CN109793560A - A kind of uterus canceration vaginal canal ring cutting device - Google Patents
A kind of uterus canceration vaginal canal ring cutting device Download PDFInfo
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- CN109793560A CN109793560A CN201910161054.9A CN201910161054A CN109793560A CN 109793560 A CN109793560 A CN 109793560A CN 201910161054 A CN201910161054 A CN 201910161054A CN 109793560 A CN109793560 A CN 109793560A
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- vaginal canal
- bandage
- blade structure
- cutting
- central siphon
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Abstract
The invention discloses a kind of uterus canceration vaginal canal ring cutting devices, belong to medical apparatus technical field, are specifically made of bandage, expansion fastening unit, central siphon and cutter unit；On the one hand, technical solution provided by the present application will be fixed on central siphon to detachment part before vaginal canal cutting, facilitate direct pull by central siphon after the completion of cutting to remove, be different from addition way that tradition is put into clamp drawing, art formula links up；On the other hand, it is put forward for the first time intravaginal rings butt formula, vagina pipe outer wall is around in as cutting chopping block using bandage circle, realizes a possibility that carrying out ring cutting from vagina tube cavity；Furthermore, during ring cutting, in view of vaginal canal follows blade structure sliding phenomenon occur in cutting process, in addition vagina pipe thickness unevenness influences subsequent cutting one after another, the application adds presser foot in blade structure, for the local compaction vagina tube wall in cutting, while Pingyin road tube wall is smoothed out with the fingers, it is made sliding phenomenon do not occur.
Description
Technical field
The present invention relates to medical apparatus technical fields, more particularly, to what is carried out after a kind of uterus canceration from vagina inside pipe wall
Ring cutting operation device.
Background technique
Cervical carcinoma is the most common gynecologic malignant tumor, and carcinoma in situ high incidence age is 30~35 years old, and infiltrating carcinoma is 45~55
Year, in recent years its morbidity have the tendency that rejuvenation, position of being number three in the most common cancer of women；According to clinical stages, patient
Age, fertility requirement, systemic conditions, medical technique level and appointed condition etc., which comprehensively consider, formulates individualized treatment side appropriate
Case uses based on operation and radiotherapy, the comprehensive therapeutic plan supplemented by chemotherapy:
Operative treatment: operation is mainly used for early cervical carcinoma patient；Common art formula has: complete hysterectomy；Secondary son complete extensively
Palace resection and pelvic lymphadenectomy；Radical hysterectomy and pelvic lymphadenectomy；Lymph by abdominal aorta
Excision or sampling；Young patient ovary can normally retain, and to the young patient for retaining reproductive function is required, belong to special early stage
Feasible conization or Radical trachelectomy.
Radiotherapy: 1) middle and advanced stage patient；2) systemic conditions are not suitable for the early stage patient of operation；3) uterine neck bulk lesion
Preoperation radiotherapy；4) discovery of operative treatment pathologic finding has the adjuvant treatment of high risk factor.
Chemotherapy: being mainly used for the patient of advanced stage or relapse and metastasis, in recent years also using operation joint Neoadjuvant chemotherapy (vein
Or Intraarterial Chemotherapy) reduce tumor focus and the subclinical transfer of control, it is also used for radio therapy sensitization.
Wherein, complete hysterectomy occupies larger proportion as most common art formula in clinical treatment；Due to cancer cell
Can implanting, just determine in this that operation will ensure cancer cell indiffusion, not flow out；1) this existing therapy is specifically included that
Open resection: tradition struts abdominal incision by utensil, and manual tool cuts the conjunction of vaginal canal parietal suture, finally by uterus from notch
It removes, the surface of a wound caused by the art formula is larger, is unfavorable for the healing of patient abdomen wound；
2) ultrasound knife probeed into after intravaginal suture by laparoscope puncture outfit hole is gradually sheared from vaginal canal periphery；This kind of art formula
It needs first to be put into uterus raising device to intravaginal, vaginal canal is then bound by uterus raising device by suture suture manually, finally by
Ultrasound knife cuts out osculum from vagina pipe outer wall, is then circumferentially gradually sheared by osculum along vaginal canal, will eventually by clamp
Uterus is pulled out from vaginal canal；This mode is performed the operation time-consuming and laborious though wounds are smaller, is especially fettered in manual suture
During, it cannot be guaranteed that constraint is reliable, and cutting mode is very long, and efficiency is extremely low.
