CN111407335A

CN111407335A - Lung fixator for neonatal thoracoscopic cardiac surgery

Info

Publication number: CN111407335A
Application number: CN202010256494.5A
Authority: CN
Inventors: 丁楠; 李志强; 朱耀斌; 伊寒露
Original assignee: Beijing Childrens Hospital
Current assignee: Beijing Childrens Hospital
Priority date: 2020-04-02
Filing date: 2020-04-02
Publication date: 2020-07-14

Abstract

The invention belongs to the technical field of medical instruments, and discloses a lung fixer for neonatal thoracoscopic cardiac surgery, which is of a symmetrical structure and comprises 2 sleeves, a thin-wall structure, connecting pipes and buckles; the sleeve is of a hollow structure, a thin-wall structure is arranged between the middle upper parts of the two sleeves, and the lower parts of the two sleeves are connected with each other and are omega-shaped; the sleeve is sleeved at the head end of the separating pliers and can wrap the head end of the separating pliers; the first end of connecting pipe is connected with sheathed tube lower extreme, and the second end of connecting pipe is connected with the buckle, and the buckle is connected with the handle end joint of separation pincers to prevent lung's fixer from droing in the operation. The lung fixer can be used together with a thoracoscope to serve as a lung baffle, so that blind areas for compressing lung tissues are reduced, the omission of a broken lung is prevented, the risk of surgical complications is reduced, the expense for purchasing instruments and the expense for disinfecting and consuming the instruments are saved, and the lung fixer can also be used as a disposable product to reduce the possibility of cross infection.

Description

Lung fixator for neonatal thoracoscopic cardiac surgery

Technical Field

The invention relates to the technical field of medical instruments, in particular to a lung fixer for neonatal thoracoscopic cardiac surgery.

Background

The surgical operation instrument under the thoracoscope has small operation trauma to a patient, has good operation effect particularly for the thoracoscope heart operation of a newborn, can reduce the hospitalization time and cost, and can recover quickly.

For neonatal thoracoscopic surgery, due to the difficulty and high risk of applying single lung ventilation to a neonate, more lung fixators are needed to expose the operative field. However, at present, no appropriate related instrument exists, the lung can be fixed only by using a small baffle, the area for shielding the lung is insufficient when the lung fixing device is used, the angle and the position cannot be changed easily, and inconvenience is brought to an operation. Furthermore, the neonate is poor in surgical hit resistance, and the increase of the surgical time due to poor operative field exposure brings great risk to the infant patient, and seriously affects the prognosis.

Therefore, there is a need in the art for a lung fixator for use in neonatal thoracoscopic heart surgery to address the above-mentioned problems.

Disclosure of Invention

The current apparatus is too big, influences the operation field of vision, simultaneously, because mostly be metal, heavy to the lung oppression, causes the lung injury easily, produces the lung tissue damage to lead to the gas leakage point to be sheltered from. The lung injury of the newborn is not easy to repair, pneumothorax caused by the operation is always fatal, the prognosis of the newborn is seriously influenced, and the hospitalization time is prolonged. In order to solve the problem of lung fixation in the neonatal thoracoscopic cardiac surgery, the invention provides a lung fixator for the neonatal thoracoscopic cardiac surgery, which is of a symmetrical structure and comprises 2 sleeves, a thin-wall structure, connecting pipes and buckles; the sleeve is of a hollow structure, a thin-wall structure is arranged between the middle upper parts of the two sleeves and connected with the outer side walls of the two sleeves, the thin-wall structure is fan-shaped, and the lower parts of the two sleeves are connected with each other and are omega-shaped; the sleeve is sleeved at the head end of the separating pliers and can wrap the head end of the separating pliers; the first end of connecting pipe is connected with sheathed tube lower extreme, and the second end of connecting pipe is connected with the buckle, and the buckle is connected with the handle end joint of separation pincers to prevent lung's fixer from droing in the operation.

In the preferred technical scheme of the lung fixer for the neonatal thoracoscopic heart surgery, one side of the sleeve is fixedly connected with the thin-wall structure and is of an integral structure, and the transverse length of the other side of the sleeve is longer than that of the side connected with the thin-wall structure.

In the above preferred technical solution of the lung fixator for neonatal thoracoscopic heart surgery, the two cannulae can be opened and closed with the forceps head end of the separating forceps.

In the above preferred solution of the lung fixation device for neonatal thoracoscopic heart surgery, the angle of opening between the two cannulae ranges from 0 to 120 °.

In the preferable technical scheme of the lung fixer for the neonatal thoracoscopic heart surgery, the buckle is of a circular structure with a notch.

In the preferable technical scheme of the lung fixator for the neonatal thoracoscopic cardiac surgery, the thin-wall structure is a transparent film, the transparent film is made of a medical sterile material, one side of the sleeve is fixedly connected with the transparent film, the sleeve and the transparent film are of an integrated structure, and the transverse length of the other side of the sleeve is longer than that of the side connected with the transparent film, so that the forceps head end of the separating forceps can be conveniently coated.

In the preferred technical solution of the lung fixator for neonatal thoracoscopic heart surgery described above, the cannula is made of a non-metallic material.

