CN109700493A - A kind of beading operation blocking traction device - Google Patents

A kind of beading operation blocking traction device Download PDF

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Publication number
CN109700493A
CN109700493A CN201711008589.XA CN201711008589A CN109700493A CN 109700493 A CN109700493 A CN 109700493A CN 201711008589 A CN201711008589 A CN 201711008589A CN 109700493 A CN109700493 A CN 109700493A
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CN
China
Prior art keywords
band
beading
traction device
body portion
round
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
Application number
CN201711008589.XA
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Chinese (zh)
Inventor
黄广建
胡承恩
杜培准
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Huashan Hospital of Fudan University
Original Assignee
Huashan Hospital of Fudan University
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Huashan Hospital of Fudan University filed Critical Huashan Hospital of Fudan University
Priority to CN201711008589.XA priority Critical patent/CN109700493A/en
Publication of CN109700493A publication Critical patent/CN109700493A/en
Pending legal-status Critical Current

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Abstract

The invention belongs to field of medical technology, are related to a kind of beading blocking traction device, which includes band head, band body portion and band tail portion;The band head, band body portion and band tail portion are fixedly connected sequentially;The band head is equipped with adjacent round macropore and aperture, is in calabash shaped, and junction is that shape with a tight waist is narrow;The band body portion is in beading, is connected between a beading with crin.It is used and shows that the present apparatus appears tissue surgical field of view for drawing during endoscope-assistant surgery, the Haemolymphoid of tumour two sides can be blocked, prevent tumour cell from squeezing due to surgical procedure and drawing and causing to send out;The device can be adjusted and pulled at any time on demand by pulling band trailing wire simultaneously, change lead, effectively steadily appear operating field;And can avoid direct clamp drawing tumor tissues, reduce shifting risk for tumour cell;Convenient endoscope-assistant surgery goes on smoothly, shortens operating time.

