CN102631227A - Multifunctional blood vessel hook of laparoscope - Google Patents
Multifunctional blood vessel hook of laparoscope Download PDFInfo
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- CN102631227A CN102631227A CN2012101065659A CN201210106565A CN102631227A CN 102631227 A CN102631227 A CN 102631227A CN 2012101065659 A CN2012101065659 A CN 2012101065659A CN 201210106565 A CN201210106565 A CN 201210106565A CN 102631227 A CN102631227 A CN 102631227A
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- blood vessel
- hook
- steel wire
- sleeve
- drag hook
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Abstract
The invention provides a multifunctional blood vessel hook of a laparoscope, and the multifunctional blood vessel hook comprises a sleeve, a draw bar, a steel wire drag hook and a bolt, wherein one end of the sleeve is provided with a handle, the draw bar is positioned in the sleeve, and is capable of sliding along the sleeve, the tail end of the draw bar is provided with a finger hole, and the bar body of the draw bar is provided with a bolt hole which is used for fixing the position of the draw bar and matched with the bolt; and the bolt is connected with the handle by virtue of a connecting line, the steel wire drag hook is formed by bending a single steel wire, two ends of the single steel wire are combined together and then fixed at the front end of the drag bar, and the other circular end of the single steel wire is manufactured into a hook-shaped drag hook head for dragging a blood vessel or a rubber band. The multifunctional blood vessel hook provided by the invention can not only be directly used as a blood vessel drag hook, but also can be conveniently used under the laparoscope in order to block the ligamentum hepatoduodenale blood flow by virtue of the traditional rubber band winding tension method, thus the aims of dragging the important blood vessel and blocking the ligamentum hepatoduodenale under the laparoscope can be achieved. The multifunctional blood vessel hook provided by the invention has the advantages of simple structure, rational design, simplicity and convenience in manufacturing, and convenience in use. The multifunctional blood vessel hook can be used for lowering the operation difficulty and reducing the operation time, is good in practicability and is convenient to popularize and apply.
Description
Technical field
The invention belongs to medical apparatus and instruments, relate to a kind of multifunctional peritoneoscope blood vessel hook, the multi-functional blood vessel operating apparatus of tractive and blocking-up blood vessel when being a kind of peritoneoscope.
Background technology
In operation on liver, for losing blood in the minimizing art or avoiding massive hemorrhage in the art, need blocking-up go into liver blood stream usually, comprise the postcava blocking-up of blocking under first hepatic portal (hepatoduodenal ligament blocking-up), second hepatic portal (the postcava blocking-up on the liver) regulating liver-QI.In traditional abdominal; The blocking-up hepatoduodenal can have several different methods; Comprise maneuver blocking-up (Pringle maneuver); With methods such as children catheter or glove rubber band blocking-up duodenum ligament, the also ways that adopt the tension of children catheter strip winding of the postcava blocking-up under the second hepatic portal regulating liver-QI more.Yet in the peritoneoscope operation on liver, adopt the method for traditional catheter strip winding tension inapplicable, need trunk blocking-up apparatus under the peritoneoscope of developing special.In the peritoneoscope liver surgery if liver blood stream is gone in blocking-up, especially hepatoduodenal ligament blocking-up, have in the art of burst massive hemorrhage maybe, thereby cause the laparoscopic surgery failure, severe patient the patient be in peril of one's life.Though the vascular occlusion clamp under the special-purpose peritoneoscope is arranged at present clinically, and this vascular occlusion clamp still can't be used for the blocking-up of hepatoduodenal ligament, therefore practicality is not strong in the peritoneoscope operation on liver.Along with the peritoneoscope operation on liver is carried out more and more widely, but the hepatic portal occlusion method under convenient with the practical peritoneoscope does not appear so far yet.
In the operation of kinds of tumors such as gastric cancer, cancer of biliary duct, cancer of pancreas, cleaning circumvascular fat and lymphoid tissue is the necessary process of carrying out radical surgery.In operation process, often need tractive open important tremulous pulse or vein with the tissue that exposes the blood vessel rear so that carry out lymph node dissection.When routine operation, can retract shielded blood vessel with thin rubber urinary catheter or rubber band.But under peritoneoscope, adopt traditional instruments to carry out this operation and often become very inconvenient and difficult, present clinical a kind of blood vessel drag hook that can under peritoneoscope, use easily that still lacks.
