CN102008332A - Flexible retractor for surgical minimally-invasive surgery - Google Patents
Flexible retractor for surgical minimally-invasive surgery Download PDFInfo
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- CN102008332A CN102008332A CN 201010539403 CN201010539403A CN102008332A CN 102008332 A CN102008332 A CN 102008332A CN 201010539403 CN201010539403 CN 201010539403 CN 201010539403 A CN201010539403 A CN 201010539403A CN 102008332 A CN102008332 A CN 102008332A
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Abstract
The invention relates to a flexible retractor for surgical minimally-invasive surgery, which is characterized by comprising an outer fixed ring (2), an inner ring (3) for arranging various single-channel or multifunctional structural members and a flexible retractor pipe sleeve (4), wherein the flexible retractor pipe sleeve (4) passes through the outer fixed ring (2) and is fixed between the inner ring (3) and the outer fixed ring (2); an in-vivo fixed ring is also arranged on the flexible retractor; and the in-vivo fixed ring (1) is connected to one end of the flexible retractor pipe sleeve, and the outer fixed ring is connected to the other end of the flexible retractor pipe sleeve. The flexible retractor provides sufficient channels for minimally-invasive surgical instruments entering human bodies. The flexible retractor pipe sleeve is made of medical silica gel and deforms flexibly, so the operating angle and operating range of the surgical instruments are improved greatly, the design meets the operating habit and requirements of surgeons, and the flexible retractor pipe sleeve is free from a rigid acting force and safe in use. The flexible retractor at least comprises the inner fixed ring, the outer fixed ring, the inner ring and the flexible retractor pipe sleeve, and thin-thickness channel layer for the surgical instruments can be formed on the surface of an abdominal cavity.
Description
Technical field
The present invention relates to a kind of medical apparatus and instruments, especially is the flexible retractor of a kind of surgery Minimally Invasive Surgery.
Background technology
Along with Wicresoft's (chamber mirror) surgical operation mainly is that the seamless operation of stomach wall Yu comes the more, comprise through the endoscope-assistant surgery of abdominal cavity cortex with through natural tract endoscopic surgery (NOTES), through umbilicus approach endoscopic surgery (TUES), Wicresoft's chamber mirror surgical operation is little to the injury of human body, especially amount of bleeding is little, wound chamber mirror operating amount of bleeding be general outer operation amount of bleeding 1/10th in addition lower, therefore, many Wicresofts chamber mirror surgical operation is what not need patient's blood transfusion.
The key technology of NOTES/TUES is the selection of operation approach, the closure of passage, the foundation of operating platform and the improvement of apparatus, and the methodological study of the senior operation of abdominal part.Nature tract endoscopic surgery (NOTES); through umbilicus approach endoscopic surgery (TUES) and the passage that all needs retractor to provide operating theater instruments and sight glass to enter through the endoscope-assistant surgery of abdominal cavity cortex; also otherwise as for wound is enlarged; and provide operation with the bigger space of freely bringing into play; existing retractor has several; having a kind of is the rigid plastics structure; similar a kind of funnel-form; this structure is unfavorable for doctor's operation technique; and be unfavorable for protecting the otch in patient abdominal cavity; the retractor of existing band flexible boot also more or less have the problems referred to above; and the population structure complexity, cost and price is higher.Therefore propose the better surgery Minimally Invasive Surgery of performance and for the development of micro-wound surgical operation significance is arranged with flexible retractor.
Summary of the invention
The object of the invention provides the flexible retractor of a kind of surgery Minimally Invasive Surgery.A kind of doctor's of being convenient to operation technique especially is provided, is beneficial to the mini-incision of protection surgical patient, and structure is simple and clear, the flexible retractor of Minimally Invasive Surgery of operation safety.
