The magnetic defense lid of biological tissue's reclaiming bag
Technical field
The present invention relates to a kind of surgical operating instrument of using when reclaiming biological tissue, the protective cover of the reclaiming bag of using when particularly under endoscopic surgery, reclaiming the biological tissue of excision with reclaiming bag.
Background technology
Endo-surgical is the Minimally Invasive Surgery of finishing by little otch, this modus operandi has reduced or eliminated big otch, make that being similar to great opening surgical operations such as gallbladder removal, resection of uterine leiomyoma has become simple outpatient operation, patient's convalescent period from several weeks shorten to several days, thereby have obtained application more and more widely.
But when implementing this type of operation,, can't take out, must enlarge otch, these biological tissues are taken out, so just reduce the superiority of endo-surgical greatly by little otch if the biological tissue of excision is too big; Another kind method is, pass through surgical operating instrument in vivo, the bulk biological tissue of excision is divided into the little block organization that some are adapted to pass through little otch taking-up, but when adopting this method, may residual in vivo fragment tissue or overflowing liquid, particularly when excision is organized as the topping ups such as vermiform appendix of gallbladder, cyst, inflammation or during malignant tumor tissue, cause easily infecting, lead to complications or cause cancerous tissue diffusion, jeopardize other health tissues, even patient's life security.
In order to solve by little otch this restriction endo-surgical Development Technology difficult problem of taking out the bulk biological tissue of excision safely, the various apparatuses that are used to reclaim excision biological tissue have been developed both at home and abroad.Mainly contain two classes, a class is biological tissue's destroyer, and another kind of is biological tissue's reclaiming bag.The destroyer of prior art, cutter head by rotation, bulk biological tissue is broken for can be external or external by the suction pipe sucking-off by the fritter biological tissue taking-up of little otch, but this class apparatus is to use at open state, organize fragment or tissue fluid meeting in vivo residual, cause easily infecting, lead to complications or cause the cancerous tissue diffusion, as the technology of Chinese patent ZL97233972.8 bulletin.The reclaiming bag of prior art is that an end is open, the flexible bag-like structure of other end sealing, in vivo the open end of reclaiming bag is opened by surgery speculum, and the biological tissue of excision is included in the bag, remove the spring that opens of speculum then, reclaiming bag is separated with speculum, tension reclaiming bag open end seal lasso trick, with the sealing of reclaiming bag open end, take out biological tissue external then or move near the otch external with taking out after the surgical instruments fragmentation, as Chinese patent ZL0215153.3, ZL01245792.2, ZL01232360.8, U.S. Patent No. 5,465,731, No.5,480,404, No.5,647,372, No.5,971,995.Owing to by sealing the opening that lasso trick can't the complete closed reclaiming bag, cause the seepage of tissue fluid, cause infection; Perhaps, the biological tissue after the excision is too big, can't take out by little otch and take out near maybe can't moving to little otch, or in pulling process normal structure be caused damage.At this moment, need in reclaiming bag, biological tissue to be carried out fragmentation earlier, and then move to little otch and take out, because destroyer is worked in open reclaiming bag, may cause broken fritter biological tissue or tissue fluid to be overflowed from the open end of reclaiming bag, cause infection, lead to complications or cause cancerous tissue diffusion.
In order to overcome the above-mentioned shortcoming of prior art, need improve prior art, the biological tissue's recovery system after the excision in the more safe and reliable body is provided, at present, still do not have a kind of known biological tissue recovery system and can reach this requirement.
Summary of the invention
The invention provides a kind of recovery system that reclaims the biological tissue of excision in patient's body, the core technology of this system is after the biological tissue with excision includes the magnetic recovery bag in, the flared end 2 of the magnetic defense lid by the present invention and the identical sealing of the open end 102 of magnetic recovery bag, form one and the isolated sealing recovery system of other biological tissue in vivo, enter surgical instruments by the through hole on the protective cover 5 then, the biological tissue that includes in is broken in this closed system, flushing, sucking-off, after the biological tissue of fragmentation and the complete sucking-off of tissue fluid were external, magnetic defense lid and the magnetic recovery bag with the present invention took out external respectively.
