The magnetic recovery bag
Technical field
The present invention relates to a kind of surgical operating instrument of using when reclaiming biological tissue, particularly under endoscope, be used for reclaiming the reclaiming bag of the biological tissue of excision.
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 stay fragment tissue or overflowing liquid in vivo, particularly when excision is organized as the topping ups such as vermiform appendix of gallbladder, cyst, inflammation or during malignant tumor tissue, cause infection easily, lead to complications or cause cancerous tissue diffusion, jeopardize health tissues and 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, biological tissue's recovery system after the excision in the more safe and reliable body is provided, at present, does not still have a kind of known biological tissue reclaiming bag or recovery system and can reach this requirement.
Summary of the invention
The invention provides a kind of reclaiming bag that reclaims the biological tissue of excision in patient's body, the core technology of this reclaiming bag is to contain magnetic material in the flexible wall of the open end of reclaiming bag or reclaiming bag, it can form the sealing that coincide with the open end of the protective cover that contains magnetic material, has formed the sealing recovery system isolated with normal biological tissue in vivo.
Novelty of the present invention is:
The magnetic recovery bag is made up of flexible wall 4, open end 2, blind end 3, receivability biological tissue 5 in the reclaiming bag 1; It is characterized in that the open end of reclaiming bag or the flexible wall of reclaiming bag contain magnetic material 6.
---the open end 2 of above-mentioned reclaiming bag can install back take-up or open spring 11.
---the flexible material 7 that the open end 2 of above-mentioned reclaiming bag or the flexible wall 4 of reclaiming bag can adopt the disperse of magnetic material microgranule to distribute is made wire netting or the enhanced flexible high molecular material manufacturing of synthetic fibers that also can adopt the disperse of magnetic material microgranule to distribute.
---the exhausting line 10 of above-mentioned reclaiming bag or open spring 11 can be connected on the sheath 8, and magnetic recovery bag 1 is recovered in the epitheca 9 by interior sheath 8.
The present invention is owing to be contained in magnetic material in the flexible wall of the open end of reclaiming bag or reclaiming bag, it can coincide with the open end of the protective cover that contains magnetic material and seal, formed the sealing recovery system isolated in vivo with normal structure, in this sealing recovery system, can carry out fragmentation to the biological tissue of the excision included in, and it is biological tissue after the fragmentation and tissue fluid sucking-off is external, prevented that broken fritter biological tissue or tissue fluid from overflowing from the open end of reclaiming bag, avoided infecting and having prevented the cancerous tissue diffusion, the present invention's magnetic recovery bag constructions is simple, easy and simple to handle, safe and effective, both can use separately, also can be used with the magnetic defense lid of biological tissue reclaiming bag.
Description of drawings
Fig. 1 is the structural representation that the present invention's flexible wall contains the magnetic recovery bag of the magnetic material microgranule that disperse distributes.
Fig. 2 is the structural representation of magnetic recovery bag of the present invention's the enhanced flexible wall of memorial alloy silk screen.
Fig. 3 is the structural representation that the open end of the present invention's the enhanced flexible wall of memorial alloy silk screen contains the magnetic recovery bag of magnetic material.
Fig. 4 is the structural representation that the open end of the present invention's magnetic recovery bag is contained in the magnetic recovery bag of magnetic material.
Fig. 5 is the structural representation that the open end of the present invention's magnetic recovery bag is equipped with the magnetic recovery bag that reclaims lasso trick.
Fig. 6 is the structural representation that the open end of the present invention's magnetic recovery bag is equipped with the magnetic recovery bag of the recovery lasso trick of being with slip-knot.
Fig. 7 is the structural representation after the present invention's magnetic recovery bag launches in vivo.
Fig. 8 is the structural representation of navigation button of the present invention's concavo-convex fit structure.
Fig. 9 is that the present invention's magnetic recovery bag is installed in the structural representation in the epitheca.
Figure 10 includes the biological tissue of excision in the fundamental diagram of magnetic recovery bag.
Figure 11 is the fundamental diagram that inserts the magnetic defense lid and launch the magnetic defense lid.
Figure 12 is that the sealing that coincide of the present invention's the open end of magnetic recovery bag and magnetic defense lid flared end has formed structural representation with biological tissue's recovery and processing system of biological tissue on every side isolated sealing.
Figure 13 to be band coincide at the present invention's magnetic recovery bag and magnetic defense lid 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 etc. when operating fundamental diagram.
