CN103549980A - Umbrella-type abdominal wall hanging device used in laparoscopic operation - Google Patents
Umbrella-type abdominal wall hanging device used in laparoscopic operation Download PDFInfo
- Publication number
- CN103549980A CN103549980A CN201310573823.9A CN201310573823A CN103549980A CN 103549980 A CN103549980 A CN 103549980A CN 201310573823 A CN201310573823 A CN 201310573823A CN 103549980 A CN103549980 A CN 103549980A
- Authority
- CN
- China
- Prior art keywords
- umbrella
- spoke
- stomach wall
- abdominal wall
- spokes
- 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.)
- Pending
Links
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/0281—Abdominal wall lifters
Abstract
An umbrella-type abdominal wall hanging device used in a laparoscopic operation comprises a hanging umbrella, a mechanical arm and a fixing rod, wherein the hanging umbrella is hung on the mechanical arm; the mechanical arm is mounted on the fixing rod; the hanging umbrella comprises a casing pipe, a needle core, a dead point ring and a hanging chain, wherein the casing pipe comprises spokes and a push-and-pull pipe; when the push-and-pull pipe slides downwards, the spokes slide to the center through proximal end joints, remote end joints and middle joints, and the umbrella-type abdominal wall hanging device is folded to be an umbrella. Due to the structure of the dead point ring, the dead point problem of the spokes during the unfolding process is solved, so that the spokes can be unfolded smoothly; spokes on the left and right sides are elastic, so that the umbrella-type abdominal wall hanging device can adapt to the arch-shaped structure of an abdominal wall well relatively, and wound of the abdominal wall can be reduced; spokes in the front and back directions are high in rigidity so as not to deform easily while bearing abdominal wall resistance. Therefore, the front part of the abdominal wall can be pulled upwards adequately to create a relatively large operation space.
Description
Technical field
The present invention relates to peritoneoscope minimally invasive surgery field, the umbrella formula stomach wall suspension apparatus that specifically a kind of laparoscopic surgery is used.
Background technology
Laparoscopic technique has now been widely used in the operation of the subjects such as Pu Wai, gynecological and Urology Surgery.Conventional laparoscopy operation is with CO
2inject airtight intraperitoneal, utilize gas to set up operative space to the pressure of surrounding.But CO
2the problems such as pneumoperitoneum can cause that change, anemia of pregnant woman fetus hypotension and anoxia, reduction immunologic function and the Iisolated tumor cells of body respiratory circulatory system are sent out.Exempt from pneumoperitoneum technology and eliminated CO
2the adverse effect that pneumoperitoneum brings human body, carries out laparoscopic surgery to patient old and pulmonary insufficiency, trimester of pregnancy, malignant tumor and operating time length and has important clinical meaning.Have both at home and abroad at present and much exempt from pneumoperitoneum device and put in clinical practice, as MIZUHO stomach wall suspension system, fan formula retractor for abdominal wall and drag hook type are exempted from pneumoperitoneum device etc.But the existing pneumoperitoneum technology of exempting from exists operative space to expose not enough shortcoming, causes its extensive use clinically.
Chinese patent 201120263834.3 has been announced the umbrella formula stomach wall suspension apparatus that a kind of laparoscopic surgery is used, and suspention umbrella, mechanical arm and fixed bar, consists of.Described suspention umbrella is comprised of sleeve pipe, nook closing member and chaining, described sleeve pipe consists of spoke and push-and-pull pipe, down sliding push-and-pull pipe, spoke forms umbrella by near-end joint, distal joint and middle joint to central sliding folding, during operation, suspend umbrella in midair and at intraperitoneal, front stomach wall is fully lifted, solution preferably was originally exempted from pneumoperitoneum technology operative space and was exposed not enough problem.The advantage of this device is:
When 1, this device is opened, umbrella leaf is planar, and the area that acts on stomach wall is larger, at intraperitoneal, more than parietal peritoneum organizing in the lump can be mentioned, and exposes preferably operative space; When 2, this device draws in, shape is as the trocar, easy to operate, easily by surgeon, is accepted, and has shortened the learning curve that umbrella formula device is used; 3, the circular configuration of suspention umbrella match in some position anatomical structure of intraperitoneal and human body (as the pelvis below the arcus costarum of abdominal part top, abdominal part), can make full use of the large area of umbrella-shaped structure, expose larger surgical field of view, and little to the damage of surrounding tissue; 4, lift great efforts, active area is wide, has expanded obese patient's laparoscopic surgery indication.But this installs also existent defect: 1, when intraperitoneal is opened, in the middle of spoke, joint easily forms dead point phenomenon, causes suspending in midair umbrella and does not open; 2, spoke does not have elasticity, the stressed maximum of both sides stomach wall when suspention umbrella upwards lifts front stomach wall, the larger wound that spoke of rigidity has both sides stomach wall.
