CN110236643A - The device that tumour is cut off without blood isolating and protecting under laparoscope - Google Patents

The device that tumour is cut off without blood isolating and protecting under laparoscope Download PDF

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Publication number
CN110236643A
CN110236643A CN201910589443.1A CN201910589443A CN110236643A CN 110236643 A CN110236643 A CN 110236643A CN 201910589443 A CN201910589443 A CN 201910589443A CN 110236643 A CN110236643 A CN 110236643A
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CN
China
Prior art keywords
tumour
sheath
protecting
cut
sealing
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201910589443.1A
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Chinese (zh)
Inventor
凌斌
凌安东
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Hefei Hebo Medical Equipment LLC
Original Assignee
Hefei Hebo Medical Equipment LLC
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Hefei Hebo Medical Equipment LLC filed Critical Hefei Hebo Medical Equipment LLC
Priority to CN201910589443.1A priority Critical patent/CN110236643A/en
Publication of CN110236643A publication Critical patent/CN110236643A/en
Pending legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12009Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
    • A61B17/12013Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot for use in minimally invasive surgery, e.g. endoscopic surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/3205Excision instruments
    • A61B17/32056Surgical snare instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08Accessories or related features not otherwise provided for
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12009Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
    • A61B2017/12018Elastic band ligators
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B2017/320064Surgical cutting instruments with tissue or sample retaining means

Abstract

The present invention discloses the device that tumour is cut off without blood isolating and protecting under a kind of laparoscope, it is characterized in that being made of sealing ejector sleeve, guiding support bar, elastic ligation circle, sealing sheath protecting band and pedestal.Wherein sealing ejector sleeve is hollow tubular structure, and one end is internal orifice, is provided with leak hole on tube wall and communicates with lumen, and the other end is collar extension, is covered with leakproof gas cap, and tube wall is provided with charge and exhaust pipe and fills air discharge cook;Through sealing ejector sleeve, one end is connected guiding support bar with elastic ligation circle;Elastic ligation circle connection sealing sheath protecting band mouth;Bag body is connected to multiple sheaths, and sheath is tubular structure, and the sheath other end is threaded port, can both connect, and can also be connect with pedestal with closed cap;Unidirectional leakproof air valve and tee tube are provided in pedestal.The present apparatus is used for tumor resection under laparoscope, has not only blocked the blood supply in tumor vessel, but also be isolated with intraperitoneal other normal tissue organs, it is intended to prevent intraoperative hemorrhage and tumour cell pollution abdominal cavity plantation.

