CN109350200B - Anti-tumor planting uterine lifting cup - Google Patents

Anti-tumor planting uterine lifting cup Download PDF

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Publication number
CN109350200B
CN109350200B CN201811435085.0A CN201811435085A CN109350200B CN 109350200 B CN109350200 B CN 109350200B CN 201811435085 A CN201811435085 A CN 201811435085A CN 109350200 B CN109350200 B CN 109350200B
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cup
uterine
wall
cup body
lifting
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CN201811435085.0A
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CN109350200A (en
Inventor
周树林
邱江南
谢满鑫
祁艳
刘锦辉
姜旖
张洁
冯明明
万一聪
吴姗
王慧
马小玲
罗成燕
袁琳
程文俊
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Jiangsu Province Hospital First Affiliated Hospital With Nanjing Medical University
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Jiangsu Province Hospital First Affiliated Hospital With Nanjing Medical University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/42Gynaecological or obstetrical instruments or methods
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/10Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
    • A61B90/14Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins
    • A61B90/17Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins for soft tissue, e.g. breast-holding devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/42Gynaecological or obstetrical instruments or methods
    • A61B2017/4216Operations on uterus, e.g. endometrium

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Gynecology & Obstetrics (AREA)
  • Pregnancy & Childbirth (AREA)
  • Reproductive Health (AREA)
  • Neurosurgery (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Pathology (AREA)
  • Prostheses (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a novel anti-tumor planting uterine lifting cup, which is a hollow cup body, wherein the bottom of the uterine lifting cup is provided with a suction tube, and the suction tube is used for connecting a negative pressure aspirator; the inner wall of the cup body inclines from the front end of the cup body to the center of the cup body, and a circle of side holes are uniformly formed in the outer wall of the cup body. According to the anti-tumor planting uterine-lifting cup, the vaginal broken end can be firmly fixed on the uterine-lifting cup through the principle of pressure difference, the uterine-lifting cup and the vaginal broken end are mutually nested to wrap a cervical focus to avoid communication between tumors and the environment in the abdominal cavity, and meanwhile, a method of pressing, screwing and fixing by screws in a cervical canal in the traditional scheme is abandoned by a method of sucking and fixing the vaginal wall through negative pressure, so that the cervical focus is prevented from being pressed, the purpose of no-tumor operation is achieved, and tumor planting caused by operation in an operation is reduced.

