WO2006136053A1 - Dispositif de ligature automatique d’hémorroïdes - Google Patents

Dispositif de ligature automatique d’hémorroïdes Download PDF

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Publication number
WO2006136053A1
WO2006136053A1 PCT/CN2005/000892 CN2005000892W WO2006136053A1 WO 2006136053 A1 WO2006136053 A1 WO 2006136053A1 CN 2005000892 W CN2005000892 W CN 2005000892W WO 2006136053 A1 WO2006136053 A1 WO 2006136053A1
Authority
WO
WIPO (PCT)
Prior art keywords
traction
automatic
rubber
wire
main body
Prior art date
Application number
PCT/CN2005/000892
Other languages
English (en)
Chinese (zh)
Inventor
Ruiyun Xu
Original Assignee
Guangzhou Huodi Medical Appliances Co., Ltd.
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Guangzhou Huodi Medical Appliances Co., Ltd. filed Critical Guangzhou Huodi Medical Appliances Co., Ltd.
Priority to PCT/CN2005/000892 priority Critical patent/WO2006136053A1/fr
Publication of WO2006136053A1 publication Critical patent/WO2006136053A1/fr

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12009—Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
    • A61B17/12013—Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot for use in minimally invasive surgery, e.g. endoscopic surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12009—Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
    • A61B2017/12018—Elastic band ligators

