Auxiliary tumor taking device for hysteromyoma removal under laparoscope

Abstract

The invention discloses an auxiliary tumor taking device in a laparoscopic hysteromyoma removal operation. The auxiliary tumor taking device comprises a holding rod; the upper end of the holding rod is slidably connected with the cutting sliding groove, and the wrapping screw is sleeved with the holding rod. The lower end of the wrapping screw is rotationally connected with a sliding sleeve I, the middle is in threaded connection with a sliding sleeve II, and the rear end is provided with a wrapping knob; reaming holes are formed in the two sides of the first sliding sleeve and the two sides of the second sliding sleeve. The reamed hole is rotationally connected with the front end of the wrapping connecting rod; the middle of the wrapping screw is hinged to the other wrapping connecting rod, and the other end of the wrapping screw is rotationally connected with the corner block. The other end of the corner block is rotationally connected with a group of wrapping connecting rods; before entering the abdominal cavity, the wrapping screw can be shrunk on the wrapping screw, the size is reduced, an abdominal wall incision in the operation can be smaller, damage to the abdominal wall is reduced, after entering the abdominal cavity, the wrapping assembly can be unfolded by rotating the wrapping screw, myoma can be tightly wrapped, operation wounds are reduced, the abdominal wall can be kept complete, and the postoperative wound is attractive.

Description

Technical Field

[0001] The present invention belongs to the technical field of uterine tumor treatment, and specifically relates to an auxiliary tumor removal device during laparoscopic myomectomy. Background Art

[0002] Laparoscopic myomectomy is a common minimally invasive gynecological surgery. It makes several small incisions in the abdomen, inserts a laparoscope and surgical instruments, and directly removes uterine fibroids from the uterus while preserving the integrity of the uterus. This surgery has the advantages of small trauma, less bleeding, fast recovery, short hospital stay, and beautiful abdominal incisions, and has become one of the main methods for treating uterine fibroids, being deeply favored by patients and doctors. In the prior art, the method of removing the tumor is to place the fibroid in a sterile retrieval bag, drag the bag mouth out from a small abdominal wall incision, and then gradually cut the fibroid tissue with a blade. However, this method has the following problems: during the cutting process, it is easy to cut through the sterile bag, resulting in the fibroid falling into the abdominal cavity, posing a risk of fibroid dissemination and causing adhesions, which does not conform to the principle of tumor-free surgery. At the same time, if the fibroid is large, it is time-consuming and laborious to remove, and it is difficult to cut. Often, the abdominal wall incision needs to be enlarged, damaging the integrity and strength of the abdominal wall, not only increasing the damage to the patient but also affecting the postoperative aesthetics. Therefore, in view of the above problems in the prior art, this solution proposes an auxiliary tumor removal device during laparoscopic myomectomy. Summary of the Invention

[0003] In order to solve the above technical problems, the present invention designs an auxiliary tumor removal device during laparoscopic myomectomy. By setting a wrapping component, it can be seen to retract when extending into the incision and attach to the wrapping screw rod, so as to enter the abdominal cavity with a small volume, reducing the requirement for the size of the incision. After entering the patient's abdominal cavity, by rotating the wrapping screw rod of the threadedly connected sliding sleeve, the sliding sleeve slides along the wrapping screw rod, so as to expand the wrapping component to an appropriate size and then wrap and fix the fibroid. At the same time, by controlling the blade to extend into the fibroid and perform rotary cutting, and controlling the position of the knife handle on the cutting chute according to the size of the fibroid, the fibroid is completely resected. To achieve the above technical effects, the present invention is realized through the following technical solutions: an auxiliary tumor removal device during laparoscopic myomectomy, comprising: a grip rod; The upper end of the grip rod is slidably connected to a cutting chute, and a wrapping screw rod is sleeved inside; the lower end of the wrapping screw rod is rotatably connected to a first sliding sleeve, threadedly connected to a second sliding sleeve in the middle, and provided with a wrapping knob at the rear end; hinge holes are provided on both sides of the first sliding sleeve and the second sliding sleeve; the front ends of the wrapping connecting rods are rotatably connected to the hinge holes; the middle of the wrapping screw rod is hinged to another wrapping connecting rod, and the other end is rotatably connected to a corner block; the other end of the corner block is rotatably connected to a group of wrapping connecting rods. Further, the wrapping connecting rods are arranged in a circumferential array, with hinge holes connected at the head and tail, and corner blocks are arranged in the middle for connection; Further, a threaded hole is opened on the right side of the cutting chute for threaded connection of the fixing screw, a chute is opened in the middle for sliding connection of the cutting slider, a threaded hole is opened on the left side for threaded connection of the cutting screw, and a cutting scale is arranged on the upper surface; Further, a fixing ring is arranged at the front end of the fixing screw for movably connecting the wrapping screw, and a fixing knob is arranged at the rear end; Further, a hole is opened in the middle of the cutting slider for rotatably connecting the knife handle, and the left side is rotatably connected to the cutting screw; Further, a limiting key is arranged in the middle of the knife handle for rotatably connecting the cutting slider, and an L-shaped blade is arranged at the lower end; Further, a cutting knob is arranged at the rear end of the cutting screw; Further, depth scales are arranged on the outer surface of the grip rod.

