CN116898549A

CN116898549A - Auxiliary stitching device for uterine incision

Info

Publication number: CN116898549A
Application number: CN202311019497.7A
Authority: CN
Inventors: 肖维文; 马宝花
Original assignee: Qingdao Manli Oak Medical Technology Co ltd
Current assignee: Qingdao Manli Oak Medical Technology Co ltd
Priority date: 2023-08-14
Filing date: 2023-08-14
Publication date: 2023-10-20

Abstract

The application provides an auxiliary stitching device for uterine incision, comprising: the auxiliary expanding piece comprises a first sleeve and at least 3 expanding pieces arranged at one end of the first sleeve; the auxiliary ring, the outer wall can be connected with the expansion piece in a separable way, and the inner wall is used for being connected with human tissues to be sutured; the sterile sleeve comprises a plastic sleeve with two openings at two ends, and a first elastic ring and a second elastic ring which are respectively arranged at two ends of the plastic sleeve. According to the auxiliary suturing device for the uterine incision, disclosed by the application, the auxiliary spreader, the auxiliary ring and the sterile sleeve are matched, so that a sterile channel is established in the external area of the uterus and the human body through the vagina, and then the auxiliary ring is used for pulling the uterine incision to enter the sterile channel through the natural opening of the uterus, or the auxiliary ring is used for pulling out the human body through the sterility of the sterile channel, and suturing is performed, so that the incision of the uterus is everted, the suturing is simple and quick, the suturing difficulty is reduced, and the suturing time is shortened.

Description

Auxiliary stitching device for uterine incision

Technical Field

The application relates to the technical field of medical appliances, in particular to an auxiliary stitching device for a uterine incision.

Background

Modern people have irregular life and eating habits, poor body resistance, higher and higher incidence of tumors and strengthened tendency of younger tumor incidence. Uterine fibroids are common gynaecological diseases, which are benign tumors formed by hyperplasia of uterine smooth muscle tissue, and once physical examination is found, the tumors need to be completely resected when the operation is required through evaluation. However, after the tumor is removed, an incision is usually left on the uterus, and in order to accelerate healing recovery, the incision needs to be sutured after the tumor is removed, and the suturing of the uterine incision has the particularity, so that the skin section of the uterine incision needs to be folded into the uterus for suturing in order to avoid infection.

The existing suturing method is that long-handle surgical forceps holding a suturing needle are stretched into the abdominal cavity of a human body from an abdominal operation incision position, the suturing needle is held by using long-handle instruments, and needle threading and wire leading operations are carried out in the abdominal cavity and outside the uterus of the human body; because the skin section of the womb incision is required to be folded into the womb for suturing during suturing, the suturing operation is difficult, the requirement on doctors is high, and the suturing time is long.

Therefore, how to reduce the difficulty and improve the efficiency when the uterine incision is sewn is a technical problem which is not solved in the prior art.

Disclosure of Invention

The application aims to overcome the defects of the technology and provide an auxiliary suturing device for uterine incisions, so as to solve the technical problems of low suturing efficiency and high operation difficulty in suturing uterine incisions in the prior art.

To this end, the present application provides a uterine incision auxiliary suturing device comprising: the auxiliary expanding piece comprises a first sleeve with two open ends and at least 3 expanding pieces arranged at one end of the first sleeve, and the expanding pieces are in an inward-folding state and an outward-expanding state; when the opening sheet is in an adduction state, the opening sheet can enter the human body through the operation sleeve; the opening sheet is integrally formed at one end of the first sleeve; an auxiliary ring, the outer wall of which can be detachably connected with the spreader plate, and the inner wall of which is used for being connected with the uterus; the sterile sleeve comprises a plastic sleeve with two open ends, and a first elastic ring and a second elastic ring which are respectively arranged at the two ends of the plastic sleeve; the plastic sleeve is made of transparent plastic;

under the external force, aseptic cover can pass supplementary piece that struts, gets into uterus through supplementary circle to opening after first bullet circle and the second bullet circle are opened naturally is greater than the natural opening of uterus, and first bullet circle and second bullet circle all can pass the natural opening of uterus under the external force.

Preferably, the propping piece is a metal elastic piece and is fixedly connected to one end of the first sleeve, and in a natural state, the propping piece is in an outward propping state; under the action of external force, the stretching piece can overcome the elasticity of the stretching piece to be inwards bent into an adduction state.

