CN113712621A - Subassembly is dealt with in complex ligature of penis dorsal vein - Google Patents
Subassembly is dealt with in complex ligature of penis dorsal vein Download PDFInfo
- Publication number
- CN113712621A CN113712621A CN202110854883.2A CN202110854883A CN113712621A CN 113712621 A CN113712621 A CN 113712621A CN 202110854883 A CN202110854883 A CN 202110854883A CN 113712621 A CN113712621 A CN 113712621A
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- China
- Prior art keywords
- ligation
- handle
- sleeve
- rod
- wire
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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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/2812—Surgical forceps with a single pivotal connection
-
- 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
- A61B2017/12004—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding
Abstract
The invention provides a penis dorsal vein complex ligation component, which comprises a ligation clip, a ligation thread and a threading guide rod, the ligation disposal clip comprises a sleeve, a handle mechanism, an actuating mechanism, a wire inlet mechanism and a transmission rod, the handle mechanism comprises a movable handle, a fixed handle, a spring piece and a pin shaft, the upper part of the fixed handle is fixedly connected with the sleeve, the upper part of the movable handle is connected with an actuating mechanism at the front end through a transmission rod, the actuating mechanism comprises an actuating part I and an actuating part II which are oppositely opened and closed, the front end of the execution piece I is provided with a through clamping groove, the opposite surfaces of the execution piece II and the execution piece I are provided with clamping blocks, the wire inlet mechanism comprises a wire inlet rod and a wire outlet hole, the wire inlet rod is communicated with the sleeve, and the threading guide rod enters the guide ligature from the wire inlet rod and is used for guiding the ligature to come out from the wire outlet hole for binding. The invention has reasonable design, is convenient for ligating the vein complex, improves the ligation efficiency, reduces the surgical risk and effectively ensures the success rate of the surgery.
Description
Technical Field
The invention belongs to the technical field of vein complex treatment instruments, and particularly relates to a penis dorsal vein complex ligation treatment assembly.
Background
The incidence of Chinese prostate cancer is on the rise, and laparoscopic radical prostatectomy is still an important treatment mode for Chinese prostate cancer patients at present. Because of the anatomical location of the prostate and involvement in urinary tract reconstruction, it is considered one of the difficult urological procedures, especially the treatment of the dorsal venous complex during the procedure, the dorsal venous plexus is mainly distributed behind the pubic symphysis, blood flowing back into the dorsal penile veins, which is covered under the pubic prostatic ligament, its branches spread over the ventral and bilateral surfaces of the prostate, forming a labyrinthine, circuitously dilated venous plexus.
At present, the vein complex is treated by suturing the vein complex by a suture, but because of the narrow pelvic space and the shielding of the surrounding pelvis, so that the suturing needs very high skill, more than 30 cases of radical prostatectomy experience can be needed easily, the intraoperative treatment of the penile Dorsal Vein Complex (DVC) is an absolute challenge for beginners, because the space is narrow, serious heavy bleeding can be caused by careless operation, and the hemostasis is very difficult, in addition, in the operation, the venous complex is not bleeded to keep the operative field clear, the sufficient length of the urethra is remained to complete the anastomosis, the operation time is shortened as much as possible, the suture technology is very difficult to be completed by beginners, once the venous complex bleeds, a series of complications can be caused, psychopsychological burden can be caused to patients and operators, and the learning curve is prolonged. Therefore, there is a need for a treatment device that is easy to operate, reduces the risk, and facilitates ligation.
Disclosure of Invention
The invention provides a penis dorsal vein complex ligation treatment assembly which is convenient to operate and reduces operation risks.
The technical scheme of the invention is as follows: a penis dorsal vein complex ligation treatment assembly comprises a ligation treatment clamp, a ligation thread and a threading guide rod, wherein the ligation treatment clamp is used for treating a ligation vein complex, the threading guide rod guides the ligation thread to the vein complex, the ligation treatment clamp comprises a sleeve, a handle mechanism arranged at the tail end of the sleeve, an actuating mechanism arranged at the front end of the sleeve, a thread inlet mechanism arranged on the sleeve, and a transmission rod arranged in the sleeve and used for connecting the handle mechanism and the actuating mechanism, the handle mechanism comprises a movable handle, a fixed handle, a spring piece arranged between the movable handle and the fixed handle, and a pin shaft connected with the movable handle and the fixed handle, the upper part of the fixed handle is fixedly connected with the sleeve, the upper part of the movable handle is connected with the actuating mechanism at the front end through the transmission rod, the actuating mechanism comprises an actuating piece I and an actuating piece II which are arranged in a relatively opening and closing manner, the front end of the actuating piece I is provided with a through clamping groove, the opposite face of executive component II and executive component I is equipped with the block, the block is established at the block inslot at the whole card of actuating mechanism, carry out the mechanism including setting up at the terminal inlet wire pole of sleeve pipe one side, set up the wire hole at sleeve pipe front end actuating mechanism rear side, inlet wire pole and sleeve pipe intercommunication, the threading guide arm gets into the guide ligature from the inlet wire pole and comes out from the wire hole and ligature.