Figure 14 is the present invention's magnetic recovery bag fundamental diagram when reclaiming biological tissue when using separately.
Among the above-mentioned figure:
1 is the magnetic recovery bag, and 2 is the open end, and 3 is blind end, and 4 is the flexible wall of magnetic recovery bag, 5 biological tissues for excision, 6 is magnetic material, and 7 is flexible material, and 8 is interior sheath, 8-1 is the far-end of interior sheath, and 8-2 is the handle of interior sheath, and 9 is epitheca, and 9-1 is the far-end of epitheca, 9-2 is the handle of epitheca,, 10 is exhausting line, 11 for opening spring, and 12 is the memorial alloy silk screen, and 13 is the exhausting line slotted eye, 14 is exhausting line movable joint or slide block, 14 biological tissues for excision, and 15 is navigation button.15-1 is the navigation button shell, and 15-2 is a back-moving spring, and 15-3 is a switch, and 15-4 is a protecting film, and 15-5 is a locating convex block.
100 is the magnetic defense lid, 101 epithecas for the magnetic defense lid, and 102 the springs that open for the magnetic defense lid, 103 open ends for the magnetic defense lid, 104 for magnetic defense covers the through hole that surgical instruments passes in and out, and 105 is surgical instruments.
The specific embodiment
Fig. 1:
It is the structural representation that the present invention's flexible wall contains the magnetic recovery bag of the magnetic material microgranule that disperse distributes.In the present embodiment, 6 disperses of magnetic material neodymium iron boron microgranule distribute in the transparent medical grade silicon rubber or other transparent flexible material 7, make the flexible wall 4 of reclaiming bag have permanent-magnet materials.The open end 2 that it can and have ferromagnetic reclaiming bag forms the identical sealing of magnetic.In the present embodiment, exhausting line 10 can slide in the slotted eye 13 of the open end of magnetic recovery bag, when tension exhausting line 10, can seal the open end 2 of reclaiming bag, takes out magnetic recovery bag 1 external or is recovered in the epitheca 9, takes out external again.
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 11 opens automatically, do not retrain and open spring 11 or flexible wall 4 unfolded any magnetic materials can use with flexible material 7.
Fig. 2:
It is the structural representation of magnetic recovery bag of the present invention's the enhanced flexible wall of memorial alloy silk screen.In the present embodiment, the flexible wall 4 of reclaiming bag has adopted the memorial alloy silk screen to strengthen as opening spring 11, magnetic material microgranule 6 can disperse in flexible material 7 have distributed, exhausting line 10 is through the exposed memory alloy wire mesh portions that open end 2 is not covered by flexible material 7, when tension exhausting line 10, entad produce and shrink, can seal the reclaiming bag bag mouth, be recovered to reclaiming bag 1 in the epitheca 9 or take out external.
Fig. 3:
It is the structural representation that the open end of the present invention's the enhanced flexible wall of memorial alloy silk screen contains the magnetic recovery bag of magnetic material.In the present embodiment, only contain magnetic material microgranule 6 in the open end 2 of magnetic recovery bag, the middle part of reclaiming bag 1 and bottom do not contain magnetic material 6.
Fig. 4:
It is the structural representation that the open end of the present invention's magnetic recovery bag is contained in the magnetic recovery bag of magnetic material.In the present embodiment, magnetic material microgranule 6 only is included in the elasticity medical grade silicon rubber at edge of open end 2 of reclaiming bag.Flexible wall 4 is embedded in the open end of silicone rubber mutually.
Fig. 5
It is the structural representation that the open end of the present invention's magnetic recovery bag is equipped with the magnetic recovery bag of exhausting line.In the present embodiment, adopted the fibre-reinforced flexible wall 4 that contains the flexible material 7 of magnetic material microgranule 6 as reclaiming bag of memorial alloy, be equipped with exhausting line 10 in the open end of reclaiming bag.
Fig. 6
It is the structural representation of the magnetic recovery bag of the open end of the present invention's magnetic recovery bag recovery lasso trick that the band slip-knot is installed.In the present embodiment, the open end 2 that contains the magnetic recovery bag of magnetic material 6 is equipped with exhausting line 10, one end of exhausting line is fixed on the open end 2 of reclaiming bag by adhesive, the other end passes slip-knot 14, when tension exhausting line 10, because the existence of slip-knot 14 can entad be shunk the open end 2 of reclaiming bag, it is interior or take out external to be recovered to epitheca 9.
