CN112353449A - Lock catch type ligator for laparoscope - Google Patents
Lock catch type ligator for laparoscope Download PDFInfo
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- CN112353449A CN112353449A CN202011543182.9A CN202011543182A CN112353449A CN 112353449 A CN112353449 A CN 112353449A CN 202011543182 A CN202011543182 A CN 202011543182A CN 112353449 A CN112353449 A CN 112353449A
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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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Abstract
The invention discloses a lock catch type ligator for laparoscope, which comprises a barbed wire, an anti-slip buckle, a base, an inner barrel head, an inner barrel, an outer barrel, a rotary rod, a rotary handle, a spring, a traction line fixing ball, a traction line, a closed end of the outer barrel, a rotary rod hole and a puncture head; this latch type ligator for peritoneoscope adopts this invention type to carry out the laparoscopic surgery operation time, does not need puncture sleeve pipe supplementary, according to operation angle needs, directly punctures the tissue and ties, under the effect of anti-skidding knot, and the tissue after tying is reliable, and it can not the slippage to tie a knot, and the puncture point is little, and the puncture point need not sew up, and the tissue wound is little, and patient's misery is few, and wound healing is fast, does not leave the operation scar. Meanwhile, the ligated tissue can be conveniently and flexibly pulled according to the conditions in the laparoscopy. Through clinical use, the method has the advantages of small wound, convenient and flexible operation, and no obvious pain feeling of puncture points of postoperative patients.
Description
Technical Field
The invention relates to the technical field of laparoscope application, in particular to a lock catch type ligator for a laparoscope.
Background
The development of modern medicine, the minimal invasive surgery has been the development direction of surgery, the minimal invasive surgery has the wound is little, it is fast to recover, the misery is few, it is the goal and direction that modern medicine pursues jointly, when the abdominal cavity operation of existing peritoneoscope, all need the abdominal skin to cut open, place puncture outfit of 5mm trocar, 10mm trocar or 12mm trocar, set up belly and external channel, through the puncture channel that the puncture outfit established, put into the operation apparatus of operation, the tractive is tied a knot, assist the operation, in the operation process of peritoneoscope, if meet the operation area, the original puncture cannula angle is inconvenient, when being unfavorable for tying the operation, need to cut open skin in addition and put into new puncture outfit again, increase the number of puncture outfit and puncture incision. And current abdomen puncture ware point of putting is more than 5mm, because the wound is great, after the operation, all puncture holes all need sew up and close, meet scar physique patient, after patient's wound healing, unsightly operation scar often leaves in the wound of healing, clinically, often meet incision scar hyperplasia and seriously influence the wound pleasing to the eye, and simultaneously, current cover line knotter clinically appears the loop slippage behind the cover line occasionally, the cover line connects to prick unreliable, the cover that causes pricks, the ligature position bleeds once more, have caused certain puzzlement for operation doctor.
Contents of the invention
The invention aims to provide a latch type ligator for a laparoscope, which can effectively solve the problems in the prior art.
In order to achieve the purpose, the invention provides the following technical scheme: a lock catch type ligator for laparoscope comprises a barbed wire, an anti-slip buckle, a base, an inner barrel head, an inner barrel, an outer barrel, a rotary rod, a rotary handle, a spring, a pull line fixing ball, a pull line, an outer barrel closed end, a rotary rod hole and a puncture head; the method is characterized in that: one end of the barb line is fixedly connected with the base, and the other end of the barb line is connected with the traction line; the front end of the pulling line is connected with the barb line, and the rear end of the pulling line is connected with the pulling line fixing ball; an anti-skid buckle is arranged inside the base; the inner cylinder is positioned in the outer cylinder, the front end of the inner cylinder is connected with the anti-skid buckle, and the rear end of the inner cylinder is connected with the spring; one end of the spring is connected with the inner cylinder, and the other end of the spring is connected with the closed end of the outer cylinder; one end of the rotating rod is provided with a rotating rod hole, and the other end of the rotating rod is provided with a rotating handle.
Further, the barb line is the line body of one-way range, barb, and barb line one end is fixed on the base, and the other end links to each other with drawing the acting line.
Further, the base is inner tube head front end, and inside has the anti-skidding knot structure that prevents the barb line slippage, and the base diameter is less than the inner tube diameter, is greater than inner tube head aperture.
