CN105311732B - A kind of auxiliary dress of anal-surgery is set - Google Patents

A kind of auxiliary dress of anal-surgery is set Download PDF

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Publication number
CN105311732B
CN105311732B CN201410356693.8A CN201410356693A CN105311732B CN 105311732 B CN105311732 B CN 105311732B CN 201410356693 A CN201410356693 A CN 201410356693A CN 105311732 B CN105311732 B CN 105311732B
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anal
plane
adjuster
side wall
adjusting body
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CN105311732A (en
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张海红
姚建清
赵宇
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Beijing Panther Medical Technology Co Ltd
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Beijing Panther Medical Technology Co Ltd
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Abstract

The present invention provides a kind of auxiliary dress of anal-surgeries to set, including:Anal device, the anal device include it is hollow expand anus body, the guidance part positioned at the expansion anus body distal end, the broadside positioned at the expansion anus body proximal end, the side wall for expanding anus body is provided with the first opening;Adjuster, the adjuster includes hollow adjusting body, the introduction part positioned at the adjusting body distal end, the handle positioned at the adjusting body proximal end, the adjuster is inserted into inside the anal device and can be rotated relative to the anal device, and the side wall for adjusting body is provided with can the second opening corresponding with first opening.The auxiliary dress of anal-surgery sets the pocket for enabling a physician to get better quality.

