CN102579092B - Double-barrel type gasless abdominal single-aperture operating platform used for laparoscopic surgery - Google Patents
Double-barrel type gasless abdominal single-aperture operating platform used for laparoscopic surgery Download PDFInfo
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- CN102579092B CN102579092B CN 201210062466 CN201210062466A CN102579092B CN 102579092 B CN102579092 B CN 102579092B CN 201210062466 CN201210062466 CN 201210062466 CN 201210062466 A CN201210062466 A CN 201210062466A CN 102579092 B CN102579092 B CN 102579092B
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Abstract
A double-barrel type gasless abdominal single-aperture operating platform used for a laparoscopic surgery consists of a single-aperture channel, a suspension umbrella, a mechanical arm and a fixing pole, wherein the single-aperture channel is connected with the suspension umbrella by joints; the suspension umbrella is suspended on the mechanical arm; and the mechanical arm is arranged on the fixing pole. The single-aperture channel consists of a main pipe and a lengthened pipe, a perforated disk through which surgical equipment can pass is arranged in the middle of the interior of the main pipe of the single-aperture channel, the suspension umbrella consists of a spoke, a push-pull pipe, a needle core and a chain, and the spoke is folded towards the center through the near-end joint, the far-end joint and the middle joint to form the umbrella shape when the push-pull pipe slides downwards. According to the invention, the laparoscopic single-aperture technology and the gasless technology are combined organically, thereby overcoming the defects in the existing surgery adopting the gasless technology that the space is small and the exposure of the surgery field is poor, and simplifying the operation of the laparoscopic single-aperture gasless abdominal surgery, so that the double-barrel type gasless abdominal single-aperture operating platform can be promoted and applied easily.
Description
Technical field
The present invention relates to peritoneoscope minimally invasive surgery field, the double-cylinder type that specifically a kind of laparoscopic surgery is used is exempted from pneumoperitoneum single hole operating platform.
Background technology
Laparoscopic surgery, as a kind of less invasive techniques, has become the important modus operandi of the histoorgans such as liver, gallbladder, pancreas, spleen, stomach, intestinal, abdominal hernia, uterus and ovary.The laparoscopic surgery routine is utilized CO
2the pneumoperitoneum technology is manufactured the operation technique space.Due to CO
2pneumoperitoneum has many harmful effects to breathing, blood circulation and Pregnant Fetus, and people have developed the laparoscopic surgery that various stomach wall suspension apparatus are exempted from pneumoperitoneum.But the existing pneumoperitoneum technology of exempting from, the Japan's " Kirschner wire " that comprises the Medical Group agency of island section exempts from the pneumoperitoneum device, the fan formula retractor for abdominal wall of American I RVIN H, and the half-turn type drawing device of recent Japanese Y. Izumi report, the drag hook type of Taiwan I-Hui Wu report is exempted from the pneumoperitoneum device, all exists operative space to expose not enough major defect.Main cause is that existing its stomach wall suspention pulling force of pneumoperitoneum technology of exempting from can make the both sides stomach wall assemble to centre, and the extruding intestinal tube is concentrated to centre, causes operative space to diminish, narrow down; When muscular tension is larger, the operation technique space dwindles can be more obvious.
Laparoscopic surgery generally need to be done 3-5 little otch at stomach wall, as the passage of operating theater instruments.In order to reduce operative incision, improve Wicresoft and the cosmetic result of laparoscopic surgery, people have invented various single-hole surgical platforms, and promote clinically, as TriPort, Uni-X, Gelport, AirSeal, SILS, EndoCone etc.These single hole operating platforms are generally used CO
2pneumoperitoneum is performed the operation.
More existing application single holes are exempted from the report that the pneumoperitoneum technology is carried out laparoscopic surgery at present, mainly contain two kinds of modes, a kind of is to use Japan's " Kirschner wire " to exempt from the pneumoperitoneum device to set up on the basis of operative space, do single small incision at stomach wall and performed the operation, as the suspension of the Zhang Guangyong of Shandong Qilu Hospital (Guangyong Zhang) report is exempted from pneumoperitoneum single-hole laparoscopic technology.Another is directly at stomach wall, to do an otch, by special drag hook, through this otch, stomach wall is lifted and is performed the operation, and as the Kazunori Kihara of Tokyo medical courses in general dentistry university report, exempts from pneumoperitoneum single hole endoscopic technic.But these two kinds of technology all can not solve operative space exposes not enough problem.
Summary of the invention
The purpose of this invention is to provide the double-cylinder type that a kind of laparoscopic surgery uses and exempt from pneumoperitoneum single hole operating platform, by peritoneoscope single hole technology with exempt from the pneumoperitoneum technology and combine, overcome the existing shortcoming that pneumoperitoneum technology operative space is little, visual area exposes difference of exempting from, and simplified the peritoneoscope single hole and exempted from the operating procedure of pneumoperitoneum operation, made it to be easier to promotion and application.