Technical solution of the present invention:The flexible retractor of surgery Minimally Invasive Surgery, internal ring 3, the flexibility that comprise external fixation circle 2, single channel or multi-functional multiple member can be installed retract pipe box 4 and constitute, and flexibility retracts pipe box 4 and passes external fixation circle 2 and be fixed between internal ring 3 and the external fixation circle 2.Other is provided with body internal fixation circle 1, and flexibility retracts an end connector internal fixation circle 1 of pipe box, another termination external fixation circle.
Use in the following manner in operation: the region of interest that acts on the human body of surgery Minimally Invasive Surgery is cut the narrow slit of 1-2.5cm (narrow otch or joint-cutting) in advance, from joint-cutting, insert (it is intraperitoneal that flat internal fixation circle injects in the body) in the body by connecting the flexible internal fixation circle that retracts pipe from joint-cutting, retract the other end of pipe box or the fixed installation ring that auxiliary connection flexibility retracts the pipe box other end by upwards tension flexibility then, make flexibility retract pipe box and be subjected to that deformation produces the power that radially retracts behind the longitudinal pulling force, make joint-cutting retract duct (can approach the diameter of internal fixation circle) for about φ 2-3cm, for Minimally Invasive Surgery provides the enough operation visual field and apparatus paths, so that operation technique.Flexibility retracts pipe box and is subjected to behind the longitudinal pulling force internal fixation circle pulled to and is close to abdominal cavity epidermis inner surface, the internal ring that single channel or multi-functional multiple member channel plate can be installed is in flexibility retracts the cover of pipe box, the external fixation circle is positioned at the cover external diameter that flexibility retracts pipe box, the two places the outer surface of abdominal cavity epidermis internal ring and external fixation circle, and internal ring places in the external fixation circle.Be provided with the slit that the clamping flexibility retracts pipe box between internal ring and the external fixation circle.
Improvement of the present invention is: described external fixation circle and internal ring are that the circular platform type or the stepped ramp type of a coupling agrees with structure, and flexibility retracts pipe box by its intermediate gap layer, and fix by the circular platform type or the stepped ramp type process of agreeing with of coupling.The circular platform type structure of external fixation circle and internal ring coupling is: the outer rim of internal ring is circular platform type and the inner edge that embeds the external fixation circle, and the stepped ramp type of coupling agrees with structure and is: the outer rim of internal ring is provided with step and embeds the external fixation circle, and the inner edge of external fixation circle is provided with a cocked bead,
Internal ring, external fixation circle adopt same circular platform type or stepped ramp type band small gap to agree with structure and flexibility is retracted pipe box fix or be automatically locked.
Described internal ring inner edge is provided with mechanical joints, internal ring can be matched the passage that single channel or multiple operating theater instruments member such as multi-functional are installed, the operating theater instruments member then can enter the abdominal cavity by the passage of internal ring mechanical joints, thereby can support pneumoperitoneum formula, non-pneumoperitoneum formula and the open Minimally Invasive Surgery of little otch.That mechanical joints on the described internal ring can be is spiral, bayonet type, fit-type.
Beneficial effect of the present invention: the retractor that uses in the existing micro-wound surgical operation process is made as hard material, owing to the retractor angle that can't deformation causes performing the operation is subjected to bigger restriction, for clinical manipulation inconvenience is arranged in the operation process.Flexible retractor shown in the present mainly utilizes flexibility to retract pipe box and is subjected to the power that radially retracts that produces behind the longitudinal pulling force former 1-2cm operation joint-cutting is retracted duct into φ 2-3cm, provides enough passages for surgery Minimally Invasive Surgery apparatus enters human body.It is medical silica-gel that flexibility retracts pipe box making material, and deformation is flexible, has improved the work angle and the scope of operating theater instruments greatly, and design meets the operating habit and the demand of operative doctor, and no rigid active force in the use, and is safe in utilization.Minimum installation of the present invention is that internal fixation circle, external fixation circle, internal ring and flexibility retract pipe box, can form the channel layer of the operating theater instruments of a very thin thickness on abdominal cavity surface, does not influence the action and the angle of operating theater instruments, to the influence of human body with injure little.