Description

A kind of auxiliary dress of anal-surgery is set
Technical field
The present invention relates to the field of medical instrument technology, more particularly to a kind of purse-string suture device.
Background technology
PPH operations are also known as " mucous membrane procedure in hemorrhoid ", this is a kind of to cause this morbidity machine of hemorrhoid to anus pad lesion The new knowledge of system is the new technology of rationale.PPH operations are to be known as the special instrument of " PPH staplers " with one kind, will be in hemorrhoid The prolapse of rectal mucosa band of side does circular resection.Anus is first expanded when operation, on dentate line (boundary line of rectum and anal canal) About 4 centimeters of side, which unify mucous membrane of rectum annulus, encloses, and is commonly called as " playing pocket ", PPH staplers are then inserted into anus, stapler The mucous membrane band of prolapsus can be cut off, whole process only needs or so half an hour.Since mucous membrane of rectum more than dentate line is by interior Visceral never dominate, postoperative patients almost without pain feeling;Again since operation had not only cut off prolapse of rectal mucosa band, but also resistance The arteriovenous ramus anastomoticus last eventually of the rectum end that broken, eliminates the root of hemorrhoid generation, to internal piles, external piles, mixed hemorrhoid, ring-type Hemorrhoid, serious prolapse of hemorrhoid, rectal prolapse etc. suffer from ideal therapeutic effect.With spies such as postoperative quick, the fast, no pains of recovery Point.
In PPH operations, the step that pocket is crucial is beaten, pocket, which is deserved the beating, is badly related to the success or failure entirely performed the operation, at present When playing pocket generally using tie device cooperation suture needle carry out manually, at the time of surgery, first with guide come guide anal device insert Enter affected part, then will tie device insertion anal device and carry out playing pocket.
Patent CN201310752926.1 discloses a kind of auxiliary instrument for non-annular cutting hemorrhoid surgical operation, this device Tool will tie device, anal device, guide and be made of one formula structure, this auxiliary instrument side wall is provided with one or more openings, is performing the operation In, according to the size of different patient's hemorrhoid, need the openings of sizes on instrument also different, tissue is too loose when opening is too big, opening Tissue can not be sutured when too small completely, purse string suture effect is bad
Therefore, how to improve that the quality of pocket is beaten in anal-surgery is those skilled in the art's problem to be solved.
Invention content
The object of the present invention is to provide one kind beating the higher auxiliary dress of anal-surgery of pocket quality in anal-surgery and sets.
To achieve the goals above, the present invention provides a kind of auxiliary dress of anal-surgeries to set, including:Anal device, the expansion Anus device include it is hollow expand anus body, the guidance part positioned at the expansion anus body distal end, the broadside positioned at the expansion anus body proximal end, it is described The side wall for expanding anus body is provided with the first opening;Adjuster, the adjuster includes hollow adjusting body, it is remote to be located at the adjusting body The introduction part at end, the handle positioned at the adjusting body proximal end, the adjuster are inserted into inside the anal device and being capable of phases The anal device is rotated, the side wall for adjusting body is provided with can the second opening corresponding with first opening.
Preferably, the adjusting body and the expansion anus body are cylindrical shape, and the outer diameter for adjusting body is substantially equivalent to institute State the internal diameter for expanding anus body.
Preferably, the side wall inner surfaces for expanding anus body are provided with protrusion, and the wall outer surface for adjusting body is provided with Protrusion, when the adjuster is fully inserted into inside the anal device and the adjusting body cannot continue to push away in the expansion anus body Into when, the upper edge of the protrusion is contacted with the lower edge of the protrusion just.
Preferably, the whole inner surfaces for projecting into the side wall between the guidance part for expanding anus body are first oblique Face.
Preferably, the portion inner surface for projecting into the side wall between the guidance part for expanding anus body is first oblique Face.
Preferably, it is described adjust body the protrusion to whole outer surfaces of the side wall between the introduction part be second Inclined-plane.
Preferably, the partial outer face of the protrusion for adjusting body to the side wall between the introduction part is second Inclined-plane.
Preferably, the length on first inclined-plane and second inclined-plane is unanimous on the whole, first inclined-plane and described the The angle of inclination on two inclined-planes is unanimous on the whole, and when the adjusting body is fully inserted into the expansion anus body and can not continue to promote, First inclined-plane is in close contact with second inclined-plane.
Preferably, the side wall for expanding anus body is provided with multiple first openings, and the side wall for adjusting body is provided with multiple Second opening, and the multiple first opening can be corresponded with the multiple second opening.
Preferably, further include disengaging device, the disengagement device includes flange and abutting portion, the guidance part of the anal device Distal end be provided with circular hole, the abutting portion for disengaging device can stretch into the circular hole and with described in the adjuster The distal end of introduction part contacts.
The present invention provides auxiliary dress of anal-surgery set, including:Anal device, the anal device include hollow expansion anus Body, the guidance part positioned at the expansion anus body distal end, the broadside positioned at the expansion anus body proximal end, the side wall for expanding anus body are provided with First opening;Adjuster, the adjuster include it is hollow adjust body, positioned at the adjusting body distal end introduction part, be located at institute The handle for adjusting body proximal end is stated, the adjuster is inserted into inside the anal device and can turn relative to the anal device Dynamic, the side wall for adjusting body is provided with can the second opening corresponding with first opening.At the time of surgery, first by anal device Adjuster is inserted into insertion affected part when observation feels that the first opening is excessive, makes corresponding first opening of the second opening of adjuster, Rotary regulator at this time then reaches suitable position, can stop when the adjusting body of adjuster, which shelters from part first, to be open Rotation, auxiliary dress of anal-surgery is set at this time openings of sizes and hemorrhoid it is in the same size, complete to adjust, then doctor can further hand Art.The openings of sizes set due to auxiliary dress of anal-surgery and hemorrhoid it is in the same size, tissue is in tight state, and needs suturing part Position is all exposed to opening, therefore the auxiliary dress of anal-surgery is set so that doctor's quality for playing pocket is higher.
Description of the drawings
Fig. 1 is the structural schematic diagram of the anal device in being set according to the auxiliary dress of anal-surgery of one embodiment of the present of invention;
