CN203953732U - A kind of laparoscopic myomectomy tourniquet with auto-lock function - Google Patents

A kind of laparoscopic myomectomy tourniquet with auto-lock function Download PDF

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Publication number
CN203953732U
CN203953732U CN201420361253.7U CN201420361253U CN203953732U CN 203953732 U CN203953732 U CN 203953732U CN 201420361253 U CN201420361253 U CN 201420361253U CN 203953732 U CN203953732 U CN 203953732U
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China
Prior art keywords
self
elastic shrinkage
shrinkage band
locking
tourniquet
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Expired - Fee Related
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CN201420361253.7U
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Chinese (zh)
Inventor
白昌民
卫艳梅
何菊仙
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Northwest Women And Children Hospital
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Northwest Women And Children Hospital
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Abstract

The utility model discloses a kind of laparoscopic myomectomy tourniquet with auto-lock function, comprise elastic shrinkage band and the self-locking clamping that is fixed on elastic shrinkage band one end, self-locking clamping comprises self-locking clamping body, on self-locking clamping body and one end being connected with elastic shrinkage band has the self-locking hole that passes and elastic shrinkage band can be locked for the elastic shrinkage band other end, the other end of self-locking clamping body has opening self-locking grooves, the outer end of described opening self-locking grooves is splayed, two inner sides of opening self-locking grooves are all fixed with seam, two seams are oppositely arranged.This utility model reasonable in design, use easy to operate, expense is cheap, can guarantee the integrity in uterus, reduce peritoneoscope conversion into open surgery probability, reduce or stop the probability of transfusing blood, avoid the impact on ovarian function and reproductive function, patient Geng Yi recovers, and can obviously reduce hemorrhage in myomectomy, for more aobvious advantages of complicated operation such as larger hysteromyoma and multiple muscular tumors.

