CN210228209U - Abdominal cavity placing and double-sleeve sealing device communicated with hard catheter object fetching bag - Google Patents
Abdominal cavity placing and double-sleeve sealing device communicated with hard catheter object fetching bag Download PDFInfo
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- CN210228209U CN210228209U CN201821399536.5U CN201821399536U CN210228209U CN 210228209 U CN210228209 U CN 210228209U CN 201821399536 U CN201821399536 U CN 201821399536U CN 210228209 U CN210228209 U CN 210228209U
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Abstract
The utility model discloses a peritoneoscope is put into with double cannula closing device with the abdominal cavity of intercommunication stereoplasm pipe storing bag, characterized by has the isolation propeller, seals the sleeve pipe and protects the sheath pipe to constitute. The isolation thruster comprises a hard catheter, a fetching bag, an elastic metal ring, a push rod and a sliding plug, wherein the hard catheter cavity is communicated with the fetching bag, the mouth of the fetching bag surrounds the elastic metal ring, the elastic metal ring is connected to one end of the push rod, the other end of the push rod is a handle, the sliding plug penetrates through the center of the push rod and consists of a conical tube and a sealing cap, and the conical tube is extruded and inserted into the sealing cap of the sealing sleeve; the sealing sleeve is of a hollow tubular structure and consists of a sealing sheath tube and a sealing cap, and the sealing cap has elasticity; the protection sheath pipe is a hollow tubular structure, the pipe diameter of the protection sheath pipe is smaller than the pipe diameter of the sealing sleeve pipe, the protection sheath pipe is composed of a supporting sheath pipe and a supporting sealing cap, and the supporting sheath pipe is extruded and inserted into the sealing cap. The auxiliary communicated hard catheter fetching bag can safely, minimally invasively and quickly enter the abdominal cavity, and has the functions of preventing gas leakage in the abdominal cavity and sealing the fetching bag, so that gas leakage in the fetching bag in the abdominal cavity is prevented.
Description
Technical Field
The invention relates to an operation auxiliary device, which is applied to the separation and prevention of tumor diffusion and metastasis when tumor specimens cut in laparoscopic surgery are crushed and taken out in an abdominal cavity.
Background
The laparoscopic surgery is to perform a tiny incision on the abdominal wall, observe the surgical process through the tiny incision by using the laparoscope, and enter the abdominal cavity for operation through the tiny incision on the abdominal wall by using a long-handled surgical instrument, so that the injury of a patient is small, and the recovery is fast. Because the tissue specimens such as tumors excised under a laparoscope are large in size and often need to be taken out through a tiny incision of the abdominal wall after being crushed in the abdominal cavity, but tissue debris or tumor cells generated in the crushing process can be diffused and planted in the pelvic cavity and the abdominal cavity, which seriously threatens the life of a patient, so that the tumor needs to be crushed in a fetching bag to prevent diffusion. In order to ensure the safety and operability of the crushing process, laparoscopes and surgical instruments must be capable of smoothly entering an article taking bag in an abdominal cavity from the outside through an abdominal wall puncture hole, and the tightness of the article taking bag cannot be lost, the prior safe and effective method is an invention patent (a closed traction and air control combined device with an opening of a hard catheter of the article taking bag under an endoscope, CN201510582236.5) declared by the invention team at the early stage.
However, the prior innovation technology faces the following scientific problems in the concrete implementation:
1. the soft object fetching bag communicated by the hard catheters has a complex structure, is safe and smooth, and has difficulty in entering and exiting the abdominal cavity minimally invasive.
2. When the plurality of hard catheters are communicated with the soft object taking bag to operate in the abdominal cavity, how to maintain the inflation pressure in the abdominal cavity prevents the gas in the abdominal cavity from leaking and does not influence the operation.
Because the volume of the plurality of hard catheters and the fetching bag body which are innovatively adopted is greatly increased and difficult to fold, even if the hard catheters and the fetching bag body are packed into the storage cylinder in a reluctant way, the storage cylinder is correspondingly and obviously thickened and increased, so that the storage cylinder is difficult to be placed into an abdominal cavity through a sheath tube channel corresponding to a small incision of the abdominal wall in a one-time, concentrated and smooth way like the traditional fetching bag for the laparoscope, unless the incision of the abdominal wall is prolonged and a thick sheath tube channel is established, the wound of a patient is increased by excessively prolonging the incision, and the storage; if the puncture hole is directly arranged through the abdominal wall, the incision is in a natural closed state under the elastic action of tissues such as abdominal wall muscles, fat, skin and the like due to the tiny puncture hole of the abdominal wall, the hard catheter is not easy to come in and go out, and the tissue pulverizers are repeatedly come in and go out, so that the object taking bag is very easy to be damaged when the object is forced to come in and go out through the abdominal wall incision directly, and the tumor tissue is leaked.
