CN109793569A - A kind of uterus canceration vaginal canal resection operation utensil - Google Patents
A kind of uterus canceration vaginal canal resection operation utensil Download PDFInfo
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- CN109793569A CN109793569A CN201910161051.5A CN201910161051A CN109793569A CN 109793569 A CN109793569 A CN 109793569A CN 201910161051 A CN201910161051 A CN 201910161051A CN 109793569 A CN109793569 A CN 109793569A
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- 210000004291 uterus Anatomy 0.000 title claims abstract description 48
- 238000002271 resection Methods 0.000 title claims abstract description 40
- 230000007246 mechanism Effects 0.000 claims abstract description 20
- 238000001356 surgical procedure Methods 0.000 claims abstract description 18
- XEEYBQQBJWHFJM-UHFFFAOYSA-N Iron Chemical compound [Fe] XEEYBQQBJWHFJM-UHFFFAOYSA-N 0.000 claims description 18
- 210000001215 vagina Anatomy 0.000 claims description 12
- 229910052742 iron Inorganic materials 0.000 claims description 9
- 230000009471 action Effects 0.000 claims description 5
- 230000005611 electricity Effects 0.000 claims 1
- 238000009434 installation Methods 0.000 claims 1
- 238000005520 cutting process Methods 0.000 abstract description 20
- 238000000338 in vitro Methods 0.000 abstract description 2
- 210000004027 cell Anatomy 0.000 description 20
- 206010052428 Wound Diseases 0.000 description 7
- 208000027418 Wounds and injury Diseases 0.000 description 7
- 206010028980 Neoplasm Diseases 0.000 description 4
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- 238000011282 treatment Methods 0.000 description 3
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- 208000019065 cervical carcinoma Diseases 0.000 description 2
- 238000009802 hysterectomy Methods 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 230000009885 systemic effect Effects 0.000 description 2
- 201000009030 Carcinoma Diseases 0.000 description 1
- 208000009458 Carcinoma in Situ Diseases 0.000 description 1
- 206010027476 Metastases Diseases 0.000 description 1
- 206010070834 Sensitisation Diseases 0.000 description 1
- 210000001015 abdomen Anatomy 0.000 description 1
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- 210000000702 aorta abdominal Anatomy 0.000 description 1
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- 238000009803 radical hysterectomy Methods 0.000 description 1
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Abstract
This application discloses a kind of uterus canceration vaginal canal resection operation utensils, belong to medical apparatus technical field, specifically include fixed cell, cutter unit and coaxially arranged central siphon and outer tube;Wherein fixed cell is set to central siphon, and for fettering fixed vaginal canal in surgical procedure, and vaginal canal is bound fixed position diameter less than outer tube diameter;Cutter unit includes blade and axial stretching mechanism, and blade is connected axially to telescoping mechanism;Telescoping mechanism is connected to rotation pipe inner sidewall, for passing through telescoping mechanism in surgical procedure for the inner face of blade release rotation pipe and piercing through vaginal canal;Utensil originally is fixed in vaginal canal constraint, convenient for directly drawing utensil removes in the uterus of detachment in vitro after the completion of cutting operation, and the diameter for fettering position is less than outer tube diameter, cooperate the axial circumference cutting mode to create, not the phenomenon that blade does not protrude from the outer wall of outer tube completely in cutting process, and incised wound surrounding tissue is eliminated while can efficiently cutting off vaginal canal.
Description
Technical field
The present invention relates to medical apparatus technical field, dedicated surgical device when being cut off more particularly, to uterus canceration vaginal canal
Tool.
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.
Thus present applicant proposes a kind of mode for carrying out ring cutting detachment vaginal canal from vagina inside pipe wall, consider at the same time
To traditional radially-protruding blade of ring cutting mode in cutting in the presence of the risk of incised wound surrounding tissue, the application will also solve together
Certainly.
