CN106473833A - Controllable release hysteroscope hernia paster device - Google Patents

Abstract

The present invention relates to a controllable-release endoscopic hernia mesh device. According to the technical solution provided by the invention, the controllable-release endoscopic hernia mesh device includes an outer sleeve, and a coaxially distributed inner sleeve is arranged inside the outer sleeve. Sleeve, one end of the inner sleeve is provided with an elastic ring for assembling the hernia mesh, and the hernia mesh assembled on the elastic ring can be stored in the outer sleeve following the squeezed deformed elastic ring, and passed through the inner sleeve When the tube pushes the elastic ring out of the outer casing, it can be opened synchronously with the elastic ring, and when the hernia patch and the elastic ring are opened above the hernia hole of the hernia sac, the hernia mesh can be separated from the elastic ring. The invention has a compact structure, can effectively adapt to laparoscopic hernia repair, achieves the purpose of fast and safe hernia repair, and is easy to operate, safe and reliable.

Description

Controlled Release Laparoscopic Hernia Mesh Device

technical field

The invention relates to a patch device, in particular to a controllable release endoscopic hernia patch device, which belongs to the technical field of medical instruments.

Background technique

A hernia means that a part of a human tissue or organ leaves its original site and enters another site through a gap defect or a weak site in the human body. Except Adnon's hernia treatment method is to suture and repair the tissue at the defect site. This method involves more sutures, high postoperative recurrence rate, severe pain, and slow recovery. Tension-free herniorrhaphy with a mesh supported by polypropylene or the like is a common surgical method at present, and this method is widely used because of its simple operation.

Laparoscopic surgery has less trauma and faster healing, which is the future development direction of surgery. One of the difficulties in laparoscopic hernia repair is that after the hernia sac is freed, the hernia mesh placed in the hernia sac needs to be laid flat on top of the hernia hole. The larger hernia mesh must be curled into a rope shape before it can be inserted into the hernia sac through the cavity of the endoscopic poker, and the soft hernia mesh placed in the hernia sac is very difficult to open and lay flat, and it takes a lot of time; And the tiling effect is not satisfactory, which may affect the surgical effect.

In order to reduce the time of tiling the hernia mesh, reduce the operation difficulty of the surgeon, shorten the operation time, reduce the operation risk and enhance the operation effect, we have designed a controllable release endoscopic hernia mesh device, which can be quickly opened and tiled Hernia mesh.

Contents of the invention

The purpose of the present invention is to overcome the deficiencies in the prior art, and provide a controllable release laparoscopic hernia patch device, which has a compact structure, can effectively adapt to laparoscopic hernia repair, achieves the purpose of fast and safe hernia repair, and is easy to operate ,Safe and reliable.

According to the technical solution provided by the present invention, the controllable release endoscopic hernia mesh device includes an outer sleeve, and a coaxially distributed inner sleeve is arranged inside the outer sleeve, and one end of the inner sleeve is set for The hernia patch is assembled with a hernia patch, and the hernia patch assembled on the loop can be stored in the outer casing following the squeezed and deformed elastic, and can be synchronized with the elastic when the elastic is pushed out of the outer casing through the inner casing When it is opened, and the hernia mesh and the elastic ring are opened over the hernia hole of the hernia sac, the hernia mesh can be detached from the elastic ring.

It also includes a disengagement release mechanism for disengaging the hernia patch from the elastic ring, the disengagement release mechanism includes a connection release body, and the connection release body includes release pull rods coaxially distributed in the inner sleeve and located at the end of the release pull rod The patch connecting body at the top, the release rod can move in the inner sleeve, the hernia patch is temporarily fixed on the elastic ring through the patch connecting body, and when the release rod is pulled, the patch connecting body and the hernia mesh can be And the spring ring is separated, so that the hernia patch is separated from the spring ring.

The hernia patch matches the size and shape of the elastic ring in the open state; the outer ring of the hernia patch is provided with a number of patch connection holes, and the elastic ring is provided with a number of patch connection positioning bodies, and the patch connection The position matching distribution of the holes and the patch connection positioning body; the linear patch connection body penetrates the patch connection hole of the hernia patch and is connected with the patch connection positioning body of the elastic ring.

The hernia patch is connected to the elastic ring through two patch connectors, one end of the patch connector is connected to the release pull rod, and the other end of the patch connector is suspended.

The patch connecting body includes a flexible steel wire, the patch connecting positioning body is protrudingly arranged on the elastic ring, and the patch connecting positioning body is in the shape of a convex ball or a square.

