CN207734183U - A kind of endoscope-assistant surgery ligation positioning guide - Google Patents
A kind of endoscope-assistant surgery ligation positioning guide Download PDFInfo
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- 238000001356 surgical procedure Methods 0.000 title 1
- 210000004204 blood vessel Anatomy 0.000 claims abstract description 30
- 238000002674 endoscopic surgery Methods 0.000 claims abstract description 8
- 125000006850 spacer group Chemical group 0.000 claims description 4
- 238000002357 laparoscopic surgery Methods 0.000 abstract description 10
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Abstract
本实用新型公开了一种腔镜手术用结扎定位引导器,包括引导头本体,引导头本体一端且位于中间位置设有用于引导结扎线的第一圆弧槽,第一圆弧槽的四周均为圆弧面,引导头本体另一端设有安装座,安装座上设有连接杆,连接杆远离安装座的一端设有把手,把手与连接杆之间采用圆弧段连接;引导头本体下端面开设有放置于血管表面的第二圆弧槽;本实用新型不仅结构简单,操作方便,能够帮助医生在腔镜手术中顺利并且快速的完成任务,提高工作效率,降低手术风险。
The utility model discloses a ligation positioning guide for endoscopic surgery, which comprises a guiding head body, one end of the guiding head body and a middle position are provided with a first circular arc groove for guiding the ligation thread, and the surroundings of the first circular arc groove are uniform. It is a circular arc surface, the other end of the guide head body is provided with a mounting seat, the mounting seat is provided with a connecting rod, and the end of the connecting rod far away from the mounting seat is provided with a handle, and the handle and the connecting rod are connected by an arc segment; the lower part of the guide head body The end surface is provided with a second arc groove placed on the surface of the blood vessel; the utility model not only has a simple structure, but also is easy to operate, and can help doctors complete tasks smoothly and quickly in laparoscopic surgery, improve work efficiency, and reduce surgical risks.
Description
技术领域technical field
本实用新型涉及腔镜手术,具体的说是一种腔镜手术用结扎定位引导器。The utility model relates to laparoscopic surgery, in particular to a ligation positioning guide for laparoscopic surgery.
背景技术Background technique
目前腔镜手术中φ5mm以下的血管结扎时近段多采用双重结扎的方式,两次结扎线之间的距离往往要求大于1mm,然而由于游离血管较短,第二结扎线与第一结扎线的距离控制往往不够理想,而且第二结扎线会滑入第一结扎处的凹陷中,导致第二结扎为无效结扎。目前常用分离钳或其他抓持器械抓持结扎线控制两次结扎之间的距离,这种定位方式不够精确且相对不够安全。此外在做结过程中,推结器和结扎线之间的相对交叉力量有导致血管过度牵拉破裂的危险,如做结时有器械相对固定血管则使得做结更为安全;结扎完成后剪除结扎线时,需要提拉结扎线与剪刀形成一定角度以利于剪断,目前多采用分离钳等器械夹持结扎线,实际操作中往往不够轻巧方便,需要一种具有勾拉牵引结扎线至任意角度的轻便安全的器械,提高工作效率。At present, in laparoscopic surgery, double ligation is often used in the proximal segment of vessels below φ5mm, and the distance between the two ligation lines is often required to be greater than 1mm. However, due to the short free blood vessels, the distance between the second ligation line and the first ligation line Distance control is often not ideal, and the second ligature can slip into the depression where the first ligature was placed, rendering the second ligature ineffective. At present, separating forceps or other grasping instruments are commonly used to grasp the ligature to control the distance between two ligatures. This positioning method is not precise enough and relatively not safe enough. In addition, during the process of knotting, the relative cross force between the knot pusher and the ligature may cause the risk of excessive stretching and rupture of the blood vessel. If there is an instrument to fix the blood vessel when making the knot, it will make the knot safer; cut off after the ligation is completed When ligating the thread, it is necessary to pull the ligating thread to form a certain angle with the scissors to facilitate cutting. At present, instruments such as separating forceps are used to hold the ligating thread, which is often not light and convenient in actual operation. The lightweight and safe equipment improves work efficiency.