Summary of the invention
The purpose of the application is to provide a kind of uterus canceration vaginal canal resection operation utensil, originally fetters vaginal canal
It is fixed on utensil, convenient for directly drawing utensil removes in the uterus of detachment in vitro after the completion of cutting operation, and fetters the straight of position
Diameter is less than outer tube diameter, cooperates the axial circumference cutting mode to create, and blade does not protrude from outer tube completely in cutting process
Outer wall, while efficiently vaginal canal can be cut off eliminate incised wound surrounding tissue the phenomenon that.
For solve in the prior art vaginal canal resection formula is cumbersome, exist in cutting process injure the risk of surrounding tissue with
And the discontinuous technical problem of art formula, this application provides a kind of uterus canceration vaginal canal resection operation utensils, including fixed list
Member, cutter unit and coaxially arranged central siphon and outer tube;
Fixed cell, the fixed cell are set to the central siphon, fix the vaginal canal, and institute for constraint in surgical procedure
It states vaginal canal and is bound fixed position diameter less than the outer tube diameter;
The outer tube includes inner end head tube and outer end rotation pipe, and end cover is equipped between the inner face and central siphon of head tube;It is described
Head tube ends in the inner face of fixed cell from central siphon inner end, and is fixed by the bracket and is connected to the central siphon;The rotation pipe
It is pivotably coupled to the central siphon, and the inner end of the rotation pipe is fixedly connected on the cutter unit;
The cutter unit includes blade and axial stretching mechanism, and the blade is connected axially to the telescoping mechanism;It is described to stretch
Contracting mechanism is connected to rotation pipe inner sidewall and close to described fixed cell one end, for passing through the telescoping mechanism in surgical procedure
The blade is released into the inner face of the rotation pipe and pierces through the vaginal canal.
Preferably, uterus canceration vaginal canal resection operation utensil provided by the present application, wherein fixed cell include bandage and
Expansion elements;
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, and the outer diameter under the bandage reeling condition is less than the diameter of the outer tube;Such setting is to incite somebody to action
Vaginal canal constraint is less than outer tube diameter at diameter, pierces through vaginal canal along axial convenient for blade;
Expansion elements, the expansion elements be sheathed on the central siphon and be located at the central siphon inner end and the cutter unit it
Between, for being placed in the inner cavity of the vaginal canal in surgical procedure, by the expansion actions of the expansion elements by the vaginal canal
It oppresses in the inner ring face of the bandage wound on vaginal canal periphery.
Preferably, uterus canceration vaginal canal resection operation utensil provided by the present application, wherein the expansion elements include expanding
Zhang Huan and annular air-pocket, the tensioner ring are surrounded by several independent expansion blocks, and the annular air-pocket is set to the tensioner ring
Between the central siphon, the annular air-pocket runs through the central siphon by tracheae and warp beam tube cavity leads to the outer of the central siphon
End, wherein be provided with one-way valve structures in the tracheae pipeline.
Preferably, uterus canceration vaginal canal resection operation utensil provided by the present application, referring to big in prior art massage pillow
It is mostly driven using electromagnet principle, wherein the expansion elements are made of electromagnet principle.
Further, uterus canceration vaginal canal resection operation utensil provided by the present application, wherein the expansion elements include
Outer ring electromagnetism iron hoop and inner ring electromagnetism iron hoop, the outer ring electromagnetism iron hoop are made of several electromagnet blocks.
Further, uterus canceration vaginal canal resection operation utensil provided by the present application, wherein it further include positioning disk, institute
Positioning disk sleeve is stated set on the central siphon and is located at the inner face of the fixed cell, wherein the diameter of the positioning disk is greater than institute
The diameter for stating outer tube, the binding position for bandage described in Fast Calibration in surgical procedure;It can be rapid by the touch of clamp
Ground positions the positioning disk position, consequently facilitating bandage is bound to its outer end face.
Preferably, uterus canceration vaginal canal resection operation utensil provided by the present application, wherein fixed cell includes that vacuum is inhaled
Disk and vacuum generator;
The vacuum generator is set to the central siphon, and the vacuum chuck is connected to the vacuum generator, for being adsorbed in
Vagina inside pipe wall simultaneously fixes vaginal canal.