3. When the fetching bag is inflated, the air leakage of the fetching bag opening is prevented.
The cylindrical tissue pulverizator enters the fetching bag through the fetching bag opening, when tissue specimens are pulverized in the fetching bag in the abdominal cavity, the fetching bag needs to be inflated through the hard catheter, and in order to prevent gas in the fetching bag from leaking through the bag opening, the fetching bag opening needs to be tightened by adopting a cord to prevent gas leakage on the premise of ensuring smooth and safe access of the tissue pulverizator, so that the operation is complicated; if the sealing is performed only by means of squeezing of the natural closing tension of the abdominal wall incision, the air leakage prevention effect is unreliable due to the individual difference of the abdominal wall thickness and the like.
Disclosure of Invention
The invention aims to avoid the defects of the prior art, ensure that the fetching bag and the hard catheters for laparoscope pulverization can safely, smoothly and orderly come in and go out of the abdominal cavity respectively on the premise of reducing the abdominal wall wound of a patient as much as possible, ensure that gas in the abdominal cavity does not leak through an abdominal wall channel, ensure that gas in the fetching bag does not leak through a fetching bag opening, and is safe and convenient to operate.
The invention adopts the following technical scheme for solving the technical problems:
1. the abdominal cavity that communicates stereoplasm pipe thing bag of getting is put into and double cannula closing device, characterized by: the bag-taking device is composed of an isolation propeller (1), a sealing sleeve (2) and a protecting sheath tube (5), wherein a fetching bag opening (121) of the isolation propeller (1) is pulled outside the sealing sleeve (2) and is externally pulled through the fetching bag opening (121), and the protecting sheath tube (5) is arranged in a fetching bag (12) through a sealing cap (22) and the sealing sheath tube (21) which are positioned outside the fetching bag (12) and are sealed by the sealing sleeve (2).
2. The utility model provides a intercommunication stereoplasm pipe gets abdominal cavity of thing bag and puts into and double cannula closing device which characterized by: keep apart propeller (1) including by stereoplasm pipe (11), get thing bag (12), elasticity metal loop (13), push rod (14), slip stopper (15) are constituteed, wherein stereoplasm pipe (11) lumen is linked together with getting thing bag (12), it encircles elasticity metal loop (13) to get thing sack (121), elasticity metal loop (13) are connected in push rod (14) one end, the push rod (14) other end is handle (16), push rod (14) central authorities have run through slip stopper (15), slip stopper (15) comprise conical tube (151) and sealing cap (152), conical tube (151) insert seal cap (22) and the sheath pipe (21) of sealing of sleeve pipe (2) in.
3. The utility model provides a intercommunication stereoplasm pipe gets abdominal cavity of thing bag and puts into and double cannula closing device which characterized by: the sealing sleeve (2) consists of a sealing sheath tube (21) and a sealing cap (22).
4. The utility model provides a intercommunication stereoplasm pipe gets abdominal cavity of thing bag and puts into and double cannula closing device which characterized by: protection sheath pipe (5) are cavity tubular structure, the pipe diameter is less than and seals sleeve pipe (2) pipe diameter, constitute by supporting sheath pipe (51) and supporting sealing cap (52), support sheath pipe (51) and insert the extrusion through getting thing sack (121) and seal sealing cap (22) when, the effect of sealing to getting thing bag (12) has, prevent to get thing bag (12) interior gas leakage, protection sheath pipe (5) are located getting thing bag (12), be convenient for tube-shape tissue grinder (33) through protection sheath pipe (5) safe discrepancy repeatedly, it does not have the protection and damages the thing bag to get when having avoided sharp grinder edge of a knife directly to come in and go out the thing bag.
Compared with the prior art, the invention has the beneficial effects that:
the fetching bag with the hard conduit is expected to be an effective method for preventing tumor spreading and planting caused by tissue specimen crushing under a laparoscope, but the innovative technology still faces some difficulties and is not applied in clinic, and the invention aims to perfect the defects in the application:
1. the small proper channel suitable for the hard catheter and the fetching bag to sequentially and orderly come in and go out is established on the abdominal wall, the hard catheters and the soft fetching bag communicated with the hard catheters can be respectively and sequentially brought into the abdominal cavity, the sliding plug is slidably embedded into the sealing cap along the push rod to prevent gas in the abdominal cavity from leaking, so that the abdominal cavity is continuously expanded and sufficient space is provided, the push rod is favorably observed by the laparoscope to operate in the abdominal cavity, the small proper channel can still ensure that the hard catheters can be sequentially and orderly taken out of the abdominal cavity, and the tissue pulverizers can be repeatedly come in and go out, and the small proper channel is safer, minimally invasive.
