CN103126730A - Direct-inserting type peritoneoscope pneumoperitoneum-avoiding device - Google Patents

Direct-inserting type peritoneoscope pneumoperitoneum-avoiding device Download PDF

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Publication number
CN103126730A
CN103126730A CN 201110383789 CN201110383789A CN103126730A CN 103126730 A CN103126730 A CN 103126730A CN 201110383789 CN201110383789 CN 201110383789 CN 201110383789 A CN201110383789 A CN 201110383789A CN 103126730 A CN103126730 A CN 103126730A
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Prior art keywords
umbrella
pneumoperitoneum
leaves
abdominal wall
sleeve
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CN 201110383789
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Chinese (zh)
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CN103126730B (en )
Inventor
耿葵花
吴东波
郭靖
郑广平
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广西大学
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Abstract

The invention relates to the field of peritoneoscope minimally-invasive surgery, in particular to a direct-inserting type peritoneoscope pneumoperitoneum-avoiding device. The shortcomings that an existing pneumoperitoneum-avoiding technology operation is small in space and bad in surgical field exposure can be overcome. The direct-inserting type peritoneoscope pneumoperitoneum-avoiding device comprises a support, a cantilever beam, a hanging umbrella and a sleeve. The technical scheme that an abdominal wall is pulled and lifted through umbrella leaves is used, a front abdominal wall is lifted, pulled and hung through the umbrella leaves, and the problem that the existing pneumoperitoneum-avoiding technology operation is not sufficient in space exposure is well solved.

Description

一种直插式腹腔镜免气腹装置 One kind of in-line apparatus gasless laparoscopy

技术领域: FIELD:

[0001] 本发明涉及腹腔镜微创外科领域,具体是ー种直插式腹腔镜免气腹装置。 [0001] The present invention relates to the field of minimally invasive laparoscopic surgery, in particular in-line kind ー gasless laparoscopy device.

背景技术: Background technique:

[0002] 腹腔镜手术作为ー种微创技木,已成为肝、胆、胰、脾、胃、肠、腹壁疝、子宮和卵巣等组织器官的重要手术方式。 [0002] laparoscopic surgery as a minimally invasive species ー wood technology, has become the liver, gallbladder, pancreas, spleen, stomach, intestine, abdominal wall hernia, uterus and other organs of the egg Chao important surgery. 传统腹腔镜手术利用CO2气腹技术来制造手术操作空间。 Laparoscopic surgery using conventional techniques for producing CO2 pneumoperitoneum operative space. 由于CO2气腹对呼吸、循环系统及妊娠胎儿有诸多的不良影响,人们研制了各种腹壁悬吊装置来进行免气腹的腹腔镜手木。 Because CO2 pneumoperitoneum on respiratory, circulatory system and adversely affect pregnancy, fetal many people developed a variety of abdominal wall hangers to gasless laparoscopic hand wood. 但现有免气腹技术,包括上海岛科医疗集团代理的日本克氏针免气腹装置,台湾Fu-Hsing Chang的气囊式悬吊装置,美国IRVIN H的扇式腹壁提拉器,以及近来日本Y.1zumi报道的半圈型提拉器,台湾1-Hui Wu报道的拉钩式免气腹装置,都存在手术空间暴露不足的重要缺陷。 However, the existing gasless technology, including Japan Kirschner gasless device Shanghai Branch Island Medical Group agency, Taiwan Fu-Hsing Chang balloon-type hanger, the United States IRVIN H of fan-abdominal puller, and more recently Japan Y.1zumi reported half-circle type puller, retractor type gasless device Taiwan 1-Hui Wu reported surgical space is insufficient exposure to the important defects are present. 主要原因是现有免气腹技术的腹壁悬吊拉力会使双侧腹壁向中间聚集,挤压肠管向中间集中,导致手术空间变小、变窄;肌张カ较大时,手术操作空间更会明显缩小。 The main reason is the prior art gasless will pull the abdominal wall is suspended to the middle of the abdominal wall bilateral aggregation, pressed to the intermediate focus intestine, resulting in reduced operative space narrowing; ka large muscle tone, more operative space It will be significantly reduced. 在腹腔镜微创外科领域,免气腹技术得不到进ー步发展的主要原因是免气腹技术手术空间小、术野暴露差的问题没有得到根本解决。 In the field of minimally invasive laparoscopic surgery, can not get into the gasless technique ー main reason for the further development of the technology is gasless surgery small space, the problem of poor surgical field exposure has not been fundamentally resolved. 发明内容: SUMMARY:

[0003] 本发明的目的是提供一种直插式腹腔镜免气腹装置,它能克服现有免气腹技术手术空间小、术野暴露差的缺点。 [0003] The object of the present invention is to provide an in-line apparatus gasless laparoscopy, which overcomes the prior art surgery gasless small space, the disadvantages of poor surgical field exposure.

