CN204744283U

CN204744283U - Peritoneoscope pushes away knot ware

Info

Publication number: CN204744283U
Application number: CN201520399295.4U
Authority: CN
Inventors: 李述剑; 张羽
Original assignee: Individual
Current assignee: Individual
Priority date: 2015-06-10
Filing date: 2015-06-10
Publication date: 2015-11-11
Anticipated expiration: 2025-06-10

Abstract

The utility model provides a simply, practical, safe and the be convenient for peritoneoscope pushes away knot ware that popularizes, by handle (1), push away knot pole (2) and meet, it is equipped with set line hole (3) to push away knot pole (2) on the body of rod of one side that meets with the handle, push away at arc end (5) of end for taking through wires hole (4) of knot pole (2). Cover line hole (3) is located and pushes away knot pole (2) the body of rod outside, perhaps overlaps line hole (3) for pushing away the sunken hole on knot pole (2) the body of rod. The length that pushes away the knot ware is 400mm-500mm, cover line hole (3) is 50mm-60mm with the distance of handle (1), the diameter that pushes away knot pole (2) is 2mm-4mm, the diameter in cover line hole (3) is 0.8mm-1.0mm, the diameter of through wires hole (4) is 0.8mm-1.0mm. Push away ligature (6) of knot ware but be the absorption line. Should push away knot ware easy operation, convenient to use, the ligature is firm, the damage is littleer, has avoided the various complication because of remaining of internal metal foreign matter leads to.

Description

A kind of celioscope knotter

Technical field

This utility model relates to medical operation instrument, is specially the knot pusher under a kind of laparoscopic surgery.

Background technology

Along with the development of laparoscopic technique and perfect, the application of this technology in surgical field is constantly strengthened, and has the trend replacing conventional therapy even in some respects.But at present in laparoscopic surgery to the instrument such as many employings titanium folder, biological folder, silk thread ligation during tissue ligation, effect is not ideal enough.

Adopt the process of titanium folder to need the tissue of ligation, titanium folder retains in body has certain influence to body, and has various complication to report; Such as in LC art, when employing is with titanium folder process cystic duct and cystic artery, because staying for a long time in body, excitation and stimulation are produced to adjacent tissue's cell, postoperatively easily to come off, mobile, cholangitis is caused to common bile duct migration, form opal calculus in common bile duct, even the damage of the adjacent tissue such as duodenum; The adhesion caused because of the local excitation of titanium folder when needs of patients second operation can increase operating difficulty.

Adopt the ligation of biological folder, though can be absorbed by body, expensive, be difficult to promote at basic hospital; And on it, folder easily, moves back folder difficulty, once folder mistake, is difficult to move back folder; And under biological folder xiphoid-process, primary operating hole needs the otch of 10mm just by process cystic duct and cystic artery, affect cosmetic result, and operation easier is large, needs to select suitable case can carry out hands art; Under peritoneoscope, knotting process cystic duct and cystic artery acquire a certain degree of difficulty, and needing the long period to train could grasp.

Adopt silk thread ligation, knotting operation slightly difficulty under peritoneoscope, need the training in one period, have the doctor of certain experiences to complete smoothly, also easily slippage, also do not absorb in tissue.Therefore, a kind of simple to operate, ligation is studied firmly and without metal residual, the knot pusher less to tissue injury, there is actual meaning.

Utility model content

In order to overcome above-mentioned deficiency of the prior art, this utility model provides a kind of simple to operate, ligation firmly and without metal residual, the knot pusher less to tissue injury.

The technical scheme that this utility model provides is: a kind of celioscope knotter, is connected, it is characterized in that by handle, ligaturing rod: described ligaturing rod is provided with cover string holes on the body of rod of the side that connects with handle; The termination of ligaturing rod is the arced terminus of band through wires hole.

The above knot pusher, by the cover string holes on the ligaturing rod body of rod and through wires hole, realizes penetrating of ligature, and then in alternative cavity, knotting realizes ligation operation.Cover string holes is located on ligaturing rod, can fixed knot binding, and ligature and pulling force are kept on the same line, overlaps bundle more firm; Cover string holes can also be avoided pulling into angle between ligature and stamp Herba Carlinae biebersteinii sealing cap and leaking gas, and also avoids damaging sealing cap; In addition, compared to by the design of ligature through handle, adopt the more convenient operation of cover string holes, and it is lower to process the simpler cost of this structure.

With the arced terminus structure of through wires hole, make convenient by ligature by ligation tissue (as cystic duct, blood vessel etc.) while, also avoid in operating process and cut off or damage ligation tissue.By making ligation firm with the combination of cover string holes, toe-in is slippage not easily.

