CN208145049U - The self-locking jacket band of laparoscope uterine neck isthmus - Google Patents

The self-locking jacket band of laparoscope uterine neck isthmus Download PDF

Info

Publication number
CN208145049U
CN208145049U CN201720774818.8U CN201720774818U CN208145049U CN 208145049 U CN208145049 U CN 208145049U CN 201720774818 U CN201720774818 U CN 201720774818U CN 208145049 U CN208145049 U CN 208145049U
Authority
CN
China
Prior art keywords
saw tooth
self
tooth belt
locking
uterine neck
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Fee Related
Application number
CN201720774818.8U
Other languages
Chinese (zh)
Inventor
姚志韬
马姚静
蒋学禄
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
First Affiliated Hospital of ZCMU
Original Assignee
First Affiliated Hospital of ZCMU
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by First Affiliated Hospital of ZCMU filed Critical First Affiliated Hospital of ZCMU
Priority to CN201720774818.8U priority Critical patent/CN208145049U/en
Application granted granted Critical
Publication of CN208145049U publication Critical patent/CN208145049U/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Landscapes

  • Surgical Instruments (AREA)

Abstract

The self-locking jacket band of laparoscope uterine neck isthmus encloses the band body of the complete lasso for pricking uterine neck isthmus including that the first can be connected, and is equipped with for adjustment collar size and locks the self-locking device of lasso with body;Self-locking device includes self-locking head and the adjustment portion that can move and position along self-locking head;Self-locking head is located at the head end with body, be equipped at intervals on self-locking head it is several ranked first saw tooth belt, the first saw tooth belt againsts with body surface setting and extends along the length direction with body;Tail end with body is connect by guide line with puncture needle, adjustment portion is close to the tail end with body, adjustment portion includes can be with the second saw tooth belt for often ranked first saw tooth belt and fastening one by one, second saw tooth belt is parallel with the first saw tooth belt, and the second saw tooth belt and the first saw tooth belt are located at on opposite two surfaces of body;The channel that tail end on self-locking head with ribbon supply body passes through, and the gap between adjacent two first saw tooth belt constitutes the channel passed through for puncture needle and guide line.

