CN208799286U - A kind of operation of indirect inguinal hernia in children micro-wound tissue elastic separating plier - Google Patents

A kind of operation of indirect inguinal hernia in children micro-wound tissue elastic separating plier Download PDF

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Publication number
CN208799286U
CN208799286U CN201820862609.3U CN201820862609U CN208799286U CN 208799286 U CN208799286 U CN 208799286U CN 201820862609 U CN201820862609 U CN 201820862609U CN 208799286 U CN208799286 U CN 208799286U
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CN
China
Prior art keywords
inner core
grip part
elastic separating
separating plier
arc
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Expired - Fee Related
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CN201820862609.3U
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Chinese (zh)
Inventor
刘俊宏
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Childrens Hospital of Chongqing Medical University
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Childrens Hospital of Chongqing Medical University
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Priority to CN201820862609.3U priority Critical patent/CN208799286U/en
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Abstract

The utility model discloses a kind of operation of indirect inguinal hernia in children micro-wound tissue elastic separating plier, including handle and operation pincers, one end of operation pincers is bent setting, operation pincers include outer sheath and inner core, one end of inner core is provided with the slightly curved tissue elastic separating plier in tip, and handle is provided with the arc-shaped rack being mutually clamped, arc fastener and spring leaf.It can be avoided accidental injury when the utility model is by inguinal hernia sac or processus vaginalis pipe and spermatic cord blood vessel and vas deferens blunt separation, and swift to operate, it is easy to use, there is minimally invasive effect, postoperative wound is beautiful.Using the tissue elastic separating plier, flexible operation, it is convenient and efficient to clamp ligature, it can be avoided and accidentally injure spermatic cord blood vessel and vas deferens, the deficiencies of solving inconvenient conventional hernia pinhock line taking, accidental injury blood vessel, when treating indirect inguinal hernia in children using the utility model, the used time is shorter, it is effectively prevent the generation of complication, therapeutic effect is more reliable.

