CN103767753A

CN103767753A - Auxiliary instrument for non-annular cutting haemorrhoid surgical operation

Info

Publication number: CN103767753A
Application number: CN201310752926.1A
Authority: CN
Inventors: 陈望东; 周婧; 丁水澄
Original assignee: Touchstone International Medical Science Co Ltd
Current assignee: Touchstone International Medical Science Co Ltd
Priority date: 2007-12-27
Filing date: 2008-11-04
Publication date: 2014-05-07
Anticipated expiration: 2028-11-04
Also published as: CN103767753B

Abstract

The invention provides an auxiliary instrument for a non-annular cutting haemorrhoid surgical operation. The auxiliary instrument comprises a hollow body, a suture connecting portion arranged at the rear end of the body and an inserting guide portion arranged at the front end of the body. Haemorrhoid mucosa and all or part of haemorrhoid tissue which are at an operation position can penetrate through the interior of the body. At least one opening is formed in the wall of the body, and the haemorrhoid mucosa and all or part of the haemorrhoid tissue can enter the hollow interior of the body through the opening. An auxiliary catheter cannot be adopted in the use process, only the opening in the wall of the body is used, the auxiliary instrument can aim at the non-annular cutting haemorrhoid surgical operation better, the procedure of the operation is shortened, the fast implementation of the operation is facilitated, and the pain of patients can be further relieved.

Description

A kind of for the operating assistive device of non-annular cutting hemorrhoid

The application is that denomination of invention is " a kind of assistive device for anal-surgery ", and the applying date is on November 4th, 2008, the divisional application of the Chinese invention patent application that application number is 200810174395.1.

Technical field

The present invention relates to the assistive device of a kind of anorectal section, is especially a kind of novel assistive device for operations such as hemorrhoid cutting, rectum breath tumor, encysted rectums, belongs to medical instruments field.

Background technology

Anus dilator seat is the conventional assistive device of the one of anorectal section, and it plays an important role in the check of anorectal section, operative treatment process.The anus dilator seat comparatively generally adopting is at present one and is with marginate straight-tube shape structure, its edge controlled by doctor or directly and the skin closure at anus edge fix.The effect of anus dilator seat is to strut anus, for follow-up inspection or treatment are prepared.

But its function of the apparatus of this structure is very single, for the ease of the use of operation, it also needs to coordinate the subsidiary conduit with tapered distal end of a circular tube shaped.Particularly, in the hemorrhoids surgical of other than ring type cutting, such situation makes the step of operation various, is unfavorable for the Rapid Implementation of operation, has also indirectly increased patient's misery.

Summary of the invention

The object of the invention is to solve the above-mentioned technical problem that prior art exists, a kind of novel multi-functional assistive device for anal-surgery is provided.

Object of the present invention is achieved through the following technical solutions:

A kind of assistive device for anal-surgery, comprise: the body of a hollow, this body comprises front-end and back-end, this body can and arrive operation technique position through anus, the rear end of described body is the tubular structure of closed loop, described body has at least one opening on the wall that is positioned at tubular structure front, and in hemorrhoid, mucosa and all or part of hemorrhoidal tissue can enter into by described opening the inside of body hollow.

Further, the rear end of described body is provided with one and sews up connecting portion, and operate this stitching connecting portion and body can be shifted onto to operation technique position, thereby and by stitching connecting portion is sewed up and made organizationally body be fixed on operation technique position.

Again further, described stitching connecting portion is that a diameter is larger and with the broadside of engraved structure, described broadside is the shape of dispersing backward than body.Have at least two described engraved structures to be distributed on the surface of broadside.The periphery of described broadside is provided with two symmetrical handles, or is provided with the waveform projection of a week.Or described stitching connecting portion is the line hole being arranged on the rear end of body.

Again further, the front end of described body is provided with insertion guide part, and this insertion guide part moves to operation technique position to the described assistive device for anal-surgery and plays a guide effect.Described insertion guide part is a bullet, or is arranged on the chamfering of the front end of body.

