CN105105830A - Uterus lifting cup with vagina suture needles and lines - Google Patents

Uterus lifting cup with vagina suture needles and lines Download PDF

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Publication number
CN105105830A
CN105105830A CN201510628038.8A CN201510628038A CN105105830A CN 105105830 A CN105105830 A CN 105105830A CN 201510628038 A CN201510628038 A CN 201510628038A CN 105105830 A CN105105830 A CN 105105830A
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CN
China
Prior art keywords
cup
push rod
pallet
needle
cup body
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Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CN201510628038.8A
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Chinese (zh)
Other versions
CN105105830B (en
Inventor
王中显
陈建玲
高巧玲
李彩虹
赵惊
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Wuhan No.1 Hospital
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First Clinical Medical College of China Three Gorges University
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Priority to CN201510628038.8A priority Critical patent/CN105105830B/en
Publication of CN105105830A publication Critical patent/CN105105830A/en
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Publication of CN105105830B publication Critical patent/CN105105830B/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/42Gynaecological or obstetrical instruments or methods
    • A61B17/4241Instruments for manoeuvring or retracting the uterus, e.g. during laparoscopic surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A61B2017/0472Multiple-needled, e.g. double-needled, instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/42Gynaecological or obstetrical instruments or methods
    • A61B2017/4216Operations on uterus, e.g. endometrium

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Medical Informatics (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Gynecology & Obstetrics (AREA)
  • Pregnancy & Childbirth (AREA)
  • Reproductive Health (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a uterus lifting cup with vagina suture needles and lines. The uterus lifting cup comprises a cup body, a guide rod is connected in the center of the cup body in a penetrating mode, a cup body push rod is connected to the bottom of the cup body and arranged on the guide rod in a sleeving mode, multiple needle placing grooves are formed in the inner wall of the cup body, and the suture needles are placed in all the needle placing grooves and are medical straight suture needles; a tray is arranged in the cup body, the outer edge of the tray makes contact with the needle placing grooves of the cup body in a matched mode, needle holes of the suture needles are located in the tray, and the needle points are located on the upper portion of the inner wall of the cup body; the number of the needle placing grooves is even, the cup body is divided into a left set and a right set from the middle, the left set and the right set are arranged symmetrically, one ends of the suture lines are connected with the suture needles in the left set, and the other ends of the suture lines are connected with the suture needles in the right set; a tray push rod is connected to the bottom of the tray and located between the guide rod and the cup body push rod. The suture needles with the suture lines are penetrated through the vaginal wall before hysterectomizing and can sew the vagina after hysterectomizing, the operation steps are simplified, and operation time is shortened.