[0004] 本发明通过以下技术方案达到上述目的:一种直插式腹腔镜免气腹装置,包括支撑架、悬臂梁、悬吊伞和套管。 [0004] The present invention achieves the above object is achieved by the following technical solutions: A gasless laparoscopy-line apparatus includes a support frame, a cantilever beam, and the suspension sleeve umbrella. 所述悬吊伞由伞叶和伞骨组成,将悬吊伞插入套管,当伞叶接触到套管里的楔形面时,继续推动悬吊伞,伞叶将被楔形面支撑开呈伞形。 The umbrella is suspended from the leaves and umbrella ribs composition, suspending the umbrella into the sleeve, the umbrella when the leaves come into contact with wedge surfaces in the sleeve continue to push the suspension umbrella, the umbrella will be wedge-shaped surface of the support leaves open the umbrella shape shape.

[0005] 本发明突出的技术效果在于: [0005] The technical effect of the present invention, the projection comprising:

[0006] 本发明与现有免气腹技术相比,有实质性改变,所述直插式腹腔镜免气腹装置通过伞叶在腹腔内把前腹壁充分提拉起来,较好地解决了现有免气腹技术手术空间暴露不足的问题。 [0006] Compared with the prior art gasless, substantial changes, the in-line by means gasless laparoscopy umbrella leaves the anterior abdominal wall intraperitoneally fully pulled up, a better solution the problem of inadequate existing gasless surgery technology space exposure.

附图说明: BRIEF DESCRIPTION OF:

[0007] 图1是本发明所述直插式腹腔镜免气腹装置的示意图。 [0007] FIG. 1 is a line according to the present invention is laparoscopic apparatus gasless FIG.

[0008] 图2是本发明所述直插式腹腔镜免气腹装置的悬吊伞伞骨示意图。 [0008] FIG. 2 is a line according to the present invention is laparoscopic bone schematic parachute suspension apparatus pneumoperitoneum free.

[0009] 图3是本发明所述直插式述腹腔镜免气腹装置的悬吊伞伞叶示意图。 [0009] FIG. 3 is described below according to the present invention leaves a schematic view of the suspension in-line parachute free pneumoperitoneum laparoscopic apparatus.

[0010] 图4是本发明所述直插式述腹腔镜免气腹装置的套管示意图。 [0010] FIG. 4 is a schematic diagram of the present invention is described in-line laparoscopic cannula pneumoperitoneum apparatus free.

[0011] 图5是本发明所述直插式述腹腔镜免气腹装置的悬吊伞示意图。 [0011] FIG. 5 is a schematic diagram of the present invention, said suspension umbrella-line pneumoperitoneum laparoscopic apparatus free.

[0012] 图6是本发明所述直插式述腹腔镜免气腹装置的工作原理示意图。 [0012] FIG. 6 is described the present invention in-line apparatus gasless laparoscopy Schematic work.

具体实施方式: detailed description:

