CN113143485A - Guiding device in gastrectomy - Google Patents
Guiding device in gastrectomy Download PDFInfo
- Publication number
- CN113143485A CN113143485A CN202110291755.1A CN202110291755A CN113143485A CN 113143485 A CN113143485 A CN 113143485A CN 202110291755 A CN202110291755 A CN 202110291755A CN 113143485 A CN113143485 A CN 113143485A
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- China
- Prior art keywords
- sound
- tube
- gastrectomy
- elbow
- guide device
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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
- A61B90/10—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 for stereotaxic surgery, e.g. frame-based stereotaxis
- A61B90/11—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 for stereotaxic surgery, e.g. frame-based stereotaxis with guides for needles or instruments, e.g. arcuate slides or ball joints
-
- 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
- A61B90/08—Accessories or related features not otherwise provided for
-
- 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
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0801—Prevention of accidental cutting or pricking
- A61B2090/08021—Prevention of accidental cutting or pricking of the patient or his organs
Abstract
The invention discloses a guiding device in gastrectomy, which comprises a flexible traction tube and a flexible bent tube, wherein the bent tube is connected with the traction tube, a plurality of sound holes are formed in the bent tube along the length direction, sound production parts are arranged in the sound holes, and connecting lines between any two sound holes are not parallel to the length direction of the bent tube. The bent pipe is placed in the stomach by pulling the traction pipe, the stomach is cut according to the shape of the bent pipe, and the bent pipe is compressed when the cutting position deviates, so that the gas in the bent pipe flows through the sound holes and touches the sound production part, and the sound production part produces sound to prompt an operator; in addition, the placement of the sound holes avoids the situation where the stomach wall covers all the sound holes, resulting in failure to sound. The invention can accurately position the excision position of the stomach, so that the shape of the residual stomach bag is more regular and controllable, and the structure is simple and easy to operate.
Description
Technical Field
The invention relates to a guiding device in gastrectomy in the technical field of medical instruments.
Background
The global obesity patient has rapid growth in the last 30 years, and the obesity patient often combines various chronic diseases, which seriously affects the life quality of the patient. Laparoscopic sleeve gastrectomy is a currently used method of treating obesity by cutting approximately two-thirds of the volume of the stomach along the lateral greater curvature of the stomach, leaving a gastric pouch shaped like a sleeve to reduce nutrient absorption into the food by the patient. However, at present, the resection of the greater curvature of the stomach is judged only by the experience of doctors, which often causes the irregularity of the residual stomach pouch and inaccurate volume, and affects the treatment effect.
Disclosure of Invention
The invention aims to solve at least one technical problem in the prior art and provides a guiding device in gastrectomy, which can more accurately position the resection position so that the shape of the residual gastric pouch is regular and the volume of the residual gastric pouch is accurately controllable.
According to an embodiment of the present invention, there is provided an in-gastrectomy guide device including a flexible traction tube; the flexible return bend, the return bend with the traction tube meets, be equipped with a plurality of sound holes along length direction on the return bend, all be equipped with sound producing component in the sound hole, two wantonly the line between the sound hole is not parallel to the length direction of return bend.
According to an embodiment of the present invention, further, the elbow is not in communication with the traction tube.
According to an embodiment of the present invention, further, an outer diameter of the traction tube is smaller than an outer diameter of the elbow.
According to the embodiment of the present invention, further, the sound generating component includes a sheet, a sound emitting column, and a mounting member, the sheet and the sound emitting column are fixed in the sound hole by the mounting member, a side surface of the sound emitting column has an opening, the sheet covers the opening, and a flow passage is formed between the sound emitting column and the sheet.
According to the embodiment of the present invention, further, a preset included angle is formed between the flow direction of the flow channel and the axial direction of the sound hole, and the preset included angle is greater than or equal to 0 ° and less than 45 °.
According to the embodiment of the invention, further, the mounting member comprises a cylinder, a fixed seat is arranged on the inner wall of the cylinder, and the bottom end of the sheet and the bottom end of the sound-emitting column are both mounted on the fixed seat.
According to an embodiment of the present invention, further, a first end of the elbow is connected to the traction tube, and a second end of the elbow is provided with a spherical portion.
According to an embodiment of the present invention, further, the bent tube and the spherical portion are connected by a connecting section, and an outer peripheral side of the connecting section is recessed in the bent tube and the spherical portion.