Preferably, the number of the spreader plates is 3-5.

Preferably, the spreading piece comprises a connecting part and a hook part, one end of the connecting part is fixedly connected with one end of the first sleeve, and the other end of the connecting part is fixedly connected with the hook part; the outer wall of the auxiliary ring can enter the inside of the hook part and is fixedly connected with the hook parts on at least 3 stretching sheets in an extrusion mode.

Preferably, the inner wall of the auxiliary ring is smeared with biological glue and the easy-to-tear release paper covers the outer side of the biological glue.

Preferably, the auxiliary suturing device for the uterine incision further comprises long-handle forceps, the long-handle forceps can extend into the human body from the first sleeve, the auxiliary ring is clamped between the opening sheets, or the outer wall of the uterine incision of the human body to be sutured is stuck on the inner wall of the auxiliary ring.

Preferably, the auxiliary suturing device for a uterine incision further comprises a stapler for cooperating with suturing the uterine incision and excising the portion of uterine tissue to which the auxiliary ring is adhered.

The auxiliary suture device for the uterine incision establishes a sterile passage in the external area of the uterus and the human body through the vagina by matching the auxiliary spreader, the auxiliary ring and the sterile sleeve, and isolates bacteria in the vagina through the vagina, so that the auxiliary suture device cannot infect the uterine incision; then the auxiliary ring is used for pulling the uterus incision to enter the aseptic passage through the natural opening of the uterus, or the human body is pulled out through the aseptic passage, and then suturing is carried out, at the moment, the uterus incision is turned outwards, the suturing is simple and quick, the suturing difficulty is reduced, and the suturing time is shortened; after the suturing is completed, the uterus is reset.

Drawings

In order to more clearly illustrate the technical solutions in the prior art or in the embodiments of the present application, the following brief description is given of the drawings used in the description of the prior art or the embodiments.

Fig. 1 is a schematic view of the overall structure of the auxiliary suturing device for hysterectomy of the present application.

Fig. 2 is a schematic view of the structure in which the auxiliary ring is mounted to the auxiliary spreader.

Fig. 3 is a schematic view showing the state of use of the auxiliary suturing device for hysterectomy according to the present application.

Reference numerals: 1. an auxiliary spreader; 11. a first sleeve; 12. a spreader sheet; 121. a connection part; 122. a hook portion; 2. an auxiliary ring; 3. a sterile sleeve; 31. a plastic sleeve; 32. a first spring ring; 33. a second spring ring; 4. simulating uterus.

Detailed Description

In order that those skilled in the art will better understand the present solution, a technical solution according to an embodiment of the present application will be clearly and completely described below with reference to the accompanying drawings in which it is apparent that the described embodiment is only a part of the embodiment of the present application, not all of the embodiment. All other embodiments, which can be made by those skilled in the art based on the embodiments of the application without making any inventive effort, shall fall within the scope of the application.

It should be noted that the terms "first," "second," and the like in the claims and description herein are used for distinguishing between similar objects and not necessarily for describing a particular sequential or chronological order. Furthermore, the terms "comprises," "comprising," and "having," and any variations thereof, are intended to cover a non-exclusive inclusion, such that a process, method, system, article, or apparatus that comprises a list of steps or elements is not limited to those steps or elements that are expressly listed or inherent to such process, method, article, or apparatus.

In the present application, the terms "upper", "lower", "left", "right", "front", "rear", "top", "bottom", "inner", "outer", "middle", "vertical", "horizontal", "lateral", "longitudinal" and the like indicate an azimuth or a positional relationship based on that shown in the drawings. These terms are only used to better describe the present application and its embodiments and are not intended to limit the scope of the indicated devices, elements or components to the particular orientations or to configure and operate in the particular orientations. Also, some of the terms described above may be used to indicate other meanings in addition to orientation or positional relationships, for example, the term "upper" may also be used to indicate some sort of attachment or connection in some cases. The specific meaning of these terms in the present application can be understood by those skilled in the art according to the specific circumstances. In addition, the term "plurality" shall mean two as well as more than two. It should be noted that, without conflict, the embodiments of the present application and features of the embodiments may be combined with each other.

The application will be described in detail below with reference to the drawings in connection with embodiments.

The present embodiment provides an auxiliary stitching device for uterine incision, please refer to fig. 1-3, comprising: auxiliary spreader 1, auxiliary ring 2 and sterile sleeve 3.

