A kind of laparoscopic ovarian tumour strips auxiliary device
Technical field
The present invention relates to medical instruments fields more particularly to a kind of laparoscopic ovarian tumour to strip auxiliary device.
Background technique
It is that capsule is placed in outside abdominal cavity by carrying out several 0.5~1cm openings in abdomen that laparoscopic ovarian tumour, which strips operation,
The abdominopelvic cavities surgical instruments such as swollen separation instrument, laparoscope and operation pincers, doctor by laparoscope and outer even screen monitoring perform the operation into
Journey completes the cutting to tumour by the surgical instruments such as tumour separation instrument and operation pincers, compared to Tradtional laparotomy, tool
Have the advantages that wound is small, it is fast to restore, scar after the operation is small, has become the preferred treatment method of numerous women at present.
However laparoscopic ovarian tumour strips the problem that operation equally exists situation complexity in operation, is especially facing
When thin-walled tumour, carries out tumour strip operation and be difficult the problem for avoiding cyst wall rupture, cyst fluid excessive, and under laparoscopic surgery once
The rupture of ovarian cyst cyst wall overflows cyst fluid and not only pollutes abdominal cavity, and since a low stern high position can cause content intraperitoneal wide
It is general to send out, intra-abdominal contamination, chemical irritation can be caused to cause peritonitis, plantation, be the main Gu for influencing laparoscopic technique and carrying out
One of consider, so on the one hand need to avoid cyst wall from rupturing by removing the modes such as gimmick or wound temperature when actual operation, it is another
Aspect occur cyst wall rupture, cyst fluid it is excessive in the case where, need to blot cyst fluid immediately, with a large amount of normal saline flushings, therefore
So that laparoscopic ovarian tumour strips, operating difficulty is costly and time consuming to be difficult to estimate, and increases infection probability.
In order to contain that cyst fluid is excessive, the probability of intra-abdominal contamination and infection is reduced, some clinical treatment mechanisms are attempted in ovary
Tumour, which strips, uses extraction bag in operation.The disposable extraction bag of operation at present is made using medical macromolecular materials with receipts
Isolated tumour is fitted into extraction bag by the sack of contracting band, shrink tense sack, and by extraction bag and tumour therein together from
Abdominal wound takes out, and in the tumour in face of being relatively large in diameter, drawing liquid can be carried out in advance in bag, avoids and is taking out tumour process
It is middle because stomach wall retraction or sclerotin sharp parts caused by cyst wall rupture, cyst fluid it is excessive, but this extraction bag and can not for separate capsule
The cyst wall rupture occurred during swollen.
In addition, the patent of application number CN201520384022.2 also proposed a kind of Laparoscopic myomata crushing operation use
Disposable collecting bag wraps tumour by the first sack with shrinkage band, connects first, second, third by outer respectively
Sheath mouth second, third, the 4th sack be placed in laparoscopic surgical instruments, enable laparoscopic surgery in disposable collecting bag structure
At enclosure space in complete, avoid cut the problem of isolated tumor tissues pollute to a certain extent.But in tumour
During separation cutting, the sack tightened in advance gradually appears gap, still there is excessive risk, and need using collecting bag
It is placed in, is directed at sheath mouth, open sack, to prospective tumor, the preposition preparations such as shrinkage band is shunk take long time, increase patient
Pain.
Therefore, it needs a kind of novel laparoscopic ovarian tumour and strips auxiliary device to solve the above problems.
Summary of the invention
The object of the present invention is to provide a kind of laparoscopic ovarian tumours to strip auxiliary device, on the one hand by forming leakproofness
Be more good operative space avoids in ovarian cyst separation process cyst fluid caused by cyst wall rupture excessive, on the other hand passes through letter
Single convenient design, so that Preoperative Method work simplification, shortens operation time-consuming, mitigate patient suffering.
