CN103932758A - Rib rongeur used under thoracoscope - Google Patents

Rib rongeur used under thoracoscope Download PDF

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Publication number
CN103932758A
CN103932758A CN201410134484.9A CN201410134484A CN103932758A CN 103932758 A CN103932758 A CN 103932758A CN 201410134484 A CN201410134484 A CN 201410134484A CN 103932758 A CN103932758 A CN 103932758A
Authority
CN
China
Prior art keywords
rongeur
rib
handle
pliers plate
fixed handle
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.)
Granted
Application number
CN201410134484.9A
Other languages
Chinese (zh)
Other versions
CN103932758B (en
Inventor
宋楠
姜格宁
姜超
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Shanghai Pulmonary Hospital
Original Assignee
Shanghai Pulmonary Hospital
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Shanghai Pulmonary Hospital filed Critical Shanghai Pulmonary Hospital
Priority to CN201410134484.9A priority Critical patent/CN103932758B/en
Publication of CN103932758A publication Critical patent/CN103932758A/en
Application granted granted Critical
Publication of CN103932758B publication Critical patent/CN103932758B/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery

Abstract

The invention discloses a rib rongeur used under a thoracoscope. The rib rongeur comprises a fixed handle, a movable handle, a lower rongeur piece, an upper rongeur piece and a compressed spring. The compressed spring is connected between the fixed handle and the movable handle, the upper end of the fixed handle is hinged to the upper end of the movable handle through a hinge part, the top of the fixed handle and the lower rongeur piece are integrally formed, and the top of the movable handle is connected with the tail of the upper rongeur piece. The rib rongeur used under the thoracoscope is characterized in that a rib biting groove is formed in the front end of the lower rongeur piece, a conical cutter portion is arranged at the front end of the upper rongeur piece, and the conical cutter portion moves back and forth in the rib biting groove. The rib rongeur is used in the thoracoscope operation, only a small incision needs to be cut in the chest wall, the rib rongeur is extends into the thoracic cavity of the human body through the small incision, then rib biting groove is aligned to the portion which needs to be excised, and then rib excision is conveniently achieved. No large incision needs to be cut in the chest wall, and the operation risk and pain of a patient are greatly reduced.

