CN217611300U - Puncture instrument set for transvaginal uterine abdominal wall suspension operation - Google Patents
Puncture instrument set for transvaginal uterine abdominal wall suspension operation Download PDFInfo
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- CN217611300U CN217611300U CN202220526830.8U CN202220526830U CN217611300U CN 217611300 U CN217611300 U CN 217611300U CN 202220526830 U CN202220526830 U CN 202220526830U CN 217611300 U CN217611300 U CN 217611300U
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Abstract
The utility model discloses a puncture instrument set for a transvaginal uterine abdominal wall suspension operation, which comprises a puncture rod, a mesh and a sleeve, wherein the puncture rod is formed by connecting a puncture head, a puncture rod body and a handle, one end of the puncture rod body is connected with the handle, and the other end of the puncture rod body and the puncture head are in an integral structure; the puncture head is an arc-shaped elbow, the end part of the elbow gradually shrinks to form a tip part, and a circle of groove is arranged on the tip part along the circumferential direction and used for fixing silk threads in an operation; the joint of the puncture head and the puncture rod body is smoothly connected, and a connecting line of the tip of the puncture head and the joint of the puncture rod body forms an obtuse angle of 130-140 degrees with the puncture rod body; the sleeve is sleeved on the whole puncture rod body and the puncture head, and the tip part of the puncture head is exposed outside the sleeve; the mesh and the sleeve are separated or connected. The utility model discloses can further make things convenient for the operation of uterus stomach wall suspension operation, reduce the tissue damage in the operation.
Description
Technical Field
The utility model belongs to medical puncture apparatus field, concretely relates to transvaginal uterine abdominal wall suspension operation puncture apparatus external member.
Background
The uterine abdominal wall suspension is a surgical treatment for uterine prolapse. The uterine abdominal wall suspension is one of the methods for correcting uterine retroversion. The uterus is pulled forwards and upwards to be tightly attached to the abdominal wall, so the uterine prolapse can be corrected. Currently important surgical paths include: open surgery, laparoscopic assisted surgery, and transvaginal surgery. The vaginal uterine fixation can be traced back to 1888 years, and the vaginal operation can reduce the operation time, reduce the operation bleeding amount, realize quick recovery and better plastic effect. Among the various uterine fixation procedures, sacrospinous ligament uterine suspension is the most time-tested, and with its popularity, more data support the anatomical reduction of sacrospinous ligament suspension to treat prolapse and subjective functional recovery results. During the transvaginal operation, it is important to use a proper and effective puncturing device to help the implantation and fixation of the uterus "sling". And currently, no puncture instrument kit specially used for the uterine abdominal wall suspension operation exists.
SUMMERY OF THE UTILITY MODEL
The utility model aims to provide a puncture instrument suite for the transvaginal uterine abdominal wall suspension operation, which is not enough for the prior art, so as to further facilitate the uterine abdominal wall suspension operation and reduce the tissue damage in the operation.
The utility model provides a puncture instrument suite for a transvaginal uterine abdominal wall suspension operation, which comprises a puncture rod, a net sheet and a puncture sheath, wherein the puncture rod is formed by connecting a puncture head, a puncture rod body and a handle, one end of the puncture rod body is connected with the handle, and the other end of the puncture rod body and the puncture head are in an integral structure; the puncture head is an arc-shaped elbow, the end part of the elbow gradually contracts to form a tip part, and a circle of groove is arranged on the tip part along the circumferential direction of the puncture rod and used for fixing a silk thread in an operation; the joint of the puncture head and the puncture rod body is smoothly connected, and a connecting line between the end point of the tip of the puncture head and the joint of the puncture rod body and the puncture head forms an obtuse angle of 130-140 degrees with the puncture rod body; the puncture sheath is sheathed on the puncture rod and covers all the puncture head and part of the puncture rod body, and the tip of the puncture head and the groove at the tip are exposed outside the puncture sheath; the net sheet and the puncture sheath are separated or connected.
Further, the puncture head is arc-shaped, and the central angle corresponding to the arc is 70 to 80 degrees, preferably 75 degrees.
Further, the puncture head is circular-arc, and the puncture body of rod and puncture head are tangent to be linked up, and the line of puncture tip and puncture body of rod tie point and puncture body of rod be 135 degrees obtuse angles.