Description of drawings
Fig. 1 retracts pipe box apparatus sketch map for flexibility of the present invention;
Fig. 2 is that external fixation circle, internal ring round platform agree with structure chart;
Fig. 3 wipes out fixed external fixation circle top unnecessary flexibility by medical operation for flexibility retracts when pipe box uses and retracts the pipe box sketch map;
The sketch map that surgery Minimally Invasive Surgery apparatus carried out work when Fig. 4 was of the present invention the use by the internal ring passage.
Fig. 5 is installed in the triple channel member during for of the present invention use the sketch map on the internal ring.
Fig. 6 agrees with structural representation for flexibility of the present invention retracts the pipe box step.
The specific embodiment
The present invention is further described below in conjunction with the accompanying drawing drawings in detail, and the duct plate that enters about pneumoperitoneum formula operating theater instruments and sight glass of the flexible retractor of the present invention or the concrete using method of triple channel component hole guidance tape.Internal ring 3, the flexibility of body internal fixation circle 1, external fixation circle 2, installation single channel or multi-functional multiple member retracts pipe box 4, intermediate gap layer 6, skin layer 8, operating theater instruments or sight glass 9, shears 10, locking clicking the teeth 11.
Referring to Fig. 1 to 5: the present invention comprises that at least body internal fixation circle, external fixation circle, internal ring and flexibility retract pipe box, external fixation circle edge, the outer rim of internal ring is circular platform type and the inner edge that embeds the external fixation circle, the stepped ramp type of coupling agrees with structure and is: the outer rim of internal ring is provided with step and embeds the external fixation circle, the inner edge of external fixation circle is provided with a cocked bead, constitute locking structure, external fixation circle and internal ring is locked.The external diameter of internal ring is slightly less than the external diameter of external fixation circle.
Locking structure of the present invention also comprises: described external fixation circle 2 is that a circular platform type agrees with structure with internal ring 3, and flexibility retracts pipe box logical 4 and crosses its intermediate gap layer, and fixes by agreeing with structure.Agreeing with structure is that ring for fixing edge one circle is provided with some locking clicking the teeths outside, and this is the Elastic Teeth latch-up structure, and inner ring struts the locking clicking the teeth and enters in the external fixation circle, and the locking clicking the teeth stops the structure that inner ring is deviate from.The inner surface that promptly is edge one circle Elastic Teeth be form the inclined plane, especially the gradient of funnel, the lower surface of edge one circle Elastic Teeth to be arranged be that a plane stops that inner ring deviates from.
Ring for fixing edge one circle is provided with some locking clicking the teeths outside, and this is the Elastic Teeth latch-up structure, and inner ring struts the locking clicking the teeth and enters in the external fixation circle, and the locking clicking the teeth stops the structure that inner ring is deviate from.The inner surface that promptly is edge one circle Elastic Teeth be form the inclined plane, especially the gradient of funnel, the lower surface of edge one circle Elastic Teeth to be arranged be that a plane stops that inner ring deviates from.External fixation circle edge has the compact arranged clicking the teeth of a circle to constitute the device that is automatically locked, and external fixation circle and internal ring are automatically locked (internal ring is blocked by clicking the teeth), guarantees to clamp flexibility and retracts pipe box, has guaranteed that operation safety effectively carries out.
Internal ring can be matched single channel or multiple member such as multi-functional are installed, and can support pneumoperitoneum formula, non-pneumoperitoneum formula and the open Minimally Invasive Surgery of little otch.
As shown in Figure 4, with general operating theater instruments (cutting) body internal fixation circle is inserted in the body by the operation joint-cutting as medical operation.
The duct plate or the triple channel member of operating theater instruments and sight glass are installed in the internal ring.
The auxiliary fixed installation that stretches vertically upward encircles, and makes flexibility retract pipe box and produces the radial power of retracting, and the long and narrow operative incision of 1-2cm is retracted to the operation path of about φ 2-3cm.