Description

The device that tumour is cut off without blood isolating and protecting under laparoscope
Technical field
The present invention relates to auxiliary device for laparoscope operation.
Background technique
Laparoscopic surgery is to puncture to form multiple small puncturing holes on stomach wall, to abdominal cavity is swollen after intraperitoneal inflation It is swollen, the intraperitoneal space for forming surgical procedure, and the tumour that exposure needs to cut off, by the operation of abdomen wall puncture hole merging long handle Instrument cuts off tumour in intraperitoneal tissue or organ from human normal, in the whole process of tumor resection, reality Tumour is often due to the reasons such as clamp tearing, it is possible to create tumour cell or tumour clast fall off and pollute abdominal cavity;Cystoma Due to clamp tearing etc., it is possible to create tumour content overflows leakage and pollutes abdominal cavity, so that iatrogenic cause tumour remote Place's transfer and recurrence, seriously threaten the life security of patient.
In order to pre- anti-dropout tumour cell in intraperitoneal Implantation matastasis, current method is mainly adopted after tumor resection With the liquid wash such as a large amount of physiological saline or distilled water surgical wound surface and abdominal cavity, it is desirable to be able to intraperitoneal no longer by rinsing guarantee There are the Exfoliated tumor cells of omission, but are then difficult fully up to expectations in clinical practice, clinic occurs resulting from swollen often Tumor relapse and metastasis, because by the remedial measure in liquid wash abdominal cavity having been polluted both by tumour cell intraperitoneal after all At true later helpless and passively behave, it is clear that also lack actively effective safeguard procedures at present, i.e., in laparoscope incision Except safeguard procedures being taken if in advance, even if it is de- that tumour cell has occurred when tumor resection in the surgical procedure whole process of tumour It falls or tumour content overflows, also can play the role of protective barrier set in advance and play to be isolated with human body intraperitoneal, avoid The tumour content of the tumour cell or spilling that fall off prevents it from directly connecing with normal human tissue organ in intraperitoneal disperse Touching, to realize the purpose to prevent trouble before it happens.
Since the long handle surgical instrument of laparoscopic surgery directly contacts tumour cell or its content intraperitoneal, passing When system laparoscopic surgery, contaminated long handle surgical instrument enters and leaves abdominal cavity repeatedly, inevitably pollutes the sheath of abdomen wall puncture device, is worth It proposes, contaminated abdomen wall puncture device sheath and its nozzle are open to be exposed to intraperitoneal, is very easy to secondary abdominal cavity and abdomen The tumour cell of wall puncturing hole pollutes, and clinical manifestation is that belly cavity tumor transfer and relapse and abdomen wall puncture hole tumor planting shift.
The tumor resection surface of a wound has left tumour cell ingredient often, and conventional laparoscopic technology takes a large amount of liquid wash to create Face, however a large amount of liquid can be distributed in intraperitoneal disperse everywhere and be hidden in intestines gap, below diaphram etc., tumour therein Cell also therefore and diffusion transfer to entire abdominopelvic cavity.
It is that will prevent below the operating area of tumor resection although having tried to be built into simple protecting band in abdominal cavity It protects sack to open, it is desirable to which tumour cell, tumour content or the washing wound surface liquid stream to fall off enters in protecting band, but this in abdomen The intracavitary open open safeguard procedures of sack still cannot prevent the abdominal cavity internal leakage that tumor contamination object occurs.
Tumor focus during being eliminated next by conventional laparoscopic operation from normal tissue organ, due to tumor group The blood supply knitted is relatively abundant, and bleeding occurs often for tissue surface of a wound when tumor resection and after excision, on the one hand patient is caused to lose Blood is more, and another aspect blood flows through the surface of a wound of tumor resection, is also easy to sweep along the tumour cell left or tumour clast Abdominal cavity is flowed to, tumour spread is caused to shift.
The blood supply of laparoscopic resection Neoplastic organ or tumor tissues is easy to happen out usually compared with horn of plenty Blood, the method for temporarily all blocking entire operative region blood supply when also lacking art at present.
Summary of the invention
The present invention is to avoid above-mentioned existing deficiencies in the technology, by will prepare the swollen of excision intraperitoneal The organ at tumor and its place is fitted into closed protecting band, and is completely closed protection sack by sealing ejector sleeve, while also being blocked The blood supply of tumour and its organ in protecting band, into protecting band, inflation forms surgical procedure space, passes through pedestal With sheath implantation surgery instrument, realizes the tumor resection in intraperitoneal another closed space of composition, not only ensure no blood For when ocal resection, and surgical wound surface is also completely isolated with intraperitoneal other normal tissues and organ, and effectively prevention is swollen Oncocyte diffusion transfer.