Novelty of the present invention is:
The magnetic defense lid of biological tissue's reclaiming bag, it is characterized in that protective cover 1 has a flared end 2, a closing in end 3 and a flexible wall 4, it is characterized in that described flexible wall 4 or flared end 2 contain magnetic material, coincide with the flexible wall that contains magnetic material or the open end 102 formation magnetic seals of reclaiming bag, the through hole 5 that can allow surgical operating instrument pass in and out is arranged on the protective cover 1.
---the flexible wall 4 of above-mentioned protective cover 1 comprises and opens spring 6 and flexible material 7 that forming to open spring 6 is that skeleton, flexible material 7 are the composite construction of matrix.
---the closing in end 3 of above-mentioned protective cover 1 can be fixed on the far-end 8-1 of interior sheath 8, and interior sheath 8 has at least the through hole 5 on more than one through hole and the protective cover 1 to connect.
---above-mentioned protective cover 1 can be removed in the epitheca 9 for 8 times by interior sheath.
---the closing in end 3 of above-mentioned protective cover 1 also can be removed for 13 times in the epitheca 9 or takes out external by lasso trick.
---the opening spring 6 and can from the matrix of flexible material 7, extract out of the flexible wall (4) of above-mentioned protective cover 1.
The present invention is owing to adopted the identical hermetically-sealed construction of biological tissue's reclaiming bag and the present invention's magnetic defense lid, can earlier the biological tissue of excision be put in reclaiming bag, then the present invention's magnetic defense lid is stretched in the reclaiming bag with reclaiming bag and form the magnetic hermetically-sealed construction that coincide, and put into surgical operating instrument by the through hole on the protective cover, carry out fragmentation, sucking-off is external then.Since biological tissue that will excision include reclaiming bag and protective cover formation in vivo in biological tissue on every side isolated closed system in carry out fragmentation, flushing, and sucking-off is external, avoided fully that broken fritter biological tissue or tissue fluid are residual to cause infection in vivo, the probability that leads to complications or cause cancerous tissue to spread, avoided simultaneously because of reclaiming bag pulls the damage that causes normal organ in vivo, simple in structure, safe and effective.
Description of drawings
Fig. 1 is the present invention's the magnetic defense lid structural representation during release conditions fully in vivo.
Structural representation when Fig. 2 is the present invention's the opening spring and be the memorial alloy silk screen of magnetic defense lid.
Structural representation when Fig. 3 is the present invention's the opening spring and be the memorial alloy sheet of magnetic defense lid.
Fig. 4 is that open spring and the flexible wall of the present invention's magnetic defense lid is structural representation when removably connecting.
Fig. 5 is the endoporus of the interior sheath that is connected of closing in end the present invention and protective cover structural representation when being a plurality of through hole.
Fig. 6 is the structural representation of the present invention's magnetic defense lid when coincideing sealing with the prior art reclaiming bag.
Fig. 7 is that reclaiming bag is installed in the structural representation in the epitheca pipe.
Fig. 8 includes the biological tissue of excision in the fundamental diagram of reclaiming bag.
Fig. 9 is the fundamental diagram that inserts and launch the present invention's magnetic defense lid.
Figure 10 is that the open end of flared end and reclaiming bag of the present invention's magnetic defense lid coincide and seals, and has formed the structural representation with biological tissue's recovery and processing system of biological tissue on every side isolated sealing.
Figure 11 to be band coincide at the present invention's magnetic defense lid and reclaiming bag that the sealing back forms towards the destroyer of suction pipe with biological tissue on every side isolated closed system in the biological tissue that includes in it is carried out fragmentation, flushing, and sucking-off is external waits fundamental diagram when operating.