Description

Rib rongeur under thoracoscope
Technical field
The present invention relates to field of medical appliances, particularly rib rongeur under a kind of thoracoscope.
Background technology
Pulmonary carcinoma is to threaten the malignant tumor of human health, and along with carrying out and progress that the impact such as thin-layer CT inspection learns a skill of conventional health examination, increasing patients with lung cancer can be by early discovery, early treatment.The early stage of lung cancer patient of Small pulmonary nodule generally treats by thoracoscopic operation at present, belongs to Minimally Invasive Surgery, and patient's pain is light, and post-operative recovery is fast.But the most common direct transfer of pulmonary carcinoma or the rib of invading vicinity.No matter tuberosity size in the past, if find that patients with lung cancer exists local rib to shift, generally can abandon thoracoscope Minimally Invasive Surgery, and adopt conventional posteriolateral incision (being about 30cm), cut skin simultaneously and excise the rib of being invaded.The otch of this operation method is larger, and operating time extends, and increased operation risk and patient's pain, and patient's post-operative recovery is slow.
In sum, for shortcomings and deficiencies of the prior art, need especially the one can be in thoracoscope Minimally Invasive Surgery, excise quickly and easily by the operation device of tumor invading rib, to address the above problem.
Summary of the invention
The object of the present invention is to provide rib rongeur under a kind of thoracoscope, this rongeur is used in conjunction with thoracoscope, can be quickly and easily from thoracic cavity internal mute by the part rib of tumor invading, without doing the large otch of thoracic wall, reduce operation risk and minimizing patient's pain, because thoracic wall otch is little, there is certain aesthetic property.
Technical problem solved by the invention can realize by the following technical solutions:
Rib rongeur under thoracoscope, comprise fixed handle, flexible handle, lower clamp piece, upper pliers plate, stage clip, described stage clip is connected between described fixed handle, flexible handle, the upper end of described fixed handle, flexible handle is hinged by hinge member, the top of described fixed handle and described lower clamp piece are one-body molded, the top of described flexible handle is connected with the afterbody of upper pliers plate, it is characterized in that, the front end of described lower clamp piece offers one and stings bone groove, the front end of described upper pliers plate is a taper cutting knife portion, described taper cutting knife portion described sting in bone groove movable back and forth.
In a preferred embodiment of the present invention, the upper surface of described lower clamp piece offers the chute embedding for described upper pliers plate along its length, and described upper pliers plate is slidably arranged in described chute, and the width of described upper pliers plate and the width of described chute adapt.
In a preferred embodiment of the present invention, described in sting bone groove length be 15mm, width is 10mm, is highly 9mm.
Owing to having adopted technical scheme as above, the present invention uses in thoracoscopic operation, only need on thoracic wall, open a little otch, the present invention is stretched into patient chest intracavity by little otch, and sting bone groove aligning rib and need cut position, can conveniently realize the excision of rib, without open large otch at thoracic wall, greatly reduce the risk of operation and patient's pain, and upper pliers plate is to be slidably arranged in the chute of lower clamp piece, prevent upper pliers plate transverse shifting in the course of the work, increased operation safety.
Brief description of the drawings
In order to be illustrated more clearly in the embodiment of the present invention or technical scheme of the prior art, to the accompanying drawing of required use in embodiment or description of the Prior Art be briefly described below, apparently, accompanying drawing in the following describes is only some embodiments of the present invention, for those of ordinary skill in the art, do not paying under the prerequisite of creative work, can also obtain according to these accompanying drawings other accompanying drawing.
Fig. 1 is structural representation of the present invention.
Fig. 2 is that A of the present invention is to view.
Detailed description of the invention
For technological means, creation characteristic that the present invention is realized, reach object and effect is easy to understand, below in conjunction with concrete diagram, further set forth the present invention.
Referring to rib rongeur under the thoracoscope shown in Fig. 1 and Fig. 2, comprise fixed handle 110, flexible handle 120, lower clamp piece 210, upper pliers plate 220, stage clip 300, the upper end of fixed handle 110, flexible handle 120 is hinged by bearing pin 400, and the two ends of stage clip 300 are connected on fixed handle 110 and flexible handle 120 medial surface.
The top of fixed handle 110 and lower clamp piece 210 are one-body molded, the front end of lower clamp piece 210 offers one and stings bone groove 213, the length of stinging bone groove 213 is 15mm, width is 10mm, be highly 9mm, adapt with human body rib size, convenient carrying out smoothly of performing the operation, the front end of stinging bone groove 213 is a spacing chimb 212, and the upper surface of lower clamp piece 210 offers chute 240 along its length.
The top of flexible handle 120 is connected with the afterbody of upper pliers plate 220, in order to make upper pliers plate 220 activities more flexible, the top of flexible handle 120 is hinged with the afterbody of upper pliers plate 220 by bearing pin 230, upper pliers plate 220 slides and is inlaid in chute 240, the width of the width of upper pliers plate 220 and chute 240 adapts, so upper pliers plate 220 can slide along chute 240, can not produce in the course of the work again transverse shifting, increase operation safety.
In the time that flexible handle 120 is stretched over outer dead point P1 under the effect of stage clip 300 elastic force, the front end of upper pliers plate 220 is concordant with the inner face of chute 240; When under the effect of flexible handle 120 in external force, upper pliers plate 220 slides along chute 240, the front end of upper pliers plate 220 is a taper cutting knife portion 223, the stopper slot 212a that taper cutting knife portion 223 conflicts on spacing chimb 212 inner faces after stinging bone groove 213, and now flexible handle 120 reaches inner dead point P2; In order to prevent that rongeur from damaging its hetero-organization in human body, fillet processing is all passed through at the outer face of spacing chimb 212 and top.
The present invention uses in thoracoscopic operation, only need on thoracic wall, open a little otch, the present invention is stretched into patient chest intracavity by little otch and sting bone groove 213 and aim at rib and need to excise position, flexible handle 120 is applied to certain external force, the excision of rib be can conveniently realize, without open large otch at thoracic wall, the risk of operation and patient's pain greatly reduced, and upper pliers plate 220 can not produce transverse shifting in the course of the work, increase operation safety.
More than show and described ultimate principle of the present invention and principal character and advantage of the present invention.The technical staff of the industry should understand; the present invention is not restricted to the described embodiments; that in above-described embodiment and description, describes just illustrates principle of the present invention; without departing from the spirit and scope of the present invention; the present invention also has various changes and modifications, and these changes and improvements all fall in the claimed scope of the invention.The claimed scope of the present invention is defined by appending claims and equivalent thereof.

