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CN219126561U - An auxiliary device for end-to-side anastomosis of subclavian artery - Google Patents

An auxiliary device for end-to-side anastomosis of subclavian artery Download PDF

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Publication number
CN219126561U
CN219126561U CN202222630420.0U CN202222630420U CN219126561U CN 219126561 U CN219126561 U CN 219126561U CN 202222630420 U CN202222630420 U CN 202222630420U CN 219126561 U CN219126561 U CN 219126561U
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blocking
subclavian artery
forceps
blocking forceps
pliers
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杨珏
范瑞新
孙图成
于长江
李欣
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Guangdong Provincial Peoples Hospital
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Guangdong Provincial Peoples Hospital
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Abstract

The utility model discloses an auxiliary device for the end-side anastomosis of an subclavian artery, which comprises a first blocking forceps, a supporting tray, a second blocking forceps and grooves, wherein the grooves matched with the first blocking forceps and the second blocking forceps are formed on two sides of the supporting tray, the first blocking forceps and the second blocking forceps which extend upwards are respectively sleeved in the two grooves, and the first blocking forceps, the supporting tray, the second blocking forceps and the two grooves are matched with each other, so that when the position adjustment and the satisfaction of the form of an anastomosis opening are completed, the first blocking forceps and the second blocking forceps are fixed in the grooves of the supporting tray through the tips of the first blocking forceps and the second blocking forceps, the fixation of the anastomosis part can be realized, and the end-side anastomosis of the subclavian artery and an artificial blood vessel is completed, so that an operator can simply and rapidly realize the end-side anastomosis of the subclavian artery under the help of the auxiliary device for the end-side anastomosis of the subclavian artery.

Description

一种锁骨下动脉端侧吻合辅助装置An auxiliary device for end-to-side anastomosis of subclavian artery

技术领域technical field

本实用新型属于医疗设备相关技术领域,具体涉及一种锁骨下动脉端侧吻合辅助装置。The utility model belongs to the related technical field of medical equipment, in particular to an auxiliary device for end-to-side anastomosis of subclavian artery.

背景技术Background technique

颈动脉-锁骨下动脉搭桥术,即使用人工血管分别与颈总动脉和锁骨下动脉行端侧吻合的手术。该手术广泛应用于颈动脉狭窄、锁骨下动脉狭窄以及部分主动脉夹层和主动脉瘤。手术步骤通常为:(1)行锁骨上窝到同侧胸锁乳突肌内侧缘的横行切口,分别游离锁骨下动脉和同侧颈动脉;(2)使用两把血管阻断钳分别阻断锁骨下动脉拟吻合部位的近心端和远心端,用剪刀纵行切开锁骨下动脉前壁;(3)取合适长度和管径的人工血管与锁骨下动脉前壁切口端侧吻合;(4)同样的方法行人工血管与同侧颈动脉的端侧吻合。锁骨下动脉位置较深,且弹性很好易发生变形,在直接行端侧吻合的过程中,锁骨下动脉吻合部位会经常发生折叠、旋转、移动等形态变化,给吻合带来了很大困难。Carotid-subclavian artery bypass surgery is an operation in which artificial blood vessels are anastomosed end-to-side with the common carotid artery and the subclavian artery respectively. This procedure is widely used in carotid artery stenosis, subclavian artery stenosis, and some aortic dissections and aortic aneurysms. The surgical steps are usually: (1) Make a transverse incision from the supraclavicular fossa to the medial border of the ipsilateral sternocleidomastoid muscle, free the subclavian artery and the ipsilateral carotid artery respectively; (2) Use two vessel-blocking forceps to block the Use scissors to incise the anterior wall of the subclavian artery longitudinally at the proximal end and distal end of the subclavian artery to be anastomosed; (3) take an artificial blood vessel of appropriate length and diameter and anastomose end-to-side with the incision on the anterior wall of the subclavian artery; (4) The end-to-side anastomosis of the artificial blood vessel and the ipsilateral carotid artery was performed in the same way. The position of the subclavian artery is deep, and it is very elastic and prone to deformation. During the process of direct end-to-side anastomosis, the anastomotic site of the subclavian artery often undergoes morphological changes such as folding, rotation, and movement, which brings great difficulties to the anastomosis. .