The present invention is achieved by the following technical programs: a kind of laparoscopic ovarian tumour strips auxiliary device, wraps
Include laparoscopic ovarian tumour and strip collecting bag and retraction assemblies, the retraction assemblies include Miniature tension sensor and with it is described micro-
The reel that type tension sensor discharges side by side, the laparoscopic ovarian tumour strip collecting bag by shrinkage band via miniature
Force snesor is connect with reel.
Preferably, the retraction assemblies further include tension controller, mounting base, first support, second support and rotation
Rotating motor, rotating electric machine are fixedly connected with reel by pin shaft, and Miniature tension sensor and rotating electric machine pass through the respectively
One bracket and second support are fixedly installed in mounting base.
Preferably, the tension controller includes controller input terminal and controller output end, and controller input terminal
It is connect with Miniature tension sensor and carries out signal input, controller output end is connect with rotating electric machine carries out output control.
Preferably, it includes sterile bag body that the laparoscopic ovarian tumour, which strips collecting bag, and sterile bag body surface face has first
Flap valve rubber stopper is fixedly installed at sack, the second sack and two auxiliary sacks, the second sack and auxiliary sack.
Preferably, there is different identification markings respectively at first sack, the second sack and auxiliary sack.
Preferably, it further includes the double-deck gas positioned at the first sack top that the laparoscopic ovarian tumour, which strips collecting bag,
Capsule, there are 3~8 shrinkage band openings in double-layer air bag lower end, and shrinkage band sequentially passes through the shrinkage band opening.
Preferably, the double-layer air bag is connect with air bag gas-guide tube, and its gassy form is an expansion annulus knot
Structure.
Preferably, the flap valve rubber stopper is round rubber thin slice, and including flap valve approaching face, is led positioned at the flap valve
Enter the pilot hole at face center, the flap valve that the slot segmentation and the slot segmentation that self- steering hole is divided to outer edge are partitioned into, pilot hole
It is shallower than the thickness of flap valve rubber stopper with the depth of slot segmentation, and the non-importing surface side of flap valve rubber stopper is only along slot segmentation direction
Cross cutting.
Preferably, it further includes sterility protection set that the laparoscopic ovarian tumour, which strips collecting bag, the sterility protection set
For column thin-walled hollow structure, the preoperative sterile bag external surface in compressive state is bonded with sterility protection set inner surface, and
Sterility protection set length is slightly longer than the sterile bag body of compressive state.
Preferably, the preoperative sterile bag body in compressive state, forms between the first sack and the second sack
Through-hole structure, laparoscope front end lens of laparoscope pass through the first sack flap valve rubber stopper and the second sack, and its outer surface and
The sterile bag body central through hole body structure surface of compressive state is bonded, another rotary driving machine and laparoscope mirror positioned at laparoscope body
Head is fixedly connected.
Compared with prior art, the beneficial effects of the present invention are:
1) present invention employs Miniature tension sensor input signal, tension controller feedback control rotating electric machine, rotating electric machines
The structure of reel is driven to further avoid so that shrinkage band remains that stable tension is shunk when cutting tumour
During cutting separation tumour, there is gap in sack, and cyst fluid is excessive.
2) present invention employs the designs of double-layer inflatable pouch mouth, rapidly can open sack by inflation and stablize shape
Shape facilitates and guides sack to tumour present position.
3) replace the sack design for being external to sheath mouth present invention employs flap valve rubber stopper, on the one hand shorten collecting bag use
Preposition time, another aspect bag body better tightness are more convenient surgical procedure so that bag body is persistently opened.
4) present invention is not necessarily to preoperative independent merging patient's abdominopelvic cavity, collecting bag one can be placed into abdominopelvic cavity by laparoscope
It is interior, while outside has fungi-proofing protective case to be isolated, use is safer, operates more convenient.
Detailed description of the invention
It, below will be to specific in order to illustrate more clearly of the specific embodiment of the invention or technical solution in the prior art
Embodiment or attached drawing needed to be used in the description of the prior art do simple introduction, it should be apparent that, it is described below
Attached drawing is some embodiments of the present invention, for those of ordinary skill in the art, in the premise not made the creative labor
Under, it is also possible to obtain other drawings based on these drawings.