Present applicant proposes a kind of modes that ring cutting detachment vaginal canal is carried out from vagina inside pipe wall thus.
Summary of the invention
The object of the present invention is to provide a kind of uterus canceration vaginal canal ring cutting devices, by bandage, expansion fastening unit, central siphon
And cutter unit composition will be therein by cutter unit after vaginal canal is fixed on central siphon by bandage and expansion fastening unit
Blade structure is radially overhanging and pierces through vaginal canal, drives blade structure to vaginal canal by the spinning movement of cutter unit at this time
In addition ring cutting follows blade structure sliding phenomenon occur in view of vaginal canal in cutting process, vagina pipe thickness is not in addition
Subsequent cutting one after another is influenced, the application adds presser foot in blade structure, for the local compaction vaginal canal in cutting
Wall, while Pingyin road tube wall is smoothed out with the fingers, so that it sliding phenomenon is not occurred.
When needing to carry out resection operation to vaginal canal to solve uterus canceration in the prior art, cutting efficiency is low, and most
Need in addition to be put into clamp for the uterus drawing removal after detachment after completing cutting eventually, art formula process is lengthy and jumbled, can not link up；For
This, this application provides a kind of uterus canceration vaginal canal ring cutting devices, specifically include bandage, expansion fastening unit, central siphon and cut
Cut unit；
Bandage, the bandage have the connector by bandage both ends circle around connection, are around in for surgical procedure centre circle described
The outer wall of vaginal canal；
Expansion fastening unit is sheathed on the central siphon and is placed between the inner face of the central siphon and the cutter unit, is used for hand
It is placed in vaginal canal during art, is oppressed vaginal canal in wound on vaginal canal by the expansion action of the expansion fastening unit
The inner ring face of the bandage of periphery, while realizing that the bandage expands being fixedly connected for fastening unit with described；
Cutter unit, the cutter unit include overhanging structure, blade structure, knife rest and rotational structure；The blade structure dress
Assigned in the knife rest, the rotational structure inward flange is rotatable to be sheathed on the central siphon, outer edge is fixedly connected on the knife
Frame；For the overhanging structure setting between blade structure and rotational structure, being used in surgical procedure will by the overhanging structure
The blade structure releases the knife rest and pierces through the vaginal canal；It further include presser foot, the presser foot passes through radial direction
The presser bar activity of setting is interspersed in the blade structure, and holddown spring is arranged on the presser bar, the holddown spring
One end is connected to presser foot, the other end is connected to blade structure, smoothes out with the fingers the vagina tube wall when for cutting and puts down in bandage
Inner ring face.
Further, canceration vaginal canal ring cutting device in uterus provided by the present application, wherein presser foot is radially, simultaneously
It is located at the outer end of the blade structure in a free state；With the overhanging movement of the overhanging structure, blade structure and pressure
Together along being moved outwards and presser foot takes the lead in offseting with vaginal canal, holddown spring further compress up to blade leg structure
Structure pierces through the vaginal canal.
Preferably, canceration vaginal canal ring cutting device in uterus provided by the present application, in order to enable presser foot more closely
Vaginal canal is fitted in into bandage inner ring face, wherein the presser foot is convexly curved along its length, and the arc radius
It is equal with the internal diameter under the bandage reeling condition.
Preferably, canceration vaginal canal ring cutting device in uterus provided by the present application, in order to make ring cutting process is more smooth to be unlikely to
There is some retardation, wherein the arc-shaped tilting in the both ends of presser foot along its length, the tilting direction are directed toward in vaginal canal
Chamber eliminates some retardation so that front end of the presser foot in rotation traveling process is consistently higher than vagina tube wall.
Further, canceration vaginal canal ring cutting device in uterus provided by the present application, in order to avoid being removed in later period drawing
Blade structure hurts vagina tube wall in journey, wherein further includes reset spring, the reset spring is installed on blade structure and knife rest
Between, for the blade structure for releasing knife rest outer ring face to be retracted in knife rest after the completion of cutting.
Further, canceration vaginal canal ring cutting device in uterus provided by the present application, wherein the overhanging structure is annular gas
Capsule b, the annular air-pocket b lead to the outer end of the central siphon by tracheae, wherein one-way valve structures are equipped in tracheae pipeline.
