Background
The small intestine is the main organ in the abdominal cavity, is about 4-5 m long, occupies most of the middle and lower abdomen, and is free and has high mobility due to the long mesentery. When abdominal surgery is performed, the appearance of the surgical site and the operation visual field is often affected by the freeness and the sliding property of the small intestine, and the abdominal surgery generally comprises middle and lower abdominal, pelvic and posterior abdominal membrane operations such as colorectal surgery, gynecological surgery, urinary surgery, lymph node cleaning operation around abdominal aorta or posterior abdominal membrane operation. At present, the method of adjusting the body position of a patient or covering the small intestine with gauze or assisting the operator to pull and the like is mainly used clinically, but the effect is not ideal, the small intestine is simply surrounded by a gauze pad to be fixed, the small intestine is often overflowed from the edge of the gauze pad due to incomplete protection, the operation is affected, and a series of problems are brought: (1) in order to fully expose the operative field after entering the abdomen, the operator usually needs to spend a lot of time and energy to pull open the small intestine, thereby invisibly increasing the operation time and possibly increasing the risk of side damage to the small intestine and the mesentery thereof; (2) in pelvic cavity surgery, in order to make the small intestine slide towards the head and the feet, the head and the feet of a patient are often high, so that the lung of the patient is pressed, the respiratory function and the circulatory system function are influenced, and the difficulties of anesthesia control and stable operation process are increased; (3) under the condition that the laparoscopic surgery is difficult to expose, puncture holes may need to be increased, and an assistant keeps off the small intestine, so that the difficulty of cooperation of the assistant is increased; (4) the risk of small bowel injury in thermo-electric surgical procedures such as ultrasonic and electrotome procedures can occur if the small bowel is not fixed and frequently slides into the surgical field; (5) during operation, especially during tumor operation, the small intestine may be infected with tumor cells, which violates the principle of tumor-free technology; meanwhile, when the large intestine is operated, bacteria in the intestinal cavity can pollute the small intestine.
There is therefore a need for a device that can separate the small intestine from the surgical site to expose the surgical site for ease of operation by the surgeon, reduced procedure time and reduced complications during lower abdominal procedures, particularly laparoscopic procedures.
SUMMERY OF THE UTILITY MODEL
In view of the above-mentioned shortcomings of the prior art, the technical problem to be solved by the present invention is to provide a small intestine isolation and protection device.
In order to solve the technical problem, the utility model provides a protection device is kept apart to small intestine, include:
a sleeve;
a central rod penetrating into the sleeve;
a traction member provided at one end of the center rod;
the separation bag is provided with an opening part, an elastic support ring is arranged around the circumference of the opening part, and the elastic support ring is connected with the traction part; the separation bag may be received in the cannula.
Preferably, the traction part comprises a traction hook and a clamp spring, the traction hook and the clamp spring are arranged at one end of the central rod, the clamp spring and a hook head of the traction hook are arranged oppositely, and the clamp spring and the hook head of the traction hook are both connected with the elastic support ring.
Preferably, the other end of the center rod is provided with a pull ring.
Preferably, one end of the sleeve is used for placing the separation bag, and a handle is arranged on the outer side face of the other end of the sleeve.
Preferably, the separation bag and the elastic support ring are of an integral structure.
Preferably, the elastic support ring is made of an elastic metal material or an elastic polymer material.
Preferably, the separation bag is made of a high polymer material.
Preferably, the separation bag is provided with a mesh.
As mentioned above, the small intestine isolation protection device of the utility model has the following beneficial effects: before the small intestine isolation and protection device is used, the elastic support ring and the separation bag are accommodated in the sleeve through the traction part; when the device is used, the central rod is pushed, the central rod pushes the traction part to the outside of the sleeve, so that the elastic support ring and the separation bag are in an open state, and the elastic support ring and the separation bag are released for standby; after the use is finished, the elastic support ring can be pulled by the traction part, the elastic support ring and the separation bag are contained in the sleeve, and then the small intestine isolation protection device can be pulled out of the human body by other instruments; when the elastic support ring and the separation bag are released to be used, the small intestine can be placed in the separation bag, so that the small intestine is separated from the operation part to expose the operation part, a doctor can perform an operation easily, the operation time is greatly shortened, complications are reduced, and meanwhile, the device can reduce the risk of the small intestine being polluted by tumors and bacteria on the premise of protecting the small intestine.
Detailed Description
The following description is provided for illustrative purposes, and other advantages and features of the present invention will become apparent to those skilled in the art from the following detailed description.
Please refer to the attached drawings. It should be understood that the structure, ratio, size and the like shown in the drawings attached to the present specification are only used for matching with the content disclosed in the specification, so as to be known and read by those skilled in the art, and are not used for limiting the limit conditions that the present invention can be implemented, so that the present invention has no technical essential meaning, and any structure modification, ratio relationship change or size adjustment should still fall within the scope covered by the technical content disclosed in the present invention without affecting the function and the achievable purpose of the present invention. Meanwhile, the terms such as "upper", "lower", "left", "right", "middle" and "one" used in the present specification are for convenience of description, and are not intended to limit the scope of the present invention, and changes or adjustments of the relative relationship thereof may be made without substantial technical changes, and the present invention is also regarded as the scope of the present invention.