[0004] The beneficial effects of the present invention are as follows: Through the telescopic wrapping assembly of the present invention, before entering the abdominal cavity, it will contract on the wrapping screw, with a smaller volume, enabling a smaller surgical abdominal wall incision and reducing damage to the abdominal wall. After entering the abdominal cavity, rotating the wrapping screw can unfold the wrapping assembly, which can tightly wrap the myoma, reducing surgical trauma, maintaining the integrity of the abdominal wall, and making the postoperative wound beautiful; At the same time, after the wrapping assembly is unfolded, it can fix the myoma. When cutting the myoma, it can prevent the myoma from falling into the abdominal cavity, avoiding infections and tissue adhesions caused by the shedding of the myoma, and also preventing the spread of tumor cells; Finally, by setting an adjustable blade, the depth and position of the blade can be controlled through the cutting chute and the cutting screw for precise cutting. There is a limiting key on the knife handle to ensure stable cutting. The L-shaped blade fits the shape of the myoma, and the grip rod is marked with depth scales, and the cutting chute also has cutting scales. During operation, it is possible to clearly know the depth of the device entering the abdominal cavity and the cutting position of the blade, improving the accuracy of the surgery. Description of the Drawings

[0005] In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the accompanying drawings required for describing the embodiments will be briefly introduced below.

[0006] Figure 1 is an overall structural schematic diagram of an auxiliary tumor extraction device in laparoscopic myomectomy; Figure 2 is a structural schematic diagram of the blade of an auxiliary tumor extraction device in laparoscopic myomectomy; Figure 3 is a structural schematic diagram of the grip rod of an auxiliary tumor extraction device in laparoscopic myomectomy; Figure 4It is a top view of an auxiliary tumor extraction device during laparoscopic myomectomy; Figure 5 It is a chamber cross-sectional view of an auxiliary tumor extraction device during laparoscopic myomectomy; Figure 6 It is a partial structural schematic diagram A of an auxiliary tumor extraction device during laparoscopic myomectomy; Figure 7 It is a partial structural schematic diagram B of an auxiliary tumor extraction device during laparoscopic myomectomy; In the attached drawings, the list of components represented by each reference numeral is as follows: 1 - Wrapping connecting rod, 2 - Corner block, 3 - Sliding sleeve two, 4 - Wrapping screw rod, 5 - Holding rod, 6 - Wrapping knob, 7 - Excision chute, 8 - Excision screw rod, 9 - Excision knob, 10 - Excision slider, 11 - Knife handle, 12 - Blade, 13 - Excision scale, 14 - Depth scale, 15 - Fixing knob, 16 - Fixing ring, 17 - Fixing screw rod, 18 - Limit key, 19 - Sliding sleeve one, 20 - Reaming hole. Detailed implementation manners