Furthermore, the inner cylinder is positioned in the outer cylinder with the diameter of 2mm, the front end of the inner cylinder is provided with an inner cylinder head with a smaller aperture, the rear end of the inner cylinder head is connected with the spring, and the inner cylinder is provided with a cylindrical structure through which a pulling wire passes.
Furthermore, one end of the rotating rod is a rotating handle, the other end of the rotating rod is provided with a rotating rod hole, the rotating rod penetrates through the outer barrel, and an inner barrel penetrates through the rotating rod hole.
Furthermore, the spring is an elastic spring with external elasticity, the front end of the spring is fixed with the inner cylinder, and the rear end of the spring is fixed with the closed end of the outer cylinder.
Furthermore, the closed end of the outer cylinder is a terminal port of the closed outer cylinder, and a micropore structure for accommodating the pulling wire to pass through is arranged in the middle of the closed end of the outer cylinder.
Furthermore, the puncture head is an inclined plane structure which is arranged at the front end of the outer barrel and facilitates puncture.
Furthermore, the traction line fixing ball is the tail end of the traction line, and the diameter of the traction line fixing ball is larger than that of the micropore through which the traction line passes at the closed end of the outer barrel.
Compared with the prior art, the lock catch type ligator for the laparoscope adopts the invention to carry out laparoscopic surgery operation, the puncture head in front of the outer barrel of the instrument is of an inclined plane structure, skin puncture can be directly carried out, the ligature is a barb ligature, and knots formed after ligature are firm and cannot slip. Simultaneously, because the urceolus diameter of this apparatus only has 2mm, and use this apparatus in-process, do not need puncture sleeve pipe to assist, directly according to the operation needs, arbitrary position, many times, repeated direct abdominal cavity puncture, and the puncture point is little, and after the operation, the puncture point that forms need not sew up, and the tissue wound is little, and patient's misery is few, and wound healing is fast, does not leave the operation scar. Meanwhile, the abdominal cavity viscera and tissues can be conveniently and flexibly punctured and knotted according to the conditions in the laparoscope and the knotting requirements, and the instrument has an anti-slip buckle structure, so that the ligation is not slippery after ligation, and the knotting is reliable. Through clinical tests, the surgical instrument has the advantages of small tissue wound, obviously reduced total incision length, firm knotting, convenient and flexible operation, and no obvious pain of puncture points of postoperative patients.
Drawings
FIG. 1 is a schematic view of the overall structure of the present invention;
in the reference symbols: the puncture outfit comprises a barbed wire 1, an anti-slip buckle 2, a base 3, an inner barrel head 4, an inner barrel 5, an outer barrel 6, a rotating rod 7, a rotating handle 8, a spring 9, a traction line fixing ball 10, a traction line 11, an outer barrel closed end 12, a rotating rod hole 13 and a puncture head 14.
Detailed Description
The technical solutions in the embodiments of the present invention will be described clearly and completely with reference to the accompanying drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments of the invention without making any creative effort, fall within the protection scope of the invention.
Referring to fig. 1, the present invention provides a technical solution:
a lock catch type ligator for laparoscope comprises a barbed wire 1, an anti-slip buckle 2, a base 3, an inner barrel head 4, an inner barrel 5, an outer barrel 6, a rotary rod 7, a rotary handle 8, a spring 9, a traction line fixing ball 10, a traction line 11, an outer barrel closed end 12, a rotary rod hole 13 and a puncture head 14; the method is characterized in that: one end of the barbed wire 1 is fixedly connected with the base 3, and the other end of the barbed wire is connected with the traction wire 11; the front end of the traction line 11 is connected with the barbed line 1, and the rear end is connected with the traction line fixing ball 10; the inside of the base 3 is provided with an anti-skid buckle 2; the inner cylinder 5 is positioned in the outer cylinder 6, the front end of the inner cylinder is connected with the anti-slip buckle 2, and the rear end of the inner cylinder is connected with the spring 9; one end of the spring 9 is connected with the inner cylinder 5, and the other end is connected with the closed end 12 of the outer cylinder; one end of the rotating rod 7 is provided with a rotating rod hole 13, and the other end is provided with a rotating handle 8.
Further, barb line 1 is the line body of one-way range, barb, and 1 one end of barb line is fixed on base 3, and the other end links to each other with pulling wire 11.
