CN109875676A - 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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- CN109875676A CN109875676A CN201910161610.2A CN201910161610A CN109875676A CN 109875676 A CN109875676 A CN 109875676A CN 201910161610 A CN201910161610 A CN 201910161610A CN 109875676 A CN109875676 A CN 109875676A
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- vaginal canal
- central siphon
- uterus
- resection operation
- operation utensil
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- 210000004291 uterus Anatomy 0.000 title claims abstract description 75
- 238000002271 resection Methods 0.000 title claims abstract description 56
- 238000005520 cutting process Methods 0.000 claims abstract description 29
- 238000001356 surgical procedure Methods 0.000 claims description 16
- 230000009471 action Effects 0.000 claims description 6
- 230000005611 electricity Effects 0.000 claims 1
- 210000001215 vagina Anatomy 0.000 abstract description 24
- 206010028980 Neoplasm Diseases 0.000 abstract description 17
- 201000011510 cancer Diseases 0.000 abstract description 7
- 238000000034 method Methods 0.000 abstract description 7
- 230000008569 process Effects 0.000 abstract description 4
- 210000004027 cell Anatomy 0.000 description 9
- 238000010586 diagram Methods 0.000 description 9
- 208000019065 cervical carcinoma Diseases 0.000 description 5
- 210000003679 cervix uteri Anatomy 0.000 description 5
- 238000000502 dialysis Methods 0.000 description 4
- 238000007912 intraperitoneal administration Methods 0.000 description 3
- 238000002357 laparoscopic surgery Methods 0.000 description 3
- 230000007246 mechanism Effects 0.000 description 3
- 210000000683 abdominal cavity Anatomy 0.000 description 2
- 230000003187 abdominal effect Effects 0.000 description 2
- 230000008901 benefit Effects 0.000 description 2
- 201000010099 disease Diseases 0.000 description 2
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 2
- 230000003902 lesion Effects 0.000 description 2
- 238000005086 pumping Methods 0.000 description 2
- 230000003306 cell dissemination Effects 0.000 description 1
- 210000000080 chela (arthropods) Anatomy 0.000 description 1
- 238000013016 damping Methods 0.000 description 1
- 230000000994 depressogenic effect Effects 0.000 description 1
- 238000009792 diffusion process Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 230000008030 elimination Effects 0.000 description 1
- 238000003379 elimination reaction Methods 0.000 description 1
- 238000009802 hysterectomy Methods 0.000 description 1
- 238000000338 in vitro Methods 0.000 description 1
- 238000002955 isolation Methods 0.000 description 1
- 238000000465 moulding Methods 0.000 description 1
- 238000005192 partition Methods 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 238000009803 radical hysterectomy Methods 0.000 description 1
- 239000000523 sample Substances 0.000 description 1
- 238000010008 shearing Methods 0.000 description 1
- 230000004083 survival effect Effects 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 210000004881 tumor cell Anatomy 0.000 description 1
- 238000002604 ultrasonography Methods 0.000 description 1
- 238000004804 winding Methods 0.000 description 1
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Abstract
The invention discloses a kind of uterus canceration vaginal canal resection operation utensils, belong to medical apparatus technical field, specifically include fixed cell and cutter unit；The application takes the lead in proposing intravaginal procedure formula, in the fixed vaginal canal of vagina inside pipe wall, one side vaginal canal is before cutting i.e. by uterus Seal treatment, on the other hand, utensil is fixed in uterus to be cut off in advance, can directly be pulled and be removed by utensil after completing stereotomy formula, without in addition probeing into clamp clamping drawing, process is simple and reliable, eliminates a possibility that cancer cell is fallen from the root；In addition, stereotomy formula is directly completed out of vaginal canal, tradition is different from from vagina pipe outer wall cutting mode, surgical facilitation is very clear.
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 that disease incidence occupy the first disease in current China's gynecologic malignant tumor, and most cervical carcinomas are in I
Phase and II phase find that operation is the stage essential therapeutic arsenals.Between past 20 years, laparoscopic surgery (including traditional abdominal cavity
Mirror and Robot-assisted transperitoneal laparoscopic) with its fine, safety, restore fast, the hospital stays is short etc., and advantages gradually replace abdominal
Have become prevailing modus operandi.However in two great point of quantifier eliminations discovery laparoscope postoperative recurrences in 2018 and
Survival rate is significantly lower than abdominal, starts great disturbance in international gynemetrics circle, discusses by dispute, laparoscopic surgery step
Middle some problem is considered as the key point of problem.
