CN103565483A - Gasless device of inflatable laparoscope - Google Patents

Gasless device of inflatable laparoscope Download PDF

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Publication number
CN103565483A
CN103565483A CN 201310560359 CN201310560359A CN103565483A CN 103565483 A CN103565483 A CN 103565483A CN 201310560359 CN201310560359 CN 201310560359 CN 201310560359 A CN201310560359 A CN 201310560359A CN 103565483 A CN103565483 A CN 103565483A
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CN
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Prior art keywords
gasless
operation
air
inflatable
laparoscope
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CN 201310560359
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Chinese (zh)
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CN103565483B (en )
Inventor
耿葵花
粟奕勇
韦为
郑广平
吴东波
韩小刚
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广西大学
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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
    • A61B17/0281Abdominal wall lifters

Abstract

A gasless device of an inflatable laparoscope comprises a switch, air bags, lifting lines, supporting rods and a sleeve. Each air bag is provided with an inflatable hose. The tail ends of the inflatable hoses are connected with the switch. One end of each supporting rod is connected with the upper portion of each air bag, and the other end of each supporting rod is connected with the lower portion of each air bag. One end of each lifting line is connected with the upper portion of each supporting rod or the upper portion of each air bag. The sleeve is an independent part. By the adoption of the gasless device, the phenomena that abdominal walls on the two sides gather towards the middle to extrude intestinal canals to centralize towards the middle, and operation space becomes smaller and narrower are avoided, and the problem that in the existing gasless technology, the operation space is insufficient in exposure is well solved. More importantly, operation instrument trouble-free operation can be achieved without adopting a lifting hollow mode, and the gasless device is suitable for both a porous laparoscope gasless operation and a single-port laparoscope gasless operation.

Description

充气式腹腔镜免气腹装置技术领域 Inflatable gasless laparoscopy TECHNICAL FIELD

[0001] 本发明涉及医疗器械技术领域,具体是一种充气式腹腔镜免气腹装置。 [0001] The present invention relates to the field of medical devices, in particular a pneumatic means gasless laparoscopy.

背景技术 Background technique

[0002] 传统腹腔镜手术利用CO2气腹技术来制造手术操作空间,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术。 [0002] The use of conventional laparoscopic surgery CO2 pneumoperitoneum operative space technology to manufacture, since the CO2 pneumoperitoneum on respiration, many have an adverse effect pregnancy and fetal circulatory system, developed a variety of abdominal wall hanger to gasless laparoscopic surgery. 但现有的免气腹技术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,而且悬吊装置本身也占据了一定的位置,阻碍了手术器械的运动,故手术空间暴露不足以及操作不便是它们的主要缺陷。 However, the existing gasless technique 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, but the suspension device itself occupies a certain position, obstruct movement of the surgical instrument, so that an operative space is insufficient and exposed to maneuver their major drawback. 此外,现有免气腹的腹腔镜手术一般需要在腹壁做3~5个小切口作为手术器械的通道,切口越多微创和美容效果越差, 术后感染的风险越大,愈合时间也越长。 In addition, conventional gasless laparoscopy generally requires 3 to 5 do abdominal incision as small passage of surgical instruments, and more minimally invasive cosmetic effects worse, the greater the risk of postoperative infection, healing time longer. 因此,单孔技术和免气腹技术的结合是腹腔镜技术的发展方向之一,腹腔镜单孔免气腹技术的关键在于研制出适用于单孔技术的腹壁悬吊装置,而这正是现有技术还没有解决的问题。 Therefore, the combination of single-hole technology and gasless technology is one of the development of laparoscopic techniques, laparoscopic key hole gasless technology is developed abdominal wall hanger suitable for single-hole technology, which is the prior art also does not solve the problem.