Description

A kind of beading operation blocking traction device
Technical field
The invention belongs to the field of medical instrument technology, are related to a kind of operation blocking traction device, an especially a kind of beading With traction device is blocked, which can be used for endoscope-assistant surgery for shape operation, be conducive to the visual field in art well appear, operative stabilization operation And help prevent the diffusion transfer of cancer cell;It is complete that the beading blocks traction device to be conducive to simple and fast in endoscope-assistant surgery At the blocking or on-demand traction function of operative region, guarantee that operative stabilization is gone on smoothly, shorten operating time, improves operation effect Fruit.
Background technique
In clinical practice, with being continuously increased for tumor patient, endoscope-assistant surgery using more and more.Practice display, nothing By being endoscope-assistant surgery or abdominal, is directly pulled in surgical procedure and squeeze the transfer expansion that exposure easily causes cancer cell It dissipates, needs to take certain Treatment Around Operative Period means, in favor of preventing the iatrogenic of cancer cell from sending out, e.g., reduction hepatic metastases, The probability of happening of abdominal cavity plantation.Clinical practice also shows, increasing due to abdominal pressure in the endoscope-assistant surgery of malignant tumour, in addition The grasping of surgical instrument involves, and Chang Yi becomes the influence factor for sending out transfer for causing tumour cell, therefore behaves denounce always.
Currently, there is an urgent need to new operation blocking traction device in clinical operation, which can be used for endoscope-assistant surgery mistake It is drawn in journey, fixed important blood vessel bile duct, tissue or organ, exposure operating field;Accordingly can according to the needs of operator, with When change lead and traction dynamics, most preferably appear operating field, more convenient endoscope-assistant surgery is gone on smoothly;It can also be used in Auxiliary operator operation, reduces the dependence to assistant or does not need assistant, and can be shortened operating time, is conducive to endoscope-assistant surgery and stablizes Successfully carry out.
Summary of the invention
The purpose of the present invention is overcoming the deficiencies of existing technologies or insufficient, a kind of new operation is provided with blocking traction dress It sets more particularly to a kind of operation of beading is with traction device is blocked, which can be used for traction, fixed weight during endoscope-assistant surgery Blood vessel bile duct, tissue or the organ wanted, exposure operating field;Lead can be changed at any time according to the needs of operator accordingly And traction dynamics, most preferably appear operating field, more facilitates going on smoothly for endoscope-assistant surgery;It can also be used in auxiliary operator operation, It reduces the dependence to assistant or does not need assistant, and can be shortened operating time, be conducive to endoscope-assistant surgery stabilization and successfully carry out.
Beading operation of the invention with blocking traction device to be used for endoscope-assistant surgery, be conducive to the visual field in art well appear, Operative stabilization operates and helps prevent the diffusion transfer of cancer cell;The beading blocks traction device to be conducive to endoscope-assistant surgery Middle simple and fast completes the blocking or on-demand traction function of operative region, guarantees that operative stabilization is gone on smoothly, and shortens operating time, Improve surgical effect.
Specifically, beading of the invention blocks traction device, which is characterized in that including band head 1, band body portion 2 With band tail portion 3;The band head 1, band body portion 2 and band tail portion 3 are fixedly connected sequentially;
The band head 1 is equipped with adjacent round macropore 4 and aperture 5, is in calabash shaped, and junction is shape narrow 6 with a tight waist;
The band body portion 2 is in beading, is connected between a beading 7 with crin 7;
The thin bead 9 of the tail portion bulging of the band tail portion 3;
In the present invention, it is 200 ~ 800mm that the beading, which blocks the length of traction device, using metal, high molecular material or Synthetic material preparation;
In the present invention, the band head 1 can be round and smooth for round, oval, rectangular, shuttle row, triangle or irregular shape, surface Without corner angle;It is internally provided with two adjacent round macropores 4 and aperture 5, in calabash shaped, junction is shape narrow 6 with a tight waist;It is described Jian Ju≤crin diameter of shape narrow 6 with a tight waist, the diameter≤5mm on the band head 1;
In the present invention, the band body portion 2 and the round and smooth continuity in the band head 1;The band body portion 2 is in beading;Wherein, The beading 7 can be circle, cylinder, ellipse, platypelloid type, rectangle or irregular type, be connected between a beading 7 with crin 8; Diameter < the 5mm in the band body portion 2;
The band body portion 2 can pass freely through in the macropore 4 on the band head 1, i.e. diameter macropores > beading diameter;