人工血管与左锁骨下动脉的端侧吻合是颈动脉-锁骨下动脉搭桥术最关键的步骤。由于锁骨下动脉位置较深,且弹性很好易发生变形,为了获得良好的吻合效果,最理想的情况应该是主刀和助手两人配合,使用两把阻断钳将锁骨下动脉的吻合部位尽可能固定住。但是实际操作中,两把独立的阻断钳之间的距离和各自的高度很难控制,锁骨下动脉吻合部位的形态会发生各种不可控制的变化,很考虑手术医生的经验和操作技巧。对于经验尚不丰富的手术医生来说,由于缺乏辅助装置,采用目前的技术行锁骨下动脉端侧吻合的难度较大,很可能影响到最终的手术效果。The end-to-side anastomosis of the artificial blood vessel and the left subclavian artery is the most critical step in carotid-subclavian artery bypass surgery. Since the subclavian artery is deep and easily deformed due to its good elasticity, in order to obtain a good anastomotic effect, the ideal situation should be that the chief surgeon and the assistant cooperate to use two blocking forceps to close the anastomotic part of the subclavian artery as much as possible. May be fixed. However, in actual operation, the distance between two independent blocking forceps and their respective heights are difficult to control, and the shape of the anastomotic site of the subclavian artery will undergo various uncontrollable changes. The experience and operating skills of the surgeon are considered. For inexperienced surgeons, due to the lack of auxiliary devices, it is difficult to perform end-to-side anastomosis of the subclavian artery with the current technology, which may affect the final surgical effect.

因此,我们需要一种辅助手术医生完成锁骨下动脉端侧吻合的装置,尽可能简单快捷地获得满意的吻合效果。Therefore, we need a device to assist the surgeon to complete the end-to-side anastomosis of the subclavian artery, so as to obtain a satisfactory anastomosis effect as simply and quickly as possible.

实用新型内容Utility model content

本实用新型的目的在于提供一种锁骨下动脉端侧吻合辅助装置,以解决上述背景技术中提出的锁骨下动脉端侧吻合的难度较大,影响手术效果问题。The purpose of this utility model is to provide an auxiliary device for end-to-side anastomosis of the subclavian artery to solve the problem that the end-to-side anastomosis of the subclavian artery is difficult and affects the surgical effect proposed in the background art.

为实现上述目的,本实用新型提供如下技术方案:In order to achieve the above object, the utility model provides the following technical solutions:

一种锁骨下动脉端侧吻合辅助装置,包括第一阻断钳、支撑托盘、第二阻断钳和凹槽,所述支撑托盘上开设有多个与第一阻断钳和第二阻断钳相匹配的凹槽,其中两个凹槽内部分别套接有延伸向上的第一阻断钳和第二阻断钳,且第一阻断钳和第二阻断钳的底部贯穿伸出支撑托盘。An auxiliary device for end-to-side anastomosis of the subclavian artery, comprising a first blocking forceps, a support tray, a second blocking forceps and a groove, and a plurality of openings on the support tray are provided with the first blocking forceps and the second blocking forceps. The matching grooves of the pliers, in which the first blocking pliers and the second blocking pliers extending upward are respectively sleeved inside the two grooves, and the bottoms of the first blocking pliers and the second blocking pliers extend through the support tray.

优选的,所述支撑托盘的四角为圆弧倒角。Preferably, the four corners of the support tray are rounded.

优选的,所述第一阻断钳的夹持部位的形状为方柱结构,所述第一阻断钳的底部为圆锥结构,且底面为圆弧面。Preferably, the shape of the clamping part of the first blocking pliers is a square column structure, the bottom of the first blocking pliers is a conical structure, and the bottom surface is an arc surface.

优选的,所述第二阻断钳的规格与第一阻断钳的规格相同。Preferably, the specification of the second blocking forceps is the same as that of the first blocking forceps.

优选的,所述凹槽以支撑托盘的虚拟中心面为对称中心。Preferably, the groove takes the virtual central plane of the support tray as the center of symmetry.