发明内容 SUMMARY

[0003] 本发明的目的是提供一种充气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,并且易于操作,既可用于多孔手术,也可用于单孔手术的特点。 [0003] The object of the present invention is to provide a pneumatic means gasless laparoscopy, which overcomes the prior art surgery gasless small space, the disadvantages of poor surgical field exposure, and easy to operate, both for the porous surgery, hole features can also be used in surgery.

[0004] 本发明通过以下技术方案达到上述目的:一种充气式腹腔镜免气腹装置,包括气囊和套筒,所述气囊自带有充气软管。 [0004] The present invention achieves the above object is achieved by the following technical solution: A pneumatic gasless laparoscopy device, comprising a sleeve and an airbag, said airbag inflator hose comes.

[0005] 所述气囊至少由两个环形气囊组成,最上面的一个为上环形气囊,最下面的一个为下环形气囊,气囊之间通过连通管联通在一起,各环形气囊的直径、管径和间距既可相等亦可不相等,环与环的间距也可以为零。 [0005] The bladder of at least two annular air sacs, the uppermost one of the ring shaped bladder, the lowermost one of the annular bladder, link between the airbag through the communication pipe together, each of the annular balloon diameter, diameter It can also be equal and unequal spacing, and the spacing ring ring may also be zero.

[0006] 所述的气囊为单个环形或者单个圆柱形、圆台形、球冠形、螺旋形、复合形。 [0006] The airbag is a single ring or a single cylindrical, truncated cone-shaped, spherical cap-shaped, helical, Complex.

[0007] 所述套筒上设有一条缺口,该缺口为沿轴向方向贯通开设的开口槽。 [0007] The sleeve is provided with a notch, which notch defines an axial direction of the through-opening groove.

[0008] 所述气囊可用支撑杆与之连接,所述支撑杆或气囊上部可连接提拉线。 [0008] The available bladder support bar connected thereto, said upper support rod or pull cable may be connected airbag.

[0009] 本发明突出的技术效果在于: [0009] The technical effect of the present invention, the projection comprising:

[0010] 利用气囊膨胀力撑开腹壁,使腹腔形成一个圆柱形或者球冠形或者圆台形的手术空间,较好地解决了现有免气腹技术手术空间暴露不足的问题。 [0010] abdominal wall using a balloon expandable distraction force, or abdominal cavity to form a cylindrical or spherical cap shape of a truncated cone operative space, a better solution to the prior art gasless exposed operative space shortage. 更为重要的是,不需要提拉的中空形式可实现手术器械无障碍操作,既适用于多孔腹腔镜免气腹手术,也适用于单孔腹腔镜免气腹手术。 More importantly, does not require pulling the form of a hollow surgical instrument can be achieved trouble-free operation, both for the porous gasless laparoscopy surgery, it is also applicable to hole gasless laparoscopy surgery.

附图说明 BRIEF DESCRIPTION

[0011] 图1是本发明所述的充气式腹腔镜免气腹装置的工作状态示意图。 [0011] FIG. 1 is a schematic view of the inflatable laparoscopic present invention gasless apparatus operating state.

[0012] 图2是本发明所述的充气式腹腔镜免气腹装置的工作状态两个环形组合的气囊示意图。 [0012] FIG. 2 is a schematic view of the airbag inflator of the present invention is laparoscopic gasless apparatus operating state of the two ring combination. [0013] 图3是本发明所述的充气式腹腔镜免气腹装置的工作状态多个环形组合的气囊示意图。 [0013] FIG. 3 is a schematic view of the airbag inflator of the present invention is laparoscopic operating state of the plurality of annular gasless apparatus combination.

[0014] 图4是本发明所述的充气式腹腔镜免气腹装置的工作状态单个圆柱形气囊示意图。 [0014] FIG. 4 is a laparoscopic inflatable present invention, the apparatus gasless single cylindrical operating state of the airbag FIG.

[0015] 图5是本发明所述的充气式腹腔镜免气腹装置的工作状态单个球冠形气囊示意图。 [0015] FIG. 5 is a laparoscopic inflatable present invention, the apparatus gasless working state of a single spherical cap airbag FIG.