The scheme is further that a clamping hook is arranged on the side face of the clamping block.
The scheme is further that the front ends of the executing part I and the executing part II are both of a round and smooth structure, and the front ends are prevented from causing secondary damage to tissues.
In the scheme, a wire guide rod is arranged in the sleeve, the wire guide rod is communicated with the wire inlet rod and the wire outlet hole, and the wire guide rod and the transmission rod are arranged in parallel.
The handle mechanism further comprises an adjusting and locking mechanism, the adjusting and locking mechanism comprises two connecting plates and an adjusting and locking rod which are arranged at the tail part of the movable handle and are arranged oppositely, a cavity formed in the middle of the connecting plates is rotatably connected with one end of the adjusting and locking rod through a rotating shaft, a plurality of toothed clamping grooves are formed in the adjusting and locking rod, a convex tooth clamping block is arranged at the tail end of the fixed handle, and the adjusting and locking of the handle mechanism are realized through the convex tooth clamping block and the toothed clamping grooves.
The scheme is further that the spring piece comprises a spring piece I and a spring piece II, and the spring piece I and the spring piece II are respectively fixed on the fixed handle and the movable handle through fixing bolts.
The scheme is further that a clamping groove is formed in the front end of the spring piece I, and the size of the front end of the spring piece II is consistent with that of the clamping groove of the spring piece I.
In a scheme, the front end of the threading guide rod is provided with a guide wire groove, and the tail end of the threading guide rod is provided with a circular handle.
The scheme furtherly, the ligature is the barb line, including the line body, the outside of the line body is encircleed and is equipped with a plurality of evenly distributed's barb, the front end of barb is the circular arc structure, the angle of inclination between barb and the line body is 35, barb interval line body central point puts 2cm, and body length direction lays to both ends along the line, and the barb slope opposite direction that the line body both ends set up.
The invention has the advantages that: when the vein complex is ligated, the doubled-up ligature enters the sleeve from the wire inlet rod by the aid of the threading guide rod, penetrates out of the wire outlet hole and retreats back to the threading guide rod, the front end of the ligature is sleeved on the actuating mechanism clamped together, the whole device enters the vein complex, the actuating mechanism is unfolded by the aid of the handle mechanism and the transmission rod, the ligature crosses over the vein complex, a ring formed by the doubled-up end is knotted with the free end to complete ligation, the ligature is more convenient to lock and knot when the ligature arrives, ligation is facilitated, suturing is not needed, trouble is saved, and surgical bleeding amount is reduced.
The invention has reasonable design of the whole structure and convenient operation, facilitates the ligation of the vein complex, improves the ligation efficiency, reduces the operation risk and effectively ensures the success rate of the operation.
Drawings
FIG. 1 is a schematic view of a penile dorsal vein complex ligation assembly according to the present invention;
FIG. 2 is an enlarged view at A of FIG. 1 of a penile dorsal vein complex ligation assembly of the present invention;
FIG. 3 is an enlarged view at B of FIG. 1 of a penile dorsal vein complex ligation assembly according to the present invention;
FIG. 4 is a schematic diagram of an actuator of a ligation clip of a penile dorsal vein complex ligation assembly according to the present invention;
FIG. 5 is a schematic view of a threading guide of a dorsal penile complex ligation assembly according to the present invention;
FIG. 6 is a schematic view of a ligature structure of a penile dorsal vein complex ligation treatment assembly according to the present invention;
wherein: 1. the cable connector comprises a sleeve, 2, a cable inlet rod, 3, a movable handle, 4, a fixed handle, 5, a pin shaft, 6, a spring piece, 7, a connecting plate, 8, an adjusting locking rod, 9, a cable outlet hole, 10, an executing piece I, 11, an executing piece II, 12, a transmission rod, 13, a tooth-shaped clamping groove, 14, a convex tooth clamping block, 15, a clamping groove, 16, a clamping block, 17, a threading guide rod, 18, a handle, 19, a wire groove, 20 and a ligature.