Summary of the invention
In order to be implemented in tractive important blood vessels and the problem of blocking hepatoduodenal ligament under the peritoneoscope, the present invention provides a kind of multifunctional peritoneoscope blood vessel hook, and this device mainly is made up of sleeve, pull bar, steel wire drag hook, latch; A telescopic end jug, pull bar are positioned at sleeve and can slide along sleeve, and the tail end of pull bar is provided with finger-hole; Be useful on the pin hole of steady brace position on the body of rod of pull bar and fit mutually with latch; Latch is connected with handle through connecting line, and the steel wire drag hook is converted into by individual wire, and two statures of individual wire also are fixed in the front end of pull bar after together; The slick and sly other end is made hook-shaped for the drag hook head, is used for tractive blood vessel or rubber band.
Apparatus of the present invention also can be easily under peritoneoscope, with the way blocking-up hepatoduodenal ligament blood flow of traditional rubber band strip winding tension not only directly as the blood vessel drag hook.Advantage simple in structure, easy to use, that practicality is good that this device has.
The invention has the beneficial effects as follows when implementing operation on liver, can be implemented in the blocking-up first hepatic portal blood flow under the peritoneoscope (or being called the blocking-up hepatoduodenal ligament); When implementing tumor operation such as gastric cancer, direct tractive important blood vessels, the drag hook head is slick and sly, can injured blood vessel in traction process, steel wire has certain elasticity, in the time of the tractive of side, can not produce excessive pulling force, thereby avoids pulling open or breaking blood vessel.Apparatus of the present invention are reasonable in design, and are simple in structure, simple for production, but the critical piece single injection-molded, and operational approach is simple and easy to do, has solved a difficult problem that perplexs such operation for a long time, has reduced operating difficulty, has reduced operating time, and is easy to utilize.
Description of drawings
Fig. 1 is an overall structure sketch map of the present invention.
Fig. 2 is a sleeve vertical profile structural representation.
Fig. 3 is pull bar and steel wire drag hook sectional structure sketch map.
Fig. 4 is that the steel wire drag hook is crossed the sketch map at hepatoduodenal ligament rear when implementing the blocking-up of peritoneoscope hepatoduodenal ligament.
Fig. 5 is that the steel wire drag hook hooks the sketch map at rubber band circle two ends when implementing the blocking-up of peritoneoscope hepatoduodenal ligament.
Sketch map when Fig. 6 is the hepatoduodenal ligament blocking state.
The specific embodiment
Below in conjunction with accompanying drawing and embodiment invention is further specified.
Embodiment 1
Referring to Fig. 1-3, apparatus of the present invention are made up of sleeve 1, pull bar 2, steel wire drag hook 3, latch 8, an end jug 4 of sleeve 1; Pull bar 2 is positioned at sleeve 1 and can slides along sleeve; The tail end of pull bar 2 is made as finger-hole 7, is useful on the pin hole 5 of steady brace position on the body of rod of pull bar 2 and fits mutually with latch 8, and latch 8 is connected with handle 4 through connecting line; Steel wire drag hook 3 is converted into by individual wire; Two statures of individual wire and together after be fixed in the front end of pull bar 2, the slick and sly other end is made the hook-shaped drag hook head 6 that is, is used for tractive blood vessel or rubber band.During use, earlier finger is stretched into finger-hole 7, pull bar 2 is pulled back, steel wire drag hook 3 is got in the sleeve 1, thereby make things convenient for device to pass in and out from peritoneoscope Trocar.Pull bar 2 is pushed away forward, expose steel wire drag hook 3, carry out operation techniques such as tractive.Latch 8 is inserted the pin hole 5 that is exposed at sleeve handle 4 outsides, stop pull bar 2 further to stretch into sleeve 1.But critical piece single injection-molded of the present invention.
Blood vessel tractive under embodiment 2 peritoneoscopes
Method for using: will install from Trocar and get into the abdominal cavity, and expose steel wire drag hook 3, and retract blood vessel thereby hook blood vessel with drag hook head 6 with pushing away before the pull bar 2.The drag hook head is slick and sly, can injured blood vessel in traction process, and steel wire has certain elasticity, in the time of the tractive of side, can not produce excessive pulling force, thereby avoids pulling open or breaking blood vessel.