The band body portion 2 cannot pass through the aperture 5, i.e. hole diameter <beading width;Due to the hole diameter <beading Diameter, when pushing the band body portion 2 to aperture 5 side, the aperture 5 can block the beading 7 and complete blocking effect;
In the present invention, the beading 7 are connected with crin 8;It is narrow that crin 8 between the beading 7 can draw into or skid off the shape with a tight waist Narrow by 6, distance is more than the thickness on the band head 1 and is enough to block aperture 5 between a beading;
In the present invention, the band tail portion 3 is elongate, can be in round, ellipse, platypelloid type, triangular form or irregular type, with The band body portion 2 is round and smooth to continue integral, the thin bead 9 of tail portion bulging;
The band tail portion 3 can also can move in vitro, the strength and degree of traction can be needed by operation in vivo for drawing It carries out (as shown in Figure 3,4);
In use, clamp the tiny band tail end of device of the present invention with gripper clamp, disposed the trocar of stomach wall into Enter intraperitoneal (can also be used for abdominal), and the band tail portion is guided to enter the tissue for being blocked traction;Such as with stomach neoplasm For, enter paries posterior gastricus across open gastrocolic ligament, drawn from open lesser omentum, bypasses paries anterior gastricus, then draw trocar;Intestinal tube then is bypassed directly through mesocolon avascular area for intestinal tumor, then to draw trocar(as shown in Figure 5); Then, the band tail portion 3 is passed through to the macropore 4 on the band head 1 in vitro, gradually extracts tail portion (as shown in Figure 3) out;Behaviour Author's left hand pulls the band tail portion 3, and the right hand pushes head with nipper or pusher and entered by trocar intraperitoneal, will cover The firmly band of stomach or intestinal tube, is respectively placed in the both ends of tumour, takes out the tight band (as shown in Figure 6), and by the band body portion 1 To push in the aperture 5 on head, crin 8 enters in head aperture 5 from girdling the waist between the automatic slide through holes of macropore 4 between the beading, due to A beading 7 described in tension force effect block aperture 5 and complete to block (as shown in Figure 4);
If fixed position is undesirable need to unclamp adjustment position again, band can be pulled to the macropore direction, the band slides into Macropore can unclamp, and can reselect fixed position, complete to block,
Operator can complete traction to different directions on demand, can also lead on demand in endoscope-assistant surgery when implementing abdominal Draw or lead body is drawn outside, and adjusts the strength (needs with angle according to different times in surgical procedure, to not of traction at any time Equidirectional traction is most preferably appeared with benefit).
Using the result shows that, device of the present invention for draw during endoscope-assistant surgery appear tissue surgical field of view, can The Haemolymphoid for blocking tumour two sides prevents tumour cell from squeezing a kind of blocking for causing to send out due to surgical procedure and drawing Technology;The device can be adjusted and pulled at any time on demand by pulling band trailing wire simultaneously, change lead, it is more preferable, steady Surely appear operating field;And can avoid direct clamp drawing tumor tissues, reduce shifting risk for tumour cell;More convenient chamber Videoendoscopic surgery goes on smoothly, shortens operating time.
The present invention provides a kind of blocking traction devices of endoscope-assistant surgery, are more advantageous to and quickly and easily appear operation It is wild, help to prevent tumour cell sow transfer, have and facilitate operation, shorten operating time, increase operative stabilization, raising hand The advantages of safety of art.
Detailed description of the invention
Fig. 1 is the front schematic view that beading of the invention blocks traction device,
Wherein, 1 be band head, 2 be band body portion, 3 be band tail portion, 4 be macropore, 5 be aperture, 6 be shape with a tight waist it is narrow, 7 It is crin for a beading, 8,9 is bead;
Fig. 2 is the side schematic view that beading of the invention blocks traction device,
Wherein, 1 it is band head, 2 be band body portion, 3 be band tail portion, 7 be a beading, 8 be crin, 9 is bead;
Fig. 3 shows the schematic diagram that beading of the invention blocks band body portion described in traction device to pass through macropore;
Fig. 4 shows that beading of the invention blocks band body portion described in traction device to pull to showing for the fixed completion blocking of aperture It is intended to;
Fig. 5, which is shown, clamps the band tail portion for blocking traction device using nipper, enters abdominal cavity through trocar, around after stomach Wall is laid out from paries anterior gastricus;
Fig. 6, which is shown, takes out the tight blocking traction band in tumour two sides, completes blocking effect;
Fig. 7 shows the needs according to operation, pulls the blocking to different directions and draws band, completes traction and appears effect.
Specific embodiment
Embodiment 1
As shown in Figure 1 and 2, this beading blocks traction device, including band head 1, band body portion 2 and band tail portion 3;It is described Band head 1, band body portion 2 and band tail portion 3 are fixedly connected sequentially;