2. The protection sheath is located and gets the thing bag within, the tube-shape tissue grinder of being convenient for through the safe discrepancy of protection sheath relapse, has avoided sharp grinder edge of a knife directly to come in and go out when getting the thing bag not have the protection and harm the thing bag. Simultaneously, the thing sack that gets that is located between seal sleeve pipe and the protection sheath pipe is sealed the sealed cap extrusion and is supported between the sheath pipe to self-sealing, the elastic tension who seals the sealed cap has surpassed the inflation pressure in getting the thing bag, thereby prevents to get the gas leakage in the thing bag, need not to overlap alone and prick the thing sack of getting, has reduced the operation link of performing the operation, has saved the operation time, and gaseous airtight effect is more reliable, and the operation is safer.
Drawings
FIG. 1 is a schematic view of an isolation thruster;
FIG. 2 is a schematic view of a closure sleeve;
FIG. 3 is a schematic view of a protective sheath;
FIG. 4 is a schematic view of a hard catheter access bag placed in the abdominal cavity and preventing leakage of gas from the abdominal cavity;
FIG. 5 is a schematic view showing the use state of the double cannula for sealing the fetching bag and crushing and taking out the tumor tissue.
Detailed Description
A sealing sleeve (2) is arranged in an abdominal wall puncture to establish a small proper channel for communicating the inside and the outside of an abdominal cavity, a plurality of hard catheters (11) are respectively brought into a sealing sheath tube (21) of the sealing sleeve (2) through a sealing cap (22) of the sealing sleeve (2) one by one, toothless oval forceps respectively clamp a material taking bag (12) and an elastic metal ring (13) are brought into the sealing sheath tube (21) of the sealing sleeve (2), a sliding plug (15) is moved towards the direction of the material taking bag (12) along a push rod (14) to be embedded into the sealing cap (22) of the sealing sleeve (2), so that the gas in the abdominal cavity is prevented from leaking through the sealing sheath tube (21), the inflation pressure in the abdominal cavity is ensured to be enough to expand the abdominal wall and expand the abdominal wall, and enough observation and operation space is provided in the abdominal cavity for the subsequent safe operation in the abdominal cavity.
Holding a push rod handle (16), inserting a push rod (14) into the abdominal cavity, thereby taking the hard catheter (11), taking the object bag (12), and an elastic metal ring (13) connected with the hard catheter is brought into the abdominal cavity, the elastic metal ring (13) automatically opens in a circular shape in the abdominal cavity, thereby expanding and taking the object bag mouth (121), bringing the tissue specimen (7) cut off under the laparoscope into the object bag (12) through the object taking bag mouth (121), holding the push rod handle (16) and pulling the push rod (14) to the outside of the abdominal cavity through a sealing sleeve (2), thereby pulling the object taking bag mouth (121) to the outside of the sealing sleeve (2), taking the object bag mouth (121) through the external object taking bag mouth, and putting a protective sheath (5) into the object taking bag (12) through a sealing cap (22) and a sealing sheath (21) of the sealing sleeve (2) positioned outside the object taking bag (12), at the moment, the object taking bag (12) positioned between the sealing sleeve (2) and the protective sheath (5) is sealed by The sealing cap (22) is extruded around the supporting sheath tube (51) in a surrounding manner, so that the fetching bag opening (121) is automatically sealed, and the elastic tension of the sealing cap (22) exceeds the inflation pressure in the fetching bag (12), so that the gas when the fetching bag (12) is inflated can be prevented from leaking through the fetching bag opening (121).
The abdominal wall puncture outfits (4) passing through other abdominal wall puncture holes respectively pull the hard catheter (11) to reach the outside of the abdominal wall, thereby realizing that the hard catheter (11) replaces the catheter (43) of the abdominal wall puncture outfit in the abdominal wall puncture hole. Withdrawing the sealing cap (111) of the hard catheter (11), separating the base (42) of the abdominal wall puncture outfit (4) from the catheter (43) of the abdominal wall puncture outfit, and connecting the base (42) of the abdominal wall puncture outfit (4) with the sheath tube (112) positioned on the abdominal wall hard catheter (11).