According to an embodiment of the present invention, further, the gastrectomy guide device further comprises a gastric tube, and the traction tube has an outer diameter smaller than an inner diameter of the gastric tube.
The invention has the beneficial effects that: the bent pipe is placed in the stomach by pulling the traction pipe, the stomach is cut according to the shape of the bent pipe, and the bent pipe is compressed when the cutting position deviates, so that the gas in the bent pipe flows through the sound holes and touches the sound production part, and the sound production part produces sound to prompt an operator; in addition, the placement of the sound holes avoids the situation where the stomach wall covers all the sound holes, resulting in failure to sound. The invention can accurately position the excision position of the stomach, so that the shape of the residual stomach bag is more regular and controllable, and the structure is simple and easy to operate.
Drawings
In order to more clearly illustrate the technical solution in the embodiments of the present invention, the drawings used in the description of the embodiments will be briefly described below. It is clear that the described figures are only some embodiments of the invention, not all embodiments, and that a person skilled in the art can also derive other designs and figures from them without inventive effort.
FIG. 1 is a schematic structural view of the present invention;
FIG. 2 is a perspective view of a sound generating component of the present invention;
FIG. 3 is a schematic view of a gastric tube guiding a pull tube and an elbow into the stomach according to the present invention;
fig. 4 is a schematic view of a gastric tube being detached from the bulb in the present invention;
fig. 5 is a schematic view of the gastric tube detachment from the elbow in the present invention;
fig. 6 is a schematic view of the gastric tube of the present invention completely detached from the elbow.
Detailed Description
Reference will now be made in detail to the present preferred embodiments of the present invention, examples of which are illustrated in the accompanying drawings, wherein like reference numerals refer to like elements throughout.
In the description of the present invention, it should be understood that the orientation or positional relationship referred to in the description of the orientation, such as the upper, lower, front, rear, left, right, etc., is based on the orientation or positional relationship shown in the drawings, and is only for convenience of description and simplification of description, and does not indicate or imply that the device or element referred to must have a specific orientation, be constructed and operated in a specific orientation, and thus, should not be construed as limiting the present invention.
In the description of the present invention, the meaning of a plurality of means is one or more, the meaning of a plurality of means is two or more, and larger, smaller, larger, etc. are understood as excluding the number, and larger, smaller, inner, etc. are understood as including the number. If the first and second are described for the purpose of distinguishing technical features, they are not to be understood as indicating or implying relative importance or implicitly indicating the number of technical features indicated or implicitly indicating the precedence of the technical features indicated.
In the description of the present invention, unless otherwise explicitly limited, terms such as arrangement, installation, connection and the like should be understood in a broad sense, and those skilled in the art can reasonably determine the specific meanings of the above terms in the present invention in combination with the specific contents of the technical solutions.
Referring to fig. 1 to 6, the guide device for gastrectomy according to the embodiment of the present invention includes a flexible traction tube 10 and a flexible elbow 20, and the elbow 20 is connected to the traction tube 10. In this embodiment, the elbow 20 and the traction tube 10 are both rubber members, so that both the elbow 20 and the traction tube 10 can be pressed into the gastric tube 40, and can adapt to a soft stomach to avoid damaging the stomach. The curved tube 20 is relatively straight at a first end and relatively curved at a second end, and the curved tube 20 is shaped like a banana when not compressed for determining the shape of the residual stomach. The elbow pipe 20 is provided with a plurality of sound holes 21 along the length direction, and sound production parts are arranged in the sound holes 21. The elbow 20 is placed in the stomach through the traction tube 10, the elbow 20 is used for determining the shape of the residual stomach, the elbow 20 is the shape of the residual stomach, and the stomach can be cut off more accurately compared with the elbow 20. Specifically, when the stomach is resected, if the bent tube 20 is touched, the volume of the bent tube 20 is changed, and the air inside and outside the bent tube 20 flows through the sound hole 21, so that the sound production part is triggered to produce sound, a doctor is reminded to change the resection part to ensure that the sound hole 21 does not produce sound, and the shape of the residual stomach is similar to the shape of the bent tube 20. In addition, whether the cutting position is accurate or not is judged through sound, so that the positions of the cutting position and the bent pipe 20 do not need to be observed and compared constantly through naked eyes or visual equipment, the accuracy of the cutting position can be guaranteed at the position which is inconvenient to observe, and the application range is wider.