Wherein the auxiliary spreader 1 comprises a first sleeve 11 with two open ends and at least 3 spreader pieces 12 arranged at one end of the first sleeve 11, the spreader pieces 12 having an adduction state and an outstretching state; the spreader 12 is capable of being passed through the surgical cannula into the interior of the human body when in the retracted state.

The outer wall of the auxiliary ring 2 can be detachably connected (in this embodiment, an elastic press connection) with the spreader tab 12, and the inner wall of the auxiliary ring 2 is adapted to be connected with the uterus.

The aseptic cover 3 comprises a plastic cover 31 with two open ends, and a first elastic ring 32 and a second elastic ring 33 respectively arranged at two ends of the plastic cover 31; the plastic cover 31 is made of transparent plastic.

Under the action of external force, the sterile sleeve 3 can pass through the auxiliary spreader 1 and enter the uterus through the auxiliary ring 2, and the opening after the first elastic ring 32 and the second elastic ring 33 are naturally opened is larger than the natural opening of the uterus, and the first elastic ring 32 and the second elastic ring 33 can both pass through the natural opening of the uterus under the action of external force.

In the auxiliary suturing device for hysterectomy, the spreader 12 is a metal elastic sheet and is fixedly connected to one end of the first sleeve 11. In the natural state, the spreader piece 12 is in the outstretched state; under the action of external force, the stretching piece 12 can overcome the self elasticity and inwards bend to an adduction state.

Before the elastic expansion piece 12 enters the operation sleeve, the elastic expansion piece 12 needs to be pressed inwards by external force (such as a human hand) to enable the elastic expansion piece to be in an inwards folded state, then the elastic expansion piece can enter the operation sleeve, after the elastic expansion piece enters the operation sleeve, the elastic expansion piece is pushed inwards through the first sleeve 11, and the elastic expansion piece naturally bounces out after the expansion piece 12 penetrates out of the operation sleeve, and is opposite to an operation incision of a uterus.

The number of the spreader tabs 12 of the auxiliary suturing device for hysterectomy in this embodiment is 3-5. The spreader plates 12 are uniformly spaced along a circle of the orifice of the first sleeve 11. In the present embodiment, the number of the spread sheets 12 is 4.

Referring to fig. 2, in the auxiliary suturing device for hysterectomy of the present embodiment, the bracing piece 12 comprises a connecting portion 121 and a hook portion 122, one end of the connecting portion 121 is fixedly connected with one end of the first sleeve 11, and the other end of the connecting portion 121 is fixedly connected with the hook portion 122; the outer wall of the auxiliary ring 2 can enter the inside of the hook part 122 and is fixedly connected with the hook parts 122 on at least 3 stretching sheets 12 in a pressing mode. The hook 122 has an arcuate surface, and the upper and lower ends of the auxiliary loop 2 can be clamped by the arcuate surface having a concave shape, so that the auxiliary loop 2 can be more firmly mounted on the hook 122.

The inner wall of the auxiliary ring 2 is smeared with biological glue, and the outer side of the biological glue is covered with easy-to-tear release paper. When the auxiliary ring 2 is sent into the abdomen of a human body through the first sleeve 11, the release paper is stuck on the inner wall of the auxiliary ring 2; when the auxiliary ring 2 is sent into the abdomen of a human body and is arranged on the inner sides of the hooks 122 of the plurality of the stretching sheets 12 by using the surgical forceps, the release paper is torn off by using the surgical forceps, and at the moment, the outer wall of the uterine incision can be lifted by using the surgical forceps and is adhered to the inner wall of the auxiliary ring 2; the biological glue can make the adhesion connection between the auxiliary ring 2 and the uterus incision very firm, and is convenient for subsequent operation.

The auxiliary suturing device for the uterine incision of the embodiment further comprises long-handle forceps, and the long-handle forceps can extend into the human body from the first sleeve 11, the auxiliary ring 2 is clamped between the supporting sheets 12, or the outer wall of the uterine incision of the human body to be sutured is stuck on the inner wall of the auxiliary ring 2. The long-handle forceps can be used for clamping the auxiliary ring 2 and sending the auxiliary ring into the human body through the first sleeve 11, the outer wall of the auxiliary ring 2 can be clamped between the plurality of supporting sheets 12, the outer wall of the uterine incision can be clamped, and the auxiliary ring can be adhered to the inner wall of the auxiliary ring 2.

