to semicircular handle 5, and the angle between cutter 7 and semicircle grooving 6 is 30 Degree.

Preferably, the diameter of the semicircular handle 5 and semicircle grooving 6 is 2cm.

Step 1 is stripping fibroid, and suture uterine incision extends lower-left after the taking-up of lower-left laparoscopic incision puncture cannula The polybag 1 of this fibroid cutting apparatus is put into abdominal cavity through lower-left laparoscopic incision, in pneumoperitoneum to 2cm by laparoscopic incision Fibroid is put into polybag by state under lens of laparoscope monitoring；

Step 2 gathers sack, pulls out in lower-left laparoscopic incision, open and flat sack, and smooth out with the fingers along four drawstrings 3 and pull ring 4, instrument Nurse assists to lead handbag mouth,

Step 3, operative doctor hold semicircular handle 5, and along myomata surface, cutter 7 glides towards myomata surface, until polybag Behind bottom, semicircular handle 5 is firmly extracted upwards, while affecting the pull ring 4 of the drawstring 3 on 7 same plane of cutter, to fix myomata Prevention and treatment movement, cutter 7 are cut on myomata surface, cut diameter 2cm fibroid cutlet and use blood after myomata is left in free end 8 The fibroid cutlet that pipe wrench clamp is cut；

Polybag of the invention is placed into after suturing uterus according to Laparoscopic Myomectomy routine operation Fibroid is put into polybag to lead and proposes four bracing wires by abdominal cavity under laparoscope, in incision, prolonged incison overall length 2cm, Blunt nosed vessel forceps expand fascia under notch, and polybag is led and is mentioned in incision, four bracing wires are respectively positioned on incision, hold of the invention Bite, it is blunt nosed along myomata myomata, after lifting to notch, a myomata item cut is clamped with vessel forceps, is successively gradually cut Myomata has been cut, after taking myomata, has taken out polybag, has been placed again into puncture cannula, folder closes portions cut, after rinsing abdominal cavity, places Drainage tube is sewed up the incision.

The above embodiments are only the preferred technical solution of the present invention, and are not construed as limitation of the invention, this hair Bright protection scope should be with the technical solution of claim record, technical characteristic in the technical solution recorded including claim Equivalents are protection scope.Equivalent replacement i.e. within this range is improved, also within protection scope of the present invention.

Claims

1. a curing hysteromyoma cutting apparatus, it is characterised in that: be used for including polybag (1) and bite (2), the polybag Fibroid is placed therein, the bite is for cutting the fibroid in polybag (1)；The polybag (1) be surrounded by four drawstrings (3), be equipped with pull ring (4) in the end of drawstring (3), the bite (2) includes semicircle hand Handle (5) is connected with semicircle grooving (6) in one end of semicircular handle (5), is equipped with cutter (7) on semicircle grooving (6).

2. a curing hysteromyoma cutting apparatus according to claim 1, it is characterised in that: it is described semicircle grooving (6) from It is blunt nosed structure by holding (8), the cutter (7) is apart from free end (8) 3cm.

3. a curing hysteromyoma cutting apparatus according to claim 1, it is characterised in that: the cutter (7) is to semicircle hand Handle (5) rolls tiltedly, and the angle between cutter (7) and semicircle grooving (6) is 30 degree.

4. a curing hysteromyoma cutting apparatus according to claim 1, it is characterised in that: the semicircular handle (5) and half The diameter of round grooving (6) is 2cm.

5. the cutting process of -4 curing hysteromyoma cutting apparatus according to claim 1, it is characterised in that: including following step Suddenly,

Step 1 is stripping fibroid, and suture uterine incision extends lower-left after the taking-up of lower-left laparoscopic incision puncture cannula The polybag (1) of this fibroid cutting apparatus is put into abdominal cavity through lower-left laparoscopic incision, in gas to 2cm by laparoscopic incision Fibroid is put into polybag by abdomen state under lens of laparoscope monitoring；

Step 2 gathers sack, pulls out in lower-left laparoscopic incision, open and flat sack, and smoothes out with the fingers along four drawstrings (3) and pull ring (4), Handbag mouth is led in instrument nurse assistance,

Step 3, operative doctor hold semicircular handle (5), and along myomata surface, cutter (7) glides towards myomata surface, until modeling Behind material bag bottom, firmly extracting semicircular handle (5) upwards, while affecting the pull ring of the drawstring (3) on cutter (7) same plane (4), to fix myomata prevention and treatment movement, cutter (7) is cut on myomata surface, diameter 2cm fibroid cutlet is cut, in free end (8) after leaving myomata, the fibroid cutlet that is cut with vessel forceps clamp；