Preferably, uterus canceration vaginal canal resection operation utensil provided by the present application, wherein it further include sucker installing pipe,
The sucker installing pipe is sheathed on central siphon and is placed between head tube and rotation pipe, and the diameter of sucker installing pipe is straight less than outer tube
Diameter, the vacuum chuck are distributed in the tube wall of the sucker installing pipe.
Preferably, uterus canceration vaginal canal resection operation utensil provided by the present application, wherein the fixed cell is to prick
Band, for vaginal canal to be bound by the central siphon in surgical procedure.
Further, uterus canceration vaginal canal resection operation utensil provided by the present application, it is contemplated that drawing uterus removes body
When outer, resistance is larger, and when drawing is likely to occur slip phenomenon, wherein and it further include axial restraint unit, the axial restraint list
Member is set to the central siphon, for being axially moved along central siphon oppressing vaginal canal in head tube;This is similar to conventional pliers original
Reason, is pressed in head tube by axial restraint unit for vaginal canal, i.e., is consolidated vagina tube grip by axial restraint unit and head tube
It is fixed, it pulls more reliable.
Preferably, uterus canceration vaginal canal resection operation utensil provided by the present application, wherein axial restraint unit includes pressure
Block and axial push rod, the briquetting are sheathed on the central siphon, and the axial direction push rod inner end is connected to the briquetting, outer end penetrates through
The tube wall of the central siphon simultaneously leads to central siphon outer end via central siphon inner cavity, and the axial direction push rod runs through the position of the central siphon and along axis
To opening up waist-shaped hole;During actual operation, after the dicing is completed, axial push rod is inwardly pushed, axial push rod makees axial fortune
It is dynamic, while the briquetting of inner end being pushed to move inward, it is less than the outer tube diameter since vaginal canal is bound fixed position diameter,
It is less than head tube outer diameter, so that the interior vaginal canal sunk into head tube lateral wall is pressed in head tube outer end face, wherein waist-shaped hole
Design the axial movement made it possible through the axial push rod of central siphon.
Preferably, uterus canceration vaginal canal resection operation utensil provided by the present application, it is contemplated that the difficulty of vaginal canal cutting
Property, wherein the blade is electric knife.
Preferably, uterus canceration vaginal canal resection operation utensil provided by the present application, wherein telescoping mechanism includes pushing to open
Pass, drive rod and bracket;The pull switch is set to the outer wall of the rotation pipe and close to the outer end of the rotation pipe;Institute
It states bracket and is fixed on the inner wall of the rotation pipe and close to described fixed cell one end;The drive rod can connect to axial float
In the rotation inside pipe wall and inner end is connected to bracket, outer end is connected to the pull switch;The blade is set to the branch
Frame and the inner end for being connected to the drive rod.
A kind of uterus canceration vaginal canal resection operation utensil provided by the present application has the advantage that compared with prior art
On the one hand, the application originality proposes intravaginal rings incision technology, and efficiency is significantly better than the cutting of conventional ultrasound knife;On the other hand, originally
Vaginal canal to be cut has been fixed on utensil before vaginal canal cutting by application, is directly passed through this utensil drawing convenient for the later period and is moved
Out;In addition, the application blade is using axial arrangement, in blade to being completely in outer tube wall in vaginal canal cutting process
Side avoids the phenomenon that blade hurts surrounding tissue generation.
Detailed description of the invention
Fig. 1 is a kind of uterus canceration vaginal canal resection operation utensil structure schematic diagram of the application;
Fig. 2 is a kind of uterus canceration vaginal canal resection operation utensil fixed cell structural schematic diagram of the application;
Fig. 3 is a kind of uterus canceration vaginal canal resection operation utensil cutter unit structural schematic diagram of the application;
Fig. 4 is a kind of second of embodiment partial structural diagram of uterus canceration vaginal canal resection operation utensil of the application;
Fig. 5 is a kind of second of the embodiment axial restraint cellular construction signal of uterus canceration vaginal canal resection operation utensil of the application
Figure.
Wherein: 1, fixed cell;100, vacuum chuck;101, vacuum generator;102, sucker installing pipe;2, cutting is single
Member;20, blade;21, telescoping mechanism;210, pull switch;211, drive rod;212, bracket;3, central siphon;4, outer tube;40, head
Pipe;41, rotation pipe;5, bandage;6, expansion elements;60, annular air-pocket;61, block is expanded;7, briquetting;8, axial push rod;9, waist type
Hole.
