CN103784173A

CN103784173A - Traction suture fixing device applied in single-aperture thoracoscope minimally-invasive pulmonary surgery

Info

Publication number: CN103784173A
Application number: CN201410013779.0A
Authority: CN
Inventors: 赵晓刚; 朱余明
Original assignee: Shanghai Pulmonary Hospital
Current assignee: Shanghai Pulmonary Hospital
Priority date: 2014-01-13
Filing date: 2014-01-13
Publication date: 2014-05-14
Anticipated expiration: 2034-01-13
Also published as: CN103784173B

Abstract

The invention belongs to the technical field of medical instruments, and particularly relates to a traction suture fixing device applied in single-aperture thoracoscope minimally-invasive pulmonary surgery. The traction suture fixing device comprises a metal rod, a U-shaped metal ring with springs at intervals, and an extension tube, one end of the U-shaped metal ring is connected with one end of the metal rod through a first connecting member while the other end of the same is connected with the extensible tube through a second connecting member, the extensible tube is composed of more than two hollow tubes, heads and tail ends of adjacent plastic hollow tubes are sequentially connected in a sleeved manner, and a plastic hook is arranged at the tail end of each hollow tube. The traction suture fixing device is simple in structure, ingenious in conception, capable of straightening out a traction suture and adjusting direction and angle of the traction suture and convenient for exposing of surgical field, a cutting instrument is enabled to be capable of smoothly penetrating a target in pulmonary lobectomy under a single-aperture thoracoscope, and the surgery is simpler and easier to be popularized at the grassroot level so as to bring benefit to patients.

Description

A kind of draught line fixture being applied in single hole thoracoscope Wicresoft pulmonary surgery

Technical field

The present invention relates to technical field of medical instruments, be specifically related to a kind of device that is applied to multi-angle fixed traction line in single hole thoracoscope Wicresoft pulmonary surgery.

Background technology

Thoracoscopic operation is carried out in early 1990s, through vicennial development, has been widely used in diagnosis and the operative treatment of thoracic surgery various diseases at present.Wherein thoracoscope lobectomy of lungs treatment I, II phase nonsmall-cell lung cancer and lung benign lesion, its safety and efficacy is affirmed to have the advantages such as wound is little, recovery is fast, postoperative pain is light, shoulder connecting portion function effect is little.Thoracoscope has identical Wicresoft's effect too aspect the treatment of pulmonary's benign disease.

The course that thoracoscope pulmonary surgery approach has experienced thoracoscopic operation, three holes, single operation hole (two holes), single hole (unique hole) under auxiliary incision changes, more and more Wicresoft, become more meticulous.Having reached at present single hole at the thoracic surgery center of minority is under unique hole, to carry out pulmonary surgery operation under thoracoscope, has further reduced otch quantity, has alleviated postoperative pain, has reduced operation wound, has embodied the huge superiority of Wicresoft.

But because the operation otch of single hole thoracoscope pulmonary of Wicresoft position operation is fixed and unique, be subject to the restriction of incision site and size, there is many drawbacks, the links of impact operation: first, thoracoscope and various operating theater instruments must pass in and out jointly from unique hole, and the angle that operates various apparatuses in art is often collided limited each other; The second, viewing angle is limited, and open chest surgery or three hole thoracoscopic operations can expose to all directions tractive lobe of the lung position and the structure of required understanding, and under single hole thoracoscope, operation just cannot so be followed one's bent; The 3rd, for cutting off, blood vessel and bronchial angle are more single, cannot resemble three hole thoracoscopies or open breast from suitable angle through target, then cut off; The 4th, carry out bronchovascular resection under single hole time to the fixing difficulty of draught line, for example, when the formula of tucking inside the sleeve resection and anastomosis is bronchial, coincide if adopt to be interrupted, various knotting lines fixedly can not get good arrangement, tend to tied up in knots each other, the carrying out of impact operation, even coincide unsuccessfully.

Above drawback causes the difficulty of thoracoscope pulmonary surgery under single hole to increase; only just can be completed by veteran doctor at veteran thoracic surgery center; how to solve these drawbacks; make thoracoscope Minimally Invasive Surgery operation under single hole push domestic grass-roots unit to, better benefiting patient becomes problem in the urgent need to address.

Summary of the invention

For the operating defect of single hole, need to design special apparatus and explore special operation skill and can address the above problem, the lymph node biopsy pincers that for example design pulmonary traction pliers, the dragline type of dragline type solve that the apparatus gateway of causing in single hole is blocked, collision phenomenon mutually; For example special skill: adopt draught line to overlap blood vessel, bronchus in operation, be beneficial to passing of cutting device to different direction tractives, guarantee the corresponding structure of safe cut-out; For example in blood vessel bronchus is rebuild, the ingenious of draught line fixed.But in the design of above-mentioned all solution single hole operating defects, all relate to the processing of numerous draught lines, and how to make the relation of these draught lines in order, be unlikely to allow numerous draught lines mutually tangle, be knotted into for primary problem; Direction of draw angle how to adjust draught line has also directly affected whether well visual area exposes, whether smoothly cutting device passes target texts.Therefore the invention provides the draught line fixture in a kind of single hole thoracoscope pulmonary Minimally Invasive Surgery, it can make the relation of draught line in order, adjusts the orientation angle of draught line.

The invention provides a kind of draught line fixture being applied in single hole thoracoscope Wicresoft pulmonary surgery, it comprises U-shaped becket and the telescoping tube of Metallic rod, intervallum spring; One end of the U-shaped becket of intervallum spring is connected with Metallic rod by the first connector, and the other end is connected with telescoping tube by the second connector, and telescoping tube is made up of more than 2 hollow pipe; Head and the tail end of its adjacent hollow pipe are socketed successively; The terminal position of hollow pipe arranges plastic hook.