Description

The self-locking jacket band of laparoscope uterine neck isthmus
Technical field
The utility model relates to a kind of self-locking jacket bands of laparoscope uterine neck isthmus.
Background technique
With the raising of laparoscopic device improved with technology, laparoscopic surgery has become the conventional therapy means of gynaecology, Obtain the approval of doctor and patient.For how improving operation skill, improving operation method, it is currently still medical worker the most The problem of concern.
There are many art formulas to be related to the ligation of cervical canal annular in gynecological laparoscopic operation, according to therapeutic purposes difference, uterine neck ring The requirement of bundle generally comprises:1, for blocking corpus blood flow;2, it tightens lower uterine segment and reduces the load of lower uterine segment to tie up Hold pregnant state.To improve related art formula operability, adverse reaction caused by original technology is reduced, is needed to relevant operation Instrument is innovated.
Cerclage of cervix is the treatment most important method of incompetence,cervical, and incompetence,cervical refers in second trimester or Silent Neuritis cervical dilatation occurs for pregnant advanced stage, and premature rupture of fetal membranes or slight uterine contraction cause delivery of baby and lead to terminal pregnancy, is Lead to the one of the major reasons of advanced stage habitual abortion and premature labor.Traditional operation method is Via vagina cerclage uterine neck, more at present It using MacDonald art formula, is tied in cervicovaginal intersection, is not required to incised tissue, dermal sutures out before giving a birth.But Via vagina ring The premise for pricking art is that cervical anatomy is complete, for merging cervical anatomy exception and repeatedly patient's the method for Via vagina cerclage failure Then unworkable, incompetence,cervical merges anatomic abnormalities and (organizes missing or serious scar, uterus after uterine neck is too short, cone is cut Vagina leakage etc.) and the operation on vagina that cannot pass through such as Cervicitis.
With the continuous development of laparoscopic technique, multicenter document is proved, uterus internal buckle ring pricks art success rate under laparoscope It has been undisputable fact higher than Via vagina cerclage, uterine neck set, which is pricked to be increasingly becoming, under pregnant preceding or pregnant early metaphase progress laparoscope controls Treat the infull preferred plan of uterine neck technical ability.It gives this kind of patient and is likely to decrease abortion ratio again through laparoscope Cervical cerclage, keep away Exempt from recurrent abortion and gives patient's bring physical and mental injury.
Cervical cerclage is still mostly tied with silk thread or biological net band at present, and pine is then easy to slip excessively during tying, tension Uterine neck set prick it is also larger to the corrosion function of uterine neck muscle layer, postpartum can lead to cervical canal adhesion or narrow risk, therefore in art There are great application values for the middle Cervical cerclage band using controllability.
Subtotal hysterectomy (subtotal hysterectomy) is for gynecological disease such as fibroid, uterus muscle The critical treatment means of adenopathy etc., the art formula remain the integrality of uterine neck and vagina, do not destroy Pelvic floor group's function, do not shorten The length of vagina influences sexual life small, it is easier to be received by many patients and medical worker.Uterine neck isthmus water under laparoscope Flat blocking uterus arteriovenous is the committed step that Laparoscopic is cut off entirely.Its object is to:1, uterus blood supply is effectively blocked, Reduce intraoperative hemorrhage;2, Cervical stump is handled, prevention Stump Hemorrhage, infraction and infection;3, prevent bladder, injury of ureter.? In separating and processing uterine vascular when being not thorough and cut as solidified, often results in obvious bleeding and shadow when handle uterine vascular Operation is rung, once bleeding occurs, laparoscope lower hemostasia is loaded down with trivial details by difficulty, so that the internal organs such as conversion into open surgery or tubal bladder are simultaneously Send out the generation of disease.Therefore the optimization processing of palace side blood vessel is to guarantee that visual area is clear, ensures that laparoscopic procedures smoothness carries out, The premise for avoiding uterine neck and vesicoureteral from damaging.
Prompted according to multicenter investigation, isthmus uteri set prick be still at present apply in supracervical hysterectomy compared with The method of safe and simple processing uterine artery, technology are easily grasped, and adaptability is wide.It the advantage is that:1, operation only needs to solve Uterus arteriovenous is cutd open to uterine neck isthmus, it is not necessary to which completely free uterus arteriovenous bifurcated opens ureter tunnel, avoids pair Influence of the thin vessels bleeding due to trauma to surgical field of view by palace;2, operation isolating bladder uterine neck gap, does not push away bladder down, pierces to bladder Swash it is small, decrease damage bladder chance;3, cardinal ligament of uterus, sacrum ligament are not cut off in operation, do not handle tissue by palace, favorably In keeping vesicorectal normal function, ureter, trauma of bladder probability are reduced;4, operation solidifies after avoiding coagulation uterine vascular Be not enough so that when intravascular pressure is high, by the punching of coagulation eschar it is de- and since necrotic tissue and eschar take off after bleeding or coagulation It falls and causes advanced stage intraperitoneal hemorrhage.
