CN209220237U - With mucous membrane surgical exposure instrument in the hemorrhoid for expanding anus function - Google Patents
With mucous membrane surgical exposure instrument in the hemorrhoid for expanding anus function Download PDFInfo
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- CN209220237U CN209220237U CN201822134366.4U CN201822134366U CN209220237U CN 209220237 U CN209220237 U CN 209220237U CN 201822134366 U CN201822134366 U CN 201822134366U CN 209220237 U CN209220237 U CN 209220237U
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Abstract
The utility model discloses a kind of bands to expand mucous membrane surgical exposure instrument in the hemorrhoid of anus function, including anoscope and expander, anoscope includes big notch anoscope and two notch anoscopes, and big notch anoscope is nested in two notch anoscopes, and expander is set in outside two notch anoscopes;The dilation procedure that anal canal is realized by operation expander adjusts windowing position and windowing range size by operating big notch anoscope and two notch anoscopes.The utility model can avoid blindly carrying out the even cyclic annular rectal mucosa for cutting off non-hemorrhoid region of previous two window, three windows, protect the rectal mucosa in non-hemorrhoid region on the basis of reducing patient suffering.
Description
Technical field
The utility model relates to the field of medical instrument technology, especially a kind of mucous membranes on haemorrhoids surgical exposure auxiliary instrument.
Background technique
Hemorrhoid disease is the product after human evolution walks upright, and is common disease, frequently-occurring disease in crowd.Nineteen ninety Florence
The Allegra professor G trial for the first time of university is applied to hemorrhoids operation with digestive tract stapler.The Longo of Italy is taught according to anus
Pad moves down theory, for the anatomical physiology characteristic of anus local, improves circular stapler, proposed a kind of revolution in 1998
Art formula, that is, mucous membranes on haemorrhoids ring cutting stitching art (PPH) of property is simultaneously generalized to the whole world.
The principle of mucous membranes on haemorrhoids ring cutting stitching art (PPH) is the position of 2.5-4cm on tooth trace according to anal cushions down theory
Excision stitching of going in ring is carried out to mucous membranes on haemorrhoids, suspention, blocking part blood supply are above mentioned to the pathologic anus pad moved down, make anus pad
It is returned to original normal anatomy position, the blood supply for reducing hemorrhoid body makes its atrophy stop blooding.Compared to traditional operation directly against hemorrhoid sheet
The position of body, PPH operation is in mucous membranes on haemorrhoids (painless area), therefore PPH operation is in protection anus epicritic sensibility, reduction peri-operation period
Pain, postoperative quick recovery aspect have huge advantage, have the characteristics that damage is small, pain is light, the hospital stays is short and healing is fast.
One of the applicant prior patent disclose it is a kind of can unrestricted choice adjust the mucous membranes on haemorrhoids surgical exposure of open loop
Auxiliary instrument, by rotating the position between the first anoscope, the second anoscope and the third anoscope that are successively socketed, realization is opened
The adjusting of window size, can be opened a window position and windowing range with unrestricted choice, avoid blindly carrying out two windows, three windows or even ring-type is cut
Unless the rectal mucosa in hemorrhoid region, meets the principle of human body anal canal biomethanics and above mentions, it can be achieved that refining excision, protect patient
The rectal mucosa in non-hemorrhoid region.But since the most anal canal of hemorrhoid complicated by anal fistula patient is thinner, which is entering anal canal and is protruding into anus
After pipe when the outermost rotation adjusting windowing position at anoscope, instrument and anal tube inwall frictional force are larger, bring larger pain to patient
It is bitter.
Summary of the invention
The utility model technical issues that need to address are to provide a kind of auxiliary with anus function mucous membranes on haemorrhoids surgical exposure is expanded
Instrument is helped, to mitigate patient suffering.
In order to solve the above technical problems, technical solution adopted in the utility model is as follows.
