CN113397621A - Traction method and traction device for self-made endoscope minimally invasive surgery - Google Patents

Traction method and traction device for self-made endoscope minimally invasive surgery Download PDF

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Publication number
CN113397621A
CN113397621A CN202110838471.XA CN202110838471A CN113397621A CN 113397621 A CN113397621 A CN 113397621A CN 202110838471 A CN202110838471 A CN 202110838471A CN 113397621 A CN113397621 A CN 113397621A
Authority
CN
China
Prior art keywords
ring
traction
connecting piece
minimally invasive
invasive surgery
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
CN202110838471.XA
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Chinese (zh)
Inventor
樊超强
叶绍松
谯秋建
柏健鹰
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Second Affiliated Hospital Army Medical University
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Second Affiliated Hospital Army Medical University
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Publication date
Application filed by Second Affiliated Hospital Army Medical University filed Critical Second Affiliated Hospital Army Medical University
Priority to CN202110838471.XA priority Critical patent/CN113397621A/en
Publication of CN113397621A publication Critical patent/CN113397621A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/0218Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/0218Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
    • A61B2017/0225Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery flexible, e.g. fabrics, meshes, or membranes

Abstract

The invention provides a self-made endoscope minimally invasive surgery traction method which comprises the following steps of cutting into rubber rings; forming a traction double ring; closing the clip on the lesion of the incised margin, and then passing a further clip through the other side of the pull loop and securing it on the patient's wall opposite the lesion; the invention relates to a traction device for endoscopic minimally invasive surgery, wherein a first ring and a second ring are respectively connected with a first connecting piece and a second connecting piece, a sliding rod extends into a sliding cavity, and a piston end is positioned in the sliding cavity and matched with the sliding cavity. The invention cuts off the finger end of the rubber glove to form a plurality of closed rubber rings, wherein one ring is clamped on the focus through one metal clip, the other ring is clamped on one side opposite to the focus through the other metal clip, and the focus is conveniently stripped while the visual field is increased by utilizing the tension of the rubber rings for traction; when the pull distance is too long, the piston end is pulled outward to reduce the risk of damaging the patient tissue by pulling caused by excessive tension.