Description

A kind of act palace cup with vagina suture
Technical field
The invention belongs to medical instruments field, relate to a kind of act palace cup, be specially a kind of act palace cup with vagina suture.
Background technology
In recent years, peritoneoscope Minimally Invasive Surgery develops rapidly, increasing hospital laparoscopic surgery, in gynecological laparoscopic operation, laparoscopic hysterectomy occupies larger ratio, operating time is longer, the time sewing up vagina after wherein hysterectomizing is longer, and there is the risk of damage bladder when sewing up, in order to suture needle and knotting under better peritoneoscope, and avoid damage bladder often separately to get a trocar hole at the Right Lower Abdomen of patient, to push bladder aside further, assist the operations such as knotting, but bring more wound surface and scar to patient, and because contiguous bladder needs carefully to recognize bladder, whole suture time is longer, finally in order to be with pin to pass in and out bladder, 10mmtrocar hole need be taken out at abdominal part, this hole is often positioned at by umbilicus, have a strong impact on patient attractive in appearance.
Summary of the invention
Object of the present invention provides a kind of act palace cup with vagina suture, uses this device can solve the technical problem of succinct stitching Vaginal Stump fast in retractor for hysterectomy under peritoneoscope operation.
For solving the problems of the technologies described above, the technical solution adopted in the present invention is: a kind of act palace cup with vagina suture, comprise cup, the central authorities of cup are interspersed is connected with guide rod, the bottom of cup is connected with cup push rod, and cup pushing rod sleeve is on guide rod, and the inwall of cup is provided with multiple widening groove, be placed with sewing needle in each widening groove, described sewing needle is medical sutures staight needle; Also be provided with pallet in cup, the outward flange of pallet contacts with the widening slot fit of cup, and the pin hole of sewing needle is positioned on pallet, and needle point is positioned at the top of cup inwall; The number of widening groove is even number, is divided into two groups, left and right, is symmetrical arranged, the sewing needle of the connection left side, sutural one end group from the centre of cup, and the other end connects the sewing needle of the right group; This tray bottom is also connected with pallet push rod, and pallet push rod is between guide rod and cup push rod.
Further, the center of described pallet is provided with through hole, and the size of external diameter is less than the internal diameter of cup, and outward flange is provided with flange the same number of with widening groove, and flange contacts with widening groove, and flange and pallet one-body molded.
Described flange is semicircle, triangle, square or can contact with widening slot fit irregularly shaped.This act palace cup is by arranging pallet, widening groove, sewing needle and stitching thread cleverly, in advance sewing needle can be in place, treat before needs hysterectomize, to be with sutural sewing needle through vaginal wall, cut off sewing needle after excision and take out, stitching thread is dialled respectively and puts both sides, uterus, transvaginal takes out uterus, can carry out knotting fast and sew up vagina.
The top of described cup is also provided with display lamp.
Described display lamp is two, is evenly fixed on the top of cup.Clearly can guide vagina front and rear wall fornix by display lamp, 12v power supply can be adopted to power, guarantee safety, damage can not be caused because of reasons such as electric leakages to patient.
The length of described guide rod is greater than the length of pallet push rod, and the length of pallet push rod is greater than the length of cup push rod, promotes to lift palace cup, adjust to desired location by cup push rod, and carry out the operation of act palace by guide rod, pallet push rod promotes pallet.
The end of described cup push rod is provided with handle, is screwed between cup push rod and pallet push rod, when band needs to promote sewing needle and stitching thread, unclamps fixing screw, namely promotes pallet by pallet push rod.
Described widening groove totally 12, places 12 sewing needles, and 12 sewing needles are worn and connected 6 stitching thread.Disposablely can sew up 6 stitching thread by this act palace cup, avoid second circular arc needle of peritoneoscope to be divided into and sew up vagina front and rear wall 6 times, significantly save operating time.
The present invention has the following advantages:
1, owing to arranging widening groove in cup, and be equipped with sewing needle and stitching thread, wherein sewing needle is staight needle, stitching thread is absorbable thread, before hysterectomizing, by the promotion of pallet and pallet push rod, sewing needle can be released, make sewing needle band stitching thread penetrate vaginal wall, after hysterectomizing under peritoneoscope, stitching thread is respectively positioned over both sides, cuts off sewing needle and take out, transvaginal takes out the uterus of excision, can tie a knot to stitching thread rapidly, sew up vagina, simplify operating procedure, shorten operating time.Under peritoneoscope, use semicircular arc pin to need higher technology, vaginal wall retraction after hysterectomizing, need carefully to recognize vaginal wall to there is the risk may sewing up bladder or rectum, under peritoneoscope, generally use semi arch pin to sew up vagina 6 pin needs about 30 minutes or longer.And use the act palace cup of band vagina suture to sew up, avoid damaging bladder and rectum, and significantly save time.
