CN214180473U

CN214180473U - Fetching device for natural cavity in operation

Info

Publication number: CN214180473U
Application number: CN202022347786.8U
Authority: CN
Inventors: 陈伟; 和芳
Original assignee: Cancer Hospital and Institute of CAMS and PUMC
Current assignee: Cancer Hospital and Institute of CAMS and PUMC
Priority date: 2020-10-20
Filing date: 2020-10-20
Publication date: 2021-09-14
Anticipated expiration: 2030-10-20

Abstract

The utility model provides a load handling device that is arranged in operation to lead to natural chamber to say relates to surgical instruments technical field, has solved the technical problem that peritoneoscope NOSES operation among the prior art caused the pollution easily at the sample in-process of taking out. The device includes thing bag and support ring, and the support ring supports in the natural chamber road junction and is the adjustable structure of internal diameter, gets the thing bag including being located respectively and get first open end and the second open end of thing bag front and back end, and is equipped with the control that makes first open end open or sealed on the first open end, and the support ring sets up in getting the thing bag middle part and when the support ring supports in the natural chamber road junction, and the body intracavity can be arranged in to first open end and the second open end can be arranged in outside the natural chamber road junction. The utility model discloses make things convenient for the art person to operate under the peritoneoscope to place the sample in getting the thing bag and sealed with first open end through first open end, play the effect of keeping apart sample and chamber way and prevent to drag out the in-process through natural chamber way and cause the sample to drop and then take place to plant the problem of shifting.

Description

Fetching device for natural cavity in operation

Technical Field

The utility model belongs to the technical field of surgical instruments technique and specifically relates to a load handling device who is arranged in operation warp natural cavity way is related to.

Background

At present, the laparoscopic NOSES operation is a laparoscopic surgery for taking a specimen through a natural cavity channel, which is also called laparoscopic abdominal non-auxiliary incision operation, and the specimen is taken out completely through the natural cavity channel such as anus or vagina without making an auxiliary incision on the abdominal wall, so that the surgical wound is smaller, and the recovery of a patient is quicker. Based on the different ways of sampling, NOSES is divided into the NOSES operation of sampling through anus, the NOSES operation of sampling through vagina and the NOSES operation of sampling through oral cavity. The sample taking through the natural cavity is the greatest innovation point of the NOSES operation, and can bring the remarkable minimally invasive advantage to patients. The natural cavity is opened in the operation and the operation is carried out by the natural cavity, so that a plurality of operations are clinically carried out in recent years.

The applicant has found that the prior art has at least the following technical problems: however, in the NOSES operation, after a specimen such as a tumor is taken out through an opened natural orifice, a special fetching device is not usually used for protecting the tumor, and most of the main surgeons use local materials and operate the specimen by using a sterile plastic protective sleeve, so that the problem of graft metastasis due to the falling of the taken-out materials is easily caused in the process of taking out the specimen. In addition, in the process of taking out the tumor through a natural cavity, because no special fetching device is provided, in the process of dragging the tumor out of the body, blood or tumor cells can be scattered, so that the planting and the metastasis of the tumor cells are caused, and the principle of sterility and tumor-free in the operation process is violated.

SUMMERY OF THE UTILITY MODEL

An object of the utility model is to provide a be used for in the operation through the load handling device of natural chamber way to the peritoneoscope NOSES operation that exists among the solution prior art causes the technical problem of pollution easily at the in-process of taking out. The utility model provides a plurality of technical effects that preferred technical scheme among a great deal of technical scheme can produce see the explanation below in detail.

In order to achieve the above purpose, the utility model provides a following technical scheme:

the utility model provides a pair of a load handling device that is used for natural chamber to say in operation, including thing bag and support ring, wherein, the support ring can support in natural chamber road junction and be the adjustable structure of internal diameter, the thing bag is including being located respectively get the first open end and the second open end of thing bag front and back end, just be equipped with on the first open end and make first open end is opened or sealed control, the support ring set up in the middle part of thing bag and when the support ring supports in natural chamber road junction, the body intracavity can be arranged in to first open end just the second open end can be arranged in outside natural chamber says.

According to a preferred embodiment, the object obtaining bag is of an integrated structure, and the support ring is sleeved outside the object obtaining bag and is not connected with the object obtaining bag.

According to a preferred embodiment, the control member is a pull cord arranged around an opening edge of the first open end.

According to a preferred embodiment, the opening of the first open end of the bag has a diameter of 8-10 cm.

According to a preferred embodiment, the fetching bag is made of a high polymer plastic film ETPE material.