Definitions

  • the present invention relates to a medical device, and in particular to a device for treating acne. Background technique
  • Acne ligation is a common method for treating acne, and it has a good effect on general acne.
  • the current clinical implementation of acne ligation is usually performed by hand or by simple means under local anesthesia (or other anesthesia). It is not only time-consuming, laborious, difficult to reveal, but also prone to bleeding and pain.
  • local anesthesia or other anesthesia
  • it In the case of emergency surgery for hemorrhagic hemorrhage, it sometimes needs to be done under lumbar anesthesia or under general anesthesia, which significantly increases the degree of trauma.
  • the invention name is the patent for the acne treatment instrument
  • the acne treatment device includes a DC current controller, a processor and a treatment electrode or
  • the probe is composed of a single-chip microcomputer; there are three kinds of electrodes, one is a clamp-type clamping electrode for treating external hemorrhoids; the other is a round rod electrode for treating anal fissure lesion, the treatment end is triangular; the other is treatment
  • the probe electrode for the fistula lesion is round and silvery at both ends.
  • the patent name of the intrinsic ligature is made of a plastic casing, an inner casing, an inner casing, a jacket, and a jacket.
  • the ligation device consisting of a tube is characterized in that a plastic mechanical negative pressure pump consisting of a cylinder, a piston and a connecting rod is fixed at the rear end of the plastic outer casing, the inner sleeve is connected with the inner cavity of the cylinder, and the connecting rod is hinged with the operating trigger. There is a swing rod in front of the hinge point of the trigger, and the piston and the outer sleeve are reset by a large spring and a small spring.
  • the object of the present invention is to provide an automatic, convenient, time-saving and labor-saving method without losing the excellent curative effect, without the need for anesthesia, and requiring hospitalization, which can significantly shorten the period of surgical recovery.
  • Hemorrhoids ligation device Confirmation
  • the present invention adopts the following technical solutions:
  • An automatic ⁇ ligature which comprises a main body, the front part of the main body is a pipe body, and the pipe body is covered with one or more rubber rubber rings, and the main body is provided There is a vacuum suction joint and a vent hole which communicate with the inner cavity of the main body, and a rubber banded traction device is also arranged on the main body.
  • the rubber rubber ring traction device comprises two traction wires and a winding device symmetrically distributed, and the traction wires respectively abut the outer wall of the pipe body and are connected to the winding device located in the main body around the pipe mouth.
  • the traction wires on both sides of the outer wall of the tube are provided with a wire knot, and the rubber band is sleeved on the traction wire and located before the corresponding wire knot.
  • the winding device is composed of a traction wire diverting pulley disposed in the inner cavity and a unidirectional rotating winding ratchet disposed on the main body, and the inner wall traction wire is fixed to the one-way rotating winding through the diverting pulley On the ratchet.
  • the invention adopting the above structure replaces the conventional vascular forceps or other clipping device jaws with a vacuum suction, and the traction device pulls the rubber band ligation instead of the conventional manual wire ligation, thereby making the operation more convenient and tubular.
  • the invention further includes the following structure:
  • the outer wall of the pipe body is provided with a drag reducing groove.
  • the drag reducing groove reduces the friction between the rubber rubber ring and the pipe body, and the rubber rubber ring is more easily pulled out.
  • the steering slide has two wire slots, and the two traction wires are respectively placed in two wire grooves.
  • the two traction wires are placed in the two wire slots respectively to maintain balance during pulling, so that the knots on both sides of the outer wall of the pipe body move forward at the same time to pull the rubber rubber ring.
  • a sealing rubber pad for sealing the inner cavity of the main body is further disposed between the traction wire diverting pulley and the unidirectional rotating winding ratchet, and the pulling wire passes through the sealing rubber pad and then rotates with one-way rotation. Ratchet connection.
  • the sealing rubber pad is provided to maintain the airtightness of the inner cavity and enhance the negative pressure effect.
  • the automatic hemorrhoids ligature is a gun type, and is composed of a barrel, a gun body and a handle.
  • the vacuum suction joint is disposed at the bottom of the handle, and the vent hole is disposed at the side of the gun body, and is in communication.
  • a switch is provided on the air hole.
  • the front side of the handle is provided with a plurality of concave curved surfaces conforming to the fingers, and a plurality of laterally arranged small grooves are also arranged on each concave curved surface. a plurality of rounded protrusions are distributed on the left and right sides of the handle Start.
  • the rear side of the handle is a convex curved surface, and a plurality of lateral grooves are distributed from the top to the bottom on the convex curved surface.
  • the automatic hemorrhoids ligation device is a gun type, easy to hold; the vent hole is arranged on the side of the gun body, and the thumb is easier to toggle the switch; the curved surface, the groove on the side of the handle and the smooth protruding point design make the grip more comfortable and secure.
  • the rubber rubber rafts are five, wherein a rubber rubber ring farthest from the nozzle is tied and tied by the traction wires on both sides of the outer wall of the pipe, so that the traction wire can be fixed on the outer wall by the rubber band and is not easy to slide up and down. .
  • the elongated tubular body of the present invention is 10-15 cm long (or even longer), so that the orifice can easily reach any part of the anal canal and the rectum, which is time-saving and labor-saving compared with conventional manual operation.
  • the operation is simple, convenient, fast, requires no anesthesia, and does not require a large field to be exposed, the operation can be completed at the clinic, which can save patients money.
  • the slender barrel of the instrument can also be used for ligation of high rectal polyps, rectal hemangioma (vascular malformation) or other rectal lesions; can be used for internal hemorrhoids, mixed hemorrhoids, hemorrhoids
  • the treatment of bleeding, rectal polyps, etc. is an ideal instrument for the treatment of anorectal diseases.
  • Figure 1 is a schematic view of the structure of the present invention.
  • FIG. 2 is a structural view of the barrel of the present invention. detailed description
  • the automatic hemorrhoids ligator of the present embodiment adopts a gun-type structure, and the main body thereof comprises a tube barrel 6, a gun body 2 and a handle 13 which are smooth at the front and have a smooth outer wall.
  • the rubber rubber ring pulling device is provided with a pulling line 7 at the inner and outer walls of the opposite side of the barrel 6, and a wire knot is arranged at the opposite side of the pulling line on both sides of the outer wall.
  • the knot 8 is formed by the pulling line on both sides of the outer wall of the barrel 6; the traction lines on both sides of the outer tube of the barrel are respectively fixed on the outer sides of the barrel 6 by the rubber rubber rings 10, and the rear of the first four rubber bands
  • the outer wall of the nozzle 11 of the barrel 6 is further provided with a drag reducing groove 14, and the reducing groove 14 can adopt a narrow groove distributed in the axial direction, and the end of the inner wall pulling wire is connected with a winding device, and the winding device is provided at
  • the one-way rotating winding ratchet 5 is provided with a spacing winding groove in the middle, and the inner wall pulling wire is fixed on the winding groove of the ratchet wheel 5 through the two wire grooves of the diverting pulley 3, and the inner and outer pulling wires can be pulled when the ratchet wheel 5 rotates.
  • the knot 8 pulls the rubber band 10 forward until it falls off from the nozzle.
  • the crucible will be negatively charged.
  • the acne tissue at the mouth of the tube is firmly tied. According to this principle, each pair of knots can pull a rubber band.
  • the vacuum suction joint 12 of the present invention is connected to an external negative pressure suction system.
  • the nozzle When the nozzle is aimed at the acne and its related diseased tissue, when the vacuum suction is opened, the entire handle 13, the gun body 2 and the lumen of the barrel 6 are negatively pressurized, and they can be sucked into the barrel 6.
  • the function of the vent is to close it during surgery and maintain the negative pressure inside the gun; open it after the end of the operation to eliminate the negative pressure and release the ligation tissue.
  • the above-mentioned winding device can also adopt other structural methods, such as using a reel connected to the motor shaft, and the motor control switch is arranged on the gun body, and the rubber rubber ring is controlled by controlling the power of the motor.
  • Front sliding ligation action can also adopt the reel structure with elastic torsion spring control (similar to the internal structure of steel ring ruler), the rotary handle and positioning button are arranged on the reel, and the elastic torsion spring is first rotated when used.
  • the reel In the torque state, the reel is in a self-rotating state, and is fixed by the positioning button. When the positioning button is released, the reel can be rotated, thereby driving the traction line to be recovered.
  • the winding device can also be realized by the structure of the trigger.
  • One end of the traction wire is fixed on the reel, and a connecting rod is hinged on the reel, and the connecting rod is hinged to the end of the trigger through the lever.
  • the middle is set at the fulcrum, and there is a return spring between the trigger and the gun body.
  • the automatic acne ligation device body of the present invention may also adopt other shapes; the rubber squeegee traction device may also have a pusher sleeve at the rear of the rubber rubber ring, and the pusher sleeve is advanced by the push rod; All fall within the scope of protection of the present invention.
  • the right hand grips the handle 13 and aligns the orifice of the automatic hemorrhoids ligator with the acne and its associated diseased tissue.
  • the vacuum suction system is opened, and the acne and its associated disease tissue can be sucked into the barrel 6 at this time.
  • the index finger of the right hand rotates the tangled ratchet 5 in a counterclockwise direction, thereby pulling the inner traction line and the pulley 3 and transmitting the traction force to the outer lead.
  • the outer traction line and its knot 8 move forward, and the rubber band 10 is moved forward until the rubber band 10 falls off at the nozzle to firmly bind the acne tissue.
  • Open the vent switch 1 to eliminate the negative pressure, thereby releasing the banded acne tissue.
  • the ligation of the next sputum tissue can continue. In this embodiment, a total of 4 times of ligation can be performed.
  • the invention can be adapted to the treatment of internal hemorrhoids, mixed hemorrhoids, hemorrhoids hemorrhage, rectal polyps and the like.