Further, base 3 is 4 front ends of inner tube head, and inside has the anti-skidding of preventing the barb line slippage to detain 2 structures, and 3 diameters of base are less than 5 diameters of inner tube, are greater than 4 apertures of inner tube head.
Further, the inner cylinder 5 is positioned in the outer cylinder 6 with the diameter of 2mm, the front end of the inner cylinder is provided with an inner cylinder head 4 with a smaller aperture, the rear end of the inner cylinder head is connected with the spring 9, and the inner cylinder is provided with a cylindrical structure through which the traction line 11 passes.
Further, one end of the rotating rod 7 is a rotating handle 8, the other end of the rotating rod is provided with a rotating rod hole 13, the rotating rod 7 penetrates through the outer cylinder 6, and the inner cylinder 5 passes through the rotating rod hole 13.
Further, the spring 9 is an elastic spring with external elasticity, the front end of the spring is fixed with the inner cylinder 5, and the rear end of the spring is fixed with the closed end 12 of the outer cylinder.
Further, the closed end 12 of the outer cylinder is a closed end port of the outer cylinder 6, and a micropore structure for accommodating the pulling wire 11 to pass through is arranged in the middle.
Further, the puncture head 14 is an inclined plane structure which is arranged at the front end of the outer cylinder 6 and facilitates puncture.
Further, the traction line fixing ball 10 is the tail end of the traction line 11, and the diameter of the traction line fixing ball is larger than that of a micropore through which the traction line 11 passes at the closed end 12 of the outer cylinder.
The specific connecting structure of the instrument of the invention is as follows: when the instrument is designed, the barbed wire 1 is at the front end of the surgical instrument, one end is fixed on the base 3 and can not move, the other end is fixed on the pulling wire 11 and has an anti-slip wire structure with a unidirectional barb structure, the pulling wire 11 passes through the base 3, the pulling wire 11 does not have a barb structure, the base 3 is internally provided with an anti-slip buckle 2 structure which can make the barbed wire 1 move in a single direction, the pulling wire 11 can move back and forth when tissues are sleeved and tied, the size of a lantern ring is enlarged, when the tissues are required to be sleeved and tied, the barbed wire 1 is pulled into the anti-slip buckle 2, the anti-slip buckle 2 can clamp the barb in the barbed wire 1 in a single direction, the tissue can be tightly sleeved and tied by tightening the barbed wire 1, the other end of the pulling wire 11 is connected with the pulling wire fixing ball 10, the diameter of the pulling wire fixing ball 10 is larger than the wire hole through which the pulling wire 11 of the closed end 12 of, when the pulling and pulling line fixing ball 10 is pulled back, the barbed line 1 can enter the base 3, the anti-slip buckle 2 clamps the barbed line 1, and the wire loop of the barbed line 1 is tightened to be smaller; one end of the outer cylinder 6 is a puncture head 14 structure with an inclined structure, the puncture head 14 with the inclined structure can facilitate direct puncture of skin, the other end of the outer cylinder 6 is an outer cylinder closed end 12 structure for preventing air leakage, and the center of the outer cylinder closed end 12 is provided with a wire hole structure through which a traction wire 11 passes; an inner cylinder 5 structure capable of moving back and forth is arranged in the outer cylinder 6, the front end of the inner cylinder 5 is an inner cylinder head 4 structure with the aperture smaller than that of the base 3, and the base 3 can be effectively prevented from entering the inner cylinder 5; the diameter of the base 3 is smaller than the aperture in the outer cylinder 6, so that the barbed wire 1, the base 3 and the inner cylinder head 4 can be retracted in the outer cylinder 6 when the tissue is punctured; the other end of the inner cylinder 5 is connected with a spring 9 structure, the spring 9 is fixed between the inner cylinder 5 and the closed end 12 of the outer cylinder, and the inner cylinder 5 can protrude out of the inclined plane puncture head 14 structure of the outer cylinder 6 under the action of the spring 9 in a natural state; the rotating rod 7 penetrates through the outer barrel 6, a rotating rod hole 13 structure is arranged in the rotating rod 7 penetrating through the outer barrel 6, the inner barrel 5 penetrates through the rotating rod hole 13, the rotating handle 8 is arranged at the other end of the rotating rod 7, the inner barrel 5 can move back and forth in the rotating rod hole 13 in the outer barrel 6 in a natural state, and when the rotating handle 8 is screwed, the inner barrel 5 can be clamped and fixed through the rotating rod hole 13, so that the inner barrel 5 cannot move back and forth.