Description

A kind of laparoscopic myomectomy tourniquet with auto-lock function
Technical field
This utility model relates to a kind of medical tourniquet, especially relates to a kind of laparoscopic myomectomy tourniquet with auto-lock function.
Background technology
Hysteromyoma belongs to frequently-occurring benign tumor in women, and incidence rate is about more than 20%, and Therapeutic Method has: expect treatment, conservative medication and operative treatment.It is hemorrhage that muscular tumor volume, mitigation symptoms and minimizing be controlled or be dwindled to Drug therapy can, but not radical cure treatment, operative treatment comprises uterectomy and myomectomy, myomectomy is to reject the art formula that muscular tumor retains uterus, not only be suitable for the young patient that requirement retains reproductive function, also be suitable for the older patient that requirement retains uterus, approach can be through opening abdomen, transvaginal, through scope.Wherein scope comprises peritoneoscope and hysteroscope, because its invasive is in recent years widely used in clinical and is selected to the hysteromyoma of different parts.Peritoneoscope has with respect to abdominal that wound is little, postoperative pain is light, restoration of gastrointestinal function is fast, post-operative complication is few, more and more by patients with uterine myoma, especially young patient, preferentially selected, but it is high that chamber mirror lower hemostasia and suturing skill require, intraoperative hemorrhage is many, difficulty is sewed up in tumor chamber, be the application of restriction peritoneoscope in rejecting hysteromyoma, along with the accumulation of constantly perfect, patient's experience of apparatus, situation makes moderate progress, some contraindications have become relative contraindication
But for larger resection on intramural myoma and multiple muscular tumor, it is high that operation skill requires, and operating time is long, and operative hemorrhage is many, to such an extent as to conversion into open surgery, or postoperative need transfuse blood, so in art, Hemostasis is more and more paid attention to.Hemostasis mode has at present: stitching under mirror, uterine artery ligation, cut-out, in monopolar electrocoagulation, bipolar coagulation, art, inject oxytocin or pituitrin, in use there is respectively following shortcoming in these modes: under (1) mirror, sews up, hysteromyoma is large muscular tumor or multiple muscular tumor between uterine muscular greatly especially, because otch is large, tumor chamber is dark or otch is many, even if there is higher stitching skill, also need certain hour, also have more hemorrhage; (2) uterine artery ligation, cut-out, not only need patient to be familiar with Pelvic Anatomy structure, complicated operation, and because likely affecting ovary blood supply after uterine artery ligation, cause that ovarian function declines, and is unfavorable for young patient especially; (3) monopolar electrocoagulation, bipolar coagulation, because finite energy often acts on limitedly, while rejecting muscular tumor, stop blooding undesirable; (4) in art, inject oxytocin or pituitrin, that injection oxytocin has is nauseating, vomiting, heart rate is accelerated or arrhythmia reaction, also may cause allergic reaction, during heavy dose of application, can cause hypertension or hydropexis, half-life is 1-6 minute, and action time is limited, and can not widely apply; Pituitrin not only has composition and the side effect of oxytocin, and containing vassopressin, vassopressin energy vasoconstrictive, makes hypertension simultaneously, increases unsafe factor in art, is more not suitable for being associated with hypertensive patient.
Utility model content
The purpose of this utility model is to overcome above-mentioned deficiency of the prior art, a kind of laparoscopic myomectomy tourniquet with auto-lock function is provided, its reasonable in design, use easy to operate, expense is cheap, can guarantee the integrity in uterus, reduce peritoneoscope conversion into open surgery probability, reduce or stop the probability of transfusing blood, avoid the impact on ovarian function and reproductive function, patient Geng Yi recovers, and can obviously reduce hemorrhage in myomectomy, for more aobvious advantages of complicated operation such as larger hysteromyoma and multiple muscular tumors.
For achieving the above object, the technical solution adopted in the utility model is: a kind of laparoscopic myomectomy tourniquet with auto-lock function, it is characterized in that: comprise elastic shrinkage band and the self-locking clamping that is fixed on elastic shrinkage band one end, described self-locking clamping comprises self-locking clamping body, on described self-locking clamping body and one end being connected with elastic shrinkage band has the self-locking hole that passes and elastic shrinkage band can be locked for the elastic shrinkage band other end, the other end of described self-locking clamping body has opening self-locking grooves, the outer end of described opening self-locking grooves is splayed, two inner sides of described opening self-locking grooves are all fixed with seam, two seams are oppositely arranged.
Above-mentioned a kind of laparoscopic myomectomy tourniquet with auto-lock function, is characterized in that: the outer cover of described self-locking clamping has the containment vessel fitting tightly with it, described containment vessel is fixedly connected with elastic shrinkage band.
Above-mentioned a kind of laparoscopic myomectomy tourniquet with auto-lock function, is characterized in that: described elastic shrinkage band is latex band, described containment vessel is latex containment vessel, and described elastic shrinkage band and containment vessel are one-body molded.
Above-mentioned a kind of laparoscopic myomectomy tourniquet with auto-lock function, it is characterized in that: the shape of cross section of described elastic shrinkage band is for circular, described self-locking hole is circular hole, and the cross-sectional diameter of described elastic shrinkage band is greater than the internal diameter of self-locking hole.
Above-mentioned a kind of laparoscopic myomectomy tourniquet with auto-lock function, is characterized in that: described seam be shaped as semi-cylindrical, the planar side of described seam is fixedly connected with the splayed head of opening self-locking grooves.
Above-mentioned a kind of laparoscopic myomectomy tourniquet with auto-lock function, is characterized in that: described seam and self-locking clamping body are one-body molded.
Above-mentioned a kind of laparoscopic myomectomy tourniquet with auto-lock function, is characterized in that: the end, one end away from the elastic shrinkage band being connected with self-locking clamping body is pyramidal structure.
Above-mentioned a kind of laparoscopic myomectomy tourniquet with auto-lock function, is characterized in that: described elastic shrinkage band is hollow-core construction.
This utility model compared with prior art has the following advantages:
1, this utility model is simple in structure, reasonable in design, takes full advantage of the elastic shrinkage performance that elastic shrinkage band is good, reaches the object of self-locking.
2, this utility model is used easy to operate, peritoneoscope is rejected hysteromyoma and conventionally at abdominal part, with stamp card, is beaten 3-4 hole, one 10 millimeters are positioned at navel, be used for placing light source, expose the visual field, one 5 millimeters are positioned at mcBurney point for auxiliary patient, another 10 millimeters are positioned at lower abdomen left side, near the point of symmetry of mcBurney point, sometimes can increase the auxiliary stamp card of 5 millimeters, during use, with the tourniquet that curved forceps clamping has been put into ring-type, from stamp card, be placed into pelvic cavity, tourniquet is around uterus, patient is with fixing of tourniquet of needle holder, assistant draws the other end of tourniquet, tension elastic shrinkage band, because tourniquet has auto-lock function, can automatically fix, reach temporary transient prevention uterus blood fortune, obviously reduce hemorrhage, can loosen by interval certain hour simultaneously, avoid uterus Ischemia Time long, while loosening, the compression end part with tweezers from self-locking grooves lower end pull-up elastic shrinkage band departs from it, then clamps containment vessel with tweezers from self-locking grooves, lifts containment vessel, and tourniquet just can unclamp.
