CN208447723U - A kind of intestinal surgery fistula mouth fistula-building device - Google Patents

A kind of intestinal surgery fistula mouth fistula-building device Download PDF

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Publication number
CN208447723U
CN208447723U CN201721287892.3U CN201721287892U CN208447723U CN 208447723 U CN208447723 U CN 208447723U CN 201721287892 U CN201721287892 U CN 201721287892U CN 208447723 U CN208447723 U CN 208447723U
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CN
China
Prior art keywords
fistula
cutter
center
pole
steel needle
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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
CN201721287892.3U
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Chinese (zh)
Inventor
王碧波
杨明园
余挺
蔡娇
侯国军
董子慧
余家建
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Second Military Medical University SMMU
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Second Military Medical University SMMU
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Publication date
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Priority to CN201721287892.3U priority Critical patent/CN208447723U/en
Application granted granted Critical
Publication of CN208447723U publication Critical patent/CN208447723U/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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Abstract

The utility model provides a kind of intestinal surgery fistula mouth fistula-building device, including a hand-held part and a cutter, cutter includes upper end, lower end and a steel needle, the end of steel needle is fixed on the center of the lower end of cutter, the upper end of cutter offers the through-hole on the top for passing through steel needle, hand-held part includes with externally threaded center-pole, the periphery of center-pole is arranged with a pinion stand, pinion stand connects two handles by two gears, two handles are located at the left and right sides of center-pole, and two handles are linked with externally threaded engage with center-pole by gear;A hollow tube is fixed with below pinion stand, hollow bush is located at support rod periphery, the upper surface of support rod and the bottom of center-pole are fixed, downward opening channel is offered in support rod, channel is connected with through-hole, the depth in channel is not less than the length of steel needle, and central axis, the central axis of through-hole in channel are overlapped with the central axis of steel needle.