According to a preferred embodiment, the support ring is including the support inner wall that is located the inlayer and being located outer support outer wall, wherein, the support inner wall is made for metal hard material and forms, the support outer wall is made for the soft material of silica gel and forms.

According to a preferred embodiment, the thickness of the supporting outer wall is between 0.5 and 1 cm.

According to a preferred embodiment, the ends of the support ring are broken, and two opposite ends of the support ring are provided with connecting plates, and the connecting plates are provided with threaded holes for allowing the adjusting bolts to pass through.

According to a preferred embodiment, the adjusting bolt is connected between two connecting plates at the end of the support ring for adjusting the distance between the two connecting plates to adjust the inner diameter of the support ring.

According to a preferred embodiment, the second open end of the bag is arranged with an increasing opening from the support ring in a direction away from the support ring.

Based on the technical scheme, the utility model discloses a load handling device for in operation warp natural cavity way has following beneficial technological effect at least:

the utility model provides an access device that is arranged in operation to say in natural chamber includes thing bag and support ring, the support ring can support in the natural chamber road junction and be the adjustable structure of internal diameter, get the thing bag including being located respectively and get first open end and the second open end of thing bag front and back end, and be equipped with on the first open end and make first open end open or sealed control, the support ring sets up in the middle part of getting the thing bag and when the support ring supports in the natural chamber road junction, the first open end can be arranged in the body intracavity and the second open end can be arranged in the natural chamber outside saying. Therefore, an operator can conveniently place specimens such as tumors and the like in the object taking bag through the first opening end under the laparoscope and then seal the first opening end through the control piece, when the specimen volume is small, the object taking bag or the object taking device is taken out through pulling the second opening end of the object taking bag, and the problem that the specimen falls off and is further transplanted in the process of being pulled out through a natural cavity is solved; when the sample volume is great, the utility model discloses an it can play the guard action to get the thing bag, keeps apart sample and chamber way, uses the operation pincers to drag out the great sample of volume earlier, at the in-process that drags out, and the first open end of confined that is located the body cavity can keep apart sample and body cavity inner wall, and the second open end sets up in the nature chamber way outside, protects the tissue around and avoids the sample to drag out the dissemination such as in-process blood or tumor cell alone to cause the pollution to other tissues around the human body.

On the other hand, the utility model discloses support ring includes the support outer wall that is formed by the preparation of silica gel soft materials and the support inner wall that is formed by the preparation of metal stereoplasm material in the load handling device, and then makes the support inner wall can effectively support the natural chamber road junction, is convenient for enlarge natural chamber way, and soft silica gel materials's support outer wall and intestinal contact can play the effect of protection intestines mucosa, can not lead to the intestines mucosa damaged at dilatory in-process. In addition, the support ring is of an inner diameter adjustable structure, the inner diameter of the support ring can be adjusted according to the size of different specimen taken-out objects, and the specimens with different sizes can be dragged out.

Drawings

In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below, it is obvious that the drawings in the following description are only some embodiments of the present invention, and for those skilled in the art, other drawings can be obtained according to these drawings without creative efforts.

FIG. 1 is a schematic structural view of a fetching device used in natural orifice in surgery;

fig. 2 is a bottom view of the support ring of the device for taking objects from the natural orifice in surgery.

In the figure: 10-fetching bag; 11-a support ring; 101-a first open end; 102-a pull cord; 103-a second open end; 111-adjusting bolts; 112-supporting the inner wall; 113-a supporting outer wall; 114-a connecting plate; 115-threaded hole.

Detailed Description

In order to make the objects, technical solutions and advantages of the present invention clearer, the technical solutions of the present invention will be described in detail below. It is to be understood that the embodiments described are only some embodiments of the invention, and not all embodiments. Based on the embodiments of the present invention, all other embodiments obtained by a person skilled in the art without creative efforts belong to the protection scope of the present invention.

In the description of the present invention, it is to be noted that, unless otherwise specified, "a plurality" means two or more; the terms "upper", "lower", "left", "right", "inner", "outer", "front", "rear", "head", "tail", and the like indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings, and are merely for convenience of description and simplicity of description, and do not indicate or imply that the device or element being referred to must have a particular orientation, be constructed and operated in a particular orientation, and thus, should not be construed as limiting the present invention. Furthermore, the terms "first," "second," "third," and the like are used for descriptive purposes only and are not to be construed as indicating or implying relative importance.

In the description of the present invention, it should also be noted that, unless otherwise explicitly specified or limited, the terms "mounted," "connected," and "connected" are to be construed broadly, e.g., as meaning either a fixed connection, a removable connection, or an integral connection; can be mechanically or electrically connected; may be directly connected or indirectly connected through an intermediate. The specific meaning of the above terms in the present invention can be understood as the case may be, by those of ordinary skill in the art.