Summary of the invention
The object of this invention is to provide the umbrella formula stomach wall suspension apparatus that a kind of laparoscopic surgery is used, solve the existing pneumoperitoneum technology operative space of exempting from little, visual area exposes poor problem.
The present invention achieves the above object by the following technical programs: the umbrella formula stomach wall suspension apparatus that a kind of laparoscopic surgery is used, comprise suspention umbrella, mechanical arm and fixed bar, described suspention pack is drawn together sleeve pipe, nook closing member and chaining, described suspention umbrella hangs on mechanical arm by chaining, and mechanical arm is fixed on fixed bar.Described sleeve pipe comprises spoke and push-and-pull pipe, down sliding push-and-pull pipe, and spoke forms umbrella by near-end joint, distal joint and middle joint to central sliding folding, and the spoke of umbrella lifts front stomach wall under stomach wall, sets up the operative space in abdominal cavity.Also comprise that Huan，Gai dead point, the dead point ring set that is circular is on the close nook closing member of lower ring, described spoke is elastic spoke.
Described spoke is except junction, joint, and all the other are horizontal ellipse shape, when this design can be avoided elastic bending, to side, is offset.
Described spoke divides front, rear, left and right direction multipair, and fore-and-aft direction is rigid spoke, inflexibility; Left and right directions is elastic spokes, flexible while meeting the resistance of both sides stomach wall.
Operation principle and process are: fixed bar is fixed on operating table edge, and mechanical arm is installed on fixed bar.Patient's clinostatism of making even, mentions front stomach wall, does the otch of an about 10mm in annulus umbilicalis place, insert this device and reach intraperitoneal, upwards lift nook closing member, down sliding push-and-pull pipe, makes spoke two ends to central relative sliding, through burst, be folded to form umbrella, the rigid spoke of fore-and-aft direction is on stomach wall y direction, and left and right has elastic spoke in stomach wall both sides, after umbrella leaf launches completely, by umbrella leaf, front stomach wall is suspended in midair, nook closing member end hangs on mechanical arm by chaining.So far, the working place of laparoscopic surgery is set up complete.
The outstanding technique effect of the present invention is:
Compare with umbrella formula device, the umbrella formula stomach wall suspension apparatus through transforming is except having the same advantage of umbrella formula device, and also tool has the following advantages:
1, because this device is equipped with dead point ring structure, overcome the dead unit problem of spoke in opening procedure, guarantee the smooth opening of spoke, avoided the dead point phenomenon in spoke opening procedure.
2, suspention is after umbrella opens, and while lifting front stomach wall, because the spoke of the left and right sides has elasticity, can adapt to better the domes of stomach wall, reduced the wound of spoke to stomach wall, so more meet the principle of surgical operation Wicresoft; Because the spoke of fore-and-aft direction is rigid spoke, not yielding while meeting stomach wall resistance, can fully upwards lift front stomach wall, set up larger operative space.
Accompanying drawing explanation
Fig. 1 is umbrella formula stomach wall suspension apparatus rounding state schematic diagram of the present invention.
Fig. 2 is dead point ring, the cap shape head end structural representation of umbrella formula stomach wall suspension apparatus of the present invention.
Fig. 3 open mode structural representation that is umbrella formula stomach wall suspension apparatus of the present invention in without stomach wall active force situation.