The present invention achieves the above object by the following technical programs: the double-cylinder type that a kind of laparoscopic surgery is used is exempted from pneumoperitoneum single hole operating platform, by single hole passage, suspention umbrella, mechanical arm and fixed bar, formed, the single hole passage is connected with the suspention umbrella by joint, the suspention umbrella is suspended on mechanical arm, and mechanical arm is arranged on fixed bar.Described single hole passage is comprised of main body tube and extension pipe, punctured disk for the operating theater instruments turnover is arranged in the middle of in described main body tube, described punctured disk is that three holes are the centre that isosceles triangle is arranged in disk, and above punctured disk, sidewall is provided with for the fixing pin of extension pipe.
Described extension pipe is divided into again the section of exposing and intussusceptum two parts, and intussusceptum is nested in main body tube, and the tube wall of intussusceptum is provided with groove, and intussusceptum is fixed by pin and main body tube interlock.
Described suspention umbrella is comprised of spoke, push-and-pull pipe, nook closing member and chaining, down sliding push-and-pull pipe, and spoke is folded to form umbrella by near-end joint, distal joint and middle joint to central authorities.There was a circle silk thread at the edge of described suspention umbrella around one week.
The double-cylinder type that described laparoscopic surgery is used is exempted from pneumoperitoneum single hole operating platform operation principle and process is: fixed bar is fixed on operating-table by draw-in groove, and mechanical arm is installed on fixed bar.Patient's horizontal position, mention front stomach wall, do the otch of an about 30mm in the annulus umbilicalis place, the insertion double-cylinder type is exempted from pneumoperitoneum single hole operating platform and is reached intraperitoneal, upwards lifts nook closing member, down sliding push-and-pull pipe, make the spoke two ends to the center relative sliding, be folded to form the umbrella leaf through burst, by the umbrella leaf, front stomach wall suspended in midair, nook closing member by chain suspension on the suspension hook of mechanical arm.Remove the extension pipe of single hole passage, operating theater instruments is inserted abdominal cavity by three hole circle dishes of main body tube, carries out operation technique.So far, the working place of laparoscopic surgery and operating platform are set up complete.
The outstanding technique effect of the present invention is:
Exempting from the pneumoperitoneum technology with existing peritoneoscope single hole compares, the present invention is peritoneoscope single hole technology and exempt from the pneumoperitoneum technology and combine, by the umbrella leaf, at intraperitoneal, front stomach wall monoblock is fully lifted, solved preferably and existing exempted from that pneumoperitoneum technology operative space is little, visual area is when exposing not enough problem, simplify the peritoneoscope single hole and exempted from the operating procedure of pneumoperitoneum operation, made it to be easier to promotion and application.
The accompanying drawing explanation
Fig. 1 is the general structure schematic diagram that double-cylinder type that laparoscopic surgery of the present invention is used is exempted from pneumoperitoneum single hole operating platform.
Fig. 2 is that double-cylinder type that laparoscopic surgery of the present invention is used is exempted from the structural representation under the off working state of pneumoperitoneum single hole operating platform.
Fig. 3 is that double-cylinder type that laparoscopic surgery of the present invention is used is exempted from the structural representation under the duty of pneumoperitoneum single hole operating platform.
Fig. 4 is the structural representation that double-cylinder type that laparoscopic surgery of the present invention is used is exempted from the main body tube of pneumoperitoneum single hole operating platform.
Fig. 5 is the structural representation that double-cylinder type that laparoscopic surgery of the present invention is used is exempted from the extension pipe of pneumoperitoneum single hole operating platform.
Fig. 6 is the structural representation that double-cylinder type that laparoscopic surgery of the present invention is used is exempted from the suspention umbrella of pneumoperitoneum single hole operating platform.
Fig. 7 is that double-cylinder type that laparoscopic surgery of the present invention is used is exempted from the structural representation that the spoke of pneumoperitoneum single hole operating platform is connected with nook closing member with the push-and-pull pipe.
The specific embodiment
Below by accompanying drawing and example, technical scheme of the present invention is further described.
Contrast Fig. 1,2, the double-cylinder type that laparoscopic surgery of the present invention is used is exempted from pneumoperitoneum single hole operating platform, single hole passage 1, suspention umbrella 2, mechanical arm 3 and fixed bar 4, consists of.Described single hole passage 1 is connected with suspention umbrella 2 by joint 7, and suspention umbrella 2 is suspended on mechanical arm 3, and mechanical arm 3 is arranged on fixed bar 4.
Contrast Fig. 2,3,4, single hole passage 1 of the present invention is comprised of main body tube 1-1 and extension pipe 1-2, in the middle of in described main body tube 1-1, it is punctured disk 5, described punctured disk 5 is that three holes are the centre that isosceles triangle is arranged in disk, described main body tube 1-1 inner tubal wall has pin 6 above punctured disk 5, for fixing of extension pipe 1-2.
Contrast Fig. 5, extension pipe 1-2 of the present invention is divided into again the section of exposing 8 and intussusceptum 9.The tube wall of described extension pipe intussusceptum 9 is fluted 10, and intussusceptum 9 obtains fixing by groove 10 and pin 6 interlocks of main body tube 1-1.