Uterine artery set hypodesmus is mostly pricked stick auxiliary silk thread set rolling circle with set and is carried out at present.Due to uterine cervix angioplerosis, Usually need to be set bundle 1 time respectively before and after cervix detachment, while needing knot under hysteroscope to fix after covering bundle.There is master in the step It is a risk that when detachment uterine neck to cover after ligation loosening is likely to occur the blood loss of uterine vascular part and collapse, former set rolling circle is dynamic to uterus The blocking effect of arteries and veins weakens, and uterus arteriovenous intraoperative hemorrhage is caused to influence the visual field and operation, secondly when detachment uterine neck, occasionally has not Careful to be cut off uterine neck set binding circle, the slippage of uterine neck set rolling circle causes intraoperative hemorrhage.
For uterus arteriovenous processing links during the full excision of Laparoscopic time, need to make uterine neck two sides continuous vessel Blocking, which reaches, organizes ischemic state above uterine neck, avoids bleeding and corresponding complication when detachment uterine neck.Therefore urgent clinical needs one Kind blocks blood supply above uterine neck, avoids the medical treatment of Cervical stump bleeding to greatest extent for effect locking sustainable under laparoscope Instrument.
Summary of the invention
The purpose of this utility model is to provide one kind can be used under laparoscope under subtotal hysterectomy operation or laparoscope The self-locking jacket band of laparoscope uterine neck isthmus, with by easy operation, reach uterus time cut in art persistently to cervical department blood supply into Row, which blocks, reduces intraoperative hemorrhage, tightens advanced stage caused by uterine neck isthmus prevention and treatment relaxation of cervix in laparoscope uterine neck isthmus cerclage Complications of pregnancy, while the influence to uterine vascular is reduced to the greatest extent, simultaneously to avoid pregnant and postpartum related ischemic Send out disease.
The technical solution adopted in the utility model is:
The self-locking jacket band of laparoscope uterine neck isthmus encloses the complete lasso for pricking uterine neck isthmus including that can join end to end Band body, and the self-locking device for being equipped with for adjustment collar size and locking lasso with body;
The self-locking device includes self-locking head and the adjustment portion that can move and position along self-locking head;
The self-locking head is located at the head end with body, be equipped at intervals on self-locking head it is several ranked first saw tooth belt, and several arrange The setting of one saw tooth belt side by side parallel, first saw tooth belt against with body surface setting and extend along the length direction with body;
The tail end with body is connect by guide line with puncture needle, and the adjustment portion is close to the tail end with body, the tune Section portion includes can be with the second saw tooth belt for often ranked first saw tooth belt and fastening one by one, and second saw tooth belt is along the length direction with body Extend, the second saw tooth belt is parallel with the first saw tooth belt, and the second saw tooth belt and the first saw tooth belt are positioned at opposite two of body On surface;
The channel that tail end on the self-locking head with ribbon supply body passes through, and the gap structure between adjacent two first saw tooth belt At the channel passed through for puncture needle and guide line.
Further, the shell of the self-locking head is located at outside the first saw tooth belt, and shell is passed through along the both ends in tape body length direction It is logical, and the space that the tail end in shell with ribbon supply body passes through, it is passed through with the tail end of allowed band body.
Further, the nose cone that the tail end with body has convenient for being pierced into, the nose cone pass through pyramid-shaped breeze way It is connected with band body, the tip of the nose cone is connected with guide line;The one side that definition set fits when pricking with uterine neck isthmus is interior Surface, the one side opposite with inner surface are outer surface, and the outer surface with body is smooth surface, to reduce the stimulation to adjacent tissue;And First saw tooth belt is located on the outer surface with body, and the second saw tooth belt is located on the inner surface with body.
Further, self-locking head, which is equipped with two, ranked first saw tooth belt, and accordingly, the adjustment portion has two to ranked second saw tooth belt.
Further, the length of the second saw tooth belt is greater than the first saw tooth belt, with the size of adjustment collar.
Further, the outer surface camber of the shell.
The utility model has the beneficial effects that:
(1) for the laparoscope cerclage of cervix of cervical canal relaxation, current Cervical cerclage is compared still mostly with silk thread or biology Mesh belt ties, and the utility model is not easy to slip during set pricks uterine neck isthmus, and can pass through the elasticity of adjusting encircling band Reduce it is unnecessary operate repeatedly, and because uterine neck cover prick tension cause the erosion ischemic of uterine neck muscle layer to influence.
(2) it is directed to supracervical hysterectomy, currently used set is compared and pricks stick auxiliary silk thread set rolling circle method, this It is primary that utility model only needs set to prick, and can solve silk by persistently tightening uterine neck isthmus stump in operative process Set ligation, which loosens, or set rolling circle accidentally cuts bleeding caused by slippage after line set rolling circle set is pricked, when detachment uterine neck influences the visual field and operation.