Further, to avoid the situation that the plurality of sound holes 21 are covered by the stomach wall at the same time and cannot emit sound, the connecting line between any two sound holes 21 is not parallel to the length direction of the elbow 20. In the present application, the longitudinal direction of the elbow 20 refers to the direction in which the length of the elbow 20 extends. When the elbow 20 is placed on the stomach, the outer side of the elbow 20 along the length direction will be attached to the stomach wall to ensure the shape of the residual stomach is proper, and because the connecting line between any two sound holes 21 is not parallel to the length direction of the elbow 20, at least one sound hole 21 is not covered by the stomach wall when the elbow 20 is attached to the stomach wall, so that the elbow 20 can still make a sound to indicate whether the resection is in place.
In some embodiments, the outer diameter of the pull tube 10 is less than the outer diameter of the elbow 20. When the elbow 20 is placed in the stomach, the traction tube 10 is placed in the gastric tube 40, obviously, the gastric tube 40 is narrower than the stomach, and in order to reduce the resistance when the traction tube 10 is placed in the gastric tube 40, the outer diameter of the traction tube 10 is smaller than that of the elbow 20, so that the elbow 20 can move in the gastric tube 40 to drive and adjust the position of the elbow 20 in the stomach. Furthermore, the elbow 20 is not communicated with the traction tube 10, so that the volume change of the traction tube 10 can be prevented from causing the volume change of the elbow 20, and the accuracy of sound production is prevented from being influenced. In this embodiment, the gastrectomy guide further includes a gastric tube 40, and the outer diameter of the traction tube is smaller than the inner diameter of the gastric tube 40, so that the traction tube is movable within the gastric tube 40. In addition, the inner wall of the gastric tube 40 can be coated with lubricant, which is convenient for separating the elbow 20 and the gastric tube 40 and can also reduce the friction resistance of the traction tube moving in the gastric tube 40. Accordingly, the outer walls of the traction tube 10 and the elbow 20 are smooth, so that the traction tube is easy to move in the gastric tube 40 and does not hurt the human body.
The sounding part comprises a sheet 32, a sounding post 31 and a mounting component, wherein the sheet 32 and the sounding post 31 are fixed in the sound hole 21 through the mounting component, the side surface of the sounding post 31 is provided with an opening, the sheet 32 covers the opening, and a circulation channel 35 is formed between the sounding post 31 and the sheet 32. In this embodiment, the opening of the sound column 31 is a plane opening, the upper portion of the sheet 32 is connected with the edge of the opening but not fixedly connected, and the cross section of the flow channel is semicircular. As the volume of the elbow 20 changes, gas flows inside and outside the elbow 20 through the sound holes 21, specifically, the gas flows rapidly through the flow channel 35, and the vibrating sheet 32 causes the sheet 32 to rapidly beat the sound column 31 to generate sound, thereby indicating the volume change of the elbow 20 during the operation. Further, a preset included angle is formed between the flow direction of the flow channel 35 and the axial direction of the sound hole 21, the preset included angle is greater than or equal to 0 degrees and smaller than 45 degrees, and it is ensured that most of the gas entering the sound hole 21 can flow through the flow channel 35 to push the sheet 32 to move. In this embodiment, the flow direction of the flow channel 35 is parallel to the axial direction of the sound hole 21, and most of the gas entering the sound hole 21 can directly flow into the flow channel 35, so that the gas in the flow channel 35 has a faster flow rate, the sheet 32 can be vibrated more vigorously to generate sound, and the sound generating component can prompt the volume change of the elbow 20 more sensitively.
The installation component includes barrel 33, is equipped with fixing base 34 on the inner wall of barrel 33, and the bottom of thin slice 32 and the bottom of sound production post 31 are all installed on fixing base 34. The cylinder 33 is embedded in the inner wall of the sound hole 21, and the fixing seat 34 does not block the passage opening of the flow passage 35 while fixing the sheet 32 and the sound column 31. In this application, the end of the sound component close to the inside of the elbow 20 is the bottom end, whereas the end close to the outside of the elbow 20 is the top end. Further, the bottom end of barrel 33 is equipped with and blocks piece 36, blocks that piece 36 can be the grid, when not blockking that gas flows into phonate hole 21, also can prevent parts such as flake 32 and phonation post 31 from falling into return bend 20, influences operation safety.