Furthermore, the puncture sheath is in a hollow tubular shape matched with the puncture rod body and the puncture head, so that the puncture sheath is prevented from moving, an opening is arranged at a position corresponding to the tip of the puncture head, (the opening is in a cone shape without the tip), and a part of the tip of the puncture head is exposed outside. Preferably, the tip of the piercing head is exposed halfway, i.e. about 0.5cm in length.
Preferably, the puncture sheath and the puncture rod are circular in cross section.
Furthermore, the handle is provided with an anti-skidding concave-convex structure.
Furthermore, the mesh and the puncture sheath are separated or connected; when the puncture needle is in a separated type, the mesh and the puncture sheath are combined for use; when the net is in a connection type, the net sheet is bonded at the tail part of the puncture sheath.
Further, the length ratio of the puncture rod body to the puncture head is (1 to 1.5): 1, the puncture sheath is long enough to cover the whole puncture head and one third of the puncture rod.
Further, in order to protect the shoulder of the puncture head and avoid scratch, a silica gel protective sleeve matched with the size of the shoulder can be arranged.
Further, the puncture head is 9cm in length, and the tip part is 1cm in length; the total length of the puncture rod body and the puncture head is 20 to 25cm, the rod diameter is 10Fr, and the diameter of the puncture head is gradually reduced from the joint of the puncture rod body and the puncture head to form the tip of the puncture head; the puncture sheath has a diameter of 12Fr and a length of 10-14cm. The puncture rod is preferably made of medical alloy, and the puncture sheath is preferably made of medical PVC material. The mesh is used for fixing the uterus, preferably 20x2cm medical polypropylene mesh material, the puncture sheath is used for facilitating the traction and the placement of the mesh, and the mesh and the puncture sheath are made of disposable medical materials.
For avoiding polluting, the puncture external member still includes the integrative receiver that is provided with the cavity that matches with puncture rod, puncture sheath and net piece appearance to and the packing carton that seals the receiver.
The utility model discloses the application method in the operation as follows: when the operation is started, the puncture sheath is sheathed on the puncture rod, then the puncture sheath is placed into the uterine cavity through the cervical orifice, the puncture rod is punctured in the abdominal wall direction after the position is adjusted, when the head of the puncture rod reaches the subcutaneous part, the skin is incised by using a scalpel, and the head of the puncture rod penetrates out of the abdominal wall. According to the arrangement of different puncture sheaths and meshes, the following steps are as follows:
1. when the puncture sheath and the mesh are integrated, the puncture rod is directly withdrawn, the puncture sheath is pulled to the tail mesh to a proper position through the abdominal wall side, the mesh is fixed, and then the redundant mesh and the puncture sheath are cut off.
2. When the puncture sheath and the mesh are separated, the silk thread is firstly used as a horseline and fixed in a groove at the tip of the puncture rod, then the puncture rod is withdrawn to draw one end of the silk thread to the cervical orifice, the fixed silk thread is taken down from the head of the puncture rod, one end of the mesh is fixed by the silk thread, the other end of the silk thread is drawn, one end of the mesh is drawn to the outside of the abdominal wall through the puncture sheath, the puncture sheath is withdrawn, the mesh is fixed, and after the mesh is adjusted to a proper position, redundant mesh is cut off.
Compared with the prior art, the utility model discloses following beneficial effect has:
1. the utility model discloses in, puncture head and puncture body of rod angle agree with the uterus stomach wall completely and suspend the operation puncture requirement in midair, can be fine get into the uterus body and adjust the position of the uterus body in the puncture.
2. The utility model discloses in, puncture body of rod pole footpath and length reasonable in design avoid the too thick tissue damage that aggravates among the puncture process, the going on of the operation of too thin restriction, and avoid the inconvenient operation of overlength, short restriction puncture operation process.
3. The utility model discloses in, puncture head point portion exposes, and exposed length reasonable in design guarantees to satisfy the requirement of a large amount of tissues of puncture when the thicker denser organizational structure of puncture, and simultaneously, the puncture sheath can avoid puncture sheath aversion to puncture rod and puncture head's part parcel and pipe diameter size reasonable in design, or imbeds the tissue between puncture rod and the puncture sheath.
5. The utility model discloses with net piece and puncture sheath integration, make things convenient for uterus to suspend in midair placing of net piece, direct tractive puncture sheath can place the net piece in puncture channel after the puncture is successful.
