CN113951993B - Sample snare fixer for surgical minimally invasive surgery - Google Patents
Sample snare fixer for surgical minimally invasive surgery Download PDFInfo
- Publication number
- CN113951993B CN113951993B CN202111314571.9A CN202111314571A CN113951993B CN 113951993 B CN113951993 B CN 113951993B CN 202111314571 A CN202111314571 A CN 202111314571A CN 113951993 B CN113951993 B CN 113951993B
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- China
- Prior art keywords
- extension rod
- head
- outer sleeve
- handle
- inner core
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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
- A61B17/32—Surgical cutting instruments
- A61B17/3205—Excision instruments
- A61B17/32056—Surgical snare instruments
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
- A61B10/02—Instruments for taking cell samples or for biopsy
- A61B10/0233—Pointed or sharp biopsy instruments
- A61B10/0266—Pointed or sharp biopsy instruments means for severing sample
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
- A61B10/02—Instruments for taking cell samples or for biopsy
- A61B10/04—Endoscopic instruments
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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
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
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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
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00287—Bags for minimally invasive surgery
Abstract
The invention discloses a specimen snare fixer for a surgical minimally invasive surgery, which is used for taking out a specimen in a specimen bag along a minimally invasive hole and comprises a head lantern ring, an extension rod and a handle, wherein the head lantern ring comprises a head lantern ring coil; the extension rod comprises an extension rod outer sleeve, an extension rod inner core pipe, an extension rod steering head control gear and an extension rod steering head transmission device, the handle comprises a handle inner core pipe control ring and a handle outer sleeve pipe control ring, the head lantern ring coil is connected with the handle inner core pipe control ring, and the handle outer sleeve pipe control ring is installed at the upper end of the extension rod outer sleeve. The cooperation that adopts head lantern ring, extension rod, handle carries out taking out of sample, lets the sample be in a gesture that is fit for pulling out, simple structure, the simple operation, the operational risk is little, has solved the inconvenient problem of taking out, simultaneously can be convenient the gesture of regulation sample, be favorable to taking out the sample from the internal, the adjustable elasticity of head lantern ring, the operator can be according to the specific area position of will forceps holder sample.
Description
Technical Field
The invention relates to the technical field of medical instruments, in particular to a specimen snare fixer for a surgical minimally invasive surgery.
Background
At present, in the prior art, laparoscopic minimally invasive surgery is a common surgical method, and during surgical operation, a minimally invasive surgical instrument with a long handle is required to move cut human tissues out of a human body through a minimally invasive hole.
A Chinese patent 201110268726X published on 9/11/2011 discloses a minimally invasive surgery specimen extractor, which is a minimally invasive surgery instrument used for conveniently and completely extracting a cut specimen from a surgical cavity in a minimally invasive surgery. The surgical instrument consists of a sleeve, a core barrel, a clamping strip and a specimen bag, wherein the sleeve is a hollow tubular passage for other components to enter and exit the surgical cavity; the core barrel is formed by connecting four stainless steel long and narrow sheets at one end to form a barrel shape, a traction wire is fixed in the center of the bottom of the core barrel, a traction ring is arranged at the other end of the traction wire to facilitate traction, and a clamping groove is formed in one sheet and used for inserting a clamping strip; the clamping strip is a long and narrow stainless steel strip, the appearance is matched with the clamping groove on the core barrel, the clamping groove can be inserted and fixed, a barb is arranged at the position, close to the bottom end, of the clamping strip and used for fixing the opening of the specimen bag, and the specimen bag body is wrapped at the bottom end of the core barrel and used for containing a specimen. However, the structure of the specimen extractor is too complex, the operation process is too complicated, the cost is too high, and the specimen extractor is not beneficial to wide popularization in medical science.