A split body is provided at the end of the inner sleeve, and a connecting body channel for placing and positioning the patch connecting body is formed between the split body and the inner wall of the inner sleeve.

The end of the outer sleeve is provided with an outer tube stop ring, and the other end of the inner sleeve is provided with an inner tube stop ring, and the inner tube stop ring is located outside the outer tube stop ring.

One end of the release pull rod passes through the inner sleeve, and the end of the release pull rod passing through the inner sleeve is provided with a release pull rod handle.

An adjustment pull rod is also provided inside the outer casing, one end of the adjustment pull rod is connected to the tail end of the elastic ring, and the other end of the adjustment pull rod is provided with an adjustment pull rod handle, and the adjustment pull rod handle is located outside the outer casing.

The hernia patch is bonded to the elastic ring through a degradable adhesive.

Advantages of the present invention: the inner sleeve is located in the outer sleeve, and the elastic ring is located at the end of the inner sleeve. Through the movement of the inner sleeve in the outer sleeve, the elastic ring can enter the outer sleeve or be pushed out of the outer sleeve, thereby effectively changing the hernia The shape of the patch can meet the convenience of laparoscopic hernia operations, and the adjustment of the placement angle can be realized by adjusting the pull rod, so that it can effectively adapt to laparoscopic hernia repair and achieve the purpose of fast and safe hernia repair. It is easy to operate, safe and reliable .

Description of drawings

Fig. 1 is a schematic diagram of an implementation structure of the present invention.

Fig. 2 is a schematic diagram of another embodiment of the present invention.

Fig. 3 is a schematic diagram of the elastic ring of the present invention accommodated in the outer sleeve.

Fig. 4 is a schematic diagram of cooperation of the inner sleeve, the elastic ring and the hernia patch of the present invention.

Fig. 5 is a schematic diagram of the hernia patch of the present invention.

Fig. 6 is a schematic diagram of an implementation of the patch connection positioning body of the present invention.

Fig. 7 is a schematic diagram of another implementation of the patch connection positioning body of the present invention.

Explanation of reference numerals: 1-outer sleeve, 2-elastic ring, 3-hernia patch, 4-outer tube retaining ring, 5-release lever handle, 6-inner sleeve, 7-inner sleeve retaining ring, 8- Adjusting rod, 9-adjusting rod ring, 10-patch connection body, 11-patch connection positioning body, 12-release rod, 13-split body and 14-patch connection hole.

detailed description

The present invention will be further described below in conjunction with specific drawings and embodiments.

As shown in Figure 1, Figure 3 and Figure 4: In order to effectively adapt to laparoscopic hernia repair and achieve the purpose of fast and safe hernia repair, the present invention includes an outer sleeve 1, and coaxially distributed inner sleeves are arranged in the outer sleeve 1. Sleeve 6, one end of the inner sleeve 6 is provided with an elastic ring 2 for assembling the hernia patch 3, and the hernia patch 3 assembled on the elastic ring 2 can be accommodated in the jacket following the extrusion deformation of the elastic ring 2 When the elastic ring 2 is pushed out of the outer sleeve 1 through the inner sleeve 6, it can be opened synchronously with the elastic ring 2, and when the hernia patch 3 and the elastic ring 2 are opened above the hernia hole of the hernia sac, the hernia The patch 3 can be detached from the elastic ring 2 .

Specifically, the outer sleeve 1 and the inner sleeve 6 are distributed coaxially, and the inner sleeve 6 is located in the outer sleeve 1 and can move along the length direction of the outer sleeve 1 inside the outer sleeve 1 . The elastic ring 2 is similar to a circle, and the other end of the elastic ring 2 connected with the inner casing 2 has a sharp point. The elastic ring 2 can be made of elastic material, and the elasticity of the elastic ring 2 can be used to compress and deform the elastic ring 2 and store it in the outer sleeve 1. When the elastic ring 2 is deformed and stored in the outer sleeve 1, the hernia patch 3 will also Following into the outer sleeve 1, due to the characteristics of the hernia patch 3, the normal use of the hernia patch 3 will not be affected. When both the elastic ring 2 and the hernia patch 3 are located on the outer casing 1, the elastic ring 2 and the hernia patch 3 can be conveniently placed in the position to be repaired.