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, the other end be it is outer, statement convenience is intended merely to and the regulation made, not as the application skill
The restriction of art scheme.
Embodiment 1
As shown in Figures 1 to 3, a kind of uterus canceration vaginal canal resection operation utensil is present embodiments provided, including fixed cell 1,
Cutter unit 2 and coaxially arranged central siphon 3 and outer tube 4;
The fixed cell 1 is set to the central siphon 3, and for fettering fixed vaginal canal in surgical procedure, and the vaginal canal is by beam
Tie up the diameter that fixed position diameter is less than the outer tube 4;Specifically include bandage 5 and expansion elements 6;
Bandage 5 has 5 both ends of bandage circle around the connector of connection, is around in the vaginal canal for surgical procedure centre circle
Outer wall, and the outer diameter under 5 reeling condition of the bandage is less than the diameter of the outer tube, convenient for vaginal canal constraint is less than at diameter
Outer tube diameter, so that the vaginal canal vagina tube wall that some is arranged radially between fixed cell 1 and outer tube 4, after this just makes
Phase blade is possibly realized along the axial vaginal canal that pierces through;
The expansion elements 6 are sheathed on the central siphon 3 and are located between the inner end and the cutter unit 2 of the central siphon 3, are used for
The inner cavity of the vaginal canal is placed in surgical procedure, by the expansion actions of the expansion elements 6 by the vaginal canal oppress in
Wound on the inner ring face of the bandage 5 of vaginal canal periphery;Tensioner ring and annular air-pocket 60 are specifically included, the tensioner ring is by several only
Vertical expansion block 61 surrounds, and the annular air-pocket 60 is set between the tensioner ring and the central siphon 3, the annular air-pocket 60
The outer end of the central siphon 3 is led to by tracheae through the central siphon 3 and through 3 inner cavity of central siphon, wherein set in the tracheae pipeline
It is equipped with one-way valve structures (not shown).
In addition, utilizing electromagnet principle to drive mostly referring to massage pillow in the prior art in the present embodiment, realization is pressed
The raised of block that rub acts, wherein the expansion elements are made of electromagnet principle;The specific expansion elements include outer ring electromagnet
Ring and inner ring electromagnetism iron hoop, the outer ring electromagnetism iron hoop are made of several electromagnet blocks;It is right when needing to expand compressing vaginal canal
The coil of inner ring electromagnetism iron hoop periphery is powered, while being powered to the coil of each electromagnet block periphery, to make in homopolar-repulsion
Under firmly, pushes electromagnet block to be moved outwards and oppress vaginal canal in bandage inner ring.
The outer tube 4 includes that inner end head tube 40 and outer end rotate pipe 41, is equipped between the inner face and central siphon 3 of head tube 40 close
Sealing end lid;The head tube 40 ends in the inner face of fixed cell 1 from 3 inner end of central siphon, and be fixed by the bracket be connected to it is described
Central siphon 3;The rotation pipe 41 is pivotably coupled to the central siphon 3, and the inner end of the rotation pipe 41 is fixedly connected on institute
State cutter unit 2;
The present embodiment middle external tube is connected to central siphon by rotational structure, and rotational structure specifically includes toothed disc, elastic slice, axial connection
Pipe and radially connected disk, axial connecting pipe box are set on central siphon and one end is connected to the inward flange of radially connected disk, the radial direction
The outer edge of terminal pad is connected to rotation pipe, wherein toothed disc fixing sleeve is set to central siphon, and elastic slice is fixed on the interior of axial connecting tube
Tube wall, and elastic slice is arranged to the moulding similar with the toothing of the toothed disc, elastic slice engages connection with toothed disc, has certain
Damping action, it is ensured that the reliability of circumgyration incision.
