CN111297430A - Intestinal canal traction ligator in laparoscope - Google Patents
Intestinal canal traction ligator in laparoscope Download PDFInfo
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- CN111297430A CN111297430A CN202010204279.0A CN202010204279A CN111297430A CN 111297430 A CN111297430 A CN 111297430A CN 202010204279 A CN202010204279 A CN 202010204279A CN 111297430 A CN111297430 A CN 111297430A
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- ligation
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- band body
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12009—Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
- A61B17/12013—Implements 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
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/0218—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, 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
- A61B90/06—Measuring instruments not otherwise provided for
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- B—PERFORMING OPERATIONS; TRANSPORTING
- B05—SPRAYING OR ATOMISING IN GENERAL; APPLYING FLUENT MATERIALS TO SURFACES, IN GENERAL
- B05D—PROCESSES FOR APPLYING FLUENT MATERIALS TO SURFACES, IN GENERAL
- B05D5/00—Processes for applying liquids or other fluent materials to surfaces to obtain special surface effects, finishes or structures
- B05D5/02—Processes for applying liquids or other fluent materials to surfaces to obtain special surface effects, finishes or structures to obtain a matt or rough surface
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, 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
- A61B90/06—Measuring instruments not otherwise provided for
- A61B2090/061—Measuring instruments not otherwise provided for for measuring dimensions, e.g. length
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- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
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- Oral & Maxillofacial Surgery (AREA)
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Abstract
The invention relates to the technical field of medical and health products, in particular to an intestinal canal traction ligator in laparoscopy, which comprises a ligation band body, wherein convex thorns are bonded on the outer wall of one side of the ligation band body at equal intervals, a groove is formed between every two adjacent convex thorns on one side of the ligation band body, a ligation seat is sleeved on one side of the outer part of the ligation band body, a connecting band is bonded on the outer wall of one side of the ligation seat, a traction ring is bonded on the outer wall of one end of the connecting band, a protective layer is coated on the outer wall of the traction ring, a convex thorn groove hole is formed in the ligation seat, the ligation band body penetrates through the ligation seat. The invention has the beneficial effects that: the novel surgical consumables required by the international mainstream laparoscopic surgery at present are simple and convenient to operate, the ligation band body is provided with anti-slip convex thorns, the loosening can be effectively prevented, the intestinal ligation tube is sufficiently and tightly ligated, and the principle of no tumor is met; the ligature band body is a soft convex thorn, so that the intestinal canal is not damaged; the ligation seat and the traction ring are designed to be anti-slip, so that the traction tension is sufficient, and the operation is convenient to expose; the back of the ligature belt is provided with scales, so that the excision range can be measured accurately and conveniently, and the radical treatment effect can be ensured. The ligator is made of hot melting material, and can be released by heating and fusing.
Description
Technical Field
The invention relates to the technical field of medical and health products, in particular to an intestinal canal traction ligator in laparoscopy.
Background
In the 21 st century, with the development of surgical techniques and concepts, minimally invasive techniques are becoming a necessary trend, and laparoscopic surgery is increasingly used in the field of gastrointestinal surgery. Compared with the traditional operation, the laparoscopic operation has the advantages of small abdominal wall trauma, less postoperative scar, accordance with aesthetic requirements and higher acceptance of patients than the traditional operation.
The existing laparoscopic intestinal ligation traction often uses cotton belts, gauze strips, simple plastic strips and the like, the existing instruments are inconvenient to operate and difficult to tighten, so that the ligation in the intestinal cavity is not tight, the tumor diffusion risk is increased, and the tumor-free principle is not met; meanwhile, traction tension is not sufficient enough, exposure during operation of a hole reducing laparoscope and a single-hole laparoscope is not facilitated, the proximal cutting end and the distal cutting end are measured in an operation, convenience and accuracy are not achieved, the range of radical operation cannot be guaranteed, and therefore the intestinal canal traction ligator in the laparoscope is needed to be researched and developed urgently.
Disclosure of Invention
The invention aims to provide an intestinal canal traction ligator in laparoscopy, which solves the problems that the intestinal canal traction ligation operation in the background technology is not convenient enough, the intestinal cavity ligation is not tight, the principle of no tumor is not met, the intestinal canal traction is easy to slide, the tension is not sufficient, the operation of a pore reducing laparoscope and a single-pore laparoscope is not facilitated, the measurement in the operation is not convenient and accurate enough, and the radical treatment range of the operation cannot be ensured.
