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Anus retractor

An anus and traction line technology, applied in medical science, surgery, etc., can solve the problems of reducing surgical operation space, anastomotic leakage, anatomical displacement, etc., and achieve the effect of increasing surgical operation space, maintaining expansion degree, and uniform traction force

Pending Publication Date: 2018-09-04
王从军 +1
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

[0002] Anal retractor plays an important role in exposing the surgical field during rectal and anal canal surgery. It has a wide range of applications and high frequency of use. It is often used for adult rectal anal canal tumors, trauma, and children with Hirschsprung, anal atresia, and rectourethral fistula. In the surgical treatment of diseases such as rectovaginal fistula, due to anatomical factors such as the small space and deep position of the recto-anal canal, the operation space of the recto-anal canal is small, especially in children, and surgical exposure is extremely difficult. , will greatly increase the difficulty of operation, and the operation is prone to complications such as bleeding, urethral injury, vaginal injury, and intestinal anastomotic leakage
[0003] At present, the commonly used retractors for transanal surgery are still simple nail hooks, but there are many defects in the use of nail hooks to pull and expose the anus: 1. Reduce the operation space: when the nail hooks are pulled and exposed, the nail hooks need to be placed in the anal canal to the anus. Retraction, because the retractor itself occupies a certain operating space, will greatly reduce the operating space; 2. Insufficient stability: As the assistant continues to expose the anus with force, as the operation time prolongs, the position may shift. Due to the limited operating space, small deviations and possible exposure failures require readjustment and time-consuming operation; 3. Uneven traction force: due to the manual application of tension to the retractor, the traction force is uneven, which may easily lead to anatomical displacement and increase the surrounding area. Risk of secondary organ damage; 4. Waste of human resources: At least 1-2 assistants are required to continuously apply force to the retractor during the operation to keep the anus dilated, and increasing the number of surgical personnel will limit the operating space of the surgeon to a certain extent

Method used

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Examples

Experimental program
Comparison scheme
Effect test

Embodiment 1

[0043] Such as figure 1 and figure 2As shown, an anal retractor includes a main ring 1, and the main ring 1 is provided with a plurality of passages 2 extending from the inside to the outside along its circumferential direction, and the passages 2 are pierced with holes that can slide therein. Pulling wire 3, one end of the pulling wire 3 is connected with a hook head 4 capable of hooking into the perianal tissue, and the other end of the pulling wire 3 is connected with a pulling wire 3 that can move relative to the main ring 1 to pull each pulling wire 3 in the channel 2, the movable traction member 5 slides at the same time, the movable traction member 5 includes a secondary circle 51 connected with the main circle 1 and capable of rotating in the circumferential direction relative to the main circle 1, and the secondary circle 51 is provided with a plurality of The connecting portion 7 to which the corresponding pulling wire 3 is connected. The traction wire 3 passes th...

Embodiment 2

[0047] Such as Figure 5 to Figure 10 As shown, the difference between embodiment 2 and embodiment 1 is:

[0048] Such as Figure 5 to Figure 9 As shown, the outer wall of the auxiliary ring 51 is provided with a plurality of tooth grooves 8, and the main ring 1 is provided with bayonet pins 9 that can slide in the radial direction and engage with the tooth grooves 8. The main ring 1 is also provided with a spring 10 that can keep the bayonet pin 9 and the tooth groove 8 engaged. After the auxiliary ring 51 rotates at a certain angle, the bayonet pin 9 snaps into the tooth groove 8, so that the main ring 1 and the auxiliary ring 51 remain relatively fixed, so that the expansion degree of the traction wire 3 and the hook head 4 to the anus can be improved. Keep it to avoid displacement of the exposed position, so as to ensure the smooth progress of the operation. Of course, the positioning structure for relatively fixing the main ring 1 and the auxiliary ring 51 can also ado...

Embodiment 3

[0052] Such as Figure 11 and Figure 12 As shown, the difference between embodiment 3 and embodiment 1 is:

[0053] A plurality of teeth 14 are provided on the outside of the secondary ring 51, a support plate 15 is provided on the main ring 1, a motor 16 is provided on the support plate 15, and a motor 16 is provided on the output shaft of the motor 16. Gear 17 meshing with teeth 14 . When the motor 16 is started, the secondary ring 51 is driven to rotate through the engagement of the gear 17 and the upper teeth 14 of the secondary ring 51, which has a high degree of automation, saves labor and is more convenient to operate.

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PUM

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Abstract

The invention discloses an anus retractor which comprises a main ring (1). A plurality of channels (2) extending from inside to outside are circumferentially arranged on the main ring (1), pull wires(3) capable of sliding in the channels (2) penetrate the channels (2), one end of each pull wire (3) is connected with a retractor head (4) capable of internally hooking perianal tissues, and the other end of each pull wire (3) is connected with a movable pull wire (5) capable of moving relative to the main ring (1) and pulling each pull wire (3) to slide in the corresponding channel (2). The anusretractor is simple in structure, convenient to operate, good in stability and uniform in pulling force.

Description

【Technical field】 [0001] The invention relates to an anal hook. 【Background technique】 [0002] Anal retractor plays an important role in exposing the surgical field during rectal and anal canal surgery. It has a wide range of applications and high frequency of use. It is often used for adult rectal anal canal tumors, trauma, and children with Hirschsprung, anal atresia, and rectourethral fistula. In the surgical treatment of diseases such as rectovaginal fistula, due to anatomical factors such as the small space and deep position of the recto-anal canal, the operation space of the recto-anal canal is small, especially in children, and surgical exposure is extremely difficult. , will greatly increase the difficulty of operation, and the operation is prone to complications such as bleeding, urethral injury, vaginal injury, and intestinal anastomotic leakage. [0003] At present, the commonly used retractors for transanal surgery are still simple nail hooks, but there are man...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): A61B17/02
CPCA61B17/0293
Inventor 王从军罗意革王红唐咸明陈嘉波李伟苏成李彦强史波李勇
Owner 王从军
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