The present invention adopts the following technical scheme that in order to solve the technical problem
1, the device that tumour is cut off without blood isolating and protecting under laparoscope, it is characterized in that: it is characterized in that by sealing ejector sleeve, guiding support Bar, elastic ligation circle, sealing sheath protecting band and pedestal composition.
2, the device that tumour is cut off without blood isolating and protecting under laparoscope, it is characterized in that sealing ejector sleeve is hollow tubular structure, One end is internal orifice, internal orifice edge tube wall round blunt, is provided with leak hole on tube wall by internal orifice, communicates with ejector sleeve lumen, the other end is outer Mouthful, collar extension is covered with elastic leakproof gas cap, and tube wall is provided with charge and exhaust pipe and fills air discharge cook by collar extension;
3, the device that tumour is cut off without blood isolating and protecting under laparoscope, it is characterized in that guiding support bar be column structure, one end with The connection of elastic ligation circle;
4, the device that tumour is cut off without blood isolating and protecting under laparoscope, it is characterized in that elastic ligation circle is cyclic structure, with sealing The sack ring-type of sheath protecting band penetrates through connection;
5, the device that tumour is cut off without blood isolating and protecting under laparoscope, it is characterized in that sealing sheath protecting band is by protecting band, sheath It is formed with closed cap.Wherein protection sack is connect with elastic ligation circle, and protection bag body is connected to multiple sheaths, and sheath is tubulose knot Structure, the sheath other end are threaded port, can both connect, and can also connect with base helical, closed cap is remote with closed cap spiral End is connected with lead;
6, the device that tumour is cut off without blood isolating and protecting under laparoscope, it is characterized in that pedestal is tubular structure, pedestal is provided with three Siphunculus and unidirectional leakproof air valve, one end screw thread can be threadedly coupled with sheath.
After adopting the above technical scheme, compared with prior art, having the advantage that
It may occur that amount of bleeding is more and tumour cell falls off or tumour content during for tumor resection under laparoscope It overflows and pollutes abdominal cavity, cause the significant problems such as metastases, the present invention is capable of the intravascular of temporary interruption tumor focus region Blood supply, while operative region can be also isolated with other intraperitoneal normal tissues and organ, to ensure tumour in nothing Tumor cell dissemination caused by when cutting off when blood supply, and preventing tumor resection shifts.
1, the organ under laparoscope to ocal resection and its place is loaded into protecting band, since the present invention is distinctive anti- It protects bag and seals obturator, the histoorgan performed the operation and tumour will be needed to completely enclose and be wrapped in protecting band, shutdown is formd The state of killing of dog, so the operating process of ocal resection, and its tumour clast or tumour content that generate are limited In the protecting band that inflation is expanded, therefore Tumor cell dissemination can be effectively prevent to abdominal cavity;
Although 2, contaminated for the long handle surgical instrument of tumor resection under laparoscope, contaminated long handle surgical instrument, And the stomach wall sheath nozzle of its pollution, it is limited in intraperitoneal closed protecting band, therefore avoiding this link may Caused by abdomen wall puncture notch tumour cell Implantation matastasis and intraperitoneal pollution Implantation matastasis;
3, the tumour cell that the ocal resection surface of a wound may locally be left, although can be removed by a large amount of liquid wash, Since apparatus of the present invention have ensured that the range of operation of tumor resection is all wrapped in protecting band by closed, flushing liquid and wherein Tumour cell etc. be confined in protecting band, not to intraperitoneal extensive disperse, therefore also actively prevent rinsing this link Tumour cell intraperitoneal is sent out extensively.
4, the range of operation of tumor resection is all wrapped in protecting band by closed under laparoscope, supplies operative region blood Blood vessel by protection sack, when protect sack be sealed ejector sleeve shrink close when, blood vessel therein is also temporarily squeezed Pressure is closed, therefore this invention device has the function of that blood vessel temporarily ligatures blocking, can effectively prevent surgical wound surface and measure greatly Blood.
5, the protection sack time is closed too long in order to prevent, because blocking the blood supply for wherein supplying tumour and its place organ May cause normal tissue ischemic necrosis too long, thus during operation between in operation case too long, between being likely to require in art Break it is transient loosen protection sack closing degree, that is, the of short duration blood supply of tissue in protecting band is given, so this special In the case of the bleeding of surgical wound surface that artificially manipulates, because of blood when the application of apparatus of the present invention has also ensured bleeding in the case Liquid stream is attributed in protecting band through the tumor resection surface of a wound, and not in intraperitoneal disperse, therefore also effectively prevention bleeding is swept along wherein Tumour cell or tumour clast pollution abdominal cavity and Implantation matastasis.
