CN109528318A - Intraoperative positioning device for early cancers of digestive tract - Google Patents
Intraoperative positioning device for early cancers of digestive tract Download PDFInfo
- Publication number
- CN109528318A CN109528318A CN201811556594.9A CN201811556594A CN109528318A CN 109528318 A CN109528318 A CN 109528318A CN 201811556594 A CN201811556594 A CN 201811556594A CN 109528318 A CN109528318 A CN 109528318A
- Authority
- CN
- China
- Prior art keywords
- positioning region
- syringe needle
- location portion
- labelling apparatus
- tail portion
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
- 206010028980 Neoplasm Diseases 0.000 title abstract description 5
- 210000001035 gastrointestinal tract Anatomy 0.000 title abstract description 3
- 239000011248 coating agent Substances 0.000 claims abstract description 4
- 238000000576 coating method Methods 0.000 claims abstract description 4
- 238000002372 labelling Methods 0.000 claims description 23
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 claims description 12
- 201000003741 Gastrointestinal carcinoma Diseases 0.000 claims description 11
- 208000018554 digestive system carcinoma Diseases 0.000 claims description 11
- 206010058109 Hangnail Diseases 0.000 claims description 10
- 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 claims description 9
- 230000015556 catabolic process Effects 0.000 claims description 4
- 238000006731 degradation reaction Methods 0.000 claims description 4
- 239000000463 material Substances 0.000 claims description 4
- 239000013013 elastic material Substances 0.000 claims description 3
- 238000010422 painting Methods 0.000 claims description 3
- 239000007788 liquid Substances 0.000 abstract description 5
- 238000000034 method Methods 0.000 abstract description 5
- 230000000694 effects Effects 0.000 abstract description 4
- 238000010030 laminating Methods 0.000 abstract 1
- 231100000915 pathological change Toxicity 0.000 abstract 1
- 230000036285 pathological change Effects 0.000 abstract 1
- 210000001519 tissue Anatomy 0.000 description 17
- 230000003902 lesion Effects 0.000 description 13
- 210000004876 tela submucosa Anatomy 0.000 description 10
- 239000004677 Nylon Substances 0.000 description 4
- 239000002184 metal Substances 0.000 description 4
- 229920001778 nylon Polymers 0.000 description 4
- 201000011510 cancer Diseases 0.000 description 3
- 238000002679 ablation Methods 0.000 description 2
- 238000002347 injection Methods 0.000 description 2
- 239000007924 injection Substances 0.000 description 2
- 230000033001 locomotion Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 238000002271 resection Methods 0.000 description 2
- 239000000243 solution Substances 0.000 description 2
- 208000017897 Carcinoma of esophagus Diseases 0.000 description 1
- 206010009944 Colon cancer Diseases 0.000 description 1
- 208000000461 Esophageal Neoplasms Diseases 0.000 description 1
- 208000031481 Pathologic Constriction Diseases 0.000 description 1
- 208000005718 Stomach Neoplasms Diseases 0.000 description 1
- 210000000436 anus Anatomy 0.000 description 1
- 238000013475 authorization Methods 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 208000029742 colonic neoplasm Diseases 0.000 description 1
- 239000003086 colorant Substances 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 238000003745 diagnosis Methods 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 230000001079 digestive effect Effects 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
- 238000002674 endoscopic surgery Methods 0.000 description 1
- 238000001839 endoscopy Methods 0.000 description 1
- 230000002708 enhancing effect Effects 0.000 description 1
- 210000000981 epithelium Anatomy 0.000 description 1
- 239000000284 extract Substances 0.000 description 1
- 206010017758 gastric cancer Diseases 0.000 description 1
- 210000004276 hyalin Anatomy 0.000 description 1
- -1 inlet tube Chemical compound 0.000 description 1
- 230000009545 invasion Effects 0.000 description 1
- 238000009940 knitting Methods 0.000 description 1
- 238000002357 laparoscopic surgery Methods 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 239000003550 marker Substances 0.000 description 1
- 210000004400 mucous membrane Anatomy 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 230000001575 pathological effect Effects 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 230000036262 stenosis Effects 0.000 description 1
- 208000037804 stenosis Diseases 0.000 description 1
- 201000011549 stomach cancer Diseases 0.000 description 1
- 239000000126 substance Substances 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 208000037816 tissue injury Diseases 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, 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
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, 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
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/3904—Markers, e.g. radio-opaque or breast lesions markers specially adapted for marking specified tissue
- A61B2090/3908—Soft tissue, e.g. breast tissue
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, 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
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/3933—Liquid markers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, 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
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/3937—Visible markers
- A61B2090/395—Visible markers with marking agent for marking skin or other tissue
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, 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
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/3983—Reference marker arrangements for use with image guided surgery
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Pathology (AREA)
- Oral & Maxillofacial 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)
Abstract
The invention discloses an intraoperative positioning device for early cancers of the digestive tract, which comprises a positioning part and a base; the base comprises a liquid inlet pipe and a needle head, the outlet end of the liquid inlet pipe is communicated with the inlet end of the needle head, and the inlet end of the liquid inlet pipe is detachably connected with a syringe; the utility model discloses a location portion, including location portion, syringe needle, location portion afterbody, location portion head is sharp end, location portion afterbody periphery sets up a plurality of barbs, location portion afterbody suit is in the syringe needle exit end, the laminating of location portion afterbody inner wall the syringe needle outer wall, location portion tail end links firmly marking device, marking device is the spring form, marking device, syringe needle, the coaxial setting of location portion, the marking device surface scribbles coating. The invention has simple structure and simple use method, can define the boundary line of pathological changes and normal tissues in the blind cavity and achieves the effect of accurate excision.