Description

A kind of intestinal surgery fistula mouth fistula-building device
Technical field
The utility model relates to gastrointestinal surgeries, and in particular to a kind of intestinal surgery fistula mouth fistula-building device.
Background technique
In recent years, the disease incidence of colorectal cancer rises in significant, and rejuvenation is presented in incidence trend.Radical-ability knot is straight Intestinal cancer resection is still to treat the most common method of colorectal cancer.Only operation has cut off cancerous lesions and has cooperated chemotherapy, puts The measures such as treatment, targeted therapy could really understand carninomatosis stove, the service life for extending patient, the life for improving patient to greatest extent Treatment
The range of radical-ability Resection for Colorectal Carcinoma includes: intestinal loop where cancerous swelling and its total colectomy mesentery and lymph node.Institute It leaves the stumps of colorectal cancer patients intestines to draw by abdominal skin to body surface, inflection estimated forms fistula mouth at being sewn on after tortoise neck sample Place, here it is the fistulization of currently used post operative colo-rectal cancer, it is intended to maximum magnitude cut off colorectal cancer while, build The channel of vertical patient's defecation, restores the bowel movement function of patient's physiological as much as possible.The indication of enterostomy is main are as follows: 1) Left side colon acute obstruction wouldn't can be eradicated, can do transverse colon fistulization and temporarily depressurize;2) left colon complicated with acute blocks, Temporarily decompression or late case are as permanent colostomy;3) colon traumatic rupture or colon, rectum coincide not on the left of It can temporarily be depressurized when reliable, to guarantee to heal;4) ulcerative colitis, lesion is limited to left hemicolon person, transverse colon fistulization make Excrement changes its course, and releases the stimulation to diseased region;5) colon, the first stage operation including proctectomy.
But fistulization surgical procedure is complicated, and colon stump is needed to connect with stomach wall in the process, passes through cut-out of performing the operation Abdominal skin muscle constructs an artificial fistula mouth, could be connected with stump.The mode of the fistula mouth of surgical procedure building at this stage Or skin is cut by patient in vitro and separates muscle peritonaeum, cuts off a part of skin and muscle to realize, process is more miscellaneous. There is presently no a kind of fistula mouth fistula-building devices of quickly and easily to operate performing the operation.
Such as the ostomy needle of Patent No. CN201020049957.2 (Publication No. CN201602851U), which uses and wears Pricker carries out fistulization, and dynamics is smaller when in use for puncture needle, and does not prepare the positioning of fistula mouth, and fistulization process is longer.
Summary of the invention
In view of the problems of the existing technology, the utility model provides a kind of intestinal surgery fistula mouth fistula-building device, to solve Traditional fistulization complexity is not easy to implement, the long problem of operation time.
The technical solution of the utility model is: a kind of intestinal surgery fistula mouth fistula-building device, including a hand-held part and a cutting Device, the cutter include upper end, lower end and a steel needle, and the end of the steel needle is fixed on the lower end of the cutter Center, the upper end of the cutter offer for pass through the steel needle top through-hole,
The hand-held part includes with externally threaded center-pole, and the periphery of the center-pole is arranged with a pinion stand, the tooth Wheel seat connects two handles by two gears, and described two handles are located at the left and right sides of center-pole, and described two handles are logical Gear is crossed to link with externally threaded engage with the center-pole;
A hollow tube is fixed with below the pinion stand, the hollow bush is located at support rod periphery, the support rod Upper surface and the bottom of center-pole fix, offer downward opening channel in the support rod, the channel and described logical Hole conducting, and the internal diameter in the channel is consistent with the internal diameter of the through-hole;
The outer diameter of the center-pole is less than the internal diameter of the hollow tube, and the depth in the channel is not less than the length of the steel needle Degree.
Further, the upper end of the cutter is equipped with projected direction lower sawtooth blade directed downwardly, under the cutter End is equipped with the upper sawtooth blade of projected direction upward, and the upper sawtooth blade is engaged with the lower sawtooth blade.
Further, the thickness of the upper sawtooth blade is gradually incremented by from top to bottom, and the thickness of the upper sawtooth blade exists 1mm-5mm;The thickness of the lower sawtooth blade is gradually incremented by from bottom to up, and the thickness of the lower sawtooth blade is in 1mm-5mm.
Further, the outer profile of the cutter is oval, round, any one in rectangle.
Further, the cutter is the cutter of steel.
Further, the upper end of the cutter is fixed on the hollow tube by nut.
Further, the outer diameter of the cutter is between 2cm-10cm.
Further, the handle outer side covering has a non-slip mat.
Further, the support rod is the support rod of steel.
Further, the outer diameter of the steel needle is between 2mm-5mm.
On the basis of common knowledge of the art, above-mentioned each optimum condition, can any combination to get the utility model respectively compared with Good example.
The positive effect of the utility model is:
1, the lower end of cutter and steel needle are punctured from centring point on the inside of abdomen and are gone out by the utility model, by steel needle Top cover in the through-hole of cutter upper end, pull handle then up, center-pole is transported down with the upward of handle It is dynamic, so that support rod be made to resist the upper end of cutter, and the upper end of cutter is pushed to connect the upper end of cutter slowly It is bordering on the lower end of cutter, steel needle protrudes into channel with the movement of support rod, until the upper end of cutter and cutting The lower end of device is closed completely, and fistulization can be completed.
2, the utility model is easy to operate, easily implements.
3, fistula mouth can be quickly made, operation time is reduced.
4, the size and shape that can be needed according to fistula mouth, select suitable cutter, fistula mouth-shaped rule, appearance compared with For beauty.
Detailed description of the invention
Fig. 1 is the overall structure diagram of the utility model.
In figure: 1 is center bar, and 2 be handle, and 3 be pinion stand, and 4 be gear, and 5 be hollow tube, and 6 be support rod, and 7 be upper end Portion, 8 be lower end, and 9 be steel needle, and 10 be through-hole.
Specific embodiment
The utility model is described further with reference to the accompanying drawing.
Embodiment 1
Such as Fig. 1, a kind of intestinal surgery fistula mouth fistula-building device, including a hand-held part and a steel cutter, cutter include Upper end 7, lower end 8 and a steel needle 9, the end of steel needle are fixed on the center of the lower end of cutter, the upper end of cutter The through-hole 10 on the top for passing through steel needle is offered, hand-held part includes with externally threaded center-pole 1, and the periphery of center-pole is arranged There is a pinion stand 3, pinion stand connects two handles 2 by two gears 4, and two handles are located at the left and right sides of center-pole, and two A handle is linked with externally threaded engage with center-pole by gear;It is fixed with a hollow tube 5 below pinion stand, hollow tube is arranged In 6 periphery of a steel-made support bar, the upper surface of support rod and the bottom of center-pole are fixed, and support rod is a hollow support rod, Channel is connected with through-hole, and the internal diameter in channel is consistent with the internal diameter of through-hole;The outer diameter of center-pole is less than the internal diameter of hollow tube, channel Depth be not less than steel needle length, the length of steel needle in 10cm, outer diameter in 3mm, and at the tip of steel needle be equipped with groove.It is convenient for It penetrates on the inside of abdomen.
The upper end of cutter is equipped with projected direction lower sawtooth blade directed downwardly, and the lower end of cutter is equipped with projected direction Upper sawtooth blade upward, upper sawtooth blade are engaged with lower sawtooth blade.The thickness of upper sawtooth blade is gradually incremented by from top to bottom, And the thickness of upper sawtooth blade is in 1mm-5mm;The thickness of lower sawtooth blade is gradually incremented by from bottom to up, and the thickness of lower sawtooth blade Degree is in 1mm-5mm.
The longitudinal section of lower sawtooth blade and upper sawtooth blade is triangular in shape, and apex angle be no more than 3 °.Ensure steel needle Sharpness.The outer profile of cutter is rounded, and the outer diameter of cutter is in 5cm.Handle outer side covering has a non-slip mat.Steel needle Outer surface be coated with silver ion coating.It can play the role of sterilizing.The inner wall in channel is coated with polytetrafluorethylecoatings coatings. It can prevent from generating abrasion between metal, polytetrafluoroethylene (PTFE) can also play certain lubricating action.The angle of handle and center-pole exists Between 15 ° -150 °.
The above is only the preferred embodiment of the present invention, it is noted that those skilled in the art are come It says, various improvements and modifications may be made without departing from the principle of the present invention, these improvements and modifications also should be regarded as Protection scope of the present invention.