It can be seen that the existing sample extractor for minimally invasive surgery has the following defects:
after the sample is cut down, put the sample in the sample bag, pull out the sample bag through the Trocar hole, the gesture that the sample passed through the Trocar hole is random: may be horizontal, vertical, may have a large side facing outward, and may have a small side facing outward. It is difficult to pull the specimen out of the relatively small Trocar aperture when the specimen is positioned under the incision laterally or large side-out. Taking large specimens through minimally invasive holes not exceeding 5cm in diameter is cumbersome if special instruments are not used. The physician may then grasp and pull the specimen by enlarging the incision or by pulling the specimen bag hard to see the specimen. However, enlarging the incision does not comply with the minimally invasive principle; the forceful pulling may cause the specimen bag to break and the specimen to flow into the abdominal cavity; causing pollution and not meeting the requirements of the non-tumor technology.
Disclosure of Invention
In order to overcome the defects of the prior art, the invention aims to provide a specimen snare fixer for surgical minimally invasive surgery, which can solve the problem of inconvenient taking out.
The design principle is as follows: the main structure comprises a head lantern ring, an extension rod and a handle. The head lantern ring is used for fixing a specific part of the specimen, so that the specimen is in a proper pulling-out posture, the extension rod is used for extending the length of the instrument, and the handle is used for operating the tightness of the fixer like the usage of scissors by a surgeon.
The total design scheme is as follows:
a specimen snare fixer for surgical minimally invasive surgery is used for taking out a specimen in a specimen bag along a minimally invasive hole and comprises a head lantern ring, an extension rod and a handle, wherein the head lantern ring comprises a head lantern ring coil; the extension rod comprises an extension rod outer sleeve, an extension rod inner core pipe, an extension rod steering head control gear and an extension rod steering head transmission device, the extension rod outer sleeve is slidably mounted outside the extension rod inner core pipe, the extension rod steering head is mounted at the front end of the extension rod outer sleeve, the extension rod steering head inclines towards one side, and the extension rod steering head control gear is mounted on the extension rod outer sleeve and drives the extension rod steering head to rotate axially through the extension rod steering head transmission device; the handle comprises a handle inner core tube control ring and a handle outer sleeve tube control ring, the head lantern ring coil penetrates through the extension rod inner core tube to be connected with the handle inner core tube control ring, and the handle outer sleeve tube control ring is installed at the upper end of the extension rod outer sleeve tube.
Further, the extension rod steering head is in a bent pipe shape.
Furthermore, the extension rod steering head comprises a big head end and a small head end, the big head end is connected with the extension rod outer sleeve, and the small head end is provided with a head lantern ring outlet for the head lantern ring coil to extend out.
Further, the head lantern ring and the extension rod steering head are positioned in the specimen bag.
Furthermore, the extending direction of the extension rod steering head transmission device is consistent with the extending direction of the extension rod outer sleeve.
Further, the axis of the extension rod inner core tube is coincident with the axis of the extension rod outer sleeve.
Further, the head lantern ring coil penetrates along the extension rod inner core pipe and is screwed into a single wire body, and the single wire body is connected with the handle inner core pipe operating ring.
Furthermore, the upper end of the single wire body penetrates through the extension rod inner core pipe.
Further, the extension direction of the extension rod inner core tube is consistent with the extension direction of the extension rod outer sleeve.
Further, the handle inner core tube manipulation ring is located on an upper side of the handle outer sleeve manipulation ring.
Compared with the prior art, the invention has the beneficial effects that:
the extension rod outer sleeve is slidably mounted outside the extension rod inner core tube, the extension rod steering head is mounted at the front end of the extension rod outer sleeve and inclines towards one side, and the extension rod steering head control gear is mounted on the extension rod outer sleeve and drives the extension rod steering head to rotate axially through an extension rod steering head transmission device; the handle comprises a handle inner core tube control ring and a handle outer sleeve tube control ring, the head lantern ring coil penetrates through the extension rod inner core tube to be connected with the handle inner core tube control ring, and the handle outer sleeve tube control ring is installed at the upper end of the extension rod outer sleeve tube. The cooperation that adopts head lantern ring, extension rod, handle carries out taking out of sample, lets the sample be in a gesture that is fit for pulling out, simple structure, the simple operation, the operational risk is little, has solved the inconvenient problem of taking out, and the gesture of regulation sample that simultaneously can be convenient is favorable to taking out the sample from internal.
