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CN211433060U - Percutaneous puncture intracavity traction and ligation device - Google Patents

Percutaneous puncture intracavity traction and ligation device Download PDF

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Publication number
CN211433060U
CN211433060U CN201921890631.XU CN201921890631U CN211433060U CN 211433060 U CN211433060 U CN 211433060U CN 201921890631 U CN201921890631 U CN 201921890631U CN 211433060 U CN211433060 U CN 211433060U
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traction
rod
puncture
wire
ligation device
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周树林
程文俊
罗成燕
袁琳
祁艳
邱江南
张洁
冯明明
姜旖
万一聪
吴姗
王慧
马小玲
徐炜
孙莹
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Jiangsu Province Hospital
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Jiangsu Province Hospital
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Abstract

本实用新型公开了一种经皮穿刺腔内牵引及套扎装置,包括:固定栓、穿刺器、牵引杆和牵引线.本实用新型的牵引及套扎装置可以通过经皮小针孔穿刺,牵引装置配合固定栓使用可调整和固定腔内组织器官的位置而达到方便手术的效果,进而减少多孔腹腔镜手术患者腹部切口的数量,以及作为单孔腹腔镜手术的重要辅助器械,使用该装置时患者创伤小、出血少、疼痛轻,具有恢复快、住院时间短、伤口愈合后无瘢痕的优点。此外牵引杆联合牵引线可作为独立装置单独使用,作为腹腔镜手术中的套扎装置,省去术中制作套扎线圈的步骤,节约手术时间。

Figure 201921890631

The utility model discloses a percutaneous puncture intracavity traction and ligation device, comprising: a fixing bolt, a puncture device, a traction rod and a traction wire. The traction and ligation device of the utility model can be punctured through a percutaneous small needle hole, The traction device is used in conjunction with the fixation plug to adjust and fix the position of the tissues and organs in the cavity to achieve the effect of convenient surgery, thereby reducing the number of abdominal incisions in patients with multi-hole laparoscopic surgery, and as an important auxiliary device for single-hole laparoscopic surgery, the device is used. It has the advantages of less trauma, less bleeding, less pain, faster recovery, shorter hospital stay, and no scarring after wound healing. In addition, the traction rod combined with the traction wire can be used alone as an independent device, and can be used as a ligation device in laparoscopic surgery, which saves the steps of making a ligation coil during the operation and saves the operation time.

Figure 201921890631

Description

一种经皮穿刺腔内牵引及套扎装置A percutaneous puncture intracavity traction and ligation device

技术领域technical field

本实用新型属于医疗器械领域,特别涉及一种经皮穿刺腔内牵引及套扎装置。The utility model belongs to the field of medical instruments, in particular to a percutaneous puncture intracavity traction and ligation device.

背景技术Background technique

腔镜外科是近年来微创外科手术领域的一个革命性的发展,可同时检查和治疗,是目前最先进、最尖端的微创技术之一。腹腔镜手术是一门新发展起来的微创技术方法,是未来手术方法发展的必然趋势,是以用电子、光学等先进设备原理来完成手术的现代高科技医疗技术,是传统剖腹手术的跨时代进步。Laparoscopic surgery is a revolutionary development in the field of minimally invasive surgery in recent years. It can be checked and treated at the same time, and it is one of the most advanced and cutting-edge minimally invasive techniques. Laparoscopic surgery is a newly developed minimally invasive technique and an inevitable trend in the development of future surgical methods. It is a modern high-tech medical technology that uses advanced equipment such as electronics and optics to complete the operation. Times progress.

腹腔镜手术原理:腹腔镜手术是在密闭的腹腔内进行的手术:摄像系统在良好的冷光源照明下,通过植入腹腔内的腹腔镜,将腹腔内的脏器摄于监视屏幕上,手术医师在显示屏监视、引导下,于腹腔外操纵手术器械,对病变组织进行探查、电凝、止血、组织分离与切开、缝合等操作。它是电子、光学、摄像等高科技技术在临床手术中应用的典范,具有创伤小、并发症少、手术风险低、康复快的特点,深得广大患者欢迎。腹腔镜手术又分为多孔和单孔腹腔镜手术。Principle of laparoscopic surgery: Laparoscopic surgery is an operation performed in a closed abdominal cavity: the camera system, under the good cold light source illumination, takes pictures of the organs in the abdominal cavity on the monitoring screen through the laparoscope implanted in the abdominal cavity. Under the monitoring and guidance of the display screen, the physician manipulates the surgical instruments outside the abdominal cavity, and performs operations such as exploration, coagulation, hemostasis, tissue separation, incision, and suturing of the diseased tissue. It is a model of the application of high-tech technologies such as electronics, optics, and cameras in clinical surgery. Laparoscopic surgery is further divided into multi-port and single-port laparoscopic surgery.

