CN109498133B - Laparoscopic specimen extractor - Google Patents
Laparoscopic specimen extractor Download PDFInfo
- Publication number
- CN109498133B CN109498133B CN201811642648.3A CN201811642648A CN109498133B CN 109498133 B CN109498133 B CN 109498133B CN 201811642648 A CN201811642648 A CN 201811642648A CN 109498133 B CN109498133 B CN 109498133B
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- Prior art keywords
- bag
- specimen
- steel wire
- bag body
- wire net
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- 229910000831 Steel Inorganic materials 0.000 claims abstract description 52
- 239000010959 steel Substances 0.000 claims abstract description 52
- 229910003460 diamond Inorganic materials 0.000 claims description 3
- 239000010432 diamond Substances 0.000 claims description 3
- 230000002792 vascular Effects 0.000 claims description 3
- 238000010030 laminating Methods 0.000 claims 1
- 239000007788 liquid Substances 0.000 abstract description 6
- 238000001125 extrusion Methods 0.000 abstract description 2
- 206010028980 Neoplasm Diseases 0.000 description 13
- 201000011510 cancer Diseases 0.000 description 9
- 210000000232 gallbladder Anatomy 0.000 description 6
- 238000002357 laparoscopic surgery Methods 0.000 description 5
- 210000000683 abdominal cavity Anatomy 0.000 description 3
- 210000001072 colon Anatomy 0.000 description 3
- 238000000605 extraction Methods 0.000 description 3
- 210000002747 omentum Anatomy 0.000 description 3
- 210000000496 pancreas Anatomy 0.000 description 3
- 210000000664 rectum Anatomy 0.000 description 3
- 210000000813 small intestine Anatomy 0.000 description 3
- 210000002784 stomach Anatomy 0.000 description 3
- 230000001079 digestive effect Effects 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 230000001154 acute effect Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 238000001514 detection method Methods 0.000 description 1
- 238000002674 endoscopic surgery Methods 0.000 description 1
- 230000002496 gastric effect Effects 0.000 description 1
- 238000011902 gastrointestinal surgery Methods 0.000 description 1
- 210000001035 gastrointestinal tract Anatomy 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 230000036210 malignancy Effects 0.000 description 1
- 238000002324 minimally invasive surgery Methods 0.000 description 1
- 230000000149 penetrating effect Effects 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/50—Instruments, other than pincettes or toothpicks, for removing foreign bodies from the human body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00238—Type of minimally invasive operation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00358—Snares for grasping
Landscapes
- 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)
- Surgical Instruments (AREA)
- Sampling And Sample Adjustment (AREA)
Abstract
The invention relates to a laparoscopic specimen extractor, which effectively solves the problems that a specimen bag with a larger volume is larger in transverse diameter after being filled in, the specimen is difficult to take out, the specimen is easy to infect the internal environment of a wound due to liquid generated by extrusion, the specimen bag is composed of an inner steel wire net bag and an outer bag body, the outer wall of the steel wire net bag is attached to the inner wall of the bag body, the upper opening edge of the steel wire net bag is inwards or outwards rolled to form an annular opening, the upper edge of the bag body is inwards rolled and wrapped on the periphery of the annular opening of the steel wire net bag to form an opening of the specimen bag, a steel wire rope is arranged in the hollow in the annular opening of the steel wire net bag, a groove is arranged between the bottom of the steel wire net bag and the inner bottom surface of the bag body, and an attraction pipeline is arranged on the outer wall of the bag body, and the lower opening of the attraction pipeline passes through the bottom of the bag body and is communicated with the groove.
Description
Technical Field
The invention relates to medical equipment, in particular to a laparoscopic specimen extractor.
Background
Laparoscopic surgery is now widely used, particularly in gastrointestinal malignancies. Due to the rapid development of the full laparoscope operation, the minimally invasive requirements of operators and patients make the operation incision smaller and smaller, which undoubtedly increases the difficulty of taking out the operation specimen, and furthermore, the operation indication of the digestive endoscope is wider and wider, some early digestive tract tumors can be completed under the endoscope, but most doctors take out the specimen by using only the hay, so that the tumor-free principle is violated, and if a specimen extractor is not adopted, the operation specification is not met. Although there are also some specimen retrieval devices at present, there are the following problems: (1) the specimen bag is easy to be inflated under the high pressure of the abdominal cavity, the volume of the specimen bag is additionally increased after the specimen is filled, and the specimen bag is difficult to take out; (2) the specimen can generate liquid when being extruded, and is easy to be extruded due to improper operation, so that pollution is caused; (3) the specimen bag is softer, and is easy to deform when the specimen is taken out, so that the transverse diameter is increased, and the difficulty in taking out the specimen is increased; (4) under the digestive endoscope, only the net bag is used for taking the specimen, and the infection is easy to cause to the environment in the wound. (5) At present, the main surgical specimens aimed at in gastrointestinal surgery laparoscopic surgery are stomach (cancer), large omentum, colon (cancer), rectum (cancer), small intestine, gall bladder, pancreas, gall bladder and the like, and how to take out the specimens with larger volume by using a smaller incision without polluting the abdominal cavity, so that the purpose of minimally invasive surgery is achieved, and the problem to be solved urgently at present.
