阅读说明：本技术 用于腹股沟疝腹壁修补的器具及腹股沟疝修补的内埋装置 (Appliance for abdominal wall repair of inguinal hernia and embedded device for abdominal wall repair of inguinal hernia ) 是由 张铁民 于 2021-08-20 设计创作，主要内容包括：用于腹股沟疝腹壁修补的器具及腹股沟疝修补的内埋装置。具体涉及一种用于腹股沟疝腹壁修补术的器具和修补后内埋体内的装置。本发明为克服现有技术的腹股沟疝修补术存在术中相关解剖操作多,补片多采用缝合、疝枪等方式进行固定,导致手术时间长以及术后面临着出血、疼痛、复发等相关并发症的问题。圆片形的内补片的中心部位开设有一号孔,内补片的下表面通过自粘材料粘贴在腹壁内表面上,多个伞骨杆固定在内补片的上表面,每个伞骨杆均沿内补片径向布置,每个伞骨杆的内侧端端部分别与一个拉线的一端固定连接；创口填充装置插在操作孔中并将操作孔填满,内补片与创口填充装置的端部相接触。用于腹股沟疝的修补。(An appliance for repairing inguinal hernia on abdominal wall and an embedded device for repairing inguinal hernia. In particular to an appliance for inguinal hernia abdominal wall repair operation and a device embedded in the body after repair. The invention aims to solve the problems that the inguinal hernia repair operation in the prior art has many related anatomical operations in the operation, and the patch is fixed by adopting sewing, a hernia gun and other modes, so that the operation time is long, and the postoperative complications such as bleeding, pain, recurrence and the like are caused. A first hole is formed in the center of the disc-shaped inner patch, the lower surface of the inner patch is adhered to the inner surface of the abdominal wall through self-adhesive materials, a plurality of umbrella rib rods are fixed on the upper surface of the inner patch, each umbrella rib rod is arranged along the radial direction of the inner patch, and the end part of the inner side end of each umbrella rib rod is fixedly connected with one end of a pull wire; the wound filling device is inserted into and fills the operation hole, and the inner patch is in contact with the end of the wound filling device. Can be used for repairing inguinal hernia.)

1. An apparatus for inguinal hernia abdominal wall repair, characterized in that: the umbrella comprises a plurality of umbrella bone rods (1), an inner patch (2), a first supporting tube (3) and a plurality of pull wires (12);

a first hole (4) is formed in the center of the disc-shaped inner patch (2), the first support tube (3) is located below the first hole (4), and an inner hole of the first support tube (3) is communicated with the first hole (4);

the lower surface of interior patch (2) scribbles self-adhesive material, the upper surface of patch (2) including fixed in a plurality of umbrella bone pole (1), every umbrella bone pole (1) all radially arranges along interior patch (2), the medial extremity tip of every umbrella bone pole (1) extends to the top of a hole (4) respectively, and the medial extremity tip of every umbrella bone pole (1) respectively with the one end fixed connection of a stay wire (12), the other end of every stay wire (12) passes a hole (4) respectively and extends to the outside of first stay tube (3).

2. An apparatus for inguinal hernia abdominal wall repair according to claim 1, wherein: the inner patch (2) is made of polytetrafluoroethylene, terylene, polyester or polyurethane.

3. An appliance for inguinal hernia abdominal wall repair according to claim 1 or 2, wherein: the lower surface of the inner patch (2) is coated with a self-adhesive material which is polypropylene or polylactic acid.

4. An apparatus for inguinal hernia abdominal wall repair according to claim 1, wherein: the umbrella bone rods (1) are uniformly arranged on the upper surface of the inner patch (2) along the circumferential direction.

5. An apparatus for inguinal hernia abdominal wall repair according to claim 4, wherein: the number of the umbrella rib rods (1) is any one of 2 to 12.

6. An appliance for inguinal hernia abdominal wall repair according to claim 1, 2 or 5, wherein: the umbrella bone rod (11) and the pull wire (12) are both fishbone wires, and the diameter of the fishbone wires is 1mm-2 mm.

7. An apparatus for inguinal hernia abdominal wall repair according to claim 6, wherein: the thickness of the inner patch (2) is 0.5mm-1 mm.

8. The utility model provides an embedded device that inguinal hernia was repaired which characterized in that: it comprises an inner patch device and a wound filling device;

the inner patch device comprises a plurality of umbrella bone rods (1), an inner patch (2) and a plurality of pull wires (12);

a first hole (4) is formed in the center of the circular inner patch (2), the lower surface of the inner patch (2) is adhered to the inner surface of the abdominal wall through self-adhesive materials, a plurality of umbrella bone rods (1) are fixed on the upper surface of the inner patch (2), each umbrella bone rod (1) is arranged along the radial direction of the inner patch (2), and the end part of the inner side end of each umbrella bone rod (1) is fixedly connected with one end of a pull wire (12);

the wound filling device is inserted into the operation hole (10) and fills the operation hole (10), and the inner patch (2) is in contact with the end of the wound filling device.