[0007] The present invention discloses an auxiliary tumor extraction device during laparoscopic myomectomy, including: a holding rod 5; the upper end of the holding rod 5 is slidably connected to an excision chute 7, and a wrapping screw rod 4 is sleeved inside; the lower end of the wrapping screw rod 4 is rotatably connected to a sliding sleeve one 19, the middle is threadedly connected to a sliding sleeve two 3, and a wrapping knob 6 is arranged at the rear end; reaming holes 20 are arranged on both sides of the sliding sleeve one 19 and the sliding sleeve two 3; the front end of the reaming hole 20 is rotatably connected to the front end of a wrapping connecting rod 1; the middle of the wrapping screw rod 4 is hinged to another wrapping connecting rod 1, and the other end is rotatably connected to a corner block 2; the other end of the corner block 2 is rotatably connected to a group of wrapping connecting rods 1; before entering the abdominal cavity, it will contract on the wrapping screw rod 4, with a smaller volume, so that the surgical abdominal wall incision can be made smaller, reducing the damage to the abdominal wall. After entering the abdominal cavity, rotating the wrapping screw rod 4 can expand the wrapping assembly, which can tightly wrap the myoma, reducing surgical trauma and keeping the abdominal wall intact, and making the postoperative wound beautiful.

[0008] Next, the technical solutions in the embodiments of the present invention will be clearly and completely described in conjunction with the accompanying drawings in the embodiments of the present invention; obviously, the described embodiments are only a part of the embodiments of the present invention, rather than all the embodiments. Embodiment 1

[0009] As Figure 1As shown in the figure, the upper end of the grip rod 5 is slidably connected to the cutting chute 7, and the wrapping screw rod 4 is sleeved inside; the lower end of the wrapping screw rod 4 is rotatably connected to the first sliding sleeve 19, the middle is threadedly connected to the second sliding sleeve 3, and the wrapping knob 6 is arranged at the rear end; hinge holes 20 are arranged on both sides of the first sliding sleeve 19 and the second sliding sleeve 3; the front end of the wrapping connecting rod 1 is rotatably connected to the hinge hole 20; the middle part of the wrapping screw rod 4 is hinged to another wrapping connecting rod 1, and the other end is rotatably connected to the corner block 2; the other end of the corner block 2 is rotatably connected to a group of wrapping connecting rods 1; The wrapping connecting rods 1 are arranged in a circumferential array, the head and tail are connected to the hinge holes 20, and the corner block 2 is arranged in the middle for connection; In this embodiment, before the device enters the abdominal cavity, the wrapping assembly retracts and tightly adheres to the wrapping screw rod 4, and the overall volume is significantly reduced, enabling it to easily pass through a smaller incision on the abdominal wall, reducing the degree of damage to the abdominal wall, and meeting the requirements of minimally invasive surgery; After the device enters the abdominal cavity, rotate the wrapping knob 6 at the rear end of the wrapping screw rod 4. Through the threaded connection between the wrapping screw rod 4 and the second sliding sleeve 3, the second sliding sleeve 3 will slide along the wrapping screw rod 4; the hinge holes 20 on both sides of the first sliding sleeve 19 and the second sliding sleeve 3 are connected to the wrapping connecting rod 1, and the sliding of the sliding sleeve will drive the movement of the wrapping connecting rod 1. Driven by the sliding sleeve, the wrapping connecting rod 1 gradually unfolds, detaches from the wrapping screw rod 4 and extends around, and finally forms a structure sufficient to wrap the myoma, firmly fixing the myoma and preparing for the subsequent resection operation; In this embodiment, the wrapping assembly is retractable, has a small volume when entering the abdominal cavity, reduces the requirements for the size of the abdominal wall incision, reduces the damage to the abdominal wall, is conducive to the recovery of the abdominal wall after surgery, and can maintain the integrity of the abdominal wall, meeting the patient's aesthetic requirements after surgery; By rotating the wrapping screw rod 4, the sliding sleeve drives the wrapping connecting rod 1 to unfold, forming a stable wrapping structure that can firmly fix the myoma, prevent it from shifting during the operation, provide a stable basis for the subsequent resection operation, and effectively avoid the myoma falling into the abdominal cavity during the cutting process, preventing problems such as secondary infection, adhesion, and tumor cell dissemination caused by the falling of the myoma, strictly following the principle of tumor-free operation, and reducing the risk of postoperative complications. Embodiment 2