Through the movement of the inner sleeve 6 in the outer sleeve 1, the elastic ring 2 can be pushed out of the outer sleeve 1. When the elastic ring 2 is located outside the outer sleeve 1, the elasticity of the elastic ring 2 can be used to make the elastic ring 2 open. That is, the hernia patch 3 can be opened, so that the subsequent repair operation is convenient, and it is compatible with the existing repair operation. In the embodiment of the present invention, when the front hernia patch 3 has been opened above or near the hernia hole of the hernia sac by the elastic ring 2, the hernia patch 3 can be separated from the elastic ring 2, and after the hernia patch 3 is separated from the elastic ring 2, The hernia mesh 3 can be used to perform the required repair operation.

During specific implementation, the hernia patch 3 is bonded to the elastic ring 2 through a degradable adhesive body, which can be degraded by temperature, body fluid or other means, and the adhesive body is made of materials that meet medical standards. become. That is, in the abdominal surgery, after the hernia mesh 3 and the elastic ring 2 are opened near the hernia hole to be repaired, after the adhesion body degrades rapidly, the separation of the hernia mesh 3 and the elastic ring 2 can be realized, and the hernia mesh 3 and the elastic ring 2 can be separated. After the elastic ring 2 is detached, subsequent repair operations can be performed, and when the hernia patch 3 is detached from the elastic ring 2, it will remain in an open state, thereby avoiding the complexity of the repair operation in the existing crimped state. After being modified by the hernia patch 3, the inner sleeve 6 drives the elastic ring 2 to move, so that the elastic ring 2 can be gradually squeezed and deformed until it is stored in the outer sleeve 1 again, so that the entire outer sleeve 1 can be quickly removed from the laparoscope. Withdraw from the surgical mouth.

In addition, in order to disengage the hernia patch 3 from the elastic ring 2 to facilitate the operation of repairing the hernia mesh 3, a disengagement release mechanism for disengaging the hernia mesh 3 from the elastic ring 2 is also included, and the disengagement release mechanism includes A connection release body, the connection release body includes a release pull rod 12 coaxially distributed in the inner sleeve 6 and a patch connection body 10 located at the end of the release pull rod 12, the release pull rod 12 can be connected to the inner sleeve 6 Inner movement, the hernia patch 3 is temporarily fixed on the elastic ring 2 through the patch connecting body 10, and when the release lever 12 is pulled, the patch connecting body 10 can be separated from the hernia patch 3 and the elastic ring 2, so that the hernia Separation of patch 3 from loop 2.

In the embodiment of the present invention, the hernia patch 3 is connected to the elastic ring 2 through the patch connecting body 10, so that the hernia patch 3 can always follow the Spring ring 2 one. When repairing is required, the patch connecting body 10 is pulled out by releasing the pull rod 14, that is, the patch connecting body 10 is separated from the hernia patch 3 and the elastic ring 2, so that the hernia patch 3 is separated from the elastic ring 2, In this way, subsequent repair operations such as sewing can be performed. The specific subsequent operation process is well known to those skilled in the art and will not be repeated here.

Further, the end of the outer sleeve 1 is provided with an outer tube stop ring 4 , and the other end of the inner sleeve 6 is provided with an inner tube stop ring 7 , and the inner tube stop ring 7 is located outside the outer tube stop ring 4 .

In the embodiment of the present invention, the outer tube stop ring 4 is located at the end of the outer tube 1, and the inner tube stop ring 7 and the spring ring 2 are respectively located at both ends of the inner tube 6. When the inner tube 6 moves in the outer tube 1 , the elastic ring 2 can pass through the other end of the outer tube 1 correspondingly provided with the outer tube stop ring 4 . The movement of the inner sleeve 6 in the outer sleeve 1 can be effectively limited by using the inner tube retaining ring 7 and the outer tube retaining ring 4, thereby improving the convenience of the inner sleeve 6 in operation.

In addition, in order to facilitate the operation of the release rod 14 , one end of the release rod 14 passes through the inner sleeve 6 , and the end of the release rod 14 passing through the inner sleeve 6 is provided with a release rod handle 5 . The release pull rod handle 5 is located outside the inner tube retaining ring 7 , and the release pull rod 14 can be pulled to move in the inner casing 6 through the release pull rod handle 5 .

As shown in Figure 5, the outer ring of the hernia patch 3 is provided with some evenly distributed patch connection holes 14, and the elastic ring 2 is provided with several patch connection positioning bodies 11, and the patch connection body 10 penetrates into the hernia patch. The patch connection hole 14 of the sheet 3 is connected with the patch connection positioning body 11 of the elastic ring 2 afterward.