Fig. 2 is the structural schematic diagram of the adjuster in being set according to the auxiliary dress of anal-surgery of one embodiment of the present of invention;
Fig. 3 is the structural schematic diagram that the auxiliary dress of anal-surgery that anal device coordinates with adjuster shown in Fig. 2 shown in Fig. 1 is set;
Fig. 4 is the front view that auxiliary dress of anal-surgery shown in Fig. 3 is set;
Fig. 5 is that auxiliary dress of anal-surgery shown in Fig. 4 sets the partial enlarged view at A;
Fig. 6 is the structural schematic diagram that device was set and disengaged to auxiliary dress of anal-surgery shown in Fig. 3;
Fig. 7 is structural schematic diagram when disengaging the anal device that device is inserted into during auxiliary dress of anal-surgery is set shown in Fig. 6.
Specific implementation mode
Core of the invention is to provide a kind of anal-surgery that can get better quality pocket used in anal-surgery Auxiliary device.
It is below in conjunction with attached drawing and specifically real in order to make those skilled in the art more fully understand technical scheme of the present invention Applying example, the present invention is described in further detail.
Referring to Fig. 1-Fig. 7, the auxiliary dress of anal-surgery that one embodiment of the present of invention provides is set, including:Anal device 1 expands Anus device 1 expands anus body 12, the guidance part 13 positioned at 12 distal end of anus body is expanded, the broadside 11 positioned at 12 proximal end of expansion anus body including hollow, The side wall for expanding anus body 12 is provided with the first opening 14;Adjuster 2, adjuster 2 include hollow adjusting body 22, are located at adjusting body 22 The introduction part 23 of distal end, the handle 21 positioned at 22 proximal end of adjusting body, adjuster 2 are inserted into 1 inside of anal device and can be opposite It is rotated in anal device 1, the side wall of adjusting body 22 is provided with can second opening 24 corresponding with the first opening 14.At the time of surgery, Anal device 1 is first inserted into affected part, when the first opening of observation feeling 14 is excessive, adjuster 2 is inserted into, the second of adjuster 2 is made to open Mouth 24 is corresponding with the first opening 14, rotates the adjuster 2 at this time, is open when the adjusting body 22 of adjuster 2 shelters from part first When 14, then suitable position is reached, can stopped rotating, the size one for the openings of sizes and hemorrhoid that auxiliary dress of anal-surgery is set at this time It causes, completes to adjust, then doctor can further perform the operation.The size one of the openings of sizes and hemorrhoid set due to auxiliary dress of anal-surgery It causes, tissue is in tight state, and suture site is needed to be all exposed to opening, which sets so that doctor It is more abundant to play pocket, and quality is higher.
Further, for ease of being inserted into affected part, it is cylindrical shape or other streamlined in shape to adjust body and expand anus body, and The outer diameter for adjusting body is substantially equivalent to the internal diameter for expanding anus body.
On the basis of the above embodiments, further, the side wall inner surfaces for expanding anus body 12 are provided with protrusion 121, adjust The wall outer surface of body 22 is provided with protrusion 221, is expanding anus when adjuster 2 is fully inserted into 1 inside of anal device and adjusts body 22 When cannot continue to promote in body 12, the upper edge 2211 of protrusion 221 is contacted with the lower of protrusion 121 along 1211 just.Expand anus at this time Device 1 and 2 axial restraint of adjuster ensure that doctor makes instrument not to be axially moved playing pocket.
Further, the protrusion 121 of expansion anus body 12 is inclined-plane to the surface of the side wall between guidance part 13, adjusts body 22 The side wall that protrusion 221 arrives between introduction part 23 is also inclined-plane, and the protrusion 121 that anus body 12 is expanded in setting arrives the side between guidance part 13 The surface of wall is the first inclined-plane 122, sets the protrusion 221 for adjusting body 22 to the side wall between introduction part 23 as the second inclined-plane 222, when adjuster 2 is inserted into anal device 1, the first inclined-plane 122 and the second inclined-plane 222 form inclined-plane self-locking, and adjuster 2 is opposite Anal device 1 can not move, and ensure that the stability of instrument during surgery.
In addition, the first inclined-plane 122 can be table in the protrusion 121 to the whole of the side wall between guidance part 13 for expand anus body 12 Face.Further, in the protrusion 121 to the part of the side wall between guidance part 13 of the first inclined-plane 122 or expansion anus body 12 Surface.Second inclined-plane 222 can be that the protrusion 221 of adjusting body 22 arrives whole outer surfaces of the side wall between introduction part 23.Into One step, the protrusion 221 of the second inclined-plane 222 or adjusting body 22 arrives the part appearance of the side wall between introduction part 23 Face.
Further, the length on the first inclined-plane 122 and the second inclined-plane 222 is unanimous on the whole, the first inclined-plane 122 and the second inclined-plane 222 angle of inclination is unanimous on the whole, and when adjusting body 22 is fully inserted into expansion anus body 12 and can not continue to promote, the first inclined-plane 122 and second inclined-plane 222 be in close contact, at this time instrument be more excellent state.
Further, the side wall for expanding anus body 12 is provided with multiple first openings 14, adjust body 22 side wall be provided with it is multiple Second opening 24, and multiple first openings 14 can be corresponded with multiple second openings 24.Thus, it is possible to have for anal tube inwall The patient of multiple hemorrhoid uses, and the corresponding multiple hemorrhoid of multiple openings are performed the operation.
Further, it further includes disengaging device 3 that auxiliary dress of anal-surgery, which is set,.The disengagement device 3 includes flange 32 and abutting portion 31, is expanded The distal end of the guidance part 13 of anus device 1 is provided with circular hole, disengage device 3 abutting portion 31 can stretch into circular hole and with adjuster 2 The distal end of introduction part 23 contacts.After the purse string suture for finishing a hemorrhoid at the time of surgery, auxiliary dress of anal-surgery is set into extraction, so After can with disengage device 3 anal device 1 and adjuster 2 be separated, set it is possible thereby to reuse the auxiliary dress of anal-surgery.
Proximal end herein is limited according to industry practice, that is, person close from doctor is proximal end when performing the operation, opposite one End is distal end.
Auxiliary dress of anal-surgery provided by the present invention is set above and is described in detail.It is used herein specifically to show Principle and implementation of the present invention are described for example, but the explanation of above example is only intended to help to understand the present invention Principle and its core concept, not limiting the scope of the present invention.It should be pointed out that for the common skill of the art , without departing from the principle of the present invention, can be with several improvements and modifications are made to the present invention for art personnel, these change It is also fallen within the protection scope of the claims of the present invention into modification.