Wherein, the mode of dialysis vagina is different according to doctor's personal habits under laparoscope, tends not to firmly follow no tumor
Principle makes cancer stove be exposed to abdominal cavity, substantially increases the risk of Tumor cell dissemination.In " Chinese expert " the pass just issued
In cervical carcinoma laparoscopic surgery relevant issues " a few comments " in also this problem of Special attention will be given to.How by uterine neck and its table
The isolation of bright tumour, no tumor dialysis vagina be to reduce the vital link of tumour spread risk, but only only in accordance with doctor
The habit of people is executed can not guarantee to cut off vagina without tumor every time and take out the effect in uterus, such as traditional operation without tumor operation
Process be ultrasound knife cut off vaginal canal after, vaginal canal fracture lead to cervix channel it is complete or it is half-open be put in it is intraperitoneal,
All there is a strong possibility under the clamping action of the dragging clamp probeed under the extruding of uterus raising device and herein leads to falling for cancer cell
It falls diffusion, therefore, utmostly guarantees no tumor and standardize ground dialysis vagina and take out uterus, i.e. reliable closing in the course of surgery
Vaginal canal fracture, ideally to finish one step of showdown be main target of the invention.
Early cervical carcinoma perform the operation operation final step dialysis vagina and take out uterus, early cervical carcinoma Surgery Surgery model
It encloses including secondary extensive panhysterectomy and radical hysterectomy, vagina resection length is respectively upper end 1-2cm and upper end
3cm previously also judges that in conjunction with tissue elasticity, the shearing length is also not accurate enough, thus it is guaranteed that nothing according to doctors experience completely
It is another target of the present invention that cut off vagina length is accurately measured while cutting off to tumor vaginal wall.
After cutting off vagina under laparoscope, even if uterine neck and its surface tumours lesion are isolated, the entire uterus that cuts off is still located at
In abdominopelvic cavity, often uterus is rotated in abdominopelvic cavity when taking out by gripper clamp, increase the probability of tumour spread, therefore,
Quickly, easily and accurately taking out uterus is another target of the invention.
Summary of the invention
The object of the present invention is to provide a kind of uterus canceration vaginal canal resection operation utensils, originally propose vaginal canal
Interior ring cutting concept, separates the inner cavity of vaginal canal while vaginal canal is fixed on central siphon, that is, realizing will be i.e. by detachment part
It is fixed on surgical instrument inner end in advance, and the uterine neck for having lesion is completely enclosed and is kept apart, realizes from source and is standardized without tumor
Excision uterus, cutter unit complete cutting after, the uterus of detachment is pulled out in vitro without in addition probeing into clamp, it is only necessary to
To pull central siphon outward can be realized, and operation is quick and convenient, and uterus reduces cancer cell in intraperitoneal rotation after avoiding detachment
Fall risk.
It can not accomplish to completely enclose or in semiclosed shape to solve Hysterectomy vaginal canal fracture in the prior art
State, cutting, take out step it is discontinuous, there is technical issues that higher cancer cell fall, the present invention provides a kind of uterus
Canceration vaginal canal resection operation utensil, specifically includes fixed cell, central siphon and cutter unit；
Fixed cell, the fixed cell are set to the central siphon and between the central siphon inner end and the cutter units,
For fixing the vaginal canal in surgical procedure；
Cutter unit, the cutter unit are set to the central siphon, for being placed in the inner cavity of the vaginal canal in surgical procedure simultaneously
Circumferentially cut the vaginal canal.