与现有技术相比,本实用新型提供了一种锁骨下动脉端侧吻合辅助装置,具备以下有益效果:Compared with the prior art, the utility model provides an auxiliary device for end-to-side anastomosis of the subclavian artery, which has the following beneficial effects:

本实用新型通过第一阻断钳、支撑托盘、第二阻断钳和两个凹槽的相互配合,使得第一阻断钳和第二阻断钳在完成位置调整和吻合口的形态满意时,通过第一阻断钳和第二阻断钳的尖端固定在在支撑托盘的凹槽中,就可以实现吻合部位的固定,完成锁骨下动脉和人工血管的端侧吻合,从而使得手术医生可以在这种锁骨下动脉端侧吻合辅助装置的帮助下,简单快捷地实现锁骨下动脉的端侧吻合。The utility model cooperates with the first blocking forceps, the support tray, the second blocking forceps and the two grooves, so that when the position adjustment of the first blocking forceps and the second blocking forceps are completed and the shape of the anastomosis is satisfactory , by fixing the tips of the first blocking forceps and the second blocking forceps in the grooves of the supporting tray, the anastomosis site can be fixed, and the end-to-side anastomosis of the subclavian artery and the artificial blood vessel can be completed, so that the surgeon can With the help of this subclavian artery end-to-side anastomosis aid, the end-to-side anastomosis of the subclavian artery can be achieved simply and quickly.

附图说明Description of drawings

附图用来提供对本实用新型的进一步理解,并且构成说明书的一部分,与本实用新型的实施例一起用于解释本实用新型,并不构成对本实用新型的限制,在附图中:The accompanying drawings are used to provide a further understanding of the utility model, and constitute a part of the description, and are used to explain the utility model together with the embodiments of the utility model, and do not constitute a limitation of the utility model. In the accompanying drawings:

图1为本实用新型提出的一种锁骨下动脉端侧吻合辅助装置结构示意图;Fig. 1 is a structural schematic diagram of a subclavian artery end-to-side anastomosis auxiliary device proposed by the utility model;

图2为支撑托盘的立体结构示意图;Fig. 2 is a three-dimensional structural schematic diagram of a support tray;

图3为第一阻断钳的立体结构示意图。Fig. 3 is a schematic perspective view of the first blocking forceps.

图中:1、第一阻断钳;2、支撑托盘;3、第二阻断钳;4、凹槽。In the figure: 1, the first blocking clamp; 2, the supporting tray; 3, the second blocking clamp; 4, the groove.

具体实施方式Detailed ways

下面将结合本实用新型实施例中的附图,对本实用新型实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本实用新型一部分实施例,而不是全部的实施例。基于本实用新型中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本实用新型保护的范围。The technical solutions in the embodiments of the present invention will be clearly and completely described below in conjunction with the accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments are only part of the embodiments of the present invention, not all of them. example. Based on the embodiments of the present utility model, all other embodiments obtained by persons of ordinary skill in the art without making creative efforts belong to the scope of protection of the present utility model.

请参阅图1-图3,本实用新型提供一种锁骨下动脉端侧吻合辅助装置,包括第一阻断钳1、支撑托盘2、第二阻断钳3和凹槽4,该支撑托盘2上开设有多个与第一阻断钳1和第二阻断钳3相匹配的凹槽4,其中两个凹槽4内部分别套接有延伸向上的第一阻断钳1和第二阻断钳3,且该第一阻断钳1和该第二阻断钳3的底部贯穿伸出支撑托盘2。Please refer to Fig. 1-Fig. 3, the utility model provides a subclavian artery end-to-side anastomotic auxiliary device, comprising a first blocking forceps 1, a supporting tray 2, a second blocking forceps 3 and a groove 4, the supporting tray 2 There are a plurality of grooves 4 that match the first blocking pliers 1 and the second blocking pliers 3, and the first blocking pliers 1 and the second blocking pliers extending upward are sleeved inside the two grooves 4, respectively. The breaking pliers 3 , and the bottoms of the first blocking pliers 1 and the second blocking pliers 3 protrude through the support tray 2 .

为了进行支撑工作,该支撑托盘2的四角为圆弧倒角,通过支撑托盘2,可以更好地进行支撑工作。In order to carry out support work, the four corners of the support tray 2 are arc chamfered, and the support work can be performed better by the support tray 2 .

为了进行阻断工作,该第一阻断钳1的夹持部位的形状为方柱结构,第一阻断钳1的底部为圆锥结构,且底面为圆弧面,通过第一阻断钳1,可以阻断锁骨下动脉吻合部位的近远端。In order to perform blocking work, the shape of the clamping part of the first blocking pliers 1 is a square column structure, the bottom of the first blocking pliers 1 is a conical structure, and the bottom surface is an arc surface, through the first blocking pliers 1 , can block the proximal and distal ends of the subclavian artery anastomosis.