Claims (3)

1. rib rongeur under thoracoscope, comprise fixed handle, flexible handle, lower clamp piece, upper pliers plate, stage clip, described stage clip is connected to described fixed handle, between flexible handle, described fixed handle, the upper end of flexible handle is hinged by hinge member, the top of described fixed handle and described lower clamp piece are one-body molded, the top of described flexible handle is connected with the afterbody of upper pliers plate, it is characterized in that, the front end of described lower clamp piece offers one and stings bone groove, the front end of described upper pliers plate is a taper cutting knife portion, described taper cutting knife portion described sting in bone groove movable back and forth.
2. rib rongeur under thoracoscope as claimed in claim 1, it is characterized in that, the upper surface of described lower clamp piece offers the chute embedding for described upper pliers plate along its length, and described upper pliers plate is slidably arranged in described chute, and the width of described upper pliers plate and the width of described chute adapt.
3. rib rongeur under thoracoscope as claimed in claim 1, is characterized in that, described in sting bone groove length be 15mm, width is 10mm, is highly 9mm.
CN201410134484.9A 2014-04-02 2014-04-02 Rib rongeur under thoracoscope Expired - Fee Related CN103932758B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201410134484.9A CN103932758B (en) 2014-04-02 2014-04-02 Rib rongeur under thoracoscope

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201410134484.9A CN103932758B (en) 2014-04-02 2014-04-02 Rib rongeur under thoracoscope

Publications (2)

Publication Number Publication Date
CN103932758A true CN103932758A (en) 2014-07-23
CN103932758B CN103932758B (en) 2016-06-29

Family

ID=51180829

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201410134484.9A Expired - Fee Related CN103932758B (en) 2014-04-02 2014-04-02 Rib rongeur under thoracoscope

Country Status (1)

Country Link
CN (1) CN103932758B (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113440211A (en) * 2021-05-31 2021-09-28 四川大学华西医院 Rib rongeur under thoracoscope

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20030069583A1 (en) * 2001-10-10 2003-04-10 Agbodoe Victor B. Rongeur with detachable crossbar
US20040044346A1 (en) * 2002-09-03 2004-03-04 Boury Harb N. Surgical tool with disposable/removable cutting tip
US6723103B2 (en) * 2002-09-06 2004-04-20 Elizabeth Ann Edwards Rongeur and rongeur cleaning method
CN202069669U (en) * 2011-04-08 2011-12-14 申屠叶菲 Maxillary sinus rongeur of sinus endoscope
CN103284783A (en) * 2013-01-15 2013-09-11 池永龙 Universal vertebral plate rongeur

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20030069583A1 (en) * 2001-10-10 2003-04-10 Agbodoe Victor B. Rongeur with detachable crossbar
US20040044346A1 (en) * 2002-09-03 2004-03-04 Boury Harb N. Surgical tool with disposable/removable cutting tip
US6723103B2 (en) * 2002-09-06 2004-04-20 Elizabeth Ann Edwards Rongeur and rongeur cleaning method
CN202069669U (en) * 2011-04-08 2011-12-14 申屠叶菲 Maxillary sinus rongeur of sinus endoscope
CN103284783A (en) * 2013-01-15 2013-09-11 池永龙 Universal vertebral plate rongeur

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113440211A (en) * 2021-05-31 2021-09-28 四川大学华西医院 Rib rongeur under thoracoscope

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C06 Publication
PB01 Publication
C10 Entry into substantive examination
SE01 Entry into force of request for substantive examination
CB03 Change of inventor or designer information

Inventor after: Song Nan

Inventor after: Jiang Gening

Inventor after: Jiang Chao

Inventor after: Xu Weiwei

Inventor after: Yu Yongmei

Inventor after: Zhang Peng

Inventor after: He Wenxin

Inventor after: Liu Ming

Inventor after: Zhu Xinsheng

Inventor before: Song Nan

Inventor before: Jiang Gening

Inventor before: Jiang Chao

COR Change of bibliographic data
C14 Grant of patent or utility model
GR01 Patent grant
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20160629