The technical scheme of the invention is as follows: intestinal canal pulls ligator in peritoneoscope art, including the ligature area body, the outer wall of ligature area body one side is the equidistance and bonds and has protruding thorn, set up the recess between two adjacent protruding spines of ligature area body one side, the outside one side cover of ligature area body is equipped with the ligature seat, the outer wall of ligature seat one side bonds and has the connecting band.
Furthermore, the outer wall of one end of the connecting band is bonded with a traction ring, and the outer wall of the traction ring is coated with an anti-slip layer.
Furthermore, a convex thorn slot hole is formed in the ligation seat.
Furthermore, when the ligation band body passes through the ligation seat, the convex thorns and the convex thorns slotted holes on the ligation band body are inlaid and involuted, the ligation band can only be tightened forwards and cannot be retracted, and the ligation band is prevented from being retracted and sliding to cause ligation loosening.
The two sides of the ligation seat are equidistantly provided with anti-slip lines, so that the grasping forceps can firmly grasp the ligation seat and cannot slide when the operation is performed under the endoscope.
Furthermore, scale marks are arranged on the outer wall of one side, symmetrical to the convex thorns, of the ligation band body, and the ligation band body is made of hot melt materials.
The invention provides an intestinal canal traction ligator in laparoscopy by improvement, which has the following improvements and advantages compared with the prior art:
(1) the required innovative surgical consumables of international mainstream laparoscopic surgery formula at present, operate very portably, the ligature area body has skid-proof protruding thorn, can effectually prevent to loosen and take off, and the ligature intestines tube is abundant, accords with no tumour principle, and the ligature area body is soft protruding thorn, does not harm the intestines tube.
(2) The ligation seat and the traction ring are designed to be anti-skidding, so that the laparoscope grasping forceps can conveniently grasp the ligation seat and the traction ring, the traction tension for clamping the traction ring is sufficient during operation, the exposure of the operation field and the reduction of complications are facilitated, and the operation during the reduction of the hole and the single-hole laparoscope is facilitated.
(3) In the operation process, the release of the ligation band body is convenient, the ligation band body is made of hot melt material, and the ligation band body can be quickly fused by burning with an ultrasonic knife, so that the ligation band body can be quickly released.
(4) The ligature area body encircles the intestines and tightens up the back, and protruding thorn can advance can not retreat, guarantees the lock state after tightening up, and the back of the ligature area body has the scale, and the close distant margin of accurate measurement in the art can guarantee the radical cure scope of operation.
Drawings
The invention is further explained below with reference to the figures and examples:
FIG. 1 is a schematic perspective view of the present invention;
FIG. 2 is a first cross-sectional view of the present invention;
FIG. 3 is a second cross-sectional view of the present invention;
FIG. 4 is a schematic top view of the present invention;
fig. 5 is a rear view schematic of the present invention.
Description of reference numerals:
the ligature band comprises a ligature band body 1, convex spines 2, convex spine slot holes 3, ligation bases 4, traction rings 5, scale marks 6, anti-slip lines 7, a connecting band 8, grooves 9 and an anti-slip layer 10.
Detailed Description
The present invention will be described in detail with reference to fig. 1 to 5, and the technical solutions in the embodiments of the present invention will be clearly and completely described, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
The invention provides an intestinal canal traction ligator in laparoscopy by improvement, as shown in figures 1-5, the intestinal canal traction ligator comprises a ligation band body 1, wherein convex thorns 2 are bonded on the outer wall of one side of the ligation band body 1 at equal intervals, a groove 9 is formed between every two adjacent convex thorns 2 on one side of the ligation band body 1, a ligation seat 4 is sleeved on one side of the outer part of the ligation band body 1, and a connecting band 8 is bonded on the outer wall of one side of the ligation seat 4;
for example, in the operation process of the hole-reducing laparoscopic rectal cancer radical operation, an assistant operation hole provided by two puncture outfits on the left side of the traditional 5-hole NOSES is cancelled, an intraoperative ligature band is placed into an abdominal cavity from a Trocar hole of a main knife, a scale mark 6 is arranged on the outer wall of one side of the ligation band body 1, which is symmetrical to the convex thorn 2, the cut intestinal section is measured by the scale mark 6 on the back, the near-end incisal edge and the far-end incisal edge are marked, and the incisal edge distance and the radical treatment range are ensured.