[0010] As Figure 1-7 As shown in the figure, the upper end of the grip rod 5 is slidably connected to the cutting chute 7, and the wrapping screw rod 4 is sleeved inside; the lower end of the wrapping screw rod 4 is rotatably connected to the first sliding sleeve 19, the middle is threadedly connected to the second sliding sleeve 3, and the wrapping knob 6 is arranged at the rear end; hinge holes 20 are arranged on both sides of the first sliding sleeve 19 and the second sliding sleeve 3; the front end of the wrapping connecting rod 1 is rotatably connected to the hinge hole 20; the middle part of the wrapping screw rod 4 is hinged to another wrapping connecting rod 1, and the other end is rotatably connected to the corner block 2; the other end of the corner block 2 is rotatably connected to a group of wrapping connecting rods 1; The wrapping connecting rods 1 are arranged in a circumferential array, the head and tail are connected to the hinge holes 20, and the corner block 2 is arranged in the middle for connection; A threaded hole is provided on the right side of the cutting chute 7 for threadedly connecting and fixing the screw 17. A chute is provided in the middle for slidably connecting the cutting slider 10. A threaded hole is provided on the left side for threadedly connecting the cutting screw 8. The upper surface is provided with a cutting scale 13; A fixing ring 16 is provided at the front end of the fixing screw 17 for movably connecting and wrapping the screw 4, and a fixing knob 15 is provided at the rear end; A hole is provided in the middle of the cutting slider 10 for rotatably connecting the tool handle 11, and the left side is rotatably connected to the cutting screw 8; A limiting key 18 is provided in the middle of the tool handle 11 for rotatably connecting the cutting slider 10, and an L-shaped blade 12 is provided at the lower end; A cutting knob 9 is provided at the rear end of the cutting screw 8; a depth scale 14 is provided on the outer surface of the grip rod 5; In this embodiment, when the wrapping assembly successfully wraps the myoma in the abdominal cavity, the doctor makes a preliminary judgment on the position of the device and the subsequent cutting range by observing the depth scale 14 on the grip rod 5 and the cutting scale 13 on the cutting chute 7. At the same time, according to the size of the myoma, the relative position of the fixing ring 16 and the wrapping screw 4 is adjusted by using the fixing screw 17 and the fixing knob 15, so as to finely adjust the overall position of the wrapping assembly and ensure that the myoma is in the best cutting position; Rotate the cutting knob 9, and the cutting screw 8 rotates accordingly, driving the cutting slider 10 to slide in the cutting chute 7. Since the cutting slider 10 is connected to the tool handle 11, the tool handle 11 will also move accordingly. The limiting key 18 in the middle of the tool handle 11 ensures its stability during movement and rotation and will not deviate; at this time, according to the actual situation of the myoma, by operating the cutting knob 9, the L-shaped blade 12 at the lower end of the tool handle 11 can be adjusted to a suitable position to make it close to the part of the myoma to be cut; After determining that the position of the blade 12 is correct, continue to rotate the cutting knob 9 to further push the cutting screw 8, so that the blade 12 gradually extends into the myoma. As the cutting screw 8 continues to rotate, the blade 12 rotates around the myoma for rotary cutting. During the cutting process, the L-shaped design of the tool handle 11 enables it to better fit the shape of the myoma for comprehensive and precise cutting. The doctor can monitor the cutting depth in real time according to the cutting scale 13 to ensure that the myoma is completely removed by the root and avoid residue; In this embodiment, the device is equipped with a depth scale 14 and a cutting scale 13, so that the doctor can intuitively understand the depth of the device entering the abdominal cavity and the cutting position of the blade 12, and the operation is more accurate; the cooperation of the fixing screw 17 and the knob can easily adjust the positions of the wrapping assembly and the blade 12 during the operation, the operation is smooth, and the mistakes are reduced; the L-shaped blade 12 design at the lower end of the tool handle 11 fits the common myoma shape, and with the adjustable blade 12 system, whether it is a large or irregularly shaped myoma, it can be effectively removed, greatly broadening the application range of the device; By rotating the resection knob 9, the movement of the resection screw rod 8 and the blade 12 can be precisely controlled, enabling the blade 12 to penetrate deep into the myoma for rotary cutting. The doctor can control the cutting depth according to the resection scale 13 to achieve complete root resection of the myoma, reduce the risk of myoma residue, and improve the surgical efficiency.