Drawings
Fig. 1 is a schematic structural view of the puncture rod of the present invention;
fig. 2 is a schematic structural view of the puncture sheath and the mesh sheet of the present invention (the mesh sheet and the puncture sheath are connected);
fig. 3 is a schematic structural view of the puncture sheath and the mesh sheet of the present invention (the mesh sheet and the puncture sheath are separated);
in the figure, 1-puncture head, 1-2-puncture rod body, 1-3-handle, 2-mesh sheet, 3-puncture sheath, and 3-1-opening.
Detailed Description
The present invention will be further described with reference to the following examples. It should be noted that the following examples are only for illustrating the present invention and should not be construed as limiting the scope of the present invention, and those skilled in the art can implement the present invention without substantial modifications and adjustments based on the above disclosure.
Example 1
The puncture instrument suite for the transvaginal uterine abdominal wall suspension surgery comprises a puncture rod, a mesh 2 and a puncture sheath 3, wherein the puncture rod is formed by connecting a puncture head 1-1, a puncture rod body 1-2 and a handle 1-3, one end of the puncture rod body is connected with the handle, and the other end of the puncture rod body and the puncture head are in an integral structure; the puncture head is convex elbow, and the elbow tip contracts gradually and is sharp portion, and puncture head sharp portion is gone up to be provided with the round recess along circumference for fixed silk thread in the operation. The puncture rod body is connected with the puncture head in a tangent mode, and a connecting line between an end point of the tip of the puncture head and a connecting point of the puncture rod body and the puncture head forms an obtuse angle of 135 degrees with the puncture rod body; the central angle of the puncture head corresponding to the arc is 75 degrees. The puncture sheath is in a sleeve shape, is sleeved on the puncture rod, covers all the puncture heads and the puncture rod body connected with the puncture heads by one third of the length, and exposes the tip of the puncture head and the groove of the tip outside the puncture sheath; the net piece is bonded at the tail part of the puncture sheath. The puncture sheath is matched with the puncture rod body and the puncture rod head in shape, the head of the part corresponding to the puncture head is an opening 3-1, and the opening is in a cone shape without a tip part, so that the tip part of the puncture head is exposed outside by about 0.5cm in length. The handle is provided with an anti-skid concave-convex structure.
The puncture head is 9cm in length, and the tip part is 1cm in length; the total length of the puncture rod body and the puncture head is 25cm, the rod diameter is 10Fr, and the diameter of the puncture head is gradually reduced from the joint of the puncture rod body and the puncture head to form the tip of the puncture head; the puncture sheath has a tube diameter of 12Fr and a length of 12cm. The puncture rod is preferably made of medical alloy, and the puncture sheath is preferably made of medical PVC material. The mesh is used for fixing the uterus, preferably 20x2cm medical polypropylene mesh material, and the mesh and the puncture sheath are made of disposable medical materials.
The utility model discloses the application method in the operation as follows: when the operation is started, the puncture sheath is sheathed on the puncture rod, then the puncture sheath is placed into the uterine cavity through the cervical orifice, the puncture rod is punctured in the abdominal wall direction after the position is adjusted, when the head of the puncture rod reaches the subcutaneous part, the skin is incised by using a scalpel, and the head of the puncture rod penetrates out of the abdominal wall. Then the puncture rod is directly withdrawn, the puncture sheath is pulled to the tail mesh at a proper position through the abdominal wall side, the mesh is fixed, and then the redundant mesh and the puncture sheath are cut off.
The uterine abdominal wall suspension operation type using the device shortens the pelvic floor reconstruction operation time for treating uterine prolapse to about 20min, and reduces the amount of bleeding to about 20 ml. The hospitalization time after operation is about 2 days.
Example 2
The puncture instrument set for transvaginal uterine abdominal wall suspension surgery in the present embodiment is different from that in embodiment 1 in that the mesh and the puncture sheath are used in combination as a separate mesh and puncture sheath.
The utility model discloses the application method in the operation as follows: when the operation is started, the puncture sheath is sheathed on the puncture rod, then the puncture sheath is placed into the uterine cavity through the cervical orifice, the puncture rod is punctured in the abdominal wall direction after the position is adjusted, when the head of the puncture rod reaches the subcutaneous part, the skin is incised by using a scalpel, and the head of the puncture rod penetrates out of the abdominal wall. Then, the silk thread is used as a loop harness and fixed in a groove at the tip of the puncture rod, then the puncture rod is withdrawn to draw one end of the silk thread to the cervical orifice, the fixed silk thread is taken down from the head of the puncture rod, one end of the mesh is fixed by the silk thread, the other end of the silk thread is drawn, one end of the mesh is drawn to the outside of the abdominal wall through the puncture sheath, the puncture sheath is withdrawn, the mesh is fixed, the mesh is adjusted to a proper position, and then redundant meshes are cut off.