Further, for ventral to dorsal pulling of the bowel, and cerclage of the proximal and distal bowel of the tumor: the tourniquet is characterized in that the tourniquet enters a Toldt's gap from the right side of the sigmoid colon, the left peritoneum of the sigmoid colon is separated on the same plane after the ventral gap of the sigmoid colon is separated, separation operators on two sides pass through the Toldt's gap of the ventral side of the sigmoid colon, the ligation band body 1 penetrates through a ventral separation surface of an intestinal tube, the intestinal tube is surrounded and tightened, the end part of the ligation band body 1 is inserted into a convex puncture groove hole 3 of a ligation seat 4, the proximal cerclage of the intestinal tube is completed, the ligation band body 1 is provided with an anti-slip convex puncture 2, the anti-slip convex puncture is effective, the intestinal tube is fully ligated, the non-tumor principle is met, the operation is simple and convenient, the convex.
Furthermore, the outer wall of 8 one ends of connecting bands bonds has traction ring 5, and traction ring 5's outer wall coating has skid resistant course 10, makes traction ring 5 have anti-skidding effect, grips the back with the nipper, and as required subtend is pulled, and traction tension is sufficient, does benefit to the wild exposure of operation and reduces the complication, does benefit to and operates when reducing hole and haplopore peritoneoscope.
Furthermore, the ligation seat 4 is provided with a convex thorn slot hole 3 inside.
Further, when the ligation band body 1 passes through the ligation seat 4, the convex thorns 2 and the convex thorns groove holes 3 on the ligation band body are embedded and involuted, the ligation band can only be tightened forwards and cannot be retracted, and the ligation band body 1 is prevented from being retracted and sliding to cause ligation loosening.
The two sides of the ligation seat 4 are provided with anti-slip lines 7 at equal intervals, so that the grasping forceps can firmly grasp the ligation seat and cannot slide when the operation is performed under the endoscope.
Further, the ligature area body 1 has been seted up scale mark 6 with the symmetrical one side outer wall of protruding thorn 2, and the ligature area body 1's material is the hot melt material, directly burns with ultrasonic knife holder and can break off to carry out quick relaxation.
The working principle is as follows: in the operation process of the laparoscopic rectal cancer radical operation with the hole reducing function, assistant operation holes provided by two puncture outfits on the left side of the traditional 5-hole NOSES are cancelled, for the traction of an intestinal canal from the ventral side to the dorsal side and the cerclage of a tumor near end and a tumor far end intestinal canal, a ligation band body 1 is used, enough tension is kept through traction, the operation visual field is kept clear, the exposure of blood vessels, nerves and important organs is facilitated, the flow cutoff in the intestinal cavity is kept during the operation, the purpose of preventing the tumor from spreading in the intestinal cavity is achieved, the implementation of the principle of ' tumor-free operation ' is facilitated, after the hole distribution of the laparoscopic puncture outfit is completed, the tumor position is explored, the ligation band body 1 is placed in the abdominal cavity through the puncture outfits, the cut intestinal section is measured by a scale line 6 on the back, the near-end cutting edge and the far-end cutting edge are marked, the sigmoid colon right-side mesentery enters a Toldt's gap, the free, then the left peritoneum of the sigmoid colon mesentery is separated on the same plane, separation operators on two sides pass the ligation band body 1 through the ventral separation surface of the intestinal canal between the Toldt's gaps on the ventral side of the sigmoid colon, surround the intestinal canal and tighten the intestinal canal, the end part of the ligation band body 1 is inserted into the convex thorn slot 3 of the ligation seat 4, namely the proximal end cerclage of the intestinal canal is completed, an operating instrument is used for clamping the traction ring to draw in different directions according to the operation requirement so as to fully expose the gaps and free, which is beneficial to protecting the ureter, the genital vessel, the inferior rectal mesentery plexus, the superior inferior ventral plexus and the inferior ventral plexus, and simultaneously the ligation of the inferior mesentery artery and the cleaning of the root lymph node is completed, the band body 1 is provided with the anti-slip convex thorn 2, the loosening is effectively prevented, the intestinal canal is fully ligated, the principle of no tumor is met, the operation is simple, traction tension is sufficient, does benefit to the wild exposure of operation and reduces the complication, and single operation when doing benefit to simultaneously and subtracting hole and haplopore peritoneoscope, after required operation is accomplished, the release of the ligature area body 1 is convenient, for the hot melt material, directly burns with ultrasonic knife clamp and can break off.