Preferably, canceration vaginal canal ring cutting device in uterus provided by the present application, wherein the expansion fastening unit includes expanding
Zhang Huan and annular air-pocket a, the tensioner ring are surrounded by several independent expansion blocks, and the annular air-pocket a is set to the expansion
Between ring and the central siphon, the annular air-pocket a runs through the central siphon by tracheae and warp beam tube cavity leads to the central siphon
Outer end, wherein be provided with one-way valve structures in the tracheae pipeline.
A kind of uterus canceration vaginal canal ring cutting device of the present invention has the advantage that one side compared with prior art, this
Apply for that the technical solution provided will be fixed on central siphon to detachment part before vaginal canal cutting, facilitates direct after the completion of cutting
It is pulled and is removed by central siphon, be different from addition way that tradition is put into clamp drawing, art formula is coherent；On the other hand, it is put forward for the first time
Intravaginal rings butt formula is around in vagina pipe outer wall as cutting chopping block using bandage circle, realizes from vagina tube cavity and carry out ring
A possibility that cutting；In addition, during ring cutting, it is contemplated that it is existing that vaginal canal follows blade structure sliding occur in cutting process
As vagina pipe thickness unevenness influences subsequent cutting one after another in addition, and the application adds presser foot in blade structure, is used for
Local compaction vagina tube wall when cutting, while Pingyin road tube wall is smoothed out with the fingers, so that it sliding phenomenon is not occurred.
Detailed description of the invention
Fig. 1 is a kind of uterus canceration vaginal canal ring cutting device structural schematic diagram of the application；
Fig. 2 is that a kind of cutter unit of uterus canceration vaginal canal ring cutting device of the application removes cutter frame structure schematic diagram；
Fig. 3 is a kind of cutter unit structural schematic diagram of uterus canceration vaginal canal ring cutting device of the application.
Wherein: 1, bandage；2, fastening unit is expanded；3, central siphon；4, cutter unit；5, annular air-pocket a；6, block is expanded；7,
Overhanging structure；8, blade structure；9, knife rest；10, rotational structure；11, presser foot；12, presser bar；13, holddown spring；14,
Reset spring.
Specific embodiment
Technical solution of the present invention is further elaborated with reference to the accompanying drawing；
It should be noted that " inner end " " outer end " " inner face " " outer end face " mentioned in the application, is with surgical instrument
Probe into one end of vaginal canal be it is interior, other end end be it is outer, statement convenience is intended merely to and the regulation made, not as the application
The restriction of technical solution.
As shown, canceration vaginal canal ring cutting device in uterus provided in this embodiment, including tied up in bandage 1(the present embodiment
Band uses metallic spring), expansion fastening unit 2, central siphon 3 and cutter unit 4；
Bandage 1, the bandage 1 have 1 both ends of bandage circle around the connector of connection, are around in institute for surgical procedure centre circle
State the outer wall of vaginal canal；
Expansion fastening unit 2 is sheathed on the central siphon 3 and is placed between the inner face and the cutter unit 4 of the central siphon 3, uses
Be placed in vaginal canal in surgical procedure, by it is described expansion fastening unit 2 expansion action by vaginal canal oppress in wound on
The inner ring face of the bandage 1 of vaginal canal periphery, while realizing that the bandage 1 expands being fixedly connected for fastening unit 2 with described；Specifically
The expansion fastening unit 2 include tensioner ring and annular air-pocket a5, the tensioner ring surrounds by several independent expansion blocks 6, institute
It states annular air-pocket a5 to be set between the tensioner ring and the central siphon 3, the annular air-pocket a5 runs through the axis by tracheae
Pipe 3 and the outer end that the central siphon 3 is led to through 3 inner cavity of central siphon, wherein be provided with one-way valve structures (in figure in the tracheae pipeline
It is not shown).
Cutter unit 4, the cutter unit 4 include overhanging structure 7, blade structure 8, knife rest 9 and rotational structure 10；It is described
Blade structure 8 is assemblied in the knife rest 9, and 10 inward flange of rotational structure is rotatable, and to be sheathed on the central siphon 3, outer edge solid
Surely it is connected to the knife rest 9；The overhanging structure 7 is set between blade structure 8 and rotational structure 10, in surgical procedure
The blade structure 8 is released into the knife rest 9 by the overhanging structure 7 and pierces through the vaginal canal；It further include presser foot
11, the presser foot 11 passes through 12 activity of presser bar being arranged radially and is interspersed in the blade structure 8, and the presser bar 12
On be arranged holddown spring 13, one end of the holddown spring 13 is connected to presser foot 11, the other end is connected to blade structure 8,
The vagina tube wall is smoothed out with the fingers when for cutting and is put down in the inner ring face of bandage 1；The overhanging structure 7 is annular air-pocket b, the annular gas
Capsule b leads to the outer end of the central siphon 3 by tracheae, wherein one-way valve structures (not shown) is equipped in tracheae pipeline.
