CN206453818U - A kind of liver and gall haemostat - Google Patents

Abstract

The utility model is related to a kind of liver and gall haemostat, including tourniquet, base, net, the one side of the base is provided with positive stop hook, one end of base is provided with tourniquet and fixing band, the tourniquet is uniformly provided with multiple first through hole on one section away from base, the medial surface of the tourniquet is provided with hemostatic nitride layer, multiple second through holes are uniformly provided with one section in the fixing band away from base, the first through hole, second through hole is engaged with positive stop hook respectively to be detachably connected, the net is provided with opening, the edge of opening of net is placed between tourniquet and fixing band, positive stop hook is passed through at breach.The utility model is simple in construction, can be with continued hemostasis in operation, and can compensate automatically, the loosening in effective compensation surgical procedure；And fixing band can effectively fix net, net is persistently played a part of uniform hemostasis by compression, and need not be sutured, reduce operation risk.

Description

A kind of liver and gall haemostat

Technical field

The utility model is related to medical instruments field, and in particular to a kind of liver and gall surgical department's haemostat.

Background technology

It is implementing operation on liver excision, because liver has been covered with a large amount of blood vessels, when damaging serious outside liver, it is necessary to first locate Infection, courage leakage that the later stage is likely to occur etc. can be avoided while managing the lasting oozing of blood of the liver surface of a wound, effectively hemostasis to greatest extent Complication, is then transferred to conditional hospital, then cut off impaired hepatic segments or lobe of the liver, the yarn oppressed during operation is waited Cloth and bandage displacement, may cause patient's massive haemorrhage again, be sutured now using the mesh sheet parcel liver surface of a wound and liver surrounding ligaments Fixed method is one of conventional Hemostasis, and mesh sheet pack needs many places to fix mesh sheet to reach the purpose of hemostasis, and, Mesh sheet is cut according to damage location, and needs that liver is carried out fully to dissociate, and many places suture reduces hand to fix mesh sheet The art time, increase operation risk.

And when implementing operation on liver, the method for the blocking blood flow traditional to liver is clamped using liver, in the way of clamp, After the first blocking blood flow of liver, then lobe of the liver, the excision of liver tumour are carried out, liver pincers blocking blood flow method can stop blooding, but caliper Greatly, surgical field of view is influenceed, operator clamps through being commonly encountered liver, is not easy to operation, is made troubles to patient, reduce procedure efficiency； Commonplace is that the mode of hepatic tissue is tied up with line or sebific duct come blocking blood flow in the prior art, can reach the interim of liver Hemostasis, and the operation of without prejudice to operation, but line or sebific duct knot after fixing, and during due to cutting hepatic tissue, tie up position Tension force declines, it may appear that loosen, so that strapping or line lose the effect of blocking blood flow.

The content of the invention

To overcome the deficiency, the purpose of this utility model is to provide a kind of liver and gall surgical department's haemostat, can continued Play a part of uniform hemostasis by compression, it is not necessary to sutured, reduce operation risk, can be with continued hemostasis in operation, and energy Loosening in enough automatic compensation, effective compensation surgical procedure.

The utility model solves the technical scheme that its technical problem used：A kind of liver and gall surgical department's haemostat, including Tourniquet, base, net, the one side of the base are provided with positive stop hook, and one end of base is provided with tourniquet and fixing band, described Tourniquet is uniformly provided with multiple first through hole on one section away from base, the medial surface of the tourniquet is provided with hemostatic nitride layer, The fixing band, which is located on one section in the side of the remote hemostatic nitride layer of tourniquet, the fixing band away from base, uniformly to be set There are multiple second through holes, the first through hole, the second through hole are engaged with positive stop hook are detachably connected respectively, and the net is provided with Opening, the edge of opening is provided with breach, and the edge of opening of net is placed between tourniquet and fixing band, and positive stop hook passes through breach Place.

Further, cavity structure is set in the base, the one side of base is provided with guide groove, cavity structure provided with branch Bracer, the positive stop hook is located at support block close to the side of guide groove, and positive stop hook exposes outside base at guide groove, support block and bottom Spring is provided between one end of seat.

Further, fin is provided with the base, support block is provided with the groove being engaged with fin.

Further, the net is set to double-decker, and outer layer is set to absorbable mesh sheet, and internal layer is hemostasis medicine layer.

Further, the hemostatic nitride layer is set to gelfoam or fibrin ferment or fibrin viscose or the spacing collagen of microfilament Styptic or oxycellulose or oxidized regenerated cellulose or or macromolecule bonding glue.