Detailed Description
The present invention will now be described more fully hereinafter with reference to the accompanying drawings, in which a person skilled in the art can, without any creative effort, fully implement the present invention.
The specific implementation mode of the invention is as follows: as shown in fig. 1-6, a penis dorsal vein complex ligation assembly comprises a ligation clip for treating a ligation vein complex, a ligation thread, and a threading guide rod 17 for guiding the ligation thread to the vein complex, wherein the ligation clip comprises a sleeve 1, a handle mechanism arranged at the tail end of the sleeve 1, an actuating mechanism arranged at the front end of the sleeve 1, a thread feeding mechanism arranged on the sleeve 1, and a transmission rod 12 arranged in the sleeve 1 for connecting the handle mechanism and the actuating mechanism, the handle mechanism comprises a movable handle 3, a fixed handle 4, a spring sheet 6 arranged between the movable handle 3 and the fixed handle 4, and a pin 5 for connecting the movable handle 3 and the fixed handle 4, the upper part of the fixed handle 4 is fixedly connected with the sleeve 1, the upper part of the movable handle 3 is connected with the actuating mechanism at the front end through the transmission rod 12, the movable handle 3 drives the actuating mechanism to open and close when moving, actuating mechanism is including opening and shutting I10 and the II 11 of executive component that sets up relatively, I10 front end of executive component is equipped with the block groove 15 that link up, be equipped with block 16 on the opposite face of II 11 and the I10 of executive component, block 16 is blocked when the whole block of actuating mechanism is established in block groove 15, inlet wire mechanism is including setting up inlet wire pole 2, the setting in the wire hole 9 of 1 front end actuating mechanism rear sides of sleeve pipe in the terminal one side of sleeve pipe 1, inlet wire pole 2 and sleeve pipe 1 intercommunication, threading guide rod 17 gets into guide ligature 20 from inlet wire pole 2 and comes out from wire hole 9 and ligature.
Furthermore, the side of the engaging block 16 is provided with a hook for facilitating the hook to fix the ligature 20, and the ligature 20 is hooked from one side to the other side of the vein complex when the actuator is opened.
Furthermore, the front ends of the executing part I10 and the executing part II 11 are both of a round and smooth structure, so that secondary damage to tissues caused by the front ends is avoided.
Furthermore, a wire guide rod is arranged in the sleeve 1, the wire guide rod is communicated with the wire inlet rod 2 and the wire outlet hole 9, and the wire guide rod and the transmission rod 12 are arranged in parallel.
The handle mechanism further comprises an adjusting and locking mechanism, the adjusting and locking mechanism comprises two connecting plates 7 and an adjusting and locking rod 8 which are oppositely arranged at the tail part of the movable handle 3, a cavity formed in the middle of the connecting plates 7 is rotatably connected with one end of the adjusting and locking rod 8 through a rotating shaft, a plurality of toothed clamping grooves 13 are formed in the adjusting and locking rod 8, a convex tooth clamping block 14 is arranged at the tail end of the fixed handle 4, and the adjusting and locking of the handle mechanism are realized through the convex tooth clamping block 14 and the toothed clamping grooves 13.
Furthermore, the spring piece 6 comprises a spring piece I and a spring piece II, and the spring piece I and the spring piece II are respectively fixed on the fixed handle 4 and the movable handle 3 through fixing bolts.
Furthermore, the front end of the spring piece I is provided with a clamping groove, and the size of the front end of the spring piece II is consistent with that of the clamping groove of the spring piece I.
Furthermore, the front end of the threading guide rod 17 is provided with a guide wire groove 19, and the tail end is provided with a circular handle 18, so that the operation is convenient.
Further, the ligature 20 is a barbed wire and comprises a wire body, a plurality of barbs which are uniformly distributed are arranged on the outer side of the wire body in a surrounding mode, the front ends of the barbs are of an arc structure, the inclination angle between each barb and the wire body is 35 degrees, the barbs are arranged 2cm away from the center of the wire body, the barbs are arranged towards the two ends along the length direction of the wire body, the inclination directions of the barbs arranged at the two ends of the wire body are opposite, and the wire body is folded in half when in use.
