CN113243944A - Device for taking operation specimen through natural cavity - Google Patents
Device for taking operation specimen through natural cavity Download PDFInfo
- Publication number
- CN113243944A CN113243944A CN202110611654.8A CN202110611654A CN113243944A CN 113243944 A CN113243944 A CN 113243944A CN 202110611654 A CN202110611654 A CN 202110611654A CN 113243944 A CN113243944 A CN 113243944A
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- Prior art keywords
- knuckle
- control handle
- hinged
- connecting rod
- protective sleeve
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- 230000001681 protective effect Effects 0.000 claims abstract description 51
- 239000002184 metal Substances 0.000 claims description 3
- 239000004033 plastic Substances 0.000 claims description 3
- 210000000683 abdominal cavity Anatomy 0.000 description 6
- 238000000034 method Methods 0.000 description 6
- 210000001215 vagina Anatomy 0.000 description 6
- 210000000436 anus Anatomy 0.000 description 4
- 238000007906 compression Methods 0.000 description 3
- 210000001035 gastrointestinal tract Anatomy 0.000 description 3
- 238000001356 surgical procedure Methods 0.000 description 3
- 210000001519 tissue Anatomy 0.000 description 3
- 210000004881 tumor cell Anatomy 0.000 description 3
- 206010028980 Neoplasm Diseases 0.000 description 2
- 210000001015 abdomen Anatomy 0.000 description 2
- 230000002496 gastric effect Effects 0.000 description 2
- 210000003128 head Anatomy 0.000 description 2
- 238000002357 laparoscopic surgery Methods 0.000 description 2
- 230000002035 prolonged effect Effects 0.000 description 2
- 238000011084 recovery Methods 0.000 description 2
- 239000005662 Paraffin oil Substances 0.000 description 1
- 206010036790 Productive cough Diseases 0.000 description 1
- 238000012084 abdominal surgery Methods 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 210000004027 cell Anatomy 0.000 description 1
- 230000006835 compression Effects 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 238000001125 extrusion Methods 0.000 description 1
- 238000002513 implantation Methods 0.000 description 1
- 230000000968 intestinal effect Effects 0.000 description 1
- 238000005461 lubrication Methods 0.000 description 1
- 210000000713 mesentery Anatomy 0.000 description 1
- 210000004877 mucosa Anatomy 0.000 description 1
- 210000001331 nose Anatomy 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 210000005070 sphincter Anatomy 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B10/00—Instruments for taking body samples for diagnostic purposes; Other methods or instruments for diagnosis, e.g. for vaccination diagnosis, sex determination or ovulation-period determination; Throat striking implements
- A61B10/02—Instruments for taking cell samples or for biopsy
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medical Informatics (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Pathology (AREA)
- Molecular Biology (AREA)
- Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
一种经自然腔道取手术标本的装置，控制装置通过中空的连杆与抓取装置铰接，连杆的中部开有贯通的滑槽，滑槽内设轴向活动的控制柄，通过控制柄在滑槽内的滑动带动铰链座前后移动控制抓取装置的打开和闭合；抓取装置由多个分散设置的抓手设置成爪状结构，抓手由头尾铰接的第一指节和第二指节构成，连杆与第一指节中部铰接，控制柄与第一指节头端部铰接，控制柄的长度长于连杆，控制柄与连杆彼此的铰接部之间的控制柄外套设有弹簧，抓取装置第二指节上套设有保护套，保护套在套入第二指节对应位置设置为双层，内层完整封闭，外层设置有第二指节与保护套的固定件，保护套端部长于第二指节，在其端部内嵌有能够将保护套口收紧的拉绳。
A device for taking surgical specimens through a natural orifice, the control device is hinged with the grasping device through a hollow connecting rod, a through chute is opened in the middle of the connecting rod, and an axially movable control handle is arranged in the chute, The sliding in the chute drives the hinge base to move back and forth to control the opening and closing of the grabbing device; the grabbing device is formed into a claw-like structure by a plurality of discretely arranged grippers, and the gripper is composed of a first knuckle and a second hinged head and tail. The knuckle is formed, the connecting rod is hinged with the middle part of the first knuckle, the control handle is hinged with the head end of the first knuckle, the length of the control handle is longer than that of the connecting rod, and the control handle is arranged on the outer part of the control handle between the hinge parts of the connecting rod and each other. There is a spring, a protective sleeve is sleeved on the second knuckle of the grasping device, the protective sleeve is set as a double layer at the corresponding position of the second knuckle, the inner layer is completely closed, and the outer layer is provided with the second knuckle and the protective sleeve. In the fixing piece, the end of the protective cover is longer than the second phalanx, and a pulling rope capable of tightening the mouth of the protective cover is embedded in the end of the fixing piece.