Fig. 1 is structure chart of the invention;
Fig. 2 is top view when double-layer air bag is inflated;
Fig. 3 is flap valve rubber plug structure figure;
Fig. 4 is preoperative laparoscope structure chart;
Fig. 5 is preoperative laparoscope and main bag body partial enlarged view;
In figure: 1, laparoscope;11, lens of laparoscope;13, rotary driving machine;2, laparoscopic ovarian tumour strips collecting bag;21,
Sterile bag body;211, the first sack;212, the second sack;213, sack is assisted;214, flap valve rubber stopper;2141, flap valve;
2142, pilot hole;2143, slot segmentation;2144, flap valve approaching face;215, shrinkage band;216, shrinkage band is open;217, the double-deck gas
Capsule;218, air bag gas-guide tube;22, sterility protection set;4, retraction assemblies;41, mounting base;42, Miniature tension sensor;43,
First support;44, tension controller;441, controller input terminal;442, controller output end;45, rotating electric machine;46, second
Bracket;47, reel.
Specific embodiment
Clear, complete description is carried out below with reference to technical solution of the attached drawing to various embodiments of the present invention, it is clear that is retouched
The embodiment stated is only a part of the embodiments of the present invention, instead of all the embodiments.Based on the embodiment of the present invention, originally
Field those of ordinary skill obtained all other embodiment without making creative work, belongs to this hair
Bright protected range.
The present invention is described in further detail below by specific embodiment and in conjunction with attached drawing.
As shown in Figure 1, a kind of laparoscopic ovarian tumour strips auxiliary device, including laparoscopic ovarian tumour strips collecting bag
2 and retraction assemblies 4, laparoscopic ovarian tumour strips collecting bag 2 and is linked to retraction assemblies 4 by shrinkage band 215, passes through in operation
Retraction assemblies 4 tighten shrinkage band 215, make to be adjacent to connecing for ovarian cyst and ovary always at the first sack 211 of sterile bag body 21
Conjunction portion.
In the present embodiment, as shown in Figure 1, Figure 2 and Figure 3, it includes sterile bag body 21 that laparoscopic ovarian tumour, which strips collecting bag 2,
The sterile protective jacket 22 of housing before not being placed in bag body in vivo;There is the first sack 211 on the surface of sterile bag body 21 respectively, and second bag
Mouth 212 and two auxiliary sacks 213, and have different marks at different sacks convenient for carrying out identification operation when operation;First bag
Mouth 211 is for wrapping up ovarian cyst, and its top is double-layer air bag 217, separately has airbag inflation pipe 218 to connect in double-layer air bag 217
Enter, and to remain in patient from sheath mouth external for 218 part of airbag inflation pipe, when airbag inflation pipe 218 is filled with gas, double-layer air bag
217 open and expand rapidly to inflation cyclic structure, are convenient in abdominopelvic cavity using operation pincers guidance the first sack 211 package ovum
Nest tumour;The lower part of double-layer air bag 217 is provided with 3 ~ 8 shrinkage band access holes 216, and shrinkage band 215 passes through shrinkage band access hole
216;Flap valve rubber stopper 214, the flap valve approaching face of flap valve rubber stopper 214 are mounted on second sack 212 and auxiliary sack 213
There is pilot hole 2142 at 2144 centers, and pilot hole 2142 has equally distributed slot segmentation 2143 to 214 outer rim of flap valve rubber stopper, and leads
It is shallower than the thickness of flap valve rubber stopper 214 to the depth in hole 2142 and slot segmentation 2143, this structure facilitates surgical instrument in basin abdomen
Intracavitary portion is for the thrust location of flap valve 2141, and under normal conditions, flap valve rubber stopper 214 keeps air-tight state, when flap valve approaching face
2144 by slight external force when, then flap valve 2141 inwardly open;When surgical state, shrinkage band 215 tenses the first sack 211
It is set to be bonded the engaging portion of tumour and ovary, and its part extends in vitro from sheath mouth, it is closed that sterile bag body 21 forms one
Operative space, the surgical instruments such as laparoscope 1, tumour elastic separating plier and operation pincers are respectively from the first sack 211,212 and of the second sack
It assists sack 213 to be oriented to via pilot hole 2142, is pushed into from flap valve approaching face 2144, slowly open flap valve 2141, entrance is sterile
Inside bag body 21, it is operated in confined space.