2, in traditional operation, the sewing needle used is semi arch pin, during operation, need to take out 10mmtrocar hole, to be with pin to pass in and out at abdominal part, and the sewing needle used in the present invention is staight needle, the otch only need getting 5mm on the right stomach wall of patient does handle hole, convenient after sewing needle band passes the suture through vaginal wall, from handle hole, sewing needle is taken out abdominal cavity, and reduce patient skin cicatrix, reduce intra-abdominal adhesions.
3, with display lamp, can the boundary in simple and direct instruction vagina and uterus, the site of excision, and be in bladder and vagina at vaginal wall to demarcate under clear state and push pallet, carry out sewing needle through vaginal wall operation, can avoid technically damaging bladder, reliably safer.
When 4, adopting this act palace cup to carry out laparoscopic hysterectomy, only need get 3 holes completes operation, compares traditional operation method, reduces the trocar hole of a Right Lower Abdomen, can reduce patient's abdominal part cicatrix, and reduce adhesion of abdominal wall equivalent risk.
Accompanying drawing explanation
Fig. 1 is structural representation of the present invention.
Fig. 2 is the top view of Fig. 1.
Detailed description of the invention
Further illustrate the present invention below in conjunction with embodiment and accompanying drawing, but the scope of protection of present invention is not limited to the scope of embodiment statement.
Embodiment 1:
As Figure 1-Figure 2, a kind of act palace cup with vagina suture, comprise cup 1, the central authorities of cup 1 are interspersed is connected with guide rod 2, the bottom of cup 1 is connected with cup push rod 3, and cup push rod 3 is enclosed within guide rod 2, and the inwall of cup 1 is provided with multiple widening groove 4, be placed with sewing needle 5 in each widening groove 4, described sewing needle is medical sutures staight needle; Also be provided with pallet 6 in cup 1, the outward flange of pallet coordinates with the widening groove 4 of cup 1 and contacts, and the pin hole of sewing needle 5 is positioned on pallet 6, and needle point is positioned at the top of cup inwall; The number of widening groove 4 is even number, is divided into two groups, left and right, is symmetrical arranged, the sewing needle of the connection left side, sutural one end group from the centre of cup 1, and the other end connects the sewing needle of the right group; Also be connected with pallet push rod 7 bottom this pallet 6, pallet push rod 7 is between guide rod 2 and cup push rod 3.
Further, the center of described pallet 6 is provided with through hole, and the size of external diameter is less than the internal diameter of cup, and outward flange is provided with the same number of flange 8 with widening groove 4, and flange 8 contacts with widening groove 4, and flange 8 is one-body molded with pallet 6.
Further, described flange 8 be semicircle, triangle, square or can coordinate with widening groove 4 contact irregularly shaped.
Further, the top of described cup 1 is also provided with display lamp 9, clearly can indicate the position of lifting palace cup, and observes its position relationship with uterus, and display lamp is powered by connection weakness power supply adaptor.
Further, described display lamp 9 is two, is evenly fixed on the top of cup 1.
Further, the length of described guide rod 2 is greater than the length of pallet push rod 7, and the length of pallet push rod 7 is greater than the length of cup push rod 3, and guide rod, pallet push rod and cup push rod three are coaxial and be socketed from inside to outside.
Further, the end of described cup push rod 3 is provided with handle, is screwed between cup push rod 3 and pallet push rod 7.
Further, described widening groove 4 totally 12, place 12 sewing needles, the 12 sewing needles company's of wearing 6 stitching thread altogether, namely each stitching thread two ends respectively connect a stitching staight needle, and stitching thread is absorbable thread, before act palace cup transvaginal is in place, sewing needle and stitching thread are first in place in cup, for the stitching in later stage is ready, need directly to push suture needle by pallet push rod when sewing up.
The cup of described act palace cup is that ceramic material is made, and is threaded connection cup push rod bottom it.
When using this act palace cup, after in operation sterilizing body, be placed with sewing needle in the widening groove 4 that in cup, left and right is corresponding, and stitching thread is set on the sewing needle of left and right correspondence; Then routine disinfection vagina, inserts vaginal speculum, clamp cervix uteri, guide rod transvaginal inserts uterine cavity, lifts palace cup cup and is fixed on cup push rod, and install pallet push rod, take out cervical clamps and vaginal speculum, insert cervix uteri place through guide rod, when needing, connect light current power supply adaptor.Under peritoneoscope, the conventional side, ultrasound knife excision palace that uses is organized, before complete exposure uterus and fornix vaginae cut vagina, push sewing needle through pallet push rod, guided by display lamp and cut vagina, uterus is in vitro, sewing needle is inserted both sides, uterus respectively, cuts off sewing needle and take out, both sides, suture apportion uterus, transvaginal takes out uterus, knotted suture under peritoneoscope, and cut off residue silk thread, operation terminates.