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Reproductive Health (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

La présente invention concerne un dispositif de ligature automatique d’hémorroïdes qui comprend un corps, un tube disposé devant le corps et un ou plusieurs anneaux en caoutchouc disposés autour du tube. Elle est caractérisée en ce que le corps est équipé d’un raccord d’aspiration à pression négative communiquant avec la lumière du corps et d’un trou d’aération, et en ce que le corps est également équipé d’un dispositif de traction pour le ou les anneaux en caoutchouc.
PCT/CN2005/000892 2005-06-21 2005-06-21 Dispositif de ligature automatique d’hémorroïdes WO2006136053A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
PCT/CN2005/000892 WO2006136053A1 (fr) 2005-06-21 2005-06-21 Dispositif de ligature automatique d’hémorroïdes

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/CN2005/000892 WO2006136053A1 (fr) 2005-06-21 2005-06-21 Dispositif de ligature automatique d’hémorroïdes

Publications (1)

Publication Number Publication Date
WO2006136053A1 true WO2006136053A1 (fr) 2006-12-28

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Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107028627A (zh) * 2017-06-05 2017-08-11 太仓市中医医院 一种安全、不易出血的肿瘤活检器械系统
CN107028638A (zh) * 2017-05-16 2017-08-11 周钰杰 一种新型多用途套扎器及其工作原理
CN109620339A (zh) * 2019-02-14 2019-04-16 河南省驼人医疗科技有限公司 一种可重复使用型肛肠套扎器
CN109620342A (zh) * 2019-02-14 2019-04-16 河南省驼人医疗科技有限公司 一种减少交叉感染的可充电式肛肠套扎器
CN109620338A (zh) * 2019-02-14 2019-04-16 河南省驼人医疗科技有限公司 一种具有自动紧线功能的可重复使用型肛肠套扎器
CN109646070A (zh) * 2019-02-14 2019-04-19 河南省驼人医疗科技有限公司 一种减少交叉感染的可重复使用型肛肠套扎器
CN110200671A (zh) * 2019-06-28 2019-09-06 朱小兰 手动套扎器
CN111248979A (zh) * 2020-03-30 2020-06-09 解金枝 一种痔疮套扎器
CN113143376A (zh) * 2021-02-25 2021-07-23 重庆市中医院 一种内痔套扎器
WO2022090176A1 (fr) * 2020-10-29 2022-05-05 Brijawi Loai Dispositif d'application de bandes de caoutchouc dans le corps humain
WO2023009221A1 (fr) * 2021-07-30 2023-02-02 Boston Scientific Medical Device Limited Attache d'endoscope repositionnable