Further, the cylindrical or cone barrel of described body.To be that front and rear is affixed form described body, anteriorly forms one with inserting guide part, rear portion with sew up connecting portion and form one.Described affixed mode comprises the connected mode that screw thread or buckle etc. are conventional.

Again further, have an opening on the wall of described body, the scope of its central angle is 80 degree～180 degree.

Or, on the wall of described body, having two openings, the scope of its central angle is 30 degree～160 degree, and further, described two openings are for being symmetrical arranged, and its central angle is 120 degree.

Further, the length of described opening is body length 1/6～5/6.

Beneficial effect of the present invention is mainly reflected in: adopt technical solution of the present invention, in whole operation process, compare with the identical operation that adopts traditional anus dilator seat to do, two apparatuses of anus-expanding unit inner catheter and anus mirror are saved, and then just remove the process that uses these two apparatuses from, simplify operating procedure, saved operating time.Meanwhile, the opening of offering on body wall, can allow the present invention carry out better the surgical operation for single hemorrhoid or two hemorrhoid, has simplified the step of operation, has both been beneficial to the Rapid Implementation of operation, can further reduce again patient's misery.Therefore, the present invention can be well for anal-surgery, and the hemorrhoids surgical of the other than ring type cuttings such as especially single hemorrhoid or two hemorrhoid is applied, and surgical effect is further ensured, is worth promoting in the field.

Accompanying drawing explanation

Below in conjunction with accompanying drawing, technical solution of the present invention is described further:

Fig. 1: the structural representation of the first embodiment of the present invention.

Fig. 2: the structural representation of the second embodiment of the present invention.

Fig. 3: the anterior structural representation of the second embodiment of the present invention.

Fig. 4: the structural representation at the rear portion of the second embodiment of the present invention.

Fig. 5: the third embodiment of the present invention front view.

Fig. 6: the third embodiment of the present invention right view.

Fig. 7: the third embodiment of the present invention top view.

Fig. 8: in Fig. 5 along the cutaway view of A-A direction.

Fig. 9: the fourth embodiment of the present invention front view.

Figure 10: the fourth embodiment of the present invention right view.

Figure 11: the fourth embodiment of the present invention top view.

Figure 12: in Fig. 9 along the cutaway view of B-B direction.

Figure 13: the fifth embodiment of the present invention front view.

Figure 14: the fifth embodiment of the present invention right view.

Figure 15: the fifth embodiment of the present invention top view.

Figure 16: in Figure 13 along the cutaway view of C-C direction.

Figure 17: the sixth embodiment of the present invention front view.

Figure 18: the sixth embodiment of the present invention right view.

Figure 19: the sixth embodiment of the present invention top view.

Figure 20: in Figure 17 along the cutaway view of D-D direction.

Wherein, description of reference numerals is as follows:

1: body

11: front end

12: rear end

13: front portion

14: rear portion

2: sew up connecting portion

21: broadside

22: engraved structure

23: handle

24: projection

25: line hole

3: insert guide part

31: bullet

32: chamfering

4: opening

α: opening angle

The specific embodiment

The present invention has disclosed a kind of assistive device for anal-surgery, as shown in Figure 1, comprises the body 1 of a hollow, and described body 1 includes a front end 11 and a rear end 12.In the present invention, the rear end 12 of body is the tubular structure that a sidewall is closed hoop, further says a cylinder.Described body 1 has at least one opening 4 on the wall that is positioned at tubular structure front, and in hemorrhoid, mucosa and all or part of hemorrhoidal tissue can enter into by described opening 4 inside of body 1 hollow.In all embodiment of the present invention, also comprise the stitching connecting portion 2 of the cylinder rear end 12 that is arranged on body 1 and be arranged on the insertion guide part 3 of the front end 11 of body 1.

In the preferred embodiment shown in Fig. 1, thereby by stitching connecting portion 2 is sewed up and made organizationally body 1 be fixed on operation technique position, insertion guide part 3 moves to operation technique position to the described assistive device for anal-surgery and plays a guide effect.Certainly, if do not need body to sew up and fixing only need operation to sew up connecting portion 2 in operation process body 1 is pushed to anal organizationally in operation, then with hand steered firmly.