Claims (8)

1. the act palace cup with vagina suture, comprise cup (1), the central authorities of cup (1) are interspersed is connected with guide rod (2), the bottom of cup (1) is connected with cup push rod (3), cup push rod (3) is enclosed within guide rod (2), it is characterized in that: the inwall of cup (1) is provided with multiple widening groove (4), and be placed with sewing needle (5) in each widening groove (4), described sewing needle is medical sutures staight needle; Also be provided with pallet (6) in cup (1), the outward flange of pallet coordinates with the widening groove (4) of cup (1) and contacts, and the pin hole of sewing needle (5) is positioned on pallet (6), and needle point is positioned at the top of cup inwall; The number of widening groove (4) is even number, is divided into two groups, left and right, is symmetrical arranged, the sewing needle of the connection left side, sutural one end group from the centre of cup (1), and the other end connects the sewing needle of the right group; This pallet (6) bottom is also connected with pallet push rod (7), and pallet push rod (7) is positioned between guide rod (2) and cup push rod (3).
2. act palace according to claim 1 cup, it is characterized in that: the center of described pallet (6) is provided with through hole, the size of external diameter is less than the internal diameter of cup, outward flange is provided with and widening groove (4) the same number of flange (8), flange (8) contacts with widening groove (4), and flange (8) is one-body molded with pallet (6).
3. act palace according to claim 2 cup, is characterized in that: described flange (8) is semicircle, triangle, square or can coordinate with widening groove (4) contact irregularly shaped.
4. act palace according to claim 1 cup, is characterized in that: the top of described cup (1) is also provided with display lamp (9).
5. act palace according to claim 4 cup, is characterized in that: described display lamp (9) is two, is evenly fixed on the top of cup (1).
6. act palace according to claim 1 cup, is characterized in that: the length of described guide rod (2) is greater than the length of pallet push rod (7), and the length of pallet push rod (7) is greater than the length of cup push rod (3).
7. act palace according to claim 1 cup, is characterized in that: the end of described cup push rod (3) is provided with handle, is screwed between cup push rod (3) and pallet push rod (7).
8. the act palace cup according to claim 1-7, is characterized in that: described widening groove (4) totally 12, places 12 sewing needles, and 12 sewing needles are worn and connected 6 stitching thread.
CN201510628038.8A 2015-09-29 2015-09-29 A kind of act palace cup with vagina suture Expired - Fee Related CN105105830B (en)

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CN105105830B CN105105830B (en) 2017-07-11

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110537963A (en) * 2019-08-29 2019-12-06 上海长海医院 Novel multi-functional uterus lifting device
CN113116432A (en) * 2021-04-19 2021-07-16 甘肃省武威肿瘤医院(武威医学科学研究院) Cervical surgery suture assistor and assisted suture method thereof