Description
Technical Field
The invention relates to the field of surgery specimen taking, in particular to a device for taking a surgery specimen through a natural cavity.
Background
The laparoscopic surgery is widely used in various large abdominal surgeries and is normalized gradually, but an incision is still needed to be made in the abdomen to take out a specimen. In recent years, a new technology NOSES (operation of taking a specimen through a natural orifice) is developed, the specimen can be taken out through the natural orifice (anus, vagina and the like) by adopting the operation mode, an auxiliary incision is not needed to be made on the abdomen, the minimally invasive advantage is further sublimated, the recovery of the incision of a patient after the operation is facilitated, the patient can get out of bed as soon as possible, expectoration is achieved, and the postoperative recovery is greatly promoted. However, the surgery mode also has some disadvantages:
1. most of the prior art are small incisions made in the vagina or anus, and the specimens are taken out from the incisions, so that the specimens are easily violently pulled or directly contacted during the taking process, tumor cells are shed and planted in the abdominal cavity or the incisions, and the tumor is caused to relapse.
2. The gastrointestinal specimen of some patients has overlarge volume (the fat mesentery of the obese patients excessively creeps and grows, the diseases, the obstruction and other reasons are excessively enlarged), so that important structures such as vagina, rectal mucosa, anal sphincter and the like are damaged in the process of taking out the gastrointestinal specimen from the natural orifice
3. At present, a part of natural orifice protective sleeve devices also appear clinically, but the devices only can protect the natural orifice and cannot ensure the implantation in the abdominal cavity (the inner opening or the cut part of the protective sleeve can inevitably press tumor tissues to cause part of tumor cells to fall off in the abdominal cavity in the taking-out process). In addition, a protective sleeve device needs to be installed firstly, so that certain operation time is prolonged.
Disclosure of Invention
In order to solve the problems in the prior art, the invention aims to provide a device for taking a surgical specimen through a natural orifice, which can wrap and compress tissues while grabbing, thereby reducing friction when passing through the orifice and having good market application prospect.
In order to achieve the purpose, the technical scheme of the invention is as follows:
a device for taking operation samples through a natural cavity comprises a control device and a gripping device:
the control device is hinged with the grabbing device through a hollow connecting rod, a through sliding groove is formed in the middle of the connecting rod, an axially movable control handle is arranged in the sliding groove, and the hinge seat is driven to move back and forth to control the grabbing device to be opened and closed through the sliding of the control handle in the sliding groove;
the grabbing device is in a claw-shaped structure formed by a plurality of scattered grabs, each grab consists of a first knuckle and a second knuckle which are hinged end to end, a connecting rod is hinged to the middle of the first knuckle, a control handle is hinged to the end of the first knuckle, the length of the control handle is longer than that of the connecting rod, a spring is sleeved outside the control handle between the control handle and the hinged portion of the connecting rod, a protective sleeve is sleeved on the second knuckle of the grabbing device, the protective sleeve is sleeved into the corresponding position of the second knuckle and is arranged to be double-layered, the inner layer is completely closed, a fixing piece of the second knuckle and the protective sleeve is arranged on the outer layer, and the plurality of second knuckles are bent inwards at a certain angle and can be touched after being tensioned;
the protective sheath tip is longer than the second knuckle, has embedded the stay cord that can tighten up the protective sheath mouth at its tip, and the stay cord passes through the spout and connects the control handle, and the protective sheath is taut in the pulling through the control handle.
Furthermore, a handle convenient to pull is arranged at the far grab hand end of the control handle.
Further, the pull rope sequentially passes through the head ends of the plurality of second knuckles.
Furthermore, the number of the grippers is 3-5.
Further, the gripping device is made of one of medical rubber, medical plastic or medical metal.
Further, the protective sleeve is 1-2cm higher than the second knuckle.