It can be understood by those skilled in the art that in the preferred technical solution of the lung fixator for neonatal thoracoscopic heart surgery of the present invention, for the neonate, the operative field is increased, and the operation safety is improved: aiming at the characteristics of fragile and tender lung tissues and low thoracic pressure of a newborn, the medical transparent film is used as the main body of the lung baffle, so that the surgical field can be greatly increased, and the surgical safety is improved. The lung fixer can be used as a lung baffle plate by sleeving the lung fixer at the forceps head end of the separating forceps by using the existing thoracoscope instruments, the cost is reduced, surgical instruments do not need to be added, the lung fixer can be used as a disposable product by using the existing neonatal thoracoscope separating forceps, and the possibility of cross infection can be reduced.

Drawings

Preferred embodiments of the present invention are described below with reference to the accompanying drawings, in which:

FIG. 1 is a schematic structural view of one embodiment of a lung fixation device for neonatal thoracoscopic heart surgery of the present invention;

FIG. 2 is a side view of a pipe sleeve of the present invention;

FIG. 3 is a schematic diagram of the construction of one embodiment of a separation clamp;

FIG. 4 is a schematic view of the lung fixation device of the present invention in cooperation with the forceps head of the separation forceps;

FIG. 5 is a schematic structural view of one embodiment of a buckle of the present invention;

reference numerals: 1. a sleeve; 2. a film; 3. a connecting pipe; 4. buckling; 5. a tong head end; 6. separating the forceps.

Detailed Description

The present invention is described in terms of particular embodiments, other advantages and features of the invention will become apparent to those skilled in the art from the following disclosure, and it is to be understood that the described embodiments are merely exemplary of the invention and that it is not intended to limit the invention to the particular embodiments disclosed. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.

It should be noted that in the description of the present invention, the terms "in", "upper", "lower", "lateral", "inner", etc. indicate directions or positional relationships based on those shown in the drawings, which are merely for convenience of description, and do not indicate or imply that the device or element must have a specific orientation, be constructed and operated in a specific orientation, and thus, should not be construed as limiting the present invention. Furthermore, the terms "first" and "second" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance.

Furthermore, it should be noted that, in the description of the present invention, unless otherwise explicitly specified or limited, the terms "disposed," "mounted," "connected," and "connected" are to be construed broadly and may be, for example, fixedly connected, detachably connected, or integrally connected; may be a mechanical connection; they may be connected directly or indirectly through intervening media, or they may be interconnected between two elements. The specific meanings of the above terms in the present invention can be understood by those skilled in the art according to specific situations.

The existing current instruments pointed out based on the background technology are too large for adults and heavy children, influence the operation visual field, and are heavy in lung compression due to the fact that most of the instruments are metal, so that lung air leakage is easily caused, and air leakage points are shielded. The lung fixer for the thoracoscopic cardiac surgery of the neonate is used in cooperation with the thoracoscope, occupies a small area, does not need to be additionally provided, reduces blind areas for compressing lung tissues, prevents missing of lacerations of the lung, increases operative field and reduces risks of operative complications. Aiming at the newborn, the surgical field is increased, and the operation safety is improved: aiming at the characteristics of fragile and tender lung tissues and low thoracic pressure of a newborn, the medical transparent film is used as the main body of the lung baffle, so that the surgical field can be greatly increased, and the surgical safety is improved. The lung fixer can be used as a lung baffle plate by sleeving the lung fixer at the forceps end of the separating forceps by using the existing neonatal thoracoscope separating forceps, so that the expense for purchasing the instruments and the expense for disinfecting and consuming the instruments are greatly saved, and the lung fixer can also be used as a disposable product, so that the possibility of cross infection can be reduced.

Specifically, as shown in fig. 1 to 4, the lung fixator for neonatal thoracoscopic heart surgery of the present invention has a symmetrical structure, and comprises 2 cannulae 1, a thin-wall structure, a connecting tube 3 and a buckle 4; the sleeve 1 is of a hollow structure, a thin-wall structure is arranged between the middle upper parts of the two sleeves 1 and connected with the outer side walls of the two sleeves 1, the thin-wall structure is fan-shaped, and the lower parts of the two sleeves 1 are connected with each other and are omega-shaped; the sleeve 1 is sleeved on the head end 5 of the separating clamp 6, and the sleeve 1 can cover the head end 5 of the separating clamp 6; the first end of connecting pipe 3 is connected with the lower extreme of sleeve pipe 1, and the second end of connecting pipe 3 is connected with buckle 4, and buckle 4 and the handle end joint of release forceps 6 to prevent lung's fixer from droing in the operation. The shape phase-match of sleeve pipe 1 and the pincers head end of separation pincers 6, the pincers head end of separation pincers 6 embolias in sleeve pipe 1, and the pincers head end of separation pincers 6 expandes the back, and middle thin-walled structure (film 2) is opened, and its shape after opening is similar to fan-shaped, and buckle 4 is fixed in the fixed part of the tong pole of separation pincers 6, guarantees that the lung fixer can not fall into the thorax. In the invention, the connecting pipe 3 is a solid hose made of plastic material and has certain flexibility. The specific structure of the buckle 4 is the prior art, as shown in fig. 5, as long as the buckle can be fixed with the handle end of the separating forceps 6 (the separating forceps 6 is the prior art), so as to ensure that the lung fixator cannot slide off in the using process.