Disclosure of Invention
Aiming at the situation, the invention aims to overcome the defects of the prior art, and the invention aims to provide a laparoscopic specimen extractor which can effectively solve the problems that the volume of a specimen bag is increased after a large-volume specimen is filled, the transverse diameter of the specimen bag is enlarged, the specimen extraction difficulty is high, the specimen is easy to be polluted by liquid generated by extrusion, and the environment in a wound is easy to be infected by a net bag for taking the specimen.
The technical scheme includes that the bag comprises a specimen bag, the specimen bag is composed of an inner layer steel wire net bag and an outer layer bag body, the outer wall of the steel wire net bag is attached to the inner wall of the bag body, the edge of an upper opening of the steel wire net bag is inwards or outwards turned to form an annular opening, the upper edge of the bag body is inwards turned and wrapped on the periphery of the annular opening of the steel wire net bag to form an opening of the specimen bag, a steel wire rope extending out of the bag body is arranged in the hollow in the annular opening of the steel wire net bag in a penetrating mode, a groove is formed between the bottom of the steel wire net bag and the inner bottom surface of the bag body, an attraction pipeline is arranged on the outer side wall of the bag body, the lower opening of the attraction pipeline penetrates through the bottom of the bag body and is communicated with the groove, and the upper portion of the attraction pipeline is arranged on the outer wall of the upper portion of the bag body.
The invention has the advantages of simple structure, easy processing, easy operation, time and labor saving, good use effect and no pollution.
Drawings
Fig. 1 is a front view of the structure of the present invention.
Fig. 2 is an enlarged view of the invention at a of fig. 1.
Detailed Description
The following describes the embodiments of the present invention in detail with reference to the drawings.
The invention is shown in fig. 1-2, which comprises a specimen bag, wherein the specimen bag is composed of an inner layer steel wire net bag 3 and an outer layer bag body 2, the outer wall of the steel wire net bag is attached to the inner wall of the bag body, the upper edge of the steel wire net bag is inwards or outwards rolled to form an annular opening, the upper edge of the bag body is inwards rolled and wrapped on the periphery of the annular opening of the steel wire net bag to form an opening of the specimen bag, a steel wire rope 1 extending out of the bag body is penetrated in the hollow in the annular opening of the steel wire net bag, a groove 4 is arranged between the bottom of the steel wire net bag and the inner bottom surface of the bag body, an attraction pipeline 5 is arranged on the outer side wall of the bag body, the lower opening of the attraction pipeline penetrates through the bottom of the bag body and is communicated with the groove, and the upper part of the attraction pipeline is arranged on the outer wall of the upper part of the bag body.
The two ends of the steel wire rope 1 extend out of the bag body, one end of the steel wire rope is an extension end, and the other end of the steel wire rope is wound on the extension end close to the outer side of the bag body.
The periphery of the extending end of the steel wire rope 1 is sleeved with a guide pipe 6, and the upper opening of the suction pipeline penetrates through the guide pipe and the extending end of the steel wire rope and is connected together.
The outer diameter of the catheter 6 is 1cm.
The bag body 2 is in the shape of a spindle with the height of the highest part in the vertical direction being larger than the length of the longest part in the horizontal direction.
The steel wire net bag 3 is in a spindle shape with the height being greater than the length and the bottom and the mouth being horizontal, and the mesh of the steel wire net bag is in a diamond shape with the height being greater than the length.
The bag body 2 is of a bag structure made of rubber, and the outer wall of the bag body is a smooth surface.
The steel wire net bag 3 is a net bag body made of a vascular guide wire.
When the annular opening of the steel wire net bag 3 is in a closed state, the included angle between the two corresponding side edges of the top is 15-30 degrees, and the included angle between the two corresponding side edges of the bottom is 15-30 degrees.
The maximum stretching outer diameter of the specimen bag at the transverse longest point is 5cm; the sum of the transverse longest point of the specimen bag in the contracted state and the outer diameter of the suction pipeline is less than or equal to 1cm.
The outer diameter of the suction pipe 5 is 3mm.