Fig. 4 is that umbrella formula stomach wall suspension apparatus of the present invention is being subject to open mode structural representation under stomach wall pressure condition.
The specific embodiment
By accompanying drawing and example, technical scheme of the present invention is further described below.
Contrast Fig. 1, the umbrella formula stomach wall suspension apparatus that laparoscopic surgery of the present invention is used, comprises suspention umbrella 1, fixed bar 2 and mechanical arm 3.Described fixed bar 2 is fixed on operating-table, and mechanical arm 3 is installed on fixed bar 2, and suspention umbrella 1 is suspended on mechanical arm 3 by the annulus 13 connection chainings 6 of nook closing member 4 ends.
Contrast Fig. 2,3,4, suspention umbrella 1 structure of the umbrella formula stomach wall suspension apparatus that laparoscopic surgery of the present invention is used is comprised of sleeve pipe, nook closing member 4, dead point ring 5 and chaining 6.Sleeve pipe comprises spoke 7 and push-and-pull pipe 8, and spoke 7 is divided into front spoke 7-1, rear spoke 7-2, right spoke 7-3 and left spoke 7-4, and dead point ring 5 is fixed near nook closing member 4 cap shape head end 9 places.Nook closing member 4 is placed in sleeve pipe, and push-and-pull pipe 8 is fixed in spoke 7 upper ends, and nook closing member 4 cap shape head ends 9 are fixed in lower end, and spoke 7 is folded to form umbrella leaf by near-end joint 10, middle joint 11 and distal joint 12 to central authorities.
Claims (3)
1. the umbrella formula stomach wall suspension apparatus that laparoscopic surgery is used, comprise suspention umbrella, mechanical arm and fixed bar, described suspention pack is drawn together sleeve pipe, nook closing member and chaining, described suspention umbrella hangs on mechanical arm by chaining, mechanical arm is fixed on fixed bar, described sleeve pipe comprises spoke and push-and-pull pipe, down sliding push-and-pull pipe, spoke is by near-end joint, distal joint and middle joint form umbrella to central sliding folding, the spoke of umbrella lifts front stomach wall under stomach wall, set up the operative space in abdominal cavity, it is characterized in that: also comprise the dead point ring that is circular, this dead point ring set is on the close nook closing member of lower ring, described spoke is elastic spoke.
2. the umbrella formula stomach wall suspension apparatus that laparoscopic surgery according to claim 1 is used, is characterized in that: described spoke is except junction, joint, and all the other are horizontal ellipse shape.
3. the umbrella formula stomach wall suspension apparatus that laparoscopic surgery according to claim 1 is used, is characterized in that: described spoke minute front, rear, left and right direction is multipair, fore-and-aft direction is rigid spoke, inflexibility; Left and right directions is elastic spokes, flexible while meeting the resistance of both sides stomach wall.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201310573823.9A CN103549980A (en) | 2013-11-15 | 2013-11-15 | Umbrella-type abdominal wall hanging device used in laparoscopic operation |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201310573823.9A CN103549980A (en) | 2013-11-15 | 2013-11-15 | Umbrella-type abdominal wall hanging device used in laparoscopic operation |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN103549980A true CN103549980A (en) | 2014-02-05 |
Family
ID=50004475
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201310573823.9A Pending CN103549980A (en) | 2013-11-15 | 2013-11-15 | Umbrella-type abdominal wall hanging device used in laparoscopic operation |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN103549980A (en) |
Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN103829978A (en) * | 2014-02-23 | 2014-06-04 | 金庆涛 | Minimally invasive therapy auxiliary device |
| CN105455882A (en) * | 2014-11-03 | 2016-04-06 | 中国人民解放军第二军医大学 | Organ puncturing fixing device for endoscope operation |