多孔腹腔镜手术方法:在病人腹部作三、四个0.5~1cm的小切口,各插入一个叫做"trocar"的穿刺器造成一个管道状工作通道,通过这些管道置入腹腔镜及手术器械,医生的手不许进入腹腔而通过这几个管道进行一切手术操作。单孔腹腔镜手术方法:经脐部切开一个2cm切口,置入“port”形成一个单孔通道,经此通道置入腹腔镜及手术器械进行操作。Porous laparoscopic surgery method: Make three or four small incisions of 0.5 to 1 cm in the patient's abdomen, insert a trocar called "trocar" into each to create a tubular working channel, and insert laparoscopes and surgical instruments through these channels. The hands are not allowed to enter the abdominal cavity and all surgical operations are performed through these channels. Single-port laparoscopic surgery method: a 2cm incision is made through the umbilicus, and a "port" is placed to form a single-port channel, through which the laparoscope and surgical instruments are placed for operation.

多孔腹腔镜虽然操作便捷,但腹部切口多,疤痕多,疤痕明显;从多孔腹腔镜向单孔腹腔镜的变革是为了减少腹壁切口数量,使疤痕更隐蔽,更具美观性,但是从脐部一个通道进行手术大大增加了手术的难度,延长手术的时间,并使手术风险有所增加。Although the multi-hole laparoscope is convenient to operate, it has many abdominal incisions, many scars, and obvious scars; the change from multi-port laparoscopy to single-port laparoscopy is to reduce the number of abdominal wall incisions, so that the scars are more concealed and more aesthetically pleasing. One channel for surgery greatly increases the difficulty of surgery, prolongs the time of surgery, and increases the risk of surgery.

实用新型内容Utility model content

本实用新型的目的是针对现有腹腔镜手术方法的现状,为了尽可能减少腹部切口及方便手术操作,提供一种经皮穿刺腔内牵引及套扎装置。The purpose of the utility model is to provide a percutaneous puncture intracavity traction and ligation device in view of the current situation of the existing laparoscopic surgery methods, in order to reduce abdominal incisions as much as possible and facilitate the operation.

为了实现上述目的,本实用新型采用以下技术方案:一种经皮穿刺腔内牵引及套扎装置,包括:固定栓、穿刺器、牵引杆和牵引线;In order to achieve the above purpose, the utility model adopts the following technical solutions: a percutaneous puncture intracavity traction and ligation device, comprising: a fixing bolt, a trocar, a traction rod and a traction wire;

其中所述固定栓为中空圆柱体,中部设置有固定棒;The fixing bolt is a hollow cylinder, and a fixing rod is arranged in the middle;

所述穿刺器为中空锐针头,顶部设置有中空穿刺受力抵座;The puncture device is a hollow sharp needle, and the top is provided with a hollow puncture force bearing seat;

所述牵引杆为细长棒体,尾部固定牵引线的一端,牵引线的另一端呈线环状,线环套在牵引杆和牵引线上形成线圈,线环大小可使线环在牵引杆上自由滑动;The traction rod is a slender rod body, and one end of the traction wire is fixed at the tail, and the other end of the traction wire is in the shape of a wire loop. The wire loop is sleeved on the traction rod and the traction wire to form a coil. Free sliding on;

所述牵引杆、穿刺器、固定栓由内而外依次相套。The traction rod, the puncture device and the fixing bolt are successively sleeved from the inside to the outside.

进一步的,固定棒垂直穿过固定栓中部,所述固定棒中央设置有垂直固定棒的穿孔;穿刺器穿过固定棒的穿孔。Further, the fixing rod vertically passes through the middle of the fixing bolt, and the center of the fixing rod is provided with a perforation of the vertical fixing rod; the puncture device passes through the perforation of the fixing rod.