Connect as shown in Fig. 2, the rotational structure 10 of the present embodiment specifically includes toothed disc, elastic slice, axial connecting tube and radial direction
Connect disk, axial connecting pipe box are set to central siphon and one end is connected to the inward flange of radially connected disk, the radially connected disk it is outer
Edge is connected to knife rest, wherein toothed disc fixing sleeve is set to central siphon, and elastic slice is fixed on the inner tubal wall of axial connecting tube, and elastic slice
It is arranged to the moulding similar with the toothing of the toothed disc, elastic slice engages connection with toothed disc, have certain damping action,
Ensure the reliability of circumgyration incision.
Wherein, as shown in Fig. 2, presser foot 11 is radially positioned the outer end of blade structure 8, and presser foot 11 is along length
Degree direction is convexly curved, and the arc radius is equal with the internal diameter under 1 reeling condition of bandage, and presser foot 11 is along length side
To the arc-shaped tilting in both ends, vagina tube cavity is directed toward in the tilting direction, with the overhanging movement of the overhanging structure 7, knife
Body structure 8 and presser foot 11 together along being moved outwards and presser foot 11 takes the lead in offseting with vaginal canal, holddown spring 13 into
The compression of one step is until blade structure 8 pierces through the vaginal canal.
Meanwhile in order to avoid in later period traction process invention accidental cuts phenomenon, the present embodiment also add reset spring 14,
The reset spring 14 is installed between blade structure 8 and knife rest 9, for will release 9 outer ring face of knife rest after the completion of cutting
Blade structure 8 retracts in knife rest.
The course of work and principle: after the device is put into vaginal canal, bandage 1 is enclosed to the outer wall for being around in vaginal canal, control
Pump device pumps gas to annular air-pocket a5, as the inflation of annular air-pocket a5 pushes expansion block 6 radially to expand, and will be negative
Road tube wall is closely oppressed in 1 inner ring face of bandage, realizes the fixation to vagina tube wall, while bandage 1, vaginal canal and expansion being fastened
Unit 2 is fixed on central siphon 3, controls pump device at this time to annular air-pocket b and pumps gas, as the inflation of annular air-pocket b pushes blade
Structure 8 is radially moved outside, while presser foot 11 also moves under the action of holddown spring 13 and presser bar 12 outside, presser foot 11
It takes the lead in offseting with vagina inside pipe wall, and during further outer shifting, 13 forced compression of holddown spring is close by presser foot 11
It is pressed on vagina inside pipe wall, as the continuation of blade structure 8 is moved outside until the cutting edge of blade structure 8 punctures vaginal canal and is butted on bandage
1 inner ring rotates rotational structure 10 at this time, completes to the circumferentially cutting of vaginal canal, and the final central siphon 3 that pulls moves the uterus of detachment
Out；On the one hand, technical solution provided by the present application will fix before vaginal canal cutting to detachment part for the above operating process
In central siphon 3, facilitates direct pull by central siphon after the completion of cutting to remove, is different from addition way that tradition is put into clamp drawing,
Art formula is coherent；On the other hand, it is put forward for the first time intravaginal rings butt formula, is around in vagina pipe outer wall as cutting anvil using the circle of bandage 1
Plate realizes a possibility that carrying out ring cutting from vagina tube cavity；In addition, during ring cutting, it is contemplated that vaginal canal is being cut through
Blade structure 8 is followed sliding phenomenon occur in journey, vagina pipe thickness unevenness influences subsequent cutting one after another in addition, and the application is in knife
Presser foot 11 is added on body structure 8, for the local compaction vagina tube wall in cutting, while being smoothed out with the fingers Pingyin road tube wall, is made it not
There is sliding phenomenon.
Last institute it is noted that the above specific embodiment is only used to illustrate the technical scheme of the present invention and not to limit it,
Although the invention is described in detail with reference to an embodiment, those skilled in the art, which answer, to be understood, can be to this hair
Bright technical solution is modified and equivalent replacement, without departing from the spirit and scope of the technical solution of the present invention, should all cover
In the scope of the claims of the present invention.