Description
Technical field
The present invention relates to medical instruments field more particularly to a kind of Intraoperative position devices of early gastrointestinal carcinoma disease.
Background technique
With patient care realize enhancing and digestive endoscopy technology development, the cancer of partial digestive tract hollow organ, such as
The cancer of the esophagus, gastric cancer, colon cancer etc. can be made a definite diagnosis, at this moment cancer when canceration is still confined in alimentary canal epithelial tissue by scope
It is still not deep to become tissue invasion alimentary canal tube wall, does not invade the muscularis propria of alimentary canal tube wall still, scope carry out office can be passed through
Portion's removing treatment.
The basic skills of this removing treatment is first with mucous membrane of the endoscopic injection needle between cancerous issue and muscularis propria
Liquid injects in lower layer, after submucosa protuberance cancerous issue and muscularis propria can separate, then cut off cancer by endoscopic surgery knife
Become the entire submucosa under tissue, until cancerous issue and muscularis propria separate, operation just terminates.
Stripping means is the textura epidermoidea at first partial cut cancerous issue and normal tissue line of demarcation, at line of demarcation
Submucosa, then gradually enter the submucosa between cancerous issue and muscularis propria from submucosa, formed one it is potential
Blind chamber (medically be referred to as pocket technology), this method surgical field of view is good, it is not easy to damage muscularis propria and perforate.It lacks
Point is to cause cancerous issue excision not enough to be formed residual in the blind intracavitary line of demarcation that can not be accurately positioned cancerous issue and normal tissue
It stays or normal tissue excision is excessive, cause luminal stenosis or normal tissue injury excessive.
In the prior art, having Authorization Notice No. is CN2607958Y, entitled laparoscopic surgery localised puncture trochar
Utility model disclose the puncture needle casing equipped with needle core, be through-hole in needle core, the medical nylon wire with metal hook is logical from this
It is passed through in hole, one end of above-mentioned needle core is equipped with positioning protrusion, the locating slot of the positioning protrusion and above-mentioned puncture needle casing one end
It cooperates.The utility model needs for puncture cannula to be needled into lesion, and rotation pushes needle core to exit metal hook and nylon wire
After puncturing town casing, extracts puncture needle casing and needle core, metal hook stay in intralesional.The utility model metal hook is placed more numb
It is tired, and going deep into alimentary canal cannot achieve, and be marked by nylon wire, since early gastrointestinal carcinoma disease is to pass through note
Water forms blind chamber, the relative motion between meeting band is organized, the risk that nylon wire has displacement, loosens.
Summary of the invention
The present invention is intended to provide a kind of Intraoperative position device of early gastrointestinal carcinoma disease, structure is simple, and application method is simple,
The effect of precise ablation can be reached in the blind intracavitary line of demarcation for defining lesion and normal tissue.
In order to achieve the above objectives, realization that the present invention adopts the following technical solutions:
The present invention discloses a kind of Intraoperative position device of early gastrointestinal carcinoma disease, including positioning region and pedestal；The pedestal
Including inlet tube, syringe needle, the outlet of inlet pipe is connected to the syringe needle arrival end, and the inlet tube arrival end removably connects
Connect syringe；The positioning region head is sharp end, and multiple hangnails, the positioning region tail portion is arranged in positioning region tail portion periphery
It is sleeved on the Needle outlet end, positioning region tail portion inner wall is bonded the syringe needle outer wall, and the positioning region tail end, which is connected, to be marked
Remember that device, the labelling apparatus are spring like, the labelling apparatus, syringe needle, positioning region coaxial arrangement, the labelling apparatus appearance
Face is coated with coating.