(3) the utility model structure is simple, easy to operate, larger in gynemetrics's application range, before popularization with higher Scape.
Detailed description of the invention
Fig. 1 is axonometric drawing when enclosing lasso with body.
Structural schematic diagram when Fig. 2 is the utility model expansion.
Fig. 3 is front view when enclosing lasso with body.
Specific embodiment
The utility model is described further combined with specific embodiments below, but the protection scope of the utility model is simultaneously It is not limited only to this:
The self-locking jacket band of laparoscope uterine neck isthmus encloses the complete lasso for pricking uterine neck isthmus including that can join end to end Band body 1, and the self-locking device for being equipped with for adjustment collar size and locking lasso with body 1.
The self-locking device includes self-locking head 2 and the adjustment portion 7 that can move and position along self-locking head 2.
The self-locking head 2 is located at the head end with body 1, and being equipped at intervals on self-locking head 2 several ranked first saw tooth belt, and several rows The setting of first saw tooth belt side by side parallel, the first saw tooth belt against with the setting of 1 surface of body and extend along the length direction with body 1.
The tail end with body 1 is connect by guide line 5 with puncture needle 6, and the adjustment portion is adjusted close to the tail end with body 1 Section portion 7 includes can be with the second saw tooth belt 71 for often ranked first saw tooth belt and fastening one by one, and second saw tooth belt 71 is along the length with body 1 It spends direction to extend, the second saw tooth belt 71 is parallel with the first saw tooth belt, and the second saw tooth belt 71 and the first saw tooth belt are located at band body 1 On two opposite surfaces.
The channel that tail end on the self-locking head 2 with ribbon supply body 1 passes through, and adjacent two are constituted from the gap between lock strap The channel passed through for puncture needle 6 and guide line 5.
The shell of the self-locking head 2 is located at outside the first saw tooth belt, and shell is penetrated through along the both ends in tape body length direction, and outer The space that tail end in shell with ribbon supply body 1 passes through, is passed through with the tail end of allowed band body 1.
The nose cone 4 that the tail end with body 1 has convenient for being pierced into, the nose cone 4 pass through pyramid-shaped breeze way 3 and band Body 1 is connected, and pyramid-shaped breeze way 3 and nose cone 4 constitute the tail end with body 1, and the tip of the nose cone 4 and 5 phase of guide line Even;The cross section with body 1 is in rectangle, and the one side to fit when definition set is pricked with uterine neck isthmus is inner surface, with inner surface Opposite one side is outer surface;Outer surface with body is smooth surface, to reduce the stimulation to adjacent tissue;And first saw tooth belt be located at On outer surface with body, the second saw tooth belt 71 is located on the inner surface with body.
Self-locking head 1, which is equipped with two, ranked first saw tooth belt, and accordingly, the adjustment portion 7 has two to ranked second saw tooth belt 71.
The length of second saw tooth belt 71 is greater than the first saw tooth belt, with the size of adjustment collar.
The outer surface camber of 2 shell of self-locking head, to reduce injury.
The utility model is stripped when being unfolded, and can be placed in abdominal cavity of patients by laparoscope Troca, tail portion may pass through band It detains gap and forms lasso.Outer surface with body 1 is smooth surface, can also reduce the stimulation to adjacent tissue.
The overall length of nose cone 4 and breeze way 3 is 15mm, and the tail portion of nose cone 4 and the puncture needle 6 of arc pass through guide line 5 Connection, nose cone 4 and breeze way 3 avoid capillary by slowly expanding tissue space when vascular space by uterine neck in puncture needle 6 Angiorrhoxis bleeding.
Cross section with body 1 is rectangle:Long 120mm, wide 3mm, thickness 1mm.Second saw tooth belt 71 is apart from 4 tip of nose cone 6cm, two, which ranked second saw tooth belt 71, is spaced 1mm, and the length with body 1 is able to satisfy the gestational period or subtotal hysterectomy uterine neck perimeter.
2 shape main-vision surface of self-locking head is oval spherical in 1/4, and the sawtooth of the first saw tooth belt and the second saw tooth belt has very little Taper, engagement phase mutually can be self-locking;Squeeze 2 two sides of self-locking head, the engagement part point of the first saw tooth belt and the second saw tooth belt 71 From the size for the adjustment collar that can retract, to adjust the tightness of binding.
In use, first puncturing puncture needle 6 or around uterine neck two sides, and puncture needle 6 is tried the phase in by self-locking head 2 The channels that neighbour two is constituted from the gap between lock strap, to be entered in self-locking head 2 by 5 traction belt body 1 of guide line, finally, by the One saw tooth belt and the second saw tooth belt are self-locking in the engagement of the position of the suitable size of lasso, tightly to reach with the drawing of guide line 4 pumping The effect that operation needs.
If drawing excessively, squeeze 2 two sides of self-locking head, site of engagement separation, drawing self-locking head 2 can retract adjusting set prick it is elastic Degree is readjusted.
Content described in this specification embodiment is only an enumeration of the implementation forms of the utility model concept, this is practical new The protection scope of type should not be construed as being limited to the specific forms stated in the embodiments, the protection scope of the utility model And in those skilled in the art according to the utility model design it is conceivable that equivalent technologies mean.

