CN208145049U - The self-locking jacket band of laparoscope uterine neck isthmus - Google Patents
The self-locking jacket band of laparoscope uterine neck isthmus Download PDFInfo
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- 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
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- Prior art keywords
- saw tooth
- self
- tooth belt
- locking
- uterine neck
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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
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.
Priority Applications (1)
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CN201720774818.8U CN208145049U (en) | 2017-06-29 | 2017-06-29 | The self-locking jacket band of laparoscope uterine neck isthmus |
Applications Claiming Priority (1)
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CN201720774818.8U CN208145049U (en) | 2017-06-29 | 2017-06-29 | The self-locking jacket band of laparoscope uterine neck isthmus |
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Publication Number | Publication Date |
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CN208145049U true CN208145049U (en) | 2018-11-27 |
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ID=64413014
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CN201720774818.8U Expired - Fee Related CN208145049U (en) | 2017-06-29 | 2017-06-29 | The self-locking jacket band of laparoscope uterine neck isthmus |
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Country | Link |
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CN (1) | CN208145049U (en) |
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2017
- 2017-06-29 CN CN201720774818.8U patent/CN208145049U/en not_active Expired - Fee Related
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Granted publication date: 20181127 |