为了进行阻断工作,该第二阻断钳3的规格与第一阻断钳1的规格相同,通过第二阻断钳3,可以阻断锁骨下动脉吻合部位的近远端。In order to block, the specification of the second blocking forceps 3 is the same as that of the first blocking forceps 1 , and the proximal and distal ends of the subclavian artery anastomosis can be blocked by the second blocking forceps 3 .

为了进行固定工作该凹槽4以支撑托盘2的虚拟中心面为对称中心,通过,通过凹槽4,可以更好地固定第一阻断钳1和第二阻断钳3,实现吻合部位的固定工作。In order to carry out the fixing work, the groove 4 takes the virtual central plane of the support tray 2 as the symmetrical center, through the groove 4, the first blocking forceps 1 and the second blocking forceps 3 can be better fixed, and the anastomosis can be realized. Permanent job.

本实用新型的工作原理及使用流程:Working principle and application process of the utility model:

手术医生先手持第一阻断钳1和第二阻断钳3分别阻断锁骨下动脉吻合部位的近远端,然后,将支撑托盘2放在锁骨下动脉吻合部位的对侧,取手术刀划开吻合部位前壁,随后,调整第一阻断钳1和第二阻断钳3的位置,在吻合口的形态满意时,将第一阻断钳1的尖端和第二阻断钳3的尖端固定在支撑托盘2上的对应的凹槽4中,实现吻合部位的固定,从而完成锁骨下动脉和人工血管的端侧吻合。The surgeon first holds the first blocking forceps 1 and the second blocking forceps 3 to block the proximal and distal ends of the subclavian artery anastomosis respectively, then places the support tray 2 on the opposite side of the subclavian artery anastomosis, and takes the scalpel Cut the front wall of the anastomotic site, then adjust the positions of the first blocking forceps 1 and the second blocking forceps 3, and when the shape of the anastomosis is satisfactory, place the tip of the first blocking forceps 1 and the second blocking forceps 3 The tip of the tip is fixed in the corresponding groove 4 on the support tray 2 to realize the fixation of the anastomosis site, thereby completing the end-to-side anastomosis of the subclavian artery and the artificial blood vessel.

尽管已经示出和描述了本实用新型的实施例,对于本领域的普通技术人员而言,可以理解在不脱离本实用新型的原理和精神的情况下可以对这些实施例进行多种变化、修改、替换和变型,本实用新型的范围由所附权利要求及其等同物限定。Although the embodiments of the present invention have been shown and described, those skilled in the art can understand that various changes and modifications can be made to these embodiments without departing from the principle and spirit of the present invention , replacements and modifications, the scope of the present utility model is defined by the appended claims and their equivalents.

Claims (5)

1. The utility model provides a collarbone artery end side auxiliary device that coincide, includes first blocking forceps, support tray, second blocking forceps and recess, its characterized in that: the support tray is provided with a plurality of grooves matched with the first blocking pliers and the second blocking pliers, the first blocking pliers and the second blocking pliers which extend upwards are sleeved in the two grooves respectively, and the bottoms of the first blocking pliers and the second blocking pliers penetrate through and extend out of the support tray.
2. The subclavian artery end-side anastomosis-assist device of claim 1, wherein: four corners of the supporting tray are arc chamfer angles.
3. The subclavian artery end-side anastomosis-assist device of claim 1, wherein: the clamping part of the first blocking clamp is in a square column structure, the bottom of the first blocking clamp is in a conical structure, and the bottom surface of the first blocking clamp is an arc surface.
4. The subclavian artery end-side anastomosis-assist device of claim 1, wherein: the second blocking clamp has the same specification as the first blocking clamp.
5. The subclavian artery end-side anastomosis-assist device of claim 1, wherein: the grooves take the virtual center plane of the supporting tray as the symmetry center.
CN202222630420.0U 2022-10-08 2022-10-08 An auxiliary device for end-to-side anastomosis of subclavian artery Active CN219126561U (en)

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CN202222630420.0U CN219126561U (en) 2022-10-08 2022-10-08 An auxiliary device for end-to-side anastomosis of subclavian artery

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Application Number Priority Date Filing Date Title
CN202222630420.0U CN219126561U (en) 2022-10-08 2022-10-08 An auxiliary device for end-to-side anastomosis of subclavian artery

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