Further, a kind of uterus canceration vaginal canal resection operation utensil provided by the invention, wherein fixed cell includes
Bandage and expansion elements；
Bandage, bandage have bandage both ends circle around the connector of connection, and the outer wall of vaginal canal is around in for surgical procedure centre circle；
Expansion elements, the expansion elements are sheathed on central siphon and are located between the inner face and the cutter unit of the central siphon, use
The inner cavity of the vaginal canal is placed in surgical procedure, by the expansion actions of the expansion elements from the institute of the expansion elements
The inner cavity of the vaginal canal is blocked in position and is separated, realizes the Seal treatment in uterus, at the same the periphery of expansion elements extend out by
The vaginal canal compressing is in the inner ring face of the bandage wound on vaginal canal periphery, while realizing reliable closing, by be cut point
From uterus be fixed on utensil inner end, removal is directly drawn convenient for the later period.
Preferably, a kind of uterus canceration vaginal canal resection operation utensil provided by the invention, it is contemplated that the precision of expansion is wanted
It sums leakproofness, the higher expansion sliding groove structure of expansion precision is used in the application and aims at the ring-type that axial seal adds
Partition, wherein the expansion elements include annular baffle and expansion sliding groove structure, and the expansion sliding groove structure is sheathed on the axis
Pipe, the annular baffle are sheathed on the central siphon and are set to the inner face of the expansion sliding groove structure.
Preferably, a kind of uterus canceration vaginal canal resection operation utensil provided by the invention, it is contemplated that the practicability of structure
And terseness, wherein the expansion elements include tensioner ring and annular air-pocket a, and the tensioner ring is by several independent expansion blocks
It surrounds, the annular air-pocket a is set between the tensioner ring and the central siphon, and the annular air-pocket a runs through institute by tracheae
It states central siphon and warp beam tube cavity leads to the outer end of the central siphon, wherein be provided with one-way valve structures in the tracheae pipeline；Its
Specific working mode is to connect tracheae by pump device and pump gas, annular air-pocket a inflation to annular air-pocket a, inner ring is supported
Firmly central siphon, outer ring resist tensioner ring outward, radially extend out to push to expand, finally by vaginal canal wall pressure under the pressure of bandage
Inner ring face.
Further, a kind of uterus canceration vaginal canal resection operation utensil provided by the invention, in order to limit expansion block edge
Radial extend out be unlikely to shift, wherein further include sliding rail sliding slot group, the sliding rail sliding slot group includes sliding slot disk and cunning
Rail, the sliding rail be arranged radially in it is described expansion block inner face and/or outer end face, the sliding slot disk radially open up with
The corresponding sliding slot of the sliding rail, the sliding slot disk are sheathed on the central siphon.
Preferably, a kind of uterus canceration vaginal canal resection operation utensil provided by the invention, wherein the cutter unit packet
Exposure mechanism and circumference cutter are included, the exposure mechanism is set to central siphon, and the circumference cutter is connected to exposure mechanism.
Preferably, a kind of uterus canceration vaginal canal resection operation utensil provided by the invention, wherein the cutter unit packet
Include overhanging structure, blade, knife rest and rotational structure；The blade is assemblied in the knife rest, and the rotational structure inward flange can revolve
Turn be sheathed on the central siphon, outer edge is fixedly connected on the knife rest, the overhanging structure setting is in blade and rotational structure
Between, for the blade to be released the knife rest by the overhanging structure in surgical procedure and pierces through the vaginal canal, also
Including reset spring, the reset spring is installed between blade and knife rest, for that will release knife rest outer ring after the completion of cutting
The blade in face pushes back in knife rest.
Preferably, a kind of uterus canceration vaginal canal resection operation utensil provided by the invention, it is contemplated that vagina tube thickness is not
Uniformity, it is laborious in the religion of practical cutter cutting process, wherein the blade is electric knife.
Preferably, a kind of uterus canceration vaginal canal resection operation utensil provided by the invention, wherein blade is electronic cutting
Machine.
Further, a kind of uterus canceration vaginal canal resection operation utensil provided by the invention, wherein in view of structure
Feasibility is also provided with outer tube, and the outer tube and the central siphon are coaxially arranged, and the outer tube includes inner end head tube and outer end rotation
Pipe is equipped with end cover between the inner face and central siphon of head tube；The head tube ends in expansion elements from central siphon inner face
End face, and be fixed by the bracket and be connected to the central siphon；The inner tubal wall of the rotation pipe is connected to the rotational structure, and by institute
The inner end for stating rotation pipe is fixedly connected on cutter unit.