The cutter unit 2 includes blade 20 and axial stretching mechanism 21, and the blade 20 is connected axially to described flexible
Mechanism 21;The telescoping mechanism 21 is connected to rotation 41 inner sidewall of pipe and close to described 1 one end of fixed cell, is used for surgical procedure
In by the telescoping mechanism 21 by the blade 20 release it is described rotation pipe 41 inner face and pierce through the vaginal canal, this reality
It applies in example in view of the difficulty of vaginal canal cutting, wherein blade 20 uses electric knife;Wherein telescoping mechanism 21 includes pull switch
210, drive rod 211 and bracket 212;The pull switch 210 is set to the outer wall of the rotation pipe 41 and close to the rotation
The outer end of tube 31;The bracket 212 is fixed on the inner wall of the rotation pipe 41 and close to described 1 one end of fixed cell;It is described
Drive rod 211 can be connected to axial float 41 inner wall of rotation pipe and inner end be connected to bracket 212, outer end be connected to it is described
Pull switch 210;The blade 20 is set to the bracket 212 and is connected to the inner end of the drive rod 211.
Its course of work and principle are as follows: utensil is put into vaginal canal, bandage 5 is wound in by vaginal canal by laparoscope hole
Outer wall, and it is set in tensioner ring periphery, control pump device pumps gas to annular air-pocket 60, with the continuation that pump is pneumatically made, pushes
61 radial dilatation of block is expanded, so that vaginal canal compressing is realized the fixation to vaginal canal in the inner ring of bandage 5;Since bandage 5 is straight
Diameter is less than 4 outer diameter of outer tube, therefore vaginal canal is bound within the tube wall of outer tube 4, between 5 outer end of outer tube 4 and bandage there are
Radial vagina tube wall, and under vagina tube wall be the axially disposed cutter unit 2 in rotation 41 inner end of pipe at this, this
When give electric knife be powered, push pull switch 210, pull switch 210 drive drive rod 211 be moved axially inward, drive rod 211
Inner end pushes blade 20 to protrude from rotation 41 inner end of pipe again, until electric knife punctures vaginal canal, then rotation rotation pipe 41 allows electric knife
Circumferentially cutting movement is done, until vaginal canal closes power supply by thorough detachment, control pull switch 210 is retracted in bracket 212, most
Drawing utensil removes the uterus of detachment external afterwards.
Embodiment 2
As further preferred technical solution, as shown in figure 4, on the basis of embodiment 1, it is contemplated that be put into out of laparoscope
Bandage, operating space is narrow, is unfavorable for the progress of operation, and the present embodiment fixed cell 1 includes that vacuum chuck 100 and vacuum occur
Device 101, convenient for fixing vaginal canal from vagina inside pipe wall;
The vacuum generator 101 is set to the central siphon 3, and the vacuum chuck 100 is connected to the vacuum generator 101,
For being adsorbed in vagina inside pipe wall and fixing vaginal canal.
As shown, further including sucker installing pipe 102, the sucker installing pipe 102 is sheathed on central siphon 3 and is placed in head tube 40
Between rotation pipe 41, and the diameter of sucker installing pipe 102 is less than outer tube diameter, and the vacuum chuck 100 is distributed in the suction
The tube wall of disk installing pipe 102.
Meanwhile as shown in Figure 5, it is contemplated that when drawing uterus removes external, resistance is larger, and when drawing is likely to occur slippage
Phenomenon, wherein further include axial restraint unit, the axial restraint unit is set to the central siphon 3, for axial along central siphon 3
Movement is oppressing vaginal canal in head tube 40;This is similar to conventional pliers principle, and vaginal canal is passed through axial restraint unit pressure
Tightly in head tube 40, i.e., vaginal canal is gripped by axial restraint unit and head tube 40, is pulled more reliable;
Specific axial restraint unit includes briquetting 7 and axial push rod 8, and the briquetting 7 is sheathed on the central siphon 3, and the axial direction pushes away
8 inner end of bar is connected to the briquetting 7, outer end penetrates through the tube wall of the central siphon 3 and leads to 3 outer end of central siphon via 3 inner cavity of central siphon,
The axial direction push rod 8 runs through the position of the central siphon 3 and opens up waist-shaped hole 9 along axial direction;During actual operation, complete to cut
Later, axial push rod 8 is inwardly pushed, axial push rod 8 axially moves, while the briquetting 7 of inner end being pushed to move inward, due to yin
Deferent is bound fixed position diameter less than the outer tube diameter, that is, is less than 40 outer diameter of head tube, to sink into head tube 40 for interior
Vaginal canal in lateral wall is pressed in 40 outer end face of head tube, wherein the design of waist-shaped hole 9 is so that run through the axial push rod 8 of central siphon 3
Axial movement be possibly realized.