Citations (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2148538Y (en) * 1993-03-08 1993-12-08 陈吉峰 Intracavitary illuminating suture device
US5474543A (en) * 1993-05-17 1995-12-12 Mckay; Hunter A. Single needle apparatus and method for performing retropublic urethropexy
CN1133553A (en) * 1993-10-22 1996-10-16 安东尼·约翰·麦卡特尼 Transvaginal tube as an aid to laparoscopic surgery
CN2873114Y (en) * 2005-12-08 2007-02-28 姚书忠 Womb support device
WO2008074054A1 (en) * 2006-12-21 2008-06-26 Jiwan Steven Singh A medical instrument
CN201275125Y (en) * 2008-08-26 2009-07-22 周炎明 Multifunctional uterine elevator
CN102512228A (en) * 2011-12-30 2012-06-27 杭州康基医疗器械有限公司 Optical-display uterine lifting device
US20130085508A1 (en) * 2011-09-29 2013-04-04 Blake Hess Tissue Removal and Manipulator Device for LAVH and Related Surgeries
CN203244440U (en) * 2013-05-27 2013-10-23 中国人民解放军第三军医大学第二附属医院 Uterus lifting cup with uterus fornix cutting function
US20130289585A1 (en) * 2012-04-26 2013-10-31 Imds Corporation Tissue fixation device
CN203303125U (en) * 2013-05-23 2013-11-27 侍立峰 Rotary-cut cup-type uterine manipulator

Patent Citations (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2148538Y (en) * 1993-03-08 1993-12-08 陈吉峰 Intracavitary illuminating suture device
US5474543A (en) * 1993-05-17 1995-12-12 Mckay; Hunter A. Single needle apparatus and method for performing retropublic urethropexy
CN1133553A (en) * 1993-10-22 1996-10-16 安东尼·约翰·麦卡特尼 Transvaginal tube as an aid to laparoscopic surgery
CN2873114Y (en) * 2005-12-08 2007-02-28 姚书忠 Womb support device
WO2008074054A1 (en) * 2006-12-21 2008-06-26 Jiwan Steven Singh A medical instrument
CN201275125Y (en) * 2008-08-26 2009-07-22 周炎明 Multifunctional uterine elevator
US20130085508A1 (en) * 2011-09-29 2013-04-04 Blake Hess Tissue Removal and Manipulator Device for LAVH and Related Surgeries
CN102512228A (en) * 2011-12-30 2012-06-27 杭州康基医疗器械有限公司 Optical-display uterine lifting device
US20130289585A1 (en) * 2012-04-26 2013-10-31 Imds Corporation Tissue fixation device
CN203303125U (en) * 2013-05-23 2013-11-27 侍立峰 Rotary-cut cup-type uterine manipulator
CN203244440U (en) * 2013-05-27 2013-10-23 中国人民解放军第三军医大学第二附属医院 Uterus lifting cup with uterus fornix cutting function

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110537963A (en) * 2019-08-29 2019-12-06 上海长海医院 Novel multi-functional uterus lifting device
CN113116432A (en) * 2021-04-19 2021-07-16 甘肃省武威肿瘤医院(武威医学科学研究院) Cervical surgery suture assistor and assisted suture method thereof
CN113116432B (en) * 2021-04-19 2023-09-01 甘肃省武威肿瘤医院(武威医学科学研究院) Cervical operation stitching assisting device and stitching assisting method thereof

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Effective date of registration: 20170531

Address after: No. 375 Zhongshan road 430000 in Hubei province in Qiaokou District of Wuhan City

Applicant after: Wuhan No.1 Hospital

Address before: 443000 Yiling Road, Hubei, Yichang, No. 183

Applicant before: No.1 Clinical Medical College, Sanxia Univ.

CB03 Change of inventor or designer information
CB03 Change of inventor or designer information

Inventor after: Wang Zhongxian

Inventor after: He Yi

Inventor after: Gong Shixiong

Inventor after: Huang Haoliang

Inventor after: Cao Lirong

Inventor before: Wang Zhongxian

Inventor before: Chen Jianling

Inventor before: Gao Qiaoling

Inventor before: Li Caihong

Inventor before: Zhao Jing

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CF01 Termination of patent right due to non-payment of annual fee
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Granted publication date: 20170711

Termination date: 20200929