3, this utility model and at present domestic and international laparoscopic myomectomy hemostasis mode used (comprise stitching under mirror, uterine artery ligation, cut-out, in monopolar electrocoagulation, bipolar coagulation, art, inject oxytocin or pituitrin) compare, be easy to grasp, safety, not damaged is repeatable strong; Expense is cheap, can guarantee the integrity in uterus, easy and simple to handle, reduces peritoneoscope conversion into open surgery probability, reduces or stops the probability of transfusing blood, and reduces blood transfusion expense, suitable promoting the use of; Even if chamber mirror abecedarian, applies this tourniquet and can overcome the deficiency because of stitching and operation skill, thereby also can perform the operation calmly, avoid the impact on ovarian function and reproductive function, patient Geng Yi recovers simultaneously, has obvious society and economic benefit.
4, this utility model is to there being the people on mirror basis, certain chamber, is easy to grasp, and through the checks of more than 20 example operations, effect is remarkable, can obviously reduce hemorrhage in myomectomy; For more aobvious advantages of complicated operation such as larger hysteromyoma and multiple muscular tumors.
5, this utility model is by repeatedly testing, reliable operation, and practicality is very strong, with low cost, there is very large promotional value, can be widely used in operative efficacy of laparoscopic myomectomy and similar surgical hemostasis place, as uterus intramural pregnancy art, uterus isthmus pregnancy art etc.
Below by drawings and Examples, this utility model is described in further detail.
Accompanying drawing explanation
Fig. 1 is structural representation of the present utility model.
Fig. 2 is that this utility model is removed the structural representation after containment vessel.
Fig. 3 is the structural representation of this utility model self-locking clamping.
Fig. 4 is the structural representation of this utility model elastic shrinkage band while tightening.
Fig. 5 is working state figure of the present utility model.
Fig. 6 is that this utility model is removed the structural representation after part containment vessel.
Description of reference numerals:
1-self-locking clamping body; 1-1-self-locking hole; 1-2-opening self-locking grooves;
1-3-seam; 2-elastic shrinkage band; 3-human body;
4-containment vessel.
The specific embodiment
As Fig. 1, Fig. 2, shown in Fig. 3 and Fig. 6, this utility model comprises elastic shrinkage band 2 and is fixed on the self-locking clamping of elastic shrinkage band 2 one end, described self-locking clamping comprises self-locking clamping body 1, on described self-locking clamping body 1 and one end being connected with elastic shrinkage band 2 has the self-locking hole 1-1 that passes and elastic shrinkage band 2 can be locked for elastic shrinkage band 2 other ends, the other end of described self-locking clamping body 1 has opening self-locking grooves 1-2, the outer end of described opening self-locking grooves 1-2 is splayed, two inner sides of described opening self-locking grooves 1-2 are all fixed with seam 1-3, two seam 1-3 are oppositely arranged.
As shown in Fig. 1 and Fig. 6, the outer cover of described self-locking clamping has the containment vessel 4 fitting tightly with it, and described containment vessel 4 is fixedly connected with elastic shrinkage band 2.The effect of containment vessel 4 has 2 points: first is the end of being convenient to self-locking clamping to be fixed on elastic shrinkage band 2; Second point is that patient is shielded, and makes, so containment vessel can prevent that in use self-locking clamping from causing damage to patient because self-locking clamping body 1 and seam 1-3 all adopt metal or rigid non-metallic material.
In the present embodiment, described elastic shrinkage band 2 is latex band, and described containment vessel 4 is latex containment vessel, and described elastic shrinkage band 2 is one-body molded with containment vessel 4.Elastic shrinkage band 2 and containment vessel 4 can be also that rubber or other meet the material with favorable elasticity of instructions for use.
In the present embodiment, the shape of cross section of described elastic shrinkage band 2 is circular, described self-locking hole 1-1 is circular hole, the cross-sectional diameter of described elastic shrinkage band 2 is greater than the internal diameter of self-locking hole 1-1, can well be locked by self-locking hole 1-1 like this, the shape of cross section of elastic shrinkage band 2 can also be square or other shape.
As shown in Fig. 2, Fig. 3 and Fig. 6, described seam 1-3 is shaped as semi-cylindrical, can prevent from use elastic shrinkage band 2 being caused to damage; The planar side of described seam 1-3 is fixedly connected with the splayed head of opening self-locking grooves 1-2, so not only elastic shrinkage band 2 well can be locked to self-locking and buckle, and be convenient to elastic shrinkage band 2 turnover self-locking grooves 1-2.
In the present embodiment, described seam 1-3 and self-locking clamping body 1 are one-body molded, easily manufactured, use reliable.
As shown in Figure 1, Figure 2 with shown in Fig. 6, away from the end, one end of the elastic shrinkage band 2 being connected with self-locking clamping body 1, be pyramidal structure, be convenient to elastic shrinkage band 2 through self-locking hole 1-1.
In the present embodiment, described elastic shrinkage band 2 is hollow-core construction, and quality is light, low cost of manufacture.
Operation principle of the present utility model is: during tension elastic shrinkage band 2, the part tension of elastic shrinkage band 2 attenuates, and can from self-locking hole 1-1, pass through.When elastic shrinkage band 2 is in running order, elastic shrinkage band 2 is tightened human body 3, and elastic shrinkage band 2 is owing to being subject to the self-locking action of elastic force retraction with self-locking hole 1-1, the compressed object (as shown in Figure 4) that reaches self-locking; Because the cross-sectional diameter of elastic shrinkage band 2 is greater than the internal diameter of self-locking hole 1-1, so elastic shrinkage band 2 can well be locked by self-locking hole 1-1.In order to guarantee the reliable and secure property of self-locking, on self-locking clamping body 1, have self-locking grooves 1-2, during work, the compression end of elastic shrinkage band 2 is fixed in self-locking grooves 1-2; Two seam 1-3 can prevent that the compression end of elastic shrinkage band 2 from partly skidding off (as shown in Figure 5).When needs tourniquet released, the compression end part with tweezers from self-locking grooves 1-2 lower end pull-up elastic shrinkage band 2 departs from it from self-locking grooves 1-2; with tweezers, clamp containment vessel 4 again, lift containment vessel 4, tourniquet just can unclamp; further, lift containment vessel 4, tourniquet can be untied.
The above; it is only preferred embodiment of the present utility model; not this utility model is imposed any restrictions; every any simple modification, change and equivalent structure transformation of above embodiment being done according to this utility model technical spirit, all still belongs in the protection domain of technical solutions of the utility model.