9. The inguinal hernia repair implant device according to claim 8, wherein: the wound filling device comprises a telescopic filling column (5), a second supporting tube (6) and a third supporting tube (7);

the telescopic packing column (5) is a corrugated tubular body formed by butting a plurality of telescopic joints, the inner cavity of the telescopic packing column (5) is closed, the wall thickness of the cavity of the telescopic packing column (5) is 0.7-1.2 mm, a second hole (8) with an opening at the bottom and extending to the top is arranged in the telescopic packing column (5) along the central axis in the vertical direction, a second supporting tube (6) is vertically inserted from the bottom of the telescopic packing column (5) to the top of the telescopic packing column (5) through the second hole (8) along the length direction, and the top of the second supporting tube (6) is contacted with the top of the telescopic packing column (5);

the third supporting pipe (7) is sleeved on the second supporting pipe (6), and the top of the third supporting pipe (7) is fixedly connected with the outer edge of the second hole (8) at the bottom of the telescopic filling column (5).

10. An internal patch device for inguinal hernia repair according to claim 8, wherein: the top of the third supporting tube (7) is connected with the second hole (8) on the bottom of the telescopic filling column (5) by medical glue along the circumference.

Technical Field

The invention relates to an appliance for inguinal hernia repair, and also relates to a device embedded in a body after repair.

Background

Hernia is a disease which is common in surgical operations and is generally called extraabdominal hernia, inguinal hernia, incisional hernia, umbilical hernia and femoral hernia in medicine. Among them, inguinal hernia is the most common extraabdominal hernia, and is classified into indirect hernia, direct hernia, and femoral hernia, which may occur at any age, with more male patients than female patients, and with more elderly patients. Surgical treatment is often required. Currently, the most adopted surgical modalities are total extraperitoneal laparoscopic inguinal hernia repair (TEP) and transabdominal laparoscopic inguinal hernia repair (TAPP).

Currently, a 7-step method is generally adopted for ventral peritoneoscope inguinal hernia repair (TAPP), the related anatomical operations are more in the operation, and the patch is fixed by adopting methods such as suturing, hernia gun and the like. Postoperative complications such as bleeding, pain, and recurrence are encountered.

In conclusion, the inguinal hernia repair operation in the prior art has the problems that the operation time is long, and the postoperative complications such as bleeding, pain, recurrence and the like are caused due to the fact that the related anatomical operations are multiple, and the patch is fixed in a suturing mode, a hernia gun mode and the like.

Disclosure of Invention

The invention aims to solve the problems that the operation time is long and the postoperative is faced with bleeding, pain, recurrence and other related complications due to the fact that the operation of the inguinal hernia repair operation in the prior art is frequently performed through related anatomical operations and the patch is mostly fixed in the modes of suture, hernia gun and the like, and further provides an appliance for repairing the inguinal hernia abdominal wall and an embedded device for repairing the inguinal hernia.

The technical scheme of the invention is as follows:

an appliance for repairing abdominal wall of inguinal hernia comprises a plurality of umbrella bone rods, an inner patch, a first supporting tube and a plurality of pull wires;

a first hole is formed in the center of the circular inner patch, the first supporting tube is located below the first hole, and an inner hole of the first supporting tube is communicated with the first hole;

the lower surface of the inner patch is coated with self-adhesive materials, a plurality of umbrella bone rods are fixed on the upper surface of the inner patch, each umbrella bone rod is radially arranged along the inner patch, the end part of the inner side of each umbrella bone rod extends to the upper side of a first hole respectively, the end part of the inner side of each umbrella bone rod is fixedly connected with one end of a pull wire respectively, and the other end of each pull wire penetrates through the first hole respectively and extends to the outside of the first supporting pipe.

An embedded device for inguinal hernia repair, which comprises an internal patch device and a wound filling device;

the inner patching device comprises a plurality of umbrella bone rods, an inner patching and a plurality of pull wires;

a first hole is formed in the center of the disc-shaped inner patch, the lower surface of the inner patch is adhered to the inner surface of the abdominal wall through self-adhesive materials, a plurality of umbrella rib rods are fixed on the upper surface of the inner patch, each umbrella rib rod is arranged along the radial direction of the inner patch, and the end part of the inner side end of each umbrella rib rod is fixedly connected with one end of a pull wire;

the wound filling device is inserted into and fills the operation hole, and the inner patch is in contact with the end of the wound filling device.