With internal ring that the duct plate of operating theater instruments and sight glass or triple channel member be installed by specific purpose tool press down until clicking the teeth with internal ring and external fixation circle in the 1cm left and right sides card release of body surface top merge be automatically locked after, extract specific purpose tool.
Cut off the unnecessary flexibility in fixed external fixation circle top with medical scissors and retract pipe box.
Duct plate or triple channel member by fixed operating theater instruments and sight glass in the internal ring such as surgery Minimally Invasive Surgery apparatus entered the operation that undergos surgery in the patient body.
Operation is extracted various operating theater instruments after finishing, and catches flexibility to retract pipe box one side with hands, upwards stretches to take out body internal fixation circle, EO.
Body internal fixation circle, external fixation circle, the internal ring that single channel, multiple member such as multi-functional can be installed, the flexibility that connects the external and internal fixation circle retract pipe box, flexibility retracts the vertical auxiliary fixed installation ring of pipe box.
The above only is a better embodiment of the present invention; protection scope of the present invention is not exceeded with above-mentioned embodiment; in every case the modification or the variation of the equivalence done according to disclosed content of those of ordinary skills is in the neither protection domain that exceeds the present invention's record.
Claims (10)
1. the flexible retractor of surgery Minimally Invasive Surgery, internal ring (3), the flexibility that it is characterized in that comprising external fixation circle (2), single channel or multi-functional multiple member can be installed retracts pipe box (4) and constitutes, and flexibility retracts pipe box (4) and passes external fixation circle 2 and be fixed between internal ring 3 and the external fixation circle 2.
2. surgery Minimally Invasive Surgery multifunction flexible retractor according to claim 1 is characterized in that being provided with in addition body internal fixation circle (1), and flexibility retracts an end connector internal fixation circle (1) of pipe box, another termination external fixation circle.
3. surgery Minimally Invasive Surgery flexible multi-functional retractor according to claim 1 is characterized in that being provided with the slit that the clamping flexibility retracts pipe box (4) between internal ring (3) and the external fixation circle (2).
4. surgery Minimally Invasive Surgery multifunction flexible retractor according to claim 3, it is characterized in that described external fixation circle (2) and internal ring (3) are that a circular platform type agrees with structure, flexibility retracts pipe box logical (4) and crosses its intermediate gap layer, and fixes by the process of agreeing with.
5. surgery Minimally Invasive Surgery flexible multi-functional retractor according to claim 3 is characterized in that the stepped ramp type that mates agrees with structure and is: the outer rim of internal ring is provided with step and embeds the external fixation circle, and the inner edge of external fixation circle is provided with a cocked bead.
6. surgery Minimally Invasive Surgery flexible multi-functional retractor according to claim 1 and 2 is characterized in that described internal ring (3) inner edge is provided with mechanical joints, and the channel plate of single channel or multifunction surgical apparatus member is installed.
7. surgery Minimally Invasive Surgery flexible multi-functional retractor according to claim 6 is characterized in that mechanical joints on the described internal ring (3) is spiral, bayonet type or fit-type.
8. surgery Minimally Invasive Surgery flexible multi-functional retractor according to claim 1 and 2 is characterized in that it is high molecular film material that described flexibility retracts pipe box (4).
9. surgery Minimally Invasive Surgery flexible multi-functional retractor according to claim 1 and 2, it is characterized in that described external fixation circle (2) and internal ring (3) are that a circular platform type agrees with structure, flexibility retracts pipe box logical (4) and crosses its intermediate gap layer, and fixes by agreeing with structure.