As shown in fig. 1 to 3, the small intestine isolation and protection device of the present embodiment includes:
asleeve 100;
acenter rod 200 penetrating into thecasing 100;
atraction member 300 provided at one end of thecenter rod 200;
aseparation bag 400, wherein theseparation bag 400 is provided with anopening part 410, anelastic support ring 420 is arranged around the circumference of theopening part 410, and theelastic support ring 420 is connected with thetraction component 300; theseparation bag 400 may be received in thesleeve 100.
Before the small intestine isolation and protection device of the embodiment is used, theelastic support ring 420 and theseparation bag 400 are received in thesleeve 100 through thetraction member 300; in use, thecentral rod 200 is pushed, thecentral rod 200 pushes thetraction member 300 to the outside of thecasing 100, so that theelastic support ring 420 and theseparation bag 400 are in an open state, and theelastic support ring 420 and theseparation bag 400 are released for standby; after the use is finished, theelastic support ring 420 can be pulled by thetraction part 300, theelastic support ring 420 and theseparation bag 400 are stored, and then the small intestine isolation protection device is pulled out of the human body by other instruments; when theelastic support ring 420 and theseparation bag 400 are released for use, the small intestine can be placed in theseparation bag 400, and the small intestine is separated from the operation position to expose the operation position, so that a doctor can perform an operation easily, the operation time is greatly reduced, complications are reduced, and meanwhile, the device can reduce the risk of the small intestine being polluted by tumor and bacteria on the premise of protecting the small intestine.
Thetraction component 300 comprises atraction hook 310 and aclamp spring 320 which are arranged at one end of thecentral rod 200, theclamp spring 320 and the hook head of thetraction hook 310 are arranged oppositely, and theclamp spring 320 and the hook head of thetraction hook 310 are connected with theelastic support ring 420. After the small intestine isolation protection device of the embodiment is used, thecentral rod 200 is pulled, thecentral rod 200 drives thepulling hook 310 and theclamp spring 320 to move towards the inside of thesleeve 100, and thepulling hook 310 and theclamp spring 320 can clamp theelastic support ring 420, so that the elastic support ring and theseparation bag 400 can conveniently move towards the inside of thesleeve 100 along with the pullingpart 300.
The other end of thecenter rod 200 is provided with apulling ring 500. Thepull ring 500 facilitates the physician pushing or pulling thecenter rod 200.
One end of thesleeve 100 is used for placing theseparation bag 400, and the outer side surface of the other end of thesleeve 100 is provided with ahandle 600. Thehandle 600 is provided to facilitate the physician's handling of thecannula 100.
Theseparation bag 400 is integrated with theelastic support ring 420. This configuration facilitates the simultaneous movement of theseparation bag 400 with theelastic support ring 420 while being opened and received.
Theelastic support ring 420 is made of an elastic metal material or an elastic polymer material. This allows theresilient support ring 420 to be both strong and to deform at will upon application of sufficient force. The elastic metal material can be nickel-titanium memory alloy, stainless steel and the like. The elastic polymer material can be silica gel, polyurethane, polypropylene, nylon and other materials.
Theseparation bag 400 is made of a polymer material. Theseparation bag 400 is provided with meshes. Theseparation bag 400 may be made of medical plastic, and theseparation bag 400 is made of polyurethane, silica gel, latex, and the like.
When the small intestine isolation protection device of the embodiment is used, theseparation bag 400 enters the abdominal cavity, and due to the mesh holes on theseparation bag 400, theseparation bag 400 is similar to a fishing net-shaped sac bag after being released, the small intestine is packed into theseparation bag 400 during the operation, and theseparation bag 400 is moved to be isolated and protected after leaving the operation field to a certain position.
Theseparation bag 400 is made of medical plastic with tension. The edges of the mouth of theseparation bag 400 do not produce a strangulation effect on the small intestine.
Theseparation bag 400 may be retracted into thecannula 100 before entering the abdominal cavity.
After theseparation bag 400 received in thecasing 100 is moved to a proper position, theseparation bag 400 is released by pushing thecenter rod 200.
When the small intestine is packed into theseparation bag 400 during the operation, after the supporting ring is slightly tightened, a needle is penetrated through the upper abdominal wall, the elastic supportingring 420 is connected to the upper abdominal wall, and the elastic supportingring 420 is pulled to strengthen the effect of fixing the small intestine isolation protection device. Note that theelastic support ring 420 edge does not act to constrict the small intestine and affect blood supply.
After the operation is completed and the surgical field is cleaned, theseparation bag 400 is withdrawn from the incision to release the small intestine, or theelastic support ring 420 is pulled to take out theseparation bag 400 from the main operation hole.
Theseparation bag 400 may be of various sizes after release, and theseparation bag 400 may be 60mm, 80mm, 100mm, 120mm, etc. after release.
To sum up, the utility model effectively overcomes various defects in the prior art and has high industrial utilization value.
The above embodiments are merely illustrative of the principles and effects of the present invention, and are not to be construed as limiting the invention. Modifications and variations can be made to the above-described embodiments by those skilled in the art without departing from the spirit and scope of the present invention. Accordingly, it is intended that all equivalent modifications or changes which may be made by those skilled in the art without departing from the spirit and technical spirit of the present invention be covered by the claims of the present invention.