The blocking-up of embodiment 3 peritoneoscope hepatoduodenal ligament
Method for using:,, bring the abdominal cavity into and carry intestinal ligament bundle band as liver 12 in advance from the following 1 rubber band circle 9 of sterile gloves edge scissor referring to Fig. 4.Insert this device from Trocar, push-pull bar 2 stretches out steel wire drag hook 3, inserts the steel wire drag hook after opening omentum minus; Pass from hepatoduodenal ligament 10 rears, expose drag hook head 6, hook rubber band circle 9 at the drop-down gib head 6 of the help of handling tongs at the other end of ligament; One end of rubber band circle is pulled through the hepatoduodenal ligament rear; The rubber band circle other end is crossed from hepatoduodenal 10 the place aheads under handling tongs helps, and is hooked by drag hook head 6, participates in Fig. 5.Pull bar 2 is pulled back, make steel wire drag hook 3 and rubber band circle get into sleeve 1, withstand hepatoduodenal ligament 10 until sleeve head and make the tension of rubber band circle, thereby the blood flow of blocking-up hepatoduodenal ligament 10 is participated in Fig. 6.After 9 tensions of rubber band circle, latch 8 is inserted the pin hole 5 that is exposed at sleeve handle 4 outsides, make pull bar 2 can not freely get into sleeve 1, thereby accomplish the fixing of pull bar.Operation is extracted latch 8 after accomplishing, and pull bar 2 to protracting, makes the rubber band circle of tightening on the hepatoduodenal ligament 9 loose in sleeve 1, and drag hook head 6 unclamps an end of rubber band circle, and holds and take out outside the abdominal cavity together after the other end is retreated entering sleeve 1.
Claims (2)
1. multifunctional peritoneoscope blood vessel hook; It is characterized in that be made up of sleeve (1), pull bar (2), steel wire drag hook (3), handle (4), pin hole (5), latch (8), an end of sleeve (1) is provided with handle (4); Pull bar (2) is positioned at sleeve (1) and can slides along sleeve; The tail end of pull bar (2) is made as finger-hole (7), and the body of rod of pull bar (2) is useful on the pin hole (5) of steady brace position and fits mutually with latch (8), and latch (8) is connected with handle (4) through connecting line; The front end of one end of steel wire drag hook (3) and pull bar (2) is fixed, and the other end of steel wire drag hook (3) is the hook-shaped drag hook head (6) that is.
2. a kind of multifunctional peritoneoscope blood vessel hook according to claim 1 is characterized in that steel wire drag hook (3) is converted into by individual wire, and a slick and sly end is made drag hook head (6).
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN2012101065659A CN102631227A (en) | 2012-04-12 | 2012-04-12 | Multifunctional blood vessel hook of laparoscope |
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CN2012101065659A CN102631227A (en) | 2012-04-12 | 2012-04-12 | Multifunctional blood vessel hook of laparoscope |
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CN2012101065659A Pending CN102631227A (en) | 2012-04-12 | 2012-04-12 | Multifunctional blood vessel hook of laparoscope |
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Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN103300938A (en) * | 2013-06-27 | 2013-09-18 | 中国医学科学院阜外心血管病医院 | Trans-atrial pathway atrioventricular valve regurgitation animal modeling device and method |
CN112206028A (en) * | 2020-10-14 | 2021-01-12 | 常州市第二人民医院 | Portable hepatic portal blocking device |
Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2006081726A (en) * | 2004-09-16 | 2006-03-30 | Olympus Corp | Treatment instrument for endoscope and treatment unit for use in treatment instrument for endoscope |
CN201216617Y (en) * | 2008-07-14 | 2009-04-08 | 李龙 | Vena portae hepatis blood vessel drag hook |
CN202654169U (en) * | 2012-04-12 | 2013-01-09 | 浙江大学 | Laparoscope multifunctional blood vessel hook |
-
2012
- 2012-04-12 CN CN2012101065659A patent/CN102631227A/en active Pending
Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2006081726A (en) * | 2004-09-16 | 2006-03-30 | Olympus Corp | Treatment instrument for endoscope and treatment unit for use in treatment instrument for endoscope |
CN201216617Y (en) * | 2008-07-14 | 2009-04-08 | 李龙 | Vena portae hepatis blood vessel drag hook |
CN202654169U (en) * | 2012-04-12 | 2013-01-09 | 浙江大学 | Laparoscope multifunctional blood vessel hook |
Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN103300938A (en) * | 2013-06-27 | 2013-09-18 | 中国医学科学院阜外心血管病医院 | Trans-atrial pathway atrioventricular valve regurgitation animal modeling device and method |
CN103300938B (en) * | 2013-06-27 | 2015-05-20 | 中国医学科学院阜外心血管病医院 | Trans-atrial pathway atrioventricular valve regurgitation animal modeling device |
CN112206028A (en) * | 2020-10-14 | 2021-01-12 | 常州市第二人民医院 | Portable hepatic portal blocking device |
CN112206028B (en) * | 2020-10-14 | 2021-03-26 | 常州市第二人民医院 | Portable hepatic portal blocking device |
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Application publication date: 20120815 |