This latch type ligator for peritoneoscope benefit does: the instrument is micro-wound and is anti-slip lock catch type knotter, the diameter of the outer cylinder 6 of the instrument is 2mm, therefore, when the tissue is punctured, the formed puncture point is small, when the laparoscopic surgery is operated, a proper angle can be selected according to the surgery requirement to puncture the skin, the front end of the outer cylinder 6 of the instrument is provided with a puncture head 14 structure with an inclined surface structure, the direct puncture of the skin is convenient, before the puncture, firstly, the barbed wire 1 and the anti-slip buckle 2 are contracted inside the outer cylinder 6, the inner cylinder 5 is clamped through the rotating rod hole 13 on the rotating rod 7, the direct puncture of the instrument can be realized, after the knotting is finished, the puncture point diameter left by the skin is the diameter of the outer cylinder 6, the wound of the puncture point of 2mm is small, after the skin is successfully punctured, the rotating rod 7 is screwed outside the abdominal cavity, the rotating rod hole 13 releases the inner cylinder 5, under the action of the spring 9, the barbed wire in the outer, the base 3 pops out of the outer cylinder 6, at the moment, the rotating handle 8 is screwed again, the inner cylinder 5 can be clamped by the rotating rod hole 13, the inner cylinder 5 protrudes out of the puncture head 14 in the abdominal cavity, and the puncture head 14 with an inclined plane structure at the front end of the outer cylinder 6 can not damage tissues in the abdominal cavity; the tractive line 11 that this apparatus predesigned does not have the barb structure, consequently, the 11 ends of tractive line of inside tractive barb line 1, the size of adjustable barb ring, after the tissue that will need to tie a knot was put into barb line 1 intra-annular in the definite determination, the fixed ball 10 of tractive line was pulled back, and barb line 1 gets into base 3, under the effect of anti-skidding knot 2 in base 3, can block barb line 1 firmly, can not the slippage. After the sheathing is finished, the barb thread 1 at the far end of the base 3 is cut off, and the knotting operation can be finished by removing the apparatus. The instrument is firm in knotting and small in puncture point.
The specific use method of the latch type ligator for the laparoscope comprises the following steps: the instrument is suitable for laparoscopic minimally invasive surgery when important tissues need to be knotted quickly; before use, the front end structure of the inner cylinder 5 of the apparatus is firstly contracted in the outer cylinder 6, namely the barbed wire 1, the base 3 and the inner cylinder head 4 are pressed into the outer cylinder 6, at the moment, the spring 9 is compressed, the rotating handle 8 is screwed, the rotating rod hole 13 clamps the inner cylinder 5 under the action of the rotating rod 7, so that the inner cylinder 5 can not move any more, the front end of the apparatus only has the structure of the puncture head 14 of the outer cylinder 6, the puncture head 14 is in an inclined plane structure, abdominal tissues can be conveniently and directly punctured through the puncture head 14, when the puncture is successful under the monitoring of a laparoscope camera monitoring device, the puncture head 14 is in the abdominal cavity, when the rotating rod 7 is outside the abdominal cavity, the rotating rod 8 is screwed, the rotating rod hole 13 on the rotating rod 7 is rotated, at the moment, the inner cylinder 5 is popped out of the puncture head 14 of the outer cylinder 6 under the action of the spring 9, the barbed wire 1, the base 3, the inner cylinder head 4 protrudes out of the puncture head 14 of the outer cylinder; the handle 8 is rotated again, under the action of the rotating rod hole 13, the rotating rod hole 13 clamps the inner cylinder 5, so that the inner cylinder 5 cannot move back and forth, the inner cylinder head 4 at the front end of the inner cylinder 5 is of a smooth structure, and the puncture head 14 of the outer cylinder 6 can be effectively prevented from damaging tissues in the abdominal cavity; inside the peritoneoscope, at first, the non-stiff end of tractive barb line 1, draw and act as go-between 11 and be pulled into the abdominal cavity, enlarge the barb line loop, after the tissue of will knoing puts into the barb line loop, outwards draw and act as go-between fixed ball 10, the barb line loop can be tightened up, when barb line 1 gets into 3 inside anti-skidding mouths 2 of base, barb line 1 gets into one-way activity and tightens up the line loop state, after the tissue of knoing is tied a knot firmly in the definite determination, relax and draw and act as go-between fixed ball 10, inside the abdominal cavity, barb line 1 is cut short to the distal end of base 3, remove this apparatus, accomplish the firm. The puncture point that this apparatus was left in puncture skin department is only 2mm, because the puncture point is little, the painful sense of patient postoperative is slight, puncture skin damage is less, do not need the wound to sew up, and the postoperative resumes soon, and is little to patient's overall influence, this apparatus convenient to use, nimble, safety.