The auxiliary suturing device for the uterine incision of the present embodiment further comprises a stapler for cooperating with suturing the uterine incision and excising a portion of the uterine tissue to which the auxiliary ring 2 is adhered.

With the auxiliary suturing device for the uterine incision of the embodiment, the auxiliary ring 2 and the uterine incision connected to the inner wall of the auxiliary ring 2 are pulled out from the natural passage of the uterus to the inside of the sterile sleeve 3, the auxiliary ring 2 and the uterine incision can be pulled out of a human body through the sterile sleeve 3, then the lower part of the auxiliary ring 2 is clamped by an anastomat, the auxiliary ring 2 is positioned at one side of the anastomat, the rest uterine part is positioned at the other side of the anastomat, at the moment, the part close to the anastomat is sutured at the side facing the uterine part by using a needle line, and after suturing, the auxiliary ring 2 and the part of uterine tissue adhered to the auxiliary ring 2 are sheared off from the side facing the auxiliary ring 2 of the anastomat.

The method of using the sub Gong Qiekou auxiliary suturing device in this embodiment is as follows, and the simulated uterus 4 shown in fig. 3 is used to simulate a human uterus:

referring to fig. 3, first, before using the auxiliary suturing device for uterine incision of the present embodiment, the incision position of abdominal operation of human body should be a surgical cannula commonly used for minimally invasive operation (the operation of cutting tumor is generally performed by the surgical cannula), one end of the first cannula 11 connected with the spreader 12 is opposite to the external opening of the surgical cannula, the spreader 12 is folded inwards by using external force, then the folded spreader 12 is plugged into the surgical cannula, the first cannula 11 is pushed to move inwards, the end connected with the spreader 12 enters the abdominal cavity of human body through the surgical cannula, after the surgical cannula is penetrated out, the spreader 12 is opened naturally, and the position is opposite to the position of uterine incision;

the auxiliary ring 2 is clamped by using long-handle forceps or other tools, is plugged into the first sleeve 11, and is continuously pushed to pass through the first sleeve 11 and enter the human body; the auxiliary ring 2 is of an annular structure, the auxiliary ring 2 is placed among the plurality of the stretching sheets 12 by using long-handle forceps or other tools, the outer walls of the stretching sheets 12 enter the positions of the hooks 122 of the stretching sheets 12, and the stretching sheets 12 tightly hold the auxiliary ring 2 under the action of self elasticity;

tearing off release paper on the inner wall of the auxiliary ring 2 by using long-handle forceps or other tools, clamping the release paper out of the body, and exposing the biological glue smeared on the inner wall of the auxiliary ring 2;

clamping human tissue at the position of the uterine incision by using long-handle forceps or other tools, attaching the outer wall of the human tissue at the position of the incision to the inner wall of the auxiliary ring 2, and gradually operating until the outer wall of the human tissue at the position of the uterine incision is all attached to the inner wall of the auxiliary ring 2;

the second elastic ring 33 of the sterile sleeve 3 is held by using long-handle forceps or other tools, enters the abdomen of a human body through the first sleeve 11, further enters the uterus through the auxiliary ring 2 and the uterus incision, and further enters the vagina through the natural opening of the uterus; the first elastic ring 32 of the sterile sleeve 3 is clamped by using long-handle forceps or other tools, enters the abdomen of a human body through the first sleeve 11, and further enters the uterus through the auxiliary ring 2 and the uterus incision; the opening of the first elastic ring 32 and the second elastic ring 33 after natural opening is larger than the natural opening of the uterus;

it should be noted that, when the long-handled forceps or other tools are used to hold one side of the second elastic ring 33, the part can be sent out of the natural opening of the uterus, and when the tools are not used for assistance, the second elastic ring 33 is the same as the first elastic ring 32, and the opening after natural opening is larger than the natural opening of the uterus, so that the part cannot be pulled out from the natural opening of the uterus;

the sterile sleeve 3 is arranged, the first elastic ring 32 is positioned in the uterus, and the second elastic ring 33 is pulled out of the human body through the vagina of the human body;