实用新型内容Utility model content
本实用新型所要解决的技术问题是,针对以上现有技术的缺点,提出一种腔镜手术用结扎定位引导器,不仅结构简单,操作方便,能够帮助医生在腔镜手术中顺利并且快速的完成任务,提高工作效率,降低手术风险。The technical problem to be solved by the utility model is to propose a ligation positioning guide for laparoscopic surgery in view of the above shortcomings of the prior art. tasks, improve work efficiency, and reduce surgical risks.
为了解决上述技术问题,本实用新型的技术方案是通过以下方式实现的:一种腔镜手术用结扎定位引导器,包括引导头本体,引导头本体一端且位于中间位置设有用于引导结扎线的第一圆弧槽,第一圆弧槽的四周均为圆弧面,引导头本体另一端设有安装座,安装座上设有连接杆,连接杆远离安装座的一端设有把手,把手与连接杆之间采用圆弧段连接;引导头本体下端面开设有放置于血管表面的第二圆弧槽。In order to solve the above-mentioned technical problems, the technical solution of the utility model is achieved in the following manner: a ligation positioning guide for laparoscopic surgery, including a guide head body, one end of the guide head body and a middle position is provided with a guide for guiding the ligature wire The first arc groove, the first arc groove is surrounded by an arc surface, the other end of the guide head body is provided with a mounting seat, the mounting seat is provided with a connecting rod, and the end of the connecting rod away from the mounting seat is provided with a handle, the handle is connected to the mounting seat. The connecting rods are connected by circular arc segments; the lower end surface of the guide head body is provided with a second circular arc groove placed on the surface of the blood vessel.
这样,腔镜手术过程中需要对血管进行结扎,通过定位引导器上的第一圆弧槽能够方便将结扎线收集中,不影响推结器施压推紧线结,并且通过移动引导头本体,从而移动结扎线在血管的位置,快速准确的将结扎线推至结扎点,大大提高了医生的工作效率,设置圆弧段能够方便医生操作,符合操作的习惯,同时引导头本体下端设有放置于血管表面的第二圆弧槽,第二圆弧槽的大小与血管匹配,增加了第二圆弧槽与血管的接触面积,降低了定位引导器对血管的损伤,并且定位引导器表面均采用圆角处理,大大避免了对血管或其他组织的损害,同时能够相对固定血管,防止过渡牵拉,提高该定位引导器的安全性和可靠性;并且在结扎后需要剪线时,通过第一圆弧槽将结扎线牵引至任意角度方便医生剪线,提高工作效率。In this way, blood vessels need to be ligated during laparoscopic surgery, and the ligature can be collected conveniently through the first arc groove on the positioning guide without affecting the pressure of the knot pusher to tighten the knot, and by moving the guide head body , so as to move the position of the ligation thread in the blood vessel, and quickly and accurately push the ligation thread to the ligation point, which greatly improves the doctor's work efficiency. The second arc groove placed on the surface of the blood vessel, the size of the second arc groove matches the blood vessel, increases the contact area between the second arc groove and the blood vessel, reduces the damage to the blood vessel caused by the positioning guide, and the surface of the positioning guide Both are processed with rounded corners, which greatly avoids damage to blood vessels or other tissues. At the same time, they can relatively fix the blood vessels, prevent excessive pulling, and improve the safety and reliability of the positioning guide; The first arc groove pulls the ligature to any angle, which is convenient for doctors to cut the line and improves work efficiency.