The previous description of the disclosed embodiments is provided to enable any person skilled in the art to make or use the present invention. Various modifications to these embodiments will be readily apparent to those skilled in the art, and the generic principles defined herein may be applied to other embodiments without departing from the spirit or scope of the invention. Thus, the present invention is not intended to be limited to the embodiments shown herein but is to be accorded the widest scope consistent with the principles and novel features disclosed herein.
Claims (5)
1. Intestinal canal traction ligator in peritoneoscope art, its characterized in that: including the ligature area body (1), the outer wall of the ligature area body (1) one side is the equidistance and bonds and has protruding thorn (2), set up between two adjacent protruding thorn (2) of the ligature area body (1) one side recess (9), one side cover of the ligature area body (1) outside is equipped with ligature seat (4), the outer wall bonding of ligature seat (4) one side has connecting band (8).
2. The laparoscopic intestinal canal traction ligator according to claim 1, wherein: the outer wall of one end of the connecting band (8) is bonded with a traction ring (5), and the outer wall of the traction ring (5) is coated with an anti-skid layer (10).
3. The laparoscopic intestinal canal traction ligator according to claim 1, wherein: the interior of the ligation seat (4) is provided with a convex thorn slot hole (3).
4. The laparoscopic intestinal canal traction ligator according to claim 1, wherein: when the ligation band body (1) passes through the ligation seat (4), the convex thorns (2) and the convex thorns groove holes (3) are embedded and involuted, the ligation band can only be tightened forwards and cannot be retracted, and the ligation band (1) is prevented from being retracted and sliding to cause ligation loosening.
The two sides of the ligation seat (4) are equidistantly provided with anti-slip lines (7), so that the grasping forceps can firmly grasp the ligation seat and cannot slide when the operation is performed under the endoscope.
5. The laparoscopic intestinal canal traction ligator according to claim 1, wherein: the ligature area body (1) has seted up scale mark (6) with the symmetrical one side outer wall of protruding thorn (2), the ligature area body (1) is the hot melt material.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202010204279.0A CN111297430A (en) | 2020-03-21 | 2020-03-21 | Intestinal canal traction ligator in laparoscope |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202010204279.0A CN111297430A (en) | 2020-03-21 | 2020-03-21 | Intestinal canal traction ligator in laparoscope |
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| Publication Number | Publication Date |
|---|---|
| CN111297430A true CN111297430A (en) | 2020-06-19 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN202010204279.0A Pending CN111297430A (en) | 2020-03-21 | 2020-03-21 | Intestinal canal traction ligator in laparoscope |
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Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113081133A (en) * | 2021-04-21 | 2021-07-09 | 清华大学 | Pipe flow control device for laparoscopic surgery |
| CN113100863A (en) * | 2021-04-21 | 2021-07-13 | 清华大学 | Visual organ duct flow quantitative monitoring and controlling device |
| CN113598863A (en) * | 2021-08-06 | 2021-11-05 | 云南省阜外心血管病医院 | Heart surgery is through left auricle heart outer ring system of pricking of thorax wicresoft |
| JP7402473B2 (en) | 2020-03-26 | 2023-12-21 | 学校法人自治医科大学 | Medical instruments suitable for ligation, etc. |
-
2020
- 2020-03-21 CN CN202010204279.0A patent/CN111297430A/en active Pending
Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP7402473B2 (en) | 2020-03-26 | 2023-12-21 | 学校法人自治医科大学 | Medical instruments suitable for ligation, etc. |
| CN113081133A (en) * | 2021-04-21 | 2021-07-09 | 清华大学 | Pipe flow control device for laparoscopic surgery |
| CN113100863A (en) * | 2021-04-21 | 2021-07-13 | 清华大学 | Visual organ duct flow quantitative monitoring and controlling device |
| CN113598863A (en) * | 2021-08-06 | 2021-11-05 | 云南省阜外心血管病医院 | Heart surgery is through left auricle heart outer ring system of pricking of thorax wicresoft |
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Inventor after: Wang Shuaiqi Inventor after: Sun Hao Inventor before: Wang Shuaiqi Inventor before: Zheng Ziling Inventor before: Tang Maocai Inventor before: Sun Hao Inventor before: Li Wei Inventor before: Zhang Shouru Inventor before: Chen Lihui Inventor before: Wei Ke Inventor before: Liu Miao Inventor before: Chen Xiufeng Inventor before: Shang Jingkun |
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