Preferably, the positioning region tail portion is coaxially disposed stability column, and the pinhead sleeve is on stability column, in the syringe needle
Surface is bonded the stable outer surface of column.
Preferably, hangnail quantity >=2, multiple hangnails are circumferentially uniformly arranged along the positioning region tail portion.
Preferably, painting color type >=3 kind.
Preferably, the labelling apparatus is elastic material.
Preferably, the positioning region and the labelling apparatus are degradation material.
Beneficial effects of the present invention:
1, the configuration of the present invention is simple, convenient for manufacture, it is easy to use.
2, the present invention can reach the effect of precise ablation in the blind intracavitary line of demarcation for defining lesion and normal tissue.
3, the present invention uses spring like labelling apparatus, is that can be adapted to multilayer tissue's separation in the formation of blind chamber, in multilayer group
It is not easy to slip when knitting relative motion after separating.
4, labelling apparatus of the present invention is sprayed using multiple color, during operation convenient for distinguishing surgery location, reduces artificial lose
Accidentally.
5, labelling apparatus of the present invention uses degradation material, eliminates the risk that foreign matter after performing the operation remains in inside of human body.
Detailed description of the invention
Fig. 1 is the cross-sectional view of the embodiment of the present invention one；
Fig. 2 is the cross-sectional view of the embodiment of the present invention two；
Fig. 3 is schematic diagram of the invention.
In figure: the positioning region 1-, the positioning region 101- head, the positioning region 102- tail portion, 103- hangnail, 104- labelling apparatus,
105- stability column, 2- pedestal, 201- inlet tube, 202- syringe needle.
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 Figure 1, Figure 3, embodiment one includes positioning region 1 and pedestal 2；The pedestal 2 includes inlet tube 201, syringe needle
202,201 outlet end of inlet tube is connected to 202 arrival end of syringe needle, and 201 arrival end of inlet tube removably connects
Syringe；The positioning region head 101 is sharp end, and multiple hangnails 103 are arranged in 102 periphery of positioning region tail portion, described fixed
Position portion tail portion 102 is sleeved on 202 outlet end of syringe needle, and 102 inner wall of positioning region tail portion is bonded 202 outer wall of syringe needle,
1 tail end of positioning region is connected labelling apparatus 104, and the labelling apparatus 104 is spring like, the labelling apparatus 104, syringe needle
202, positioning region 1 is coaxially disposed, and 104 outer surface of labelling apparatus is coated with coating, 103 quantity >=2 of hangnail, Duo Gesuo
It states hangnail 103 to be circumferentially uniformly arranged along the positioning region tail portion 102, painting color type >=3 kind, the labelling apparatus
104 be elastic material, and the positioning region 1 and the labelling apparatus 104 are degradation material.
As shown in Figure 2 and Figure 3, the difference of embodiment two and embodiment one is that the positioning region tail portion 102 is coaxially disposed surely
Fixed column 105, the syringe needle 202 are sleeved on stability column 105, and 202 inner surface of syringe needle is bonded 105 appearance of stability column
Face.
In actual use, on the base 2 by the suit of positioning region 1, the present invention is maintained in the hyaline cap of scope head end, it is interior
Mirror enters in human body alimentary canal, reaches lesion edge, and positioning region 1 is pierced into the submucosa of lesion edge, syringe push-in
Liquid, positioning region 1 are detached from from pedestal 2 and stay in submucosa, and 104 tail portion of labelling apparatus stays in alimentary canal lumen, repeatedly weight
Multiple above procedure, is marked lesion, the labelling apparatus 104 of different colours is used in the different position of lesion, when removing hand
After art cuts off submucosa central below lesion, when being cut off to the boundary of lesion and normal tissue, it can be appreciated that injection is viscous
The positioning region 1 of film lower layer and colour-coded device 104, cut off the submucosa near locator, and retroactive notation device 104 enters
The piercing point of submucosa, as lesion and normal tissue are in blind intracavitary line of demarcation.At this moment operation can be terminated, be not required to again to
The excessive normal tissue of lateral resection only need to gradually cut the top layer of blind chamber along the outside of labelling apparatus 104, so that it may will entire disease
Become tissue finally to cut off, that is, can reach the entire pathological tissues of complete resection, and the effect of few excision normal tissue.Coloured silk can be used
Color marker device 104 can mark the orientation of lesion and normal tissue boundary: such as use in the left side that lesion and normal tissue are demarcated
Red, anus side use yellow, and right side uses blue, so that it may in the blind intracavitary orientation for defining lesion and normal tissue.