Furthermore, the first knuckle and the second knuckle are hinged through a pin shaft.
Furthermore, the gripping device and the protective sleeve are cylindrical in appearance, and one end of the gripping device and one end of the protective sleeve can be arranged to be blunt so as to be conveniently inserted into a vagina; the cylindrical passage is internally hidden with a protective bag device.
Compared with the prior art, the invention has the beneficial effects that:
1. the device integrates the gripping device and the protective sleeve device, saves the process of mounting the protective sleeve and saves the operation time
2. The specific shape of the grasping hand of the device can compress the specimen to a certain degree, for example, as shown in figure four (the specimen with the diameter of 5-6cm can be compressed to 3-4cm through the closed diameter of the grasping hand), and the protective sleeve with the lining is used for protection in the compression process, thereby avoiding the falling-off planting of tumor cells in the compression process
3. The gripping device is specially designed into a space similar to a cylinder shape in the opening state, the space is more consistent with the actual shape of the specimen, especially the intestinal specimen can be placed in the protective sleeve along the longitudinal axis, the specimen cannot be accumulated in the protective sleeve to be spherical due to overlarge, the cross sectional area is increased, and finally the incision has to be prolonged for taking out; the cylindrical space is designed to just meet the habit of taking out the longitudinal axis of the intestinal tract, the putting and the compression are carried out by the longitudinal axis, and the intestinal tract can be taken out along the longitudinal axis of the intestinal tract only by making a small incision.
4. Forming multilayer protection, wherein the protective sleeve is 1-2cm higher than the tip of the gripper, the gripper is closed to drive the protective sleeve to be closed to form first layer protection, and the protective sleeve opening is tightened to form second layer protection; the possibility of cell shedding, planting and transferring during the taking-out process is avoided to a greater extent.
5. The sample volume is compressed to a certain degree, the volume is smaller when the sample is taken out, and the extrusion damage to a natural cavity is reduced.
6. The grip configuration and dimensions of the device may be designed for different specimens and sizes, for example, as shown in the following figures.
Drawings
FIG. 1 is a schematic view of the overall structure of the present invention;
FIG. 2 is a side view of the connection between the gripper and the pull cord;
FIG. 3 is a schematic view showing the connection relationship between the protective covering and the pull rope;
reference numerals: 1-handle, 2-control handle, 3-connecting rod, 4-sliding chute, 5-spring, 6-gripper, 7-first knuckle, 8-second knuckle, 9-protective sleeve, 10-pull rope and 11-pin shaft.
Detailed Description
The technical scheme of the invention is further described in detail by combining the drawings and the detailed implementation mode:
as shown in fig. 1, a device for taking surgical specimens through a natural orifice comprises a control device and a gripping device:
the control device is hinged with the grabbing device through a hollow connecting rod 3, a through sliding groove 4 is formed in the middle of the connecting rod 3, an axially movable control handle 2 is arranged in the sliding groove 4, and the hinge seat is driven to move back and forth through the sliding of the control handle 2 in the sliding groove 4 to control the grabbing device to be opened and closed;
the grabbing device is in a claw-shaped structure formed by arranging a plurality of scattered grabs 6, each grab 6 is composed of a first knuckle 7 and a second knuckle 8 which are hinged end to end, a connecting rod 3 is hinged to the middle of the first knuckle 7, a control handle 2 is hinged to the end of the first knuckle 7, the length of the control handle 2 is longer than that of the connecting rod 3, a spring 5 is sleeved outside the control handle 2 between the control handle 2 and the hinged portion of the connecting rod 3, a protective sleeve 9 is sleeved on the second knuckle 8 of the grabbing device, the protective sleeve 9 is arranged in a double layer mode at the position corresponding to the sleeved second knuckle 8, the inner layer is completely closed, a fixing piece of the second knuckle 8 and the protective sleeve 9 is arranged on the outer layer, the plurality of second knuckles 8 are bent inwards at a certain angle and can be touched after being tensioned;
the end of the protective sleeve 9 is longer than the second knuckle 8, a pull rope 10 capable of tightening the protective sleeve opening is embedded in the end of the protective sleeve 9, the pull rope 10 is connected with the control handle 2 through the sliding groove 4, and the protective sleeve 9 is pulled and tensioned through the control handle 2.
