CN109512476A - Pulling device in a kind of art of early gastrointestinal carcinoma disease - Google Patents
Pulling device in a kind of art of early gastrointestinal carcinoma disease Download PDFInfo
- Publication number
- CN109512476A CN109512476A CN201811566594.7A CN201811566594A CN109512476A CN 109512476 A CN109512476 A CN 109512476A CN 201811566594 A CN201811566594 A CN 201811566594A CN 109512476 A CN109512476 A CN 109512476A
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- Prior art keywords
- pipe
- anchoring
- clamp
- art
- anchoring pipe
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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
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/0218—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
Abstract
The present invention discloses pulling device in a kind of art of early gastrointestinal carcinoma disease, including drawing pipe, anchoring pipe, and the arrival end of the drawing pipe is connected to negative pressure device with the arrival end of anchoring pipe;The anchoring pipe outlet end outer wall is connected guide ring, and anchoring pipe outlet end outer wall is uniformly arranged in the circumferential direction multiple clamp a, the sliding recess of setting bar shaped in the middle part of the anchoring pipe outer wall;The drawing pipe outlet end passes through the guide ring, drawing pipe outlet end outer wall is uniformly arranged in the circumferential direction multiple clamp b, setting protrusion in the middle part of the drawing pipe, the protrusion is adapted to the sliding recess, the drawing pipe is slidably connected with the anchoring pipe, and driving device b is arranged in the anchoring pipe tail portion.The present invention can change clamp impetus with procedure, so that pathological tissues is remained the state parallel with operation excision direction, reduce the usage quantity of titanium folder;It is not easy to fall off in drawing simultaneously, even if falling off causes drawing to fail, can also pull repeatedly.
Description
Technical field
The present invention relates to pulling devices in medical instruments field more particularly to a kind of art of early gastrointestinal carcinoma disease.
Background technique
Cancer is a kind of malignant tumour from human epithelia, when developing to middle and advanced stage, it may occur that locally or systemically
Transfer, last threat to life.As patient care realizes enhancing and the development of digestive endoscopy technology, partial digestive tract hollow organ
Cancer, such as the cancer of the esophagus, gastric cancer, colon cancer can be found in early stage by physical examination or special endoscopic technic, if canceration
Still be confined in alimentary canal epithelial tissue, though or break through epithelial tissue to invade alimentary canal tube wall still not deep, then can pass through digestion
Scope carries out removing excision, and this minimal invasive techniques damage patient small, is not required to out abdomen, opens chest excision lesion and reach clinic and control
More effect.It is the standard technique of current treatment alimentary canal morning cancer.
There are two the difficult points of this endoscope minimally invasive operation: first is that maintaining good surgical field of view.If in resection, lesion
Positioned at the front in the visual field, i.e., relationship perpendicular with the excision direction of scalpel when, then be difficult to cut off.Two are to maintain excision lesion
The tension of tissue.Since the cancerous tissue of lesion is relatively soft, if pathological tissues cannot be tightened up exceptionally straight when excision, it is difficult to separate
Excision.In order to solve the two difficult points, currently used method has titanium to press from both sides bracing wire technology, magnetic bead gravity traction technology, and titanium presss from both sides rubber
Cushion rubber pulls technology and snare drawing technology etc., and the principle of these technologies is all by one piece or several pieces of titanium clamp pincers interlinear notes lesions
Edge is pulled by suture, rubber ring or gravity etc., and the excision direction that pathological tissues can be pulled to and be performed the operation is put down
Capable state, while exceptionally straight pathological tissues are tensed, to achieve the purpose that quickly to cut off.But common drawback existing for these technologies
There are two: first is that titanium presss from both sides after clamp pathological tissues, the pathological tissues that clamp impetus can not be moved again, and be pulled, with
After procedure constantly cut off, removed residual tissue may be no longer not parallel with the excision direction of scalpel, so that it may
Repeated multiple times can press from both sides pathological tissues using titanium clamp pincers, and excessive titanium folder may stop surgical field of view, especially space compared with
Narrow oesophagus and colon, it is easier to influence procedure and effect.Second is that pathological tissues are relatively soft, titanium presss from both sides possible clamp not
Tightly or in art persistently drawing or pulling force are excessive, cause titanium folder to fall off and drawing is caused to fail, to influence procedure and effect
Fruit.
