A kind of act palace cup with vagina sutureTechnical field
The invention belongs to medical instruments field, it is related to a kind of act palace cup, specially a kind of act palace with vagina sutureCup.
Background technology
In recent years, laparoscope Minimally Invasive Surgery is developed rapidly, increasing hospital laparoscopic surgery, in gynaecological laparoscopeLaparoscopic hysterectomy occupies large ratio in videoendoscopic surgery, and operating time is longer, wherein suture vagina behind excision uterusTime is longer, and the risk of bladder is damaged when there is suture, for suture needle and knotting under more preferable laparoscope, and avoids damagingHinder bladder and often separately take a trocar hole in the Right Lower Abdomen of patient, further to push bladder aside, assist the operation such as knotting, butIt is to bring more surface of a wound and scar to patient, and because neighbouring bladder needs carefully identification bladder, whole suture timeIt is longer, finally in order to which band pin passes in and out bladder, 10mm trocar holes need to be taken out in belly, this hole is often positioned in by navel, seriouslyInfluence patient attractive in appearance.
The content of the invention
It is an object of the invention to provide a kind of act palace cup with vagina suture, it be can solve the problem that using the device under laparoscopeThe technical problem of quick succinct suture Vaginal Stump in Hysterectomy.
In order to solve the above technical problems, the technical solution adopted in the present invention is：A kind of act palace with vagina sutureCup, including cup, the center of cup is interspersed to be connected with guiding bar, and the bottom of cup is connected with cup push rod, and cup pushing rod sleeve existsGuide on bar, the inwall of cup, which is provided with multiple widening grooves, each widening groove, is placed with sewing needle, and described sewing needle is medicalSuture staight needle；Pallet is additionally provided with cup, the outward flange of pallet coordinates with the widening groove of cup to be contacted, and the pin hole of sewing needle is located atOn pallet, needle point is located at the top of cup inwall；The number of widening groove is even number, is divided into two groups of left and right from the centre of cup,It is symmetrical arranged, one end of suture connects the sewing needle of left side group, the sewing needle of other end connection the right group；The tray bottom is alsoPallet push rod is connected with, pallet push rod is located between guiding bar and cup push rod.
Further, the center of the 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 withWith the same number of protrusive board of widening groove, protrusive board is contacted with widening groove, and protrusive board is integrally formed with pallet.
The protrusive board is semicircle, triangle, square or can be with the irregular shape that contact of widening groove cooperation.The actSewing needle can be installed in place by cleverly setting pallet, widening groove, sewing needle and suture, wait to need by palace cup in advanceCut off and its sewing needle with suture is passed through into vaginal wall before uterus, sewing needle is cut after excision and is taken out, suture is distinguishedDial and put uterus both sides, Via vagina takes out uterus, you can be quick to carry out the suture vagina that knots.
Indicator lamp is additionally provided with the top of described cup.
Described indicator lamp is two, is uniformly fixed on the top of cup.Vagina can clearly be guided by indicator lampFront and rear wall fornix, can be powered using 12v power supplys, it is ensured that safety, will not be damaged caused by the reasons such as electric leakage are to patient.
The length of the guiding bar is more than the length of pallet push rod, and the length of pallet push rod is more than the length of cup push rod,Promoted by cup push rod and lift palace cup, be adjusted to required position, operated by guiding bar to carry out act palace, pallet push rod promotes supportDisk.
The end of the cup push rod is provided with handle, is screwed between cup push rod and pallet push rod, and band needsWhen promoting sewing needle and suture, fixed screw is unclamped, you can pallet is promoted by pallet push rod.
The widening groove totally 12, places 12 sewing needles, and 12 sewing needles wear even 6 sutures.Pass through act palace cup6 sutures can disposably be sewed up, it is to avoid laparoscope lower half circular arc needle is divided into 6 suture vagina front and rear walls, significantly saves handThe art time.
The present invention has advantages below：
1st, due to setting widening groove in cup, and sewing needle and suture are equipped with, wherein sewing needle is staight needle, sutureFor absorbable thread, before excision uterus, by the promotion of pallet and pallet push rod, sewing needle can be released, make sewing needle bandSuture penetrates vaginal wall, after uterus is cut off under laparoscope, and suture is respectively positioned over into both sides, cuts sewing needle and takes out,Via vagina takes out the uterus of excision, and suture can be knotted rapidly, sutures vagina, simplifies operating procedure, shortens operationTime.Vaginal wall retraction behind higher technology, excision uterus is needed using semicircular arc pin under laparoscope, it is necessary to carefully identificationVaginal wall, the risk that there is possibility suture bladder or rectum is needed typically under laparoscope using semi arch pin suture vagina 6 pin30 minutes or so or longer.And use the act palace cup with vagina suture to be sutured, it is to avoid bladder and rectum may be damaged,And significantly save the time.