Furthermore, a handle 1 convenient to pull is arranged at the far hand grip end of the control handle 2.
Further, the pulling rope 10 sequentially passes through the head ends of the plurality of second fingers 8.
Further, the number of the grippers 6 is 3-5.
Further, the gripping device is made of one of medical rubber, medical plastic or medical metal.
Further, the protective sleeve 9 is 1-2cm higher than the second knuckle 8
Furthermore, the first knuckle 7 and the second knuckle 8 are hinged by a pin shaft 11.
The specific application method of the device is described below by combining the operation flow of tissue taking in an actual abdominal cavity operation:
1. removal of specimen under laparoscopy
2. Making a transverse incision at the corresponding parts of the vagina, anus and the like under the endoscope (according to the specific conditions of the size of the specimen)
3. The front section of the device is coated with paraffin oil for lubrication, the device is inserted into natural cavities such as vagina, anus and the like and reaches the abdominal cavity through an incision, the hand grip 6 part needs to be completely sent into the abdominal cavity, and the control handle 2 part is left outside the body
4. The control handle 2 is pushed forwards in the sliding groove 4 to drive the hinge base at the bottom to move forwards, so that the gripper 6 is opened to form a space similar to a cylinder, and the protective sleeve 9 of the lining also forms a space structure similar to a cylinder along with the opening of the gripper 6
5. Two pairs of endoscope pliers are used for supporting hands to open the opening of the fixed protective sleeve 9, a main scalpel doctor uses the endoscope pliers to grab the incisal edge of a specimen, and the specimen is sent into the protective sleeve 9 along the direction of a longitudinal axis
6. The control handle 2 is pulled backwards in the chute 4 to drive the hinge base at the bottom to move backwards, so that the gripper 6 is closed to drive the protective sleeve 9 to be closed (first layer protection)
7. The drawstring 10 of the protective sheath 9 is pulled under the endoscope to close the opening of the protective sheath 9 (second layer protection, because the protective sheath is 1-2cm higher than the tip of the grabbing hand, the protective sheath closed by the grabbing hand forms the first layer protection, and the second layer protection is formed by tightening the drawstring at the protective sheath opening)
8. The device is slowly pulled out to finish the taking out of the sample.
The above description is only an embodiment of the present invention, but the scope of the present invention is not limited thereto, and any changes or substitutions that are not thought of through the inventive work should be included in the scope of the present invention. Therefore, the protection scope of the present invention shall be subject to the protection scope defined by the claims.
Claims (7)
1. The utility model provides a device of getting operation sample through natural chamber way which characterized in that comprises controlling means and grabbing device:
the control device is hinged with the grabbing device through a hollow connecting rod (3), a through sliding groove (4) is formed in the middle of the connecting rod (3), an axially movable control handle (2) is arranged in the sliding groove (4), and the hinge base is driven to move back and forth to control the grabbing device to be opened and closed through the sliding of the control handle (2) in the sliding groove (4);
the grabbing device is in a claw-shaped structure formed by a plurality of scattered grabs (6), the grabs (6) are composed of a first knuckle (7) and a second knuckle (8) which are hinged end to end, the connecting rod (3) is hinged with the middle part of the first knuckle (7), the control handle (2) is hinged with the end part of the first knuckle (7), the length of the control handle (2) is longer than that of the connecting rod (3), a spring (5) is sleeved outside the control handle (2) between the hinged parts of the control handle (2) and the connecting rod (3), the second knuckle (8) of the gripping device is sleeved with a protective sleeve (9), the protective sleeve (9) is arranged into double layers at the corresponding position sleeved into the second knuckle (8), the inner layer is completely closed, the outer layer is provided with a fixing part of the second knuckle (8) and the protective sleeve (9), the second knuckles (8) are bent inwards at a certain angle and can be touched after being tensioned;
the tip of protective sheath (9) is good at second knuckle (8), has embedded stay cord (10) that can tighten up protective sheath (9) mouth at its tip, and stay cord (10) are passing through spout (4) and are connected the control handle, and protective sheath (9) are taut in the pulling through control handle (2).
2. The device for taking surgical specimens through the natural orifice of claim 1, wherein the distal gripping end of the control handle (2) is provided with a handle (1) which is easy to pull.