Compared with the prior art, the invention has the following effects:

when the appliance for inguinal hernia repair and the embedded device for inguinal hernia repair are operated, the inner patch is furled to penetrate into the operation hole, then is spread in place and then is adhered to the inner surface of the abdominal wall, and the diameter of the operation hole in the inner side wall of the hernia sac is greatly reduced. Place the interior patch earlier in the abdominal cavity and bond on the handle hole of hernia bag inside wall, place the telescopic packing post among the wound filling device on the handle hole and fill the handle hole again, later accomplish the operation through sewing up again, it is many to have solved inguinal hernia repair art to have the relevant anatomical operation in the art, and the patch is fixed with modes such as sewing up, hernia rifle more, leads to the problem that operation time is long and postoperative is facing hemorrhage, pain, relevant complication such as relapse.

Drawings

FIG. 1 is a schematic view of the device for inguinal hernia abdominal wall repair of the present invention when deployed;

FIG. 2 is a schematic view of the device for inguinal hernia repair of the abdominal wall of the present invention when collapsed;

FIG. 3 is a top view of the device for inguinal hernia abdominal wall repair of the present invention;

FIG. 4 is a schematic view of the device for inguinal hernia repair of the abdominal wall of the present invention installed in a stab card;

FIG. 5 is a schematic view of an apparatus for inguinal hernia repair of the abdominal wall of the present invention shown in its collapsed position passing through the hernia sac;

FIG. 6 is a schematic view of the device for inguinal hernia repair of the abdominal wall of the present invention deployed through a hernia sac;

fig. 7 is a schematic view of a wound filling apparatus of the invention;

fig. 8 is a cross-sectional view of the wound filling apparatus of the present invention prior to installation;

FIG. 9 is a side view of the implantable device for inguinal hernia repair of the present invention;

fig. 10 is a bottom view of the implantable device for inguinal hernia repair of the present invention.

Detailed Description

The first embodiment is as follows: the present embodiment is described with reference to fig. 1 to 6, and the apparatus for inguinal hernia abdominal wall repair of the present embodiment includes a plurality of umbrella bone rods 1, an inner patch 2, a first support tube 3, and a plurality of pull wires 12;

a first hole 4 is formed in the central part of the circular inner patch 2, the first support tube 3 is positioned below the first hole 4, and the inner hole of the first support tube 3 is communicated with the first hole 4;

the lower surface of the inner patch 2 is coated with self-adhesive materials, the umbrella bone rods 1 are fixed on the upper surface of the inner patch 2, each umbrella bone rod 1 is radially arranged along the inner patch 2, the end part of the inner side end of each umbrella bone rod 1 extends to the position above the first hole 4 respectively, the end part of the inner side end of each umbrella bone rod 1 is fixedly connected with one end of a pull wire 12, and the other end of each pull wire 12 penetrates through the first hole 4 and extends to the outside of the first supporting pipe 3 respectively.

The second embodiment is as follows: the present embodiment will be described with reference to fig. 1 to 6, and the inner patch 2 of the present embodiment is made of teflon, dacron, polyester, or polyurethane.

The arrangement is such that the material of the inner patch 2 is similar to that of the abdominal cavity. The rest is the same as the first embodiment.

The third concrete implementation mode: referring to fig. 1 to 6, the lower surface of the inner patch 2 of the present embodiment is coated with a self-adhesive material, which is polypropylene or polylactic acid.

This arrangement is such that the lower surface of the inner patch 2 is bonded to the access hole 10 in the abdominal cavity and on the inner side wall of the hernia sac 9. The others are the same as in the first or second embodiment.

The fourth concrete implementation mode: the present embodiment will be described with reference to fig. 1 to 6, and a plurality of umbrella frame rods 1 of the present embodiment are uniformly provided on the upper surface of an inner patch 2 in the circumferential direction.

The arrangement is such that each umbrella rib rod 1 is evenly stressed. The others are the same as the first, second or third embodiments.

The fifth concrete implementation mode: the present embodiment is described with reference to fig. 1 to 6, and the number of the umbrella rib rods 1 of the present embodiment is any one of 2 to 12.

The arrangement is that the number of the umbrella rib rods 1 is too much or too little, so that the operation is not easy. The others are the same as the first, second, third or fourth embodiments.

The sixth specific implementation mode: referring to fig. 1 to 6, the present embodiment will be described, in which the rib bar 11 and the pulling wire 12 are both made of a fishbone wire having a diameter of 1mm to 2 mm.

The fishbone line is a new generation of compression molding process, the lifting strength of the fishbone line is higher than that of a wire rod of the same level, and the fishbone line is supported for a long time. The other embodiments are the same as the first, second, third, fourth or fifth embodiments.

The seventh embodiment: the present embodiment will be described with reference to fig. 1 to 6, and the other end portions of the plurality of umbrella frame rods 1 of the present embodiment are respectively fixed to the end portions of the circumferential outer edge of the inner patch 2. The other embodiments are the same as the first, second, third, fourth, fifth or sixth embodiments.