Description

Anti-tumor planting uterine lifting cup
Technical Field
The invention relates to the technical field of medical appliances, in particular to hysterectomy used in laparoscopic surgery of gynecological cervical malignant tumors.
Background
The clinical efficacy of laparoscopic surgery in the treatment of uterine malignancies has been gradually confirmed and agreed. The principle of malignant tumor surgical treatment needs to ensure a sufficient surgical range and a tumor-free principle; when malignant tumor resects uterus, especially in extensive hysterectomy, the requirement on fine dissection is high, and the requirement on uterine lifter not only can flexibly swing uterus in multiple directions and angles, but also can reach the operation principle of no tumor.
The existing uterine-lifting cup is of a solid structure, for example, chinese patent 201720353050.7 discloses a uterine-lifting cup, which comprises a guide rod, a uterine-lifting Gong Tou, a uterine-lifting cup cover, a uterine-lifting frame and a uterine-lifting Gong Gan, wherein the guide rod axially penetrates through a central hole of a uterine-lifting rod, and the guide rod is fixed with the uterine-lifting rod through a compression screw; the lifting Gong Tou, the lifting cup cover and the lifting rack are sequentially arranged on the surface of the lifting rod; the telescopic rod is provided with a cylindrical telescopic head, the telescopic head is connected with a pair of push rods, and fixing bolts are arranged outside the two push rods in a surrounding mode; the uterine-lifting cup cover is an umbrella-shaped cover with folds, and the small end of the uterine-lifting cup cover is fixedly connected with the uterine-lifting rod; the telescopic head is positioned in the uterine-lifting cup cover and is in sliding fit with the uterine-lifting rod, the push rod extends out of the uterine-lifting cup cover from the small end of the uterine-lifting cup cover, a supporting rod is arranged between the telescopic head and the inner wall of the uterine-lifting cup cover, and two ends of the supporting rod are respectively hinged with the telescopic head and the uterine-lifting cup cover.
Disclosure of Invention
Aiming at the defects of the prior art, the invention provides the novel anti-tumor planting uterine cavity lifting cup, the vaginal broken end can be firmly fixed on the uterine cavity lifting cup through the principle of pressure difference, the uterine cavity lifting cup and the vaginal broken end are mutually nested to wrap a focus to avoid communication between tumors and the intra-abdominal environment, and meanwhile, the method of pressing, screwing and fixing by a screw in a cervical canal in the prior scheme is abandoned by adopting a negative pressure suction method, so that the aim of pressing cervical focus to achieve non-tumor operation can be avoided, and tumor planting caused by operation in operation is reduced.
In order to achieve the above purpose, the present invention adopts the following technical scheme: a novel anti-tumor planting uterine lifting cup, wherein the uterine lifting cup is a hollow cup body, and the bottom of the uterine lifting cup is provided with a suction tube which is used for connecting a negative pressure aspirator; the inner wall of the cup body inclines from the front end of the cup body to the center of the cup body, and a circle of side holes are uniformly formed in the outer wall of the cup body.
Further, the inner wall of the cup body is inclined with the outer wall within 3cm from the front end of the cup body, the included angle between the inner wall and the outer wall is 5-15 degrees, and the rest part of the inner wall of the cup body is parallel to the outer wall.
Further, a metal fixer penetrating through the inside and the outside is arranged in the center of the cup body, the metal fixer extends out of the lower part of the cup body, and external threads are arranged on the outer surface of the extending part.
Further, the uterine lifting cup also comprises a fixed push rod and a guide rod, wherein the fixed push rod is a cylindrical hollow sleeve, the upper part of the hollow sleeve is provided with an internal thread matched with the metal fixer, and the middle part of the hollow sleeve is provided with a screw hole and a fixing screw; the guide rod passes through the metal fixer and the fixed push rod, and the position is fixed through the fixed screw.
Further, the diameter of the suction tube was 5mm.
Further, the distance from the side hole to the edge of the cup body is 2-2.5 cm.
Further, the shape of the side hole is elliptical, and anti-return barbs are arranged between the upper edge and the lower edge of the side hole.
Further, the included angle between the anti-return barb and the horizontal is 45 DEG
This application is novel when preventing that tumour is planted lifts palace cup, during the use, lifts palace cup and is fixed in the position of cervical external orifice and cervical canal, the guide bar gets into the palace chamber through bottom opening part to with the position of fixed screw fixed guide bar, the bottom outside attracts the suction tube to connect in the suction tube of negative pressure aspirator, opens the negative pressure aspirator before cutting the vaginal wall, forms the negative pressure of lifting in the local space of palace cup, makes the vaginal side wall with lift palace cup lateral wall zonal connection, and inhale the side opening internal fixation with partial vaginal wall tissue, thereby forms a confined space, parcel tumor tissue reaches the no tumour principle.