The utility model has the advantages that：The utility model is simple in construction, operation when can with continued hemostasis, and It can compensate automatically, the loosening in effective compensation surgical procedure；And fixing band can effectively fix net, enable net Persistently play a part of uniform hemostasis by compression, and need not be sutured, reduce operation risk.

Brief description of the drawings

Fig. 1 is structural representation of the present utility model.

Fig. 2 is the structural representation of tourniquet of the present utility model.

Fig. 3 for base of the present utility model A-A to schematic diagram.

1 tourniquet in figure, 11 first through hole, 12 medicine layers, 2 fixing bands, 21 second through holes, 3 bases, 31 guide grooves, 32 is convex Rib, 33 springs, 4 positive stop hooks, 41 support blocks, 5 nets.

Embodiment

The utility model is described in further detail presently in connection with accompanying drawing.

A kind of liver and gall surgical department's haemostat as shown in Figure 1, Figure 2, Figure 3 shows, including tourniquet 1, base 3, net 5, it is described The one side of base 3 is provided with positive stop hook 4, and one end of base 3 is provided with tourniquet 1 and fixing band 2, and the tourniquet 1 is away from base 3 One section on be uniformly provided with multiple first through hole 11, the medial surface of the tourniquet 1 is provided with hemostatic nitride layer 12, the fixing band 2 are located at the side of remote the hemostatic nitride layer 12 of tourniquet 1, are uniformly provided with one section of remote base 3 in the fixing band 1 many Individual second through hole 21, the first through hole 11, the second through hole 21 are engaged with positive stop hook 4 are detachably connected respectively, the net 5 Provided with opening, the edge of opening is provided with breach, and the edge of opening of net 5 is placed between tourniquet 1 and fixing band 2, positive stop hook 4 Through at breach, in use, tourniquet 1 is fixed at the desired position first, as needed by the first through hole 11 of tourniquet 1 Hang on positive stop hook 4, tourniquet 1 is oppressed liver, play a part of hemostasis, if the state of surface of a wound bleeding, then by net 5 It is placed between tourniquet 1 and fixing band 2, positive stop hook 4 is placed at breach, then as needed, between adjustment net 5 and liver Pressure, fixing band 2 is then pressed in the outside of net 5, suitable second through hole 21 in selection fixing band 2, hangs over as needed On positive stop hook 4, using the pressure between tourniquet 1 and fixing band 2, fixed net 5, so that net 5 plays hemostasis by compression Effect.

Further, cavity structure is set in the base 3, the one side of base 3, which is provided with guide groove 31, cavity structure, to be set There is support block 41, the positive stop hook 4 is located at support block 41 close to the side of guide groove, and positive stop hook 4 exposes in base at guide groove 31 Outside, support block 41 and the cross section of cavity structure are adapted, and spring 33 is provided between one end of support block 41 and base 3, is being tied up When pricking tourniquet, when spring 33 is located at tourniquet side, the original state of spring 33 is extended state, when cutting hepatic tissue, In the case of the tension force decline for tying up position, tourniquet 1 loosens, the convergent force of spring 33, can compensate tourniquet 1 and loosen, so that Tourniquet 1 is more stablized, and continues hemostasis by compression, is smoothed out operation；When spring 33 is located remotely from the side of tourniquet 1, The original state of spring 33 is compressive state, when cutting hepatic tissue, in the case of the tension force decline for tying up position, tourniquet 1 Loosen, the loosening of the expansion force compensating tourniquet 1 of spring 33, so that tourniquet 1 is more stablized, continues hemostasis by compression, makes hand Art is smoothed out.

Further, fin 32 is provided with the base 3, support block 41 is provided with the groove being engaged with fin 32, made Used time, the active force between fin 32 and groove advantageously ensures that stability of the support block 41 in the cavity of base 3, and then make The position of positive stop hook 41 is more stable, makes the anastalsis of tourniquet 1 more continual and steady.

Further, the net 5 is set to double-decker, and outer layer is set to absorbable mesh sheet, glycan amine-lactic acid complex can be used 910 absorbability mesh sheet, internal layer is hemostasis medicine layer.