Detailed description of the invention
The closed sheath protecting band structural schematic diagram of Fig. 1
Fig. 2 base construction schematic diagram
Tumour is without blood isolating and protecting device for excising usage state diagram under Fig. 3 laparoscope
Specific embodiment
This case is by taking Laparoscopic Ovarian tumor stove (311) rejects operation as an example.
After patient anaesthetizes disinfection, bottom right abdomen wall puncture is placed in abdomen wall puncture casing (321), and abdomen wall puncture is placed in multiple stomach walls Puncture outfit, by abdomen wall puncture device to intraperitoneal inflation, intraperitoneal air pressure increases, and stomach wall and abdominal cavity expand outward, intraperitoneal shape At biggish space.
Patient holds sealing ejector sleeve (111) and guiding support bar (112), through abdomen wall puncture casing (321), built in abdominal cavity Enter elastic ligation circle (113) and closed sheath protecting band (114), elastic ligation circle (113) is in intraperitoneal automatic opening, by ovary Tumour (312) is packed into closed sheath protecting band (114) wherein including ovarioncus stove (311) and normal ovarian tissue (313) It is interior, sealing ejector sleeve (111) is pushed away under guiding support bar (112), protection sack (141) is slided along elastic ligation circle (113) Collect, elastic ligation circle (113) steps into sealing ejector sleeve (111), finally by the ovarioncus base of a fruit (314), including normal Ovary tissue (313) and ovarian vessel (315), lock ring is in elastic ligation circle (113) distal end and its protection sack (141) of connection It is interior, push sealing ejector sleeve (111) ensure completely enclosed between elastic ligation circle (113) and ovary tumor pedicle (314) it is seamless, wherein The ovarian vessel (315) of supply normal ovarian tissue (313) and ovarioncus stove (311) is also temporarily interrupted.
Under laparoscope (331) observation, intraperitoneal closed sheath protecting band is pulled outward one by one by abdomen wall puncture device (114) lead (117) of the seal cap (116) of the sheath (115) on, sheath (115) is placed in abdomen wall puncture hole (341), rotation Turn to remove the seal cap (116) on sheath (115), by threaded end (TE) (212) rotation installation sheath (115) of pedestal (2), lead to The inflation into intraperitoneal closed sheath protecting band (114) of the tee tube (211) on pedestal (2) is crossed, sealing ejector sleeve is opened simultaneously (111) air discharge cook (118) are filled on, intraperitoneal gas is discharged by the leak hole (120) of sealing ejector sleeve (111) distal end, Intraperitoneal atmospheric pressure is reduced, so that the gas in closed sheath protecting band (114) increases expansion, until protecting band (121) air pressure and intraperitoneal air pressure balance in, close in sealing ejector sleeve (111) and fill air discharge cook (118).
Laparoscope (331) are built into closed sheath protecting band (114) to observe, and are connect by pedestal (2) with sheath (115) The lumen of formation is built into long handle surgical instrument (351), the unidirectional leakproof air valve (213) on pedestal (2), and performance prevents protecting band (121) effect of interior gas leakage can be rapidly from normal ovarian tissue since ovarian vessel (315) has been temporarily interrupted (313) ovarioncus stove (311) are rejected in, in case of ovarioncus stove (311) ulceration, tumour clast or tumour cell fall off, or Ovarioncus stove (311) content spilling etc., also each falls in closed sheath protecting band (114).
It is rinsed by pedestal (2) and sheath (115) to the surgical instrument (351) that protecting band (121) is built into long handle, repeated flushing Normal ovarian tissue (313) and the operation on ovary surface of a wound (316), the shaping suture operation surface of a wound (316).
Charge and exhaust pipe (119) by sealing ejector sleeve (111) passes through the threeway on pedestal (2) to intraperitoneal inflating pressure The gas in (211) discharge protecting band (121) is managed, after reducing the air pressure in protecting band (121), loosens sealing ejector sleeve (111) Squeeze force, appropriate expanding elastic ligature loop (113) and protection sack (141), by normal ovarian tissue (313) all from protection It releasing in bag (121), ejector sleeve (111) will be sealed by, which then proceeding to, squeezes forward, protection sack (141) is closed again, and Sack (141) will be protected to be drawn out stomach wall from abdomen wall puncture casing (321), and take out ovum by protection sack (141) merging instrument Bulk tissue in nest tumor stove (311) and protecting band (121).
Laparoscope (331) and long handle surgical instrument (351) are exited from abdominal cavity, rotation is removed in each sheath (115) Closed cap (116) spiral, is mounted on sheath (115) by pedestal (2) again, and closed sheath (131) is pushed into abdominal cavity one by one, to It is outer to continue to pull elastic ligation circle (113) and protect sack (141), thus by closed sheath protecting band (114) all from abdominal cavity Interior taking-up.
Only preferred embodiments of the present invention will be described for above-described embodiment, not limits the scope of the invention Fixed, the equivalent transformation done under the premise of not departing from design spirit essence of the present invention to the present invention or modification should all be covered Within protection scope of the present invention.