In operation technique position, in hemorrhoid, mucosa and all or part of hemorrhoidal tissue can enter into by described opening 4 inside of body 1 hollow, and can in this body 1, pass.So-called operation technique position refers to being inserted in patient's body for the assistive device of anal-surgery, then mucosa in hemorrhoid and all or part of hemorrhoidal tissue are dragged and fallen in body 1, then with suture instruments, mucosa in hemorrhoid and all or part of hemorrhoidal tissue are cut, then sew up the position cutting and organizing.

In this preferred embodiment, described body 1 is cylindrical.Certainly in order more easily to enter in patient's body, body 1 also can be cone barrel.To be a diameter than body 1 large and with the broadside 21 of engraved structure 22, described broadside 21 is the shape of dispersing backward for described stitching connecting portion 2.In the present embodiment, there are four described engraved structures 22 to be distributed on the surface of broadside 21.For firm in operation technique position, only two or three engraved structures 22 of needs are distributed on the surface of broadside 21.The periphery of described broadside 21 is provided with two symmetrical handles 23, and this is to control assistive device for the ease of doctor.In this preferred embodiment, described insertion guide part 3 is a bullet 31, and such shape can make body 1 more easily enter in patient's body.And the length of opening 4 on body 1 is 5/6 of body 1 length.Certainly, the length of opening can be according to the difference setting of operation, and its scope is generally 1/6～5/6.The opening 4 of this preferred embodiment is because length is longer, and convenience in order to manufacture, also cut a fraction of opening on bullet 31.The central angle of opening is probably between 80-150, and preferably 120 spend.

Further, the convenience of observing for doctor, by the body of assistive device 1 with sew up connecting portion 2 and be set to transparently, is not subject to again the impact of its hetero-organization for the visual field in performing the operation, the bullet of assistive device of the present invention 31 is set to nontransparent.

Fig. 2 to Fig. 4 has disclosed the second embodiment of the present invention, be with the difference of the first embodiment, for the ease of assembling and the replacement of apparatus, described body 1 is for anterior 13 and rear portion 14 is affixed forms, anterior 13 form one with inserting guide part 3, and rear portion 14 forms one with stitching connecting portion 2.As shown in Figure 3, anterior 13 form one with bullet 31; As shown in Figure 4, rear portion 14 forms one with broadside 21.In the present embodiment, the front portion 13 of body and rear portion 14 are connected for buckle mode, and the present invention does not get rid of other connected mode certainly, for example, be threaded etc.Above-mentioned opening 4 is arranged on the front portion 13 of body 1, and its length is 1/2 of body 1 length.The present embodiment is the same with the first embodiment, and it is larger than body 1 and with the broadside 21 of engraved structure 22, described broadside 21 is the shape of dispersing backward that to sew up connecting portion 2 be a diameter, and the periphery of described broadside 21 is provided with two symmetrical handles 23.

Fig. 5 to Fig. 8 has disclosed the third embodiment of the present invention, and the difference of the present embodiment and the first embodiment is that the length of opening 4 is shorter, accounts for 2/3 of body length, and is only arranged on body 1, and its central angle is 180 degree.Attractive in appearance and firm in order to allow assistive device of the present invention take into account in opening 4, the center line of the non-openwork part on the center line of opening 4 and broadside 2 at grade.Further, described engraved structure 22 has three, and engraved structure 22 is and equidistantly distributes on broadside 2, is convenient to the stitching of broadside 2 and skin.Again further, broadside 2 outer circumference surfaces are provided with the wavy projection 24 of a week, can effectively prevent from occurring that hands is sliding, guarantees that broadside 2 has certain frictional force when doctor from holding assistive device of the present invention.Consider in operation process, doctor is tissues observed better, and described assistive device of the present invention is double-shot moulding, and its body 1 and broadside 2 form for transparent material, and bullet 31 be white or other colors.