Further, the hemostatic nitride layer 12 is set to gelfoam or fibrin ferment or fibrin viscose or the spacing glue of microfilament Former styptic or oxycellulose or oxidized regenerated cellulose or or macromolecule bonding glue, wherein A, gelfoam are from Animal Skin In skin extract and purified gelatin be made, by adsorb the surface of a wound blood formation blood coagulation rack, sealing blood vessels breach or The surface of a wound, gelfoam about needs absorbed for 4~6 weeks；B, fibrin ferment make fibrinogen convert fibroblast cells and facilitate blood coagulation Journey.Thrombin preparation derives from the protein of ox blood, and liquid is made.Complementation can be played by being shared with gelfoam, and effect is more preferable； C, fibrin viscose mainly contain the compositions such as fibrinogen, fibrin ferment, Aprotinin, calcium chloride, after various composition mixing very A kind of glutinous thick liquid is formed soon, and gluing in the surface of a wound, tissue defect or fistula mouthful securely, about 10min reaches maximum intensity.It is applied to Visual area oozing of blood and the local hemostasis of veins bleeding, such as liver, spleen, pancreas, the lacerated wound of kidney parenchymatous organ and section hemostasis；It is D, micro- The agent of silk fiber collagen hemostasis purifies a kind of water insoluble cellulose prepared by ox dermal collagen.Bleeding surface is directly applied When, it can induce blood platelet and stick and assemble on microfilament fiber, promote platelet thrombosis and play anastalsis；E、 Oxycellulose is absorbable hemostasia agent, is to turn into cellulosic acid by cellulose is oxidation-treated, gauze-like or cotton is made Shape, is cut into appropriately sized when using, soaked without physiological saline and directly spread on the bleeding surface of a wound, it is by cell or cellulose Effect, activated factor VIII, accelerate Coagulation test, while cellulose can promote platelet adhesion reaction and reinforcing fiber albumen net, have Beneficial to anastalsis；F, oxidized regenerated cellulose have killing action to Grain-positive and negative bacteria, aerobic bacteria and anaerobic bacteria, Absorbed within 1 week or so after being typically implanted；G, macromolecule bonding glue belong to nonabsorbable binder, are one group of α cyanoacrylate Class material, conventional such as ZT glue, PW glue, OB glue.It is many that the soft and polymerization of high resilience can be solidify to form within the several seconds Body bonding group, Nakayama etc. uses the mixture containing compositions such as gelatin, poly- ethohexadiol diacrylate, ascorbic acid, It is i.e. polymerizable through 1/tens seconds under visible light action, it is successfully applied to laparoscopic surgery treatment hepatic injury.

The utility model is not limited to the embodiment, and anyone should learn what is made under enlightenment of the present utility model Structure change, it is every that there is same or like technical scheme with the utility model, each fall within protection domain of the present utility model Within.

Technology that the utility model is not described in detail, shape, construction part are known technology.

Claims (5)

1. a kind of liver and gall surgical department's haemostat, it is characterised in that：Including tourniquet, base, net, the one side of the base is set Limited location hook, one end of base is provided with tourniquet and fixing band, and the tourniquet is uniformly provided with multiple on one section away from base First through hole, the medial surface of the tourniquet is provided with hemostatic nitride layer, and the fixing band is located at the remote haemostatic medicament of tourniquet Multiple second through holes are uniformly provided with one section in the side of layer, the fixing band away from base, the first through hole, second are led to Hole is engaged with positive stop hook is detachably connected respectively, and the net is provided with opening, and the edge of opening is provided with breach, the opening of net Edge is placed between tourniquet and fixing band, and positive stop hook is passed through at breach.

2. a kind of liver and gall surgical department's haemostat according to claim 1, it is characterised in that：Cavity knot is set in the base Structure, the one side of base, which is provided with guide groove, cavity structure, is provided with support block, and the positive stop hook is located at support block close to guide groove Side, positive stop hook exposes outside base at guide groove, and spring is provided between support block and one end of base.

3. a kind of liver and gall surgical department's haemostat according to claim 1, it is characterised in that：Fin is provided with the base, Support block is provided with the groove being engaged with fin.

4. a kind of liver and gall surgical department's haemostat according to claim 1, it is characterised in that：The net is set to double-deck knot Structure, outer layer is set to absorbable mesh sheet, and internal layer is hemostasis medicine layer.

5. a kind of liver and gall surgical department's haemostat according to claim 1 or 4, it is characterised in that：The hemostatic nitride layer is set It is that gelfoam or fibrin ferment or the spacing collagen hemostasis agent of fibrin viscose or microfilament or oxycellulose or oxidation regeneration are fine Dimension element or macromolecule bonding glue.