CN114886490A - Adjustable intestinal canal tractor - Google Patents

Adjustable intestinal canal tractor Download PDF

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Publication number
CN114886490A
CN114886490A CN202210601311.8A CN202210601311A CN114886490A CN 114886490 A CN114886490 A CN 114886490A CN 202210601311 A CN202210601311 A CN 202210601311A CN 114886490 A CN114886490 A CN 114886490A
Authority
CN
China
Prior art keywords
binding band
bandage
retractor
intestinal canal
locking
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.)
Withdrawn
Application number
CN202210601311.8A
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Chinese (zh)
Inventor
刘英俊
王刚成
王有财
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Henan Cancer Hospital
Original Assignee
Henan Cancer Hospital
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Henan Cancer Hospital filed Critical Henan Cancer Hospital
Priority to CN202210601311.8A priority Critical patent/CN114886490A/en
Publication of CN114886490A publication Critical patent/CN114886490A/en
Withdrawn legal-status Critical Current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
    • A61B2017/00743Type of operation; Specification of treatment sites
    • A61B2017/00818Treatment of the gastro-intestinal system
    • 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

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention provides an adjustable intestinal canal retractor, which comprises: the bandage is used for fixing the intestinal canal in a surrounding manner; the locking part is provided with a fixing frame fixedly arranged at one end of the binding band, a binding band channel vertical to the binding band is formed in the fixing frame, and a locking mechanism used for locking or releasing the binding band in the binding band channel is arranged on the fixing frame. In the invention, the binding band surrounds and fixedly grips the intestinal canal, the locking mechanism locks the binding band in the channel of the binding band, so that the intestinal canal can be fixedly gripped, and in the process of laparoscopic rectal surgery, the end part of the binding band can be clamped by laparoscopic graspers to pull the intestinal canal, so that the visual field of free rectum and linear anastomosis rectum is fully exposed, and a doctor can conveniently finish the surgical operation; locking mechanical system can lock or release the inside bandage of bandage passageway, can adjust the bandage elasticity that encircles in the intestines tube outside, conveniently rotates the bandage and adjusts the position between clamping position and the adjustment bandage and the intestines tube, and the nimble adjustment of correspondence different situation.