The using method of above-mentioned knot pusher: the ligature accomplishing fluently Rodar knot is penetrated successively through wires hole, cover string holes, then promote ligaturing rod Rodar is tied smoothly to push away downwards, the end of a thread is cut off after urgent, knot pusher and the end of a thread are taken out in the lump, easy to operate, be easy to grasp, toe-in is slippage not easily, and ligation success rate is high.

Concrete, described cover string holes is positioned at outside the ligaturing rod body of rod, is convenient to ligature and easily penetrates.

Or described cover string holes is the pit-holes on the ligaturing rod body of rod.

Optimize, the length of knot pusher is 400mm ~ 500mm; The distance of cover string holes and handle is 50mm ~ 60mm; The diameter of ligaturing rod is 2mm ~ 4mm; The diameter of cover string holes is 0.8mm ~ 1.0mm, and the diameter of through wires hole is 0.8mm ~ 1.0mm.

The ligature of knot pusher is absorbable thread.Foreign remains, it is little to damage and need not take out stitches, and is more conducive to tissue apposition.

Positive beneficial effect of the present utility model: 1, this knot pusher structure replaces titanium folder, biological folder and silk thread knotting, avoids the various complication caused because of the residual of in-vivo metal foreign body, and ligation firmly, reduce operation risk and operation wound; 2, simple to operate, easy to use, not easily slippage when this knot pusher uses, reduces operating difficulty; 3, this knot pusher is simple for production, with low cost, reusable, reduces medical treatment cost, also mitigates patient burden.In a word, this utility model provide a kind of simple, practical, safety and be convenient to the knot pusher popularized.

Accompanying drawing explanation

Fig. 1 is the structural representation of knot pusher described in the utility model.

Fig. 2 is the partial enlarged drawing of the arced terminus (5) of this utility model band through wires hole (4).

Fig. 3 is the partial enlarged drawing of the cover string holes (3) of knot pusher described in the utility model.

Fig. 4 use procedure schematic diagram described in the utility model, wherein:

Fig. 4-a is the schematic diagram that ligature (6) penetrates described knot pusher;

Fig. 4-b is the schematic diagram knot pusher with ligature (6) being sent into abdominal cavity;

Fig. 4-c is schematic diagram ligate out of skin line (6) being beaten Roeder knot;

Fig. 4-d is that Roeder is tied the schematic diagram pushed by described knot pusher;

Fig. 4-e is that described knot pusher and ligature (6) take external schematic diagram out of.

Figure notation in accompanying drawing is respectively:

1-handle, 2-ligaturing rod, 3-cover string holes, 4-through wires hole, 5-arced terminus, 6-ligature

Detailed description of the invention

Below in conjunction with drawings and the specific embodiments, this utility model is described further.

Embodiment one

As Figure 1-3, a kind of knot pusher is processed.

Celioscope knotter shown in Fig. 1, is connected by handle 1, ligaturing rod 2, and ligaturing rod 2 is provided with and overlaps string holes 3 on the body of rod of the side that connects with handle 1; The termination of ligaturing rod 2 is the arced terminus 5 of band through wires hole 4.

Be with the arced terminus 5 of through wires hole 4 as shown in Figure 2, through wires hole 4 is positioned at arced terminus foremost, is passed wherein by ligature 6, difficult drop-off; Arced terminus structure avoids in operating process cuts off or damages ligation tissue.

The partial enlarged drawing of the cover string holes 3 of knot pusher as shown in Figure 3, cover string holes 3 is positioned at outside ligaturing rod 2 body of rod, and the convenient ligature 6 passed from through wires hole 4 penetrates cover string holes 3 easily, and its direction keeps consistent with ligaturing rod 2, is beneficial to stably knot.Ligaturing rod 2 is as shown in the figure solid metal.The situation of another kind of cover string holes 3 applicatory is: cover string holes 3 is the pit-holes on ligaturing rod 2 body of rod.

Knot pusher is magnitude range more preferably: the length of knot pusher is 400mm ~ 500mm; Cover string holes 3 is 50mm ~ 60mm with the distance of handle 1; The diameter of ligaturing rod 2 is 2mm ~ 4mm; The diameter of cover string holes 3 is 0.8mm ~ 1.0mm, and the diameter of through wires hole 4 is 0.8mm ~ 1.0mm.

Machined the knot pusher of three kinds of different sizes in the present embodiment, be respectively:

The first: the length of knot pusher is 400mm; Cover string holes 3 is 50mm with the distance of handle 1; Ligaturing rod 2 diameter is 2mm; The diameter of cover string holes 3 is 0.8mm; The diameter of through wires hole 4 is 0.8mm.