Description

Traction method and traction device for self-made endoscope minimally invasive surgery
Technical Field
The invention relates to the field of medical treatment, in particular to a traction method and a traction device for a self-made endoscope minimally invasive surgery.
Background
The endoscopic mucosal dissection is a widely accepted minimally invasive treatment method for digestive tract diseases at present due to high complete resection rate and good safety; the basic operation formula is divided into three steps: i.e. submucosal injection, annular incision of mucosa around lesion and dissection of submucosal tissue of lesion; for some lesions of sites which are difficult to treat by ESD, repeated submucosal injection is usually adopted, although a limited operation visual field is provided for subsequent stripping operation, the operation time is long, and the risks of bleeding and perforation are increased, so that the operation can be accelerated and the operation success rate can be improved by means of a good visual field.
Disclosure of Invention
The invention aims to solve the problems in the prior art and provides a self-made endoscopic minimally invasive surgery traction method and a traction device which are convenient to improve a better visual field for a traction surgery.
In order to achieve the purpose, the invention adopts the following technical scheme: a self-made endoscope minimally invasive surgery traction method, which comprises the following steps,
1) taking out the rubber gloves, cutting the finger ends of the rubber gloves, and cutting the rubber gloves into a plurality of closed rubber rings;
2) the rubber ring is encircled to form a digital 8-shaped traction double ring, one side of the traction double ring is ligated between the clamping arms on the two sides of the metal clip by silk threads outside the body, and then the traction double ring is sent into the body of a patient along with an endoscope;
3) the metal clip is fixed and clamped on the focus of the cut edge, then another metal clip passes through the other side of the traction double ring and is fixed on the wall of the patient opposite to the focus, the focus is fully lifted under the tension of the traction double ring, and then complete stripping is carried out.
The invention also provides a traction device for the self-made endoscopic minimally invasive surgery traction method, which comprises a first ring and a second ring, wherein the first ring and the second ring are respectively connected with a first connecting piece and a second connecting piece, the second connecting piece is provided with a sliding rod, the first connecting piece is provided with a sliding cavity with an opening facing the sliding rod, the sliding rod extends into the sliding cavity, the end part of the sliding rod is provided with a piston end, the piston end is positioned in the sliding cavity and matched with the sliding cavity, the opening of the sliding cavity is provided with a circle of limiting bulges so that the piston end is always positioned in the sliding cavity, and the piston end and the inner wall of the sliding cavity form a sealed cavity.
Furthermore, the first connecting piece and the second connecting piece are respectively provided with a first limiting rod and a second limiting rod, and the first ring and the second ring are formed by surrounding a closed rubber ring.
Further, the second connecting piece is provided with an air exhaust channel penetrating through the second connecting piece, and one end, facing the piston end, of the air exhaust channel is provided with a one-way valve.
Compared with the prior art, the invention has the following beneficial effects: the invention utilizes the rubber gloves which are finished in the market through a self-made endoscopic minimally invasive surgery traction method, cuts off the finger ends of the rubber gloves to form a plurality of closed rubber rings, surrounds the rubber rings to form a digital 8-shaped traction double ring, one ring is clamped on a focus through one metal clip, the other traction double ring is clamped on one side opposite to the focus through the other metal clip, and the traction is carried out by utilizing the tension of the rubber rings, so that the vision field is increased and the focus is conveniently stripped; according to the invention, the rubber ring is encircled to form the first ring and the second ring of the figure 8 type, and the first ring and the second ring are respectively fixed on the first connecting piece and the second connecting piece, when the traction distance is too long, the piston end is pulled outwards, so that the damage to the tissues of a patient caused by pulling caused by too large tension is reduced.
Additional advantages, objects, and features of the invention will be set forth in part in the description which follows and in part will become apparent to those having ordinary skill in the art upon examination of the following or may be learned from practice of the invention.
Drawings
Fig. 1 is a schematic structural diagram of an endoscopic minimally invasive surgery traction device.
Detailed Description
In order to make the technical means, the creation characteristics, the achievement purposes and the functions of the invention clearer and easier to understand, the invention is further explained by combining the drawings and the detailed implementation mode:
the invention provides a self-made endoscope minimally invasive surgery traction method, which comprises the following steps,
1. taking out the rubber gloves, cutting the finger ends of the rubber gloves, and cutting the rubber gloves into a plurality of closed rubber rings;
2. the rubber ring is encircled to form a digital 8-shaped traction double ring, one side of the traction double ring is ligated between the clamping arms at the two sides of the metal clip by silk threads outside the body, and then the traction double ring is sent into the body of a patient along with an endoscope;
3. the metal clip fixing clip is closed on the focus of the cut edge, then another metal clip passes through the other side of the traction double ring and is fixed on the wall of the patient opposite to the focus, the focus is fully lifted under the tension of the traction double ring, and then complete stripping is carried out.
The invention also provides a traction device for a self-made endoscopic minimally invasive surgery traction method, which comprises a first ring 1 and a second ring 2, wherein the first ring 1 and the second ring 2 are respectively connected with a first connecting piece 3 and a second connecting piece 4, the outer diameters of the first connecting piece 3 and the second connecting piece 4 are 0.1 cm-0.5 cm, the first connecting piece 3 corresponds to the second connecting piece 4, the second connecting piece is provided with a sliding rod 5, the first connecting piece 3 is provided with a sliding cavity 6 with an opening facing the sliding rod 5, the sliding rod 5 extends into the sliding cavity 6, the end part of the sliding rod 5 is provided with a piston end 8, the piston end 8 is positioned in the sliding cavity 6 and is matched with the sliding cavity 6, the outer diameter of the piston end 8 is equal to the inner diameter of the sliding cavity 6, the opening of the sliding cavity 6 is provided with a circle of limiting bulge 7 to enable the piston end 8 to be always positioned in the sliding cavity 6, the piston end 8 and the inner wall of the sliding cavity 6 form a sealed cavity, the limiting bulge 7 forms a circular through hole, the inner diameter of the circular through hole is equal to the outer diameter of the sliding rod 5, and the sliding rod 5 penetrates through the circular through hole to extend into the sliding cavity 6.
As a specific embodiment, the first connecting member 3 and the second connecting member 4 are respectively provided with a first limiting rod 10 and a second limiting rod 9, the first ring 1 and the second ring 2 are formed by enclosing a closed rubber ring, the rubber ring is a closed rubber ring formed by fingers cut off from a rubber glove, the rubber ring is prevented from twisting to form the first ring 1 and the second ring 2 which are opposite to each other and a third ring located between the first ring 1 and the second ring 2, the outer walls of the first connecting member 3 and the second connecting member 4 are respectively provided with a first clamping groove and a second clamping groove 11, two sides of the third ring are respectively clamped in the first clamping groove and the second clamping groove 11 so as to fix the first ring 1 and the second ring 2 on the first connecting member 3 and the second connecting member 4, in order to avoid twisting the third ring and the first ring 1 and the second ring 2, the joints of the first ring 1, the second ring 2 and the third ring are clamped at the first limiting rod 10 and the second limiting rod 9 respectively, folded edges are arranged at the end parts of the first limiting rod 10 and the second limiting rod 9 respectively, and the folded edges limit the first ring 1 and the second ring 2.
In a specific embodiment, the second connector 4 is provided with an air suction channel 12 penetrating through the second connector 4, the air suction channel 12 is provided with a one-way valve at one end of the piston end 8, air is sucked into the air suction channel 12 through the one-way valve, the air suction channel 12 penetrates out of the piston end 8 so as to suck air in the sealed cavity to adjust the pressure of the sealed cavity, the distance of relative movement of the first connector 3 and the second connector 4 is adjusted by adjusting the pressure of the sealed cavity, and the traction force is controlled by adjusting the pressure of the sealed cavity because the sizes of digestive tracts of different patients are different, so that the required traction force is different.
Finally, the above embodiments are only for illustrating the technical solutions of the present invention and not for limiting, although the present invention has been described in detail with reference to the preferred embodiments, it should be understood by those skilled in the art that modifications or equivalent substitutions may be made to the technical solutions of the present invention without departing from the spirit and scope of the technical solutions of the present invention, and all of them should be covered in the claims of the present invention.