10. surgery Minimally Invasive Surgery flexible multi-functional retractor according to claim 9, it is characterized in that ring for fixing edge one circle is provided with some locking clicking the teeths outside, this is the Elastic Teeth latch-up structure, and inner ring struts the locking clicking the teeth and enters in the external fixation circle, and the locking clicking the teeth stops the structure that inner ring is deviate from; The inner surface that promptly is edge one circle Elastic Teeth be form the inclined plane, especially the gradient of funnel, the lower surface of edge one circle Elastic Teeth to be arranged be that a plane stops that inner ring deviates from.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2010105394035A CN102008332B (en) | 2010-11-11 | 2010-11-11 | Flexible retractor for surgical minimally-invasive surgery |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2010105394035A CN102008332B (en) | 2010-11-11 | 2010-11-11 | Flexible retractor for surgical minimally-invasive surgery |
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| Publication Number | Publication Date |
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| CN102008332A true CN102008332A (en) | 2011-04-13 |
| CN102008332B CN102008332B (en) | 2012-05-23 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN2010105394035A Active CN102008332B (en) | 2010-11-11 | 2010-11-11 | Flexible retractor for surgical minimally-invasive surgery |
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Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102429689A (en) * | 2011-10-08 | 2012-05-02 | 金黑鹰 | Disposable multi-angle mono-hole converter for laparoscope |
| CN102727262A (en) * | 2012-05-23 | 2012-10-17 | 王小军 | Single-cut sealing device for laparoscopic surgery |
| WO2013104179A1 (en) * | 2012-01-12 | 2013-07-18 | Wang Xiaojun | Device for sealing single incision from laparoscopic surgery |
| CN103784171A (en) * | 2012-11-05 | 2014-05-14 | 王小军 | Laparoscope incision sealing device |
| CN106264628A (en) * | 2016-08-31 | 2017-01-04 | 常州威克医疗器械有限公司 | A kind of Multichannel device retracting holder for chamber mirror lower cut |
Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2287905Y (en) * | 1996-03-29 | 1998-08-19 | 刘飞龙 | Anorectal retractor |
| CN201036557Y (en) * | 2007-01-05 | 2008-03-19 | 吕国庆 | Operation incision protecting and expanding wound-opening device |
| CN101711688A (en) * | 2008-09-30 | 2010-05-26 | 伊西康内外科公司 | Surgical access device with protective element |
| CN201519165U (en) * | 2009-10-19 | 2010-07-07 | 王俊 | Incision retractor of thoracoscope |
-
2010
- 2010-11-11 CN CN2010105394035A patent/CN102008332B/en active Active
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2287905Y (en) * | 1996-03-29 | 1998-08-19 | 刘飞龙 | Anorectal retractor |
| CN201036557Y (en) * | 2007-01-05 | 2008-03-19 | 吕国庆 | Operation incision protecting and expanding wound-opening device |
| CN101711688A (en) * | 2008-09-30 | 2010-05-26 | 伊西康内外科公司 | Surgical access device with protective element |
| CN201519165U (en) * | 2009-10-19 | 2010-07-07 | 王俊 | Incision retractor of thoracoscope |
Cited By (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102429689A (en) * | 2011-10-08 | 2012-05-02 | 金黑鹰 | Disposable multi-angle mono-hole converter for laparoscope |
| WO2013104179A1 (en) * | 2012-01-12 | 2013-07-18 | Wang Xiaojun | Device for sealing single incision from laparoscopic surgery |
| CN102727262A (en) * | 2012-05-23 | 2012-10-17 | 王小军 | Single-cut sealing device for laparoscopic surgery |
| CN102727262B (en) * | 2012-05-23 | 2014-08-27 | 王小军 | Single-cut sealing device for laparoscopic surgery |
| CN103784171A (en) * | 2012-11-05 | 2014-05-14 | 王小军 | Laparoscope incision sealing device |
| CN103784171B (en) * | 2012-11-05 | 2016-05-04 | 王小军 | Laparoscopic incision sealing device |
| CN106264628A (en) * | 2016-08-31 | 2017-01-04 | 常州威克医疗器械有限公司 | A kind of Multichannel device retracting holder for chamber mirror lower cut |
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| Publication number | Publication date |
|---|---|
| CN102008332B (en) | 2012-05-23 |
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