The U-shaped becket of intervallum spring refers to by multiple springs successively interval and connects the many U-shaped beckets that metal tube forms, it is interrupted respectively the multiple springs of configuration between the semi-circular structure of U-loop, so both can guarantee the semi-ring form of U-loop, make this device meet intrathoracic structure, be just in time stuck in thoracic cavity; Ensure again certain elasticity, suitably enlarge bolt interval, conveniently inserts thoracic cavity.

The first connector is alligator clamp structure, this fixture is outside thoracic cavity time, make Metallic rod with annulus take the alligator clamp structure of this connector as axle, acutangulate and stick together with above-mentioned U-loop the first half, need to insert in thoracic cavity time, need artificially Metallic rod firmly to be equalized, insert rear relieving, the effect of alligator clamp makes thoracic wall clamping outside Metallic rod and thoracic cavity, is able to device relatively fixing in thoracic cavity.

The second connector is alligator clamp structure, this fixture is outside thoracic cavity time, make telescoping tube take the alligator clamp structure of this connector as axle, acutangulate and stick together with above-mentioned U-loop the latter half, need to insert in thoracic cavity time, need artificially effective plastic hollow power to be equalized, insert rear relieving, the effect of alligator clamp makes thoracic wall clamping in plastic hollow pipe and thoracic cavity, is able to device relatively fixing in thoracic cavity.

The tail end of above-mentioned Metallic rod arranges annulus, facilitates tractive, contributes to this device relatively fixing in thoracic cavity.

Beneficial effect of the present invention is: its apparatus structure is simple; be skillfully constructed; can make draught line in order; prevent that numerous draught lines is wound around mutually, it can adjust the orientation angle of draught line simultaneously, facilitates the exposure of visual area; it makes the cutting device in thoracoscopic lobectomy of lung under single hole can pass smoothly target; perform the operation more simple, more easily move towards basic unit, benefit patient.

Accompanying drawing explanation

Fig. 1 is a kind of structural representation that is applied to the device of fixed traction line in single hole thoracoscope pulmonary surgery in the present invention.

Using state schematic diagram in Fig. 2 the present invention when draught line fixture.

Number in the figure: 1-Metallic rod; The U-shaped becket of 2-intervallum spring; 5-the first connector; 6-the second connector; 7-the first hollow pipe; 8-plastic hook; 9-connector; 11-the second hollow pipe; 12-the 3rd hollow pipe; 13-the 4th hollow pipe; 14-annulus.

The specific embodiment

Below in conjunction with drawings and Examples, the present invention is elaborated further.

Embodiment 1

The device providing in the present embodiment comprises U-shaped becket 2 and the telescoping tube of Metallic rod 1, intervallum spring; This device is inserted by the single hole on thoracic wall, when placement, pull open Metallic rod 1 and telescoping tube, after inserting, this device is tightly stuck in the inside and outside thoracic wall in thoracic cavity, and the annulus 14 arranging by metal tube one end can this device of tractive, assists to realize this device intrathoracic relatively fixing.The U-shaped becket 2 of intervallum spring is to connect the many U-shaped beckets that metal tube forms by multiple springs successively interval, and it is interrupted respectively the multiple springs of configuration between the semi-circular structure of U-loop.

One end of the U-shaped becket 2 of intervallum spring is fixed on of Metallic rod 1, be connected with Metallic rod 1 by the first connector 5, in addition one end be fixed on the second connector 6 above, the second connector 6 connects telescoping tube; The first connector 5 and the second connector 6 are alligator clamp structures; When operation, can expand the space between Metallic rod 1 and telescoping tube by the U-shaped becket 2 of tractive intervallum spring, pull open Metallic rod 1 and telescoping tube simultaneously, U-loop can be extend in thoracic cavity, stretch into behind thoracic cavity due to the first connector of alligator clamp structure composition and the effect of the second connector, can automatic clamping inside and outside thoracic cavity between.

Telescoping tube is made up of the hollow pipe of connecting, hollow pipe is plastic material, it reduces diameter step by step to afterbody from the head, can bring into respectively in the hollow pipe of upper level by connector 9, the 4th hollow pipe 13 can return and include the 3rd hollow pipe 12, the three hollow pipes 12 in and can return and include the second hollow pipe 11, the second hollow pipes 11 in and can return and include the first hollow pipe 7 in, the coupling of size makes the friction dynamics of Hui Na moderate, and the hollow pipe pendulum that is conducive to series connection is difficult in different positions sliding.

Plastic hook 8 is fixed on the hollow pipe of series connection, facilitate various draught lines to pass through, embed, fixing position is positioned at the end of each hollow pipe, the convenient amplitude that increases hollow pipe Hui Na at different levels, reduce the second hollow pipe 11, the 3rd hollow pipe 12 of series connection, the length of the 4th hollow pipe 13, make this device more small and exquisite.

Claims

1. be applied to the draught line fixture in single hole thoracoscope Wicresoft pulmonary surgery, it is characterized in that: it comprises U-shaped becket and the telescoping tube of Metallic rod, intervallum spring; One end of the U-shaped becket of intervallum spring is connected by one end of the first connector and Metallic rod, and the other end is connected with telescoping tube by the second connector; Wherein: telescoping tube is made up of more than at least 2 hollow pipe; Head and the tail end of adjacent hollow pipe are socketed successively; The terminal position of hollow pipe arranges plastic hook.

2. the draught line fixture being applied in single hole thoracoscope Wicresoft pulmonary surgery according to claim 1, is characterized in that: the tail end of described Metallic rod arranges annulus.

3. the draught line fixture being applied in single hole thoracoscope Wicresoft pulmonary surgery according to claim 1, is characterized in that: described the first connector and the second connector are alligator clamp structure.