The technical solution of the present invention will be described in detail with reference to the accompanying drawings 1 to 2.

As shown in fig. 1, the utility model provides a fetching device used in natural cavity in operation, which comprises a fetching bag 10 and a supporting ring 11. The support ring 11 is used for supporting the natural orifice and has an adjustable inner diameter, so that the natural orifice can be conveniently expanded, and the operation and the pulling-out of the taken object are convenient. The object obtaining bag 10 comprises a first opening end 101 and a second opening end 103 which are respectively positioned at the front end and the rear end of the object obtaining bag 10, a control piece capable of opening or sealing the first opening end 101 is arranged on the first opening end 101, the support ring 11 is arranged in the middle of the object obtaining bag 10, and when the support ring 11 is supported at a natural orifice of the cavity, the first opening end 101 can be arranged in the body cavity, and the second opening end 103 can be arranged outside the natural orifice. Therefore, an operator can conveniently place specimens such as tumors and the like in the object taking bag through the first opening end under the laparoscope and then seal the first opening end through the control piece, when the specimen volume is small, the object taking bag or the object taking device is taken out through pulling the second opening end of the object taking bag, and the problem that the specimen falls off and is further transplanted in the process of being pulled out through a natural cavity is solved; when the sample volume is great, the utility model discloses an it can play the guard action to get the thing bag, keep apart sample and chamber way, use the operation pincers to drag out the great sample of volume earlier, drag out the in-process, the first open end of confined that is located the body cavity can keep apart sample and body cavity inner wall, and the second open end sets up in the natural chamber way outside, the tissue avoids the sample to drag out the dissemination such as in-process blood or tumor cell alone to cause the pollution to other tissues around the human body around protecting, treat to take out the great sample of volume after, then will get the thing bag or load handling device drag out can again.

According to a preferred embodiment, as shown in fig. 1, the bag 10 is of one-piece construction. In this embodiment, the supporting ring 11 is sleeved outside the object-taking bag 10 and is not connected to the object-taking bag 10. That is, the first opening end 101 of the object-taking bag 10 is disposed through the support ring 11, and the first opening end 101 and the second opening end 103 are respectively located at two sides of the support ring 11, so that when the support ring is supported at the natural orifice, the first opening end 101 can be placed in the body cavity and the second opening end 103 can be placed outside the natural orifice. In use, the support ring 11 is supported at the natural orifice, then the first open end 101 of the specimen bag 10 is placed in the body cavity through the support ring, the second open end 103 is located outside the natural orifice, the operator operates under the laparoscope to place the specimen into the specimen bag through the opening of the first open end 101, the opening of the first open end 101 is closed through the control part, and when the specimen volume is small, the second open end 103 is pulled to pull out the whole specimen bag 10. And when the sample volume is great, pull out the sample thing earlier, and get the thing bag and can play the protection isolation effect, avoid the sample in the in-process of pulling out, the scattering of blood or other tissues causes the pollution to surrounding tissue.

Preferably, the control member is a pull cord 102 disposed around the edge of the first open end 101. The design of the pull rope can wrap the tumor taken-out object in the object taking bag 10, so that the first opening end 101 is sealed, and the tumor falling caused in the process of pulling the taken-out object out is avoided. Preferably, the opening diameter of the first open end 101 of the access bag 10 is 8-10 cm. So that the operator can operate the laparoscope to sleeve the tumor and put the tumor into the fetching bag through the first opening end.

Preferably, the bag 10 is made of polymer plastic film ETPE material. Avoid scratching the intestinal tract during operation. Preferably, the distance between the opening of the first open end 101 and the opening of the second open end 103 of the access bag 10 is 30 cm. The object fetching bag and the supporting ring are disposable, and after the disposable object fetching device is opened, the inner part and the outer part of the object fetching bag are both coated with paraffin oil for lubrication, so that the subsequent operation of an operator is facilitated.

Preferably, as shown in fig. 1 to 2, the support ring 11 comprises a support inner wall 112 at the inner layer and a support outer wall 113 at the outer layer. The inner supporting wall 112 is made of hard metal, and the outer supporting wall 113 is made of soft silica gel. The inner support wall 112 and the outer support wall 113 are fixedly connected. Preferably, the thickness of the supporting outer wall 113 is 0.5 to 1 cm. The inner wall of the support made of metal hard material is used for expanding the natural orifice of the cavity, such as expanding the anus to expand the anus and keeping the expanded diameter state. The supporting outer wall made of the soft silica gel material is used for protecting the intestinal mucosa and preventing the intestinal mucosa from being damaged in the dragging process.

