CN102078211A - Forceps end mechanism of blocking forceps with puncture hole and no damage to renal artery for celioscope - Google Patents
Forceps end mechanism of blocking forceps with puncture hole and no damage to renal artery for celioscope Download PDFInfo
- Publication number
- CN102078211A CN102078211A CN 201110034729 CN201110034729A CN102078211A CN 102078211 A CN102078211 A CN 102078211A CN 201110034729 CN201110034729 CN 201110034729 CN 201110034729 A CN201110034729 A CN 201110034729A CN 102078211 A CN102078211 A CN 102078211A
- Authority
- CN
- China
- Prior art keywords
- renal artery
- blocking
- pincers
- puncturing hole
- forceps
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
Images
Abstract
The invention discloses a forceps end mechanism of a pair of blocking forceps with a puncture hole and no damage to a renal artery for a celioscope, comprising a forceps rod and a movable arm, wherein the movable arm is pivoted on an external side section of the forceps rod; a protruding blocking edge is arranged at one side of an upper plane of the external side section of the forceps rod, and a renal artery groove is arranged at the other side of the upper plane; and the movable arm is provided with the puncture hole which is communicated with the renal artery groove. When the blocking forceps manufactured by the forceps end mechanism in the invention are utilized to perform celioscope partial nephrectomy and the like, the renal artery is effectively blocked, therefore, an operation is performed in a bloodless state; and meanwhile, renal artery puncture and low temperature perfusion can be performed, thereby protecting kidney functions to the maximum degree. The mechanism has the advantages of reasonable design, simple structure, high success rate, convenient of use and the like.
Description
Technical field
The present invention relates to the pincers terminal structure of a kind of peritoneoscope, be used for operations such as the peritoneoscope kidney partly excises, belong to clinical medicine surgery technical field with band puncturing hole not damaged renal artery blocking-up pincers.
Background technology
Partial nephrectomy is applicable to that mainly diameter of tumor is less than benign tumors such as the renal carcinoma of 3cm, solitary kidney tumor, bilateral tumor of kidney, renal hamartoma; and segmental kidney vascular malformation, duplex kidney deformity companion inadequate drainage, limitation injury of kidney companion is hemorrhage and urinary extravasation, be confined on the kidney or the diseases such as multiple calculus of the utmost point down; operating difficulty is bigger; hemorrhage control, the processing of kidney tangent plane and the protection of renal function when its main difficulty is to perform the operation; but because of its theory that keeps renal function obtains affirming of urinary system circle both at home and abroad, so this operation has good prospect.In recent years, along with the improvement of laparoscopic surgical instruments and the progress of surgical technic, the peritoneoscope kidney partly excises international, domestic successfully to be carried out gradually.But the requirements of operation height not only will excise pathological changes, also will sew up kidney operation tangent plane in the limited time.In the art as do not block the kidney base of a fruit, though avoided the influence of the hot ischemia of excess of the kidney matter, intraoperative blood loss can increase, and exposes not goodly, and give removal lesion tissue and recognize that relevant structure brings difficulty, even because of hemorrhage threat to life.If the temporary interruption kidney base of a fruit in the art, amount of bleeding will reduce, it is very clean that the art open country can become, and can accurately recognize pathological tissues, helps accurate cutting, particularly when sewing up aggregation system, seem more favourable, but because the influence of hot ischemia, operating time will limit to some extent, and renal function can damage inevitably to some extent in the art, especially for solitary kidney or functional solitary kidney tumor patient, the postoperative renal function can descend to some extent even can cause renal insufficiency.In view of this, the whole bag of tricks of renal function protecting when many scholars begin to explore the blocking-up kidney base of a fruit, main cooling of still concentrating the Rhizoma Atractylodis Macrocephalae open country.Studies show that of short duration dysfunction can appear in kidney ischemia 15min at normal temperatures; Ischemia 30min, renal function injury 60%～70% needs 8～9 days ability to recover; Ischemia 60min, renal function injury 70%～80% needs 10～14 days ability to recover; Ischemia surpasses 120min, and renal function completely loses, and only can partly recover later on, even can not recover; Ischemia surpasses 180min, and then renal function can not recover.If temperature is reduced to 15～20 ℃ of scopes, then in the 3h renal function there is not influence at least.At present, make the method for art kidney fast cooling mainly contain three kinds: 1. mixture of ice and water kidney low-temperature protection, the advantage of this method is to implement more or less freely; shortcoming be need be bigger the space; can not can only perform the operation through the path, abdominal cavity, and influence operation technique by the peritoneum rear path.2. brine ice retroperfusion under the endoscope, its advantage is not need to add new equipment or learn special surgical technic, shortcoming is that cooling-down effect is not so good as arterial perfusion fast and evenly.When 3. renal artery puncture hypothermia perfusion protection, this method biggest advantage were renal artery blocking-up perfusion, operation was at utmost reduced amount of bleeding almost carrying out under the depletion of blood state; Operation tangent plane structure is clear, helps aggregation system and myometrial suture, shortens suture time; Cooling is fast and reliable, can obviously prolong the renal ischaemia time, makes operation more possible.Unique shortcoming is to need renal artery puncture technique under special blocking-up device for casting and the peritoneoscope, has seriously limited popularizing of this operation.