Preferably, a kind of uterus canceration vaginal canal resection operation utensil provided by the invention, wherein the overhanging structure is
Annular air-pocket b, the annular air-pocket b manage the outer end that the outer tube is led between central siphon by tracheae from the rotation, wherein
One-way valve structures are equipped in tracheae pipeline.
Preferably, a kind of uterus canceration vaginal canal resection operation utensil provided by the invention, wherein equally allow for and cut
The required precision cut, the overhanging structure are expansion sliding groove structure.
Preferably, a kind of uterus canceration vaginal canal resection operation utensil provided by the invention, it is contemplated that vaginal canal is being cut
When traction of having no progeny removes, since resistance is larger, the device wound on the bandage of vagina pipe outer wall or in vagina inside pipe wall at this time
Tool outer tube has a possibility that slippage, wherein outer diameter of the bandage under reeling condition is less than the outer diameter of the outer tube, for that will tie up
Band axial stop is in the outer tube, while the diameter of the expansion elements in an unexpanded condition is less than the outer diameter of the outer tube,
And the width of bandage is less than expansion elements inner face to rotation pipe inner face apart from size；Bandage can be assemblied in outer tube surface
Interior, in traction, the inner end of bandage is stopped by the stepped shoulder of outer tube indent, and the outer tube in vagina inside pipe wall is outside
When drawing, also due to the snap-fit of bandage and a possibility that substantially eliminated slippage.
Preferably, a kind of uterus canceration vaginal canal resection operation utensil provided by the invention, wherein the expansion elements exist
Diameter under unexpanded state is identical as the outer diameter of the outer tube.
Further, a kind of uterus canceration vaginal canal resection operation utensil provided by the invention, wherein it further include handle,
The outer end of the handle and the rotation pipe offsets and is assemblied in the outer end of central siphon.
Preferably, a kind of uterus canceration vaginal canal resection operation utensil provided by the invention, it is contemplated that the practical shape of operation
Condition, in cervix outer end, at least 2cm resection formula is most commonly seen, wherein the cutter unit position is apart from the central siphon
Inner end 2cm, and the fixed cell is sheathed on the central siphon within the scope of the 2cm.
Preferably, a kind of uterus canceration vaginal canal resection operation utensil provided by the invention, wherein it further include lifting palace bar,
Act palace bar is set to central siphon inner cavity, and connect with the knob screw drive of central siphon outer end setting, for the rotation with knob
Rotation is made to stretch out or retract the inner face of the central siphon.
Preferably, a kind of uterus canceration vaginal canal resection operation utensil provided by the invention, wherein in the act palace bar
Inner segment is equipped with size marking.
A kind of uterus canceration vaginal canal resection operation utensil provided by the invention has the advantage that compared with prior art
The application takes the lead in proposing intravaginal procedure formula, adds bandage in vagina pipe outer wall, expansion elements are arranged in inner wall, on the one hand yin
Deferent is before cutting i.e. by uterus Seal treatment, and on the other hand, utensil is fixed in uterus to be cut off in advance, completes to cut
Removal directly can be pulled by utensil after cutting art formula, without in addition probeing into clamp clamping drawing, process is simple and reliable, from the root
Eliminate a possibility that cancer cell is fallen；In addition, stereotomy formula is directly completed out of vaginal canal, tradition is different from outside vaginal canal
Wall cutting mode, surgical facilitation are very clear.