Claims (7)

1. a kind of intestinal surgery fistula mouth fistula-building device, which is characterized in that including a hand-held part and a cutter, the cutter packet Upper end, lower end and a steel needle are included, the end of the steel needle is fixed on the center of the lower end of the cutter, the cutting The upper end of device offers the through-hole on the top for passing through the steel needle,
The hand-held part includes with externally threaded center-pole, and the periphery of the center-pole is arranged with a pinion stand, the pinion stand Two handles are connected by two gears, described two handles are located at the left and right sides of center-pole, and described two handles pass through tooth Wheel links with externally threaded engage with the center-pole;
Be fixed with a hollow tube below the pinion stand, the hollow bush is located at support rod periphery, the support rod it is upper Surface and the bottom of center-pole are fixed, and downward opening channel is offered in the support rod, and the channel is led with the through-hole It is logical, and the internal diameter in the channel is consistent with the internal diameter of the through-hole;
The outer diameter of the center-pole is less than the internal diameter of the hollow tube, and the depth in the channel is not less than the length of the steel needle, The central axis in the channel, the through-hole central axis be overlapped with the central axis of the steel needle.
2. a kind of intestinal surgery fistula mouth fistula-building device according to claim 1, it is characterised in that: the upper end of the cutter Portion is equipped with projected direction lower sawtooth blade directed downwardly, and the lower end of the cutter is equipped with the upper serrated knife of projected direction upward Piece, the upper sawtooth blade are engaged with the lower sawtooth blade.
3. a kind of intestinal surgery fistula mouth fistula-building device according to claim 2, it is characterised in that: the upper sawtooth blade Thickness is gradually incremented by from top to bottom, and the thickness of the upper sawtooth blade is in 1mm-5mm;
The thickness of the lower sawtooth blade is gradually incremented by from bottom to up, and the thickness of the lower sawtooth blade is in 1mm-5mm.
4. a kind of intestinal surgery fistula mouth fistula-building device according to claim 1, it is characterised in that: the foreign steamer of the cutter Wide oval, round, any one in rectangle.
5. a kind of intestinal surgery fistula mouth fistula-building device according to claim 1 or 4, it is characterised in that: the cutter is The cutter of steel.
6. a kind of intestinal surgery fistula mouth fistula-building device according to claim 1 or 4, it is characterised in that: the cutter Outer diameter is between 2cm-10cm.
7. a kind of intestinal surgery fistula mouth fistula-building device according to claim 1, it is characterised in that: the outer diameter of the steel needle exists Between 2mm-5mm.
CN201721287892.3U 2017-09-30 2017-09-30 A kind of intestinal surgery fistula mouth fistula-building device Expired - Fee Related CN208447723U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201721287892.3U CN208447723U (en) 2017-09-30 2017-09-30 A kind of intestinal surgery fistula mouth fistula-building device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201721287892.3U CN208447723U (en) 2017-09-30 2017-09-30 A kind of intestinal surgery fistula mouth fistula-building device

Publications (1)

Publication Number Publication Date
CN208447723U true CN208447723U (en) 2019-02-01

Family

ID=65139863

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201721287892.3U Expired - Fee Related CN208447723U (en) 2017-09-30 2017-09-30 A kind of intestinal surgery fistula mouth fistula-building device

Country Status (1)

Country Link
CN (1) CN208447723U (en)

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GR01 Patent grant
GR01 Patent grant
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20190201

Termination date: 20190930

CF01 Termination of patent right due to non-payment of annual fee