Claims (6)

1. the device that tumour is cut off without blood isolating and protecting under laparoscope, it is characterized in that being tied by sealing ejector sleeve, guiding support bar, elasticity Zha Quan, sealing sheath protecting band and pedestal composition.
2. the device that tumour is cut off without blood isolating and protecting under a kind of laparoscope according to claim 1, it is characterized in that sealing pushes away Pipe is hollow tubular structure, and one end is internal orifice, internal orifice edge tube wall round blunt, leak hole is provided on tube wall by internal orifice, with ejector sleeve pipe Chamber communicates, and the other end is collar extension, and collar extension is covered with elastic leakproof gas cap, and tube wall is provided with charge and exhaust pipe and fills exhaust and opens by collar extension It closes.
3. the device that tumour is cut off without blood isolating and protecting under a kind of laparoscope according to claim 1, it is characterized in that guiding branch Strut is column structure, and one end is connect with elastic ligation circle.
4. the device that tumour is cut off without blood isolating and protecting under a kind of laparoscope according to claim 1, it is characterized in that elasticity knot Zha Quan is cyclic structure, penetrates through and connects with the sack ring-type of sealing sheath protecting band.
5. the device that tumour is cut off without blood isolating and protecting under a kind of laparoscope according to claim 1, it is characterized in that sealing sheath Pipe protecting band is made of protecting band, sheath and closed cap;Shield sack is connect with elastic ligation circle, and protection bag body is connected to multiple sheaths Pipe, sheath are tubular structure, and the sheath other end is threaded port, can both be connect with closed cap spiral, can also be with pedestal spiral shell Rotation connection, closed cap distal end are connected with lead.
6. according to the device that tumour under a kind of laparoscope described in claim 1 is cut off without blood isolating and protecting, it is characterized in that pedestal is pipe Shape structure, pedestal are provided with tee tube, unidirectional leakproof air valve and threaded end (TE), can be threadedly coupled with sheath.
CN201910589443.1A 2019-07-02 2019-07-02 The device that tumour is cut off without blood isolating and protecting under laparoscope Pending CN110236643A (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110680482A (en) * 2019-10-21 2020-01-14 南京森盛医疗设备有限公司 Womb lifting kit and use method thereof
WO2021078035A1 (en) * 2019-10-21 2021-04-29 凌斌 Pelvic cavity and abdominal cavity separation protective diaphragm for laparoscopic operation and trocar used in conjunction therewith

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105078552A (en) * 2015-09-11 2015-11-25 凌安东 Endoscopic picking bag hard catheter opening sealing, traction and air controlling combined apparatus
US20170150951A1 (en) * 2014-03-28 2017-06-01 Bin LING Protection device for preventing tumor dissemination and tumor metastasis in laparoscopic surgery
CN108992149A (en) * 2018-08-29 2018-12-14 合肥赫博医疗器械有限责任公司 It crushes under hysteroscope and is connected with the anti-slip combined type of extraction bag and hard conduit
CN109009266A (en) * 2018-08-29 2018-12-18 合肥赫博医疗器械有限责任公司 It is connected to abdominal cavity merging and the double-jacket tube closing device of hard conduit extraction bag
CN210644133U (en) * 2019-07-02 2020-06-02 合肥赫博医疗器械有限责任公司 Bloodless isolation protection and excision device for tumor under laparoscope

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20170150951A1 (en) * 2014-03-28 2017-06-01 Bin LING Protection device for preventing tumor dissemination and tumor metastasis in laparoscopic surgery
CN105078552A (en) * 2015-09-11 2015-11-25 凌安东 Endoscopic picking bag hard catheter opening sealing, traction and air controlling combined apparatus
CN108992149A (en) * 2018-08-29 2018-12-14 合肥赫博医疗器械有限责任公司 It crushes under hysteroscope and is connected with the anti-slip combined type of extraction bag and hard conduit
CN109009266A (en) * 2018-08-29 2018-12-18 合肥赫博医疗器械有限责任公司 It is connected to abdominal cavity merging and the double-jacket tube closing device of hard conduit extraction bag
CN210644133U (en) * 2019-07-02 2020-06-02 合肥赫博医疗器械有限责任公司 Bloodless isolation protection and excision device for tumor under laparoscope

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110680482A (en) * 2019-10-21 2020-01-14 南京森盛医疗设备有限公司 Womb lifting kit and use method thereof
CN110680482B (en) * 2019-10-21 2020-11-27 南京森盛医疗设备有限公司 Womb lifting kit
WO2021078035A1 (en) * 2019-10-21 2021-04-29 凌斌 Pelvic cavity and abdominal cavity separation protective diaphragm for laparoscopic operation and trocar used in conjunction therewith

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