Summary of the invention
The present invention is intended to provide pulling device in a kind of art of early gastrointestinal carcinoma disease, can change clamp with procedure
Impetus makes pathological tissues remain the state parallel with operation excision direction, reduces the usage quantity of titanium folder;It pulls simultaneously
In it is not easy to fall off, even if fall off cause drawing fail, can also pull repeatedly.
In order to achieve the above objectives, realization that the present invention adopts the following technical solutions:
The present invention discloses pulling device in a kind of art of early gastrointestinal carcinoma disease, including drawing pipe, anchoring pipe, the drawing
The arrival end of pipe is connected to negative pressure device with the arrival end of anchoring pipe;The anchoring pipe outlet end outer wall is connected guide ring, described
Anchoring pipe outlet end outer wall is uniformly arranged in the circumferential direction multiple clamp a, setting sliding recess, the cunning in the middle part of the anchoring pipe outer wall
Dynamic recess is the bar shaped for being parallel to the anchoring pipe axial direction, and driving device a, the driving device a is arranged in the anchoring pipe tail portion
Be sequentially connected the clamp a;The drawing pipe outlet end passes through the guide ring, and drawing pipe outlet end outer wall is circumferentially equal
The multiple clamp b of even setting, setting protrusion in the middle part of the drawing pipe, the protrusion are adapted to the sliding recess, the drawing manage and
The anchoring pipe is slidably connected, and driving device b, the driving device b transmission connection clamp is arranged in the anchoring pipe tail portion
b。
Preferably, the protrusion is bar shaped, slides recess described in the projection length <.
Preferably, the sliding recess is rectangular channel.
Preferably, the sliding recess is dovetail groove.
Preferably, the suction tube and the drawing tube head are the diminishing suction nozzle of size.
Preferably, the clamp a altogether there are two, the clamp b altogether there are two.
Preferably, the negative pressure device is rotary-piston type vacuum suction machine.
Beneficial effects of the present invention:
1, the present invention can change clamp impetus with procedure, so that pathological tissues is remained and is performed the operation and cut off direction
Parallel state reduces the usage quantity of titanium folder.
2, not easy to fall off in present invention drawing, even if falling off causes drawing to fail, can also pull repeatedly.
Detailed description of the invention
Fig. 1 is main view of the invention;
Fig. 2 is left view of the invention;
Fig. 3 is top view of the invention;
Fig. 4 is the cross-sectional view in the direction A of embodiment one in Fig. 1;
Fig. 5 is the cross-sectional view in the direction A of embodiment two in Fig. 1.
In figure: 101- is anchored pipe, 102- clamp a, 103- guide ring, 104- slide recess, 201- suction tube, 202- clamp
B, 203- protrusion.
Specific embodiment
In order to make the objectives, technical solutions, and advantages of the present invention clearer, below in conjunction with attached drawing, to the present invention into
Row is further described.
As shown in Figs 1-4, embodiment one includes drawing pipe, anchoring pipe 101, the arrival end and anchoring pipe of the drawing pipe
101 arrival end is connected to negative pressure device;The 101 outlet end outer wall of anchoring pipe is connected guide ring 103, the anchoring pipe 101
Outlet end outer wall is uniformly arranged in the circumferential direction multiple clamp a102, setting sliding recess 104, institute in the middle part of 101 outer wall of anchoring pipe
Stating sliding recess 104 is to be parallel to the axial bar shaped of the anchoring pipe 101, and driving device a is arranged in 101 tail portion of anchoring pipe,
The driving device a transmission connection clamp a102;The drawing pipe outlet end passes through the guide ring 103, the drawing
Pipe outlet end outer wall is uniformly arranged in the circumferential direction multiple clamp b202, setting protrusion 203, described raised 203 in the middle part of the drawing pipe
It is adapted to the sliding recess 104, the drawing pipe is slidably connected with the anchoring pipe 101, and 101 tail portion of the anchoring pipe setting is driven
Dynamic device b, the driving device b transmission connection clamp b202, described raised 203 be bar shaped, the raised 203 length <
The sliding recess 104, the sliding recess 104 is rectangular channel, and the suction tube 201 and the drawing tube head are size
Diminishing suction nozzle, the clamp a102 altogether there are two, the clamp b202 altogether there are two, the negative pressure device be rotation live
Plug vacuum suction machine.