The second: the length of knot pusher is 450mm; Cover string holes 3 is 55mm with the distance of handle 1; Ligaturing rod 2 diameter is 4mm; The diameter of cover string holes 3 is 0.9mm; The diameter of through wires hole 4 is 0.9mm.

The third: the length of knot pusher is 500mm; Cover string holes 3 is 60mm with the distance of handle 1; Ligaturing rod 2 diameter is 4mm; The diameter of cover string holes 3 is 1.0mm; The diameter of through wires hole 4 is 1.0mm.

Embodiment two

As shown in Figure 4, knot pusher described in the utility model is used.

By reference to the accompanying drawings 4, the ligation operating process using knot pusher described in the utility model to carry out LC operation is described.Operation process: patient gets dorsal position, a 10mm curved incision is made in umbilicus lower edge, CO2 pneumoperitoneum is set up in veress needle puncture, puncture 10mmTroear enters mirror, puncture 5mmTroear as primary operating hole at xiphoid-process place to the left under direct-view, under the costal margin of right side, puncture 5mmTroear again as auxiliary operation hole, dissect calot's triangle, dissociate cystic duct.As depicted in fig. 4-a, get the ligature 6 of non-cutting, one end is placed in external, and the other end penetrates through wires hole 4, the cover string holes 3 of knot pusher successively, makes a call to a knot, avoid ligature slippage in the outside of through wires hole 4; Then shown in Fig. 4-b, the knot pusher of band ligature 6 is sent into abdominal cavity through primary operating hole, the arced terminus 5 of knot pusher is utilized to be passed beneath from cystic duct by ligature 6, until with the ligature 6 almost equal length of the other end, notice that the impetus of now pulling force is on the through wires hole 4 of knot pusher, and not on cystic duct, this avoid ligature 6 and directly contact cystic duct, prevent cutting and damage cystic duct, then that ligature is external from primary operating hole pull-out; As shown in Fig. 4-c, beat Roeder knot in vitro; For another example shown in 4-d, the ligature 6 tied by external band Roeder is successively through through wires hole 4 and cover string holes 3, Roeder knot is pushed abdominal cavity, with suitable dynamics ligation cystic duct, cover string holes 3 is located on ligaturing rod 2, can fixed knot binding 6, ligature 6 and pulling force are kept on the same line, and cover bundle is more firm; Finally cut off the end of a thread of ligature 6, knot pusher and residue ligature 6 are taken out in the lump.Ligature used is above all absorbable thread.

Adopt titanium folder method, biological folder method respectively, silk thread ropework, this knot pusher be when to carry out under laparoscopic surgery tissue ligation, by embodiment relative analysis, as shown in table 1 below, application this utility model knot pusher ligation cystic duct or blood vessel, both the advantage exempting from titanium folder method had been embodied, overcome again the shortcoming with silk thread knotting ligation, postoperative foreign remains, primary operating hole requires less, and toe-in difficult drop-off, this type of advantage all makes to adopt this utility model knot pusher wound little, and adopts this utility model knot pusher simple to operate, and operation cost is lower.

Table 1 titanium folder method, biological folder method, silk thread ropework, this knot pusher comparing result

Below be exemplarily described this utility model by reference to the accompanying drawings, obvious this utility model specific implementation is not subject to the restrictions described above.In the ken that described exercising ordinary skill possesses, any amendment done, equivalently to substitute and improvement etc. within spirit of the present utility model and principle, it all should be encompassed within the technical scheme scope of this utility model request protection.

Claims

1. a celioscope knotter, is connected by handle (1), ligaturing rod (2), it is characterized in that: described ligaturing rod (2) has cover string holes (3) on the body of rod of the side that connects with handle (1); The termination of ligaturing rod (2) is the arced terminus (5) of band through wires hole (4).

2. celioscope knotter according to claim 1, is characterized in that: described cover string holes (3) is positioned at outside ligaturing rod (2) body of rod.

3. celioscope knotter according to claim 1, is characterized in that: described cover string holes (3) is the pit-holes on ligaturing rod (2) body of rod.

4. the arbitrary celioscope knotter according to claim 1-3, is characterized in that: the length of described knot pusher is 400mm ~ 500mm; Described cover string holes (3) is 50mm ~ 60mm with the distance of handle (1); Described ligaturing rod (2) diameter is 2mm ~ 4mm; The diameter of described cover string holes (3) is 0.8mm ~ 1.0mm; The diameter of described through wires hole (4) is 0.8mm ~ 1.0mm.

5. the arbitrary celioscope knotter according to claim 1-3, is characterized in that: the ligature (6) of described knot pusher is absorbable thread.