CN102727265B - Lobe of the lung tractive combined apparatus for thoracoscopic operation - Google Patents

Lobe of the lung tractive combined apparatus for thoracoscopic operation Download PDF

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Publication number
CN102727265B
CN102727265B CN201210212594.3A CN201210212594A CN102727265B CN 102727265 B CN102727265 B CN 102727265B CN 201210212594 A CN201210212594 A CN 201210212594A CN 102727265 B CN102727265 B CN 102727265B
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China
Prior art keywords
jig arm
lung
lobe
groove
clamping plate
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Expired - Fee Related
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CN201210212594.3A
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Chinese (zh)
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CN102727265A (en
Inventor
刘希斌
邹卉
张百江
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Individual
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Individual
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Priority to CN201210212594.3A priority Critical patent/CN102727265B/en
Priority to CN201410087041.9A priority patent/CN103845089B/en
Publication of CN102727265A publication Critical patent/CN102727265A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/0218Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery

Abstract

The invention provides a kind of thoracoscopic operation lobe of the lung tractive combined apparatus, lobe of the lung clamper in lobe of the lung tractive combined apparatus for thoracoscopic operation, it comprises the first jig arm, the second jig arm and pulling rope, the first jig arm and the second jig arm are equal in length, the first jig arm is connected by articulated axle with the boss in the middle of the second jig arm, mounting spring on articulated axle, both ends of the spring contacts with the first jig arm and the second jig arm respectively, the left end inner side of the first jig arm connects the first clamping plate, on right-hand member, offer the first groove, the left end inner side of the second jig arm connects the second clamping plate, on right-hand member, offer the second groove, the mutual correspondence of the first clamping plate and the second clamping plate also contacts, the first groove and the second groove shapes and measure-alike, be positioned at same vertical plane, one end of pulling rope is connected with the first jig arm or the second jig arm, other end connection pulls circle. the present invention can solve prior art exist operative incision more, patient's wound is larger, operation technique is loaded down with trivial details, the problem that operating personnel are more.