Among the above-mentioned figure,
1 magnetic defense lid for the present invention; 2 is the flared end of the present invention's magnetic defense lid; 3 is the closing in end of the present invention's magnetic defense lid; 4 is the flexible wall of the present invention's magnetic defense lid; 5 is the through hole of the present invention's magnetic defense lid; 6 the springs that open for the present invention's magnetic defenses lid; 7 is flexible material; 8 is the interior sheath of the present invention's magnetic defense lid; 8-1 is the far-end of the interior sheath of the present invention's magnetic defense lid; 8-2 is the near-end of the interior sheath of the present invention's magnetic defense lid; 8-3 is the hands handle of the interior sheath of the present invention's magnetic defense lid; 9 is the epitheca of the present invention's magnetic defense lid; 9-1 is the far-end of the epitheca of the present invention's magnetic defense lid; 9-2 is the near-end of the epitheca of the present invention's magnetic defense lid; 9-3 is the hands handle of the epitheca of the present invention's magnetic defense lid; 10 is navigation button; 10-1 is the slide block on the navigation button; 10-2 is the hold-down screw on the navigation button; 11 is magnetic material; 12 slotted eyes for the closing in end of the present invention's magnetic defense lid; 13 is the exhausting line of the present invention's magnetic defense lid; 14 is endoscope; 15 is destroyer; 16 is towards suction pipe; 17 biological tissues for excision.
101 is reclaiming bag; 102 is the open end of reclaiming bag; 103 is the blind end of reclaiming bag; 104 is the flexible wall of reclaiming bag; 105 the springs that open for reclaiming bag; 106 the lasso tricks that seal for reclaiming bag; 107 is the rubber reinforcement on the open end of reclaiming bag; 108 is the interior sheath of reclaiming bag; 108-1 is the far-end of the interior sheath of reclaiming bag, and 108-2 is the near-end of the interior sheath of reclaiming bag; 109 is the epitheca of reclaiming bag; 109-1 is the far-end of the epitheca of reclaiming bag; 109-2 is the near-end of the epitheca of reclaiming bag; 110 for sealing the slotted eye of lasso trick on the reclaiming bag; 111 is the slip-knot of the lasso trick of reclaiming bag; 112 is the recovering hook on the sheath in the reclaiming bag; 113 is the hands handle of sheath in the reclaiming bag; 114 is the hands handle of epitheca; 115 is navigation button;
The specific embodiment
Fig. 1:
In the present embodiment, structural representation when magnetic defense lid 1 discharges in vivo fully, present embodiment has adopted the niti-shaped memorial alloy silk screen to open spring 6 as protective cover, open spring 6 and coated fully, form flexible wall 4 by the flexible high molecular material 7 that disperse is distributed with magnetic material microgranule 11.The matrix material of flexible wall 4 adopts disperse to be distributed with the flexible high molecular material 7 or the manufacturing of synthetic fibers enhancement mode flexible high molecular material of magnetic material microgranule usually; be distributed with the silicone rubber of neodymium iron boron microgranule or ferrite microgranule or iron powder microgranule as disperse; polyurethane; polyethylene; polypropylene; silicones; vinyl or politef etc., perhaps polyster fibre net; the nylon fiber net; PTFE web; the enhanced disperse of metal web is distributed with the silicone rubber of neodymium iron boron microgranule or ferrite microgranule or iron powder microgranule; polyurethane; polyethylene; polypropylene; silicones; vinyl or politef etc.The flared end 2 of protective cover is bigger than the end 3 that closes up usually.The relative position of sheath 8 and epitheca 9 had multiple design in navigation button 10 was used for fixing, and the type that axially fastens of concavo-convex cooperation such as ratchet structure etc. are arranged usually, also can adopt radially fastening type such as eccentric wheel structure, slide block structure etc.; Navigation button 10 in the present embodiment has adopted eccentric wheel structure, when navigation button 10 turns clockwise, drives slide block 10-1, sheath 8 in can pinning; When being rotated counterclockwise, pressure that can loose slide block 10-1, interior sheath 8 can carry out axially-movable in epitheca 9.
During clinical use, epitheca 8 inside sheath handle orientations are returned when removing in vivo, protective cover 1 exposes in vivo, because the effect of body temperature, marmem recovers the shape of its setting, open at memorial alloy under the effect of spring 6 and launch rapidly, the flexible wall 4 that drives the whole protection lid opens, and forms a protection umbrella shape.