Description

A kind of operation of indirect inguinal hernia in children micro-wound tissue elastic separating plier
Technical field
The utility model relates to medical instruments field more particularly to a kind of operation of indirect inguinal hernia in children micro-wound tissues point From pincers.
Background technique
Indirect inguinal hernia is the congenital sexual abnormality of common stomach wall, is one of pediatric surgery's common disease, Major Clinical table Now soon, to have a recoverability lump in groin position after child's birth, 80% child after birth 2~3 months when occur, Also have late to l~2 year old.Indirect inguinal hernia is divided into indirect hernia and straight hernia, and oblique hernia is more typical, and straight hernia is rare, childhood inguinal hernia The general incidence of gas is 1~4%, and male's disease incidence is 12 times of women, and right side is common, and premature's disease incidence is then higher, and can Two sides can be betided.
Treatment indirect inguinal hernia in children generallys use high ligation of hernial sac or laparoscopic hernia capsule high ligation, in abdomen Hysteroscope menisectomy mostly uses spermatic cord blood vessel and vas deferens around special hernia needle separation hernical sac, but sometimes because of separation spermatic cord blood vessel and defeated Spermaduct is difficult or hooks up ligature difficulty, leads to that operating time extends or even small part patient is because of spermatic cord blood vessel or semen deposition pipe portion Divide trophema for accidentally being pricked, influences testis and vas deferens blood supply, cause spermatogenesis impaired or atrophy of vas deferens locking.
Utility model content
The utility model provides a kind of operation of indirect inguinal hernia in children micro-wound tissue elastic separating plier, to solve existing surgical device The problem of tool separation spermatic cord blood vessel and vas deferens are difficult, it is difficult to hook up ligature and maloperation easily occurs.
A kind of operation of indirect inguinal hernia in children micro-wound tissue elastic separating plier provided by the utility model, comprising: handle and behaviour It clamps;
One end of the operation pincers is bent setting, and the operation pincers include outer sheath and inner core, and the outer sheath is sheathed on On the inner core, the outer sheath is stretched out in one end of the inner core, and is provided with the tissue elastic separating plier of bent at its tip, the inner core The other end stretch out the outer sheath, and be provided with the first card slot along the length of inner core direction, long perpendicular to the inner core The pars contractilis spent second card slot in direction and the tissue elastic separating plier can control to open and be closed;
The handle includes the first grip part, and second grip part hinged with first grip part, and described first One end of grip part is bent setting, and is connected with a round tube, and the other end of the inner core is inserted into the round tube, and the round tube is set The locking device that the inner core is axially moved can be limited by being equipped with, and the locking device and second card slot are clamped;
One end of the round tube far from first grip part is provided with the But rotary joint of annular, described rotatable to connect Lug boss is provided in head, the lug boss and first card slot are clamped;
One end of second grip part is provided with a groove, and the pars contractilis of the inner core is inserted into the groove, described The other end of second grip part is rotatably connected to an arc-shaped rack, and one end of the arc-shaped rack extends to first grip part Between second grip part, an arc fastener is provided on first grip part, one end of the arc fastener extends Extremely between first grip part and second grip part, and it is clamped with the arc-shaped rack;
A control-rod is rotatably connected on second grip part, one end of the control-rod connects the arc-shaped rack, The other end of the control-rod is provided with an elbow, and the arc-shaped rack and institute can be made by the control-rod by pressing the elbow State the separation of arc fastener;
Spring leaf is connected between first grip part and second grip part.
One embodiment according to the present utility model, the locking device include shell, and are set in the shell Baffle, clamping piece, T shape connecting rod and spring;
The shell is vertical with the round tube, and with the circular pipe communicated, the T shape connecting rod pass through the baffle and institute Clamping piece connection is stated, the spring pocket is set in the T shape connecting rod, and is contacted with the baffle;
The clamping piece offers two interconnected circular opens, the size of two circular opens respectively with institute It states the second card slot and the inner core matches.
One embodiment according to the present utility model, close to one end setting of the outer sheath of the pars contractilis of the inner core There is liquid injection port, the liquid injection port is furnished with rubber plug.
One embodiment according to the present utility model is provided with multiple first card slots along the length of inner core direction, multiple First card slot is arranged in parallel.
One embodiment according to the present utility model is provided with multiple second card slots perpendicular to the length of inner core direction, Multiple second card slots are arranged in parallel.
The other end of one embodiment according to the present utility model, second grip part is additionally provided with tripper, institute Stating tripper is cross bar, and the center rotating of the cross bar is connected to second grip part, the cross bar One end and the arc-shaped rack the other end be clamped.