The using process of the invention is as follows: when carrying out the ligature of vein complex body, utilize threading guide arm 17 to get into sleeve pipe 1 with the ligature 20 of fifty percent discount from inlet wire pole 2 department, wear out from the wire hole 9 and retreat back threading guide arm 17, ligature 20 front end cover is on the actuating mechanism that the card is in the same place, whole device enters into vein complex body department, utilize handle mechanism and transfer line 12 to open actuating mechanism, ligature 20 stridees across from the vein complex body, the loop that fifty percent discount end formed is knotted with the free end and is accomplished the ligature, ligature 20 to this more convenient locking knot, the ligature has been made things convenient for, do not need to sew up, save trouble and reduce the operation amount of bleeding simultaneously, the ligature efficiency is improved, the operation risk has been reduced, the success rate of operation has effectively been guaranteed.
While the preferred embodiments of the invention have been described, it is to be understood that the invention is not limited to the precise embodiments described, and that equipment and structures not described in detail are understood to be practiced as commonly known in the art; any simple modification, equivalent change and modification of the above embodiments according to the technical essence of the present invention by those skilled in the art can be made without departing from the technical scope of the present invention, and still fall within the protection scope of the technical solution of the present invention.
Claims (9)
1. The ligation treatment component of the penis dorsal vein complex is characterized by comprising a ligation treatment clamp, a ligation thread and a threading guide rod, wherein the ligation treatment clamp is used for treating the ligation vein complex, the ligation thread is used for guiding the ligation thread to the vein complex, the ligation treatment clamp comprises a sleeve, a handle mechanism arranged at the tail end of the sleeve, an actuating mechanism arranged at the front end of the sleeve, a thread inlet mechanism arranged on the sleeve, and a transmission rod arranged in the sleeve and used for connecting the handle mechanism and the actuating mechanism, the handle mechanism comprises a movable handle, a fixed handle, a spring sheet arranged between the movable handle and the fixed handle, and a pin shaft for connecting the movable handle and the fixed handle, the upper part of the fixed handle is fixedly connected with the sleeve, the upper part of the movable handle is connected with the actuating mechanism at the front end through the transmission rod, the actuating mechanism comprises an actuating piece I and an actuating piece II which are oppositely opened and closed, and a through clamping groove is arranged at the front end of the actuating piece I, the opposite face of executive component II and executive component I is equipped with the block, the block is established at the block inslot at the whole card of actuating mechanism, inlet wire mechanism is including setting up at the terminal inlet wire pole of sleeve pipe one side, setting at the wire hole of sleeve pipe front end actuating mechanism rear side, inlet wire pole and sleeve pipe intercommunication, the threading guide arm gets into the guide ligature from the inlet wire pole and comes out from the wire hole and ligature.
2. The penile dorsal vein complex ligation treatment assembly according to claim 1, wherein the side of the engaging block is provided with a hook.
3. The penile dorsal vein complex ligation assembly according to claim 1, wherein the front ends of the first and second actuators are rounded and smooth to avoid secondary damage to the tissue.
4. The penile dorsal vein complex ligation assembly according to claim 1, wherein a wire guide rod is provided in the sleeve, the wire guide rod is in communication with the wire inlet rod and the wire outlet hole, and the wire guide rod and the transmission rod are arranged in parallel.
5. The penile dorsal vein complex ligation assembly according to claim 1, wherein the handle mechanism further comprises an adjustment locking mechanism, the adjustment locking mechanism comprises two opposite connecting plates disposed at the tail of the movable handle, and an adjustment locking rod, the cavity formed in the middle of the connecting plates is rotatably connected with one end of the adjustment locking rod through a rotating shaft, the adjustment locking rod is provided with a plurality of tooth-shaped slots, the tail end of the fixed handle is provided with a protruding tooth fixture block, and the adjustment and locking of the handle mechanism are realized through the protruding tooth fixture block and the tooth-shaped slots.
6. The assembly for the complex ligation of the dorsal penile vein according to claim 1, wherein the spring plate comprises a spring plate I and a spring plate II, the spring plate I and the spring plate II are fixed on the fixed handle and the movable handle respectively through fixing bolts.
7. The penile dorsal vein complex ligation assembly according to claim 6, wherein the spring plate I is provided with a slot at the front end, and the size of the front end of the spring plate II is the same as that of the slot of the spring plate I.
8. The penile dorsal vein complex ligation assembly according to claim 1, wherein the threading guide rod has a guide groove at the front end and a circular handle at the rear end.