In some embodiments, referring to fig. 5-6, a first end of the elbow 20 is attached to the pull tube 10 and a second end of the elbow 20 is provided with a bulbous portion 22. The ball 22 is designed to be secured to the duodenal bulb to better locate the elbow 20 and avoid displacement of the elbow 20 during surgery resulting in an offset resection location. Further, the elbow 20 and the spherical portion 22 are connected by a connecting section 23, and the outer peripheral side of the connecting section 23 is recessed in the elbow 20 and the spherical portion 22. The connecting section 23 is narrow, and specifically, the outer diameter of the connecting section 23 is smaller than the outer diameter of the elbow 20 and smaller than the outer diameter of the spherical portion 22. The connecting section 23 is fixed at the pyloric sphincter, and because the pyloric sphincter is narrower than the stomach and the duodenal bulbar part, the connecting section 23 which is recessed in the elbow 20 and the spherical part 22 can just adapt to the shape of the pyloric sphincter, thereby avoiding the influence on the normal operation caused by the continuous extrusion of the pyloric sphincter by the connecting section 23. Alternatively, the bulbous portion 22 and the connecting section 23 are both rubber members, soft and easily deformable, so that both the bulbous portion 22 and the connecting section 23 can be pressed into the gastric tube 40 without damaging the pyloric sphincter after placement and positioning. Further, the connecting segment 23 is not connected to the elbow 20, thereby avoiding volume changes of the elbow 20 caused by the pyloric sphincter squeezing the connecting segment 23.
The use mode of the invention is as follows:
the traction tube 10, the elbow 20, the connecting section 23 and the spherical part 22 are compressed into the gastric tube 40, then the gastric tube 40 is inserted into the stomach until the end part of the gastric tube 40 is inserted into the duodenal bulb, at the moment, the traction tube 10 and the gastric tube 40 are pulled to enable the spherical part 22, the connecting section 23 and the elbow 20 to be gradually separated from the gastric tube 40, the spherical part 22 is arranged in the duodenal bulb, the connecting section 23 is arranged in the pyloric sphincter, and the elbow 20 is attached to the inner wall of the stomach. When the bending and extending direction of the elbow 20 is cut off, the operator should adjust the cutting position immediately until the elbow 20 does not make a sound when the elbow 20 makes a sound. After the resection is completed, the traction tube 10 and the gastric tube 40 are pulled, so that the elbow 20, the connecting section 23 and the spherical part 22 are pressed into the gastric tube 40 again, and the gastric tube 40 is separated from the human body integrally.
While the preferred embodiments of the present invention have been illustrated and described, it will be understood by those skilled in the art that the present invention is not limited to the details of the embodiments shown and described, but is capable of numerous equivalents and substitutions without departing from the spirit of the invention as set forth in the claims appended hereto.
Claims (9)
1. An in-gastrectomy guide device, comprising:
a flexible traction tube (10);
the flexible return bend (20), return bend (20) with traction tube (10) meet, be equipped with a plurality of sound holes (21) along length direction on return bend (20), all be equipped with sound producing component in sound hole (21), arbitrary two the line between sound hole (21) all is not parallel to the length direction of return bend (20).
2. The mid-gastrectomy guide device of claim 1, wherein: the bent pipe (20) is not communicated with the traction pipe (10).
3. The mid-gastrectomy guide device according to claim 1 or 2, wherein: the outer diameter of the traction tube (10) is smaller than that of the elbow (20).
4. The mid-gastrectomy guide device of claim 1, wherein: the sound production part comprises a sheet (32), a sound production column (31) and an installation member, wherein the sheet (32) and the sound production column (31) are all fixed in the sound hole (21) through the installation member, the side surface of the sound production column (31) is provided with an opening, the sheet (32) covers the opening, and a circulation channel (35) is formed between the sound production column (31) and the sheet (32).
5. The mid-gastrectomy guide device of claim 4, wherein: the circulation direction of circulation passageway (35) with be between the axial direction of sound hole (21) and predetermine the contained angle, predetermine the contained angle and be greater than or equal to 0, and be less than 45.