In the present embodiment, as shown in Figure 4 and Figure 5,1 front end of laparoscope is lens of laparoscope 11, and when Preoperative Method, abdominal cavity
Lens head 11 passes through the flap valve rubber stopper 214 and the first sack 211 of the second sack 212, and sterile bag body 21 is tight in contraction state
11 outer surface of lens of laparoscope is pasted, sterile protective jacket 22 is close to the outer surface of the sterile bag body 21 of contraction state, is carried out to it fungi-proofing
It protects and it is made to be easier to from sheath mouth enter inside patient's abdominopelvic cavity with lens of laparoscope 11;It is additionally provided on 1 ontology of laparoscope
The front end of rotary driving machine 13, rotary driving machine 13 is fixedly connected with lens of laparoscope 11, is used to drive lens of laparoscope 11
Rotation;When operation, lens of laparoscope 11 is disposed in abdominopelvic cavity from sheath mouth, be slowly withdrawn sterile protective jacket 22, opens rotation
Turning driving machine 13 drives lens of laparoscope 11 to rotate, and under the influence of centrifugal force, the sterile bag body 21 of contraction dissipates in abdominopelvic cavity
It opens, and since lens of laparoscope 11 is in rotary state, all directions can be shot, provided for operation open, clear
The clear visual field.
In the present embodiment, as shown in Figure 1, sterile bag body 21 is linked to retraction assemblies 4 by the external end of shrinkage band 215,
Retraction assemblies 4 include mounting base 41, Miniature tension sensor 42, first support 43, tension controller 44, rotating electric machine 45,
Second support 46, reel 47;Tension controller 44 and rotating electric machine 45 are solid by first support 43 and second support 46 respectively
Dingan County is loaded on mounting base 41, and end is connect shrinkage band 215 through Miniature tension sensor 42 and with reel 47 in vitro, Miniature tension
The input of the received numerical value via controller input terminal 441 of sensor 42, and pass through 44 internal feedback via controller output end of controller
The operating status of 442 output control rotating electric machines 45, and reel 47 is fixedly connected with rotating electric machine 45 by pin shaft, to control
The operating of reel 47 processed and its connected shrinkage band 215 further reaches the tension of the first sack 211 of control and the mesh loosened
's.
When it is implemented, when Preoperative Method, by the laparoscopic ovarian tumour in compressive state strip collecting bag 2 from its
The flap valve rubber stopper 214 of two sacks 212 is inserted in along 1 front end of laparoscope and is close to 11 outer surface of lens of laparoscope, and from its first
It is pierced by sack 211;Peritonaeum is punctured using veress needle and enters intraperitoneal, is made full of carbon dioxide gas in abdominal cavity of patients, and in
Patient abdomen carries out 3 0.5~1cm openings, and is respectively implanted sheath mouth, and the laparoscope 1 for completing Preoperative Method is disposed from sheath mouth
Enter inside abdominopelvic cavity, remain retracted band 215 and airbag inflation pipe 218 is partially disposed in vitro, slowly extract sterile protective jacket 22 out,
Start rotary driving machine 13 to appropriate revolving speed, makes it that lens of laparoscope 11 be driven to rotate, all directions can be clapped
Take the photograph, provide open, the clearly visual field for operation, and centrifugal force can slowly will the sterile bag body 21 in contraction state in abdominopelvic cavity
Inside scatter;It is inflated through airbag inflation pipe 218 to double-layer air bag 217, double-layer air bag 217 is sufficiently opened and expanded to inflation ring rapidly
Shape structure, and using operation pincers guidance the first sack 211 package ovarian cyst protruded into from sheath mouth, it is drawn by shrinkage band 215
Tight shrinkage band access hole 216, ovarian cyst is tightly coated, then deflated and received to double-layer air bag 217 by airbag inflation pipe 218
Contracting;The surgical instruments such as operation pincers and tumour elastic separating plier are protruded into inside abdominopelvic cavity from sheath mouth, according to different 213 tables of auxiliary sack
Surgical instrument is pushed on the outside of the flap valve rubber stopper 214 of auxiliary sack 213, opens flap valve rubber stopper 214 and go forward side by side by the mark in face
Enter inside sterile bag body 21, be in surgical instrument in the confined space that sterile bag body 21 is formed, avoids in separation ovarian bursa
Cyst fluid caused by cyst wall rupture is excessive in swollen process, and surgical instrument and laparoscope 1 are in inside bag body, in surgical procedure
Observation sight is open clearly, is not blocked.