One embodiment according to the present utility model, it is 140~160 degree that the operation, which clamps curved angle, length 10 ~20cm, diameter are 2~5mm.
One embodiment according to the present utility model, the curved angle of the tissue elastic separating plier is 140~160 degree.
A kind of operation of indirect inguinal hernia in children micro-wound tissue elastic separating plier provided by the utility model, by inguinal hernia sac or It can be avoided accidental injury when processus vaginalis pipe and spermatic cord blood vessel and vas deferens blunt separation, and swift to operate, it is easy to use, have minimally invasive Effect, postoperative wound are beautiful.It is convenient and efficient using tissue elastic separating plier clamping ligature, it can be avoided and accidentally injure spermatic cord blood vessel and semen deposition Pipe solves conventional hernia pinhock line taking inconvenience, accidentally injures the deficiencies of blood vessel, and separation can fill the water when difficult is conducive to local organization point From.The handle of the utility model can be removed and be applied in combination with operation pincers, the soft epitheca of the upper matter of set in merging operation pincers Pipe presses locking device, extracts operation pincers, and suture can stay in the soft outer sheath of matter, is pushed away using knotter by knot is sutured To surgical ligation hernical sac, avoids ligation knot from remaining in and subcutaneously cause uncomfortable and infection.Children are treated using the utility model When indirect hernia, the used time is shorter, and therapeutic effect is more reliable.
Detailed description of the invention
Fig. 1 is a kind of knot of operation of indirect inguinal hernia in children micro-wound tissue elastic separating plier provided by the embodiment of the utility model Structure schematic diagram;
Fig. 2 is the structural schematic diagram of operation pincers provided by the embodiment of the utility model;
Fig. 3 is the structural schematic diagram of inner core provided by the embodiment of the utility model;
Fig. 4 is the structural schematic diagram of locking device provided by the embodiment of the utility model.
Figure label indicates:
1- handle, the first grip part 101-, the second grip part 102-, 103- round tube, 104- But rotary joint, 105- protrusion Portion, 106- groove, 2- operation pincers, 201- outer sheath, 202- inner core, 203- organize elastic separating plier, the first card slot of 204-, 205- second Card slot, 206- pars contractilis, 3- locking device, 301- shell, 302- baffle, 303- are clamped piece, 304-T shape connecting rod, 305- bullet Spring, 306- circular open, 4- arc-shaped rack, 5- arc fastener, 6- control-rod, 601- elbow, 7- spring leaf, 8- liquid injection port, 801- rubber plug, 9- tripper.
Specific embodiment
The utility model is described in further detail with reference to the accompanying drawings and examples.
It is that a kind of operation of indirect inguinal hernia in children provided by the embodiment of the utility model is separated with micro-wound tissue referring to Fig. 1 The structural schematic diagram of pincers, comprising: handle 1 and operation pincers 2.
Referring to fig. 2, one end of the structural schematic diagram of the operation pincers provided for utility model embodiment, the operation pincers 2 is curved Song setting, the operation, which clamps 2 curved angles, routinely can be set to 140~160 degree, and operation 2 length of pincers are 10~20cm, directly Diameter is 2~5mm, convenient for clamping silk thread and Micro-operation.Operation pincers 2 can also be set as other angles, length according to the needs of use Degree and diameter.
The operation pincers 2 include outer sheath 201 and inner core 202, and the outer sheath 201 is sheathed on the inner core 202, institute The outer sheath 201 is stretched out in the one end for stating inner core 202, and organized elastic separating plier 203 is arranged, and the tip of the tissue elastic separating plier is curved Song setting, curved angle can be set to 140~160 degree, can also be set as other angles according to the needs of use.
It is the structural schematic diagram of inner core provided by the embodiment of the utility model, the other end of the inner core 202 referring to Fig. 3 The outer sheath 201 is stretched out, and is provided with the first card slot 204 along 202 length direction of inner core, perpendicular to the inner core Second card slot 205 of 202 length directions and the pars contractilis 206 that can control the tissue elastic separating plier 203 to open and be closed.
One end close to the outer sheath 201 of the pars contractilis 206 of the inner core 202 is provided with liquid injection port 8, the fluid injection Mouth 8 is furnished with rubber plug 801, and liquid injection port 8 is for connecting syringe injection drug or injection physiological saline.
The handle 1 includes the first grip part 101, and the second grip part with first grip part 101 hingedly 102, one end of first grip part 101 is bent setting, and is connected with a round tube 103, the other end insertion of the inner core 202 In the round tube 103, the round tube 103, which is provided with, can limit the locking device 3 that the inner core 202 is axially moved, the locking Device 3 and second card slot 205 are clamped.
202 length direction of inner core is provided with multiple second card slots 205, multiple second card slots 205 are flat Row setting, convenient for adjusting the length that inner core 202 stretches out round tube 103 according to actual use situation.
It referring to fig. 4, is the structural schematic diagram of locking device provided by the embodiment of the utility model, locking device 3 is for keeping away Exempt from that operation pincers 2 are axial to be slipped, the locking device 3 includes shell 301, and be set in the shell 301 baffle 302, It is clamped piece 303, T shape connecting rod 304 and spring 305.