Claims (10)
1. A puncture instrument suite for a transvaginal uterine abdominal wall suspension operation is characterized by comprising a puncture rod, a mesh (2) and a puncture sheath (3), wherein the puncture rod is formed by connecting a puncture head (1-1), a puncture rod body (1-2) and a handle (1-3), one end of the puncture rod body is connected with the handle, and the other end of the puncture rod body and the puncture head are in an integrated structure; the puncture head is an arc-shaped elbow, the end part of the elbow gradually shrinks to form a tip part, and a circle of groove is arranged on the tip part along the circumferential direction and used for fixing silk threads in an operation; the puncture rod body is smoothly connected with the puncture head, and a connecting line between an end point of the tip of the puncture head and a connection point of the puncture rod body and the puncture head forms an obtuse angle of 130-140 degrees with the puncture rod body; the puncture sheath is sheathed on the puncture rod and covers all the puncture head and part of the puncture rod body, and the tip of the puncture head and the groove at the tip are exposed outside the puncture sheath; the net sheet and the puncture sheath are in a separated type or a connected type.
2. The transvaginal uterine abdominal wall suspension puncture instrument set according to claim 1, wherein the puncture head is in the shape of a circular arc, and the central angle of the circular arc is 70 to 80 degrees.
3. The transvaginal uterine abdominal wall suspension puncture instrument kit according to claim 2, wherein the circular arc corresponds to a central angle of 75 °.
4. The transvaginal uterine abdominal wall suspension puncture instrument set according to claim 1, wherein the puncture sheath (3) is matched with the puncture rod body and the puncture head in shape, and an opening (3-1) is arranged at a position corresponding to the tip of the puncture head, so that a part of the tip of the puncture head is exposed.
5. The transvaginal uterine abdominal wall suspension puncture instrument set according to claim 4, wherein the tip of the puncture head is exposed with a length of 0.5 cm.
6. The transvaginal uterine abdominal wall suspension puncture instrument set according to claim 1, wherein the puncture head is an arc elbow, the puncture rod body is tangentially connected with the puncture head, and a connecting line of a point of the puncture head and a connecting point of the puncture rod body forms an obtuse angle of 135 degrees with the puncture rod body.
7. The transvaginal uterine abdominal wall suspension puncture instrument kit according to claim 1, wherein the puncture sheath and puncture rod are circular in cross-section.
8. The transvaginal uterine abdominal wall suspension puncture instrument set according to claim 1, wherein the handle is provided with a concave-convex structure with anti-slip function.
9. The transvaginal uterine abdominal wall suspension puncture instrument set according to claim 1, wherein the mesh (2) and the puncture sheath are separate or connected; when the puncture needle is in a separated type, the mesh and the puncture sheath are combined for use; when the puncture sheath is in a connection mode, the mesh is bonded at the tail of the puncture sheath.
10. The transvaginal uterine abdominal wall suspension puncture instrument kit according to claim 1, wherein the puncture head has a length of 9cm and a tip portion having a length of 1cm; the length of the puncture rod body is 20-25cm, the rod diameter is 10Fr, and the diameter of the puncture head is gradually reduced from the joint of the puncture rod body to the point of the puncture head; the puncture sheath has a pipe diameter of 12Fr and a length of 10-12cm; the mesh is a medical polypropylene mesh material with the length of 20x 2cm.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202220526830.8U CN217611300U (en) | 2022-03-11 | 2022-03-11 | Puncture instrument set for transvaginal uterine abdominal wall suspension operation |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202220526830.8U CN217611300U (en) | 2022-03-11 | 2022-03-11 | Puncture instrument set for transvaginal uterine abdominal wall suspension operation |
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| Publication Number | Publication Date |
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| CN217611300U true CN217611300U (en) | 2022-10-21 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN202220526830.8U Active CN217611300U (en) | 2022-03-11 | 2022-03-11 | Puncture instrument set for transvaginal uterine abdominal wall suspension operation |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN114711908A (en) * | 2022-03-11 | 2022-07-08 | 四川大学华西医院 | Puncture kit for uterine abdominal wall suspension operation |
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- 2022-03-11 CN CN202220526830.8U patent/CN217611300U/en active Active
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN114711908A (en) * | 2022-03-11 | 2022-07-08 | 四川大学华西医院 | Puncture kit for uterine abdominal wall suspension operation |
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