In the embodiment of the present invention, the hernia patch 3 is circular, and the shape and size of the hernia patch 3 are compatible with the elastic ring 2 in the open state. 14 is located at the outer circle of the hernia patch 3. The patch connection positioning body 11 is symmetrically distributed on the elastic ring 2, the patch connection positioning body 11 is protruded on the elastic ring 2, and the patch connecting body 10 penetrates into the patch connection hole 14 of the hernia patch 3, and is connected with the patch connection hole 14 of the hernia patch 3. The patch on the elastic ring 2 is connected to the positioning body 11 for connection and cooperation, so as to realize the connection and positioning of the hernia patch 3 . During specific implementation, after the patch connection positioning body 10 is pulled by the release pull rod 14, the patch connection body 10 can be moved following the release pull rod 12, so that the patch connection body 10 is separated from the hernia patch 3 and the patch connection positioning body 11. Purpose, thereby realizing the release of the hernia patch 3.

In practice, the hernia patch 3 is connected to the elastic ring 2 through two patch connectors 10, one end of the patch connector 10 is connected to the release rod 14, and the other end of the patch connector 10 is suspended. Since the patch connection positioning body 11 is symmetrically distributed on the elastic ring 2, in order to make the effective connection and cooperation between the hernia patch 3 and the elastic ring 2, two patch connecting bodies 10 are arranged at the end of the release pull rod 12. The patch connecting body 10 can be made of flexible steel wire, etc., so as to satisfy the connection between the patch connecting body 10 and the hernia patch 3 and the patch connecting positioning body 11. Separation between the patch 3 and the patch connection positioning body 11 .

The patch connection positioning body 11 is protrudingly arranged on the elastic ring 2 , and the patch connection positioning body 11 is in the shape of a convex ball or a block. Wherein, Fig. 6 shows that the patch connection positioning body 11 adopts the form of a convex spherical shape, and Fig. 7 shows that the patch connection positioning body 11 adopts the form of a block; when the patch connection positioning body 11 adopts a convex spherical shape, in the patch A hole or groove that allows the patch connecting body 10 to pass through is also provided in the patch connecting positioning body 11, so that the hernia patch 3 is effectively connected between the patch connecting body 10 and the patch connecting positioning body 11, and at the same time, it can Ensure that the patch connection body 10 is quickly separated from the patch connection positioning body 11 when pulled. When the patch connection positioning body 11 adopts a block form, in addition to setting holes or grooves allowing the patch connection body 10 to pass through in the patch connection positioning body 11, forms such as flanging can also be used, and the time gap and the patch Connection and cooperation between connecting bodies 10 . The specific matching form between the patch connection positioning body 11 and the patch connection body 10 is not limited to the above-mentioned situation, as long as the connection and cooperation between the patch connection body 10 and the patch connection positioning body 11 are satisfied, and the patch connection can be made The rapid separation of the body 10 can be performed, which is well known to those skilled in the art and will not be repeated here.

A split body 13 is provided at the end of the inner sleeve 6 , and a connector channel for placing and positioning the patch connector 10 is formed between the split body 13 and the inner wall of the inner sleeve 6 . In the embodiment of the present invention, the split body 13 may be triangular in shape, and the split body 13 is a part of the inner sleeve 6. As long as it is used to form a connector channel, two patch connectors 10 can be placed in the connector channel, It is convenient to realize the pulling of the patch connecting body 10 and the like.

As shown in Figure 2, an adjustment rod 8 is also provided in the outer sleeve 1, one end of the adjustment rod 8 is connected with the spring ring 2, and the other end of the adjustment rod 8 is provided with an adjustment rod ring 9, and the adjustment rod 8 is provided with an adjustment rod ring 9. The ring 9 is located outside the outer sleeve 1 .

In the embodiment of the present invention, the adjusting rod 8 is distributed parallel to the inner casing 6 , one end of the adjusting rod 8 is connected to the elastic ring 2 , and the adjusting rod ring 9 is located at the other end of the adjusting rod 8 . When the adjustment rod 8 is pulled by adjusting the rod ring 9, the shape of the elastic ring 2 can be changed or adjusted due to the connection between the adjustment rod 8 and the spring ring 2, so as to adjust the angle of placing the hernia patch 3, etc., to meet the needs of different repair operations , to improve the adaptation range.