Description

Adjustable intestinal canal tractor
Technical Field
The invention belongs to the technical field of medical instruments, and particularly relates to an adjustable intestinal canal tractor.
Background
With the development of laparoscopic devices and techniques, laparoscopic minimally invasive surgery has been widely used in abdominal surgery. Laparoscopic surgery offers a number of advantages over traditional open surgery. The laparoscopic surgery can be observed from multiple angles, and the effect is intuitive. The wound of the patient is far less than that of an open abdomen operation, the postoperative recovery is quick, the patient is easy and has less pain, and the hospitalization time is short. The trocar hole of the abdominal wall is small, and the beauty effect is good after healing. The operation mainly comprises electrosection and electrocoagulation, the bleeding is less, the flushing is thorough before the operation is finished, the postoperative intestinal function is recovered quickly, and the complications such as postoperative intestinal adhesion are reduced. In short, laparoscopic surgery has the characteristics of minimal invasion, safety, aesthetic property and the like, and is developed rapidly in recent years.
In laparoscopic surgery for rectal cancer, the assistant needs to pull the intestinal canal to help the main knife complete rectal dissection and make the cutting stapler easier to clamp to the optimal tissue cutting suture position. If a patient with an obese body or a patient with a relatively insufficient pelvic cavity space is encountered, the area of the laparoscopic grasper contacting the intestinal canal is small, and the assistant worrys about the injury of the intestinal canal pair caused by excessive force, so that the laparoscopic grasper has poor traction effect and insufficient visual field exposure.
In the prior art, chinese utility model patent document No. CN202681999U discloses an intestinal canal retractor for surgical operation, which is used for pulling intestinal canal by retractor blades to cause poor stability, easy slippage and easy damage to the intestinal canal.
Furthermore, chinese utility model patent document No. CN210903141U discloses an intraoperative rectal traction device for laparoscopic rectocele surgery, which has a small contact area between the string and the intestinal canal, is easy to slide between the string and the intestinal canal during traction, and has a single traction position and poor flexibility.
In order to overcome the above-mentioned drawbacks and reduce the operation difficulty during the operation, an adjustable intestine retractor is needed.
Disclosure of Invention
Aiming at the defects in the prior art, the invention provides an adjustable intestinal canal tractor.
The technical scheme of the invention is as follows: an adjustable intestinal canal retractor, comprising: a band for securing the intestinal tube around; the locking part is provided with a fixing frame fixedly arranged at one end of the binding band, a binding band channel perpendicular to the binding band is formed in the fixing frame, and a locking mechanism used for locking or releasing the binding band in the binding band channel is arranged on the fixing frame.
An inner supporting part is arranged on one side of the binding band close to the intestinal canal; the inner supporting part is provided with two parallel first air bags arranged along the extension direction of the binding band, second air bags are uniformly arranged between sections, close to the locking parts, of the two first air bags, and the second air bags are perpendicular to and communicated with the first air bags.
A section of the binding belt, which is deviated from the locking part, is uniformly provided with fixing holes; the locking mechanism is provided with an elastic sheet which is arranged on the fixed frame and is opposite to one side of the bandage, the elastic sheet is parallel to the bandage channel, one end of the elastic sheet is fixedly provided with a fixed seat which is integrated with the fixed frame, and the elastic sheet is provided with a plug which is matched with the fixed hole.
The side of the fixing frame is hinged with a supporting seat corresponding to the free end of the elastic sheet, and the supporting seat is used for supporting or releasing the elastic sheet so that the plug is separated from or inserted into the fixing hole.
The end part of the supporting seat is provided with a supporting inclined plane which is attached to the elastic sheet.
A section of the binding belt, which is far away from the locking part, is provided with continuous teeth; the locking mechanism has an elastic pawl disposed inside the strap channel, the elastic pawl mating with the teeth.
And one side of the binding band, which is far away from the intestinal canal, is provided with a clamping fin.
The clamping fin and the binding band are of an integral structure, a gap is reserved between the inner side of the clamping fin and the binding band, and the clamping fin is formed by arranging a U-shaped groove on the outer side of the binding band.
An insertion end is fixedly arranged at one end of the binding belt, which deviates from the locking part, and two side surfaces of the insertion end are provided with tapers.
The inserting end is provided with a first clamping hole.
The invention has the beneficial effects that:
(1) in the invention, the binding band surrounds and fixedly grips the intestinal canal, the locking mechanism locks the binding band in the channel of the binding band, so that the intestinal canal can be fixedly gripped, and in the process of laparoscopic rectal surgery, the end part of the binding band can be clamped by laparoscopic graspers to pull the intestinal canal, so that the visual field of free rectum and linear anastomosis rectum is fully exposed, and a doctor can conveniently finish the surgical operation;
(2) locking mechanical system can be with the inside bandage locking or the release of bandage passageway, can adjust the bandage elasticity that encircles in the intestines tube outside, conveniently rotates the bandage and adjusts the position between clamping position and the adjustment bandage and the intestines tube, and the correspondence is to the nimble adjustment of different situation.
Drawings
FIG. 1 is a schematic view of an adjustable intestine retractor according to an embodiment of the present invention.
FIG. 2 is a second schematic view of an adjustable intestine retractor according to an embodiment of the present invention.
FIG. 3 is a third schematic structural view of an adjustable intestine retractor according to an embodiment of the present invention.
Fig. 4 is a partially enlarged view of a portion a in fig. 3.
FIG. 5 is a schematic view of another embodiment of an adjustable intestine retractor of the present invention.
Fig. 6 is a partially enlarged view of fig. 5 at B.
Detailed Description
Various exemplary embodiments of the present invention will now be described in detail with reference to the accompanying drawings. The description of the exemplary embodiments is merely illustrative and is in no way intended to limit the invention, its application, or uses. The present invention may be embodied in many different forms and is not limited to the embodiments described herein. These embodiments are provided so that this disclosure will be thorough and complete, and will fully convey the scope of the invention to those skilled in the art. It should be noted that: the relative arrangement of parts and steps, the composition of materials, numerical expressions and numerical values set forth in these embodiments are to be construed as merely illustrative, and not as limitative, unless specifically stated otherwise.
The use of "first," "second," and similar terms in the present application do not denote any order, quantity, or importance, but rather the terms are used to distinguish one element from another. The word "comprising" or "comprises", and the like, means that the element preceding the word covers the element listed after the word, and does not exclude the possibility that other elements are also covered. "upper", "lower", "left", "right", and the like are used merely to indicate relative positional relationships, and when the absolute position of the object being described is changed, the relative positional relationships may also be changed accordingly.