When the invention is used, the extension end of the steel wire rope is pulled to force the extension direction of the extension end of the steel wire rope, so that the opening part of the specimen bag is in a contracted state, then the extractor of the invention is downwards placed in the poking clamping hole at the wound, then the extension end of the steel wire rope is pushed to the other end of the steel wire rope, so that the opening part of the specimen bag is in an open state, and the specimen to be extracted is placed in the extractor of the invention, and because the invention aims at the stomach (cancer), the large omentum, the colon (cancer), the rectum (cancer), the small intestine, the gall bladder, the pancreas and the gall bladder under the laparoscopic surgery, the specimen is large in volume, so that the extractor of the invention is stretched in transverse dimension, and at the moment, the extractor of the invention is upwards lifted, when the upper enhancement of the extractor reaches the height of the extractor, the height of the extractor is fully unfolded, at the moment, the steel wire net bag is in a spindle shape with the height larger than the length and the bottom and the mouth part being horizontal, the mesh of the steel wire net bag is in a diamond shape with the height larger than the length, the bag body is in a spindle shape with the height at the highest vertical position larger than the length at the longest transverse position, the opening part of the specimen bag is contracted, the blood vessel guide wire of the steel wire net bag also can enable a specimen to be transversely extruded, so that the transverse diameter of the specimen is reduced, the specimen extraction incision can be directly reduced, liquid in the specimen extraction incision can flow downwards into the groove, and the liquid flowing into the groove is sucked away by the suction pipe, so that the specimen is not damaged, and the specimen is not polluted.
The invention ensures the integrity of the specimen as much as possible, is more beneficial to detection, especially tumor specimen, is completely wrapped in the invention and does not pollute the abdominal cavity, in order to avoid the transverse widening of the steel wire net bag, the acute angles of the top and the bottom are 15-30 degrees in the closed state in the design, the middle part of the steel wire net bag is outwards projected, the steel wire net bag is made of vascular guide wires, the steel wire net bag cannot be subjected to severe transverse change when the specimen is filled, the specimen can be well contained in the steel wire net bag due to the design that the middle part is outwards projected, the opening of the steel wire net bag is contracted so as to enable the specimen to slide towards the upper end and the lower end, and the annular opening of the steel wire net bag is tightened so as not to cause the transverse dimension of the steel wire net bag to be projected. When the steel wire net bag is vertically stretched and deformed, the transverse deformation is reduced, so that the steel wire net bag filled with the specimen is easier to take out from the small incision. The lower opening of the suction pipeline is communicated with the groove through the bottom of the bag body, and when the opening of the specimen bag is not completely closed, the specimen can block the opening of the specimen bag, and the liquid is positioned in the groove at the bottom of the bag body, so that a better suction effect can be achieved.
Compared with the prior art, the extractor has the following advantages:
(1) Fully wrapping the specimen, and avoiding the specimen pollution;
(2) The sample volume can be compressed as much as possible, and the sample taking out incision can be indirectly reduced;
(3) The specimen can be stretched, the transverse diameter of the specimen is reduced, and the specimen taking out incision can be directly reduced;
(4) The extractor can be used for laparoscopic surgery (stomach/cancer, omentum, colon/cancer, rectum/cancer, small intestine, gall bladder, pancreas and gall bladder) specimens with wide application range.
The invention is mainly characterized by being used for the sample taking-out link after laparoscopic surgery, being simple and convenient to assemble and take and easy to operate, being capable of reducing the incision for taking out the surgical sample as much as possible and being more suitable for the full-cavity endoscopic surgery.
Claims (8)
1. The utility model provides a sample extractor under peritoneoscope, including the sample bag, characterized in that, the sample bag comprises inlayer wire string bag (3) and outer bag body (2), the outer wall laminating bag body's of wire string bag inner wall, the upper edge of wire string bag inwards or outwards turns over to be hollow form annular oral area, the upper edge of bag body inwards turns over the annular oral area periphery of wrapping up at the wire string bag and constitutes the opening of sample bag, wear to be equipped with in the hollow in the annular oral area of wire string bag and stretch out the external wire rope (1) of bag, there is recess (4) between the bottom of wire string bag and the internal bottom surface of bag, be equipped with on the lateral wall of bag body and attract pipeline (5), the lower mouth of attracting pipeline passes bag body's bottom and recess intercommunication, attract pipeline's upper portion is arranged in on the outer wall of bag body upper portion;
the bag body (2) is in a spindle shape with the height of the highest part in the vertical direction being greater than the length of the longest part in the horizontal direction;
the steel wire net bag (3) is in a spindle shape with the height being greater than the length and the bottom and the mouth being horizontal, and the mesh of the steel wire net bag is in a diamond shape with the height being greater than the length.
2. The laparoscopic specimen extractor according to claim 1, wherein both ends of the wire rope (1) extend out of the bag body, one end of the wire rope is an extension end, and the other end is wound on the extension end near the outside of the bag body.