Summary of the invention
Technical problem to be solved by this invention is to overcome the deficiency of existing apparatus and technology existence; propose a kind ofly can calm excision pathological changes, safety finish the kidney tangent plane up hill and dale and handle under condition strict, the effectively control of the kidney base of a fruit and low temperature depletion of blood, the peritoneoscope of renal function protecting be with the pincers terminal structure of band puncturing hole not damaged renal artery blocking-up pincers effectively.
For solving the problems of the technologies described above, peritoneoscope of the present invention comprises claw beam and lever arm with the pincers terminal structure of band puncturing hole not damaged renal artery blocking-up pincers, described lever arm pin joint is on the lateral segment of described claw beam, last plane one side of described claw beam lateral segment is provided with the blocking-up edge of projection, opposite side is provided with the renal artery groove, and described lever arm is provided with puncturing hole and is connected with described renal artery groove.
The pincers terminal structure that above-mentioned peritoneoscope clamps with the blocking-up of band puncturing hole not damaged renal artery, set puncturing hole is oblique puncturing hole on the described lever arm.
The pincers terminal structure that above-mentioned peritoneoscope clamps with the blocking-up of band puncturing hole not damaged renal artery, the centrage of set puncturing hole is positioned on the vertical of described lever arm bottom surface on the described lever arm, and the angle of the centrage of described puncturing hole and described renal artery groove is 30 °.
The pincers terminal structure that above-mentioned peritoneoscope clamps with the blocking-up of band puncturing hole not damaged renal artery, described renal artery groove is a semi-circular recesses.
The pincers terminal structure that above-mentioned peritoneoscope clamps with the blocking-up of band puncturing hole not damaged renal artery, the blocking-up edge of described claw beam lateral segment is one section protruding beam, the last plane of protruding beam is provided with serration.
The pincers terminal structure that above-mentioned peritoneoscope clamps with the blocking-up of band puncturing hole not damaged renal artery, the epirelief height of the blocking-up edge of described claw beam lateral segment is 0.2cm.
The present invention is owing to adopted technique scheme, during use, the present invention is clamped the terminal structure to be applied on the existing vascular occlusion clamp, lever arm links to each other by controlling organization with the handle of blocking-up pincers, renal artery puncture needle can accurately puncture to renal artery is capable by the puncturing hole on the lever arm, and the connection tube for transfusion continues perfusion to kidney.The renal artery groove can pass through for renal artery.During operations such as row peritoneoscope kidney partly excises; blocking-up pincers blocking-up renal artery; renal artery puncture needle row renal artery accurately punctures; and the connection transfusion device continues 0～4 ℃ of normal saline of perfusion to kidney; reach and can effectively block renal artery, in the operation down of depletion of blood state, the renal artery of manageing it again simultaneously punctures and hypothermia perfusion; thereby renal function protecting is popularized this operation to greatest extent.The blocking-up pincers that adopt the present invention to clamp the terminal structure do not disturb surgical field of view, do not influence operation technique, guarantee that the safety of peritoneoscope kidney part resection operation is carried out.It can be under the situation of making reliable control of the kidney base of a fruit and cold ischemia safe handling kidney otch, can reduce amount of bleeding again, make this operation reach even be better than the effect of open surgery.The platform that the claw beam lateral segment is lower than the blocking-up edge does not have contention effect to renal artery, and the outlet of oblique puncturing hole is at the left border of lever arm, so that puncture under direct-view.The present invention is reasonable in design, and is simple in structure, easy to use, the success rate height, and application prospect is good.Simultaneously, it uses material economy, is convenient to produce in enormous quantities, has good economical, societal benefits.
Description of drawings
Fig. 1 is the structural representation of facing that the present invention clamps the terminal structure;
Fig. 2 is the perspective view that the present invention clamps the terminal structure;
Fig. 3 is the position view of puncturing hole on the lever arm among Fig. 2;
Fig. 4 is a result of use sketch map of using the blocking-up pincers of mechanism of the present invention.