Detailed description of the invention
Fig. 1 is a kind of uterus canceration vaginal canal resection operation utensil structure schematic diagram of the present invention；
Fig. 2 is the assembly that a kind of uterus canceration vaginal canal resection operation utensil expansion elements of the present invention expand block and annular air-pocket a
Structural schematic diagram；
Fig. 3 is that a kind of uterus canceration vaginal canal resection operation utensil expansion elements of the present invention expand block, annular air-pocket a and sliding slot disk
And central siphon assembling structure schematic diagram；
Fig. 4 is that a kind of uterus canceration vaginal canal resection operation utensil cutter unit blade of the invention and overhanging Standard structure are shown
It is intended to；
Fig. 5 is that a kind of uterus canceration vaginal canal resection operation utensil cutter unit blade of the present invention and reset spring assembling structure are shown
It is intended to；
Fig. 6 is a kind of uterus canceration vaginal canal resection operation utensil cutter unit blade of the present invention, knife rest, overhanging structure and reset
Spring assembling structure schematic diagram；
Fig. 7 is a kind of uterus canceration vaginal canal resection operation utensil rotational structure schematic diagram of the present invention；
Fig. 8 is a kind of uterus canceration vaginal canal resection operation utensil rotational structure of the present invention and blade assembling structure schematic diagram；
Fig. 9 is a kind of uterus canceration vaginal canal resection operation utensil expansion elements of the present invention, cutter unit and central siphon assembling structure
Schematic diagram；
Figure 10 is a kind of uterus canceration vaginal canal resection operation utensil head tube of the present invention and central siphon assembling structure schematic diagram；
Figure 11 is a kind of expansion elements structural representation of uterus canceration vaginal canal resection operation utensil another kind embodiment of the present invention
Figure；
Figure 12 is overhanging in cutter unit in a kind of uterus canceration vaginal canal resection operation utensil another kind embodiment of the present invention
Structural schematic diagram.
Wherein: 1, bandage；2, central siphon；3, expansion elements；4, cutter unit；5, annular air-pocket a；6, block is expanded；7, sliding slot
Disk；8, sliding rail；9, sliding slot；10, overhanging structure；11, blade；12, knife rest；13, rotational structure；14, reset spring；15, outer tube；
150, head tube；151, rotation pipe；16, handle；17, palace bar is lifted；18, knob；19, sliding groove structure is expanded；20, annular baffle.
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, handle 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 Figure 1, present embodiments providing a kind of uterus canceration vaginal canal resection operation utensil, this reality of bandage 1(is specifically included
Example is applied using the spring leaf spring leaf-snap bracelet special as bandage or one kind as bandage, since snap bracelet is by special
Different die mould processing has two stable states, i.e. strip and curly, convenient for intraperitoneal passing through clamp operation winding narrow
In vagina pipe outer wall), central siphon 2, expansion elements 3 and cutter unit 4；
Bandage 1, bandage 1 have the connector by 1 both ends of bandage circle around connection, are around in the outer of vaginal canal for surgical procedure centre circle
Wall；
Expansion elements 3, the expansion elements 3 be sheathed on central siphon 2 and be located at the central siphon 2 inner face and the cutter unit 4 it
Between, it is single from the expansion by the expansion action of the expansion elements 3 for being placed in the inner cavity of the vaginal canal in surgical procedure
The inner cavity of the vaginal canal is blocked and is separated by the position of member 3, realizes the Seal treatment in uterus, while expansion elements 3 is outer
It extends out vaginal canal compressing in week in the inner ring face of the bandage 1 wound on vaginal canal periphery, it, will while realizing reliable closing
Utensil inner end is fixed in isolated uterus to be cut, and removal is directly drawn convenient for the later period；
Specifically, expansion elements 3 include tensioner ring and annular air-pocket a5, and the tensioner ring is by several only as shown in Fig. 1~3 and Fig. 9
Vertical expansion block 6 surrounds, and the annular air-pocket a5 is set between the tensioner ring and the central siphon 2, the annular air-pocket a5
The outer end of the central siphon 2 is led to by tracheae through the central siphon 2 and through 2 inner cavity of central siphon, wherein set in the tracheae pipeline