进一步的,中空穿刺受力抵座的中心为与穿刺器相通的圆孔,所述圆孔内设置有密封圈。Further, the center of the hollow puncture bearing seat is a circular hole communicated with the puncture device, and a sealing ring is arranged in the circular hole.

进一步的,穿刺器的直径为1.5~2mm。Further, the diameter of the trocar is 1.5-2 mm.

进一步的,牵引杆的长度为20~50cm。Further, the length of the drawbar is 20-50 cm.

进一步的,牵引线的长度为15~45cm。Further, the length of the pulling wire is 15-45 cm.

使用时,穿刺针插入固定栓内,同时穿过固定棒中部的穿孔,穿刺针的中空穿刺受力抵座位于上端,将穿刺针穿刺入腹腔后,将牵引杆穿入穿刺针中,牵引线位于前端进入腹腔内,再将穿刺针取出。之后用线圈套住病变组织后牵拉牵引杆收紧线圈,此时牵引杆整体位于体外,牵引线有部分位于固定栓内,可根据病变组织的位置调整线长度后将固定棒向一侧按压,固定棒内穿孔与国定栓内圆孔错位而锁住牵引线,使牵引线卡在固定栓和固定棒之间进行固定,从而固定住病变组织。之后再对病变组织进行处理。如果仅需要套扎组织时,可仅使用牵引杆和牵引线,经过腔镜操作孔进入腹腔后对组织进行套扎。When in use, the puncture needle is inserted into the fixing plug, and at the same time passes through the perforation in the middle of the fixing rod, the hollow puncture bearing of the puncture needle is located at the upper end, after the puncture needle is punctured into the abdominal cavity, the traction rod is inserted into the puncture needle, and the traction wire is It is located at the front end and enters the abdominal cavity, and then the puncture needle is taken out. Then, wrap the diseased tissue with a coil and then pull the traction rod to tighten the coil. At this time, the traction rod is located outside the body as a whole, and part of the traction wire is located in the fixation bolt. The length of the wire can be adjusted according to the position of the diseased tissue and then the fixation rod is pressed to one side. , the perforation in the fixing rod and the round hole in the national plug are dislocated to lock the traction wire, so that the traction wire is stuck between the fixing bolt and the fixing rod for fixation, thereby fixing the diseased tissue. The diseased tissue is then processed. If only the tissue needs to be ligated, only the traction rod and the traction wire can be used to ligate the tissue after entering the abdominal cavity through the endoscopic operation hole.

本实用新型的牵引及套扎装置可以通过穿刺针穿刺腹壁进入腹腔对目标组织进行套扎后牵引而配合手术,从而达到与使用腔镜器械同等的效果,避免了置入“trocar”所需的腹壁切口,从而在多孔腹腔镜时可以减少患者腹部切口的数量,更少的留下疤痕;而在单孔腹腔镜时应用该装置既不增加患者腹部的疤痕数量,而且能起到类似于增加操作器械的效果,等同于多孔操作,使手术操作更方便,从而降低手术难度及风险。此外牵引杆联合牵引线可作为独立装置单独使用,作为腹腔镜手术中的套扎装置,省去术中制作套扎线圈的步骤,节约手术时间。The traction and ligation device of the utility model can puncture the abdominal wall with a puncture needle and enter the abdominal cavity to perform ligation and traction on the target tissue to cooperate with the operation, so as to achieve the same effect as the use of endoscopic instruments, and avoid the need for inserting "trocar". Abdominal wall incision, which can reduce the number of abdominal incisions in patients during multi-port laparoscopy and leave less scars; while applying this device in single-port laparoscopy does not increase the number of abdominal scars in patients, and can play a similar role in increasing the number of abdominal incisions. The effect of operating the instrument is equivalent to the multi-hole operation, which makes the operation more convenient, thereby reducing the difficulty and risk of the operation. In addition, the traction rod combined with the traction wire can be used alone as an independent device, and can be used as a ligation device in laparoscopic surgery, which saves the steps of making a ligation coil during the operation and saves the operation time.

附图说明Description of drawings

图1是实施例经皮穿刺腔内牵引及套扎装置的结构示意图。FIG. 1 is a schematic structural diagram of a percutaneous intraluminal traction and ligation device according to an embodiment.