[0016] 图6是图1中环形气囊、支撑杆、提拉线结合处的结构示意图。 [0016] FIG. 6 is an annular bladder, rod, schematic view of FIG. 1 at the pulling wire bonding.

[0017] 图7是本发明所述的充气式腹腔镜免气腹装置的初始状态示意图。 [0017] FIG. 7 is a schematic view of the inflatable laparoscopic initial state of the present invention gasless apparatus.

[0018] 图8是本发明所述的充气式腹腔镜免气腹装置去掉套筒的初始状态示意图。 [0018] FIG. 8 is a schematic view of the inflatable laparoscopic present invention gasless sleeve means to remove the initial state. 具体实施方式 detailed description

[0019] 下面结合附图和实施例对本发明的技术方案作进一步的描述。 Technical drawings and embodiments of the present invention will be further described [0019] below in conjunction.

[0020] 如图1至图8所示,本发明所述的充气式腹腔镜免气腹装置,包括开关1、气囊2、 提拉线3、支撑杆4以及套筒9,所述气囊2包含有一个上环形气囊5和一个下环形气囊8 (如图2所示),所述支撑杆4的一端与气囊2的上环形气囊5连接、支撑杆4的另一端与气囊2的下环形气囊8连接,所述提拉线3的一端与支撑杆4或者和上环形气囊5连接;需要说明的是,气囊2包括上环形气囊5和一个下环形气囊8为中空结构,并采用弹性材料制作;需要指出的是,气囊2的环形气囊可以采用两个环布局(如图2所示),也可以采用多条环形气囊布局(如图3所示),各环的直径、管径和间距既可相等亦可不相等,环与环的间距也可以为零;还需要指出的是,气囊2可以采用单个环形或者单个圆柱形、圆台形、球冠形、 螺旋形、复合形等形状(如图4、图5所示);本发明的特色在于:把一定压力的 [0020] As shown in FIG. 1 to FIG. 8, the inflatable laparoscopic present invention gasless means includes a switch 1, a balloon 2, pulling line 3, support rod 4 and the sleeve 9, the airbag 2 comprises 5 has an upper bladder ring and a lower bladder ring 8 (shown in Figure 2), one end of the support rod 4 airbag 5 is connected to the annular bladder 2, the other end of the support bar 4 of the airbag 2, the airbag lower annular 8 is connected to the pull cord and the support rod 3, or 4 and 5 are connected to the annular bladder; Incidentally, the airbag 2 includes an upper bladder ring and a lower ring 5 is hollow bladder 8, and elastic material; It should be noted that an annular air bag of the airbag 2 may be employed two rings layout (FIG. 2), may also be employed a plurality of annular bladder layout (FIG. 3), the diameter, pitch diameter and each ring either may be equal also unequal, the spacing ring and the ring may also be zero; also to be noted that, the airbag 2 may employ a single ring or a single cylindrical, truncated cone, a spherical cap, spiral, complex shape or the like (FIG. 4 and FIG. 5); Features of the present invention is: the constant pressure 气体充入有弹性中空的气囊2中,利用气压将气囊吹胀开,从而撑开患者的腹壁以获得手术空间。 Gas into the hollow resilient airbag 2, the airbag inflation pressure using the opening, thereby to obtain an abdominal wall of the patient distraction operative space.

[0021] 为了能更加方便和顺利地将气囊2、提拉线3、支撑杆4等导入患者的腹腔内,可以设置一个套筒9,该套筒9为中空的独立件,能将所述气囊2、提拉线3、支撑杆4等部件收纳入套筒9的中空内腔,并可以按照需要将套筒9从患者的腹腔内抽出(如图7所示)。 [0021] In order to more conveniently and smoothly the airbag 2, pulling line 3, support rods 4 into the patient's abdominal cavity and the like, may be provided a sleeve 9, the hollow sleeve 9 is a separate piece, the airbag can 2, pulling lines 3, 4 and so the support bar member is received into the hollow interior of the sleeve 9 and the sleeve 9 can be withdrawn as needed from inside the patient's abdominal cavity (Fig. 7).