The shell 301 is vertical with the round tube 103, and is connected to the round tube 103, and the T shape connecting rod 304 passes through The baffle 302 is connect with the clamping piece 303, and the spring 305 is sheathed in the T shape connecting rod 304, and with the gear Plate 302 contacts.
The clamping piece 303 offers two interconnected circular opens 306, the ruler of two circular opens 306 It is very little to match respectively with second card slot 205 and the inner core 202.It is arranged with this, so that T shape connecting rod 304 is not pressed When, under the action of spring 305, clamping piece 303 is lifted, is clamped in the circular open 306 on piece 303 and the second card slot 205 The second card slot 205 on an opening clamping inner core 202 that size matches, limitation inner core 202 are axially moved.When pressing T shape When connecting rod 304, T shape connecting rod 304 is pushed piece 303 is clamped, so that matching in circular open 306 with 202 size of inner core The axis of opening be overlapped with the axis of inner core 202, allow inner core 202 axially movable.
One end of the round tube 103 far from first grip part 101 is provided with the But rotary joint 104 of annular, institute It states and is provided with lug boss 105 in But rotary joint 104, the lug boss 105 is clamped with first card slot 204.
202 length direction of inner core is provided with multiple first card slots 204, multiple first card slots 204 are set in parallel It sets, is rotated convenient for But rotary joint 104 by the more stable control inner core 202 of lug boss 105.
One end of second grip part 102 is provided with a groove 106, and the pars contractilis 206 of the inner core 202 is inserted into described In groove 106, so that handle 1 is opened and closed by pulling pars contractilis 206 to control tissue elastic separating plier 203.
The other end of second grip part 102 is rotatably connected to an arc-shaped rack 4, and one end of the arc-shaped rack 4 is prolonged It extends between first grip part 101 and second grip part 102, is provided with an arc on first grip part 101 Fastener 5, one end of the arc fastener 5 extend between first grip part 101 and second grip part 102, and with The arc-shaped rack 4 is clamped.Arc-shaped rack 4 is ratcheting mutually with arc fastener 5, and control handle 1 opens and closes, while can also keep hand The folding angle of handle 1.
A control-rod 6 is rotatably connected on second grip part 102, one end of the control-rod 6 connects the arc Rack gear 4, the other end of the control-rod 6 are provided with an elbow 601, and institute can be made by the control-rod 6 by pressing the elbow 601 Arc-shaped rack 4 is stated to separate with the arc fastener 5.It, can be by pressing elbow 601 when needing the folding angle of regulation handle 1 It appropriately adjusts.
The other end of second grip part 102 is additionally provided with tripper 9, and the tripper 9 is cross bar, institute The center rotating for stating cross bar is connected to second grip part 102, one end of the cross bar and the arc-shaped rack 4 The other end clamping.When needing to restore completely the state of the opening of handle 1, control cross bar drives arc-shaped rack 4 and arc One end separation that fastener 5 is clamped, so that handle 1 is closed.
Spring leaf 7 is connected between first grip part 101 and second grip part 102.Spring leaf 7 is for cooperating Arc-shaped rack 4 and arc fastener 5 adjust the opening angle of handle 1, so that the operation is more convenient.
In actual use, while pressing locking mechanism 3, inner core 202 is had into the first card slot 204 and the second card slot 205 One end insertion round tube 103 in, unclamp the second card slot 205 that locking device 3 is clamped locking device 3 on inner core 202 for inner core 202 are fixed in round tube 103, and the pars contractilis 206 of inner core 202 and the groove 106 on the second grip part 102 are clamped, rotation is passed through Turn to start to perform the operation after the But rotary joint 104 on round tube 103 drives the rotation to the angle needed of inner core 202.When tissue elastic separating plier When 203 clamping silk thread, make the groove 106 of the second grip part 102 that the pars contractilis 206 of inner core 202 be pulled to make by holding handle 1 It obtains the closure of tissue elastic separating plier 203 and clamps silk thread, then pull out silk thread.When needing to unclamp silk thread, press on the second grip part 102 The elbow 601 of control-rod 6 separate arc-shaped rack 4 and arc fastener 5, spring leaf 7 struts the angle of handle 1, meanwhile, with the The pars contractilis 206 for the inner core 202 that the groove 106 of two grip parts 102 is clamped is retracted, and tissue elastic separating plier 203 is opened, and unclamps silk Line.
In conclusion when the utility model is by inguinal hernia sac or processus vaginalis pipe and spermatic cord blood vessel and vas deferens blunt separation It can be avoided accidental injury, and swift to operate, it is easy to use, there is minimally invasive effect, postoperative wound is beautiful.Using the tissue elastic separating plier, Flexible operation, clamping ligature is convenient and efficient, can be avoided and accidentally injures spermatic cord blood vessel and vas deferens, solves conventional hernia pinhock line taking not Conveniently, the deficiencies of accidentally injuring blood vessel, when treating indirect inguinal hernia in children using the utility model, the used time is shorter, effectively prevent concurrent The generation of disease, therapeutic effect are more reliable.
Above-described specific embodiment of the present utility model does not constitute the restriction to scope of protection of the utility model.