2nd, in traditional operation, the sewing needle used is semi arch pin, it is necessary to take out 10mm in belly during operationTrocar holes, so as to band pin turnover, and the sewing needle used in the present invention is staight needle, only need to take 5mm's on the right stomach wall of patientOtch does handle hole, convenient after sewing needle band suture passes through vaginal wall, sewing needle is taken out into abdominal cavity from handle hole, and subtractFew patient skin scar, reduces intra-abdominal adhesions.
3rd, can be with the boundary in simple and direct instruction vagina and uterus, the site of excision with indicator lamp, and be in vaginal wallBladder carries out sewing needle and operated through vaginal wall, can technically avoid damaging with being pushed into pallet under the clear state of vagina boundaryHinder bladder, safer reliability.
When the 4th, carrying out laparoscopic hysterectomy using act palace cup, 3 holes need to be only taken to complete operation, compared to traditionalOperation method, reduces the trocar holes of a Right Lower Abdomen, can reduce patient's belly scar, and reduce adhesion of abdominal wall equivalent risk.
Brief description of the drawings
Fig. 1 is structural representation of the invention.
Fig. 2 is Fig. 1 top view.
Embodiment
The present invention is further illustrated with reference to embodiment and accompanying drawing, but the scope of protection of present invention is not limited toThe scope stated in embodiment.
Embodiment 1：
As Figure 1-Figure 2, a kind of act palace cup with vagina suture, including cup 1, the center of cup 1 is interspersed to be connectedGuiding bar 2 is connected to, the bottom of cup 1 is connected with cup push rod 3, and cup push rod 3 is enclosed within guiding bar 2, and the inwall of cup 1 is provided withSewing needle 5 is placed with multiple widening grooves 4, each widening groove 4, described sewing needle is medical sutures staight needle；Also set in cup 1There is pallet 6, the outward flange of pallet coordinates with the widening groove 4 of cup 1 to be contacted, and the pin hole of sewing needle 5 is located on pallet 6, needle point positionIn the top of cup inwall；The number of widening groove 4 is even number, is divided into two groups of left and right from the centre of cup 1, is symmetrical arranged, and is stitchedOne end of zygonema connects the sewing needle of left side group, the sewing needle of other end connection the right group；The bottom of pallet 6 is also associated with palletPush rod 7, pallet push rod 7 is located between guiding bar 2 and cup push rod 3.
Further, the center of the pallet 6 is provided with through hole, and the size of external diameter, which is less than on the internal diameter of cup, outward flange, to be setHave with the same number of protrusive board of widening groove 48, protrusive board 8 is contacted with widening groove 4, and protrusive board 8 is integrally formed with pallet 6.
Further, the protrusive board 8 be semicircle, triangle, it is square or can with widening groove 4 cooperation contact do not adviseThen shape.
Further, the top of described cup 1 is additionally provided with indicator lamp 9, can be explicitly indicated the position for lifting palace cup, andIts position relationship with uterus is observed, indicator lamp can be powered by connecting weakness power supply adaptor.
Further, described indicator lamp 9 is two, is uniformly fixed on the top of cup 1.
Further, the length of the guiding bar 2 is more than the length of pallet push rod 7, and the length of pallet push rod 7 is more than cupThe length of push rod 3, guiding bar, pallet push rod and cup push rod three are coaxial and be socketed from inside to outside.
Further, the end of the cup push rod 3 is provided with handle, and screw is passed through between cup push rod 3 and pallet push rod 7It is fixed.
Further, the widening groove 4 totally 12, place 12 sewing needles, 12 sewing needles, 6 sutures of the company of wearing altogether,I.e. each suture two ends respectively connect a suture staight needle, and suture is absorbable thread, before act palace cup Via vagina is in place,Sewing needle and suture are first installed in place in cup, are that the suture in later stage is ready, it is necessary to directly by pallet when suturingPush rod is pushed into suture needle.
The cup of the act palace cup is made up of ceramic material, and its bottom is connected through a screw thread cup push rod.
Using the act palace cup when, in operation sterilizing body after, be placed with suture in the corresponding widening groove 4 in left and right in cupPin, and suture is set on the corresponding sewing needle in left and right；Then routine disinfection vagina, inserts vaginal speculum, clamp uterine neck, guidingBar Via vagina inserts uterine cavity, lifts palace cup cup and is fixed on cup push rod, and installs pallet push rod, takes out cervical clamps and peeps the moonDevice, channeled bar insert at uterine neck, it is necessary to when connect light current power supply adaptor.Routinely cut off under laparoscope using ultrasound knife by palaceTissue, complete exposure uterus is cut with fornix vaginae before vagina, and sewing needle is pushed into through pallet push rod, is guided and cut by indicator lampVagina is opened, uterus is in vitro, and sewing needle is respectively implanted into uterus both sides, cut sewing needle and take out, suture point row uterus both sides, warpVagina takes out uterus, the knotted suture under laparoscope, and cuts remaining silk thread, and operation terminates.