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 (6)
1. a kind of Intraoperative position device of early gastrointestinal carcinoma disease, it is characterised in that: including positioning region (1) and pedestal (2)；
The pedestal (2) includes inlet tube (201), syringe needle (202), and inlet tube (201) outlet end is connected to the syringe needle
(202) arrival end, inlet tube (201) arrival end removably connect syringe；
The positioning region head (101) is sharp end, and multiple hangnails (103) are arranged in positioning region tail portion (102) periphery, described
Positioning region tail portion (102) is sleeved on the syringe needle (202) outlet end, and positioning region tail portion (102) inner wall is bonded the syringe needle
(202) outer wall, positioning region (1) tail end are connected labelling apparatus (104), and the labelling apparatus (104) is spring like, the mark
Remember device (104), syringe needle (202), positioning region (1) coaxial arrangement, labelling apparatus (104) outer surface is coated with coating.
2. the Intraoperative position device of early gastrointestinal carcinoma disease according to claim 1, it is characterised in that: the positioning region tail
Portion (102) is coaxially disposed stability column (105), and the syringe needle (202) is sleeved on stability column (105), the interior table of the syringe needle (202)
Face paste closes stability column (105) outer surface.
3. the Intraoperative position device of early gastrointestinal carcinoma disease according to claim 1, it is characterised in that: the hangnail
(103) quantity >=2, multiple hangnails (103) are circumferentially uniformly arranged along the positioning region tail portion (102).
4. the Intraoperative position device of early gastrointestinal carcinoma disease according to claim 1, it is characterised in that: the painting color
Type >=3 kind.
5. the Intraoperative position device of early gastrointestinal carcinoma disease according to any one of claims 1-4, it is characterised in that: described
Labelling apparatus (104) is elastic material.
6. the Intraoperative position device of early gastrointestinal carcinoma disease according to any one of claims 1-4, it is characterised in that: described
Positioning region (1) and the labelling apparatus (104) are degradation material.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811556594.9A CN109528318A (en) | 2018-12-19 | 2018-12-19 | Intraoperative positioning device for early cancers of digestive tract |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811556594.9A CN109528318A (en) | 2018-12-19 | 2018-12-19 | Intraoperative positioning device for early cancers of digestive tract |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN109528318A true CN109528318A (en) | 2019-03-29 |
Family
ID=65855561
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201811556594.9A Pending CN109528318A (en) | 2018-12-19 | 2018-12-19 | Intraoperative positioning device for early cancers of digestive tract |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN109528318A (en) |
Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2246013Y (en) * | 1996-04-09 | 1997-01-29 | 协同制造厂有限公司 | Toy dartlike weapon and toy gun for shooting the same |
| US20150265769A1 (en) * | 2012-09-06 | 2015-09-24 | Norwegian University Of Science And Technology (Ntnu) | Intervention device |
| CN105011989A (en) * | 2015-08-14 | 2015-11-04 | 宁波胜杰康生物科技有限公司 | Novel lung tumor locating needle |
| CN205072976U (en) * | 2015-07-17 | 2016-03-09 | 高齐微 | Anesthetic needle, pjncture needle, pilot pin three in one piercing depth |
| CN106714665A (en) * | 2014-07-01 | 2017-05-24 | 注射感知股份有限公司 | Methods and devices for implantation of intraocular pressure sensors |
| CN207532427U (en) * | 2017-04-01 | 2018-06-26 | 战跃福 | A kind of lower spring ring positioning unit of preoperative CT guiding for Lung neoplasm Minimally Invasive Surgery |
-
2018
- 2018-12-19 CN CN201811556594.9A patent/CN109528318A/en active Pending
Patent Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2246013Y (en) * | 1996-04-09 | 1997-01-29 | 协同制造厂有限公司 | Toy dartlike weapon and toy gun for shooting the same |
| US20150265769A1 (en) * | 2012-09-06 | 2015-09-24 | Norwegian University Of Science And Technology (Ntnu) | Intervention device |
| CN106714665A (en) * | 2014-07-01 | 2017-05-24 | 注射感知股份有限公司 | Methods and devices for implantation of intraocular pressure sensors |
| CN205072976U (en) * | 2015-07-17 | 2016-03-09 | 高齐微 | Anesthetic needle, pjncture needle, pilot pin three in one piercing depth |
| CN105011989A (en) * | 2015-08-14 | 2015-11-04 | 宁波胜杰康生物科技有限公司 | Novel lung tumor locating needle |
| CN207532427U (en) * | 2017-04-01 | 2018-06-26 | 战跃福 | A kind of lower spring ring positioning unit of preoperative CT guiding for Lung neoplasm Minimally Invasive Surgery |
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| PB01 | Publication | ||
| PB01 | Publication | ||
| SE01 | Entry into force of request for substantive examination | ||
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| RJ01 | Rejection of invention patent application after publication | ||
| RJ01 | Rejection of invention patent application after publication |
Application publication date: 20190329 |