CN209422017U - Vesicourethral coincide auxiliary device - Google Patents
Vesicourethral coincide auxiliary device Download PDFInfo
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- CN209422017U CN209422017U CN201820283941.4U CN201820283941U CN209422017U CN 209422017 U CN209422017 U CN 209422017U CN 201820283941 U CN201820283941 U CN 201820283941U CN 209422017 U CN209422017 U CN 209422017U
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- vesicourethral
- coincide
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Abstract
Vesicourethral coincide auxiliary device; including conduit; it is characterized in that: the both ends of the conduit are rotated respectively by fixed column is provided with direction adjustment disk and fixed disk; support column is provided in fixed disk; protective case is cased with outside support column; the direction that control fixed disk is provided on the adjustment disk of direction adjusts line, and direction adjusts line and connect across straight catheter with fixed disk.Can abandoning tradition vesicourethral coincide followed inserting needle direction principle, can simply and efficiently accomplish to follow principle " from inside to outside " when suturing the bladder wall.
Description
Technical field
The invention patent relates to the auxiliary devices that medical field more particularly to a kind of vesicourethral are identical.
Background technique
Currently, coincide bladder in method used by hospital's Urology Surgery implements prostate cancer radical cure, vesicourethral coincide
Principle " from outside to inside " is followed when wall, is easy to damage Ureteral orifice；Principle " from inside to outside " is followed when identical urethral wall, by
Then it is intracavitary it is blind urethral wall is sutured depending under, needle gage and back gauge are not easy to be accurately positioned, it may appear that the non-uniform seam of each layer tissue of urethra
It closes, or even opposite side urethral mucosa can be accidentally injured, positioning inserting needle takes a long time, and previous anastomotic tearing often occurs and stitches again, is easy to happen urine
The complication such as fistula or anastomotic stricture.Although the vesicourethral anastomosis formula of improvement is varied, such as guided using urethral sound,
The guidance of FoleyShi urinary catheter, the lower guidance of urethroscope direct-view, cystoscope sheath guides, stringer splits prostate with the long enough that dissociates in art
Prostatic urethra and art in raise perineum to help many methods such as appear of urethra stump, but anastomosis and coincide
The promotion of quality, without qualitative leap.Have using urethral anastomotic tool person, but there are urethra lumen is small, the urethra broken ends of fractured bone is short, coincide
Tensioned, the problems such as anastomosis staple may induce calculus is held, is not promoted.
Vesicourethral anastomosis is indispensable significant difficulty technology in Prostate Cancer after Radical under current laparoscope
One of step, urethra broken ends of fractured bone position is excessively high, is easy to appear positive margin, and urethra broken ends of fractured bone position is too low, can aggravate anastomosis hardly possible
Degree.Operating time extends, and new hand's operating time reaches 3-10 hour；Complication is higher than the incidence of most reports, is such as higher than
Previous anastomotic leakage of urine incidence 3-16%, it is higher than anastomotic stricture incidence 2-13%, is higher than postoperative 1 month urinary incontinence incidence
15- 33%, it is higher than postoperative 3 months urinary incontinence incidences 7-25%, is higher than postoperative 6 months urinary incontinence incidences 2-13%.By
It is larger in vesicourethral anastomosis difficulty, therefore only biggish uropoiesis medical centre can complete Prostate Cancer after Radical, limit
Technique Popularizing has been made, can not meet more sick Man's Demands.
Summary of the invention
The object of the present invention is to provide a kind of simple, reliable, safe, quick identical auxiliary devices of vesicourethral, are
Realization above-mentioned purpose, the technical solution of the present invention is as follows: in order to shorten learning curve, reduce operating difficulty, shorten the operating time,
Effectively control complication should be major issue urgently to be resolved, we devise the identical auxiliary dress of a set of vesicourethral thus
Set, can abandoning tradition vesicourethral coincide followed inserting needle direction principle, can simply and efficiently accomplish to abide by when suturing the bladder wall
Principle " from inside to outside " is followed, Ureteral orifice is protected；Principle " from outside to inside " is followed when suturing urethral wall, is conducive to look at the lower palm straight
Direction, the angle, needle gage, back gauge uniformity of needle are held in control, can accomplish urethral tissue whole layer suture, are reduced tissue and are drawn and slit, tear
Deng, can accomplish accurate 8 skill of handling needles vesicourethral coincide.