Description

Lobe of the lung tractive combined apparatus for thoracoscopic operation
Technical field
The present invention relates to medical operation device technical field, specifically a kind of thoracoscopic operation lobe of the lung tractive combined apparatus being used in conjunction with each other by lobe of the lung clamper, puncture tractor and tractive locator.
Background technology
At present, medical department is in the time carrying out traditional thoracoscopic operation to patient lung, generally need to be in the position, front side of patient chest, rear side position and midaxillary line cut respectively three otch, it is respectively gathering hole, assist mouth and enter Jing Kou, and be all equipped with corresponding surgical staff at each cutting part, the surgical staff of operator carries out operation technique at gathering hole, the first assistant adopts related equipment to carry out the work of the tractive lobe of the lung at auxiliary mouthful, to coordinate the operative site of surgical exposure lobe of the lung root, the second assistant is through entering Jing Kou operation thoracoscope, with the illumination to operative site and video picture. the existing shortcoming of traditional thoracoscopic operation is: one, operative incision is more, and patient's wound is larger, two, operation technique is loaded down with trivial details, and operating personnel are more, thus, has brought many worries to every aspect.
Summary of the invention
The object of this invention is to provide a kind of thoracoscopic operation lobe of the lung tractive combined apparatus, it can solve, and the operative incision that prior art exists is more, and patient's wound is larger, and operation technique is loaded down with trivial details, the problem that operating personnel are more.
The object of the invention is to be achieved through the following technical solutions: the lobe of the lung clamper in thoracoscopic operation lobe of the lung tractive combined apparatus, it comprises the first jig arm, the second jig arm and pulling rope, the first jig arm and the second jig arm are equal in length, the first jig arm is connected by articulated axle with the boss in the middle of the second jig arm, mounting spring on articulated axle, both ends of the spring contacts with the first jig arm and the second jig arm respectively, the left end inner side of the first jig arm connects the first clamping plate, on right-hand member, offer the first groove, the left end inner side of the second jig arm connects the second clamping plate, on right-hand member, offer the second groove, the mutual correspondence of the first clamping plate and the second clamping plate also contacts, the first groove and the second groove shapes and measure-alike, be positioned at same vertical plane, one end of pulling rope is connected with the first jig arm or the second jig arm, other end connection pulls circle.
Puncture tractor in lobe of the lung tractive combined apparatus for thoracoscopic operation, it comprises interconnective puncture needle and needle handle, one side of the tip portion of puncture needle is inclined plane shape, on puncture needle, offer bar hole, bar hole is arranged on the top of tip portion, on puncture needle, offer notch, notch communicates with bar hole top.
Tractive locator in lobe of the lung tractive combined apparatus for thoracoscopic operation, it comprises that table top clamper and at least one are the location-plate of ruler shape, on table top clamper, groove is set, groove is by upper plate, lower plate and side plate composition, connecting upright pole on upper plate, positioning knob is threaded in vertical rod, location-plate is arranged on positioning knob, location-plate is hinged mutually with positioning knob, location-plate contacts with positioning knob and rod end respectively, several positioning tooths of the first-class distance join of upper surface of location-plate, fastening push rod is threaded in the lower plate of groove, footstock is hinged on fastening push rod top, lower end connects swing handle, it is interior and corresponding with upper plate that footstock is arranged on groove.
For further realizing object of the present invention, also can complete by the following technical programs: the puncture tractor in described thoracoscopic operation lobe of the lung tractive combined apparatus, draw ring is installed on needle handle, draw ring is hinged mutually with needle handle. The cross section of needle handle is six side's prismatics.
Tractive locator in lobe of the lung tractive combined apparatus for described thoracoscopic operation, the vertical plane bottom of positioning tooth one side offers arc groove.
The beneficial effect that the present invention can produce: because lobe of the lung clamper comprises the first jig arm, the second jig arm and pulling rope, the first jig arm and the second jig arm are equal in length, the first jig arm is connected by articulated axle with the boss in the middle of the second jig arm, mounting spring on articulated axle, both ends of the spring contacts with the first jig arm and the second jig arm respectively, the left end inner side of the first jig arm connects the first clamping plate, on right-hand member, offer the first groove, the left end inner side of the second jig arm connects the second clamping plate, on right-hand member, offer the second groove, the mutual correspondence of the first clamping plate and the second clamping plate also contacts, the first groove and the second groove shapes and measure-alike, be positioned at same vertical plane, one end of pulling rope is connected with the first jig arm or the second jig arm, other end connection pulls circle, so, in the time of thoracoscopic operation, it can be inserted in patient's thoracic cavity by surgical wound surface, the first clamping plate and the second clamping plate can ensure that the lobe of the lung is not damaged in clamping process, the first groove and the second groove can make the jaw of medical calm clamp therein, to ensure the reliability of clamping operation, avoid jaw slippage, pulling rope can play the effect of the tractive lobe of the lung,
Because puncture tractor comprises interconnective puncture needle and needle handle, one side of the tip portion of puncture needle is inclined plane shape, on puncture needle, offer bar hole, bar hole is arranged on the top of tip portion, offers notch on puncture needle, and notch communicates with bar hole top, so, in the time of thoracoscopic operation, it can be punctured in patient's thoracic cavity, and the pulling circle on pulling rope is inserted in bar hole by notch, makes puncture needle can will pull circle external from taking out of in patient's thoracic cavity in the time extracting;
Because comprising table top clamper and at least one, tractive locator is the location-plate of ruler shape, on table top clamper, groove is set, groove is by upper plate, lower plate and side plate composition, connecting upright pole on upper plate, positioning knob is threaded in vertical rod, location-plate is arranged on positioning knob, location-plate is hinged mutually with positioning knob, location-plate contacts with positioning knob and rod end respectively, several positioning tooths of the first-class distance join of upper surface of location-plate, fastening push rod is threaded in the lower plate of groove, footstock is hinged on fastening push rod top, lower end connects swing handle, it is interior and corresponding with upper plate that footstock is arranged on groove, so, in the time of thoracoscopic operation, it can will pull snare on positioning tooth on pulling rope, the object that realizes the tractive lobe of the lung and make lobe of the lung location with this, to expose the operative site of lobe of the lung root,
Due to draw ring being installed on needle handle, draw ring is hinged mutually with needle handle, so it can directly be enclosed within on positioning tooth by draw ring in the time of thoracoscopic operation, and without be enclosed within again the complex operation on positioning tooth by pulling circle to take out in bar hole;
Because the cross section of needle handle is six side's prismatics, so, when in the time of thoracoscopic operation, it can prevent that medical worker from operating with gloves and the slip phenomenon easily occurring, and the tractor of can avoiding puncturing is placed on the rolling dislocation being prone on operating table, and affect the accurate taking and placing of medical worker in the time of operation technique;