As shown in fig. 1-4, an adjustable intestinal canal retractor, comprising: the bandage 1 is used for fixing the intestinal canal in a surrounding manner; the locking part 2, the locking part 2 has fixed frame 21 fixed and set up in one end of the bandage 1, offer the bandage channel 28 perpendicular to bandage 1 inside the fixed frame 21, there is locking mechanism used for locking or releasing the bandage 1 in the channel 28 of the bandage on the fixed frame;
in the embodiment, the bandage 1 surrounds and fixedly grips the intestinal canal, the locking mechanism locks the bandage in the bandage channel 28, so that the intestinal canal can be fixedly gripped, and in the process of laparoscopic rectal surgery, the end part of the bandage 1 can be clamped by the laparoscopic grasper to pull the intestinal canal, so that the visual field of the free rectum and the linear anastomosis rectum is fully exposed, and the operation of a doctor is conveniently completed; moreover, the locking mechanism can lock or release the bandage 1 in the bandage channel 28, can adjust the tightness of the bandage 1 surrounding the outer side of the intestinal canal, is convenient for rotating the bandage 1 to adjust the clamping position and adjust the position between the bandage 1 and the intestinal canal, and can be flexibly adjusted according to different conditions.
In some embodiments, as shown in fig. 1 and 4, the strap 1 is provided with an inner support 3 on a side thereof adjacent to the intestinal tube; the inner supporting part 3 is provided with two parallel first air bags 31 arranged along the extending direction of the bandage 1, a second air bag 32 is uniformly arranged between one sections of the two first air bags 1 close to the locking part 2, the second air bag 32 is vertical to and communicated with the first air bag 31, wherein the first air bag 31 and the second air bag 32 are both made of latex materials and are fixedly bonded on the side surface of the bandage 1, the size of the bandage channel 28 is matched with that of the bandage 1, when the bandage 1 penetrates into the bandage channel 28, the bandage channel 28 pushes the air in the first air bag 31 from one end to the other end and enters the second air bag 32, one section of the first air bag 31 close to the locking part 2 and the second air bag 32 can be expanded and enlarged to be contacted with the outer wall of the intestinal canal after the amount of the air is increased, the pressure of the bandage 1 on the intestinal canal is buffered, the outer wall of the intestinal canal is prevented from being damaged, and the inner supporting part 3 can improve the friction force between the two parts, the slippage between the intestinal canal and the bandage 1 is avoided during the traction process.
In some embodiments, a section of the binding band 1 away from the locking part 2 is uniformly provided with fixing holes 11; the locking mechanism is provided with an elastic sheet 23 which is arranged on one side of the fixed frame 21 opposite to the bandage 1, the elastic sheet 23 is parallel to the bandage channel 28, one end of the elastic sheet 23 is fixedly provided with a fixed seat 26 which is integrated with the fixed frame 21, the elastic sheet 23 is provided with a plug 22 which is matched with the fixed hole 11, the fixed frame 21 is provided with a abdicating hole which is matched with the plug 22, the plug 22 can pass through the fixed frame 21 and be inserted into the fixed hole 11 through the abdicating hole, and when the elastic sheet 23 is pulled to draw the plug 22 out from the fixing hole 11, the fixing frame 21 will not interfere the plug 22, the elastic sheet 23 has certain elasticity, when no external force acts on the elastic sheet 23, the elastic sheet 23 keeps straight, so that the plug 22 keeps the inserting state, the plug 22 can be withdrawn from the band passage 28 by the laparoscopic grasper holding the end of the resilient tab 23 and elastically deforming it by bending.
In some embodiments, as shown in fig. 4, a supporting seat 24 is hinged to a side of the fixing frame 21 and corresponds to a free end of the elastic sheet 23, the supporting seat 24 is used for supporting or releasing the elastic sheet 23 so as to separate the plug 22 from or insert the plug into the fixing hole 11, the supporting seat 24 supports an end of the elastic sheet 23 so as to separate the plug 22 from the fixing hole 11, the adjusting strap 1 is moved in the fixing frame 21, after the adjustment is completed, the supporting seat 24 is rotated to release the elastic sheet 23, and the plug 22 can be inserted into the fixing hole 11 to fix the strap 1.
Further, in order to improve the stability of the support seat 24 supporting the elastic piece 23, the end portion of the support seat 24 is provided with a support inclined surface 241 attached to the elastic piece 23, and when the support seat 24 supports the elastic piece 23, the support inclined surface 241 is attached to the elastic piece 23 to provide stable support for the elastic piece 23.
As another embodiment of the locking mechanism, as shown in fig. 5 and 6, a section of the strap 1 facing away from the locking portion 2 is provided with continuous teeth 14; the locking mechanism is provided with an elastic pawl 27 arranged inside the bandage passage 28, the elastic pawl 27 is matched with the teeth 14, the elastic pawl 27 is clamped with the teeth 14, loosening of the bandage 1 after fixation can be avoided, and when the bandage 1 needs to be loosened, the elastic pawl 27 is pushed by a laparoscope nipper to separate the bandage 1 from the teeth 14, so that the bandage 1 can be adjusted to be loosened.
In some embodiments, as shown in fig. 2, a clamping fin 4 is arranged on the side of the bandage facing away from the intestinal canal, and the clamping fin 4 provides more optional clamping positions for clamping the retractor by the laparoscopic grasper, so that the adjustment can be flexibly selected according to actual conditions.
In some embodiments, the clamping fin 4 and the binding band 1 are of an integral structure, a gap exists between the inner side of the clamping fin 4 and the binding band 1, the clamping fin 4 is formed by forming a U-shaped groove on the outer side of the binding band 1, when the binding band 1 is bent and fixed around an intestinal canal, the clamping fin 4 can be turned outwards relative to the binding band 1 and leaks out due to bending of the binding band 1, and clamping and pulling of the laparoscopic grasper are facilitated.
In some embodiments, an insertion end 12 is fixedly provided at an end of the strap 1 facing away from the locking portion 2, and both sides of the insertion end 12 are tapered, thereby facilitating insertion of the insertion end 12 into the strap passage 28.
Furthermore, the insertion end 12 is provided with a first clamping hole 13, so that the clamping of the laparoscopic grasper is further facilitated, and the slippage is avoided.
Thus, various embodiments of the present invention have been described in detail. Some details well known in the art have not been described in order to avoid obscuring the concepts of the present invention. It will be fully apparent to those skilled in the art from the foregoing description how to practice the presently disclosed embodiments.
The above-mentioned embodiments only express some embodiments of the present invention, and the description thereof is more specific and detailed, but not construed as limiting the scope of the invention. It should be noted that, for a person skilled in the art, several variations and modifications can be made without departing from the inventive concept, which falls within the scope of the present invention. Therefore, the protection scope of the present patent shall be subject to the appended claims.