The object taking bag (12) is inflated through a three-way pipe (41) of a base (42) of the abdominal wall puncture outfit (4) and a hard catheter sheath (112), the object taking bag (12) is expanded, the object taking bag (12) is arranged in the object taking bag (12) through the abdominal wall puncture outfit base (42) and the hard catheter sheath (112) communicated with the abdominal wall puncture outfit base (42), for example, a laparoscope (31) is used for observation, an auxiliary surgical instrument (32) is arranged in the object taking bag, a tissue crusher (33) is arranged in the object taking bag (12) through a protective sheath (5) and a supporting sealing cap (51), the tissue crusher (33) repeatedly enters and exits the object taking bag (12) through the protective sheath (5), so the object taking bag (12) is not damaged, and the tumor tissue specimen (7) is safely and smoothly crushed and taken out.
Claims (4)
1. The abdominal cavity that communicates stereoplasm pipe thing bag of getting is put into and double cannula closing device, characterized by: by keeping apart propeller (1), seal sleeve pipe (2) and protection sheath pipe (5) and constitute, keep apart propeller (1) get thing sack (121) and draw outside sealing sleeve pipe (2), get thing sack (121) through in vitro to seal sealed cap (22) and seal sheath pipe (21) through the sealing of sealing sleeve pipe (2) that is located outside getting thing bag (12), to getting thing bag (12) built-in protection sheath pipe (5).
2. The abdominal cavity placing and double-cannula sealing device for the access bag communicated with the hard catheter as claimed in claim 1, wherein: isolation propeller (1) is including stereoplasm pipe (11), get thing bag (12), elastic metal circle (13), push rod (14), slip stopper (15), wherein stereoplasm pipe (11) lumen is linked together with getting thing bag (12), get thing bag (12) get thing sack (121) around elastic metal circle (13), elastic metal circle (13) are connected in push rod (14) one end, the push rod (14) other end is handle (16), push rod (14) central authorities have run through slip stopper (15), slip stopper (15) comprise conical tube (151) and sealing cap (152), when inserting isolation propeller (1) operation in the abdominal cavity, conical tube (151) insert the sealing cap (22) of squeezing seal sleeve pipe (2) to in sealing sheath pipe (21).
3. The abdominal cavity placing and double-cannula sealing device for the access bag communicated with the hard catheter as claimed in claim 1 or 2, characterized in that: the sealing sleeve (2) consists of a sealing sheath tube (21) and a sealing cap (22).
4. The abdominal cavity placing and double-cannula sealing device for the access bag communicated with the hard catheter as claimed in claim 1 or 2, characterized in that: the protection sheath pipe (5) is a hollow tubular structure, the pipe diameter is smaller than the pipe diameter of the sealing sleeve (2), and the protection sheath pipe is composed of a support sheath pipe (51) and a support sealing cap (52), when the bag (12) is inflated and crushed in the bag, the support sheath pipe (51) passes through the bag opening (121) and is inserted into the sealing cap (22) of the extrusion sealing sleeve (2), the protection sheath pipe has the function of sealing the bag (12), prevents the gas in the bag (12) from leaking, is located in the bag (12), is convenient for the tubular tissue crusher (33) to repeatedly and safely come in and go out through the protection sheath pipe (5), and avoids the damage to the bag caused by no protection when the sharp crusher knife edge directly comes in and goes out of the bag.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201821399536.5U CN210228209U (en) | 2018-08-29 | 2018-08-29 | Abdominal cavity placing and double-sleeve sealing device communicated with hard catheter object fetching bag |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201821399536.5U CN210228209U (en) | 2018-08-29 | 2018-08-29 | Abdominal cavity placing and double-sleeve sealing device communicated with hard catheter object fetching bag |
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| CN210228209U true CN210228209U (en) | 2020-04-03 |
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| CN201821399536.5U Active CN210228209U (en) | 2018-08-29 | 2018-08-29 | Abdominal cavity placing and double-sleeve sealing device communicated with hard catheter object fetching bag |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109009266A (en) * | 2018-08-29 | 2018-12-18 | 合肥赫博医疗器械有限责任公司 | It is connected to abdominal cavity merging and the double-jacket tube closing device of hard conduit extraction bag |
| CN111616754A (en) * | 2020-06-28 | 2020-09-04 | 微氪医疗器械南通有限公司 | Simple minimally invasive surgery specimen taking-out device and using method |
-
2018
- 2018-08-29 CN CN201821399536.5U patent/CN210228209U/en active Active
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109009266A (en) * | 2018-08-29 | 2018-12-18 | 合肥赫博医疗器械有限责任公司 | It is connected to abdominal cavity merging and the double-jacket tube closing device of hard conduit extraction bag |
| CN111616754A (en) * | 2020-06-28 | 2020-09-04 | 微氪医疗器械南通有限公司 | Simple minimally invasive surgery specimen taking-out device and using method |
| CN111616754B (en) * | 2020-06-28 | 2023-04-07 | 万恒医疗科技(南通)有限公司 | Simple minimally invasive surgery specimen taking-out device and using method |
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