[0022] 为了能够顺利将气囊2、提拉线3、支撑杆4等部件释放,可以在套筒9上开设一条缺口9a (如图7所示),所述缺口9a以贯通状的开口槽为较佳,其中又以沿轴向方向贯通开设的开口槽为最佳(参见图7)。 [0022] In order to release the airbag 2 smooth, pulling line 3, support rods 4 and other components, can open a gap 9a (FIG. 7) in the sleeve 9, the cutout groove 9a through the opening to form preferably, among which a through opening in the axial direction of the groove defines the optimum (see Fig. 7).

[0023] 为了将气体快捷地导入气囊2内,可以在上述气囊的各部分之间至少连接有一条连通管7,所述连通管7将上环形气囊5与下环形气囊8以及中间环形气囊联通在一起。 [0023] In order to quickly gas introduced into the airbag 2, may be connected between at least portions of the airbag has a communication pipe 7, the communication pipe 7 and the annular lower ring airbag 5 of the airbag 8 and the intermediate annular bladder Unicom together. 另外,上环形气囊5上至少连接有一条充气软管6,这样可以借助充气软管6对气囊2进行充气或者放气。 Further, the annular bladder 5 attached at least one inflatable hose 6, which can by means of a pneumatic hose 6 for inflating the airbag 2 or deflated.

[0024] 所述充气式腹腔镜免气腹装置的工作原理及过程是: [0024] The inflatable device gasless laparoscopy working principle and process are:

[0025]将气囊2和支撑杆4从套筒9的缺口9a处装入套筒内,并使提拉线3和充气软管6伸出套筒上部,使其形成图7的初始状态;于脐环处做约25mm的切口,提起前腹壁,将充气式腹腔镜免气腹装置按初始状态插入达腹腔内,提拉线3的自由端和开关I保持在腹腔切口外,将套筒9取出,手拉住提拉线3,使其余部分呈垂直状态保留在腹腔中,打开开关I, 充入一定压力的气体,气囊2膨胀展开,将腹腔撑开,形成圆柱形手术空间,关闭开关1,将腹壁外的提拉线3和充气软管6按手术需求位置摆放即可进行手术。 [0025] The balloon 2 and the support bar 4 is loaded from the notch 9a of the inner sleeve of the sleeve, and pulling line 3 and the inflatable hose extending upper sleeve 6, so as to form an initial state of FIG. 7; in navel ring done at about 25mm incision, lift the front abdominal wall, the inflatable device by gasless laparoscopy initial state of insertion of the abdominal cavity, the free end of the pulling wire and the switch 3 is held in the abdominal cavity incision I, the sleeve 9 is removed hand pulling pull wire 3, the remaining portion was vertical retained in the abdominal cavity, opening the switch I, filled with a predetermined gas pressure, the airbag 2 is inflated and deployed, the abdominal distraction, to form a cylindrical space operation, closing the switch 1, the pulling wire 3 outside the abdomen and a pneumatic hose 6 can request display position of the surgical surgery. 手术完毕,打开开关1,放掉气体,均匀拉动提拉线3,把装置从腹腔抽出。 Operation is completed, switch 1, let go of the gas, even pulling wire 3 is pulled, the device is withdrawn from the abdominal cavity. [0026] 上述实施例仅为本发明的若干较佳实施例,并非依此限制本发明的保护范围,故凡依照本发明的结构、形状、原理所做的各种等效变化,均应包括在本发明的保护范围之内。 [0026] The above-described embodiment is only several preferred embodiments of the present invention is not so limit the scope of the present invention, so any variations and modifications within the structure according to the present invention, the shape, the principles may be made while comprising within the scope of the present invention.