Claims (10)

1. An adjustable intestinal canal retractor, comprising:
a band for securing the intestinal tube around;
the locking part is provided with a fixing frame fixedly arranged at one end of the binding band, a binding band channel perpendicular to the binding band is formed in the fixing frame, and a locking mechanism used for locking or releasing the binding band in the binding band channel is arranged on the fixing frame.
2. The adjustable intestinal retractor of claim 1 wherein said strap has an inner support portion disposed on a side thereof adjacent to the intestinal tract;
the inner supporting part is provided with two parallel first air bags arranged along the extension direction of the binding band, second air bags are uniformly arranged between sections, close to the locking parts, of the two first air bags, and the second air bags are perpendicular to and communicated with the first air bags.
3. The adjustable intestinal retractor of claim 1 wherein: a section of the binding belt, which is deviated from the locking part, is uniformly provided with fixing holes;
the locking mechanism is provided with an elastic sheet which is arranged on the fixed frame and is opposite to one side of the bandage, the elastic sheet is parallel to the bandage channel, one end of the elastic sheet is fixedly provided with a fixed seat which is integrated with the fixed frame, and the elastic sheet is provided with a plug which is matched with the fixed hole.
4. The adjustable intestinal retractor of claim 3 wherein: the side of the fixing frame is hinged with a supporting seat corresponding to the free end of the elastic sheet, and the supporting seat is used for supporting or releasing the elastic sheet so that the plug is separated from or inserted into the fixing hole.
5. The adjustable intestinal retractor of claim 4 wherein: the end part of the supporting seat is provided with a supporting inclined plane which is attached to the elastic sheet.
6. The adjustable intestinal retractor of claim 1 wherein: a section of the binding belt, which is far away from the locking part, is provided with continuous teeth;
the locking mechanism has an elastic pawl disposed inside the strap channel, the elastic pawl mating with the teeth.
7. The adjustable intestinal retractor of claim 1 wherein: and one side of the binding band, which is far away from the intestinal canal, is provided with a clamping fin.
8. The adjustable intestinal retractor of claim 7 wherein: the clamping fin and the binding band are of an integral structure, a gap is reserved between the inner side of the clamping fin and the binding band, and the clamping fin is formed by arranging a U-shaped groove on the outer side of the binding band.
9. The adjustable intestinal retractor of claim 1 wherein: an insertion end is fixedly arranged at one end of the binding belt, which deviates from the locking part, and two side surfaces of the insertion end are provided with tapers.
10. The adjustable intestinal retractor of claim 9 wherein: the inserting end is provided with a first clamping hole.
CN202210601311.8A 2022-05-30 2022-05-30 Adjustable intestinal canal tractor Withdrawn CN114886490A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202210601311.8A CN114886490A (en) 2022-05-30 2022-05-30 Adjustable intestinal canal tractor

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202210601311.8A CN114886490A (en) 2022-05-30 2022-05-30 Adjustable intestinal canal tractor

Publications (1)

Publication Number Publication Date
CN114886490A true CN114886490A (en) 2022-08-12

Family

ID=82725776

Family Applications (1)

Application Number Title Priority Date Filing Date
CN202210601311.8A Withdrawn CN114886490A (en) 2022-05-30 2022-05-30 Adjustable intestinal canal tractor

Country Status (1)

Country Link
CN (1) CN114886490A (en)

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Application publication date: 20220812