The both ends of the conduit are linked direction adjustment disk and fixed disk by fixed column, are provided with support in fixed disk
Column, fixed column are cased with the elastic overcoat of compressible deformation outside, under natural conditions, seamless flat between fixed disk and head end limit plate
Row connects, and adjusts line by the direction in control fixed disk direction between direction adjustment disk and fixed disk and is connected, direction adjusts line and passes through
Isolated tube.The shape of conduit is similar with urethral shape, and direction is controlled by control direction adjustment disk and adjusts line, direction adjusts line
Fixed disk rotation is controlled, fixed disk drives support column rotation, to control the direction for needing the urethral orifice sutured, to adapt to sewing needle
When " from outside to inside " suturing urethral wall, the needle point of urethral wall and sewing needle is in plumbness always during inserting needle, needle point into
Enter urethra it is intracavitary after, out during needle, the direction of the urethral orifice of adjustment and the needle point of sewing needle are in parastate always, avoid
Damage of the needle point to urethra coincide auxiliary device by vesicourethral, can arbitrarily adjust the direction of anastomotic part urethral orifice, adapts to
Sewing needle facilitates needle angle, reduces the difficulty of adjustment needle and needle holder angle, avoid tearing, damage urethra etc. and
Disease is sent out, inserting needle, the accurate positionin for going out needle is ensure that, has accomplished precisely coincide bladder, urethra, ensured surgical effect.
The protective case is a kind of elbow rubber guiding device cap, is individual accessory, head end and metal urethreurynter
Front end contour structures are identical, and tail end is similar with urinary catheter end construction.
It covers and coincide the urinary catheter head end shape of auxiliary device front end and the component of material in vesicourethral, guide with can be convenient
Device front end enters urethra anastomosis oral area, and anti-locking apparatus front end damage urethra above mentions protective case after device front end enters anastomotic part
Release unit front end takes out protective case in vitro from Trocar.
The hole that the elastic overcoat Intermediate Gray is passed through for fixed column, elastic overcoat outer ring, which has, adjusts line activity for direction
Slot, by elastic overcoat can prevent adjust line extruding is received in the urethra of patient.
One end of the fixed column is provided with spherical rotary head, and the bottom of the fixed disk and direction adjustment disk is provided with
Mutually matched with closing lid with spherical rotary head, spherical shape rotary head mentioned in the present invention is known technology, and one end is spherical rotary head,
The other end is that can wrap up spherical rotary head with closing lid, and the two can rub displacement, can be with by the connection relationship of the two
The direction for the urethral orifice that will be sutured carries out multi-faceted bending；
The shape of the conduit be it is straight or curved, curved shape is more suitable for urethra, and operating side is upward,
Doctor is facilitated to operate.
The both ends of the conduit are provided with limit plate, and fixed column is arranged on limit plate, and supplier is provided on limit plate
The hole passed through to adjusting line, with isolated tube position consistency.The limit plate at conduit both ends plays fixed effect, and by direction
It adjusts line to be limited, the precision of operation is improved.
Several isolated tubes are provided on the pipe inner wall, the direction adjusting line is passed through from isolated tube and direction
Adjustment disk is connected with fixed disk.The effect of isolated tube is to guarantee that the direction of catheter interior is adjusted between line always in parallel shape
State, it is ensured that direction adjustment disk and fixed disk adjust line by direction and can reach the high consistency of direction adjusting.
The installation site of support column in the fixed disk is circumferential arrangement, and in the peripheral surface of fixed disk.It is described
Support column in fixed disk is vertically-mounted.The end of the support column is provided with protection head.The protection head end of support column omits
It is drawn close to centre, is slightly biased to vertically-mounted, the degree of reduction urethral orifice retraction, conducive to coincideing.It is provided in the head end of support column
Head is protected, prevents from scratching patient's urethra.
The surface of the fixed disk is concave shaped.When inserting needle, it can be sentenced along the concave surface of fixed disk
Disconnected, because needle is arc, the arc needle body of concave surface and needle is cooperated,
The present invention improves operating technology, and when reaching Prostate Cancer after Radical, vesicourethral anastomosis is simple, reliable, peace
Entirely, quickly, the purpose of few intercurrent disease, can preferably carry out conducive to most hospitals and grasp technique.
When the invention patent is that hospital's Urology Surgery implements Prostate Cancer after Radical, guidance vesicourethral coincide a set of auxiliary
Instrument is helped, inserting needle mode when traditional vesicourethral is coincide follows principle " from inside to outside " when changing into suture the bladder wall, protects
Ureteral orifice is protected, follows principle " from outside to inside " when suturing urethral wall, is conducive to look at lower direction, the angle controlled and hold needle straight,
It can accomplish needle gage, back gauge uniformity, urethral tissue whole layer suture, reduce tissue and draw and slit, tear etc., so that vesicourethral coincide
It is technically simple, reliable, safe, quick.