The anti-tumor planting uterine-lifting cup can firmly fix the vaginal broken end on the uterine-lifting cup by the principle of pressure difference, and the uterine-lifting cup and the vaginal broken end are mutually nested so as to avoid communication between tumors and the intra-abdominal environment, and meanwhile, the method of the traditional technology for rotationally fixing the vaginal broken end by extruding screws in cervical canal is avoided, the tumor is prevented from being extruded, the purpose of no-tumor operation is achieved, and tumor metastasis caused by operation in operation is reduced.
Drawings
Fig. 1 is a sectional view of an anti-tumor implantation uterine manipulator provided by the invention.
Fig. 2 is a perspective view of the anti-tumor planting uterine manipulator provided by the invention.
Detailed Description
In order to make the present application solution better understood by those skilled in the art, the following description will be made in detail and with reference to the accompanying drawings in the embodiments of the present application, it is apparent that the described embodiments are only some embodiments of the present application, not all embodiments. All other embodiments, which can be made by one of ordinary skill in the art based on the embodiments herein without making any inventive effort, shall fall within the scope of the present application.
It should be noted that the terms "comprises" and "comprising," and any variations thereof, in the description and claims of the present application and in the foregoing figures, are intended to cover a non-exclusive inclusion, such that a process, method, system, article, or apparatus that comprises a list of steps or elements is not necessarily limited to those steps or elements expressly listed or inherent to such process, method, article, or apparatus.
Fig. 1 and 2 are a sectional view and a perspective view of an anti-tumor planting uterine-lifting cup. The uterine lifting cup is a hollow cup body, and the side of the bottom is provided with a suction tube 1 which is used for connecting a negative pressure aspirator. The inner wall of the cup body inclines from the front end of the cup body to the center of the cup body, the inclined length of the inner wall is 3cm, the included angle between the inner wall and the outer wall is 5 degrees, and the rest part of the inner wall of the cup body is parallel to the outer wall.
The center of the cup body is provided with a metal fixer 2 penetrating through the inside and the outside, the metal fixer extends out of the lower part of the cup body, and the outer surface of the extending part is provided with external threads. The uterine-lifting cup also comprises a fixed push rod 3 and a guide rod 4. The fixed push rod is a cylindrical hollow sleeve, the upper part of the hollow sleeve is provided with internal threads matched with the metal fixer, and the middle part of the hollow sleeve is provided with screw holes and fixing screws 5. The guide rod passes through the metal fixer and the fixed push rod, and the position is fixed through the fixed screw.
The outer wall of the uterine-lifting cup is uniformly provided with a circle of side holes 6, the distance between the side holes and the edge of the cup body is 2cm, the side holes are distributed to circularly encircle along the side wall of the uterine-lifting cup, the shape is elliptical, and the circumference of the side wall is provided with 5-6 side holes; the size and the density are good enough to ensure that the vaginal wall can be closely attached to the side wall of the uterine manipulator, and the upper edge and the lower edge in the side hole are provided with anti-retraction barbs 7 for preventing tissues from retracting.
The novel anti-tumor planting uterine lifting cup is characterized in that the specific position of the opening of the suction tube at the outer side of the bottom end of the uterine lifting cup is suitable for metal connection without influencing the opening in the middle of the bottom end, the opening is about 5mm in size, the opening extends outwards to be connected with an extension tube, and a connecting port is reserved at the tail end of the extension tube so as to be connected with a negative pressure suction tube of an aspirator.
From the above, when the anti-tumor planting lifting cup is used, the lifting cup is fixed at the outer cervical orifice and the cervical canal, the guide rod enters the uterine cavity through the opening at the bottom end, the position of the guide rod is fixed by the fixing screw, the suction pipe at the outer bottom end is connected with the suction pipe of the negative pressure suction device, the negative pressure suction device is opened before the vaginal wall is cut, negative pressure in the local space of the lifting cup is formed, the lateral wall of the vagina is tightly connected with the lateral wall of the lifting cup, part of vaginal wall tissues are sucked into the side holes to be fixed, and the lifting cup and the vaginal broken ends are mutually nested to form a closed space to wrap tumor tissues, so that the traditional method of extruding and rotating fixing by screws in the cervical canal is avoided, the tumor is prevented from being extruded, and the non-tumor principle is achieved.
The above description is only of the preferred embodiments of the present invention and is not intended to limit the present invention, but various modifications and variations can be made to the present invention by those skilled in the art. Any modification, equivalent replacement, improvement, etc. made within the spirit and principle of the present invention should be included in the protection scope of the present invention.