With mucous membrane surgical exposure instrument in the hemorrhoid for expanding anus function, including anoscope, be arranged with outside the anoscope for pair
The expander that anal canal is expanded,
The expander includes the hand-held part of tubular, and the front end of hand-held part is even to be furnished with several rigid strip pawls, each pawl
Head end be in its natural state in gathering shape;The hand-held part is embedded to be cased with the tensioner ring to match with hand-held part internal diameter, expands
Be fixedly installed on ring be attached on the inner wall of hand-held part and one end stretch out hand-held part operating stick;
The anoscope includes two notch anoscopes, and two notch anoscopes include being connected by two notch anoscope interconnecting pieces
Two notch anus camera lens parts and two notch anoscope tail portions, be located at two notch anus camera lens parts and two notch anoscope tail portions it
Between, vacant the first notches for forming two notch anoscopes of corresponding two notch anoscope interconnecting pieces, two notch anoscope interconnecting pieces
On offer small gap;The end of the two notches anoscope tail portion is connected with bracelet portion, bracelet portion and two notches by connecting rod
The arcuate socket across expander tubular hand-held part is formed between anoscope tail portion.
Above-mentioned band expands mucous membrane surgical exposure instrument in the hemorrhoid of anus function, and the tail end of the expander hand-held part offers and two
The cooperation of notch anoscope connecting rod, the positioning port to position two notch anoscope positions.
Above-mentioned band expands mucous membrane surgical exposure instrument in the hemorrhoid of anus function, and the anoscope is including further including being nested in two notches
Big notch anoscope in anoscope, big notch anoscope include the big notch anus connected by big notch anoscope interconnecting piece
Camera lens part and big notch anoscope tail portion between big notch anus camera lens part and big notch anoscope tail portion, correspond to big lack
The omission of mouth anoscope interconnecting piece forms the big notch of big notch anoscope;The end of the big notch anoscope tail portion is provided with
Across the handle of two notch anoscope arcuate sockets.
Above-mentioned band expands mucous membrane surgical exposure instrument in the hemorrhoid of anus function, the head end outer end face of the big notch anus camera lens part
The uniformly distributed several protrusions of ring-like spacer are provided with, the head end inner face of two notch anus camera lens parts, which is provided with, clamps big notch anus
Camera lens part protrusion, the groove to realize big notch anoscope and the positioning of two notch anoscopes.
Due to using above technical scheme, technological progress acquired by the utility model is as follows.
The application of the utility model first can carry out expanding anus operation using pipe anal device before anoscope enters anal canal, to
Expand anus operation after the completion of, then by big notch anoscope and two notch anoscopes suit after, across insertion expansion anal device in, and
Big notch anoscope and two notch anoscopes are rotated respectively afterwards to suitable position, and anoscope is not during rotating anoscope
It is directly contacted with anal canal, significantly reduces the pain of patient, provide guarantee for going on smoothly for patients surgery.
Detailed description of the invention
Fig. 1 is the structural schematic diagram of big notch anoscope described in the utility model;
Fig. 2 is the structural schematic diagram of two notches anoscope described in the utility model;
Fig. 3 is the structural schematic diagram of anal device described in the utility model.
Wherein: 1. big notch anoscopes, 11. big notch anus camera lens parts, 12. big notch anoscope tail portions, 13. big notches
Anoscope interconnecting piece, 14. big notches, 15. protrusions, 16. handles;
2. two notch anoscopes, 21. 2 notch anus camera lens parts, 22. 2 notch anoscope tail portions, 23. 2 notch anuses
Mirror interconnecting piece, 24. small gaps, 25. bracelet portions, 26. arcuate sockets, 27. connecting rods;
3. anal device, 31. hand-held parts, 32. pawls, 33. tensioner rings, 34. operating sticks, 35. positioning ports.
Specific embodiment
Below in conjunction with the drawings and specific embodiments, the present invention will be further described in detail.
A kind of band expands mucous membrane surgical exposure instrument in the hemorrhoid of anus function, including anoscope and expander 3, and anoscope includes big
Notch anoscope 1 and two notch anoscopes 2, big notch anoscope 1 are nested in two notch anoscopes 2, and expander 3 is set in two
Outside notch anoscope 2;The dilation procedure that anal canal is realized by operation expander, by operating big notch anoscope 1 and two notches
Anoscope 2 adjusts windowing position and windowing range size, can on the basis of reducing patient suffering, avoid blindly carrying out with
Toward the even cyclic annular rectal mucosa for cutting off non-hemorrhoid region of two windows, three windows, the rectal mucosa in non-hemorrhoid region is protected.