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN86205071U (zh) * 1986-07-26 1987-05-06 贾福存 调压式痔套扎器
CN87200515U (zh) * 1987-01-14 1988-02-17 何奎武 内痔胶圈套扎器
CN2197951Y (zh) * 1994-08-02 1995-05-24 刘浔阳 电筒式负压吸引痔疮结扎器
JPH0928714A (ja) * 1995-07-18 1997-02-04 Yukihiro Adachi 内痔核吸引輪ゴム結紮による処置用機械器具
US20020111639A1 (en) * 2001-01-09 2002-08-15 Armstrong David N. Multiple band ligator and anoscope system and method for using same
CN2610851Y (zh) * 2003-02-27 2004-04-14 中山大学 自动痔疮套扎器

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN86205071U (zh) * 1986-07-26 1987-05-06 贾福存 调压式痔套扎器
CN87200515U (zh) * 1987-01-14 1988-02-17 何奎武 内痔胶圈套扎器
CN2197951Y (zh) * 1994-08-02 1995-05-24 刘浔阳 电筒式负压吸引痔疮结扎器
JPH0928714A (ja) * 1995-07-18 1997-02-04 Yukihiro Adachi 内痔核吸引輪ゴム結紮による処置用機械器具
US20020111639A1 (en) * 2001-01-09 2002-08-15 Armstrong David N. Multiple band ligator and anoscope system and method for using same
CN2610851Y (zh) * 2003-02-27 2004-04-14 中山大学 自动痔疮套扎器

Cited By (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107028638B (zh) * 2017-05-16 2023-10-20 南通市中医院 一种新型多用途套扎器及其使用方法
CN107028638A (zh) * 2017-05-16 2017-08-11 周钰杰 一种新型多用途套扎器及其工作原理
CN107028627A (zh) * 2017-06-05 2017-08-11 太仓市中医医院 一种安全、不易出血的肿瘤活检器械系统
CN109620339B (zh) * 2019-02-14 2024-01-12 河南省驼人医疗科技有限公司 一种可重复使用型肛肠套扎器
CN109620338A (zh) * 2019-02-14 2019-04-16 河南省驼人医疗科技有限公司 一种具有自动紧线功能的可重复使用型肛肠套扎器
CN109646070A (zh) * 2019-02-14 2019-04-19 河南省驼人医疗科技有限公司 一种减少交叉感染的可重复使用型肛肠套扎器
CN109620342A (zh) * 2019-02-14 2019-04-16 河南省驼人医疗科技有限公司 一种减少交叉感染的可充电式肛肠套扎器
CN109620339A (zh) * 2019-02-14 2019-04-16 河南省驼人医疗科技有限公司 一种可重复使用型肛肠套扎器
CN109646070B (zh) * 2019-02-14 2024-01-12 河南省驼人医疗科技有限公司 一种减少交叉感染的可重复使用型肛肠套扎器
CN109620342B (zh) * 2019-02-14 2024-01-26 河南省驼人医疗科技有限公司 一种减少交叉感染的可充电式肛肠套扎器
CN109620338B (zh) * 2019-02-14 2024-01-30 河南省驼人医疗科技有限公司 一种具有自动紧线功能的可重复使用型肛肠套扎器
CN110200671A (zh) * 2019-06-28 2019-09-06 朱小兰 手动套扎器
CN111248979A (zh) * 2020-03-30 2020-06-09 解金枝 一种痔疮套扎器
WO2022090176A1 (fr) * 2020-10-29 2022-05-05 Brijawi Loai Dispositif d'application de bandes de caoutchouc dans le corps humain
CN113143376A (zh) * 2021-02-25 2021-07-23 重庆市中医院 一种内痔套扎器
WO2023009221A1 (fr) * 2021-07-30 2023-02-02 Boston Scientific Medical Device Limited Attache d'endoscope repositionnable

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