9. The penile dorsal vein complex ligation treatment assembly according to claim 1, wherein the ligation line is a barbed line, and comprises a line body, a plurality of barbs are uniformly distributed around the outer side of the line body, the front end of each barb is of a circular arc structure, the inclination angle between each barb and the line body is 35 degrees, the barb is spaced from the line body at the center position of 2cm, the line body is arranged along the length direction of the line body to the two ends, and the inclination directions of the barbs at the two ends of the line body are opposite.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202110854883.2A CN113712621A (en) | 2021-07-28 | 2021-07-28 | Subassembly is dealt with in complex ligature of penis dorsal vein |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202110854883.2A CN113712621A (en) | 2021-07-28 | 2021-07-28 | Subassembly is dealt with in complex ligature of penis dorsal vein |
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| Publication Number | Publication Date |
|---|---|
| CN113712621A true CN113712621A (en) | 2021-11-30 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202110854883.2A Pending CN113712621A (en) | 2021-07-28 | 2021-07-28 | Subassembly is dealt with in complex ligature of penis dorsal vein |
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| CN (1) | CN113712621A (en) |
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| CN105615932A (en) * | 2015-12-18 | 2016-06-01 | 长沙南仁医院有限公司 | Selective setting-off micro-control operation for deep dorsal veins of penis |
| CN206910387U (en) * | 2016-12-12 | 2018-01-23 | 创生医疗器械（中国）有限公司 | A kind of new lifting pincers |
| CN108670345A (en) * | 2018-06-15 | 2018-10-19 | 金华市中心医院 | The binding ligator of the lower processing prostate dorsal vein clump of laparoscope auxiliary and application |
| CN109044434A (en) * | 2018-10-23 | 2018-12-21 | 耿金宏 | A kind of damaged peritoneal hernia ring closer of laparoscope |
| CN209004102U (en) * | 2018-03-15 | 2019-06-21 | 首都医科大学附属北京朝阳医院 | Ligature forceps and ligation external member |
| CN209422075U (en) * | 2018-11-27 | 2019-09-24 | 中南大学湘雅医院 | Adjustable vertebral plate with rack gear lock function holds plate device |
| CN110755671A (en) * | 2019-09-29 | 2020-02-07 | 姜之全 | Barb knotting-free reinforced suture line and preparation method thereof |
| CN112494087A (en) * | 2020-11-30 | 2021-03-16 | 徐州医科大学 | Small joint suture threading device |
| CN213641019U (en) * | 2020-07-29 | 2021-07-09 | 湖北翎美生物科技有限公司 | One-way suture |
-
2021
- 2021-07-28 CN CN202110854883.2A patent/CN113712621A/en active Pending
Patent Citations (11)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101902975A (en) * | 2007-10-18 | 2010-12-01 | 尼奥绰德有限公司 | Minimally invasive repair of a valve leaflet in a beating heart |
| CN203074811U (en) * | 2013-02-05 | 2013-07-24 | 代勇军 | Resetting forceps for fracture of tibial plateau |
| CN105615932A (en) * | 2015-12-18 | 2016-06-01 | 长沙南仁医院有限公司 | Selective setting-off micro-control operation for deep dorsal veins of penis |
| CN206910387U (en) * | 2016-12-12 | 2018-01-23 | 创生医疗器械（中国）有限公司 | A kind of new lifting pincers |
| CN209004102U (en) * | 2018-03-15 | 2019-06-21 | 首都医科大学附属北京朝阳医院 | Ligature forceps and ligation external member |
| CN108670345A (en) * | 2018-06-15 | 2018-10-19 | 金华市中心医院 | The binding ligator of the lower processing prostate dorsal vein clump of laparoscope auxiliary and application |
| CN109044434A (en) * | 2018-10-23 | 2018-12-21 | 耿金宏 | A kind of damaged peritoneal hernia ring closer of laparoscope |
| CN209422075U (en) * | 2018-11-27 | 2019-09-24 | 中南大学湘雅医院 | Adjustable vertebral plate with rack gear lock function holds plate device |
| CN110755671A (en) * | 2019-09-29 | 2020-02-07 | 姜之全 | Barb knotting-free reinforced suture line and preparation method thereof |
| CN213641019U (en) * | 2020-07-29 | 2021-07-09 | 湖北翎美生物科技有限公司 | One-way suture |
| CN112494087A (en) * | 2020-11-30 | 2021-03-16 | 徐州医科大学 | Small joint suture threading device |
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