The specific implementation mode is eight: the present embodiment is described with reference to fig. 1 to 6, and the thickness of the inner patch 2 of the present embodiment is 0.5mm to 1 mm.

The arrangement is to meet the use requirement. The other embodiments are the same as the first, second, third, fourth, fifth, sixth or seventh embodiments.

The specific implementation method nine: the embodiment is described with reference to fig. 7 to 10, and the embedded device for inguinal hernia repair of the embodiment comprises an internal patch device and a wound filling device;

the inner patch device comprises a plurality of umbrella bone rods 1, an inner patch 2 and a plurality of pull wires 12;

a first hole 4 is formed in the center of the disc-shaped inner patch 2, the lower surface of the inner patch 2 is adhered to the inner surface of the abdominal wall through self-adhesive materials, a plurality of umbrella bone rods 1 are fixed on the upper surface of the inner patch 2, each umbrella bone rod 1 is arranged along the radial direction of the inner patch 2, and the end part of the inner side end of each umbrella bone rod 1 is fixedly connected with one end of a pull wire 12;

the wound filling device is inserted into the operation hole 10 and fills the operation hole 10, and the inner patch 2 is in contact with the end of the wound filling device.

The detailed implementation mode is ten: the present embodiment is described with reference to fig. 7 to 10, and the wound packing apparatus of the present embodiment includes a telescopic packing column 5, a second support tube 6, and a third support tube 7;

the telescopic filling column 5 is a corrugated tubular body formed by butting a plurality of telescopic joints, the inner cavity of the telescopic filling column 5 is closed, the wall thickness of the cavity of the telescopic filling column 5 is 0.7-1.2 mm, a second hole 8 with an opening at the bottom and extending to the top is arranged in the telescopic filling column 5 along the central axis in the vertical direction, the second supporting tube 6 is vertically inserted from the bottom of the telescopic filling column 5 to the top of the telescopic filling column 5 through the second hole 8 along the length direction, and the top of the second supporting tube 6 is contacted with the top of the telescopic filling column 5;

the third supporting pipe 7 is sleeved on the second supporting pipe 6, and the top of the third supporting pipe 7 is fixedly connected with the outer circumference of a second hole 8 on the bottom of the telescopic filling column 5. The rest is the same as in the ninth embodiment.

The concrete implementation mode eleven: referring to fig. 7 to 10, the top of the third support tube 7 of the present embodiment is connected to the second hole 8 at the bottom of the retractable packed column 5 by medical glue along the circumference. The medical adhesive is suitable for surgical operation. The others are the same as the ninth or tenth embodiment.

The specific implementation mode twelve: referring to fig. 7 to 10, the second hole 8 of the present embodiment has a smaller diameter than the second support tube 6, and the second support tube 6 has a smaller diameter than the third support tube 7. The others are the same as the embodiments nine, ten or eleven.

The specific implementation mode is thirteen: the present embodiment will be described with reference to fig. 7 to 10, and the second support pipe 6 and the third support pipe 7 of the present embodiment are both plastic pipes. This is provided to facilitate separation of the second support tube 6 and the third support tube 7 from the collapsible packed column 5. The others are the same as the embodiments nine, ten, eleven or twelve.

The working principle is as follows:

an endoscope system and a measuring hole are regularly established during operation, relevant tissues are separated to put hernia contents into an abdominal cavity, an inner ring is exposed, the diameter of the inner ring is measured by an endoscope measuring scale, an inner patch 2 with a proper size is selected according to the diameter, an operation hole 10 is established through an abdominal wall defect, the inner patch 2 is manually folded towards the inner surface direction by the inner patch 2, an appliance for repairing the inguinal hernia abdominal wall is arranged in a poking card 11 and is sent into the abdominal cavity through the operation hole 10, the inner patch 2 extends out of the poking card 11, a plurality of pull wires 12 are pulled and the first support tube 3 is pushed to make the inner patch 2 and the first support tube 3 move relatively, the inner patch 2 is unfolded, the inner surface of the inner patch 2 is adhered to the operation hole 10 on the inner side wall of the hernia sac 9, the first support tube 3 and the poking card 11 are taken out, the pull wires 12 on the inner patch 2 respectively extend to the two sides outside the abdominal cavity along the operation hole 10 and are fixed on a muscle layer, then the retractable filling column 5 in the wound filling device is fed into the operation hole 10 in a retracted state, the retractable filling column 5 is unfolded until the retractable filling column is fully distributed in the operation hole 10 through the relative movement of the second supporting tube 6 and the third supporting tube 7, the second supporting tube 6 and the third supporting tube 7 are removed, and finally the wound on the outer surface of the abdominal cavity is sutured.

The present invention has been described in terms of the preferred embodiments, but it is not limited thereto, and any simple modification, equivalent change and modification made to the above embodiments according to the technical spirit of the present invention will still fall within the technical scope of the present invention.