then using long handle forceps or other tools to push the auxiliary ring 2 to be separated from the opening sheet 12, and continuously pushing the auxiliary ring 2 to enter the sterile sleeve 3 through the first elastic ring 32; according to the condition of the patient, the auxiliary ring 2 can be pushed into the sterile sleeve 3, or the auxiliary ring 2 can be pushed to the outside of the human body through the sterile sleeve 3 and out of the vagina;

then the anastomat is used for clamping the lower part of the auxiliary ring 2, the auxiliary ring 2 is positioned at one side of the anastomat, the rest uterus part is positioned at the other side of the anastomat, at the moment, the needle line is used for suturing the part close to the anastomat at the side facing the uterus part, after the suturing is finished, the auxiliary ring 2 and the part of uterus tissue adhered to the auxiliary ring 2 are sheared off from the side facing the auxiliary ring 2 of the anastomat, and then the uterus is pushed to reset;

using a long handle forceps or other tool, from one end of the second elastic ring 33, the first elastic ring 32 is clamped by the plastic sleeve of the aseptic sleeve 3 and the natural opening of the uterus, and pulled out of the uterus, and the aseptic sleeve 3 is pulled out of the human body.

It is apparent that the above examples are given by way of illustration only and are not limiting of the embodiments. Other variations or modifications of the above teachings will be apparent to those of ordinary skill in the art. It is not necessary here nor is it exhaustive of all embodiments. And obvious changes and modifications which are extended therefrom are still within the scope of the present innovative teachings.

Claims

1. A uterine incision auxiliary suturing device, comprising:

an auxiliary spreader (1), wherein the auxiliary spreader (1) comprises a first sleeve (11) with two open ends and at least 3 spreader pieces (12) arranged at one end of the first sleeve (11), and the spreader pieces (12) have an adduction state and an external spreader state; when the stretching sheet (12) is in an adduction state, the stretching sheet can enter the human body through the operation sleeve; the propping-up piece (12) is integrally formed on one end of the first sleeve (11);

-an auxiliary ring (2), the outer wall of the auxiliary ring (2) being detachably connectable with the spreader tab (12), the inner wall of the auxiliary ring (2) being adapted for connection with the uterus;

the sterile sleeve (3) comprises a plastic sleeve (31) with two open ends, and a first elastic ring (32) and a second elastic ring (33) which are respectively arranged at two ends of the plastic sleeve (31); the plastic sleeve (31) is made of transparent plastic;

under the action of external force, the sterile sleeve (3) can pass through the auxiliary spreader (1), enters the uterus through the auxiliary ring (2), and the opening after the first elastic ring (32) and the second elastic ring (33) are naturally opened is larger than the natural opening of the uterus, and the first elastic ring (32) and the second elastic ring (33) can both pass through the natural opening of the uterus under the action of external force.

2. The uterine incision auxiliary suturing device of claim 1, wherein: the stretching piece (12) is a metal elastic piece and is fixedly connected to one end of the first sleeve (11), and in a natural state, the stretching piece (12) is in an outward stretching state; under the action of external force, the stretching piece (12) can overcome the elasticity of the stretching piece and can be inwards bent to an adduction state.

3. The uterine incision auxiliary suturing device of claim 1, wherein: the number of the expansion pieces (12) is 3-5.

4. The uterine incision auxiliary suturing device of claim 1, wherein: the expanding piece (12) comprises a connecting part (121) and a hook part (122), one end of the connecting part (121) is fixedly connected with one end of the first sleeve (11), and the other end of the connecting part (121) is fixedly connected with the hook part (122);

the outer wall of the auxiliary ring (2) can enter the inside of the hook part (122) and is fixedly connected with the hook parts (122) on at least 3 stretching sheets (12) in an extrusion mode.

5. The uterine incision auxiliary suturing device of claim 1, wherein: the inner wall of the auxiliary ring (2) is smeared with biological glue and the easy-to-tear release paper covers the outer side of the biological glue.

6. The uterine incision auxiliary suturing device of claim 1, wherein: the pair of long-handle forceps further comprises long-handle forceps, the long-handle forceps can extend into the human body from the first sleeve (11), the auxiliary ring (2) is clamped between the supporting sheets (12), or the outer wall of a human uterus incision to be sutured is stuck on the inner wall of the auxiliary ring (2).

7. The uterine incision auxiliary suturing device of claim 1, wherein: also comprises a anastomat for cooperating with the suture of the uterine incision and resecting the part of the uterine tissue to which the auxiliary ring (2) is adhered.