Expander 3 for being expanded to anal canal, structure as shown in figure 3, include the hand-held part 31 of tubular, hand-held part
Front end is even to be furnished with several rigid strip pawls 32, and the head end of each pawl is in gathering shape in its natural state;Hand-held part is embedded to be cased with
The tensioner ring 33 to match with hand-held part internal diameter is fixedly installed on tensioner ring and is attached on the inner wall of hand-held part and one end is stretched out
The operating stick 34 of hand-held part.When expander is used for dilation procedure, operating stick is pushed forward, and operating stick drives tensioner ring to move ahead, will
Rigid strip pawl struts, to realize tube enlarging operation.In this operating process, hand-held part, side can be pushed into steel pipe with side
Tensioner ring is pushed forward.
The structure of two notch anoscopes 2 is as shown in Fig. 2, include two notches connected by two notch anoscope interconnecting pieces 23
Anus camera lens part 21 and two notch anoscope tail portions 22, be located at two notch anus camera lens parts 21 and two notch anoscope tail portions 22 it
Between, vacant the first notches for forming two notch anoscopes of corresponding two notch anoscope interconnecting pieces 23, the connection of two notch anoscopes
Small gap 24 is offered in portion 23;The end of two notch anoscope tail portions 22 is connected with bracelet portion 25 by connecting rod, bracelet portion with
The arcuate socket 26 across expander tubular hand-held part is formed between two notch anoscope tail portions 22.
For the positioning for realizing two notch anoscopes and expander, in the utility model, the tail end in expander hand-held part is opened
If several positioning ports 35, positioning port and two notch anoscope connecting rods 27 cooperate, and realize determining for two notch anoscopes and expander
Position.
The structure of big notch anoscope 1 is as shown in Figure 1, big notch anoscope 1 includes passing through big notch anoscope interconnecting piece
The big notch anus camera lens part 11 of 13 connections and big notch anoscope tail portion 12, are located at big notch anus camera lens part 11 and big notch
Between anoscope tail portion 12, the omission of corresponding big notch anoscope interconnecting piece 13 form the big notch of big notch anoscope;It is big to lack
The end of mouth anoscope tail portion 12 is provided through the handle 16 of two notch anoscope arcuate sockets 26.The setting of handle facilitates tune
The relative position of big notch anoscope and two notch anoscopes is saved, to realize the adjusting of windowing position and the size that opens a window.
To realize the positioning between big notch anoscope and two notch anoscopes, outside the head end of big notch anus camera lens part
End face is provided with the uniformly distributed protrusion 15 of ring-like spacer, and the head end inner face of two notch anus camera lens parts, which is provided with, clamps big notch anus
The groove of peephole head protrusion 15.After the position that opens a window is regulated with windowing size, big notch anoscope is pushed forward, makes to lack greatly
The protrusion 15 of mouth anoscope and the groove of two notch anoscopes fasten, to realize big notch anoscope and two notch anoscopes
Positioning.
When the utility model is used, anal device is inserted into anal canal first, pushes operating stick, opens pawl slowly, carried out
Expand anus operation;After the completion, it by the tubular hand-held part of two notch anoscopes insertion anal device, is lacked by rotation bracelet portion adjustment two
Position of the mouth anoscope in hand-held part, after adjusting, is caught in determining for anal device end for the connecting rod of two notch anoscope tail ends
In the mouth of position, the positioning of anal device and two notch anoscopes is completed;Then big notch anoscope is inserted into two notch anoscopes again
In, adjustment windowing position and windowing size after adjusting, by the big inside pushing tow of notch anoscope, make the convex of big notch anoscope
It rises and fastens with the groove of two notch anoscopes, to realize the positioning of big notch anoscope and two notch anoscopes.
The utility model can be big for the different location of clinically patient's internal piles appearance, volume after slowly expanding anus operation
It is small, the position of the selectivity exposure mucous membranes on haemorrhoids of individuation and the size of exposure range are carried out, then carry out selective ablation stitching,
Greatly reduce the pain of patients surgery.