The foregoing description is only an overview of the technical solutions of the present invention, and in order to make the technical means of the present invention more clearly understood, the present invention may be implemented in accordance with the content of the description, and in order to make the above and other objects, features, and advantages of the present invention more clearly understood, the following preferred embodiments are specifically described below with reference to the accompanying drawings.
Drawings
FIG. 1 is an operational view of a specimen snare holder for surgical minimally invasive surgery of the present invention;
fig. 2 is a schematic structural view of the specimen snare holder for the surgical minimally invasive surgery shown in fig. 1.
In the figure: 100. preparing a specimen; 200. a specimen bag; 1. a head collar; 11. a head collar outlet; 12. a head collar coil; 2. an extension pole; 21. an extension rod outer sleeve; 22. an extension rod inner core pipe; 23. an extension rod steering head; 24. the extension rod steering head controls the gear; 25. an extension rod steering head transmission device; 3. a handle; 31. a handle inner core tube handling ring; 32. the handle outer tube handles the ring.
Detailed Description
The present invention will be further described with reference to the accompanying drawings and the detailed description, and it should be noted that any combination of the embodiments or technical features described below can be used to form a new embodiment without conflict.
It will be understood that when an element is referred to as being "secured to" another element, it can be directly on the other element or intervening elements may also be present. When a component is referred to as being "connected" to another component, it can be directly connected to the other component or intervening components may also be present. When a component is referred to as being "disposed on" another component, it can be directly on the other component or intervening components may also be present. The terms "vertical," "horizontal," "left," "right," and the like as used herein are for illustrative purposes only.
Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. The terminology used in the description of the invention herein is for the purpose of describing particular embodiments only and is not intended to be limiting of the invention. As used herein, the term "and/or" includes any and all combinations of one or more of the associated listed items.
Referring to fig. 1-2, a specimen snare fixer for minimally invasive surgery, which is used for taking out a specimen 100 in a specimen bag 200 along a minimally invasive hole, comprises a head loop 1, an extension rod 2 and a handle 3, wherein the head loop 1 comprises a head loop coil 12; the extension rod 2 comprises an extension rod outer sleeve 21, an extension rod inner core pipe 22, an extension rod steering head 23, an extension rod steering head control gear 24 and an extension rod steering head transmission device 25, wherein the extension rod outer sleeve 21 is slidably mounted outside the extension rod inner core pipe 22, the extension rod steering head 23 is mounted at the front end of the extension rod outer sleeve 21, the extension rod steering head 23 inclines towards one side, and the extension rod steering head control gear 24 is mounted on the extension rod outer sleeve 21 and drives the extension rod steering head 23 to axially rotate through the extension rod steering head transmission device 25; the handle 3 comprises a handle inner core tube operating ring 31 and a handle outer sleeve operating ring 32, the head lantern ring coil 12 penetrates through the extension rod inner core tube 22 to be connected with the handle inner core tube operating ring 31, and the handle outer sleeve operating ring 32 is installed at the upper end of the extension rod outer sleeve 21. Adopt the cooperation of head lantern ring 1, extension rod 2, handle 3 to carry out taking out of sample 100, let the sample be in a gesture that is fit for pulling out, simple structure, the simple operation, the operational risk is little, has solved and has taken out inconvenient problem, simultaneously can be convenient the gesture of regulation sample, be favorable to taking out the sample from internal, the adjustable elasticity of head lantern ring, the operator can press the specific part of will forceps holder sample.
In the specific operation: in laparoscopic minimally invasive surgery, the specimen has been loaded into a specimen bag, which is intended to be removed together with the specimen. The specimen is in an easy-to-remove position in order to have the "small end" of the specimen facing outward.