It is equipped with one-way valve structures (not shown)；It further include sliding rail sliding slot group, the sliding rail sliding slot group includes sliding slot disk 7 and sliding rail 8,
The sliding rail 8 is arranged radially in the inner face and outer end face of expansion block 6, and the sliding slot disk 7 radially opens up opposite with sliding rail 8
The sliding slot 9 answered, the quantity of the present embodiment sliding slot disk 7 are 2, and sliding slot disk 7 is sheathed on central siphon 2 and is assemblied in the inner end of tensioner ring respectively
Face and outer end face；
Cutter unit 4, which is set to the central siphon 2, for being placed in the inner cavity of the vaginal canal in surgical procedure,
And circumferentially cut the vaginal canal；Specifically as shown in Fig. 4~9, cutter unit 4 includes overhanging structure 10, blade 11, knife rest
12 and rotational structure 13；The blade 11 is assemblied in knife rest 12,13 inward flange of rotational structure is rotatable be sheathed on it is described
Central siphon 2, outer edge are fixedly connected on knife rest 12, and overhanging structure 10 is set between blade 11 and rotational structure 13, for performing the operation
Blade 11 is released by knife rest 12 by overhanging structure 10 in the process and pierces through vaginal canal, further includes reset spring 14, the reset bullet
Spring 14 is installed between blade 11 and knife rest 12, for the blade 11 for releasing 12 outer ring face of knife rest to be pushed back knife after the completion of cutting
In frame 12；In addition, being also provided with outer tube 15, the outer tube 15 and the central siphon 2 are coaxially arranged, and the outer tube 15 includes inner termination
Pipe 150 and outer end rotate pipe 151, and end cover is equipped between the inner face and central siphon 2 of head tube 150；The head tube 150 is from central siphon
2 inner faces end in the inner face of expansion elements 3, and are fixed by the bracket and are connected to the central siphon 2；The rotation pipe 151
Inner tubal wall is connected to the rotational structure 13, and the inner end of the rotation pipe 151 is fixedly connected on cutter unit 4；Overhanging knot
Structure 10 is annular air-pocket b, and the annular air-pocket b leads to the outer tube 15 between the rotation pipe 151 and central siphon 2 by tracheae
Outer end, wherein in tracheae pipeline be equipped with one-way valve structures (not shown), at this point, the outer end of spring leaf ends in knife rest
Outer end face, during circumgyration incision, cutting chopping block of the spring leaf as blade, convenient for vaginal canal carry out cutting process.
Connect as shown in fig. 7, the rotational structure 13 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.
In view of the feasibility of structure, as shown in Fig. 1, Fig. 9 and Figure 10, it is contemplated that vaginal canal is removed in cut-off rear haulage
When, since resistance is larger, the utensil outer tube 15 wound on the bandage 1 of vagina pipe outer wall or in vagina inside pipe wall has at this time
A possibility that slippage, wherein outer diameter of the bandage 1 under reeling condition is less than the outer diameter of the outer tube 15, and expansion elements 3 are not expanding
Outer diameter under the state of opening is equal with 12 outer diameter of knife rest of cutter unit 4, while the diameter of expansion elements 3 in an unexpanded condition is small
In the outer diameter of the outer tube 15, and the width of bandage 1 is less than 3 inner face of expansion elements to the range arm for rotating 151 inner face of pipe
Very little, bandage 1 can be assemblied in 15 face of outer tube, and in drawing, the inner end of bandage 1 is stopped by the stepped shoulder of 15 indent of outer tube,
And the outer tube 15 in vagina inside pipe wall is in outside drawing, also due to the snap-fit of bandage 1 and completely eliminate slippage
Possibility pulls more reliable.
In addition, as shown in Figure 1, the present embodiment further includes handle 16 for the ease of holding, the handle 16 and the rotation
The outer end of pipe 151 offsets and is assemblied in the outer end of central siphon 2, it is contemplated that the actual state of operation, in cervix outer end, at least 2cm is cut
Except art formula is most commonly seen, wherein 4 position of cutter unit apart from 2 inner end 2cm of central siphon, and expansion elements 3 be sheathed on it is above-mentioned
Central siphon 2 within the scope of 2cm.
The present embodiment further includes lifting palace bar 17 as a preferred technical solution, which is set to 2 inner cavity of central siphon,
And connect with 18 screw drive of knob of 2 outer end of central siphon setting, meanwhile, for the ease of adjusting cut lengths, in act palace bar
17 inner segment is equipped with size marking.