The specific embodiment
As depicted in figs. 1 and 2, the present invention is the pincers terminal structure of a kind of peritoneoscope with band puncturing hole not damaged renal artery blocking-up pincers, comprises claw beam 3 and lever arm 4, and the main body of claw beam 3 is a cylinder, diameter
Be 1.0cm, long 3.0cm.Lever arm 4 pin joints are on the lateral segment of claw beam 3, and the right side, last plane of claw beam 3 lateral segments is provided with the blocking-up edge 5 of projection, and blocking-up edge 5 is one section protruding beam, and the last plane of protruding beam is provided with serration.The epirelief height of blocking-up edge 5 is 0.2cm, and its width is 0.3cm.Like this, planar left side platform does not have contention effect to renal artery on claw beam 3 lateral segments.The left side platform is provided with the semicircle renal artery groove 6 of diameter 0.5cm, passes through for renal artery.The centre of lever arm 4 is provided with puncturing hole 7 and is connected with renal artery groove 6.
As shown in Figure 3, puncturing hole 7 is the oblique puncturing hole of diameter 0.3cm, and its centrage is positioned on the vertical of lever arm 4 bottom surfaces (in the same plane with semicircle renal artery groove 6), and the angle of the centrage of puncturing hole 7 and renal artery groove 6 is 30 °.The outlet 12 of puncturing hole 7 and inlet 13 lay respectively at the left border and the top, right side of lever arm 4, so that puncture under direct-view.
As shown in Figure 4, during use, the present invention is clamped the terminal structure be applied on the existing vascular occlusion clamp, make peritoneoscope and clamp with the blocking-up of band puncturing hole not damaged renal artery, lever arm 4 links to each other by controlling organization 2 with the handle 1 of blocking-up pincers.During use, renal artery puncture needle 8 can accurately puncture by 7 pairs of renal artery of puncturing hole, 10 row, and 11 pairs of kidneys 9 of connection transfusion device continue perfusion.The controlling organization and the handle of blocking-up pincers can adopt existing structure, are that the utility model patent of 200420022086.X is disclosed as the patent No., repeat no more herein.
Claims (6)
1. peritoneoscope is blocked the pincers terminal structure of pincers with band puncturing hole not damaged renal artery, it is characterized in that, it comprises claw beam and lever arm, described lever arm pin joint is on the lateral segment of described claw beam, last plane one side of described claw beam lateral segment is provided with the blocking-up edge of projection, opposite side is provided with the renal artery groove, and described lever arm is provided with puncturing hole and is connected with described renal artery groove.
2. peritoneoscope as claimed in claim 1 is characterized in that with the pincers terminal structure of band puncturing hole not damaged renal artery blocking-up pincers set puncturing hole is oblique puncturing hole on the described lever arm.
3. the pincers terminal structure that peritoneoscope as claimed in claim 2 clamps with the blocking-up of band puncturing hole not damaged renal artery, it is characterized in that, the centrage of set puncturing hole is positioned on the vertical of described lever arm bottom surface on the described lever arm, and the angle of the centrage of described puncturing hole and described renal artery groove is 30 °.
4. block the pincers terminal structure that clamps as claim 1,2 or 3 described peritoneoscopes with band puncturing hole not damaged renal artery, it is characterized in that described renal artery groove is a semi-circular recesses.
5. block the pincers terminal structure that clamps as claim 1,2 or 3 described peritoneoscopes with band puncturing hole not damaged renal artery, it is characterized in that the blocking-up edge of described claw beam lateral segment is one section protruding beam, the last plane of protruding beam is provided with serration.