本实用新型进一步限定的技术方案是:The technical scheme that the utility model is further limited is:
前述的腔镜手术用结扎定位引导器,在引导头本体靠近安装座的一端设有第三圆弧槽,第三圆弧槽与第一圆弧槽之间的最小距离为1-5mm,设置第三圆弧槽能够方便确定结扎点,在需要做两个或多个结扎点时,由于结扎点的间距小,不好操作,但是利用第一圆弧槽和第三圆弧槽即可实现快速找到结扎点,并且第三圆弧槽与第一圆弧槽之间的具有一定的距离,避免两个或多个结扎点聚集在一起,提高了医生的工作效率,快速准确的进行结扎。The aforementioned ligation positioning guide for endoscopic surgery is provided with a third arc groove at the end of the guide head body close to the mounting seat, and the minimum distance between the third arc groove and the first arc groove is 1-5mm. The third arc groove can conveniently determine the ligature point. When two or more ligature points need to be made, it is not easy to operate due to the small distance between the ligature points, but it can be realized by using the first arc groove and the third arc groove. Quickly find the ligation point, and there is a certain distance between the third arc groove and the first arc groove, avoiding two or more ligation points from gathering together, improving the doctor's work efficiency, and performing ligation quickly and accurately.
前述的腔镜手术用结扎定位引导器,安装座上设有螺纹孔,连接杆一端设有与螺纹孔配合的螺纹杆,螺纹杆上套设有至少一个用于调节连接杆与安装座角度的间隔套,由于连接杆和安装座尺寸较小,利用间隔套改变把手与连接之间的角度,操作方便,成本低,提高了使用的灵活性,适应不同状况的手术。In the aforementioned ligation positioning guide for endoscopic surgery, the mounting base is provided with a threaded hole, one end of the connecting rod is provided with a threaded rod matching the threaded hole, and the threaded rod is sleeved with at least one angle for adjusting the angle between the connecting rod and the mounting seat. The spacer sleeve, because the size of the connecting rod and the mounting seat is small, the angle between the handle and the connection is changed by using the spacer sleeve, the operation is convenient, the cost is low, the flexibility of use is improved, and the operation is suitable for different conditions.
前述的腔镜手术用结扎定位引导器,第二圆弧槽的直径为φ5-φ7mm,第二圆弧槽的弧长为1/3的周长。In the aforementioned ligation positioning guide for laparoscopic surgery, the diameter of the second arc groove is φ5-φ7mm, and the arc length of the second arc groove is 1/3 of the circumference.
本实用新型的有益效果是:腔镜手术过程中需要对血管进行结扎,通过定位引导器上的第一圆弧槽能够方便将结扎线收集中,不影响推结器施压推紧线结,并且通过移动引导头本体,从而移动结扎线在血管的位置,快速准确的将结扎线推至结扎点,大大提高了医生的工作效率,设置圆弧段能够方便医生操作,符合操作的习惯,同时引导头本体下端设有放置于血管表面的第二圆弧槽,第二圆弧槽的大小与血管匹配,增加了第二圆弧槽与血管的接触面积,降低了定位引导器对血管的损伤,并且定位引导器表面均采用圆角处理,大大避免了对血管或其他组织的损害,同时能够相对固定血管,防止过渡牵拉,提高该定位引导器的安全性和可靠性;并且在结扎后需要剪线时,通过第一圆弧槽或第三圆弧槽将结扎线牵引至任意角度方便医生剪线,提高工作效率;设置第三圆弧槽能够方便确定结扎点,在需要做两个或多个结扎点时,由于结扎点的间距小,不好操作,但是利用第一圆弧槽和第三圆弧槽即可实现快速找到结扎点,并且第三圆弧槽与第一圆弧槽之间的具有一定的距离,避免两个或多个结扎点聚集在一起,提高了医生的工作效率,快速准确的进行结扎。The beneficial effects of the utility model are: in the process of endoscopic surgery, the blood vessels need to be ligated, and the first arc groove on the positioning guide can conveniently collect the ligation thread, without affecting the pressure of the knot pusher to tighten the knot. And by moving the guide head body, the position of the ligature line in the blood vessel is moved, and the ligature line is quickly and accurately pushed to the ligation point, which greatly improves the doctor's work efficiency. The lower end of the guide head body is provided with a second arc groove placed on the surface of the blood vessel. The size of the second arc groove matches the blood vessel, which increases the contact area between the second arc groove and the blood vessel and reduces the damage of the positioning guide to the blood vessel. , and the surface of the positioning guide is rounded, which greatly avoids damage to blood vessels or other tissues. When the thread needs to be trimmed, the ligature thread can be pulled to any angle through the first arc groove or the third arc groove, which is convenient for doctors to trim the thread and improve work efficiency; setting the third arc groove can conveniently determine the ligation point. or multiple ligature points, due to the small distance between the ligature points, it is not easy to operate, but the first arc groove and the third arc groove can be used to quickly find the ligature point, and the third arc groove and the first arc groove There is a certain distance between the grooves, which prevents two or more ligation points from gathering together, improves the doctor's work efficiency, and performs ligation quickly and accurately.