The course of work and principle are as follows: cutting position is lifted palace bar 17 and stretched out and grows apart from cervix distance adjustment according to actual needs
Then utensil is placed in vaginal canal and resists cervix up to lifting palace bar 17 by degree, bandage 1, operation folder are put into out of laparoscope hole
Bandage 1 is enclosed the outer wall for being around in vaginal canal by pincers, and is corresponded to head tube 150 and rotated the depressed area between pipe 151, by pumping gas
Device pumps gas to annular air-pocket a5, as the promotion expansion block 6 of heaving of annular air-pocket a5 is moved outwards along sliding slot 9, works as expansion
It opens block 6 to oppress corresponding vagina tube wall and fit closely it when 1 inner ring face of bandage, stops pumping gas to annular air-pocket a5；Then
Gas is pumped to annular air-pocket b by pump device, as heaving for annular air-pocket b pushes the blade 11 being installed on knife rest 12 to stretch out
The vaginal canal is simultaneously pierced through, until 11 outer end of blade is butted on the inner ring face of bandage 1 in 12 outer ring face of knife rest, and stopping is to annular air-pocket b
Gas is pumped, can be manually rotated rotation pipe 151 at this time, rotation pipe 151 drives 4 circumgyration incision vagina tube wall of cutter unit, when cutting is completed
When, control check valve loses heart to annular air-pocket b, and with releasing for gas, blade 11 is pushed back under the action of reset spring 14
To knife rest 12, last gripping handle 16 pulls utensil outward until the uterus of excision removes external stop.
Embodiment 2
On the basis of embodiment 1, it is preferred that a kind of uterus canceration vaginal canal resection operation utensil provided in this embodiment is examined
Consider vaginal canal thickness offset, it is harder in practical cutter cutting process, wherein the blade 11 is electric knife or electronic cuts
Cutting mill, the outer end of spring leaf ends in the outer end face of expansion elements at this time, in electric knife or cutting machine cutting process not with bullet
Switch jaw contact is cut into journey with blocking-proof.
The course of work and principle are as follows: oppress corresponding vagina tube wall in expansion block 6 and fit closely it in 1 inner ring face of bandage
When, stop pump gas, drives circumference cutter mobile by overhanging structure 10, until cutting sheet is contacted with vagina tube wall, after energization
Rotation rotation pipe encloses it around 2 circular motion one of central siphon while cutting sheet cuts vagina tube wall, until cutting is completed, then leads to
It crosses reset spring to push back the cutting machine in knife rest, last gripping handle 16 pulls utensil outward until the uterus of excision is moved
It is external out to stop；Prior step is with embodiment 1, and this will not be repeated here.
Embodiment 3
Preferably, on the basis of embodiment 1, as is illustrated by figs. 11 and 12, it is contemplated that the required precision and leakproofness of expansion, this
The higher expansion sliding groove structure 19 of expansion precision is used in embodiment and aims at the annular baffle 20 that axial seal adds takes
For the structure of the air bag expansion block combination in embodiment 1, wherein the expansion elements 3 include annular baffle 20 and expansion sliding slot
Structure 19, the expansion sliding groove structure 19 are sheathed on the central siphon 2, and the annular baffle 20 is sheathed on the central siphon 2 and is arranged
In the inner face of the expansion sliding groove structure 19；
The required precision of cutting is equally allowed for, the overhanging structure 10 in cutter unit 4 is also substituted for expansion sliding groove structure 19.
It is the prior art that sliding groove structure 19 is expanded in the present embodiment, and this will not be repeated here.
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 (17)
1. a kind of uterus canceration vaginal canal resection operation utensil, it is characterised in that: including fixed cell, central siphon and cutter unit；
Fixed cell, the fixed cell are set to the central siphon and between the central siphon inner end and the cutter units,
For fixing the vaginal canal in surgical procedure；
Cutter unit, the cutter unit are set to the central siphon, for being placed in the inner cavity of the vaginal canal in surgical procedure simultaneously
Circumferentially cut 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；
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, it is single from the expansion by the expansion action of the expansion elements for being placed in the inner cavity of the vaginal canal in surgical procedure
The inner cavity of the vaginal canal is blocked and is separated by the position of member, while the periphery of expansion elements extends out and oppresses the vaginal canal
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
Annular baffle and expansion sliding groove structure are included, the expansion sliding groove structure is sheathed on the central siphon, and the annular baffle is sheathed on institute
It states central siphon and is set to the inner face of the expansion sliding groove structure.
4. 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 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.
5. uterus canceration vaginal canal resection operation utensil according to claim 4, it is characterised in that: further include sliding rail sliding slot
Group, the sliding rail sliding slot group include sliding slot disk and sliding rail, and the sliding rail is arranged radially in the inner face of the expansion block, and/
Or outer end face, the sliding slot disk radially open up sliding slot corresponding with the sliding rail, the sliding slot disk is sheathed on the central siphon.