图2是实施例经皮穿刺腔内牵引及套扎装置的剖面图。FIG. 2 is a cross-sectional view of the percutaneous intraluminal traction and ligation device according to the embodiment.

具体实施方式Detailed ways

为了使本技术领域的人员更好地理解本申请方案,下面将结合本申请实施例中的附图,对本申请实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本申请一部分的实施例,而不是全部的实施例。基于本申请中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都应当属于本申请保护的范围。In order to make those skilled in the art better understand the solutions of the present application, the technical solutions in the embodiments of the present application will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present application. Obviously, the described embodiments are only The embodiments are part of the present application, but not all of the embodiments. Based on the embodiments in the present application, all other embodiments obtained by those of ordinary skill in the art without creative work shall fall within the scope of protection of the present application.

需要说明的是,本申请的说明书和权利要求书及上述附图中的术语“包括”和“具有”以及他们的任何变形,意图在于覆盖不排他的包含,例如,包含了一系列步骤或单元的过程、方法、系统、产品或设备不必限于清楚地列出的那些步骤或单元,而是可包括没有清楚地列出的或对于这些过程、方法、产品或设备固有的其它步骤或单元。It should be noted that the terms "comprising" and "having" in the description and claims of the present application and the above-mentioned drawings, as well as any modifications thereof, are intended to cover non-exclusive inclusion, for example, including a series of steps or units The processes, methods, systems, products or devices are not necessarily limited to those steps or units expressly listed, but may include other steps or units not expressly listed or inherent to such processes, methods, products or devices.

如图1和2所示的经皮穿刺腔内牵引及套扎装置包括:固定栓1、穿刺器2、牵引杆3和牵引线4。The percutaneous intraluminal traction and ligation device shown in FIGS. 1 and 2 includes: a fixation plug 1 , a trocar 2 , a traction rod 3 and a traction wire 4 .

其中固定栓为中空圆柱体,中部设置有固定棒5。固定棒垂直穿过固定栓中部,固定棒中央设置有垂直固定棒的穿孔。穿孔的圆心和固定栓中心能在一条直线上。The fixing bolt is a hollow cylinder, and a fixing rod 5 is arranged in the middle. The fixing rod vertically passes through the middle of the fixing bolt, and the center of the fixing rod is provided with a perforation for the vertical fixing rod. The center of the perforation and the center of the fixing pin can be on a straight line.

穿刺器为中空锐针头,顶部设置有中空穿刺受力抵座6,中空穿刺受力抵座中央有圆孔与穿刺器内部相通,圆孔内设置有密封圈7,使圆孔收拢为更小的孔隙,避免气腹腹腔镜手术时漏气。穿刺器的直径为2mm。The puncture device is a hollow sharp needle, the top is provided with a hollow puncture force bearing seat 6, the center of the hollow puncture force bearing seat has a circular hole that communicates with the inside of the puncture device, and a sealing ring 7 is arranged in the round hole to make the round hole smaller. to avoid air leakage during pneumoperitoneal laparoscopic surgery. The diameter of the trocar is 2 mm.

牵引杆为细长棒体,尾部固定牵引线的一端,牵引线的另一端呈线环状,线环套在牵引杆和牵引线上形成线圈8,线环大小可使线环自由滑动。牵引杆的长度为40cm,牵引线的长度为35cm。The drawbar is a slender rod body, one end of the drawline is fixed at the tail, and the other end of the drawline is in the form of a wire loop. The length of the drawbar is 40cm and the length of the drawwire is 35cm.