Detailed description of the invention
Fig. 1 is the structural schematic diagram of the utility model；
Fig. 2 is the structural schematic diagram that the present invention removes straight catheter；
Fig. 3 is structural schematic diagram of the invention；
Fig. 4 is structural schematic diagram of the invention；
Fig. 5 is the structural schematic diagram of fixed disk of the present invention；
Fig. 6 is operation needle process schematic of the present invention；
Fig. 7 is the structural schematic diagram of protective case of the present invention；
Fig. 8 is structural schematic diagram of the invention;
Fig. 9 is the structural schematic diagram that the present invention loads onto elastic overcoat；
Figure 10 is elastic overcoat structural schematic diagram of the invention.
1, direction adjustment disk；2, direction adjusts line；3, isolated tube；4, conduit；5, fixed column；6, spherical rotary head；7, cooperate
Lid；8, fixed disk；9, support column；10, head is protected；11, limit plate；12 protective cases；13 elastic overcoats.
Specific embodiment
The present invention is further detailed with reference to the accompanying drawings of the specification, as shown in Fig. 1 ~ 5:
The identical auxiliary instrument of a set of guidance vesicourethral is made, inserting needle mode when traditional vesicourethral is coincide changes
Become or be recommended as to follow principle " from inside to outside " when identical the bladder wall, protects Ureteral orifice；It follows when identical urethral wall " by outer
To interior " principle, be conducive to look at lower direction, the angle controlled and hold needle straight, can accomplish that needle gage, back gauge uniformity, urethral tissue are complete
Layer suture reduces tissue and draws open-minded, tearing etc., so that complicated operation is simplified, strive for anastomosis precision, farthest
Reduce postoperative complication.
Operating procedure: will be put into after protective case to urethra anastomosis portion on head end band of the present invention, above mentions protective case and is detached from dress
Front end is set, takes out protective case in vitro from Trocar.Urethra is open and opens by support column 9 at this time, and support column 9 of the invention is close
Parallel elongate not will lead to urethra upper end and shrink back downwards, starts to perform the operation after placing, and needle is penetrated urethra from outside when operation
And be pierced by inside urethra, it then penetrates from the inside of bladder and is pierced by outside bladder, the benefit of such suture needle is can be clear
See the position for wanting suture needle, when operation in previous operation, since operating space is narrow, operator can only be to holding needle
Device carries out the adjustment of the biggish folder needle angle of difficulty, can only execute the operation of spinning movement when suture to needle holder, be unable to control
The angle of urethral orifice or direction are unable to reach arbitrary technical operation, although the direction of needle can be adjusted, degree has
Limit is often easy several needles when stitching urethra and bladder and is pierced by near a pinprick, and direction adjustment disk through the invention comes
It controls direction and adjusts line, direction adjusts line to control fixed disk, realizes that the movement of fixed disk ball shape rotary, fixed disk rotation drive branch
Dagger rotation, and then changes angle or the direction of anastomotic part urethra port, can be according to required for operator or convenient seam
The control of needle rotates, and the angle or direction by adjusting urethral orifice deacclimatize the accurate motion profile of sewing needle, reach urethra
Accurate with bladder coincide.
Vesicourethral coincide auxiliary device by 1, direction adjustment disk；2, direction adjusts line；3, isolated tube；4, conduit；5, solid
Fixed column；6, spherical rotary head；7, match closing lid；8, fixed disk；9, support column；10, head is protected；11, limit plate；12 protective cases；13 bullets
Property housing.