| CN107242889A (en) * | 2017-07-28 | 2017-10-13 | 广西壮族自治区人民医院 | A kind of purse string suture cutting closer |
| CN107928723A (en) * | 2017-12-06 | 2018-04-20 | 朱丹阳 | The single hole stomach wall fixing device of gasless laparoscope |
| CN109674498A (en) * | 2019-01-04 | 2019-04-26 | 中国医学科学院北京协和医院 | A kind of operation spreader tool |
-
2013
- 2013-11-15 CN CN201310573823.9A patent/CN103549980A/en active Pending
Cited By (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN103829978A (en) * | 2014-02-23 | 2014-06-04 | 金庆涛 | Minimally invasive therapy auxiliary device |
| CN105455882A (en) * | 2014-11-03 | 2016-04-06 | 中国人民解放军第二军医大学 | Organ puncturing fixing device for endoscope operation |
| CN105455882B (en) * | 2014-11-03 | 2018-05-11 | 中国人民解放军第二军医大学 | A kind of endoscope-assistant surgery organ punctures fixing device |
| CN107242889A (en) * | 2017-07-28 | 2017-10-13 | 广西壮族自治区人民医院 | A kind of purse string suture cutting closer |
| CN107242889B (en) * | 2017-07-28 | 2023-02-28 | 广西壮族自治区人民医院 | Purse-string suture cutting closer |
| CN107928723A (en) * | 2017-12-06 | 2018-04-20 | 朱丹阳 | The single hole stomach wall fixing device of gasless laparoscope |
| CN109674498A (en) * | 2019-01-04 | 2019-04-26 | 中国医学科学院北京协和医院 | A kind of operation spreader tool |
| CN109674498B (en) * | 2019-01-04 | 2023-11-24 | 中国医学科学院北京协和医院 | Surgical opening instrument |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| CN103549980A (en) | Umbrella-type abdominal wall hanging device used in laparoscopic operation | |
| CN102846343B (en) | Pneumoperitoneum-free peritoneoscope suspending type abdominal wall puncture device | |
| CN204542318U (en) | Sacculus perforator | |
| CN108542441B (en) | Umbrella-type laparoscope pneumoperitoneum-free supporting device | |
| CN203539394U (en) | Umbrella-type abdominal wall suspension apparatus for laparoscope operation | |
| WO2015139157A1 (en) | Incision protection apparatus for gasless laparoscope | |
| CN202497179U (en) | Foldable retractor dedicated for single-site laparoscopy | |
| CN105395226B (en) | A kind of magnetic suspention or the intraperitoneal multifunction surgical platform directly suspended in midair | |
| CN102579092B (en) | Double-barrel type gasless abdominal single-aperture operating platform used for laparoscopic surgery | |
| CN203763146U (en) | Gasless laparoscopy abdominal wall suspension device | |
| CN107550527B (en) | Multi-functional flap traction device in Breast Surgery art | |
| CN205268209U (en) | Multi -functional operation platform in abdominal cavity that magnetism is suspended in midair or is directly suspended in midair | |
| CN209360774U (en) | The dedicated liver retractor of laparoscope | |
| CN210644080U (en) | Object taking device for laparoscopic surgery | |
| CN210494199U (en) | Sacculus type uterus lifting device | |
| CN108852523B (en) | Inflatable incision protective sleeve of pneumoperitoneum-free laparoscope | |
| CN202505408U (en) | Double cylinder type pneumoperitoneum-free single-hole operation platform for laparoscopic surgery | |
| CN209611490U (en) | Percutaneous stomach stoma is placed in guiding device | |
| CN201822877U (en) | Abdominal wall expanding device for laparoscopy | |
| CN209629727U (en) | A kind of fascia closer | |
| CN207384276U (en) | A kind of laparoscopic cannula | |
| JP4860714B2 (en) | Endoscope hanger | |
| CN208228965U (en) | A kind of tumor operation stretching apparatus with ejection function | |
| CN202776412U (en) | Embedded type gasless single-hole operation platform for laparoscopic surgery | |
| CN208892667U (en) | A kind of umbrella-type laparoscope pneumoperitoneum-free support device |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C06 | Publication | ||
| PB01 | Publication | ||
| SE01 | Entry into force of request for substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| C02 | Deemed withdrawal of patent application after publication (patent law 2001) | ||
| WD01 | Invention patent application deemed withdrawn after publication |
Application publication date: 20140205 |