附图说明Description of drawings
图1为本实用新型的主视图;Fig. 1 is the front view of the utility model;
图2为本实用新型的俯视图;Fig. 2 is the top view of the utility model;
图3为图2中A-A的剖视图;Fig. 3 is the sectional view of A-A in Fig. 2;
图4为图3中B的局部放大示意图Figure 4 is a partially enlarged schematic diagram of B in Figure 3
图5为本实用新型的结构示意图;Fig. 5 is the structural representation of the utility model;
其中:1-第一圆弧槽,2-第二圆弧槽,3-安装座,4-连接杆,5-把手,6-第三圆弧槽,7-螺纹孔,8-螺纹杆,9-间隔套,10-圆弧段。Among them: 1-the first arc groove, 2-the second arc groove, 3-mounting seat, 4-connecting rod, 5-handle, 6-the third arc groove, 7-threaded hole, 8-threaded rod, 9-spacer sleeve, 10-arc segment.
具体实施方式Detailed ways
下面对本实用新型做进一步的详细说明:The utility model is described in further detail below:
实施例1Example 1
本实施例提供的一种腔镜手术用结扎定位引导器,包括引导头本体,引导头本体一端且位于中间位置设有用于引导结扎线的第一圆弧槽1,第一圆弧槽1的四周均为圆弧面,引导头本体另一端设有安装座3,安装座3上设有连接杆4,连接杆4远离安装座3的一端设有把手5,把手5与连接杆4之间采用圆弧段10连接;引导头本体下端面开设有放置于血管表面的第二圆弧槽2,第二圆弧槽2的直径为φ5mm,第二圆弧槽2的弧长为1/3的周长;A ligation positioning guide for laparoscopic surgery provided in this embodiment includes a guide head body, one end of the guide head body and a middle position is provided with a first circular arc groove 1 for guiding the ligation thread, the first circular arc groove 1 Surrounded by circular arc surfaces, the other end of the guide head body is provided with a mounting base 3, and a connecting rod 4 is provided on the mounting base 3, and a handle 5 is provided at the end of the connecting rod 4 away from the mounting base 3, between the handle 5 and the connecting rod 4 Connected by circular arc segment 10; the lower end surface of the guide head body is provided with a second circular arc groove 2 placed on the surface of the blood vessel, the diameter of the second circular arc groove 2 is φ5mm, and the arc length of the second circular arc groove 2 is 1/3 perimeter;
在引导头本体靠近安装座3的一端设有第三圆弧槽6,第三圆弧槽6与第一圆弧槽1之间的最小距离为3mm,设置第三圆弧槽能够方便确定结扎点,在需要做两个或多个结扎点时,由于结扎点的间距小,操作困难,但是利用第一圆弧槽和第三圆弧槽即可实现快速找到结扎点,并且第三圆弧槽与第一圆弧槽之间的具有一定的距离,避免两个或多个结扎点聚集在一起,提高了医生的工作效率,快速准确的进行结扎;A third arc groove 6 is provided at the end of the guide body close to the mounting seat 3, and the minimum distance between the third arc groove 6 and the first arc groove 1 is 3mm. Setting the third arc groove can facilitate the ligation When two or more ligature points need to be made, the operation is difficult due to the small distance between the ligature points, but the first arc groove and the third arc groove can be used to quickly find the ligature point, and the third arc groove There is a certain distance between the groove and the first arc groove, which prevents two or more ligation points from gathering together, improves the doctor's work efficiency, and performs ligation quickly and accurately;
安装座3上设有螺纹孔7,连接杆4一端设有与螺纹孔7配合的螺纹杆8,螺纹杆8上套设有两个用于调节连接杆4与安装座3角度的间隔套9,这样能根据医生的操作习惯进行调节把手,增加操作的灵活性。The mounting seat 3 is provided with a threaded hole 7, and one end of the connecting rod 4 is provided with a threaded rod 8 cooperating with the threaded hole 7, and the threaded rod 8 is provided with two spacers 9 for adjusting the angle between the connecting rod 4 and the mounting seat 3. , so that the handle can be adjusted according to the doctor's operating habits, increasing the flexibility of operation.