Embodiment
Protecting head 10 is the ellipsoid of metal or plastic material, is located at 9 head end of support column, guarantees that support column 9 is easy disengaging
The urethra broken ends of fractured bone protects the effect of urethral mucosa, protects head 10 and support column 9 to share eight pairs, eight pairs of support columns 9 are respectively perpendicular fixation
At 1.5 points, 3 points, 4.5 points, 6 points, 7.5 points, 9 points, 10.5 points, 12 points around the 8 head end clock face of elastic wire fixed disk,
Color is respectively red, orange, yellow, green, red, orange, yellow, green, changes hard elastics with the variation of 8 direction of hard elastics fixation with steel wire disk
Steel wire 9 moves towards, and fixed column 5 is vertically fixed on the center of 8 breech face of fixed disk, is connected in the form of joint with spherical rotary head 6, makes hard
The rotation of elastic wire fixed disk 8 is convenient；Spherical rotary head 6 is fixed on the center of fixed column 5, the limit plate of fixed column 5 and straight catheter 4
11 connect, and direction adjusts line 2 and is made of four sub-thread slips, and four directions that one end is fixed on fixed disk 8 adjust line starting and connect
At 3,6,9,12 points of point, four directions that the other end is fixed on direction adjustment disk 1 adjust 3,6,9, the 12 of line terminal contact
At point, protective case 12 is that a kind of elbow rubber guiding device cap is individual accessory, head end and metal urethreurynter front end shape
Structure is identical, and tail end is similar with urinary catheter end construction.
Claims (9)
- The auxiliary device 1. vesicourethral coincide, including conduit (4), it is characterized in that: the both ends of the conduit (4) pass through fixed column (5) rotation is provided with direction adjustment disk (1) and fixed disk (8) respectively, and support column (9), support column are provided in fixed disk (8) (9) it is cased with protective case (12) outside, the direction that control fixed disk (8) is provided on direction adjustment disk (1) adjusts line (2), side It is connect to line (2) are adjusted across straight catheter (4) with fixed disk (8).
- The auxiliary device 2. vesicourethral according to claim 1 coincide, it is characterized in that: one end of the fixed column (5) It is provided with spherical rotary head (6), the bottom of the fixed disk (8) and direction adjustment disk (1) is provided with mutual with spherical rotary head (6) Closing lid (7) are matched in cooperation.
- The auxiliary device 3. vesicourethral according to claim 1 coincide, it is characterized in that: the shape of the conduit (4) is It is straight or curved.
- The auxiliary device 4. vesicourethral according to claim 1 coincide, it is characterized in that: the both ends of the conduit (4) are set It is equipped with limit plate (11), fixed column (5) is arranged on limit plate (11), is provided on limit plate (11) and adjusts line (2) for direction The hole passed through, fixed column (5) are cased with the elastic overcoat (13) of compressible deformation.
- The auxiliary device 5. vesicourethral according to claim 1 coincide, it is characterized in that: being set on described conduit (4) inner wall Several isolated tubes (3) are equipped with, the direction adjusts line (2) and passes through and direction adjustment disk (1) and fixed disk from isolated tube (3) (8) it connects.
- The auxiliary device 6. vesicourethral according to claim 1 coincide, it is characterized in that: the support in the fixed disk (8) The installation site of column (9) is circumferential arrangement, and the peripheral surface in fixed disk (8).
- The auxiliary device 7. vesicourethral according to claim 1 coincide, it is characterized in that: the surface of the fixed disk (8) is Concave shaped.
- The auxiliary device 8. vesicourethral according to claim 1 coincide, it is characterized in that: the support in the fixed disk (8) Column (9) be it is vertically-mounted, the end of the support column (9) be provided with protection head (10).
- The auxiliary device 9. vesicourethral according to claim 4 coincide, it is characterized in that: the elastic overcoat (13) is intermediate The hole that band is passed through for fixed column (5), elastic overcoat (13) outer ring, which has, adjusts line (2) movable slot for direction.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201820283941.4U CN209422017U (en) | 2018-02-28 | 2018-02-28 | Vesicourethral coincide auxiliary device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201820283941.4U CN209422017U (en) | 2018-02-28 | 2018-02-28 | Vesicourethral coincide auxiliary device |
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| Publication Number | Publication Date |
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| CN209422017U true CN209422017U (en) | 2019-09-24 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN201820283941.4U Active CN209422017U (en) | 2018-02-28 | 2018-02-28 | Vesicourethral coincide auxiliary device |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN116019517A (en) * | 2023-02-28 | 2023-04-28 | 中国人民解放军总医院第三医学中心 | Transurethral imbedding disintegrable bladder-urethra anastomat |
-
2018
- 2018-02-28 CN CN201820283941.4U patent/CN209422017U/en active Active
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN116019517A (en) * | 2023-02-28 | 2023-04-28 | 中国人民解放军总医院第三医学中心 | Transurethral imbedding disintegrable bladder-urethra anastomat |
| CN116019517B (en) * | 2023-02-28 | 2023-08-04 | 中国人民解放军总医院第三医学中心 | Transurethral imbedding disintegrable bladder-urethra anastomat |
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