Claims (4)
1. with mucous membrane surgical exposure instrument in the hemorrhoid for expanding anus function, including anoscope, it is characterised in that: it is arranged outside the anoscope
There is the expander (3) for being expanded to anal canal, the expander includes the hand-held part (31) of tubular, and the front end of hand-held part is even
Several rigid strip pawls (32) are furnished with, the head end of each pawl is in gathering shape in its natural state;The hand-held part is embedded to be cased with
The tensioner ring (33) to match with hand-held part internal diameter is fixedly installed on tensioner ring and is attached on the inner wall of hand-held part and one end is stretched
The operating stick (34) of hand-held part out;
The anoscope includes two notch anoscopes (2), and two notch anoscopes (2) include passing through two notch anoscope interconnecting pieces
(23) the two notch anus camera lens parts (21) connected and two notch anoscope tail portions (22) are located at two notch anus camera lens parts (21)
And two between notch anoscope tail portion (22), the vacant two notch anoscopes that formed of corresponding two notch anoscope interconnecting pieces (23)
First notch offers small gap (24) on two notch anoscope interconnecting pieces (23);The two notches anoscope tail portion (22)
End is connected with bracelet portion (25) by connecting rod, is formed between bracelet portion and two notch anoscope tail portions (22) across expander cylinder
The arcuate socket (26) of shape hand-held part.
2. band according to claim 1 expands mucous membrane surgical exposure instrument in the hemorrhoid of anus function, it is characterised in that: the expansion
The tail end of device hand-held part offers and the cooperation of two notch anoscope connecting rods (27), the positioning port to position two notch anoscope positions
(35).
3. band according to claim 1 expands mucous membrane surgical exposure instrument in the hemorrhoid of anus function, it is characterised in that: the anus
For mirror including further including the big notch anoscope (1) being nested in two notch anoscopes (2), big notch anoscope (1) includes passing through
The big notch anus camera lens part (11) of big notch anoscope interconnecting piece (13) connection and big notch anoscope tail portion (12), are located at big
Between notch anus camera lens part (11) and big notch anoscope tail portion (12), the omission of corresponding big notch anoscope interconnecting piece (13)
Form the big notch of big notch anoscope;The end of the big notch anoscope tail portion (12) is provided through two notch anoscopes
The handle (16) of arcuate socket (26).
4. band according to claim 3 expands mucous membrane surgical exposure instrument in the hemorrhoid of anus function, it is characterised in that: described big scarce
The head end outer end face of mouth anus camera lens part is provided with uniformly distributed several raised (15) of ring-like spacer, the head of two notch anus camera lens parts
End inner face, which is provided with, clamps big notch anus camera lens part raised (15), to realize that big notch anoscope and two notch anoscopes are fixed
The groove of position.
Priority Applications (1)
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CN201822134366.4U CN209220237U (en) | 2018-12-19 | 2018-12-19 | With mucous membrane surgical exposure instrument in the hemorrhoid for expanding anus function |
Applications Claiming Priority (1)
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CN201822134366.4U CN209220237U (en) | 2018-12-19 | 2018-12-19 | With mucous membrane surgical exposure instrument in the hemorrhoid for expanding anus function |
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CN201822134366.4U Active CN209220237U (en) | 2018-12-19 | 2018-12-19 | With mucous membrane surgical exposure instrument in the hemorrhoid for expanding anus function |
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Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2022027837A1 (en) * | 2020-08-06 | 2022-02-10 | 常州安康医疗器械有限公司 | Adjustable anoscope |
IT202000026966A1 (en) * | 2020-11-11 | 2022-05-11 | 2038 Innovation Company S R L | ANOSCOPE WITH DOUBLE INSERT |
-
2018
- 2018-12-19 CN CN201822134366.4U patent/CN209220237U/en active Active
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2022027837A1 (en) * | 2020-08-06 | 2022-02-10 | 常州安康医疗器械有限公司 | Adjustable anoscope |
IT202000026966A1 (en) * | 2020-11-11 | 2022-05-11 | 2038 Innovation Company S R L | ANOSCOPE WITH DOUBLE INSERT |
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