Because the vertical plane bottom of positioning tooth one side offers arc groove, so it can make to pull circle to be more reliably enclosed within on positioning tooth and can slippage.
The present invention is used in conjunction with each other by lobe of the lung clamper, puncture tractor and tractive locator, can clamp the lobe of the lung, tractive and location, it need not assist mouth can realize the object of the tractive lobe of the lung, and need not be equipped with first assistant's tractive lobe of the lung, reach with this object that thoracoscopic operation can reduce by a surgical staff and reduce by an operative incision. Thus, make thoracoscopic operation have operative incision less, patient's wound is less, and operation technique is simple, and the remarkable advantage that operating personnel are less is widely used in clinically can producing good social and economic benefits.
Brief description of the drawings
Fig. 1 is the structural representation of the lobe of the lung clamper in the present invention, main signal the first jig arm 1, the second jig arm 2 and pulling rope 3, and first clamping plate 1a and the second clamping plate 2a mutually corresponding and contact, the version that the first jig arm 1 is connected by articulated axle 4 with the boss in the middle of the second jig arm 2;
Fig. 2 be the A of Fig. 1 to zoomed-in view, mainly illustrate the first groove 1b identical with the second groove 2b shape and size, be positioned at the version of same vertical plane;
Fig. 3 is the structural representation of the puncture tractor in the present invention, one side of the needle point 11a part of main signal puncture needle 11 is inclined plane shape, on puncture needle 11, offer bar hole 11b, bar hole 11b is arranged on the top of needle point 11a part, on puncture needle 11, offer notch 11c, the version that notch 11c communicates with bar hole 11b top;
Fig. 4 is the structural representation of the tractive locator in the present invention, main signal groove 21 is made up of upper plate 21a, lower plate 21c and side plate 21b, the upper connecting upright pole 23a of upper plate 21a, positioning knob 23 is threaded on vertical rod 23a, location-plate 22 is arranged on positioning knob 23, location-plate 22 is hinged mutually with positioning knob 23, and location-plate 22 contacts with positioning knob 23 and vertical rod 23a top respectively, the version of several positioning tooths of the first-class distance join of upper surface 22a of location-plate 22.
Detailed description of the invention
Contrast accompanying drawing is described in further detail technical scheme of the present invention in conjunction with the embodiments.
Lobe of the lung clamper in lobe of the lung tractive combined apparatus for thoracoscopic operation of the present invention, it comprises the first jig arm 1, the second jig arm 2 and pulling rope 3, the first jig arm 1 and the second jig arm 2 are equal in length, the first jig arm 1 is connected by articulated axle 4 with the boss in the middle of the second jig arm 2, mounting spring 5 on articulated axle 4, spring 5 two ends contact with the first jig arm 1 and the second jig arm 2 respectively, the left end inner side of the first jig arm 1 connects the first clamping plate 1a, on right-hand member, offer the first groove 1b, the left end inner side of the second jig arm 2 connects the second clamping plate 2a, on right-hand member, offer the second groove 2b, the mutual correspondence of the first clamping plate 1a and the second clamping plate 2a also contacts, the first groove 1b is identical with the second groove 2b shape and size, be positioned at same vertical plane, one end of pulling rope 3 is connected with the first jig arm 1 or the second jig arm 2, other end connection pulls circle 3a.
Puncture tractor in lobe of the lung tractive combined apparatus for thoracoscopic operation, it comprises interconnective puncture needle 11 and needle handle 12, one side of the needle point 11a part of puncture needle 11 is inclined plane shape, on puncture needle 11, offer bar hole 11b, bar hole 11b is arranged on the top of needle point 11a part, on puncture needle 11, offer notch 11c, notch 11c communicates with bar hole 11b top. Draw ring 12a is installed on needle handle 12, and draw ring 12a is hinged mutually with needle handle 12. The cross section of needle handle 12 is six side's prismatics.
Tractive locator in lobe of the lung tractive combined apparatus for thoracoscopic operation, it comprises that table top clamper and at least one are the location-plate 22 of ruler shape, groove 21 is set on table top clamper, groove 21 is by upper plate 21a, lower plate 21c and side plate 21b composition, the upper connecting upright pole 23a of upper plate 21a, positioning knob 23 is threaded on vertical rod 23a, location-plate 22 is arranged on positioning knob 23, location-plate 22 is hinged mutually with positioning knob 23, location-plate 22 contacts with positioning knob 23 and vertical rod 23a top respectively, several positioning tooths of the first-class distance join of upper surface 22a of location-plate 22, fastening push rod 25 is threaded on the lower plate 21c of groove 21, footstock 25a is hinged on fastening push rod 25 tops, lower end connects swing handle 25b, it is interior and corresponding with upper plate 21a that footstock 25a is arranged on groove 21. the vertical plane bottom of positioning tooth 22a mono-side offers arc groove 22aa.
When making, process various parts by above-mentioned requirements and be assembled into respectively lobe of the lung clamper, puncture tractor and tractive locator.
When thoracoscopic operation, surgical staff only need cut two otch on patient chest, that is: on the gathering hole on position, patient chest front side and midaxillary line, enter Jing Kou, the surgical staff of operator carries out operation technique at gathering hole, assistant is through entering Jing Kou operation thoracoscope, with the illumination to operative site and video picture.
When operation, surgical staff is clamped in the first groove 1b and the second groove 2b in the first jig arm 1 and the second jig arm 2 with the jaw of medical calm, lobe of the lung clamper is inserted in patient thoracic cavity, and make the first clamping plate 1a and the second clamping plate 2a clamp the lobe of the lung. At this moment, surgical staff punctures the puncture needle 11 of puncture tractor again to the rear side position of patient chest, then, the circle 3a that pulls on pulling rope 3 in lobe of the lung clamper is inserted in bar hole 11b by notch 11c, now, extracting puncture needle 11, will to pull circle 3a to take out of external, and will pull circle 3a to be enclosed within tractive locator on the positioning tooth 22a on location-plate 22, by the tractive lobe of the lung outside patient body and make lobe of the lung location, realize the object that can expose lobe of the lung Root Surgery position with this. Need to adjust the tractive angle of the lobe of the lung time, can will pull circle 3a to be enclosed within on the positioning tooth 22a of diverse location on location-plate 22; Need to adjust the inflection point of the lobe of the lung tractive time, can regulate location-plate 22 deflection angles by positioning knob 23.
It is upper that the present invention also can directly be enclosed within positioning tooth 22a by the draw ring 12a on needle handle 12 in puncture tractor, and without be enclosed within the troublesome operation on positioning tooth 22a by pulling circle 3a to take off in bar hole 11b, make the tractive lobe of the lung operate simple and fast more again.
Lobe of the lung clamper of the present invention can arrange multiple, to meet the needs to the lobe of the lung multiple positions clamping.
Location-plate 22 of the present invention can arrange multiple, and is arranged on respectively on positioning knob 23, and each location-plate is all hinged mutually with positioning knob 23, to meet pulling rope 3 on multiple lobe of the lung clampers, the lobe of the lung is carried out the needs of multiple angle tractives.
Direction up and down of the present invention all with Fig. 1, Fig. 3, Figure 4 shows that standard.
Technical scheme of the present invention is not limited only to the embodiment that the present embodiment is recorded, and can also have other embodiment to complete technical scheme of the present invention.
Technology, shape, structure part that the present invention does not describe in detail are known technology.