In the operation of laparoscopic ovarian tumour, under the observation of sterile 21 interior abdominal space mirror 1 of bag body, clamping capsule is clamped by operation
Swollen, tumour elastic separating plier slowly separates ovarian cyst with ovary, during the separation process, due to the joint portion of ovarian cyst and ovary
Position gradually decreases, and the first sack 211 for being tightly attached to joint portion gradually appears slight void, there is the risk that cyst fluid is excessive;Shrinkage band
215 external end links retraction assemblies 4, successively bypasses Miniature tension sensor 42 and reel 47;When in surgical procedure first
When sack 211 slight void occurs because of tumour cutting, tension suffered by shrinkage band 215 is reduced, and Miniature tension sensor 42 is through controlling
The signal that device input terminal 441 inputs changes, and passes through 44 internal feedback control of tension controller, controller output end 442
Rotating electric machine 45 is controlled to rotate, and rotating electric machine 45 is fixedly connected with reel 47 for pin shaft, and then reel 47 is driven to rotate,
To tighten shrinkage band 215, realize that the first sack 211 is bonded with the further of tumour joint portion;When shrinkage band 215 is because of reel
When 47 rotation causes excess shrinkage to lead to overtension, 441 signal intensity of controller input terminal, and by inside controller 44
Feedback control, controller output end 442 terminate the rotation of rotating electric machine 45, avoid driving the mistake of shrinkage band 215 because of reel 47
Degree is shunk, and causes the rupture of ovarian cyst cyst wall and patient's body tissue injury.
After completing ovarian cyst separation process, by surgical instrument from the flap valve rubber stopper 214 of sterile 21 surface sack of bag body
In slowly extract out, and by operation pincers and shrinkage band 215 by the sufficiently tightening of the first sack 211 of sterile bag body 21;When isolating
Cyst volumes it is smaller when, can directly by operation pincers, clamp the first sack 211 at, by sterile bag body 21 and its inside capsule
It is swollen to be taken out together from sheath mouth;If the cyst volumes isolated are larger, after can placing hand-actuated accelerator, clutch and brake at sheath mouth, hand-actuated accelerator, clutch and brake is strutted
Skin, sample are easy to take out and have a hand-actuated accelerator, clutch and brake protection, sterile bag body 21 not cracky, the not excessive abdominal cavity of cyst fluid and incision of abdominal wall,
Operative process is beautiful, cleans, or from the sack on sterile 21 surface of bag body, merging suction instrument, prior to sterile bag body 21
Internal suction ovarian cyst cyst fluid reduces its volume, convenient to take out from sheath mouth.
Finally, it should be noted that the above embodiments are merely illustrative of the technical solutions of the present invention, rather than its limitations;Although
Present invention has been described in detail with reference to the aforementioned embodiments, those skilled in the art should understand that: it still may be used
To modify to technical solution documented by previous embodiment, or some or all of the technical features are equal
Replacement;And these are modified or replaceed, technical solution of the embodiment of the present invention that it does not separate the essence of the corresponding technical solution.