Claims (8)

1. a kind of operation of indirect inguinal hernia in children micro-wound tissue elastic separating plier characterized by comprising handle (1) and operation pincers (2);
One end of the operation pincers (2) is bent setting, and it includes outer sheath (201) and inner core (202) that the operation, which clamps (2), described Outer sheath (201) is sheathed on the inner core (202), and the outer sheath (201) is stretched out in one end of the inner core (202), and sets It is equipped with the tissue elastic separating plier (203) of bent at its tip, the other end of the inner core (202) stretches out the outer sheath (201), and is arranged There are the first card slot (204) along the inner core (202) length direction, the second card perpendicular to the inner core (202) length direction Slot (205) and the pars contractilis (206) that can control tissue elastic separating plier (203) to open and be closed;
The handle (1) includes the first grip part (101), and second grip part hinged with first grip part (101) (102), one end of first grip part (101) is bent setting, and is connected with a round tube (103), the inner core (202) it is another One end is inserted into the round tube (103), and the round tube (103) is provided with the locking that can limit the inner core (202) axial movement Device (3), the locking device (3) and second card slot (205) are clamped;
One end of the round tube (103) far from first grip part (101) is provided with the But rotary joint (104) of annular, It is provided with lug boss (105) in the But rotary joint (104), the lug boss (105) and first card slot (204) are blocked It connects;
One end of second grip part (102) is provided with a groove (106), pars contractilis (206) insertion of the inner core (202) In the groove (106), the other end of second grip part (102) is rotatably connected to an arc-shaped rack (4), the arc-shaped gear One end of item (4) extends between first grip part (101) and second grip part (102), first grip part (101) an arc fastener (5) is provided on, one end of the arc fastener (5) extends to first grip part (101) and institute It states between the second grip part (102), and is clamped with the arc-shaped rack (4);
It is rotatably connected to a control-rod (6) on second grip part (102), one end of the control-rod (6) connects the arc The other end of shape rack gear (4), the control-rod (6) is provided with an elbow (601), and pressing the elbow (601) can be by described Control-rod (6) separates the arc-shaped rack (4) with the arc fastener (5);
Spring leaf (7) are connected between first grip part (101) and second grip part (102).
2. operation of indirect inguinal hernia in children according to claim 1 micro-wound tissue elastic separating plier, which is characterized in that the lock Tight device (3) includes shell (301), and the baffle (302) that is set in the shell (301), clamping piece (303), T shape connect Extension bar (304) and spring (305);
The shell (301) is vertical with the round tube (103), and is connected to the round tube (103), the T shape connecting rod (304) It is connect across the baffle (302) with the clamping piece (303), the spring (305) is sheathed on the T shape connecting rod (304) On, and contacted with the baffle (302);
Clamping piece (303) offers two interconnected circular opens (306), two circular opens (306) Size matches with second card slot (205) and the inner core (202) respectively.
3. operation of indirect inguinal hernia in children according to claim 1 micro-wound tissue elastic separating plier, which is characterized in that close to institute The one end for stating the outer sheath (201) of the pars contractilis (206) of inner core (202) is provided with liquid injection port (8), the liquid injection port (8) Equipped with rubber plug (801).
4. operation of indirect inguinal hernia in children according to claim 1 micro-wound tissue elastic separating plier, which is characterized in that along described Inner core (202) length direction is provided with multiple first card slots (204), and multiple first card slots (204) are arranged in parallel.
5. operation of indirect inguinal hernia in children according to claim 1 micro-wound tissue elastic separating plier, which is characterized in that perpendicular to Inner core (202) length direction is provided with multiple second card slots (205), and multiple second card slots (205) are arranged in parallel.
6. operation of indirect inguinal hernia in children according to claim 1 micro-wound tissue elastic separating plier, which is characterized in that described The other end of two grip parts (102) is additionally provided with tripper (9), and the tripper (9) is cross bar, the cross The center rotating of bar is connected to second grip part (102), and one end of the cross bar is another with the arc-shaped rack (4) One end clamping.
7. operation of indirect inguinal hernia in children according to claim 1 micro-wound tissue elastic separating plier, which is characterized in that the behaviour Clamping (2) curved angle is 140~160 degree, and length is 10~20cm, and diameter is 2~5mm.
8. operation of indirect inguinal hernia in children according to claim 1 micro-wound tissue elastic separating plier, which is characterized in that described group Knitting elastic separating plier (203) curved angle is 140~160 degree.
CN201820862609.3U 2018-06-05 2018-06-05 A kind of operation of indirect inguinal hernia in children micro-wound tissue elastic separating plier Expired - Fee Related CN208799286U (en)

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CN201820862609.3U CN208799286U (en) 2018-06-05 2018-06-05 A kind of operation of indirect inguinal hernia in children micro-wound tissue elastic separating plier

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Application Number Priority Date Filing Date Title
CN201820862609.3U CN208799286U (en) 2018-06-05 2018-06-05 A kind of operation of indirect inguinal hernia in children micro-wound tissue elastic separating plier

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN116269589A (en) * 2023-02-10 2023-06-23 中国人民解放军总医院第七医学中心 Bendable and adjustable child laparoscope hernia soft needle

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN116269589A (en) * 2023-02-10 2023-06-23 中国人民解放军总医院第七医学中心 Bendable and adjustable child laparoscope hernia soft needle
CN116269589B (en) * 2023-02-10 2023-12-05 中国人民解放军总医院第七医学中心 Bendable and adjustable child laparoscope hernia soft needle

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Granted publication date: 20190430