Preferably, the ends of the support ring 11 are broken. Connection plates 114 are provided at opposite ends of the support ring 11, and threaded holes 115 for allowing the adjustment bolts 111 to pass through are provided in the connection plates 114. Preferably, an adjusting bolt 111 is connected between two connecting plates 114 at the end of the support ring 11 for adjusting the distance between the two connecting plates 114 to adjust the inner diameter of the support ring 11. Make two connecting plates be close to and then make the internal diameter of support ring diminish through adjusting bolt, and make two connecting plates keep away from and then make the internal diameter grow of support ring through adjusting bolt, realize that the internal diameter of support ring 11 is adjustable. Preferably, the adjusting bolt 111 can maintain the minimum inner diameter of the support ring 11 at 1cm, so that the extraction bag can be inserted into the abdominal cavity through the Tracar orifice of the abdominal wall. Preferably, the adjusting bolt 111 can maintain the maximum inner diameter of the support ring 11 at 8cm, which is suitable for taking out tumors of different sizes.

Preferably, the second open end 103 of the object-taking bag 10 is arranged in a manner that the opening gradually increases from the support ring 11 to a direction away from the support ring 11, that is, the second open end 103 is trumpet-shaped, so that the second open end is conveniently paved around the natural cavity opening in the process of taking out the specimen first, and the pollution to the surrounding tissues of the natural cavity opening is avoided.

The utility model discloses an access device for in operation through natural chamber way has made things convenient for the operation of peritoneoscope NOSES operation clinically, at the in-process that will take out the thing and pull out, can take out the thing with the tumour and effectively wrap up, can not lead to the fact the pollution to surrounding tissue, also can not make the tumor cell disseminate and drop and cause the problem of planting the transfer, greatly reduced the operation risk.

The above description is only for the specific embodiments of the present invention, but the protection scope of the present invention is not limited thereto, and any person skilled in the art can easily think of the changes or substitutions within the technical scope of the present invention, and all should be covered within the protection scope of the present invention. Therefore, the protection scope of the present invention shall be subject to the protection scope of the claims.

Claims

1. The utility model provides a load handling device that is used for natural chamber in operation to say, characterized in that, including thing bag (10) and support ring (11), wherein, support ring (11) can support in natural chamber road junction and be the adjustable structure of internal diameter, thing bag (10) are including being located respectively first open end (101) and second open end (103) of thing bag (10) front and back end, just be equipped with on first open end (101) and make first open end (101) open or sealed control, support ring (11) set up in the middle part of thing bag (10) and when support ring (11) support in natural chamber road junction, body cavity just can be arranged in to first open end (101) second open end (103) can be arranged in outside the natural chamber road junction.

2. The device for fetching objects from natural orifices in operation according to claim 1, wherein said object fetching bag (10) is of an integrated structure, said supporting ring (11) is sleeved outside said object fetching bag (10) and is not connected with said object fetching bag (10).

3. The device as claimed in claim 1, wherein said control member is a pull string (102) disposed around an opening edge of said first open end (101).

4. The device for the intraoperative natural orifice removal according to claim 1, wherein the first open end (101) of the access bag (10) has an opening diameter of 8-10 cm.

5. The device for taking the object from the natural orifice in the operation as claimed in claim 1, wherein said object-taking bag (10) is made of ETPE material.

6. The device for taking articles from natural orifices in operation as claimed in claim 1, wherein said supporting ring (11) comprises an inner supporting wall (112) located at the inner layer and an outer supporting wall (113) located at the outer layer, wherein said inner supporting wall (112) is made of hard metal material, and said outer supporting wall (113) is made of soft silica gel material.

7. The device for the intraoperative natural orifice removal according to claim 6, wherein the thickness of the supporting outer wall (113) is 0.5-1 cm.

8. The device for taking out of natural orifices in surgery as in claim 6, characterized in that the end of the support ring (11) is broken, and the opposite ends of the support ring (11) are provided with connection plates (114), and the connection plates (114) are provided with threaded holes (115) for allowing the adjusting bolts (111) to pass through.

9. The device for taking an object from a natural orifice in an operation according to claim 8, wherein the adjusting bolt (111) is connected between two connecting plates (114) at the end of the supporting ring (11) for adjusting the distance between the two connecting plates (114) to adjust the size of the inner diameter of the supporting ring (11).

10. The device for the removal of surgical objects from natural orifices of claim 1, wherein the second open end (103) of the object bag (10) is arranged with a gradually increasing opening from the support ring (11) in a direction away from the support ring (11).