Its course of work and principle are as follows: utensil is put into vaginal canal, it will by intraperitoneal clamp is put into from laparoscope
Vaginal canal is pressed on 102 outer wall of sucker installing pipe, opens vacuum generator 101, until vacuum chuck 100 is securely adsorbed in vaginal canal
Inner wall, there are radial vagina tube walls between 102 outer end of outer tube 4 and sucker installing pipe at this time, and at this vagina tube wall it
Under be it is axially disposed in rotation 41 inner end of pipe cutter unit 2, at this time give electric knife be powered, push pull switch 210, push
Switch 210 drives drive rod 211 to be moved axially inward, and the inner end of drive rod 211 pushes blade 20 to protrude from rotation pipe 41 again
End, until electric knife punctures vaginal canal, then rotation rotation pipe 41, allows electric knife to do circumferentially cutting movement, until vaginal canal is thorough
Detachment closes power supply, and control pull switch 210 retracts in bracket 212, finally pulls utensil the uterus removal of detachment is external.
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 (13)
1. a kind of uterus canceration vaginal canal resection operation utensil, it is characterised in that: including fixed cell, cutter unit and coaxial
The central siphon and outer tube of arrangement;
Fixed cell, the fixed cell are set to the central siphon, fix the vaginal canal, and institute for constraint in surgical procedure
It states vaginal canal and is bound fixed position diameter less than the outer tube diameter;
The outer tube includes inner end head tube and outer end rotation pipe, and end cover is equipped between the inner face and central siphon of head tube;It is described
Head tube ends in the inner face of fixed cell from central siphon inner end, and is fixed by the bracket and is connected to the central siphon;The rotation pipe
It is pivotably coupled to the central siphon, and the inner end of the rotation pipe is fixedly connected on the cutter unit;
The cutter unit includes blade and axial stretching mechanism, and the blade is connected axially to the telescoping mechanism;It is described to stretch
Contracting mechanism is connected to rotation pipe inner sidewall and close to described fixed cell one end, for passing through the telescoping mechanism in surgical procedure
The blade is released into the inner face of the rotation pipe and pierces through the vaginal canal.
2. uterus canceration vaginal canal resection operation utensil according to claim 1, it is characterised in that: the fixed cell packet
Include bandage and expansion elements;
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, and the outer diameter under the bandage reeling condition is less than the diameter of the outer tube;
Expansion elements, the expansion elements be sheathed on the central siphon and be located at the central siphon inner end and the cutter unit it
Between, for being placed in the inner cavity of the vaginal canal in surgical procedure, by the expansion actions of the expansion elements by the vaginal canal
It oppresses in the inner ring face of the bandage wound on vaginal canal periphery.
3. uterus canceration vaginal canal resection operation utensil according to claim 2, it is characterised in that: the expansion elements packet
Tensioner ring and annular air-pocket are included, the tensioner ring is surrounded by several independent expansion blocks, and the annular air-pocket is set to the expansion
Between Zhang Huan and the central siphon, the annular air-pocket 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.
4. uterus canceration vaginal canal resection operation utensil according to claim 2, it is characterised in that: the expansion elements by
Electromagnet principle is made.
5. uterus canceration vaginal canal resection operation utensil according to claim 4, it is characterised in that: the expansion elements packet
Outer ring electromagnetism iron hoop and inner ring electromagnetism iron hoop are included, the outer ring electromagnetism iron hoop is made of several electromagnet blocks.