Fig. 9 to Figure 12 has disclosed the fourth embodiment of the present invention, and the difference of the present embodiment and the 3rd embodiment is that described insertion guide part 3 is the chamfering 32 that is arranged on the front end 11 of body 1.The reason arranging like this, manufactures the assistive device of the present invention of the present embodiment and can save material.

Figure 13 to Figure 16 has disclosed the fifth embodiment of the present invention, and the difference of the present embodiment and the 3rd embodiment is that described stitching connecting portion 2 is for being arranged on the line hole 25 on the rear end 12 of body 1.In the time that assistive device of the present invention is extend into operation technique position, wear cable-through hole 25 and fix the body of assistive device of the present invention with line.

Figure 17 to Figure 20 has disclosed the sixth embodiment of the present invention, and the difference of the present embodiment and the 3rd embodiment is to have two symmetrical openings 4 on the wall of described body 1, and its central angle alpha can be between 30～160 degree, take 120 degree as best.The reason that the present embodiment arranges two openings 4 is the two hemorrhoids operations for the ease of other than ring type cutting, and in the hemorrhoid at two places, mucosa and all or part of hemorrhoidal tissue can being drawn to respectively body interior by two openings 4 and be cut.Certainly, asymmetric opening, the openings of sizes taked due to the cause of hemorrhoidal tissue do not arrange mutually on an equal basis, still within protection scope of the present invention.

The occupation mode of this apparatus is described as an example of the hemorrhoids operation of anorectal section other than ring type cutting example below.First, towards anus, make assistive device insert anal canal the insertion guide part 3 of assistive device of the present invention.Then rotate assistive device, make its opening 4 aim at mucosa and all or part of hemorrhoidal tissue in hemorrhoid.Then the stitching connecting portion of assistive device 2 and the skin closure on anus limit are got up, reach the object of fixing auxiliary instrument.Now, assistive device of the present invention is in operation technique position.

Then, with clamp clamping looper, mucosa in the hemorrhoid of assistive device opening part being carried out to pocket ties.Then by bookbinding device nail anvil and nail bin away from state under put into assistive device, make after mucosa and all or part of hemorrhoidal tissue in hemorrhoid drop in the seam area of bookbinding device.Then tractive tighten up purse wire, guarantee in hemorrhoid that mucosa and all or part of hemorrhoidal tissue are accommodated in the seam area of bookbinding device, then regulate bookbinding device, the distance between nail bin and nail anvil is dwindled, until nail anvil and nail bin clamp mucosa and all or part of hemorrhoidal tissue in hemorrhoid.And then, the firing handle of operation bookbinding device, pulls the trigger tissue by the nail of bookbinding device and binds stitching, by mucosa in hemorrhoid and all or part of hemorrhoidal tissue excision, finally exits apparatus simultaneously.

Also can find out by reference to the accompanying drawings by above-mentioned character express, in whole operation process, compare with the identical operation that adopts traditional anus dilator seat to do, two apparatuses of anus-expanding unit inner catheter and anus mirror are saved, and then just remove the process that uses these two apparatuses from, simplify operating procedure, saved operating time.And, can do the hemorrhoids operation that other than ring type cuts with tubular type hemorrhoid bookbinding device, the scope of application of tubular type hemorrhoid bookbinding device is expanded, surgical effect is further ensured, is suitable in the industry and promotes the use of.

The present invention still has multiple concrete embodiment.For example: the handle in first, second embodiment can be used on other embodiment; Same, the waveform projection in the 3rd embodiment also can be used on first, second embodiment.The shape of body 1 is mentioned in the embodiment of the present invention in addition cylindrical shape, cone barrel, it can also be other streamline shape.And the chamfering in the 4th embodiment also can be omitted, and directly body is inserted in patient body.Also have in addition the quantity of opening to be also not limited to 1 or 2 that embodiment mentions, also can other number.

All employings are equal to replacement or equivalent transformation and all technical schemes of forming, within all dropping on the scope of protection of present invention.