[0011] In summary, for the retractable wrapping component of the present invention, before entering the abdominal cavity, it will contract on the wrapping screw rod 4, with a smaller volume, allowing a smaller surgical abdominal wall incision to be made, reducing the damage to the abdominal wall. After entering the abdominal cavity, rotating the wrapping screw rod 4 can expand the wrapping component, which can tightly wrap the myoma, reduce surgical trauma, and keep the abdominal wall intact, with a beautiful postoperative wound. At the same time, after the wrapping component is expanded, it can fix the myoma. When cutting the myoma, it can prevent the myoma from falling into the abdominal cavity, avoiding infection and tissue adhesion caused by the shedding of the myoma, and also preventing the spread of tumor cells. Finally, by setting the adjustable blade 12, the depth and position of the blade 12 can be controlled through the resection chute 7 and the resection screw rod 8 for precise cutting. There is a limit key 18 on the handle 11 to ensure stable cutting. The L-shaped blade 12 conforms to the shape of the myoma, and the grip rod 5 is marked with a depth scale 14, and the resection chute 7 also has a resection scale 13. During operation, the depth of the device entering the abdominal cavity and the cutting position of the blade 12 can be clearly known, improving the surgical accuracy.

[0012] The preferred embodiments of the present invention disclosed above are only used to help illustrate the present invention. The preferred embodiments do not elaborate on all the details and do not limit the invention to the specific embodiments described.

Claims

1. A device for assisting tumor removal during laparoscopic myomectomy, characterized in that: include: Grip the club; The upper end of the grip rod is slidably connected to the cutting slide groove, and a wrapping screw is sleeved inside; the lower end of the wrapping screw is rotatably connected to slide sleeve 1, the middle thread is connected to slide sleeve 2, and a wrapping knob is arranged at the rear end; reamed holes are arranged on both sides of slide sleeve 1 and slide sleeve 2; the reamed holes are rotatably connected to the front end of the wrapping connecting rod; the middle part of the wrapping screw is hinged to another wrapping connecting rod, and the other end is rotatably connected to the corner block; the other end of the corner block is rotatably connected to a group of wrapping connecting rods.

2. The device for assisting tumor removal during laparoscopic myomectomy according to claim 1, characterized in that: The wrapped connecting rods are arranged in a circular array, the ends are connected by reaming holes, and a corner block is arranged in the middle for connection.

3. The device for assisting tumor removal during laparoscopic myomectomy according to claim 1, characterized in that: The right side of the cutting groove is provided with a hole threadedly connected to a fixing screw, the middle side is provided with a groove slidably connected to a cutting slider, the left side is provided with a hole threadedly connected to a cutting screw, and a cutting scale is arranged on the upper surface.

4. The device for assisting tumor removal during laparoscopic myomectomy according to claim 3, characterized in that: The front end of the fixing screw is provided with a fixing ring which is movably connected and wraps the screw, and the rear end is provided with a fixing knob.

5. The device for assisting tumor removal during laparoscopic myomectomy according to claim 3, characterized in that: The cutting slide block is provided with a hole in the middle thereof for rotationally connecting to the tool handle, and the left side thereof is rotationally connected to the cutting screw rod.

6. The device for assisting tumor removal during laparoscopic myomectomy according to claim 5, characterized in that: A limit key is arranged in the middle of the knife handle for rotationally connecting and cutting the sliding block, and an L-shaped blade is arranged at the lower end.

7. The device for assisting tumor removal during laparoscopic myomectomy according to claim 5, characterized in that: A cutting knob is arranged at the rear end of the cutting screw.

8. The device for assisting tumor removal during laparoscopic myomectomy according to claim 1, characterized in that: The outer surface of the grip rod is provided with a depth scale.

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