6. uterus canceration vaginal canal resection operation utensil according to claim 2, it is characterised in that: it further include positioning disk,
The positioning disk sleeve is set to the central siphon and is located at the inner face of the fixed cell, wherein the diameter of the positioning disk is greater than
The diameter of the outer tube, the binding position for bandage described in Fast Calibration in surgical procedure.
7. uterus canceration vaginal canal resection operation utensil according to claim 1, it is characterised in that: the fixed cell packet
Include vacuum chuck and vacuum generator;
The vacuum generator is set to the central siphon, and the vacuum chuck is connected to the vacuum generator, for being adsorbed in
Vagina inside pipe wall simultaneously fixes vaginal canal.
8. uterus canceration vaginal canal resection operation utensil according to claim 7, it is characterised in that: further include sucker installation
Pipe, the sucker installing pipe is sheathed on central siphon and is placed between head tube and rotation pipe, and the diameter of sucker installing pipe is less than outer tube
Diameter, the vacuum chuck are distributed in the tube wall of the sucker installing pipe.
9. uterus canceration vaginal canal resection operation utensil according to claim 1, it is characterised in that: the fixed cell is
Band, for vaginal canal to be bound by the central siphon in surgical procedure.
10. uterus canceration vaginal canal resection operation utensil described according to claim 1~any one of 9, it is characterised in that: also
Including axial restraint unit, the axial restraint unit is set to the central siphon, for being axially moved along central siphon with by vaginal canal
It oppresses in head tube.
11. uterus canceration vaginal canal resection operation utensil according to claim 10, it is characterised in that: the axial restraint
Unit includes briquetting and axial push rod, and the briquetting is sheathed on the central siphon, the axial direction push rod inner end be connected to the briquetting,
Outer end penetrates through the tube wall of the central siphon and leads to central siphon outer end via central siphon inner cavity, and the axial direction push rod is through the central siphon
Position and waist-shaped hole is opened up along axial direction.
12. uterus canceration vaginal canal resection operation utensil according to claim 1, it is characterised in that: the blade is electricity
Knife.
13. uterus canceration vaginal canal resection operation utensil according to claim 1, it is characterised in that: the telescoping mechanism
Including pull switch, drive rod and bracket;The pull switch is set to the outer wall of the rotation pipe and close to the rotation
The outer end of pipe;The bracket is fixed on the inner wall of the rotation pipe and close to described fixed cell one end;The drive rod can axis
It to play is connected to the rotation inside pipe wall and inner end is connected to bracket, outer end is connected to the pull switch;The blade
It is set to the bracket and is connected to the inner end of the drive rod.
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CN201910161051.5A CN109793569A (en) | 2019-03-04 | 2019-03-04 | A kind of uterus canceration vaginal canal resection operation utensil |
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CN201910161051.5A CN109793569A (en) | 2019-03-04 | 2019-03-04 | A kind of uterus canceration vaginal canal resection operation utensil |
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CN109793569A true CN109793569A (en) | 2019-05-24 |
Family
ID=66561579
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CN201910161051.5A Pending CN109793569A (en) | 2019-03-04 | 2019-03-04 | A kind of uterus canceration vaginal canal resection operation utensil |
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Publication number | Priority date | Publication date | Assignee | Title |
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CN111150484A (en) * | 2019-12-06 | 2020-05-15 | 杭州康基医疗器械有限公司 | Special electrocoagulation cutter for cervical cancer |
CN112294422A (en) * | 2020-10-08 | 2021-02-02 | 苏州优脉瑞医疗科技有限公司 | Endoscope refrigerating machine with auxiliary monitoring probe |
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CN204158426U (en) * | 2014-10-23 | 2015-02-18 | 刘国旗 | Laparoscope vagina plug |
CN205391169U (en) * | 2016-03-11 | 2016-07-27 | 自贡市妇幼保健院 | Whole palace apparatus that uses when surely performing operation entirely in uterus |
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CN210170160U (en) * | 2019-03-04 | 2020-03-24 | 姜桦 | Surgical instrument for removing vaginal tube in uterine cancer |
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CN205391169U (en) * | 2016-03-11 | 2016-07-27 | 自贡市妇幼保健院 | Whole palace apparatus that uses when surely performing operation entirely in uterus |
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