Contrast Fig. 2,3, suspention umbrella 2 of the present invention is comprised of spoke 2-1, push-and-pull pipe 2-2, nook closing member 2-3 and chaining 2-4.
Contrast Fig. 6,7, described spoke 2-1 is connected in the lower end of push-and-pull pipe 2-2 by near-end joint 11, be connected in the lower end of nook closing member 2-3 by distal joint 12, by middle joint 13, to central authorities, is folded to form umbrella.There was silk thread 14 at the edge that forms the spoke 2-1 of umbrella after folding around one week.
Claims (3)
1. the double-cylinder type that a laparoscopic surgery is used is exempted from pneumoperitoneum single hole operating platform, comprise the suspention umbrella, mechanical arm and fixed bar, the suspention umbrella is suspended on mechanical arm, mechanical arm is arranged on fixed bar, described suspention umbrella is by spoke, the push-and-pull pipe, nook closing member and chaining form, down sliding push-and-pull pipe, spoke is by the near-end joint, distal joint and middle joint are folded to form umbrella to central authorities, it is characterized in that: this operating platform also is provided with the single hole passage, the single hole passage is connected with the suspention umbrella by joint, described single hole passage is comprised of main body tube and extension pipe, punctured disk for the operating theater instruments turnover is arranged in the middle of in the main body tube of described single hole passage.
2. the double-cylinder type that laparoscopic surgery according to claim 1 is used is exempted from pneumoperitoneum single hole operating platform, it is characterized in that: described punctured disk is that three holes are the centre that isosceles triangle is arranged in disk, and above punctured disk, sidewall is provided with for the fixing pin of extension pipe.
3. the double-cylinder type that laparoscopic surgery according to claim 1 is used is exempted from pneumoperitoneum single hole operating platform, it is characterized in that: described extension pipe is divided into again the section of exposing and intussusceptum two parts, intussusceptum is nested in main body tube, the tube wall of intussusceptum is provided with groove, and intussusceptum is fixed by pin and main body tube interlock.
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN 201210062466 CN102579092B (en) | 2012-03-12 | 2012-03-12 | Double-barrel type gasless abdominal single-aperture operating platform used for laparoscopic surgery |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN 201210062466 CN102579092B (en) | 2012-03-12 | 2012-03-12 | Double-barrel type gasless abdominal single-aperture operating platform used for laparoscopic surgery |
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| CN102579092A CN102579092A (en) | 2012-07-18 |
| CN102579092B true CN102579092B (en) | 2013-12-18 |
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| CN 201210062466 Expired - Fee Related CN102579092B (en) | 2012-03-12 | 2012-03-12 | Double-barrel type gasless abdominal single-aperture operating platform used for laparoscopic surgery |
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Families Citing this family (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102846343B (en) * | 2012-08-01 | 2014-07-30 | 王小军 | Pneumoperitoneum-free peritoneoscope suspending type abdominal wall puncture device |
| CN102860848B (en) * | 2012-09-18 | 2014-07-30 | 吴东波 | Sleeved gasless single-hole operating platform for laparoscopic surgery |
| CN107320144B (en) * | 2017-07-28 | 2023-06-13 | 广西壮族自治区人民医院 | Linear purse-string suture cutting closer |
Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN1684644A (en) * | 2002-08-29 | 2005-10-19 | 米特尔溶剂有限公司 | Implantable devices for controlling the internal circumference of an anatomic orifice or lumen |
| CN201091569Y (en) * | 2007-09-29 | 2008-07-30 | 刘传照 | Non-aeroperitoneum laparoscope operation magnetic sucker type hanger car |
| CN201299605Y (en) * | 2008-11-07 | 2009-09-02 | 徐志明 | Pneumoperitoneum suspension-free retractor in laparoscope operation |
| CN202505408U (en) * | 2012-03-12 | 2012-10-31 | 吴东波 | Double cylinder type pneumoperitoneum-free single-hole operation platform for laparoscopic surgery |
Family Cites Families (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20070203507A1 (en) * | 2005-08-26 | 2007-08-30 | G-Surge Medical Solutions, Inc. | Suturing apparatus and methods |
| US20110238080A1 (en) * | 2010-03-25 | 2011-09-29 | Date Ranjit | Robotic Surgical Instrument System |
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Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN1684644A (en) * | 2002-08-29 | 2005-10-19 | 米特尔溶剂有限公司 | Implantable devices for controlling the internal circumference of an anatomic orifice or lumen |
| CN201091569Y (en) * | 2007-09-29 | 2008-07-30 | 刘传照 | Non-aeroperitoneum laparoscope operation magnetic sucker type hanger car |
| CN201299605Y (en) * | 2008-11-07 | 2009-09-02 | 徐志明 | Pneumoperitoneum suspension-free retractor in laparoscope operation |
| CN202505408U (en) * | 2012-03-12 | 2012-10-31 | 吴东波 | Double cylinder type pneumoperitoneum-free single-hole operation platform for laparoscopic surgery |
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| CN102579092A (en) | 2012-07-18 |
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Granted publication date: 20131218 Termination date: 20160312 |