Fig. 2:
In the present embodiment, the flared end 2 of protective cover contains magnetic material 11.Open spring 6 and adopt the niti-shaped memorial alloy silk screen; The transparent medical grade silicon rubber that the flared end 2 of protective cover adopts 9 disperses of magnetic material neodymium iron boron microgranule to distribute coats the composite construction of niti-shaped memorial alloy silk screen, the reuse transparency better polypropylene film coats whole memorial alloy silk screen, forms the flexible wall 4 of protective cover 1.The protective cover 1 of this structure, its flared end 2 contains permanent magnet material neodymium iron boron 11, can be connected automatically by magnetic with the open end 102 of the reclaiming bag that contains ferrimagnet to coincide; The middle part of its protective cover 1 and the end 3 that closes up have adopted high transparent polypropylene film, can see biological tissue and surgical operating instrument in the protective cover 1 under endoscope, are convenient under the direct-view situation biological tissue be carried out break process.
Magnetic material in the present embodiment can also be selected other permanent magnet material, ferrimagnet, electro permanent magnetic material for use, as ferrite microgranule, rustless steel microgranule, iron powder microgranule and other particle type, fibrous type or filament type magnetic material.As long as have the characteristics of magnetic material, and can be in opening the process that spring 6 opens automatically, do not retrain and open spring 6 or flexible wall 4 unfolded any magnetic materials can use with flexible material 7.
A special embodiment is: can be by the electromagnetic material of Current Control, can reach same purpose, at this moment electromagnetic material can link to each other with external power supply by conductor, personage in this professional range can make multiple design, but its feature all is to make the flared end 2 of protective cover and the open end 102 of reclaiming bag to carry out the identical sealing of magnetic.
Equally the flexible material 7 as the flexible wall 4 of protective cover can adopt various flexible high molecular material or synthetic material, though open any material that the whole flexible wall 4 of spring 6 drives is expanded to design shape as long as these materials do not retrain or constraint arranged but do not have influence in the expansion process that opens spring 6 of protective cover, can use.More satisfactory is to adopt the flexible material 7 of transparent flexible material as flexible wall 4, as macromolecular materials such as transparent polyethylene, polypropylene, silicone rubber.In order to strengthen the intensity of flexible wall, also can adopt the enhanced flexible high molecular material of synthetic fibers, as adopting polyster fibre or the enhanced silicone rubber of nylon fiber, polyurethane, polyethylene, polypropylene, silicones, vinyl or politef etc.
Fig. 3:
In the present embodiment, open spring 6 and be elastic sheet metal, as niti-shaped memorial alloy sheet, copper-based memory alloy sheet, stainless steel spring steel, alloy spring steel, or other can store the shape after the distortion, when unclamping, just can get back to any material manufacture of primary or approaching primary shape.The closing in end 3 that opens spring 6 and protective cover is fixed on the far-end 8-1 of interior sheath, and the through hole 5 of protective cover connects with the centre bore of interior sheath 8, is convenient to the turnover of surgical operating instrument.
Fig. 4:
In the present embodiment, protective cover open spring 6 be fixed on the far-end 8-1 of sheath, opening spring 6 can be in 12 motion of the slotted eye on the flexible wall of protective cover.When protective cover 1 will be withdrawn from, can extract out earlier and open spring 6, clamp the exhausting line 13 of the end that closes up on the protective cover then, protective cover has been removed for 1 time in the epitheca 9, take out external; Perhaps take out external by little otch.
Fig. 5:
In the present embodiment, the interior sheath 8 of protective cover has three through holes, all the through hole 5 with protective cover connects, each through hole can insert different surgical instrumenties, as inserting destroyer 15, scope 14 respectively and, when inserting scope 14, can under the direct-view of scope 14, carrying out fragmentation to biological tissue towards suction pipe 16, flushing, and the tissue and the tissue fluid sucking-off of fragmentation is external.