Fig. 7
It is the structural representation after the present invention's magnetic recovery bag launches in vivo.In the present embodiment, the far-end 8-1 of sheath in the exhausting line 10 of reclaiming bag 1 is connected, epitheca 9 is enclosed within outside the interior sheath 8, epitheca handle 9-2 is installed in the near-end of epitheca 9, the near-end of sheath 8 in interior sheath handle 8-2 is installed in, navigation button 15 is installed on the epitheca handle 9-2, and navigation button 15 is the relative position of epitheca 9 and interior sheath 8 fixedly.Unscrew navigation button 15, return backward and remove interior sheath 8, reclaiming bag 1 can be recovered in the epitheca 9; Epitheca 9 is removed to returning, reclaiming bag 1 can be exposed to outside the epitheca 9 fully again, allow reclaiming bag 1 launch.
Fig. 8
It is the structural representation of navigation button of the present invention's concavo-convex fit structure.In the present embodiment, depress the switch 15-3 on the navigation button, locating convex block 15-5 is upturned, and interior sheath 8 can slide in epitheca 9; Switch 15-3 on the loose navigation button under the effect of back-moving spring 15-2, in the detent 8-3 in locating convex block 15-5 snaps on the sheath 8, fixes the relative position between interior sheath 8 and the epitheca 9, can not slide relatively between interior sheath 8 and the epitheca 9.Protecting film 15-4 can prevent that dust and liquid from entering in the navigation button, and the switch 15-3 on back-moving spring 15-2, locating convex block 15-5 and the navigation button is installed on the navigation button shell 15-1.
In addition, navigation button 10 can also adopt eccentric wheel structure or helicitic texture and other can fix in the positioner of sheath 8 and epitheca 9, as the pin location structure etc.
Fig. 9
The magnetic recovery bag that is the present invention is installed in the interior structural representation of epitheca.Before reclaiming bag 1 is installed in the far-end 8-1 of interior sheath, in the far-end 9-1 of epitheca, on the near-end of sheath, interior sheath 8 can move in epitheca 9 vertically in interior sheath handle 8-2 installed, epitheca handle 9-2 is installed on the near-end of epitheca, and navigation button 15 can be fixed the interior sheath 8 and the relative position of epitheca 9; Unscrew navigation button 15, inwardly the handle 8-2 of sheath end pulling epitheca 9 can discharge reclaiming bag 1 fully; Epitheca 9 travels forward, or fixing epitheca 9, and interior sheath 8 inside sheath handle 8-2 hold back and remove, and reclaiming bag 1 can be fully retrieved in the epitheca 9.
Figure 10
The biological tissue of excision is included in the fundamental diagram of magnetic recovery bag.During clinical use, the elongated epitheca 9 of reclaiming bag 1 will be installed earlier, and enter in the body by little otch, inwardly sheath handle end pulling epitheca 9 discharges reclaiming bags 1, and the biological tissue 5 after will excising then includes in the reclaiming bag 1.
Figure 11, Figure 12:
In the present embodiment, to the elongated recovery epitheca 101 of the present invention's protective cover 100 be installed, stretch into by little otch and to open and be equipped with in the open end 2 of reclaiming bag of biological tissue 5, to the moving epitheca 101 of pulling back, protective cover 100 is opened under the effect of opening spring 102 automatically, the flared end 103 that makes protective cover forms the sealing that coincide with the open end 2 of reclaiming bag, formed one be equipped with in it after excision biological tissue 5 and with the isolated closed container of normal biological tissue on every side.
Figure 13
In the present embodiment, stretch into surgical operating instrument (105) from the through hole 104 of protective cover, as the surgical instruments of broken biological tissues such as destroyer, surgery shears, electric knife, ultrasound knife with 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 14
It is the present invention's magnetic recovery bag fundamental diagram when reclaiming biological tissue when using separately.In the present embodiment, if the biological tissue 5 of excision is smaller, after including magnetic recovery bag 1 in, during taking-up in the time of can be more convenient, then need not to insert magnetic defense lid 100 and cooperate with it and form the biological tissues that handle excision with the isolated enclosed constructions of surrounding tissue, can direct pull in sheath 8, will receive the magnetic recovery bag 1 of excision biological tissue 5, be recovered in the epitheca 9, take out external.
Should be noted that herein openly can replace with the identical structure of other effect that the embodiment that the present invention introduced simultaneously realizes unique structure of the present invention with the structure of explanation.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.