3. The device for obtaining surgical specimens through the natural orifice of claim 1, wherein said pull string (10) is sequentially threaded through the head ends of the plurality of second knuckles (8).
4. The device for taking surgical specimens through the natural orifice of claim 1, wherein the number of said grippers (6) is 3-5.
5. The device for obtaining surgical specimens through a natural orifice of claim 1, wherein said grasping device is one of medical rubber, medical plastic or medical metal.
6. A device for obtaining surgical specimens through the natural orifice according to claim 1, characterized in that said protective sheath (9) is 1-2cm higher than the second knuckle (8).
7. The device for taking surgical specimens through a natural orifice of claim 1, wherein the first knuckle (7) and the second knuckle (8) are hinged by a pin (11).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202110611654.8A CN113243944A (en) | 2021-06-02 | 2021-06-02 | Device for taking operation specimen through natural cavity |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202110611654.8A CN113243944A (en) | 2021-06-02 | 2021-06-02 | Device for taking operation specimen through natural cavity |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN113243944A true CN113243944A (en) | 2021-08-13 |
Family
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202110611654.8A Pending CN113243944A (en) | 2021-06-02 | 2021-06-02 | Device for taking operation specimen through natural cavity |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN113243944A (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN114366184A (en) * | 2021-12-30 | 2022-04-19 | 中南大学湘雅二医院 | A device for taking out NOSES surgical specimens |
Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102379726A (en) * | 2011-09-11 | 2012-03-21 | 陶显东 | Specimen extractor for minimally invasive surgery |
| CN107582357A (en) * | 2017-10-24 | 2018-01-16 | 无锡市人民医院 | Claw two-chamber binodal prostatic massage instrument |
| CN109310452A (en) * | 2016-04-19 | 2019-02-05 | 弗里霍尔德外科公司 | Sample extraction system for endoscopic surgery |
| CN208492166U (en) * | 2017-12-19 | 2019-02-15 | 中国人民解放军陆军军医大学第一附属医院 | A kind of laparoscopic surgery specimen taking-out bag |
| CN209004156U (en) * | 2018-07-26 | 2019-06-21 | 南通市肿瘤医院（南通市第五人民医院） | It is a kind of nature enteron aisle take sundries |
| CN209032461U (en) * | 2018-04-25 | 2019-06-28 | 鲁成林 | Large-scale specimen fetching device and laparoscopic surgery equipment |
| CN111227882A (en) * | 2019-12-20 | 2020-06-05 | 王佳雷 | Claw type mechanism for taking out in-vivo diseased tissue |
| CN111657838A (en) * | 2020-07-08 | 2020-09-15 | 郑州大学第一附属医院 | Biopsy anti-drop's hysteroscope biopsy pincers integration sleeve device |
-
2021
- 2021-06-02 CN CN202110611654.8A patent/CN113243944A/en active Pending
Patent Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102379726A (en) * | 2011-09-11 | 2012-03-21 | 陶显东 | Specimen extractor for minimally invasive surgery |
| CN109310452A (en) * | 2016-04-19 | 2019-02-05 | 弗里霍尔德外科公司 | Sample extraction system for endoscopic surgery |
| CN107582357A (en) * | 2017-10-24 | 2018-01-16 | 无锡市人民医院 | Claw two-chamber binodal prostatic massage instrument |
| CN208492166U (en) * | 2017-12-19 | 2019-02-15 | 中国人民解放军陆军军医大学第一附属医院 | A kind of laparoscopic surgery specimen taking-out bag |
| CN209032461U (en) * | 2018-04-25 | 2019-06-28 | 鲁成林 | Large-scale specimen fetching device and laparoscopic surgery equipment |
| CN209004156U (en) * | 2018-07-26 | 2019-06-21 | 南通市肿瘤医院（南通市第五人民医院） | It is a kind of nature enteron aisle take sundries |
| CN111227882A (en) * | 2019-12-20 | 2020-06-05 | 王佳雷 | Claw type mechanism for taking out in-vivo diseased tissue |
| CN111657838A (en) * | 2020-07-08 | 2020-09-15 | 郑州大学第一附属医院 | Biopsy anti-drop's hysteroscope biopsy pincers integration sleeve device |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN114366184A (en) * | 2021-12-30 | 2022-04-19 | 中南大学湘雅二医院 | A device for taking out NOSES surgical specimens |
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