The band head 1 is equipped with adjacent round macropore 4 and aperture 5, is in calabash shaped, and junction is shape narrow 6 with a tight waist;
The band body portion 2 is in beading, is connected between a beading 7 with crin 7;
The thin bead 9 of the tail portion bulging of the band tail portion 3;
It is 200 ~ 800mm that the beading, which blocks the length of traction device, using metal, high molecular material or synthetic material system It is standby;
The band head 1 can be round, oval, rectangular, shuttle row, triangle or irregular shape, the round and smooth no corner angle in surface;Its Inside is equipped with two adjacent round macropores 4 and aperture 5, is in calabash shaped, and junction is shape narrow 6 with a tight waist;The shape with a tight waist is narrow Narrow 6 Jian Ju≤crin diameter, the diameter≤5mm on the band head 1;
The band body portion 2 and the round and smooth continuity in the band head 1;The band body portion 2 is in beading;Wherein, the beading 7 It can be circle, cylinder, ellipse, platypelloid type, rectangle or irregular type, be connected between a beading 7 with crin 8;The band Diameter < the 5mm in body portion 2;
The band body portion 2 can pass freely through in the macropore 4 on the band head 1, i.e. diameter macropores > beading diameter;
The band body portion 2 cannot pass through the aperture 5, i.e. hole diameter <beading width;Due to the hole diameter <beading Diameter, when pushing the band body portion 2 to aperture 5 side, the aperture 5 can block the beading 7 and complete blocking effect;
The beading 7 are connected with crin 8;Crin 8 between the beading 7 can draw into or skid off the shape with a tight waist narrow 6, between a beading Distance is more than the thickness on the band head 1 and is enough to block aperture 5;
The band tail portion 3 is elongate, can be in round, ellipse, platypelloid type, triangular form or irregular type, with the band Body portion 2 is round and smooth to continue integral, the thin bead 9 of tail portion bulging;
The band tail portion 3 can also can move in vitro, the strength and degree of traction can be needed by operation in vivo for drawing It carries out.
Embodiment 2
For gastric cancer hysteroscope menisectomy: after placement trocar, lesser omentum and omentum majus are opened under hysteroscope, elastic separating plier clamping blocks institute The tail end of band is stated, omentum majus and paries posterior gastricus are passed through, draws trocar from lesser omentum Nang Chu;The band tail portion is from band It is inserted into the aperture of head and gradually takes out tightly, body portion is pulled into head aperture with nipper and is slid into aperture, complete side resistance It is disconnected;The stomach wall and peripheral vessels that the tumour other side is tightened with another band, can prevent due to caused by the harassing and wrecking of surgical procedure Diffusion of the tumour cell through gastral cavity and lymphatic vessel, blood vessel;If omentum majus can be covered in tumour table compared with quantum jump placenta percreta by tumour Behind face, two sides are taken out tightly with band again, and omentum majus is fixed on tumor surface, treatment and prevention of tumour tumour cell is may better secure and falls off Plantation.
Since radical operation for carcinoma of stomach range of operation is wide, need to clean different lymphoid tissue regions, it can be according to operation need It to be drawn to different directions, excellent operating field exposure can be stably and lastingly provided, can greatly facilitate surgical procedure, avoid hand Grasping touching tumour, shortening operating time improve operation safety to art pincers repeatedly.
Embodiment 3
For colon cancer, it can be inserted into the tail portion that the traction blocks band, due to tail in tumour two sides intestinal tube mesentery avascular area The very thin surgical procedure in portion is simple and easy;The band tail portion is around intestinal tube extraction;Tail end is inserted into head clearance and gradually takes out tight; It stomach wall and different directions can draw forward, operating field can be appeared well, liberate the operation pincers of assistant, preferably assistance patient Complete operation.
Above-described embodiment the result shows that, device of the present invention, which can be used for drawing during endoscope-assistant surgery, appears tissue hand The art visual field, the Haemolymphoid that can block tumour two sides prevent tumour cell from being squeezed due to surgical procedure and drawing and being caused to send out A kind of interrupter technique;The device can be adjusted and pulled at any time on demand by pulling band trailing wire simultaneously, change traction side To more preferably, steadily appearing operating field;And can avoid direct clamp drawing tumor tissues, reduce shifting risk for tumour cell; More facilitate going on smoothly, shortening operating time for endoscope-assistant surgery.
The foregoing is merely a specific embodiment of the invention, but scope of protection of the present invention is not limited thereto, any For those familiar with the art in the technical scope that the present invention discloses, any changes or substitutions that can be easily thought of, all answers It is included within the scope of the present invention.Therefore, protection scope of the present invention should be subject to the protection scope in claims.