[0013] 下面结合附图对本发明作进ー步的描述。 [0013] The present invention will be further described in conjunction with the intake ー accompanying drawings. [0014] 悬吊伞伞骨(图2)与伞叶(图3)以扣环方式连接,悬吊伞(图5)通过铰链与悬臂梁连接,悬臂梁与支撑架连接。 [0014] Suspension umbrella ribs (FIG. 2) and the umbrella leaves (FIG. 3) connected to the buckle, the suspension umbrella (FIG. 5) is connected by a hinge cantilever, the cantilever is connected to the support frame. 提起前腹壁,于脐环处做约IOmm的切ロ,插入套管(图4)达腹腔内,将悬吊伞(图5)插入套管(图4),向下推动伞骨(图2),当伞叶(图3)接触到套管(图4)里的楔形面时,继续推动伞骨(图2),伞叶(图3)将被套管(图4)的楔形面逐渐支撑开,当伞叶(图3)与套管(图4)的楔形面完全接触式时,伞叶(图3)被完全撑开呈伞形(实现过程如图6所示),向上提拉套管(图4),前腹壁将被悬吊起来。 Lift the front abdominal wall, made in about IOmm ro the tangent navel ring, insertion of the cannula (FIG. 4) of the abdominal cavity, the umbrella suspension (FIG. 5) into the sleeve (FIG. 4), pushes down the ribs (FIG. 2 ), the umbrella when the leaf (FIG. 3) contacts the sleeve (FIG. 4) in the wedge surfaces, continue to drive ribs (FIG. 2), the umbrella leaves (FIG. 3) by the sleeve (FIG. 4) of the wedge surfaces is gradually support open, when the umbrella leaves (FIG. 3) and the sleeve (FIG. 4) of the wedge surface in full contact, umbrella leaves (FIG. 3) is fully stretched form mushroom (implementation shown in Figure 6), pulling up the sleeve (FIG. 4), is suspended by the anterior abdominal wall. 向上拉动伞骨(图2),伞叶(图3)将随伞骨(图2)向上运动与套管(图4)分离。 Ribs pulled upward (FIG. 2), the umbrella leaves (FIG. 3) with the ribs (FIG. 2) with the upward movement of the sleeve (FIG. 4) separated.

Claims (2)

  1. 1.一种直插式腹腔镜免气腹装置,利用外力使前腹壁提拉或悬吊从而造成手术操作空间,其特征在干:该装置由支撑架、悬臂梁、悬吊伞和套管组成,所述悬吊伞由伞叶和伞骨组成,将悬吊伞插入套管,当伞叶接触到套管里的楔形面时,继续推动悬吊伞,伞叶将被楔形面支撑开呈伞形。 An in-line apparatus gasless laparoscopy, with an external force pulling the anterior abdominal wall or suspension resulting operative space, characterized in that the dry: a support frame of the apparatus, a cantilever, and the suspension sleeve umbrella composition, the umbrella is suspended from the leaves and umbrella ribs composition, suspending the umbrella into the sleeve, the umbrella when the leaves come into contact with wedge surfaces in the sleeve continue to push the suspension umbrella, the umbrella leaves are supported apart wedge surfaces It was an umbrella.
  2. 2.根据权利要求1所述的直插式腹腔镜免气腹装置,其特征在于:通过伞叶(面状)在腹腔内(腹壁下)把前腹壁充分提拉起来,能彻底解决原来免气腹技术手术空间暴露不足的问题。 The in-line laparoscopic according to claim 1 gasless apparatus, wherein: by umbrella leaves (planar) intraperitoneal (abdominal wall) sufficiently pulled up the anterior abdominal wall, can solve the original Free the problem of insufficient gas abdominal surgery technology space exposure.
CN 201110383789 2011-11-28 2011-11-28 Direct-inserting type peritoneoscope pneumoperitoneum-avoiding device CN103126730B (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103565483A (en) * 2013-11-12 2014-02-12 广西大学 Gasless device of inflatable laparoscope
CN105433994A (en) * 2015-12-23 2016-03-30 郝博 Abdominal wall lifting device of gasless laparoscope

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2221943Y (en) * 1995-07-28 1996-03-13 北京亚泰医疗设备有限公司 Umbrella shape drawing device
US5722935A (en) * 1995-05-05 1998-03-03 Minnesota Scientific, Inc. Laparoscopic retractor having a plurality of blades extending laterally from a handle
US5755661A (en) * 1993-06-17 1998-05-26 Schwartzman; Alexander Planar abdominal wall retractor for laparoscopic surgery
CN201098106Y (en) * 2007-11-20 2008-08-13 黄 明;杜 娟 No pneumoperitoneum peritoneoscope operation suspension device

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5755661A (en) * 1993-06-17 1998-05-26 Schwartzman; Alexander Planar abdominal wall retractor for laparoscopic surgery
US5722935A (en) * 1995-05-05 1998-03-03 Minnesota Scientific, Inc. Laparoscopic retractor having a plurality of blades extending laterally from a handle
CN2221943Y (en) * 1995-07-28 1996-03-13 北京亚泰医疗设备有限公司 Umbrella shape drawing device
CN201098106Y (en) * 2007-11-20 2008-08-13 黄 明;杜 娟 No pneumoperitoneum peritoneoscope operation suspension device

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103565483A (en) * 2013-11-12 2014-02-12 广西大学 Gasless device of inflatable laparoscope
CN105433994A (en) * 2015-12-23 2016-03-30 郝博 Abdominal wall lifting device of gasless laparoscope

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