Claims (5)

1. A self-made endoscope minimally invasive surgery traction method is characterized in that: comprises the following steps of (a) carrying out,
1) taking out the rubber gloves, cutting the finger ends of the rubber gloves, and cutting the rubber gloves into a plurality of closed rubber rings;
2) the rubber ring is encircled to form a digital 8-shaped traction double ring, one side of the traction double ring is ligated between the clamping arms on the two sides of the metal clip by silk threads outside the body, and then the traction double ring is sent into the body of a patient along with an endoscope;
3) the metal clip is fixed and clamped on the focus of the cut edge, then another metal clip passes through the other side of the traction double ring and is fixed on the wall of the patient opposite to the focus, the focus is fully lifted under the tension of the traction double ring, and then complete stripping is carried out.
2. The traction device used for the self-made endoscopic minimally invasive surgery traction side in the claim 1 is characterized in that: comprises the following steps.
3. The endoscopic minimally invasive surgery traction device according to claim 2, characterized in that: including first ring (1) and second ring (2), first ring (1) with second ring (2) are connected first connecting piece (3) and second connecting piece (4) respectively, the second connecting piece is provided with slide bar (5), first connecting piece (3) are equipped with the opening court slide chamber (6) of slide bar (5), slide bar (5) stretch into slide chamber (6), slide bar (5) tip is equipped with piston end (8), piston end (8) are located slide chamber (6) in and with slide chamber (6) looks adaptation, slide chamber (6) opening part is equipped with round spacing arch (7) and makes piston end (8) are located all the time in slide chamber (6), piston end (8) with slide chamber (6) inner wall forms sealed chamber.
4. The endoscopic minimally invasive surgery traction device according to claim 3, characterized in that: the first connecting piece (3) and the second connecting piece (4) are respectively provided with a first limiting rod (10) and a second limiting rod (9), and the first ring (1) and the second ring (2) are formed by surrounding a closed rubber ring on the first ring (1) and the second ring (2).
5. The endoscopic minimally invasive surgery traction device according to claim 3, characterized in that: the second connecting piece (4) is provided with an air exhaust channel (12) penetrating through the second connecting piece (4), and one end, facing the piston end (8), of the air exhaust channel (12) is provided with a one-way valve.
CN202110838471.XA 2021-07-23 2021-07-23 Traction method and traction device for self-made endoscope minimally invasive surgery Pending CN113397621A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202110838471.XA CN113397621A (en) 2021-07-23 2021-07-23 Traction method and traction device for self-made endoscope minimally invasive surgery

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202110838471.XA CN113397621A (en) 2021-07-23 2021-07-23 Traction method and traction device for self-made endoscope minimally invasive surgery

Publications (1)

Publication Number Publication Date
CN113397621A true CN113397621A (en) 2021-09-17

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CN202110838471.XA Pending CN113397621A (en) 2021-07-23 2021-07-23 Traction method and traction device for self-made endoscope minimally invasive surgery

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Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106344094A (en) * 2016-09-30 2017-01-25 吉林大学第医院 Extensible clamp for closing lesion wound surface of digestive tract
CN108670325A (en) * 2018-04-27 2018-10-19 四川力智久创知识产权运营有限公司 Gasless laparoscope stomach wall support device
CN209315936U (en) * 2018-06-23 2019-08-30 关鹏飞 A kind of Clinical Surgery's retractor for operation
CN209611212U (en) * 2018-07-20 2019-11-12 南京微创医学科技股份有限公司 A kind of traction device and the stretch ring for traction device
CN111568483A (en) * 2020-05-25 2020-08-25 中国人民解放军西部战区总医院 Surgical operation struts apparatus
CN111759395A (en) * 2020-07-06 2020-10-13 张伯书 Inflatable transparent tourniquet belt with internal leakage of artery and vein
CN212939813U (en) * 2020-04-07 2021-04-13 刘烈东 Drag hook equipment for orthopedic surgery

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106344094A (en) * 2016-09-30 2017-01-25 吉林大学第医院 Extensible clamp for closing lesion wound surface of digestive tract
CN108670325A (en) * 2018-04-27 2018-10-19 四川力智久创知识产权运营有限公司 Gasless laparoscope stomach wall support device
CN209315936U (en) * 2018-06-23 2019-08-30 关鹏飞 A kind of Clinical Surgery's retractor for operation
CN209611212U (en) * 2018-07-20 2019-11-12 南京微创医学科技股份有限公司 A kind of traction device and the stretch ring for traction device
CN212939813U (en) * 2020-04-07 2021-04-13 刘烈东 Drag hook equipment for orthopedic surgery
CN111568483A (en) * 2020-05-25 2020-08-25 中国人民解放军西部战区总医院 Surgical operation struts apparatus
CN111759395A (en) * 2020-07-06 2020-10-13 张伯书 Inflatable transparent tourniquet belt with internal leakage of artery and vein

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