6. The mid-gastrectomy guide device of claim 4, wherein: the mounting member comprises a barrel (33), a fixing seat (34) is arranged on the inner wall of the barrel (33), and the bottom end of the sheet (32) and the bottom end of the sound-emitting column (31) are mounted on the fixing seat (34).
7. The mid-gastrectomy guide device of claim 1, 2, 4, 5, or 6, wherein: the first end of the elbow (20) is connected with the traction pipe (10), and the second end of the elbow (20) is provided with a spherical part (22).
8. The mid-gastrectomy guide device of claim 7, wherein: the bent pipe (20) is connected with the spherical part (22) through a connecting section (23), and the outer periphery side of the connecting section (23) is inwards concave in the bent pipe (20) and the spherical part (22).
9. The mid-gastrectomy guide device of claim 1, 2, 4, 5, or 6, wherein: the gastric resection guide further comprises a gastric tube (40), and the outer diameter of the traction tube (10) is smaller than the inner diameter of the gastric tube (40).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202110291755.1A CN113143485B (en) | 2021-03-18 | 2021-03-18 | Guiding device in gastrectomy |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202110291755.1A CN113143485B (en) | 2021-03-18 | 2021-03-18 | Guiding device in gastrectomy |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN113143485A true CN113143485A (en) | 2021-07-23 |
| CN113143485B CN113143485B (en) | 2022-07-05 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202110291755.1A Active CN113143485B (en) | 2021-03-18 | 2021-03-18 | Guiding device in gastrectomy |
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Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20120277525A1 (en) * | 2009-10-09 | 2012-11-01 | Flip Technologies Limited | Device and a method for facilitating monitoring the cross-section of a gastric sleeve during formation thereof |
| CN202523402U (en) * | 2011-11-22 | 2012-11-07 | 南京通孚轻纺有限公司 | Airflow voice device and the toys installed the same |
| CN204684425U (en) * | 2015-05-27 | 2015-10-07 | 南通大学附属医院 | A kind of sounding stomach tube |
| CN105877849A (en) * | 2016-05-24 | 2016-08-24 | 暨南大学 | Gastric tube special for precise laparoscopic sleeve gastrectomy |
| US20160250056A1 (en) * | 2013-10-10 | 2016-09-01 | Nitinotes Ltd. | Endoluminal sleeve gastroplasty |
| CN110064123A (en) * | 2019-03-28 | 2019-07-30 | 暨南大学 | A kind of stomach tube guiding tube being exclusively used in laparoscope sleeve-like gastrectomy |
| US20200261251A1 (en) * | 2019-02-19 | 2020-08-20 | Covidien Lp | Gastric positioning device |
| CN212592323U (en) * | 2020-04-23 | 2021-02-26 | 山东大学齐鲁医院 | Guide tube for laparoscopic sleeve gastrectomy |
-
2021
- 2021-03-18 CN CN202110291755.1A patent/CN113143485B/en active Active
Patent Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20120277525A1 (en) * | 2009-10-09 | 2012-11-01 | Flip Technologies Limited | Device and a method for facilitating monitoring the cross-section of a gastric sleeve during formation thereof |
| CN202523402U (en) * | 2011-11-22 | 2012-11-07 | 南京通孚轻纺有限公司 | Airflow voice device and the toys installed the same |
| US20160250056A1 (en) * | 2013-10-10 | 2016-09-01 | Nitinotes Ltd. | Endoluminal sleeve gastroplasty |
| CN204684425U (en) * | 2015-05-27 | 2015-10-07 | 南通大学附属医院 | A kind of sounding stomach tube |
| CN105877849A (en) * | 2016-05-24 | 2016-08-24 | 暨南大学 | Gastric tube special for precise laparoscopic sleeve gastrectomy |
| US20200261251A1 (en) * | 2019-02-19 | 2020-08-20 | Covidien Lp | Gastric positioning device |
| CN110064123A (en) * | 2019-03-28 | 2019-07-30 | 暨南大学 | A kind of stomach tube guiding tube being exclusively used in laparoscope sleeve-like gastrectomy |
| CN212592323U (en) * | 2020-04-23 | 2021-02-26 | 山东大学齐鲁医院 | Guide tube for laparoscopic sleeve gastrectomy |
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| Publication number | Publication date |
|---|---|
| CN113143485B (en) | 2022-07-05 |
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