Specifically, the surgeon performs the following operations:
1. along the long axis of the specimen, one end of the long axis is defined as the "head" of the specimen. The operator inserts the specimen snare fixer through the Trocar hole, and at the moment, the extension rod outer sleeve 21 is in contact with the Trocar hole.
2. The middle finger of the right hand of the operator extends into the handle inner core tube operating ring 31, the thumb of the right hand extends into the handle outer sleeve tube operating ring 32, and the thumb and the middle finger of the right hand are closed, so that the extension rod inner core tube 22 pushes the head lantern ring coil 12 to stretch out of the head lantern ring outlet 11 and is completely opened; at this time, the extension rod steering head steering gear 24 is operated by the right-hand ring finger, and the extension rod steering head 23 is adjusted to be aligned with the head of the specimen.
3. An operator can make the head lantern ring coil 12 be sleeved on the head of the specimen by adjusting the extension rod outer sleeve 21 and the extension rod steering head 23, and open the thumb and the middle finger of the right hand, so that the extension rod inner core tube 22 drives the head lantern ring coil 12 to be recovered and tensioned. The operator pulls the whole sample snare fixer outwards to enable the head of the sample to be upward in a standing posture, and then forcibly pulls out the sample bag and the sample together.
4. After the specimen and the snare fixer are taken out, the thumb and the middle finger of the right hand are closed, so that the extension rod inner core tube 22 pushes the head lantern ring coil 12 to stretch out of the head lantern ring outlet 11, the head lantern ring coil 12 is opened, the specimen is taken down from the specimen snare fixer, and the operation is finished.
Preferably, the extension rod steering head 23 is in a bent pipe shape, so that the problem of searching for a specific position of a specimen is solved.
Preferably, the extension rod steering head 23 comprises a large head end and a small head end, the large head end is connected with the extension rod outer sleeve 21, and the small head end is provided with a head lantern ring outlet 11 for extending out of the head lantern ring coil 12, so that the convenience of operation is improved.
Preferably, the head collar 1 and the extension rod steering head 23 are located within the specimen bag 200. The extending direction of the extension rod steering head transmission device 25 is consistent with the extending direction of the extension rod outer sleeve 21. The axis of the extension rod inner core tube 22 is coincident with the axis of the extension rod outer sleeve 21. The head collar coil 12 passes along the extension pole inner core tube 22 and is twisted into a single wire body, which is connected to the handle inner core tube manipulation ring 31. The upper end of the single wire body penetrates through the extension rod inner core tube 22. The extension direction of the extension rod inner core tube 22 is consistent with the extension direction of the extension rod outer sleeve 21. The handle inner core tube manipulating ring 31 is located on an upper side of the handle outer tube manipulating ring 32.
To sum up, the innovation point of the specimen snare fixer of the application lies in: firstly, the tightness of the head lantern ring can be adjusted, and an operator can clamp a special part of a specimen at will; ② the extension rod can be operated through the conventional Trocar hole. The invention has the advantages that: the device has the advantages of simple structure, convenient operation and small operation risk; secondly, the posture of the specimen can be conveniently adjusted, so that the specimen can be conveniently taken out of the body; thirdly, the cost is low, the popularization is realized, and the economic benefit is high. Therefore, the problem that the specimen is difficult to pass through a relatively small Trocar hole in a minimally invasive surgery is well solved; ② two problems that the specimen bag can be broken by the specimen from the relatively small Trocar hole in the minimally invasive surgery. Whole device compact structure, novel structure, design benefit, the suitability is strong, the facilitate promotion.
The above embodiments are only preferred embodiments of the present invention, and the scope of the present invention should not be limited thereby, and any insubstantial changes and substitutions made by those skilled in the art based on the present invention are intended to be covered by the claims.