As shown in Fig. 1-3 and Fig. 4, the difference of embodiment two and embodiment one is that the sliding recess 104 is dovetail groove.
In actual use, it when scope removing operation, which proceeds to, to be needed using pulling device, is sent by gastroscope movable detecting hole
Foreign body forceps, foreign body forceps clamp the head of anchoring pipe 101 in vitro, while open the clamp a102 for being anchored 101 head of pipe, when different
When object pincers reach anchor point, external negative pressure device persistently attracts, by the gastral tube wall tissue sucking anchoring pipe 101 of anchor point
Head, foreign body forceps unclamp, and the clamp a102 closure on anchoring 101 head of pipe, pincers clamp tube wall tissue.It is external to continue vacuum suction,
The double effects of clamp and negative-pressure adsorption can then be played to the tube wall tissue of anchor point, when drawing is not easy to fall off.
After anchoring pipe 101 is fixed, then the negative pressure suction head for pulling pipe front end is clamped with foreign body forceps, while making clamp b202
It opens, fixes anchoring pipe 101 in vitro, foreign body forceps are mobile with gastroscope, and drawing is managed in orbit, by guide ring 103, with foreign matter
Pincers reach at the pathological tissues for needing clamp, and external negative pressure device persistently attracts, and pathological tissues are sucked to the head of drawing pipe, instead
Negative pressure device persistently attracts to outside moving body, by gastral tube wall tissue sucking anchoring 101 head end of pipe of anchor point, foreign matter
Pincers unclamp, and clamp a102 closure, pincers clamp tube wall tissue.It is external to continue vacuum suction, then the tube wall tissue of anchor point can be risen
To the double effects of clamp and negative-pressure adsorption, when drawing, is not easy to fall off.
Certainly, the present invention can also have other various embodiments, without deviating from the spirit and substance of the present invention, ripe
Various corresponding changes and modifications, but these corresponding changes and modifications can be made according to the present invention by knowing those skilled in the art
All it should fall within the scope of protection of the appended claims of the present invention.
Claims (7)
1. pulling device in a kind of art of early gastrointestinal carcinoma disease, it is characterised in that: described including drawing pipe, anchoring pipe (101)
The arrival end for pulling pipe is connected to negative pressure device with the arrival end of anchoring pipe (101);
Described anchoring pipe (101) outlet end outer wall is connected guide ring (103), and anchoring pipe (101) outlet end outer wall is circumferentially
It is uniformly arranged multiple clamp a (102), setting sliding recess (104) in the middle part of described anchoring pipe (101) outer wall, the sliding recess
It (104) is the bar shaped for being parallel to described anchoring pipe (101) axial direction, driving device a is arranged in the anchoring pipe (101) tail portion, described
The driving device a transmission connection clamp a (102);
The drawing pipe outlet end passes through the guide ring (103), and drawing pipe outlet end outer wall is uniformly arranged in the circumferential direction more
A clamp b (202), the drawing pipe middle part are arranged raised (203), and the protrusion (203) is adapted to the sliding and is recessed (104),
The drawing pipe is slidably connected with anchoring pipe (101), and driving device b, the driving is arranged in the anchoring pipe (101) tail portion
The device b transmission connection clamp b (202).
2. pulling device in the art of early gastrointestinal carcinoma disease according to claim 1, it is characterised in that: the protrusion
It (203) is bar shaped, sliding recess (104) described in described protrusion (203) length <.
3. pulling device in the art of early gastrointestinal carcinoma disease according to claim 1 or 2, it is characterised in that: the sliding
It is recessed (104) as dovetail groove.
4. pulling device in the art of early gastrointestinal carcinoma disease according to claim 1 or 2, it is characterised in that: the sliding
It is recessed (104) as rectangular channel.