Claims (7)
1. a kind of uterus canceration vaginal canal ring cutting device, it is characterised in that: including bandage, expansion fastening unit, central siphon and cutting
Unit；
Bandage, the bandage have the connector by bandage both ends circle around connection, are around in for surgical procedure centre circle described
The outer wall of vaginal canal；
Expansion fastening unit is sheathed on the central siphon and is placed between the inner face of the central siphon and the cutter unit, is used for hand
It is placed in vaginal canal during art, is oppressed vaginal canal in wound on vaginal canal by the expansion action of the expansion fastening unit
The inner ring face of the bandage of periphery, while realizing that the bandage expands being fixedly connected for fastening unit with described；
Cutter unit, the cutter unit include overhanging structure, blade structure, knife rest and rotational structure；The blade structure dress
Assigned in the knife rest, the rotational structure inward flange is rotatable to be sheathed on the central siphon, outer edge is fixedly connected on the knife
Frame；For the overhanging structure setting between blade structure and rotational structure, being used in surgical procedure will by the overhanging structure
The blade structure releases the knife rest and pierces through the vaginal canal；It further include presser foot, the presser foot passes through radial direction
The presser bar activity of setting is interspersed in the blade structure, and holddown spring is arranged on the presser bar, the holddown spring
One end is connected to presser foot, the other end is connected to blade structure, smoothes out with the fingers the vagina tube wall when for cutting and puts down in bandage
Inner ring face.
2. canceration vaginal canal ring cutting device in uterus according to claim 1, it is characterised in that: the presser foot is in radial direction
Outer end that is upper and being located at the blade structure in a free state；With the overhanging movement of the overhanging structure, blade structure
And presser foot together along be moved outwards and presser foot take the lead in offseting with vaginal canal, holddown spring further compress up to
Blade structure pierces through the vaginal canal.
3. canceration vaginal canal ring cutting device in uterus according to claim 1, it is characterised in that: the presser foot is along length
Direction is convexly curved, and the arc radius is equal with the internal diameter under the bandage reeling condition.
4. canceration vaginal canal ring cutting device in uterus according to claim 3, it is characterised in that: the presser foot is along length
Vagina tube cavity is directed toward in the arc-shaped tilting in the both ends in direction, the tilting direction.
5. canceration vaginal canal ring cutting device in uterus according to any one of claims 1 to 4, it is characterised in that: further include
Reset spring, the reset spring are installed between blade structure and knife rest, for that will release knife rest outer ring after the completion of cutting
The blade structure in face retracts in knife rest.
6. canceration vaginal canal ring cutting device in uterus according to claim 1, it is characterised in that: the overhanging structure is annular
Air bag b, the annular air-pocket b lead to the outer end of the central siphon by tracheae, wherein one-way valve structures are equipped in tracheae pipeline.
7. canceration vaginal canal ring cutting device in uterus according to claim 1, it is characterised in that: the expansion fastening unit packet
Tensioner ring and annular air-pocket a are included, the tensioner ring is surrounded by several independent expansion blocks, and the annular air-pocket a is set to described
Between tensioner ring and the central siphon, the annular air-pocket a runs through the central siphon by tracheae and warp beam tube cavity leads to the axis
The outer end of pipe, wherein be provided with one-way valve structures in the tracheae pipeline.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910161054.9A CN109793560A (en) | 2019-03-04 | 2019-03-04 | A kind of uterus canceration vaginal canal ring cutting device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910161054.9A CN109793560A (en) | 2019-03-04 | 2019-03-04 | A kind of uterus canceration vaginal canal ring cutting device |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN109793560A true CN109793560A (en) | 2019-05-24 |
Family
ID=66561662
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201910161054.9A Pending CN109793560A (en) | 2019-03-04 | 2019-03-04 | A kind of uterus canceration vaginal canal ring cutting device |
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| Country | Link |
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| CN (1) | CN109793560A (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113425397A (en) * | 2021-07-05 | 2021-09-24 | 南通市妇幼保健院 | Obstetrical nursing is with rupture of membranes practise midwifery device with balanced negative pressure function |
-
2019
- 2019-03-04 CN CN201910161054.9A patent/CN109793560A/en active Pending
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113425397A (en) * | 2021-07-05 | 2021-09-24 | 南通市妇幼保健院 | Obstetrical nursing is with rupture of membranes practise midwifery device with balanced negative pressure function |
| CN113425397B (en) * | 2021-07-05 | 2022-06-21 | 南通市妇幼保健院 | Obstetrical nursing is with rupture of membranes practise midwifery device with balanced negative pressure function |
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