6. peritoneoscope as claimed in claim 5 is characterized in that with the pincers terminal structure of band puncturing hole not damaged renal artery blocking-up pincers the epirelief height of the blocking-up edge of described claw beam lateral segment is 0.2cm.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201110034729A CN102078211B (en) | 2011-01-27 | 2011-01-27 | Forceps end mechanism of blocking forceps with puncture hole and no damage to renal artery for celioscope |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201110034729A CN102078211B (en) | 2011-01-27 | 2011-01-27 | Forceps end mechanism of blocking forceps with puncture hole and no damage to renal artery for celioscope |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN102078211A true CN102078211A (en) | 2011-06-01 |
| CN102078211B CN102078211B (en) | 2012-10-17 |
Family
ID=44084544
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201110034729A Expired - Fee Related CN102078211B (en) | 2011-01-27 | 2011-01-27 | Forceps end mechanism of blocking forceps with puncture hole and no damage to renal artery for celioscope |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN102078211B (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107693079A (en) * | 2017-10-31 | 2018-02-16 | 中国人民解放军第二军医大学 | Laparoscopic surgical instruments and laparoscopic surgery equipment |
Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5542949A (en) * | 1987-05-14 | 1996-08-06 | Yoon; Inbae | Multifunctional clip applier instrument |
| CN2671508Y (en) * | 2004-02-02 | 2005-01-19 | 杭州市第一人民医院 | Multifunction auxiliary operation forceps |
| CN201067426Y (en) * | 2007-08-31 | 2008-06-04 | 程镇 | Peritoneoscope dilation pincers |
| CN202005784U (en) * | 2011-01-27 | 2011-10-12 | 沈瑞林 | Pincers end mechanism with puncture hole of non-invasive renal artery blocking pincers used for laparoscope |
-
2011
- 2011-01-27 CN CN201110034729A patent/CN102078211B/en not_active Expired - Fee Related
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5542949A (en) * | 1987-05-14 | 1996-08-06 | Yoon; Inbae | Multifunctional clip applier instrument |
| CN2671508Y (en) * | 2004-02-02 | 2005-01-19 | 杭州市第一人民医院 | Multifunction auxiliary operation forceps |
| CN201067426Y (en) * | 2007-08-31 | 2008-06-04 | 程镇 | Peritoneoscope dilation pincers |
| CN202005784U (en) * | 2011-01-27 | 2011-10-12 | 沈瑞林 | Pincers end mechanism with puncture hole of non-invasive renal artery blocking pincers used for laparoscope |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107693079A (en) * | 2017-10-31 | 2018-02-16 | 中国人民解放军第二军医大学 | Laparoscopic surgical instruments and laparoscopic surgery equipment |
Also Published As
| Publication number | Publication date |
|---|---|
| CN102078211B (en) | 2012-10-17 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| WO2008135613A1 (en) | Electrosurgical instrument for tissue coagulation and cutting | |
| CN107080574B (en) | A kind of fixing device of 3D trochars and blood vessel clip | |
| CN202005784U (en) | Pincers end mechanism with puncture hole of non-invasive renal artery blocking pincers used for laparoscope | |
| CN102166127B (en) | Renal artery directional blocking device | |
| CN102078211B (en) | Forceps end mechanism of blocking forceps with puncture hole and no damage to renal artery for celioscope | |
| CN103394154A (en) | Three-cavity double-balloon venous catheter in assistance to completing total hepatic vascular exclusion | |
| CN206534673U (en) | It is a kind of to be used to press from both sides the device for closing otch | |
| CN106214203B (en) | It is a kind of for pressing from both sides the device for closing notch | |
| CN112353487A (en) | Medical combined ablation needle capable of monitoring pressure and ablation method | |
| CN207804291U (en) | A kind of traction fixator with positioning device | |
| CN101889885B (en) | Renal artery blockage and cold infusion device for laparoscopic surgeries | |
| CN109674528A (en) | A kind of multifunctional micro-wound Inferior turbinate hypertrophy needle | |
| Johnston et al. | Laparoscopic partial nephrectomy: technique, oncologic efficacy, and safety | |
| JP7193881B2 (en) | Surgical method and equipment for two-stage resection of the liver on the lesion side by full laparoscopic liver tour tape method | |
| CN103536338B (en) | A kind of laparoscopic surgery remote control bulldog clamp | |
| CN206777387U (en) | A kind of fixing device of 3D trochars and blood vessel clip | |
| CN213940934U (en) | Medical combined ablation needle for pressure monitoring | |
| Strup et al. | Laparoscopic partial nephrectomy: hand-assisted technique | |
| CN206777386U (en) | Internal artery puncture trocar | |
| CN201905958U (en) | Endoscopic switch type vascular clamping instrument | |
| CN112823758A (en) | Double-balloon cryoablation catheter | |
| CN211131354U (en) | Double-balloon cryoablation catheter | |
| Wilhelm et al. | Feasibility of laparoscopic partial nephrectomy using pledgeted compression sutures for hemostasis | |
| CN216777212U (en) | Novel minimally invasive endoscopic surgery instrument | |
| CN2441444Y (en) | Computer control pneumatic liver cut-off hemostat |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C06 | Publication | ||
| PB01 | Publication | ||
| C10 | Entry into substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| C14 | Grant of patent or utility model | ||
| GR01 | Patent grant | ||
| CF01 | Termination of patent right due to non-payment of annual fee | ||
| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20121017 Termination date: 20180127 |