Claims (10)

1. a kind of beading blocks traction device, which is characterized in that including band head (1), band body portion (2) and band tail portion (3);The band head (1), band body portion (2) and band tail portion (3) are fixedly connected sequentially;
The band head (1) is equipped with adjacent round macropore (4) and aperture (5), is in calabash shaped, and junction is that shape with a tight waist is narrow (6);
The band body portion (2) is in beading, is connected between a beading (7) with crin (7).
2. beading according to claim 1 blocks traction device, which is characterized in that the beading blocks traction device Length be 200 ~ 800mm, using metal, high molecular material or Composite prepare.
3. beading according to claim 1 blocks traction device, which is characterized in that the band head (1) is round, ellipse Round, rectangular, shuttle row, triangle or irregular shape, the round and smooth no corner angle in surface;Diameter≤5mm of the band head (1).
4. beading according to claim 1 blocks traction device, which is characterized in that the diameter of the band body portion (2) < 5mm。
5. beading according to claim 1 blocks traction device, which is characterized in that the band body portion (2) and the beam Headed (1) round and smooth continuity;The band body portion (2) is in beading.
6. beading according to claim 1 blocks traction device, which is characterized in that the spacing of the shape with a tight waist narrow (6) ≤ crin diameter.
7. beading according to claim 1 blocks traction device, which is characterized in that the beading (7) are round, cylinder Shape, ellipse, platypelloid type, rectangle or irregular type.
8. beading according to claim 1 blocks traction device, which is characterized in that the diameter of the macropore (4) is greater than string The diameter of pearl (7).
9. beading according to claim 1 blocks traction device, which is characterized in that the diameter of the aperture (5) is less than string The width of pearl (7).
10. beading according to claim 1 blocks traction device, which is characterized in that the band tail portion (3) is elongated Shape is in round, ellipse, platypelloid type, triangular form or irregular type, tail integral with the round and smooth continuity of the band body portion (2) The thin bead of portion's bulging (9).
CN201711008589.XA 2017-10-25 2017-10-25 A kind of beading operation blocking traction device Pending CN109700493A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201711008589.XA CN109700493A (en) 2017-10-25 2017-10-25 A kind of beading operation blocking traction device

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Application Number Priority Date Filing Date Title
CN201711008589.XA CN109700493A (en) 2017-10-25 2017-10-25 A kind of beading operation blocking traction device

Publications (1)

Publication Number Publication Date
CN109700493A true CN109700493A (en) 2019-05-03

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2738739Y (en) * 2004-10-11 2005-11-09 唐北圣 Disposable medical quick pulse-pressure and tourniquet
WO2010041101A1 (en) * 2008-10-10 2010-04-15 Universita Degli Studi Di Padova Haemostatic device for surgical procedures and emergencies
CN202173424U (en) * 2011-08-02 2012-03-28 中国人民解放军第三军医大学第一附属医院 Esophagojejunostomy ligating band
CN204655002U (en) * 2015-05-08 2015-09-23 厦门大学附属中山医院 Laparoscopic surgery specimen band
CN204707613U (en) * 2015-05-21 2015-10-21 河北农业大学 Fruit tree bundle branch device

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2738739Y (en) * 2004-10-11 2005-11-09 唐北圣 Disposable medical quick pulse-pressure and tourniquet
WO2010041101A1 (en) * 2008-10-10 2010-04-15 Universita Degli Studi Di Padova Haemostatic device for surgical procedures and emergencies
CN202173424U (en) * 2011-08-02 2012-03-28 中国人民解放军第三军医大学第一附属医院 Esophagojejunostomy ligating band
CN204655002U (en) * 2015-05-08 2015-09-23 厦门大学附属中山医院 Laparoscopic surgery specimen band
CN204707613U (en) * 2015-05-21 2015-10-21 河北农业大学 Fruit tree bundle branch device

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Application publication date: 20190503