Claims

1. one kind for the operating assistive device of non-annular cutting hemorrhoid, in operation, be used in conjunction with to excise internal hemorrhoid with hemorrhoid bookbinding device, this assistive device comprises: the body (1) of a hollow, this body (1) comprises front end (11) and rear end (12), and this body (1) can and arrive operation technique position through anus, described body (1) is transparent, the front end (11) of described body (1) is provided with the insertion guide part (3) of tapered body (31), this insertion guide part (3) moves to operation technique position to described assistive device and plays a guide effect, the rear end (12) of described body (1) is the tubular structure of closed loop, described body (1) has at least two openings (4) on the wall that is positioned at tubular structure front, described assistive device inserts anal canal and arrives behind operation technique position, in at least two place's hemorrhoid, mucosa and all or part of hemorrhoidal tissue can enter into by described opening (4) inside of body (1) hollow, in described hemorrhoid, mucosa and all or part of hemorrhoidal tissue just exit described assistive device after being excised by described hemorrhoid bookbinding device.

2. assistive device according to claim 1, it is characterized in that: the rear end (12) of described body (1) is provided with one and sews up connecting portion (2), operate this stitching connecting portion (2) and body (1) can be shifted onto to operation technique position, and by sewing up connecting portion (2) thus sew up make organizationally body (1) be fixed on operation technique position.

3. assistive device according to claim 2, is characterized in that: described stitching connecting portion (2) is the broadside (21) that a diameter is larger than body (1), and described broadside (21) is the shape of dispersing backward.

4. assistive device according to claim 3, is characterized in that: described broadside (21) is provided with engraved structure (22).

5. assistive device according to claim 4, is characterized in that: have at least two described engraved structures (22) to be distributed on the surface of broadside (21).

6. assistive device according to claim 3, is characterized in that: the periphery of described broadside (21) is provided with symmetrical two handles (23).

7. assistive device according to claim 3, is characterized in that: the periphery of described broadside (21) is provided with the waveform projection (24) of a week.

8. assistive device according to claim 2, is characterized in that: described stitching connecting portion (2) is for being arranged on the line hole (25) on the rear end (12) of body (1).

9. assistive device according to claim 1, is characterized in that: the cylindrical or cone barrel of described body (1).

10. assistive device according to claim 9, is characterized in that: described body (1) is anterior (13) and affixed the forming in rear portion (14).

11. according to the assistive device described in any one in claim 1 to 10, it is characterized in that: on the wall of described body (1), have two openings (4), the scope of the central angle (α) of each opening is 30 degree～160 degree.

12. assistive devices according to claim 11, is characterized in that: on the wall of described body (1), have symmetrically arranged two openings (4), the central angle (α) of each opening is 120 degree.

13. according to the assistive device described in any one in claim 1 to 10, it is characterized in that: the length of described opening (4) is 1/6～5/6 of body (1) length.

14. 1 kinds for the operating assistive device of non-annular cutting hemorrhoid, in operation, be used in conjunction with to excise internal hemorrhoid with hemorrhoid bookbinding device, this assistive device comprises: the body (1) of a hollow, this body (1) comprises front end (11) and rear end (12), and this body (1) can and arrive operation technique position through anus, the front end (11) of described body (1) is provided with and inserts guide part (3), this insertion guide part (3) moves to operation technique position to described assistive device and plays a guide effect, the rear end (12) of described body (1) is the tubular structure of closed loop, described body (1) has at least one opening (4) on the wall that is positioned at tubular structure front, described assistive device inserts anal canal and arrives behind operation technique position, in hemorrhoid, mucosa and all or part of hemorrhoidal tissue can enter into by described opening (4) inside of body (1) hollow, in described hemorrhoid, mucosa and all or part of hemorrhoidal tissue just exit described assistive device after being excised by described hemorrhoid bookbinding device.

Assistive device described in 15. 1 kinds of claim 1 or 14 is in the application for coordinating hemorrhoid bookbinding device other than ring type cutting internal hemorrhoid, wherein this assistive device inserts after anal canal, in hemorrhoid, mucosa and all or part of hemorrhoidal tissue are pulled in this assistive device, carry out after other than ring type cutting at described hemorrhoid bookbinding device, this assistive device exits anal canal.