Claims (3)

1. a kind of auxiliary dress of anal-surgery is set, which is characterized in that including:
Anal device (1), the anal device (1) include hollow expansion anus body (12), are located at the guiding for expanding anus body (12) distal end Portion (13) is located at the broadside (11) for expanding anus body (12) proximal end, and the side wall for expanding anus body (12) is provided with the first opening (14);
Adjuster (2), the adjuster (2) include hollow adjusting body (22), are located at the importing for adjusting body (22) distal end Portion (23) is located at the handle (21) for adjusting body (22) proximal end, and the adjuster (2) is inserted into the anal device (1) Portion can simultaneously be rotated relative to the anal device (1), and the side wall for adjusting body (22) is provided with can be with first opening (14) corresponding second opening (24);
The adjusting body (22) and the expansion anus body (12) are cylindrical shape, and the outer diameter for adjusting body (22) is substantially equivalent to institute State the internal diameter for expanding anus body (12);
The side wall inner surfaces for expanding anus body (12) are provided with protrusion (121), the wall outer surface setting for adjusting body (22) There is protrusion (221), the anal device (1) is internal and the adjusting body (22) is described when the adjuster (2) is fully inserted into Expand in anus body (12) when cannot continue to promote, the upper edge (2211) of the protrusion (221) just under the protrusion (121) It is contacted along (1211);
All or part of inner surface of the protrusion (121) for expanding anus body (12) to the side wall between the guidance part (13) For the first inclined-plane (122);
All or part of appearance of the protrusion (221) for adjusting body (22) to the side wall between the introduction part (23) Face is the second inclined-plane (222);
The length of first inclined-plane (122) and second inclined-plane (222) is unanimous on the whole, first inclined-plane (122) and institute The angle of inclination for stating the second inclined-plane (222) is unanimous on the whole, and when the adjusting body (22) is fully inserted into the expansion anus body (12) And when can not continue to promote, first inclined-plane (122) is in close contact with second inclined-plane (222) and is formed inclined-plane self-locking, Make the adjuster (2) that can not be moved relative to the anal device (1).
2. auxiliary dress of anal-surgery according to claim 1 is set, which is characterized in that the side wall setting for expanding anus body (12) There are multiple first openings (14), the side wall for adjusting body (22) to be provided with multiple second openings (24), and the multiple first Being open (14) can be with the multiple second opening (24) one-to-one correspondence.
3. auxiliary dress of anal-surgery according to claim 1 or 2 is set, which is characterized in that further include disengaging device (3), it is described It includes flange (32) and abutting portion (31) to disengage device (3), and the distal end of the guidance part (13) of the anal device (1) is provided with circle Hole, the abutting portion (31) for disengaging device (3) can stretch into the circular hole and with the importing of the adjuster (2) The distal end in portion (23) contacts.
CN201410356693.8A 2014-07-25 2014-07-25 A kind of auxiliary dress of anal-surgery is set Active CN105311732B (en)

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Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105943100A (en) * 2016-06-29 2016-09-21 太仓市中医医院 Superior mucous membrane assisting equipment capable of rotating by 360 degrees
CN108209983A (en) * 2018-01-08 2018-06-29 王振宁 Per anum operation excision system
CN108542448A (en) * 2018-05-16 2018-09-18 太仓市中医医院 A kind of interval drawer type anal canal fixer
CN111973132A (en) * 2020-08-06 2020-11-24 常州安康医疗器械有限公司 Adjustable anoscope

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CN204208172U (en) * 2014-07-25 2015-03-18 北京中法派尔特医疗设备有限公司 A kind of anal-surgery auxiliary device

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Publication number Priority date Publication date Assignee Title
CN101262835A (en) * 2005-08-02 2008-09-10 雷瓦医药公司 Axially nested slide and lock expandable device
CN101668487A (en) * 2007-04-23 2010-03-10 A.M.I.医学创新股份有限公司 The equipment that is used for the treatment of the hemorrhoid prolapsus
CN201048935Y (en) * 2007-06-27 2008-04-23 王志民 Nested anoscope
CN103767753A (en) * 2007-12-27 2014-05-07 苏州天臣国际医疗科技有限公司 Auxiliary instrument for non-annular cutting haemorrhoid surgical operation
CN102209500A (en) * 2008-11-06 2011-10-05 新特斯有限责任公司 One way sliding device for intramedullary intertrochanteric fixation implants
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CN204208172U (en) * 2014-07-25 2015-03-18 北京中法派尔特医疗设备有限公司 A kind of anal-surgery auxiliary device

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