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.
Claims (9)
1. A lock catch type ligator for laparoscope comprises a barbed wire, an anti-slip buckle, a base, an inner barrel head, an inner barrel, an outer barrel, a rotary rod, a rotary handle, a spring, a pull line fixing ball, a pull line, an outer barrel closed end, a rotary rod hole and a puncture head; the method is characterized in that: one end of the barb line is fixedly connected with the base, and the other end of the barb line is connected with the traction line; the front end of the pulling line is connected with the barb line, and the rear end of the pulling line is connected with the pulling line fixing ball; an anti-skid buckle is arranged inside the base; the inner cylinder is positioned in the outer cylinder, the front end of the inner cylinder is connected with the anti-skid buckle, and the rear end of the inner cylinder is connected with the spring; one end of the spring is connected with the inner cylinder, and the other end of the spring is connected with the closed end of the outer cylinder; one end of the rotating rod is provided with a rotating rod hole, and the other end of the rotating rod is provided with a rotating handle.
2. The latching type ligator for laparoscope as claimed in claim 1, wherein: the barb line is the line body of one-way range, barb, and barb line one end is fixed on the base, and the other end links to each other with drawing the acting line.
3. The latching type ligator for laparoscope as claimed in claim 1, wherein: the base is inner tube head front end, and inside has the anti-skidding knot structure that prevents the barb line slippage, and the base diameter is less than the inner tube diameter, is greater than inner tube head aperture.
4. The latching type ligator for laparoscope as claimed in claim 1, wherein: the inner cylinder is positioned in the outer cylinder with the diameter of 2mm, the front end of the inner cylinder is provided with an inner cylinder head with a smaller aperture, the rear end of the inner cylinder head is connected with the spring, and the inner cylinder is provided with a cylindrical structure through which a pulling wire passes.
5. The latching type ligator for laparoscope as claimed in claim 1, wherein: one end of the rotating rod is a rotating handle, the other end of the rotating rod is provided with a rotating rod hole, the rotating rod penetrates through the outer barrel, and an inner barrel penetrates through the rotating rod hole.
6. The latching type ligator for laparoscope as claimed in claim 1, wherein: the spring is an elastic spring with external elasticity, the front end of the spring is fixed with the inner cylinder, and the rear end of the spring is fixed with the closed end of the outer cylinder.
7. The latching type ligator for laparoscope as claimed in claim 1, wherein: the closed end of the outer cylinder is a terminal port of the closed outer cylinder, and a micropore structure for accommodating the pulling line to pass through is arranged in the middle of the closed end of the outer cylinder.
8. The latching type ligator for laparoscope as claimed in claim 1, wherein: the puncture head is an inclined plane structure which is arranged at the front end of the outer barrel and facilitates puncture.
9. The latching type ligator for laparoscope as claimed in claim 1, wherein: the traction line fixing ball is the tail end of the traction line, and the diameter of the traction line fixing ball is larger than that of a micropore through which the traction line passes at the closed end of the outer barrel.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN202011543182.9A CN112353449A (en) | 2020-12-24 | 2020-12-24 | Lock catch type ligator for laparoscope |
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CN202011543182.9A CN112353449A (en) | 2020-12-24 | 2020-12-24 | Lock catch type ligator for laparoscope |
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CN112353449A true CN112353449A (en) | 2021-02-12 |
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CN202011543182.9A Pending CN112353449A (en) | 2020-12-24 | 2020-12-24 | Lock catch type ligator for laparoscope |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN115462856A (en) * | 2022-09-06 | 2022-12-13 | 南京鼓楼医院 | Left auricle ligator |
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2020
- 2020-12-24 CN CN202011543182.9A patent/CN112353449A/en active Pending
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN115462856A (en) * | 2022-09-06 | 2022-12-13 | 南京鼓楼医院 | Left auricle ligator |
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