Claims (8)

1. a laparoscopic myomectomy tourniquet with auto-lock function, it is characterized in that: comprise elastic shrinkage band (2) and be fixed on the self-locking clamping of elastic shrinkage band (2) one end, described self-locking clamping comprises self-locking clamping body (1), described self-locking clamping body (1) one end upper and that be connected with elastic shrinkage band (2) has the self-locking hole (1-1) that passes and elastic shrinkage band (2) can be locked for elastic shrinkage band (2) other end, the other end of described self-locking clamping body (1) has opening self-locking grooves (1-2), the outer end of described opening self-locking grooves (1-2) is splayed, two inner sides of described opening self-locking grooves (1-2) are all fixed with seam (1-3), two seams (1-3) are oppositely arranged.
2. according to a kind of laparoscopic myomectomy tourniquet with auto-lock function claimed in claim 1; it is characterized in that: the outer cover of described self-locking clamping has the containment vessel (4) fitting tightly with it, described containment vessel (4) is fixedly connected with elastic shrinkage band (2).
3. according to a kind of laparoscopic myomectomy tourniquet with auto-lock function claimed in claim 2; it is characterized in that: described elastic shrinkage band (2) is latex band; described containment vessel (4) is latex containment vessel, and described elastic shrinkage band (2) is one-body molded with containment vessel (4).
4. according to a kind of laparoscopic myomectomy tourniquet with auto-lock function described in claim 1 or 2, it is characterized in that: the shape of cross section of described elastic shrinkage band (2) is for circular, described self-locking hole (1-1) is circular hole, and the cross-sectional diameter of described elastic shrinkage band (2) is greater than the internal diameter of self-locking hole (1-1).
5. according to a kind of laparoscopic myomectomy tourniquet with auto-lock function described in claim 1 or 2, it is characterized in that: described seam (1-3) be shaped as semi-cylindrical, the planar side of described seam (1-3) is fixedly connected with the splayed head of opening self-locking grooves (1-2).
6. according to a kind of laparoscopic myomectomy tourniquet with auto-lock function claimed in claim 5, it is characterized in that: described seam (1-3) is one-body molded with self-locking clamping body (1).
7. according to a kind of laparoscopic myomectomy tourniquet with auto-lock function described in claim 1 or 2, it is characterized in that: the end, one end away from the elastic shrinkage band (2) being connected with self-locking clamping body (1) is pyramidal structure.
8. according to a kind of laparoscopic myomectomy tourniquet with auto-lock function described in claim 1 or 2, it is characterized in that: described elastic shrinkage band (2) is hollow-core construction.
CN201420361253.7U 2014-06-30 2014-06-30 A kind of laparoscopic myomectomy tourniquet with auto-lock function Expired - Fee Related CN203953732U (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104042302A (en) * 2014-06-30 2014-09-17 西北妇女儿童医院 Laparoscope myomectomy tourniquet with self-locking function

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104042302A (en) * 2014-06-30 2014-09-17 西北妇女儿童医院 Laparoscope myomectomy tourniquet with self-locking function

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CF01 Termination of patent right due to non-payment of annual fee
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20141126

Termination date: 20190630