Claims (4)

1. An anti-tumor planting uterine lifting cup which is characterized in that: the uterine-lifting cup is a hollow cup body, and the bottom of the uterine-lifting cup is provided with a suction tube which is used for connecting a negative pressure aspirator; the inner wall of the cup body is inclined from the front end of the cup body to the center of the cup body, and the outer wall of the cup body is uniformly provided with a circle of side holes;
the inner wall of the cup body is inclined with the outer wall within 3cm from the front end of the cup body, the included angle between the inner wall and the outer wall is 5-15 degrees, and the rest part of the inner wall of the cup body is parallel to the outer wall;
the center of the cup body is provided with a metal fixer which penetrates through the inside and the outside, the metal fixer can extend out of the lower part of the cup body, and the outer surface of the extending part is provided with external threads;
the uterus lifting cup further comprises a fixed push rod and a guide rod, wherein the fixed push rod is a cylindrical hollow sleeve, the upper part of the hollow sleeve is provided with internal threads matched with the metal fixer, and the middle part of the hollow sleeve is provided with a screw hole and a fixing screw; the guide rod passes through the metal fixer and the fixed push rod, and the position is fixed through the fixed screw;
the side hole is elliptical in shape, and anti-return barbs are arranged between the upper edge and the lower edge of the side hole;
when the uterus lifting cup is used, the uterus lifting cup is fixed at the positions of an external cervical orifice and a cervical canal, a guide rod enters a uterine cavity through an opening at the bottom end, the position of the guide rod is fixed by a fixing screw, an aspiration tube at the outer side of the bottom end is connected with an aspiration tube of a negative pressure aspirator, when the negative pressure aspirator is opened before the vaginal wall is cut, negative pressure in a local space of the uterus lifting cup is formed, the vaginal side wall is tightly connected with the vaginal side wall, part of vaginal wall tissues are sucked into the side hole to be fixed, and the uterus lifting cup and a vaginal broken end are mutually nested to form a closed space to wrap tumor tissues.
2. The anti-tumor planting uterine-lifting cup according to claim 1, wherein: the diameter of the suction tube is 5mm.
3. The anti-tumor planting uterine-lifting cup according to claim 1, wherein: the distance from the side hole to the edge of the cup body is 2-2.5 cm.
4. The anti-tumor planting uterine-lifting cup according to claim 1, wherein: the included angle between the anti-withdrawal barb and the horizontal is 45 degrees.
CN201811435085.0A 2018-11-28 2018-11-28 Anti-tumor planting uterine lifting cup Active CN109350200B (en)

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CN109350200B true CN109350200B (en) 2024-04-12

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Families Citing this family (1)

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Publication number Priority date Publication date Assignee Title
CN113288374A (en) * 2021-05-25 2021-08-24 胡海涛 Prevent tumour and plant uterus ware of lifting

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CN2917679Y (en) * 2006-07-20 2007-07-04 李瑞刚 Handle type uterine neck suction cup
CN101849854A (en) * 2010-06-17 2010-10-06 杜炜杰 Multi-functional uterus raising device for laparoscopic operation
EP2243437A1 (en) * 2009-04-24 2010-10-27 Olympus Winter & Ibe Gmbh Hysterectomy device with uterus manipulator
CN105310751A (en) * 2015-11-04 2016-02-10 中南大学湘雅三医院 Uterine manipulator capable of achieving accurate positioning
CN106725666A (en) * 2017-03-08 2017-05-31 邓杜娟 A kind of not damaged negative pressure sucker cervical fixer
CN207220865U (en) * 2017-03-08 2018-04-13 西藏多欣医疗器械制造有限公司 A kind of postpartum hemorrhage uterus hemostat
CN209529296U (en) * 2018-11-28 2019-10-25 南京医科大学第一附属医院 A kind of novel preventing tumor plantation act palace cup

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Publication number Priority date Publication date Assignee Title
US20050085827A1 (en) * 2003-10-15 2005-04-21 G. Anselmo N. Uterine manipulating device
US20080188863A1 (en) * 2007-02-07 2008-08-07 Chu Michael S H Uterine artery occlusion
US20130023896A1 (en) * 2011-07-20 2013-01-24 Quimby Jennifer C Surgical manipulation and occlusion device
US10758273B2 (en) * 2015-12-04 2020-09-01 Allan A. Adajar Uterine manipulator device with cutting element

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2917679Y (en) * 2006-07-20 2007-07-04 李瑞刚 Handle type uterine neck suction cup
EP2243437A1 (en) * 2009-04-24 2010-10-27 Olympus Winter & Ibe Gmbh Hysterectomy device with uterus manipulator
CN101849854A (en) * 2010-06-17 2010-10-06 杜炜杰 Multi-functional uterus raising device for laparoscopic operation
CN105310751A (en) * 2015-11-04 2016-02-10 中南大学湘雅三医院 Uterine manipulator capable of achieving accurate positioning
CN106725666A (en) * 2017-03-08 2017-05-31 邓杜娟 A kind of not damaged negative pressure sucker cervical fixer
CN207220865U (en) * 2017-03-08 2018-04-13 西藏多欣医疗器械制造有限公司 A kind of postpartum hemorrhage uterus hemostat
CN209529296U (en) * 2018-11-28 2019-10-25 南京医科大学第一附属医院 A kind of novel preventing tumor plantation act palace cup

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