5. pulling device in the art of early gastrointestinal carcinoma disease according to claim 1, it is characterised in that: the suction tube
(201) and the drawing tube head is the diminishing suction nozzle of size.
6. pulling device in the art of early gastrointestinal carcinoma disease according to claim 1, it is characterised in that: the clamp a
(102) altogether there are two, the clamp b (202) altogether there are two.
7. pulling device in the art of early gastrointestinal carcinoma disease according to claim 1, it is characterised in that: the negative pressure device
For rotary-piston type vacuum suction machine.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201811566594.7A CN109512476B (en) | 2018-12-19 | 2018-12-19 | Intraoperative traction device for early cancers of digestive tract |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201811566594.7A CN109512476B (en) | 2018-12-19 | 2018-12-19 | Intraoperative traction device for early cancers of digestive tract |
Publications (2)
Publication Number | Publication Date |
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CN109512476A true CN109512476A (en) | 2019-03-26 |
CN109512476B CN109512476B (en) | 2020-08-28 |
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CN201811566594.7A Active CN109512476B (en) | 2018-12-19 | 2018-12-19 | Intraoperative traction device for early cancers of digestive tract |
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Citations (9)
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US20050038442A1 (en) * | 2003-08-15 | 2005-02-17 | Finsbury (Development) Limited | Apparatus, operating means and process |
US20060069304A1 (en) * | 2004-09-24 | 2006-03-30 | Olympus Corporation | Endoscopic treatment instrument, endoscopic treatment system and supporting adaptor |
CN100345519C (en) * | 2002-09-19 | 2007-10-31 | 华沙整形外科股份有限公司 | Oval dilator and retractor set and method |
CN101347323A (en) * | 2007-07-16 | 2009-01-21 | 伊西康内外科公司 | Surgical methods and devices with movement assistance |
WO2009120861A2 (en) * | 2008-03-26 | 2009-10-01 | Depuy Spine, Inc. | Instruments for expandable corpectomy spinal fusion cage |
CN202619728U (en) * | 2012-03-09 | 2012-12-26 | 李勇 | Surgical combined operation wire retractor |
CN105411519A (en) * | 2015-12-21 | 2016-03-23 | 张为 | Movable transforaminal endoscope system |
CN205391141U (en) * | 2016-03-03 | 2016-07-27 | 赵堃 | Tumor stripper |
CN107995856A (en) * | 2015-02-14 | 2018-05-04 | 波士顿科学希梅德公司 | System for Minimally Invasive Surgery gastro-intestinal therapeutic |
-
2018
- 2018-12-19 CN CN201811566594.7A patent/CN109512476B/en active Active
Patent Citations (9)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN100345519C (en) * | 2002-09-19 | 2007-10-31 | 华沙整形外科股份有限公司 | Oval dilator and retractor set and method |
US20050038442A1 (en) * | 2003-08-15 | 2005-02-17 | Finsbury (Development) Limited | Apparatus, operating means and process |
US20060069304A1 (en) * | 2004-09-24 | 2006-03-30 | Olympus Corporation | Endoscopic treatment instrument, endoscopic treatment system and supporting adaptor |
CN101347323A (en) * | 2007-07-16 | 2009-01-21 | 伊西康内外科公司 | Surgical methods and devices with movement assistance |
WO2009120861A2 (en) * | 2008-03-26 | 2009-10-01 | Depuy Spine, Inc. | Instruments for expandable corpectomy spinal fusion cage |
CN202619728U (en) * | 2012-03-09 | 2012-12-26 | 李勇 | Surgical combined operation wire retractor |
CN107995856A (en) * | 2015-02-14 | 2018-05-04 | 波士顿科学希梅德公司 | System for Minimally Invasive Surgery gastro-intestinal therapeutic |
CN105411519A (en) * | 2015-12-21 | 2016-03-23 | 张为 | Movable transforaminal endoscope system |
CN205391141U (en) * | 2016-03-03 | 2016-07-27 | 赵堃 | Tumor stripper |
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CN109512476B (en) | 2020-08-28 |
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