使用时,穿刺针插入固定栓内,同时穿过固定棒中部的穿孔,穿刺针的中空穿刺受力抵座位于上端,将穿刺针穿刺入腹腔后,将牵引杆穿入穿刺针中,牵引线位于前端进入腹腔内,再将穿刺针取出。之后用线圈套住病变组织后牵拉牵引杆收紧线圈,此时牵引杆整体位于体外,牵引线有部分位于固定栓内,可根据病变组织的位置调整线长度后将固定棒向一侧按压,固定棒内穿孔与国定栓内圆孔错位而锁住牵引线,使牵引线卡在固定栓和固定棒之间进行固定,从而固定住病变组织。之后再对病变组织进行处理。如果仅需要套扎组织时,可仅使用牵引杆和牵引线,经过腔镜操作孔进入腹腔后对组织进行套扎。When in use, the puncture needle is inserted into the fixing plug, and at the same time passes through the perforation in the middle of the fixing rod, the hollow puncture bearing of the puncture needle is located at the upper end, after the puncture needle is punctured into the abdominal cavity, the traction rod is inserted into the puncture needle, and the traction wire is It is located at the front end and enters the abdominal cavity, and then the puncture needle is taken out. Then, wrap the diseased tissue with a coil, and then pull the traction rod to tighten the coil. At this time, the traction rod is located outside the body as a whole, and part of the traction wire is located in the fixation bolt. The length of the wire can be adjusted according to the position of the diseased tissue, and then the fixation rod is pressed to one side. , the perforation in the fixing rod and the round hole in the national plug are dislocated to lock the traction wire, so that the traction wire is stuck between the fixing bolt and the fixing rod for fixation, thereby fixing the diseased tissue. The diseased tissue is then processed. If only the tissue needs to be ligated, only the traction rod and the traction wire can be used to ligate the tissue after entering the abdominal cavity through the endoscopic operation hole.

上所述仅为本实用新型的优选实施例而已,并不用于限制本实用新型,对于本领域的技术人员来说,本实用新型可以有各种更改和变化。凡在本实用新型的精神和原则之内,所作的任何修改、等同替换、改进等,均应包含在本实用新型的保护范围之内。The above are only preferred embodiments of the present invention, and are not intended to limit the present invention. For those skilled in the art, the present invention may have various modifications and changes. Any modification, equivalent replacement, improvement, etc. made within the spirit and principle of the present invention shall be included in the protection scope of the present invention.

Claims (6)

1. The utility model provides a percutaneous puncture intracavity pulls and ligation device which characterized in that includes: the puncture outfit comprises a fixing bolt, a puncture outfit, a traction rod and a traction wire; the fixing bolt is a hollow cylinder, and a fixing rod is arranged in the middle of the fixing bolt;
the puncture outfit is a hollow sharp needle head, and the top of the puncture outfit is provided with a hollow puncture stress supporting seat;
the traction rod is a slender rod body, one end of a traction wire is fixed at the tail part of the traction rod, the other end of the traction wire is in a wire loop shape, a wire loop is sleeved on the traction rod and the traction wire to form a coil, and the wire loop can freely slide on the traction rod due to the size of the wire loop;
the traction rod, the puncture outfit and the fixing bolt are sequentially sleeved from inside to outside.
2. The percutaneous transluminal distraction and ligation device of claim 1, wherein: the fixing rod vertically penetrates through the middle part of the fixing bolt, and a through hole vertical to the fixing rod is formed in the center of the fixing rod; the puncture outfit passes through the perforation of the fixed rod.
3. The percutaneous transluminal distraction and ligation device of claim 1, wherein: the center of the hollow puncture stress abutting seat is a round hole communicated with the puncture outfit, and a sealing ring is arranged in the round hole.
4. The percutaneous transluminal distraction and ligation device of claim 1, wherein: the diameter of the puncture outfit is 1.5-2 mm.
5. The percutaneous transluminal distraction and ligation device of claim 1, wherein: the length of the traction rod is 20-50 cm.
6. The percutaneous transluminal distraction and ligation device of claim 1, wherein: the length of the traction wire is 15-45 cm.
CN201921890631.XU 2019-11-05 2019-11-05 Percutaneous puncture intracavity traction and ligation device Expired - Fee Related CN211433060U (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112353449A (en) * 2020-12-24 2021-02-12 上海市金山区亭林医院(中国福利会国际和平妇幼保健院金山分院) Lock catch type ligator for laparoscope
CN113662601A (en) * 2021-08-18 2021-11-19 复旦大学附属中山医院 Traction device for external body through abdomen

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112353449A (en) * 2020-12-24 2021-02-12 上海市金山区亭林医院(中国福利会国际和平妇幼保健院金山分院) Lock catch type ligator for laparoscope
CN113662601A (en) * 2021-08-18 2021-11-19 复旦大学附属中山医院 Traction device for external body through abdomen
CN113662601B (en) * 2021-08-18 2024-01-19 复旦大学附属中山医院 External traction device for trans-abdominal body

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