Claims (7)
1. The utility model provides a sample snare fixer for surgery minimal access surgery for sample along wicresoft hole takes out in with sample bag, its characterized in that: comprises a head lantern ring, an extension rod and a handle,
the head collar comprises a head collar coil;
the extension rod comprises an extension rod outer sleeve, an extension rod inner core pipe, an extension rod steering head control gear and an extension rod steering head transmission device, the extension rod outer sleeve is slidably mounted outside the extension rod inner core pipe, the extension rod steering head is mounted at the front end of the extension rod outer sleeve, the extension rod steering head inclines towards one side, and the extension rod steering head control gear is mounted on the extension rod outer sleeve and drives the extension rod steering head to axially rotate through the extension rod steering head transmission device;
the handle comprises a handle inner core tube operating ring and a handle outer sleeve tube operating ring, the head lantern ring coil penetrates through the extension rod inner core tube to be connected with the handle inner core tube operating ring, and the handle outer sleeve tube operating ring is installed at the upper end of the extension rod outer sleeve tube; the extension rod steering head is in a bent pipe shape; the extension rod steering head comprises a large head end and a small head end, the large head end is connected with the extension rod outer sleeve, and the small head end is provided with a head lantern ring outlet for the head lantern ring coil to extend out; the head lantern ring and the extension rod steering head are positioned in the specimen bag;
when the extension rod is used, the middle finger of the right hand of an operator extends into the handle inner core tube operating ring, the thumb of the right hand extends into the handle outer sleeve tube operating ring, and the thumb and the middle finger of the right hand are closed, so that the extension rod inner core tube pushes the head lantern ring coil to stretch out of the head lantern ring outlet and is completely opened; and then the steering head of the extension rod is operated by a right-hand ring finger to operate the gear, and the steering head of the extension rod is adjusted to be aligned with the head of the specimen.
2. A surgical minimally invasive procedure specimen snare holder of claim 1, wherein: the extending direction of the extending rod steering head transmission device is consistent with the extending direction of the extending rod outer sleeve.
3. A surgical minimally invasive procedure specimen snare holder of claim 1, wherein: the axis of the extension rod inner core tube is superposed with the axis of the extension rod outer sleeve.
4. A surgical minimally invasive procedure specimen snare holder of claim 1, wherein: the head lantern ring coil penetrates along the extension rod inner core pipe and is screwed into a single wire body, and the single wire body is connected with the handle inner core pipe control ring.
5. A specimen snare holder for minimally invasive surgery according to claim 4, wherein: the upper end of the single wire body penetrates out of the extension rod inner core pipe.
6. A surgical minimally invasive procedure specimen snare holder of claim 1, wherein: the extension direction of the extension rod inner core tube is consistent with the extension direction of the extension rod outer sleeve.
7. A surgical minimally invasive procedure specimen snare holder of claim 1, wherein: the handle inner core tube manipulation ring is positioned on the upper side of the handle outer sleeve tube manipulation ring.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202111314571.9A CN113951993B (en) | 2021-11-08 | 2021-11-08 | Sample snare fixer for surgical minimally invasive surgery |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202111314571.9A CN113951993B (en) | 2021-11-08 | 2021-11-08 | Sample snare fixer for surgical minimally invasive surgery |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN113951993A CN113951993A (en) | 2022-01-21 |
| CN113951993B true CN113951993B (en) | 2022-09-23 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN202111314571.9A Active CN113951993B (en) | 2021-11-08 | 2021-11-08 | Sample snare fixer for surgical minimally invasive surgery |
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| CN (1) | CN113951993B (en) |
Family Cites Families (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP5053749B2 (en) * | 2007-08-02 | 2012-10-17 | オリンパスメディカルシステムズ株式会社 | Operation unit structure of endoscope treatment tool |
| GB201312416D0 (en) * | 2013-07-11 | 2013-08-28 | Creo Medical Ltd | Electrosurgical Device |
| CN205163215U (en) * | 2015-11-26 | 2016-04-20 | 王海鹰 | Minimal access surgery foreign matter sample bag that accords with human engineering |
| CN207666615U (en) * | 2017-03-02 | 2018-07-31 | 邳州东大医院 | The biopsy forceps of angle adjustable |
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| CN113951993A (en) | 2022-01-21 |
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