这样通过本实施例的技术方案,腔镜手术过程中需要对血管进行结扎,通过定位引导器上的第一圆弧槽能够方便将结扎线收集中,不影响推结器施压推紧线结,并且通过移动引导头本体,从而移动结扎线在血管的位置,快速准确的将结扎线推至结扎点,大大提高了医生的工作效率,设置圆弧段能够方便医生操作,符合操作的习惯,同时引导头本体下端设有放置于血管表面的第二圆弧槽,第二圆弧槽的大小与血管匹配,增加了第二圆弧槽与血管的接触面积,降低了定位引导器对血管的损伤,并且定位引导器表面均采用圆角处理,大大避免了对血管或其他组织的损害,同时能够相对固定血管,防止过渡牵拉,提高该定位引导器的安全性和可靠性;并且在结扎后需要剪线时,通过第一圆弧槽或第三圆弧槽将结扎线牵引至任意角度方便医生剪线,提高工作效率。In this way, through the technical solution of this embodiment, the blood vessels need to be ligated during laparoscopic surgery, and the first arc groove on the positioning guide can facilitate the collection of the ligation thread, without affecting the pressure of the knot pusher to tighten the knot , and by moving the guide head body, thereby moving the position of the ligation thread in the blood vessel, and quickly and accurately pushing the ligation thread to the ligation point, which greatly improves the doctor's work efficiency. At the same time, the lower end of the guide head body is provided with a second arc groove placed on the surface of the blood vessel. The size of the second arc groove matches the blood vessel, which increases the contact area between the second arc groove and the blood vessel and reduces the impact of the positioning guide on the blood vessel. damage, and the surface of the positioning guide is treated with rounded corners, which greatly avoids damage to blood vessels or other tissues. At the same time, it can relatively fix the blood vessels, prevent excessive pulling, and improve the safety and reliability of the positioning guide; Finally, when the thread needs to be trimmed, the ligature can be pulled to any angle through the first arc groove or the third arc groove to facilitate the doctor to trim the thread and improve work efficiency.
以上实施例仅为说明本实用新型的技术思想,不能以此限定本实用新型的保护范围,凡是按照本实用新型提出的技术思想,在技术方案基础上所做的任何改动,均落入本实用新型保护范围之内。The above embodiments are only to illustrate the technical ideas of the utility model, and cannot limit the protection scope of the utility model with this. Any changes made on the basis of the technical solutions according to the technical ideas proposed by the utility model all fall into the scope of the utility model. within the scope of the new protection.
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109730797A (en) * | 2019-02-20 | 2019-05-10 | 上海市同济医院 | Rat varicocele model construction tool and method of use |
| CN113303861A (en) * | 2021-05-28 | 2021-08-27 | 中国计量大学 | Blood vessel ligation device |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109730797A (en) * | 2019-02-20 | 2019-05-10 | 上海市同济医院 | Rat varicocele model construction tool and method of use |
| CN113303861A (en) * | 2021-05-28 | 2021-08-27 | 中国计量大学 | Blood vessel ligation device |
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Effective date of registration: 20190419 Address after: 210029 No. 300, Guangzhou Road, Nanjing, Jiangsu Patentee after: JIANGSU PROVINCE HOSPITAL(The First Affiliated Hospital of Nanjing Medical University) Address before: 210029 Department of Thoracic Surgery, Jiangsu People's Hospital, No. 300 Guangzhou Road, Nanjing City, Jiangsu Province Patentee before: Wang Jun |
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