6. uterus canceration vaginal canal resection operation utensil according to claim 2, it is characterised in that: cutter unit includes outer
Stretch structure, blade, knife rest and rotational structure；The blade is assemblied in the knife rest, and the rotational structure inward flange is rotatable
Be sheathed on the central siphon, outer edge is fixedly connected on the knife rest, the overhanging structure setting between blade and rotational structure,
It further include multiple for the blade to be released the knife rest by the overhanging structure in surgical procedure and pierces through the vaginal canal
Position spring, the reset spring is installed between blade and knife rest, for pushing back the blade for releasing knife rest after the completion of cutting
In knife rest.
7. uterus canceration vaginal canal resection operation utensil according to claim 6, it is characterised in that: the blade is electricity
Knife.
8. uterus canceration vaginal canal resection operation utensil according to claim 6, it is characterised in that: the blade is electronic
Cutting machine.
9. uterus canceration vaginal canal resection operation utensil according to claim 6, it is characterised in that: it further include outer tube, institute
It states outer tube and the central siphon is coaxially arranged, the outer tube includes inner end head tube and outer end rotation pipe, the inner face and central siphon of head tube
Between be equipped with end cover；The head tube ends in the inner face of expansion elements, and the company of being fixed by the bracket from central siphon inner face
It is connected to the central siphon；The inner tubal wall of the rotation pipe is connected to the rotational structure, and the inner end of the rotation pipe is fixed and is connected
It is connected to cutter unit.
10. uterus canceration vaginal canal resection operation utensil according to claim 6, it is characterised in that: the overhanging structure
The outer end that the outer tube is led between central siphon is managed from the rotation by tracheae for annular air-pocket b, the annular air-pocket b,
In, one-way valve structures are equipped in tracheae pipeline.
11. uterus canceration vaginal canal resection operation utensil according to claim 6, it is characterised in that: the overhanging structure
To expand sliding groove structure.
12. uterus canceration vaginal canal resection operation utensil according to claim 9, it is characterised in that: bandage is in rolled
Outer diameter under state is less than the outer diameter of the outer tube, and the width of bandage be less than expansion elements inner face to rotation pipe inner face away from
From size, it is used for bandage axial stop in the outer tube；The diameter of the expansion elements in an unexpanded condition is less than simultaneously
The outer diameter of the outer tube.
13. uterus canceration vaginal canal resection operation utensil according to claim 9, it is characterised in that: the expansion elements
Diameter in an unexpanded condition is identical as the outer diameter of the outer tube.
14. uterus canceration vaginal canal resection operation utensil according to claim 9, it is characterised in that: it further include handle, institute
The outer end for stating handle and the rotation pipe offsets and is assemblied in the outer end of central siphon.
15. uterus canceration vaginal canal resection operation utensil according to claim 1, it is characterised in that: the cutter unit
Position is apart from the central siphon inner end 2cm, and the fixed cell is set to the central siphon within the scope of the 2cm.
16. uterus canceration vaginal canal resection operation utensil according to claim 1, it is characterised in that: it further include lifting palace bar,
Act palace bar is set to central siphon inner cavity, and connect with the knob screw drive of central siphon outer end setting, for the rotation with knob
Rotation is made to stretch out or retract the inner face of the central siphon.
17. uterus canceration vaginal canal resection operation utensil according to claim 16, it is characterised in that: in act palace bar
Inner segment be equipped with size marking.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910161610.2A CN109875676A (en) | 2019-03-04 | 2019-03-04 | A kind of uterus canceration vaginal canal resection operation utensil |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910161610.2A CN109875676A (en) | 2019-03-04 | 2019-03-04 | A kind of uterus canceration vaginal canal resection operation utensil |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN109875676A true CN109875676A (en) | 2019-06-14 |
Family
ID=66930534
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201910161610.2A Pending CN109875676A (en) | 2019-03-04 | 2019-03-04 | A kind of uterus canceration vaginal canal resection operation utensil |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN109875676A (en) |
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| CN110537963A (en) * | 2019-08-29 | 2019-12-06 | 上海长海医院 | Novel multi-functional uterus lifting device |
| 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 |
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