Preferably, as shown in fig. 1, one side of the sleeve 1 is fixedly connected with the thin-wall structure, and the sleeve 1 and the thin-wall structure are of an integral structure, and the transverse length of the other side of the sleeve 1 is longer than that of the side connected with the thin-wall structure, so as to facilitate covering the forceps head end 5 of the separation forceps 6.

Preferably, as shown in fig. 1, the sleeve 1 is in an arc-like configuration with an arc range of 0 to 20 °.

Preferably, the two sleeves 1 can be opened and closed with the head end of the separating forceps 6.

Preferably, the angle of opening between the two sleeves 1 ranges from 0 to 120 °.

Preferably, the buckle 4 is a ring-shaped structure with a notch.

Preferably, the thin-walled structure is a transparent film 2, and the transparent film 2 is made of medical sterile materials, so that the possibility of secondary infection is reduced. One side of the sleeve 1 is fixedly connected with the transparent film 2, the sleeve 1 and the transparent film 2 are of an integral structure, and the transverse length of the other side of the sleeve 1 is longer than that of the side connected with the transparent film 2, so that the clamp head end 5 of the separating clamp 6 can be conveniently coated.

Preferably, the sleeve 1 is made of a non-metal material, has moderate hardness and width, is convenient to be sleeved into the separating forceps 6, and does not damage tissues, more preferably, the sleeve 1 is made of plastic, and more preferably, the sleeve 1 is made of silica gel.

The lung fixer for the neonatal thoracoscopic heart surgery has the beneficial effects that:

aiming at the newborn, the surgical field is increased, and the operation safety is improved: aiming at the characteristics of fragile and tender lung tissues and low thoracic pressure of a newborn, the medical transparent film is used as the main body of the lung baffle, so that the surgical field can be greatly increased, and the surgical safety is improved. The lung fixer can be used as a lung baffle plate by using the existing thoracoscope separation forceps without adding surgical instruments, and by using the existing neonatal thoracoscope separation forceps, the lung fixer disclosed by the invention can be sleeved at the forceps end of the separation forceps, so that the expense for purchasing the instruments and the disinfection and loss expense of the instruments are greatly saved, the blind area for compressing lung tissues is reduced, the leakage of the lung is prevented, the operative field is increased, and the risk of operative complications is reduced. The lung fixator of the invention can also be used as a disposable product, reducing the possibility of cross-infection.

So far, the technical solutions of the present invention have been described in connection with the preferred embodiments shown in the drawings, but it is easily understood by those skilled in the art that the scope of the present invention is obviously not limited to these specific embodiments. Equivalent changes or substitutions of related technical features can be made by those skilled in the art without departing from the principle of the invention, and the technical scheme after the changes or substitutions can fall into the protection scope of the invention.

Claims

1. A lung fixer for neonatal thoracoscopic cardiac surgery is characterized in that the lung fixer is of a symmetrical structure and comprises 2 sleeves, a thin-wall structure, connecting pipes and buckles;

the sleeve is of a hollow structure, a thin-wall structure is arranged between the middle upper parts of the two sleeves and connected with the outer side walls of the two sleeves, the thin-wall structure is fan-shaped, and the lower parts of the two sleeves are connected with each other and are omega-shaped; the sleeve is sleeved at the head end of the separating pliers and can wrap the head end of the separating pliers;

the first end of connecting pipe is connected with sheathed tube lower extreme, and the second end of connecting pipe is connected with the buckle, and the buckle is connected with the handle end joint of separation pincers to prevent lung's fixer from droing in the operation.

2. The lung fixation device for neonatal thoracoscopic heart surgery as recited in claim 1, wherein one side of the cannula is fixedly connected to the thin-walled structure and is of a unitary structure, and a transverse length of another side of the cannula is longer than a transverse length of the side connected to the thin-walled structure.

3. The lung fixation device for neonatal thoracoscopic heart surgery of claim 1, wherein the two cannulae are openable and closable with the jaw end of the separating forceps.

4. The pulmonary stabilizer for neonatal thoracoscopic heart surgery as recited in claim 3, wherein the angle of opening between the two cannulae ranges from 0 to 120 °.

5. The lung fixator for neonatal thoracoscopic heart surgery of claim 1, wherein the catch is a ring-shaped structure with a notch.

6. The lung fixator for neonatal thoracoscopic heart surgery as recited in claim 1, wherein the thin-walled structure is a transparent film made of a medical sterile material, one side of the sleeve is fixedly connected with the transparent film, and the sleeve and the transparent film are integrated into a whole structure, and the transverse length of the other side of the sleeve is longer than that of the side connected with the transparent film, so as to facilitate covering of the forceps end of the separating forceps.

7. The pulmonary stabilizer for neonatal thoracoscopic heart surgery of claim 1, wherein the cannula is made of a non-metallic material.