Fig. 6:
In the present embodiment, before the far-end 8-1 of sheath, in the far-end 10-1 of epitheca, the closing in end 3 of protective cover was connected with the far-end 8-1 of interior sheath in protective cover 1 was installed in; On the near-end 8-2 of sheath, the centre bore of the centre bore of handle 8-3 and interior sheath 8 and the through hole 5 of protective cover connected in handle 8-3 installed; Interior sheath 8 can move vertically at epitheca 9, and navigation button 10 is installed on the near-end 9-2 of epitheca, the interior sheath 8 and the relative position of epitheca 9 can be fixed; Unscrew navigation button 10, inwardly the handle 8-3 of sheath end pulling epitheca 9 can discharge protective cover 1 fully; Epitheca 9 travels forward, or fixing epitheca 9, and interior sheath 8 is held back to handle 8-3 and removed, and protective cover 1 can be fully retrieved in the epitheca 9.
Fig. 7, Fig. 8, Fig. 9, Figure 10, Figure 11:
The operation principle of the present invention's magnetic defense lid 1:
Before reclaiming bag 101 is installed in the far-end 108-1 of interior sheath, in the far-end 109-1 of epitheca, handle 113 is installed on the near-end 108-2 of interior sheath, interior sheath 108 can move in epitheca 109 vertically, epitheca handle 114 is installed on the near-end 109-2 of epitheca, and navigation button 115 can be fixed the interior sheath 108 and the relative position of epitheca 109; Unscrew navigation button 115, inwardly handle 113 ends of sheath pulling epitheca 109 can discharge reclaiming bag 101 fully; Epitheca 109 travels forward, or fixing epitheca 109, and interior sheath 108 returns to handle 113 ends and removes, and reclaiming bag 101 can be fully retrieved in the epitheca 109.Fig. 7.
During clinical use, the elongated epitheca 109 of reclaiming bag 101 will be installed earlier, and enter in the body by little otch, and discharge reclaiming bags 101 to the moving epitheca 109 of pulling back, the biological tissue 17 after will excising then includes in the reclaiming bag 101.Fig. 8.
To the elongated epitheca 9 of the present invention's magnetic defense lid 1 be installed, stretch into by little otch and to open and be equipped with in the open end 102 of reclaiming bag of biological tissue 17, to handle orientations pulling epitheca 9, protective cover 1 is opened under the effect of opening spring 6 automatically, the flared end 2 that makes protective cover forms the sealing that coincide with the open end 102 of reclaiming bag, formed one fill in it after excision biological tissue 17 and with the isolated closed container of normal biological tissue on every side.Fig. 6, Fig. 9, Figure 10.
Stretch into surgical operating instrument from the through hole 5 of protective cover, as the surgical instruments of broken biological tissues such as destroyer, clipper for surgical use, electric knife, ultrasound knife; Towards suction pipe, scope etc.In broken biological tissue, the biological tissue and the tissue fluid sucking-off of fragmentation is external, and can pass through the endoscopic observation operating process.Figure 11.
At last, after biological tissue's fragment and the complete sucking-off of tissue fluid are external, after reclaiming bag 101 rinsed well, withdraw from surgical operating instrument such as destroyer, surgery shears, electric knife, ultrasound knife respectively, towards suction pipe, scope etc., withdraw from protective cover 1 and reclaiming bag 101 at last.
Should note, openly can replace with the identical structure of other effect herein with the structure of explanation, the embodiment that the present invention introduced simultaneously realizes unique structure of the present invention, as: the identical sealing of the flared end of protective cover and the open end of reclaiming bag can be adopted electromagnetism to coincide and seal, and controls by external power supply; When opening spring employing marmem, control the shape recovery that marmem opens spring by external power supply; In addition, the centre bore of the interior sheath that protective cover can be by reclaiming bag discharges and reclaims, thereby by discharging successively in the otch or reclaiming protective cover and reclaiming bag, reduces surgical incision; In addition, a plurality of surgical instruments through holes can be arranged on the protective cover, make things convenient for operation technique.Though preferential embodiment of the present invention is introduced in this article and is illustrated; but those skilled in the art know and know that these embodiment illustrate; those skilled in the art can make countless variations, improvement and replacement; and can not break away from the present invention; therefore, should be according to the next qualification protection scope of the present invention of the spirit and scope of appending claims of the present invention.