In the present invention, the inner sleeve 6 is located in the outer sleeve 1, and the elastic ring 2 is located at the end of the inner sleeve 6. Through the movement of the inner sleeve 6 in the outer sleeve 1, the elastic ring 2 can enter the outer sleeve 1 or be pushed out. The shape of the hernia patch 3 can be effectively changed, and the convenience of laparoscopic hernia operations can be satisfied. The adjustment of the placement angle can be realized by adjusting the pull rod 8, so that it can effectively adapt to the laparoscopic hernia repair and achieve rapid The purpose of safely performing hernia repair is convenient, safe and reliable.

Claims (10)

1. a kind of controllable release hysteroscope hernia paster device, is characterized in that：Including trocar sheath (1), set in described trocar sheath (1) Put the inner sleeve (6) of coaxial distribution, one end end of described inner sleeve (6) is provided for assembling the bullet circle of hernia paster (3) (2) the bullet circle (2) that the hernia paster (3), being assemblied on bullet circle (2) can follow crimp is accommodated in trocar sheath (1), and By inner sleeve (6) will bullet circle (2) release trocar sheath (1) outer when, bullet circle (2) can be followed and synchronously open, and hernia paster (3) with And bullet circle (2) is when opening above the hernia hole of hernical sac, hernia paster (3) can depart from from bullet circle (2).

2. controllable release hysteroscope hernia paster device according to claim 1, is characterized in that：Also include for making hernia mend The disengaging relieving mechanism that piece (3) departs from from bullet circle (2), described disengaging relieving mechanism includes Connection Release body, described Connection Release Body includes the release pull bar (12) being coaxially distributed in inner sleeve (6) and is located at the described sticking patch discharging pull bar (12) end even Junctor (10), described release pull bar (12) can be moved in inner sleeve (6), and hernia paster (3) is faced by sticking patch connector (10) When be fixed on bullet circle (2), and when pulling release pull bar (12), can make sticking patch connector (10) and hernia paster (3) with And bullet circle (2) separates, so that hernia paster (3) is separated with bullet circle (2).

3. controllable release hysteroscope hernia paster device according to claim 2, is characterized in that：Described hernia paster (3) with It is in the size of bullet circle (2) of open mode and profile matches；The outer ring of described hernia paster (3) is provided with some sticking patch and connects Hole (14), bullet circle (2) is provided with some sticking patch and connects positioning body (11), and sticking patch connecting hole (14) is connected positioning body (11) with sticking patch Location matches are distributed；Sticking patch connector (10) in line style penetrate the sticking patch connecting hole (14) of hernia paster (3) afterwards with bullet circle (2) Sticking patch connect positioning body (11) connect.

4. controllable release hysteroscope hernia paster device according to claim 2, is characterized in that：Described hernia paster (3) is led to Cross two sticking patch connectors (10) to be connected with bullet circle (2), one end of sticking patch connector (10) is connected with release pull bar (14), sticking patch The other end of connector (10) is in vacant state.

5. the controllable release hysteroscope hernia paster device according to claim 3 or 4, is characterized in that：Described sticking patch connector (10) include flexible steel wire, sticking patch connects positioning body (11) and is convexly equipped on bullet circle (2), it is in convex ball that sticking patch connects positioning body (11) Shape or square.

6. controllable release hysteroscope hernia paster device according to claim 4, is characterized in that：The end of described inner sleeve (6) Portion's setting dividing body (13), forms between the inwall of described dividing body (13) and inner sleeve (6) and places for sticking patch connector (10) And the connector passage of positioning.

7. controllable release hysteroscope hernia paster device according to claim 1, is characterized in that：The end of described trocar sheath (1) Portion is provided with outer tube baffle ring (4), other end setting inner tube baffle ring (7) of inner sleeve (6), and said inner tube baffle ring (7) is located at outer tube and keeps off The outside of ring (4).

8. controllable release hysteroscope hernia paster device according to claim 2, is characterized in that：Described release pull bar (14) One end passes in inner sleeve (6), and discharges end setting release pull bar handle (5) that pull bar (14) passes inner sleeve (6).

9. controllable release hysteroscope hernia paster device according to claim 1, is characterized in that：In described trocar sheath (1) It is additionally provided with adjustment pull bar (8), one end of described adjustment pull bar (8) is connected with bullet circle (2) tail end, the other end of adjustment pull bar (8) It is provided with adjustment pull bar handle (9), described adjustment pull bar handle (9) is located at trocar sheath (1) outward.

10. controllable release hysteroscope hernia paster device according to claim 1, is characterized in that：Described hernia paster (3) is led to The adhesion body crossing degradable is bonded on bullet circle (2).