Claims (5)

  1. 1.一种充气式腹腔镜免气腹装置,其特征在于:包括气囊和套筒,所述气囊自带有充气软管。 1. A pneumatic device gasless laparoscopy, characterized by: comprising a sleeve and an airbag, said airbag inflator hose comes.
  2. 2.根据权利要求1所述的充气式腹腔镜免气腹装置,其特征在于:所述气囊至少由两个环形气囊组成,最上面的一个为上环形气囊,最下面的一个为下环形气囊,气囊之间通过连通管联通在一起,各环形气囊的直径、管径和间距既可相等亦可不相等,环与环的间距也可以为零。 The inflatable laparoscope according to claim 1 gasless apparatus, wherein: said at least two annular bladder balloon composed of a top annular bladder, the lowermost one of the annular bladder , link together through the communication pipe, the diameter of each of the ring shaped bladder, the diameter and the pitch may not equal either equal to, the distance ring and the ring may also be zero between the airbag.
  3. 3.根据权利要求1所述的充气式腹腔镜免气腹装置,其特征在于:所述的气囊为单个环形或者单个圆柱形、圆台形、球冠形、螺旋形、复合形。 The laparoscope of claim 1 inflatable gasless apparatus as claimed in claim, wherein: said balloon is a single ring or a single cylindrical, truncated cone-shaped, spherical cap-shaped, helical, Complex.
  4. 4.根据权利要求1所述的充气式腹腔镜免气腹装置,其特征在于:所述套筒上设有一条缺口,该缺口为沿轴向方向贯通开设的开口槽。 The laparoscope of claim 1 inflatable gasless apparatus as claimed in claim wherein: said sleeve is provided with a notch, the notch is a groove in the axial direction of the through openings opened.
  5. 5.根据权利要求1所述的充气式腹腔镜免气腹装置,其特征在于:所述气囊可用支撑杆与之连接,所述支撑杆或气囊上部可连接提拉线。 Inflatable laparoscopic according to claim 1 gasless apparatus, wherein: said airbag support rod connected thereto can be used, or the upper support bar connected to the pulling wire balloon.
CN 201310560359 2013-11-12 2013-11-12 Inflatable means gasless laparoscopy CN103565483B (en)

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Citations (6)

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US5522790A (en) * 1991-05-29 1996-06-04 Origin Medsystems, Inc. Retraction apparatus and methods for endoscopic surgery
US20040097792A1 (en) * 1991-05-29 2004-05-20 Moll Frederic H. Endoscopic inflatable retraction device, method of using, and method of making
CN102695541A (en) * 2009-12-16 2012-09-26 迈克罗普拉塔公司 Arrangements and methods for effecting an endoluminal anatomical structure
CN103126730A (en) * 2011-11-28 2013-06-05 广西大学 Direct-inserting type peritoneoscope pneumoperitoneum-avoiding device
CN203539393U (en) * 2013-11-12 2014-04-16 广西大学 Inflatable laparoscope pneumoperitoneum avoiding device

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5522790A (en) * 1991-05-29 1996-06-04 Origin Medsystems, Inc. Retraction apparatus and methods for endoscopic surgery
US20040097792A1 (en) * 1991-05-29 2004-05-20 Moll Frederic H. Endoscopic inflatable retraction device, method of using, and method of making
US5358496A (en) * 1991-10-18 1994-10-25 Ethicon, Inc. Endoscopic tissue manipulator
CN102695541A (en) * 2009-12-16 2012-09-26 迈克罗普拉塔公司 Arrangements and methods for effecting an endoluminal anatomical structure
CN103126730A (en) * 2011-11-28 2013-06-05 广西大学 Direct-inserting type peritoneoscope pneumoperitoneum-avoiding device
CN203539393U (en) * 2013-11-12 2014-04-16 广西大学 Inflatable laparoscope pneumoperitoneum avoiding device

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