3. The laparoscopic specimen extractor according to claim 2, characterized in that the outer circumference of the extension end of the steel wire rope (1) is sleeved with a catheter (6), and the upper opening of the suction tube penetrates through the catheter and the extension end of the steel wire rope and is connected together.
4. A laparoscopic specimen extractor according to claim 3, characterized in that said catheter (6) has an outer diameter of 1cm and said aspiration tube (5) has an outer diameter of 3mm.
5. The laparoscopic specimen extractor according to claim 1, characterized in that the bag body (2) is a bag structure made of rubber, and the outer wall of the bag body is a smooth surface.
6. The laparoscopic specimen extractor according to claim 1, characterized in that the steel wire net bag (3) is a net bag body made of vascular guide wires.
7. The laparoscopic specimen extractor according to claim 1, wherein the annular mouth of the wire net bag (3) has an included angle of 15-30 ° on the opposite sides of the top and 15-30 ° on the opposite sides of the bottom in the closed state.
8. The laparoscopic specimen extractor according to claim 1, wherein said specimen bag has a maximum stretched outer diameter of 5cm at a lateral longest point; the sum of the transverse longest point of the specimen bag in the contracted state and the outer diameter of the suction pipeline is less than or equal to 1cm.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN201811642648.3A CN109498133B (en) | 2018-12-29 | 2018-12-29 | Laparoscopic specimen extractor |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
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CN201811642648.3A CN109498133B (en) | 2018-12-29 | 2018-12-29 | Laparoscopic specimen extractor |
Publications (2)
Publication Number | Publication Date |
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CN109498133A CN109498133A (en) | 2019-03-22 |
CN109498133B true CN109498133B (en) | 2024-03-19 |
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CN201811642648.3A Active CN109498133B (en) | 2018-12-29 | 2018-12-29 | Laparoscopic specimen extractor |
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CN (1) | CN109498133B (en) |
Families Citing this family (3)
Publication number | Priority date | Publication date | Assignee | Title |
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CN111839691A (en) * | 2019-04-24 | 2020-10-30 | 恩施土家族苗族自治州中心医院 | Thing bag is got to peritoneoscope |
CN110882018A (en) * | 2019-12-26 | 2020-03-17 | 黄香 | Abdominal cavity object fetching bag |
CN114191059B (en) * | 2021-12-20 | 2023-08-18 | 朱科科 | Gynecological abdominal cavity operation is with getting thing ware |
Citations (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5735289A (en) * | 1996-08-08 | 1998-04-07 | Pfeffer; Herbert G. | Method and apparatus for organic specimen retrieval |
CN1528244A (en) * | 2003-10-17 | 2004-09-15 | 李艳芳 | Recycled biological sample bag |
CN204072172U (en) * | 2014-10-16 | 2015-01-07 | 唐勇 | Solid-liquid separating abdominoscope cavity tissue extraction bag |
CN104274215A (en) * | 2014-10-16 | 2015-01-14 | 唐勇 | Solid-liquid separation type laparoscopic fetching bag |
CN204468227U (en) * | 2015-02-06 | 2015-07-15 | 周贻静 | The abdominoscope cavity tissue extraction bag conveniently picked and placeed |
CN205964135U (en) * | 2016-05-19 | 2017-02-22 | 武汉百格资产管理有限公司 | Peritoneoscope fetching bag |
CN209629788U (en) * | 2018-12-29 | 2019-11-15 | 史阳 | A kind of device for fetching out sample under abdominoscope |
Family Cites Families (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20130325025A1 (en) * | 2012-06-01 | 2013-12-05 | Covidien Lp | Specimen retrieval device |
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2018
- 2018-12-29 CN CN201811642648.3A patent/CN109498133B/en active Active
Patent Citations (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5735289A (en) * | 1996-08-08 | 1998-04-07 | Pfeffer; Herbert G. | Method and apparatus for organic specimen retrieval |
CN1528244A (en) * | 2003-10-17 | 2004-09-15 | 李艳芳 | Recycled biological sample bag |
CN204072172U (en) * | 2014-10-16 | 2015-01-07 | 唐勇 | Solid-liquid separating abdominoscope cavity tissue extraction bag |
CN104274215A (en) * | 2014-10-16 | 2015-01-14 | 唐勇 | Solid-liquid separation type laparoscopic fetching bag |
CN204468227U (en) * | 2015-02-06 | 2015-07-15 | 周贻静 | The abdominoscope cavity tissue extraction bag conveniently picked and placeed |
CN205964135U (en) * | 2016-05-19 | 2017-02-22 | 武汉百格资产管理有限公司 | Peritoneoscope fetching bag |
CN209629788U (en) * | 2018-12-29 | 2019-11-15 | 史阳 | A kind of device for fetching out sample under abdominoscope |
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