Claims (6)

1. the self-locking jacket band of laparoscope uterine neck isthmus, it is characterised in that:Including that can join end to end to enclose complete Zha Gongjingxia The band body of the lasso in portion, and the self-locking device for being equipped with for adjustment collar size and locking lasso with body;
The self-locking device includes self-locking head and the adjustment portion that can move and position along self-locking head;
The self-locking head is located at the head end with body, be equipped at intervals on self-locking head it is several ranked first saw tooth belt, and several ranked first saw Tooth band side by side parallel is arranged, and first saw tooth belt againsts with body surface setting and extends along the length direction with body;
The tail end with body is connect by guide line with puncture needle, and the adjustment portion is close to the tail end with body, the adjustment portion Including that can prolong with the second saw tooth belt for often ranked first saw tooth belt and fastening one by one, second saw tooth belt along the length direction with body It stretches, the second saw tooth belt is parallel with the first saw tooth belt, and the second saw tooth belt and the first saw tooth belt are located at opposite two tables of body On face;
The channel that tail end on the self-locking head with ribbon supply body passes through, and the gap between adjacent two first saw tooth belt constitutes and supplies The channel that puncture needle and guide line pass through.
2. the self-locking jacket band of laparoscope uterine neck isthmus as described in claim 1, it is characterised in that:The shell of the self-locking head It is located at outside the first saw tooth belt, shell is penetrated through along the both ends in tape body length direction, and the tail end in shell with ribbon supply body passes through Space, passed through with the tail end of allowed band body.
3. the self-locking jacket band of laparoscope uterine neck isthmus as described in claim 1, it is characterised in that:The tail end tool with body Have the nose cone convenient for being pierced into, the nose cone is connected by pyramid-shaped breeze way with body, the tip of the nose cone with draw Conducting wire is connected;The one side to fit when definition set is pricked with uterine neck isthmus is inner surface, and the one side opposite with inner surface is outer surface, Outer surface with body is smooth surface, to reduce the stimulation to adjacent tissue;And first saw tooth belt be located on the outer surface with body, second Saw tooth belt is located on the inner surface with body.
4. the self-locking jacket band of laparoscope uterine neck isthmus as claimed in claim 3, it is characterised in that:Self-locking head is equipped with two rows of the One saw tooth belt, accordingly, the adjustment portion have two to ranked second saw tooth belt.
5. the self-locking jacket band of laparoscope uterine neck isthmus as claimed in claim 4, it is characterised in that:The length of second saw tooth belt Greater than the first saw tooth belt, with the size of adjustment collar.
6. the self-locking jacket band of laparoscope uterine neck isthmus as claimed in claim 2, it is characterised in that:The outer surface of the shell Camber.
CN201720774818.8U 2017-06-29 2017-06-29 The self-locking jacket band of laparoscope uterine neck isthmus Expired - Fee Related CN208145049U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201720774818.8U CN208145049U (en) 2017-06-29 2017-06-29 The self-locking jacket band of laparoscope uterine neck isthmus

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201720774818.8U CN208145049U (en) 2017-06-29 2017-06-29 The self-locking jacket band of laparoscope uterine neck isthmus

Publications (1)

Publication Number Publication Date
CN208145049U true CN208145049U (en) 2018-11-27

Family

ID=64413014

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201720774818.8U Expired - Fee Related CN208145049U (en) 2017-06-29 2017-06-29 The self-locking jacket band of laparoscope uterine neck isthmus

Country Status (1)

Country Link
CN (1) CN208145049U (en)

Similar Documents

Publication Publication Date Title
Lurie et al. The history of cesarean technique
Baskett Acute uterine inversion
CN201806769U (en) Cervical cerclage device
Wallenburg et al. Transabdominal cerclage for closure of the incompetent cervix
CN208145049U (en) The self-locking jacket band of laparoscope uterine neck isthmus
RU2565841C1 (en) Method of treating and preventing obstetrical haemorrhages
US10952735B1 (en) Adjustable uterine compression apparatus for postpartum hemorrhage
CN209422065U (en) A kind of Anti-falling Cervical cerclage device
Grant et al. Physiology of labor
RU2386407C1 (en) Method of arresting hypotonic uterine bleeding
RU2775345C1 (en) Method for stopping uterine bleeding and a device for its implementation
Shirodkar Long term results with the operative treatment of habitual abortion
KR102586182B1 (en) Surgical closure of incompetent cervix for strap
CN209863968U (en) Combined device for dragging testis out of abdominal cavity in laparoscopic cryptorchidism operation
RU2742469C1 (en) Method for treating a haemorrhage from the lower uterine segment and the internal orifice of the uterus during a caesarean section and a device for its application
CN212369035U (en) Noninvasive expansion flap delay trainer
CN216167667U (en) Tourniquet for uterine operation
CN210727815U (en) Cervical cerclage belt for hysteroscopy
RU2797734C1 (en) Method of prevention of postpartum hemorrhage during caesarean section in high-risk patients (placenta previa, failure of the uterine scar)
CN211796778U (en) Cervical cerclage lifting external member
CN214966433U (en) Hanging strip sewing needle for cervical cerclage under laparoscope after pregnancy
RU2806521C1 (en) Method of operative delivery of patients with presentation and placenta ingrowth
Padumadasa et al. Uterine Devascularization
Das et al. Caesarean 8 Section
Padumadasa et al. Emergency Obstetric Hysterectomy

Legal Events

Date Code Title Description
GR01 Patent grant
GR01 Patent grant
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20181127