Claims (1)

1. the lobe of the lung clamper in lobe of the lung tractive combined apparatus for thoracoscopic operation, it is characterized in that: it comprises the first jig arm (1), the second jig arm (2) and pulling rope (3), the first jig arm (1) and the second jig arm (2) are equal in length, the first jig arm (1) is connected by articulated axle (4) with the boss in the middle of the second jig arm (2), the upper mounting spring (5) of articulated axle (4), spring (5) two ends contact with the first jig arm (1) and the second jig arm (2) respectively, the left end inner side of the first jig arm (1) connects the first clamping plate (1a), on right-hand member, offer the first groove (1b), the left end inner side of the second jig arm (2) connects the second clamping plate (2a), on right-hand member, offer the second groove (2b), the mutual correspondence of the first clamping plate (1a) and the second clamping plate (2a) also contacts, the first groove (1b) is identical with the second groove (2b) shape and size, be positioned at same vertical plane, one end of pulling rope (3) is connected with the first jig arm (1) or the second jig arm (2), other end connection pulls circle (3a), with the interconnective puncture needle of lobe of the lung clamper (11) and needle handle (12), one side of needle point (11a) part of puncture needle (11) is inclined plane shape, on puncture needle (11), offer bar hole (11b), bar hole (11b) is arranged on the top of needle point (11a) part, on puncture needle (11), offer notch (11c), notch (11c) communicates with bar hole (11b) top, and the circle (3a) that pulls on pulling rope (3) is inserted in bar hole (11b) by notch (11c).
CN201210212594.3A 2012-06-26 2012-06-26 Lobe of the lung tractive combined apparatus for thoracoscopic operation Expired - Fee Related CN102727265B (en)

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CN201210212594.3A CN102727265B (en) 2012-06-26 2012-06-26 Lobe of the lung tractive combined apparatus for thoracoscopic operation
CN201410087041.9A CN103845089B (en) 2012-06-26 2012-06-26 The tractive localizer of thoracoscopic operation in lobe of the lung tractive combined apparatus

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CN201210212594.3A CN102727265B (en) 2012-06-26 2012-06-26 Lobe of the lung tractive combined apparatus for thoracoscopic operation

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CN201210212594.3A Expired - Fee Related CN102727265B (en) 2012-06-26 2012-06-26 Lobe of the lung tractive combined apparatus for thoracoscopic operation

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CN106691523A (en) * 2017-03-07 2017-05-24 无锡圣诺亚科技有限公司 Pull device for endoscopic surgery
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CN103845089A (en) 2014-06-11
CN103845089B (en) 2016-03-30
CN102727265A (en) 2012-10-17

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